USA > Massachusetts > Middlesex County > Arlington > Town of Arlington annual report 1915 > Part 10
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I do not consider the disease is at a point where it could be con- sidered an epidemic that would justify you in closing public places, but I do think they are being spread by contacts, and these contacts not all missed cases.
Unless carefully watched, you are liable to have a lively epi- demic from these various foci. One school physician with no nurse for 3000 pupils certainly is not sufficient. I advise your procuring a nurse to help your physician, both in maintaining a better quarantine and carrying on better school inspection. A town of your size with your tuberculosis dispensary can well occupy the full time of a nurse between the Board of Health and the schools. You are already, I understand, paying the district
130
ARLINGTON TOWN REPORT
nurse half enough on the tuberculosis work to pay the salary of such a nurse.
Very truly yours, C. E. SIMPSON, M.D., Health Officer.
As a result of the persistent work of our Health Physician, the threatened outbreak was averted. This work was greatly facili- tated by the employment of a nurse to investigate causes of ab- sence from school among the pupils.
During the year it has been necessary to install in the Town a tuberculosis dispensary, as required by the Acts, approved June 22, 1911, Chapter 576:
"Every city, and every town containing a population of ten thousand or more, as determined by the latest United States census, shall establish and maintain within its limits a dispensary for the discovery, treatment and supervision of needy persons resident within its limits and afflicted with tuberculosis, unless there already exists in such city or town a dispensary which is satisfactory to the State Board of Health. The said dispensaries shall be subject to the regulations of the boards of health of the cities or towns in which they are respectively situated. A city or town subject to the provisions of this act which, upon the request of the State Board of Health, refuses or neglects to comply with the provisions hereof, shall forfeit not more than five hundred dollars for every such refusal or neglect."
By above act it became necessary to furnish two rooms for said purpose, which should be properly lighted and heated, having the services of hot and cold water, available for use at least one hour a day, or one day and evening of each week. The matter of expense was important, as it can be easily seen that rooms for such purpose were good for no other use. After looking into this ques- tion very carefully, and having conferred with the Board of Selectmen, we decided to use part of the Inspector's room, and part of the laboratory for an examination room. This was approved by the State Board of Health, through the District Health In- spector, and has proven very satisfactory. Arrangements were made whereby the District Nursing Association furnishes us with a nurse for the tuberculosis work at a nominal price for actual time,
131
BOARD OF HEALTH
and Dr. Ezekiel Pratt, physician of the Board, is in charge of the same. For detailed report for tuberculosis dispensary, we refer you to Dr. Pratt's report.
We respectfully submit for your consideration the following reports of the various branches of this department.
BACTERIOLOGICAL DEPARTMENT.
The Bacteriological Laboratory, connected with this department, still continues to prove its worth, and the Board feels very much satisfied with the services which Dr. Pratt reports in connection with the same.
Specimens will be received at the laboratory at the Town Hall daily, at any time, and they will be examined and reported upon the following morning.
Outfits for specimens to be examined for tuberculosis, diphtheria, and typhoid fever; and diphtheria antitoxin, vaccine lymph and nitrate of silver solution may be obtained at the laboratory and at the following places":
Perham's Pharmacy, Arlington Center; Emus Pharmacy, Arlington Heights; Angus Pharmacy, corner of Winter Street and Massachusetts Avenue.
For further particulars, we refer you to the report of the Bac- teriologist.
BOARD OF INFANTS. .
Five parties, whose applications were first approved by this Board, have been licensed by the State Board of Charity to board infants in this Town, under the provisions of Chapter 83, of the Revised Laws of 1902. There are still, however, numerous parties in the Town who are boarding one infant, thereby under the present law avoiding the necessity of local inspection as to sanitary arrangements. This matter is being investigated by the State Board of Charity.
PERMITS.
The record of permits to keep cows, swine, goats and hens, and o collect grease is as follows:
Cows: Fifteen applications were received for permits to keep ifty-nine cows, all of which were granted.
Hens: Two hundred and thirty-six applications were received
132
ARLINGTON TOWN REPORT
for permits to keep 11,282 hens, all of which were granted after hearings in some cases.
Ducks: Nine applications were received for permits to keep one hundred six ducks, all of which were granted.
Swine: Ten applications were received for permits to keep 243 swine, all of which were granted.
Grease: Four applications were received for permits for four teams to collect grease. Four permits were granted.
One hundred twenty-four permits were also issued at this office' to haul offal through the streets of the Town.
CONTAGIOUS DISEASES.
On March 4, 1915, this Board re-adopted the following quaran- tine rules relative to persons suffering with contagious or infectious diseases:
Diseases adjudged dangerous to the public health. It is adjudged that the diseases known as actinomycosis, anterior po'iomyelitis, Asiatic cholera, cerebro-spinal meningitis; diphtheria, glanders, leprosy, malignant pustule, measles, German measles, ophthalmia neonatorum, plague, pellagra, scarlet fever, smallpox, tetanus, trachoma, trichinosis, tuberculosis, typhoid fever, typhus fever, varicella, whooping cough, yellow fever, erysipelas, pneumonia, rabies, tonsillitis*, and mumps*, those marked by star being desig- nated by local regulation, are infectious or contagious and are dangerous to the public health and safety, and may be contracted from persons or apartments, or at funerals of persons dying from these diseases, and that the following provisions of this Chapter are necessary for the public health and safety in regard to said diseases.
QUARANTINE OF PERSONS SUFFERING WITH CONTAGIOUS OR INFECTIOUS DISEASES, OR THOSE EXPOSED TO SUCH DISEASES.
DIPHTHERIA. Patient: Until nose and throat are clear and two successive cultures at three (3) day intervals have been obtained from both nose and throat; the last culture to be taken by some person designated by the Board of Health. Other children: Until one (1) week has elapsed since last exposure, unless immunized by antitoxin, and after two (2) successive negative cultures from both nose and throat. Other members of the family: May attend
133
BOARD OF HEALTH
to business after one (1) negative culture, unless engaged in the handling of food.
SCARLET FEVER. Patient: Quarantined for a minimum period of five (5) weeks; and thereafter during persistence of lesions of nose, throat, ears, or skin. Other children: Until one (1) week has elapsed since last exposure, unless immunized by previous attack of the disease. Other members of family: May attend to business, unless engaged in the handling of food.
MEASLES. Patient: Quarantined until ten (10) days have e'apsed since beginning of eruption. Other children: Excluded from school for two (2) weeks from date of last exposure, unless previously immunized by an attack of the disease. Other mem- bers of fam'ly: Allowed to attend to business.
GERMAN MEASLES. Patient: Isolated for seven (7) days after appearance of eruption. Other children: Not excluded from school. Other members of family: May attend to business.
CHICKEN-POX. Patient: Shall be isolated during presence of skin or mouth lesions. Other children: Excluded for three (3) weeks after last exposure to the disease unless immunized by previ- ous attack of the disease. Other members of family: May attend to business.
WHOOPING COUGH. Patient: Shall be isolated for a minimum period of three (3) weeks and thereafter as long as the paroxysmal stage persists. Other children: Excluded from school until two (2) weeks have elapsed since last exposure unless immunized by previous attack of the disease. Other members of family: May attend to business.
MUMPS. Patient: Isolated for three (3) weeks. Other chil- dren: Excluded from school for two (2) weeks from last exposure unless previously immunized by an attack of the disease. Other members of family: May attend to business.
TYPHOID FEVER. Patient: Isolated until recovery and until urine and feces are free from bacilli. Other children: Excluded from school for two (2) weeks from last exposure unless immunized by previous attack or by typhoid vaccine. Other members of family: May attend to business unless engaged in the handling of food.
OPHTHALMIA. Patient: Iso ated until purulent discharge has disappeared and two (2) successive cultures negative for gonococci at twenty-four (24) hours' interva have been obtained.
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ARLINGTON TOWN REPORT
The care of contagious diseases occurring in this Town is be- coming a serious problem. The cost for the care of these cases during the past year was $2666.38. All cases from this Town are sent to the Brighton Contagious Hospital. The cost of the treat- ment of these diseases is a difficult one to determine and to esti- mate, and this Board feels strongly that a contagious disease account should be established against which all such charges should be entered.
It has been our misfortune this year, through the death of our Clerk, Mr. John E. Robinson, to lose the services of one who had proven himself invaluable to the Board, in whose work he took an especial interest.
In appreciation of this, the following resolutions were adopted:
RESOLVED: That we, his associates in office, as well as the com- munity in which he lived, have lost a valued assistant and friend, one who was conscientious, capable, and in every way trustworthy in his duties; lovable in disposition, and manly in character.
RESOLVED: That we, the members of the Board of Health, whom he so faithfully served, place on our records this testimonial.
LAURENCE L. PEIRCE, M.D.V.,
GUY E. SANGER, M.D., ALFRED H. KNOWLES,
Board of Health.
VITAL STATISTICS.
Population 14,860
Crude Birth Rate 21.5
Crude Death Rate 15.0
Total number of deaths from all causes, exclusive of still-births 13.5 Number of still-births 12
Total number of births, exclusive of still-births 308
DEATHS BY SEXES (Still-Births excluded).
Number of deaths of females 114
Number of deaths of males 87
Number of deaths of unknown 00
Total 201
135
BOARD OF HEALTH
DEATHS BY MONTHS (Still-Births excluded).
1915
1914
January
25
19
February
11
12
March
20
28
April
16
12
May
17
10
June
17
9
July
18
18
August
13
9
September
19
10
October
20
14
November
13
13
December
12
10
Total
201
164
Stil -births
12
15
Total
213
179
DEATHS BY AGES (Still-Births excluded).
Total
Male
Female
Deaths of persons under one year
34
14
20
From 1 to 2 years
2
0
2
From 2 to 3 years
3
0
3
From 3 to 4 years
3
2
1
From 4 to 5 years
1
0
1
From 5 to 9 years
2
1
1
From 10 to 14 years
3
0
3
From 15 to 19 years
1
0
1
From 20 to 24 years
9
4
5
From 25 to 29 years
3
1
2
From 30 to 34 years
8
2
6
From 35 to 39 years
12
5
7
From 40 to 44 years
12
9
3
From 45 to 49 years
9
5
4
From 50 to 54 years
9
5
4
From 55 to 59 years
9
4
5
From 60 to 64 years
13
8
5
136
ARLINGTON TOWN REPORT
Total
Male
Female
From 65 to 69 years
12
6
6
From 70 to 74 years
19
11
8
From 75 to 79 years
18
6
12
From 80 to 84 years
9
2
7
From 85 to 89 years
6
1
5
From 90 to 94 years
4
1
3
From 95 to 99 years
0
0
0
Total
201
87
114
Note. For names of persons dying see report of the Town Clerk.
CAUSES OF DEATH (Still-Births excluded).
All cases, total
201
Male
87
Female
114
201
All Ages
Male
Female
Lobar pneumonia
17
3
14
Broncho-pneumonia
9
3
6
Hypostatic Pneumonia
1
1
0
Pulmonary Tuberculosis
15
5
10
Pulmonary Embolism
1
1
0
Cerebral Embolism
2
1
1
Cerebral Hemorrhage
14
6
8
Chronic Valvular Disease of Heart
6
1
5
Congenital Heart Disease
2
1
1
Chronic Nephritis
9
7
2
Acute Nephritis
1
1
0
Intestinal Obstruction
2
1
1
Cancer of Tongue
1
1
0
Arterio Sclerosis
6
4
2
Typhoid
1
1
0
Acute Indigestion
1
1
0
General Paralysis
3
2
1
Epilepsy
1
0
1
Premature Birth
10
7
3
Accident, Burns
3
0
3
Shock
2
0
2
137
BOARD OF HEALTH
All Ages
Male
Female
Myocarditis
3
2
1
Acute Endocarditis
3
0
3
General Peritonitis
2
0
2
Carcinoma of Breast
2
0
2
Carcinoma of Prostate Gland
2
2
0
Carcinoma of Intestines
5
2
3
Carinoma of Liver -
3
0
3
Carcinoma of Face
1
1
0
Carcinoma of Groin
1
1
0
Carcinoma of Spine
1
0
1
Carcinoma of Stomach
1
1
0
Carcinoma of Uterus
1
0
1
Cerebro-spinal Meningitis
4
4
0
Tubercular Meningitis
1
1
0
Influenza
1
0
1
Cholera Infantum
3
1
2
Membrane Laryngitis
1
0
1
Fracture of Spine
1
0
1
Fracture of Skull
3
2
1
Measles
1
1
0
Diphtheria
1
0
1
Whooping Cough
1
0
1
Gas Poisoning (Accidental)
1
1
0
Gas Poisoning (Suicidal)
1
1
0
Hanging (Suicidal)
2
1
1
Drowning (Accident)
1
1
0
Arsenical Poisoning (Accident)
1
0
1
Mitral Insufficiency
4
0
4
Mitral Regurgitation
5
2
3
Senility
4
3
1
Rupture of Lung
1
1
0
Eclampsia
1
0
1
Uncinariasis
1
1
0
Acute Yellow Atrophy of Liver
1
1
0
Injury to Brain and Spine
1
1
0
Hydrocephalus
3
0
3
Oedema of Brain
2
1
1
Septicaemia
4
0
4
138
ARLINGTON TOWN REPORT
All Ages
Male
Female
Diabetes
2
0
2
Insipidus
1
0
1
Pelvic Abscess
1
0
1
1
Infectious Diarrhea
3
2
1
Heart Disease
2
1
1
Gangrene of Leg
1
1
0
Dysentery
1
0
1
Infantile Atrophy
1
1
0
Acute Gastro-Enteritis
3
2
1
Syphilis
1
1
0
Puerperal Septicaemia
1
0
1
Hodgkin's Disease
1
0
1
Ileocolitis
1
0
1
201
87
114
REPORT OF THE BACTERIOLOGIST AND PHYSICIAN TO THE BOARD OF HEALTH.
Board of Health, Arlington, Mass.
Gentlemen: I have the honor to submit my report as Bacteriolo- gist and Physician to the Board of Health for the year ending December 31, 1915.
The routine bacteriological work has been carried on as usual. A schematic view of the year's work follows:
Total
Pos.
Neg.
For Diag.
For Release
Diphtheria ·
124
15
109
70
54
Tuberculosis
52
27
Typhoid
36
4
Malaria
6
0
For Gonococci
8
2
·
Many other examinations are gladly carried out beside the routine work, and the facilities of the laboratory are open to the physicians of the Town at all times.
As Physician to the Board, I have continued to see all cases of contagious diseases before release from quarantine, and have taken the second culture for release in the case of diphtheria, inspected
139
BOARD OF HEALTH
the homes of applicants for infant boarding, and in general done all the work necessitating medical opinion.
On July 1, 1915, the Tubercular Dispensary was opened accord- ing to State law. A portion of the room next to the laboratory was partitioned off for this purpose and is quite satisfactory. At present we are caring for 32 frankly tubercular patients, and have examined the members of the families that have been exposed. Mrs. Elizabeth Peck is the nurse in charge of the nursing end, and supervises the home conditions and care.
The scarlet fever outbreak has taxed our facilities to the utmost, but at the beginning of the new year is entirely under control.
Respectfully submitted,
EZEKIEL PRATT, M.D.,
Bacteriologist and Physician to the Board of Health.
REPORT OF THE INSPECTOR OF PLUMBING.
To the Board of Health, Arlington, Mass.
Gentlemen: I herewith submit my report as Inspector of Plumb- ing for the Town of Arlington for the year ending December 31, 1915.
There have been 315 permits granted calling for the setting of 2370 fixtures divided as follows:
Water closets
508
Bath tubs
427
Lavatories
474
Sinks
490
Wash trays
338
Urinals
11
Shower baths with separate setting, requiring trap
5
Butler's pantry sinks
2
Bubbling fountains
8
Slop sinks
1
Dish washer
1
Floor drain
5
There have been made necessary by sewer connections seven- teen (17) changes in the main drains requiring water tests. Three (3) grease traps have been installed. The work is generally pur-
140
ARLINGTON TOWN REPORT
sued in conformity with the rules without trouble. Only twice it has been necessary to resort to the courts to enforce orders. In both cases the rulings of the Inspector were upheld.
Usual calls for inspection of work in unsanitary condition in old buildings have been made, and reports of conditions returned to the Board. Inspection of premises having State wards have been made as called for.
I wish, at this time, to thank the Board and other Town officials whose kind assistance and co-operation have helped to make the increasing duties of this office easier.
Respectfully submitted,
GEORGE W. DAY, Inspector of Plumbing.
REPORT OF THE FUMIGATOR.
To the Board of Health, Arlington, Mass.
Gentlemen: I herewith submit my report as Fumigator for the period beginning April 1, 1915, and ending December 31, 1915.
Whole number of cases fumigated, fifty two (52).
Diphtheria, six (6), requiring the fumigation of seven (7) rooms.
Erysipelas, one (1), requiring the fumigation of one (1) room.
Scarlet fever, thirty-seven (37), requiring the fumigation of fifty-five (55) rooms.
Spinal meningitis, two (2), requiring the fumigation of two (2) rooms.
Tuberculosis, seven (7), requiring the fumigation of eleven (11) rooms.
Respectfully submitted, WILLIAM H. BRADLEY, Fumigator.
REPORT OF THE SUPERINTENDENT OF THE HEALTH DEPARTMENT.
To the Board of Health, Arlington, Mass.
Gentlemen: I herewith submit my second annual report as Superintendent of the Health Department for the year ending December 31, 1915.
With the increase in population there is naturally a correspond- ing increase in the amount of work this department is called upon
141
BOARD OF HEALTH
to perform. For example: In the year 1914 there were collected 4260 single cart loads of ashes, and 942 wagon loads of papers, rubbish, etc., while the present year the collections increased to 4497 single cart loads of ashes, and 1125 loads of paper, the col- lection of offal increasing in proportion also.
Thus it will readily be seen that the cost and maintenance of this department must increase each year according to the growth of the Town. As in the past year, men and teams for performing this work were furnished by the Highway Department.
The latter part of April, the wages of employees were increased twenty-five cents per day, which caused an additional expense of $490.56 to this department.
The present equipment consists of one double ash cart, two single ash carts, one single ash sled, one paper wagon, three offal wagons, and two new offal pungs which were purchased this year. Two of the offal wagons were re-bottomed, the tires on the ash carts reset, and, with the exception of the new offal pungs, all of the above will require painting the coming year.
Below will be found a classified table of the different features of the work with the cost thereof:
Labor
Ashes
$2,610.45
Horses $1,552.01
Total $4,162.46
Offal .
3,555.09
1,442.82
4,997.91
Paper
1,407.54
482.16
1,889.70
Salary of Superintendent
1,000.00
Sundr es .
7.32
Supplies
59.44
Repairs.
141.60
Equipment
187.00
$12,445.43
Unexpended balance .
154.57
$12,600.00
For receipts and disbursements, see the Auditor's report.
Respectfully submitted,
WILLIAM H. BRADLEY, Supe. in'endent of the Health Department.
142
ARLINGTON TOWN REPORT
REPORT OF THE SANITARY INSPECTOR.
To the Board of Health, Arlington, Mass.
Gentlemen: I respectfully submit the following list of nuisances abated during the year ending December 31, 1915.
Cellars, filthy . 2
Cesspools, cleaned . 21
Garbage thrown in yards. 14
Garbage pails, filthy 27
Manure heaps, foul odors from
3
Privy vaults, cleaned . 17
Rubbish on vacant land.
4
Stables offensive. 1
Tenements filthy 24
Yards filthy 8
Total 121
Respectfully, WILLIAM H. BRADLEY, Sanitary Inspector.
INSPECTORS APPOINTED.
On April 5, 1915, the following appointments were made by the Board, to serve for the year ending March 31, 1916.
Inspector of Plumbing, George W. Day (under Civil Service); Inspector of Milk, Dr. Laurence L. Peirce; Inspector of Slaughter- ing and Markets, Dr. William T. McCarty; Fumigator, William H. Bradley; Sanitary Inspector, William H. Bradley; Bacteriolo- gist, Dr. Ezekiel Pratt; Physician to the Board, Dr. Ezekiel Pratt.
The Board desires to record its appreciation of the efficient services rendered by these Inspectors during the past year.
LAURENCE L. PEIRCE, M.D.V., GUY E. SANGER, M.D., ALFRED H. KNOWLES,
Board of Health.
143
BOARD OF HEALTH
. REPORT OF THE INSPECTOR OF SLAUGHTERING.
To the Board of Health, Arlington, Mass.
Gentlemen: I herewith submit my report as Inspector of Slaugh- tering for the year ending December 31, 1915.
Animals inspected according to B. A. I. rules and regulations.
Number of calves inspected
1750
Number of pigs inspected
25
Number of sheep inspected
10
Total
1785
Number passed inspection
1750
Number rejected, thirty-five (35), due to lack of age, weight and diseased condition.
Respectfully submitted,
W. T. MCCARTY, V.S., Inspector of Slaughtering.
REPORT OF INSPECTOR OF MARKETS.
To the Board of Health, Arlington, Mass.
Gentlemen: I herewith submit to you my report as Inspector of Markets for the year ending December 31, 1915.
Markets were inspected at frequent intervals and when any defects were discovered the owners were immediately notified and the conditions remedied.
As a general rule, the condition of the markets at the present time is exceptionally good.
Respectfully submitted,
W. T. MCCARTY, V.S., Inspector of Markets.
144
ARLINGTON TOWN REPORT
REPORT OF INSPECTOR OF MILK.
To the Board of Health, Arlington, Mass.
Gentlemen: I herein submit to you my annual report as Milk Inspector for the year ending December 31, 1915.
During the year I have continued to analyze a large number of samples, testing the same, not only for fats and solids, but for water, bacteria and streptococci.
The quality of milk which comes to the Town I find to be gen- erally good. I have had several cases where streptococci has been found to exist, and all these cases were quickly attended to.
We have had no epidemics during the year which could in any way be traced to the milk supply.
As near as I can see, the Town consumes over 4000 quarts of milk per day, this milk coming from about eighty so-called local dairies, and from probably three to four thousand distant dairies, brought in by the large contractors.
I have issued 78 licenses to sell milk, 44 to stores and 34 to deal- ers and peddlers.
Respectfully submitted,
LAURENCE L. PEIRCE, M.D.V., Inspector of Milk.
REPORT OF COMMISSIONERS OF CEMETERIES, ROBBINS FUND, SOLDIERS' MONUMENT FUND AND SAMUEL C. BUCKNAM FUND.
ARLINGTON, February 1, 1916.
The Commissioners of Cemeteries, Soldiers' Monument Fund, Robbins Fund and Samuel C. Bucknam Fund herewith submit their report for the year ending December 31, 1915.
During the year the general work of the cemeteries has received the usual attention, the grounds being maintained at the same standard of care as in former years.
During 1915 the various driveways have had the attention of the Commissioners, 1250 square yards being renewed and 5000 square yards resurfaced, placing these driveways in good condition for some time. During 1916 other driveways will be treated in the same manner. Twenty-five (25) shade and ornamental trees were planted in the various parts of the cemetery, and seventy- five (75) shrubs set out at entrances to plots and angles set apart for that purpose. During the year 100 yards of gravel has been deposited on the Park land adjoining the Mt. Pleasant Cemetery.
The sale of lots and single graves in 1915 shows a decided de- crease in the number sold in 1914, when $2525 was turned into the Town treasury available for transfer. In 1915 the amount avail- able is $1080.
Owing to the increase in the wages allowed laborers and the pay- ment of an old employee of the department, the Board recommends that $2500 be appropriated for the maintenance of this depart- ment during 1916.
Number of lots sold in 1915
10
Number of single graves sold in 1915 27
Interments:
Whole number of interments made
145
Interments made in private lots 92
Interments made in single graves 27
Interments made in tomb in old cemetery 1
Interments made in public burial lot 25
Total - - 145
145
146
ARLINGTON TOWN REPORT
STOCK AND TOOLS ON HAND.
During the year, anticipating the work necessary in 1916, the Board has conserved from the gradings made in 1915 the following material for this work:
Loam
550 square yards
Stone for driveways
125 tons
Sand®
120 square yards
The tools and appliances on hand are as follows:
Two carts
$55.00
One lowering device .
60.00
Three wheelbarrows
6.00
Sailcloths
10.00
Sprinklers
25.00
Lawn hose (600 feet)
70.00
Tools, etc.
15.00
Slate covering slabs
40.00
Bricks on hand
8.00
Lawn mowers
30.00
Total
$319.00
Receipts.
Appropriation for 1915
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