UNIVERSITY OF ILLINOIS

HEALTH SERVICE

Departments in Urbana-Champajgn

Thirty,third Annual Report 1948-1949

J. How AID BEARD, M. D. University Health Officer

Urbana, Illinois I have the honor to present herewith this report as edited and prepared by the late

Dr. J. Howard Beard. 1'h* pr1ntinc and binding have been completed with., IUper- vision. TABLE OF CONTENTS

Pall"

FORE":1ORD 1

SERVICES 2

I. University Students 2 II. University High School Studente 2 III. Re t irc~9nt System 2 IV. Employees 6 V. Student and Private Pilots 7 VI. Foodhandler s 7 VII. Applicants for l-!arriage Certificates 7 VIII. Laboratory SerTice 7

9

I! General 9 II. Albuminuria 10 Ill. Hear ~ ~lBeaBe 10 IV. Tube~culosio 10 V. Mental Hygiene 11 VI. Oral Hygiene 12

COi>iM1Jl!ICABLE DISEASE 1)

I. Students 1) II. Faculty and Civ!l SerTice Employees 14

VACCII'.ATIONS AJID UilltJllIZATIONS 14

COOPllRATION WITH CT!mR DEPARTMElITS 14

I. Military Classification 14 II. ~hysical Education Classification 14

INSTRUCTION IN I!YG IENE 15

I. Proficiency Examination 16 II. Hygiene 102 and 105, Elementary Hygiene and Sanitation 16 III. Hygiene 110, For Coachee and Teacheru 17 IV. nr6~ene 216, Por Occupational Therapy Student. 17 V. Hygiene X-103, Extension Course 17 VI. Hygiene X-225, Extension Course 17 SAl!ITATIOli 17 FIRST AID CABINETS 18 SPBCIAL SERV I C~ AT UN IVERSITY FJVbh~S 18

S TA~ !.ABORATORT Sz:RVICE 18

:uJqtm5TS FOR I NFCmiAT ION 19

TlrE GllNERAL PRACTITIONER AND '!'HE I!EA1TH SERVIClil 19

HOSPl TALlZATIOl1 19

I. McKinley Hospital 20 II. Local Hospi tala 20 III. Communicable Diseaae 20

ACCI Il!'!NTS TO EMPLoYEES 21

APPENDIX A - Medical Attention to Studenta and Employee.

T7Pes of Medical ~ttention to Students and Employees 22 Monthly Distribution of Visits 22 Classification of Injuriea to Civil Service Employees for Five Years 23 Laboratory Examinations 2) Hospitalization 25 Average Hospital St~ over Period of Six Years 25 Communicable Diseases Cared for at McKinley Hospital 26 Cases Cared for at !-fcU nley Ho spital 26 Elementary J!ygieno 27 Advanced Hygiene 27 Hygiene for Occupational Therapy Students 21 Correspondence Courses 27

APP~IX » - SUmD&r7 of Personal Histories

History of Familial Diseases 28 Injuries 28 Operations 28 Use of Tea , Coffee. and Tobacco 29 • Sleepiuc Habits 29 Students Giving Histories of Typhoid Fever 29 Relative Occurrence of Certain Diseases in Histories of the Class of 1952 30 General Development 31 Color of Eyes 31 Col or of Hair 31 Teeth 32 Abnormalities of the Heart 32 Thyroid Enlargement 32 Che stand L1lIl€S 33 Condi tion of Abdomi nal \'la11s 33 Incidence of Znlarged Lfmph Glands 33 Hernia in Men 33 Genito-UriDBr7 Organs J4 Oryptorchidiam J4 Urinalysis J4 Glycosuria and Albuminuria over a Period of Years 35 Foot Abnormalities 35 Foot Abnormal! tics over a Period of Years 36 Spine Abnormali tiea 36 Nose Abnormal1 tieD 36 Throat Abnormal! ties 37 Percentage of Students with Toneile RemoTed Over a Period of Yeare 37 Eors 37 Eye. 38 Posture 38 Incidence of History of Venereal Disease 38 Incidence of Va ccination Scars 39 Skin DiseaGes 39

APPmmu C - SlmmarY of Uedical Histories

Sucma.ry of Medical Histories 40 Sw:mlary of Physical E%aminatioDs 43

APPENDIX D - SUmmary of l:Iedica.l Histories. Divided by Out-of-State, Rural. Urban

Summ9.ry of Medical Histories 47 SUmmary of Physical Examinations 50 Normal Development of }olen Students (:87 Location) as Determined by Minimum Standards of the i'rar Department 54 Types of SUbnormol Development of Men Studenta as Determined by lUnimum. Standards of the war Department 55 SUbnormal Development of Men Students (By Location) as Determined by Minimum Standards of the 1'far Department 56

APPENDIX E - Civil Service Examinations

Civil Service Examinations 57 Summary of Physical Examinations 60

APPEtry)IX F - University High School Examinations

university Righ School Examinations 64 Summary of Physical Examinations 66

APpm,'DIX G - Cases Encountered During the year

Cases Encountered During the Year Injuries, l"Tound8, Sprain. 76 Civil Service eases Encountered Durint; the Year 81 Recapitulation 84

APPENDIX H - SUrveyor Health TeachiDc in High Schools of Students !i.eg1atored in Freehman Hygiene Courses

»iologr 68 General Sc ience 90 llypene 92 Physiology · , 93 Science Background of Studenh Enrolled in Hygiene 94- Number of Students \1bo Received a Credit tJaJ,\ 111 H1&h School in Eiology, General Science. Hygiene, nnd Phy.iology 94 TO TIlE l'RESIDEIIT OF TIlE UNIVl!iRS ITY SIR:

I have the honor to present herewith the Thirty-third Annual Report of the activities of the Uhlveralt7 Health SerTies covering t he period of JUly 1 . 1948. to Juno )0. 1949. • The year haD been a most aetive one for the Health SerTiee • The deaM4a UpOn it have far exceeded 1 ts abll1t7 t o meet them , l.&rgelT because of the inability to fill vacanclea on ito Medical Statt . Nothin« i s 80 needed to make it effective . proficient, and progressive a8 the til ling of vacancies On ito st~f with promising, well-trained physician. between )0 and 45 year s ot age. With the pressnt ahor tage of doctor., • good office facilities, a thoroughly modern health program, adequate housing, and pleasant living conditions are essential, in addit i on to a stipend to meet competition for the full- time aorvice of phyelclane interested in preventive medicine, to attract the aedical per sonnel needed.

The difficulties inherent in an inadequate Medical Staff, where all coming t o the Univercity for the firot time must be given a complete medical oxamination, create an acute problem for the Health

Service in the presence of a growing faculty, the addition of many employees to man new buildings, and an increased enrollment of students.

Tho amendment of the Retirement Act to require all employees, both Aca- demc and Nonacademic . under thirty yearo of age, t o participate in the

S,stom has l ikewise greatly augmented the demands upon the Medioal

Staff of the Health Service and has made it harder to serve with the 2 lineaae and dispatch 80 necessary to gl.e general aatlafactlon to those who come to the Health Service.

Students made 39.518 visit. to the Health Service, empla,roee

5.172. and other, 1.252. l!I8ldng a grand total of 45.942 call, for the

)"ea.r. COilplete pbJreical examination. wero pTen to 6.194 students, 82

University High Schoo l students. 1,128 Civil Service employees, 729

Academic etaft members, and 713 prospective participant s in the Retire­ ment S)"ate. -- a grand total of 8,847 medical ezaminatlons.

SERVICES

I. university Student, Thore were 23,607 students enrolled in the University at

Champaign-Urbana during the academic year 1948-49. All but a very few

of theBe called at the Health Service ODe or aore times during the year tor a total of 39.518 visit., or an average of 1.67 calla per student. The average call rate for WOmen was 1.72j for men, 1.66. A total ot

6,175 call. were made by otudentB becauoe of the required physical e:z:amination. II. Upiveraitz!!!e. School Students

A total of 82 pupils seeking admission to the Uhiverait.y High School were oxamined. Of theso, 41 were boys and 41 were girls.

III. Retir(!!8Dt SYotem

O! the 713 prospective participants for the Retirement System

ouained, 39 or 5.47 per cent vere found to bave pbyl1cal or lDental con- 4i tiona which would make them 'Risks Not Acceptable" for "Standard insur­

ance on life or endovment plans and diaabili ty coverage" when aea.urod by

the uBual yardsticks of insurance ~ervritor.. Tho reasons for this

classification are given in Table I. 3

Reasons for Olassification of -Bilk Not Ace'Pta~le"

1. Age 37. Markod II¥Pcrtenl1on. 2. ~ 44, Diabotes. 3. ~ 54. Cardiac hypcrtropby, HTPertenllo!l, Pulmonary emphysemA. 4. Age 53, HYPertension, Cardiac arrb7thDda. S. Age 40, Pulmonary tuberculosis with CGvlty formation, Thoracoplasty_ 6. A8e 27. Valvula:" hoort disease. Major operationa, 7. Age 46, Underweight. Anemia, Intectiou, Major operationa, e. A&e 36, Rheumatoid arthritla, Limitation ot joint function. 9. Age 33. LuzIC aarcoma. 10. ~ 36, ZxtrGme obestty. Marked bJpertenalon, D7sondocrlnlam. 11, Age SO, OboattYt .BrPertenelon. 12, Age 30. !qpernephroa. 13 . Age 30. Diabete •• 14. .lee 42, D)-aeDdocrlni .., Marked byperten,lon. 15. A.ge 59. l1n>ortenlion, OYorvelght. 16. A&e 59, lf7pertenlloJl, Onrv~lght, Tumor. 17. Ace 56, Organic heart 41sea8', ftTpertenalon. Diabetes. 18. Al;e 44, Marked ~eJ'ten.lon. 19. Age 38. II¥Port ....ion. ObI.ity. 20. Ace 41, JVpertenaion, Anc1na pectorh, Edema. 21. Age 60, DiabeteB. Hernia. Tumor. Ezce18iYe lUZl& u.rkiD88. 22, Age 40. Cardiac d1886as, Aneuryam of aacending aorta. 23. Ace 57. SeTero b7perteneion, Marked o)eatt,'. 24. Ace 48, Hn>ertenll1on. thlderwelght. 25. Ace 31, H1Perten81ou, Neurosis. 26 • .Age .13. Tacb7CN"4ia, Psychoneuroais, Paychotic familial hieto17. 27. Age 46. Obeeit;y, If1pertenaion, LuGs. 28. Ace 33. Bilateral oateochondro.. ta ot occipital bone •• 29. Age 50, Paralyeia ac1 tans. 30. Age 41, H1Potenaiou, Emotional instability, Pa7chotic 8JmPtoa•• 31. Age 60, Obesity, H)perten.lon. 32. Age 42, Generalized arteriosclerosis, ~erten8ion, Cardiac disease. 33. ~ 42, Marked obesity, Hypertension, Cardiac infarction. 34. Ace 48, if1perten8ion, Sympatbectom;y. JS. Age 54, UTpertonsion, Duee. )6. Age 53. Tuberculosis, Arthritis. 37. Age 36. OTorweigbt, Marksd hyportenaion. 38. Age 31. Markld diabetes. 39. .Age 39. Vo.l'!ular heart disease. Hernia.

Of the 713 uaaine4, III or 15. 99 per cent vere tound to be

"Substandard Bilka" tor "Standard insurance on lite or endoWliont plans and diaabi1~t7 coverace." The cauaee for this classification are given in Table II. 4

T.I!LE II

Reasoua for Cl&ellfiQ&tlon of .Substandard Bi,kft

l! .o\i;e 31, Herniation of an iuterTel'tebral diac, SplDal fUlion. 2. Age 53. GeDBralized arterioaclero81 •• ), .t;ge 25, Malaria. D:rsentery. PsychOn8UZ'08io. 4. ~ 50, Lues . 5. Ace 31. Multiple fractures. Neuritis, Marked myopia, 6. Ase 23. Ob ••1t7 . 7. Ase 18. 0be.1t7 • • 8. Age )6, Obea1ty, Hypertonaiou, Albuminuria • • 9. Age )6, Bypertollo1on. 10. Ase 35. Hyper t.n.1on. 11. Age 45. Arteriosclerosis, Cardiac diaease, Anemia. 12. Ace 4). Obesity. Hypertension. 1). A&e :33 . Rheumatic fever, Cardiac d118&a8. 14. Ago 55. Hypertension, Cardiac hypertrophy, Valvular insufficiency_ 15. Age 49. MUlt1ple maj or operation •• 16. Age 36. J.fuJ.t1ple major operations, Valvular heart diseaso. 17. Age )0, Cardiac leGion, a,yats of the breast. 18. ~ 50, MUltiple major operations. 19. Age 29, Blind in one eye. 20. Age )0, Chronic supp¥ratlvo otitis medi a, Rupture thiCh muscles, Absence of patellar r eflexes. 21 . Age JJ, HYPertension. 22 , Age JJ. Mi tral insufflcien ~ . 2J, ~ J2, Marked obesity. 24. Age JO, Hypertension. 25. Age J6, Psychon~uros l s. 26. Age Jl, PS7chonouroais , Cholelithiaais. 27. Age 33. Ob ••1t7. , 28. Age 26 , "Shell Bhoek'. ~tial disabIlity'. 29. Ase 30. D.. rn •••• JO . ~ JO, Obesity, Hypertension. 31 . Ago 25 . Obesit7. 32. Age 40, Luee. 33 . Age 30 . Obesity, Hypertension. 34. Age 42. Hypot!>1rOld1 ... 35 . Age 30. Tach7earclla. 36. Age 44, R;ypor tene1on. 37. Age 50. ~ ...... Herni.. . 38. Age 30. D;ruendocriniom. :Basal slcul1 fracture. 39. Ago 28, Pott I B Disease. Spinal fusion, Perforated ear drums, Deatness. 40. Age 34. Mar ked obeaity. Dysendocrinhm. 41. Age 42, Pulmonary Tuberculos1e "arrestedlI , Migraine. 42 . Age 33 , 'i'e ight below oinimum for at o.ndard insurance. 43 . Ago 36, Poliomyelitis, Generalized muscular at r op~, Crippling ~stic colitis. 44. 1180 53, t·fultiple major operationa, Varicosities. 45 . Ago 36. Arthriti • • Cert1fiod d1oab11it7. 46 . Ase 38. 17.Ut1o. CT.UU • • He.j or uurgerT. s

TAm.lI 1I (COntinued)

Rea,opI for Cla ..U'lcati95 of .SUb,ts''!Ji ltltkl-

47. A&o 20. Honlation of nucleul pulPOllla requiring lam1noctolll¥. 48. 4;e 32. !/;ydronephr081a. 1I0phr0c:t0llir. 49. Age )1, Ott til media, Chronic EtbanoU ... 50. Age 53. HJpertenoion. 51 . Ago 33. 0be8it7. 52. Age 35, Fracture eplDal Tertebrae. 53. Ago 32, Cardiao anh7t!>a1a. Alb1a1nuria. 54. Age 29. hoe ..lye lunc ma.:rk1nga. 55 . Age 30, Obesit7' 56. Age )0, ltJ'erToua breakdown", 57. Age 53 . Multiple major operation •• 58. Ago 47, Underweight. 59. Ago )1. Obellt7. Gastrl0 ulcer. 60 . Ago )8, Spinal fuaion. 61 . Age 38, Rheumatic fever. ~atral stonosis. 62 . 4;e 42, Skull h aoture. 6J! Age 29. Congon~tal cataract. Bl1ndneu rldlt eye. 64. Age 29. JMtlplo f'latulectomiua. 65. Age 33, Harni ... 66. Ago 41. TaChycardia, aypertenllon. NeurOlil. 67, Age 31, Persistent Taclqeardla.. 68. Age 39. l.fultiple _jor oporations . 69, Ago )0, Nepbroll thiaaie. ?O, Age 2). p.,.ohoneuroai •• 71. I~ge 42, Chronic backache, Varicoa1 tiee. '72. l\go )6, Hernia. 73. Ago 32, Migraino. Blepharitis, ValTUlar beart leeton. 74-. Age 43, Exceaaive lung mark1ngs. 75. 4;e 42. Cardiac onlar_t. Aab1:ropia right "T" 76 , Age 22, .Allb17opia lett are. 77 . Age 41, Hernia. 78. Ago 42, Obo.ity. 79. Ago 24" Obea1ty. 80. Ago 31, Obesity, MUltiplo operations. 81. Age lie, ObO.it7. 62. Age 39, Markod varicosities. 83. Age 36, Obe.ity. 64. Ago 26, Underwight, Excessivo lun,: markin.ce. 85. Age 34, Deatnoss. 66. ~ 45. !achTeardia, Hypertenaion. 67. Age 56. Hernia. 68. Age 46, Hernia. 89. 11#;0 42, Obeaity. 90. Ago 30, Psychoneurosis, ~e ty Nourosia. 91. A&e 32, Dysondocrinlam. 92. Age 31 , Lues . 93, 1>80 49, Tumor ot tbpo1d. 94-. Ago 30, Multiple major operation_. lUloumatic fever. 95. Ago Jl. Bornia. Cardiae leGion. 6

'llBLE II (Continued)

RMlonl tor ClaaaificatioD of ·SUbltan4arcl lt1agl

96. Age 2? SeYer. chronic .luu81tla, PilonidAl drSt. 97. Ac- 5). OTerwelght. ~, nJpertenslon. 98. Age 56, fracture of pelTie. Generalized arterio,clero,i •• 99. Ag. 39. ObeaH;,.. 100 . Age )6, D7eendocrinia&, Tb7reotozicoeia. 101. Age 25. Hernia, kaBuive lunC markiucs. 102. Age 30. Shrapn.l wound. (40 per oent disabilit7). 103. Age 29, Hypertension. 104. Ago 31. Amb170pia right '7', 105 . Ago 30. Undorw.ight. Listl•••• 106. Age 30 , Orerveight, nypertenelon. 107. Age )0. Obesity. Dysendocrini8D, Multiple major operations. 108. Age 37, Hypertension. 109. Ago 30, underweight , 110. Age 6). Dea!neoo, Age. 111. At;. 24. Aathm:l. , !Jay r ......

.. One of the prospective participants was €iT8D two exam1Dationa.

In many instances, the above causee for ratinc as ~.k Not

Aoceptable" and "SUbstandard Risk" are not onl,. the reasons for decl1ninc

to insure. or if at all at great17 increased preadUlls l but are of such gravity as to impair mental alertnos8. create emotional instability, ant decreaoe physical effeetlveneoe as to make such individuale eecond rate human machineB incapable ot prolou«ed !unetion in hit;h par. IV. Emplolses

ClasBlfioationo of Academic employees are summariEe! below in

Tabl. III.

TAlILE III

M.n Women Total Standard Risko 479 136 615 SUbstandard Rioks 69 26 95 RioES Not Acceptable 18 -1 ..ll Total 566 163 729 7

DuriDC the year, 1,128 Nonacademic Personnel were uam1ne4.

Of theae, 517 were .en aDd 611 were women. Nonacademio employees made

5.172 vioits t o the Health Se~ce Station.

T. Student ~ frhate Pllota Since the inauguration of instruction in flying at the

Univeraity airfield, the Health SerTice examined prospeoti~ students of aviation in accordance vith the require.ant of the CiY1~ Aeronauticu Administration. A total of 124 were examined dur1n£ the year' of who. lO ,vere women and 114 were .en.

VI. :rood.ha.ndlers During 1948-49, 806 foodhandlera were examined t o determine their physical fltness and dia8&ee carrier etatua. Of this group 652 were vaccinated for proteotion trom Smallpox and 781 vere immunised a«ainat ~hoid.

VII . Applicant; for Marriage Certifica.tu

A total of 190 pre-lllll!U'ita1 emminatlona were ciTeD. to at'Wlenta during the Tear. VIII. Laboratorr Service In caring for studeute and employees, 1),695 laboratosr teats were made: 11 .14) at the Health Service Station, and 2~552 b.r the Branoh Laboratory of the Department of Public Health at 50S South Fifth Street, Champaign, I llinoia. 8

'I'.IllLii 11'

Laboratorl Teata At Stat. Laboratlrz

Type of Test .oeti .. lolit1,.. Total Syphilh (ialu» 2OB5 9 2094 Tlneontl • ADc1na 18 21 39 Gonococci 11 40 51 Diphtheria 2 2 Tuberculo.i. (Sputum) 285 285 J'ecel 11 11 Blood (Occult) 2 - 2 Cholera Vibrio 1 1 Parae1ha 21 5 26 ~hoid Bacilli 14 4 18 Blood examinatIons Heterophile ~lutlnatloD 16 3 19 Malaria 2 2 Undul.ant teTer 2 2

~borato~ Teata At Health SOrTie. Station Grand !n!. ~!!ll Nepti YO Positive Total Total Urinalyses Routine 9241 9241 Acetone 1 Albumin 143 Sugal- 64 178 Microscopio 146- 146 Bacteria 18 Casta 14 RllC 24 1IllC (in patho1opo froq1.Ulncy) ~ ...lll 9683 Mouth and Throat Smears Staphylococci 26 26 Streptococci 16 16 Diplococci 55 55 Vincent '. Angina 166 99 265 Gram ne~tlT' bacilli 2 2 No or~lnm8 presont 15 439 Urethral Smearo 39 5 44 Miscellaneoua Smeara :i Canker aore 1 1 Ear 2 3 5 E,-. 3 3 recoa 1 1 2 J'1n«er 1 1 1'oot 1 1 Owl. 1 1

• 9

'lABLE IV (Cont1nue4)

Laboratorz Teata At Health SerYlce GrlUld ~ 2!. Teot lltptiT' Politive Total Total

Hand 1 1 Knee fluid 1 1 LOf: 1 1 Leaiou (on finger) 1 1 Nasal 4 4 Pin worm 3 3 Pus 1 1 Skin 1 1 Toe 1 1 Tongue 1 1 Ulcer (on tongue) 1 J. 30 Feces 1 1 ...l. 2 Blood Studies CBC 147 147 Dit! • 176 176 Hb. 175 175 HBC 88 88 nc 260 260 Malaria 3 3 Sedimentation Ratee 57 24 81 Heterophile ~lutlnQtlon 8 7 ..ll 945

l'OLI.01(- UP

I . General

~ihen new otudenta take their phyaieal eDminationo, 0. brla1

~ at the abnormal finding., it &nT. 1. made on their recorda.

Subaequent17. they are recalled tor coaterencel concerning the defecta discovered, and are cinn advice regnrdinc such correction or alleviation ae lIB)' be poulble. This "'fIrT importc.nt pM.e of 'tollow-up" baa been much restricted during the 7ear becauee of the re4uction in the ae4.1eal atatt at the Health S.rrlce and great increase in the nuaber of student., employe.s, and faculty .embers to be e%8mined a8 required by UDIY8ralt7 reculationt. 10

II • A1 buIIinuria A total of 31 aew student. examined on matriculation in 1948-49 were found to have albwa1nuria. Repeated namina.t1onB showed the condi- tioD. to b. persistent in 9 instances and transient in 22. III. Heart Dlseaoe

Of the 6,194 student. on which statistics were compiled. 120 or

1.94 per cent were found to haTe cardiac abnormalities. These he.Ye been kept UDder ob servation, haYe been repeatedly examined. and haTe been excused trom physical education where the condition was marke4 or aasigned to a prOU811 of adap t.a. e:z:erche which vill protect them against undue strain. IV. Tuberculosis

~lng the year, 94 students were given tUberculin teste, ot which 38 or 40.4) per cent were pOlitiTe, Thi. percentage ot posit!Te reactors 1s not unexpeoted slnce the teata were On thoee who roentgen- • ograJDa of the cheat indicated actual or au.pic1ou e.,.idonae ot abnormalit,'.

A total of 81 sedimentation teste were made. Of these, 57 were normal and 24 ehowed some degree of acceleration.

Through the generous help an4 cooperation of the DiTieion ot Tuberculosis Control of the Department of Public Health, a total ot 10,680 roent&enogrcme of the chests of members of the University population were ...a. during 1948-49. (S •• Table V.l 11

TABU: T x-ron

~ Students Non-Students Total. ~ Wo.en July, 1948 225 10J 140 4J6 August 59) 272 15J 1016 September 25)2 156 111 J461 Oct ober 40) 259 244 906 November 166 54 165 401 December 44 11 261 )28 January, 1949 165 62 )19 546 February 161 265 181 12J9 _eh J05 264 161 1)0 Apr il 149 120 110 4)9 ~ 15) 19 126 )5B Juno ~ ~ ..l:.l.2 816 Totals 5958 2494 2262 10,660 V. Mental Hygiene

nThe academic yeez 1948-1949 was the third ,.ear a full-time psychiatrist was attached to the Health Service Staff~ Ths demand f or psychiatric services continued to grow. The resourceo vere augmented by the employment of two psychiatric soclal workers on an hourlT basia. With the pressure of work ~ the lack of a secretary, statistics ot r eferrals and contacts have not been kept.

tllI.oet ot the work of the psyehlatriat has been with patient. shOwing psychoneurotic symptoms. The prominence of combat experience. aa caulae of psychoneurotie ~tom8 and emotional disturbances i n returning veterans has contln1led to decline. The symptoms and probleaa have shown enormous variety. The largest single cause and area baa been that related to academic strain. This .train has appeared most con­ spicuous among students who f roll an early age have adapted well t o school, especially those who have achieved status an4 recognition in the fami17 t n childhood through school 8uccesa and who bave f ound themselves moving into an area of increasing academic selectivity which has fostered increasin« academic competitiveness. One gains the impression that amone the under graduate. the problem of academic strain is prObably greate.t among freshmen during the period of adaptation aDd selecti on which lnaT­ I tably goas on. However, the pr oblem appears to ranch its mn,ximum in tho graduate level, particulD.l'ly among candidates for the doctorate deuoe i n dopartments where the number of those deairing craduate traini ng substan­ tially exceeds the training facilities, and the high levol of a0e4em1c selectivity cont r ibutes to a high level of academic ~ompet i t i venes • •

nProblema of psychoneurotic 1llness and of lII.D.l.adjuatment in college students coaing to the attention of tbe uni versity paychl&tr ist generally have their roots in earlier life, but havo often been intenai- lZ tie4 by ,trains re-experienced in, or even poculiar to, the Unlver.lt7 setting. Some problems, particule.rly those relating to the atta inment of. adult sexual identifications or a more indopendent and maturo relation to tho vorld represent tho intensification at the threshold of maturity of tendencios lant presont. but heretofore not n problem. The collogo ace and the college experience represent On tho whole a favorable time ani aotting for effectiv~ therapy. -During tho course ot the year, there have been a number ot instances of psycho SOB in students and statf members. Such problema have como to the attention of the psychiatrlat about once or twice a month and havo us~lly boon treated by hospitalization in a mental hospital. In instancos whore hospitalization vas Indi cntod , and the pationt has been unwilling to accept such hospitalizat~on, the r elatives of the patient had boon contacted and tho responsibility placed upon them~

"The major problom during tho yoar has beon to strotch tho limitod resources over the extousive need.

"Tho conspicuous need of tho mental health work in the Health Service is a larger stllff and a secrotary. n

(R. L. Jenkin •• M. D.)

VI. Ornl Rygi one

"During tho past year, the program of dental health education at the University ~s been considernbly augm~nted. In addition to what­ ever opportunity pr osonts itself to conduct chair-aido dontnl hoalth education of students and employees at tbo University, a SO minute locturo on Oral Hygieno M.d r olated subjects vas given to each H;yglone aoction 4uring the second oamoster of tho school year just ended. Not only were stud~nts instructed in the care ot their own toeth but anocial emphasis was placed on tho responsibility they 8,a potenti al paronts will seme~ have for the condition of tho teeth of their offspring. SUch a progrem, it carried out in all our institutions of higher l earning, could havo a very beneficial offect Upon the dental health of futuro gonerations. "During tho ahort time the dental division of the Health Servico bas been in operation, many students and omployees of tho University havo made usc of consultlltion privileges avni~blo to them. Thore i8 evory r easOn to beliove that a fllr groator demand for consultation servicos will dovelop 0.1 moro and more Itudents and employeo. in passing thro~ tho navly oquippod don t al division for routine mouth oxamination. bocome awaro that tho Hoalth Sorvico baa a dontal department associated with it. "About tho boginnin& of t:Q,e year, badly needed dontal oquipment consisting of a dental chair and unit, a sterilizer, mouth mirror., O~ plorora, etc., waa lupplied. As a r e8Ult tho oxamination ef mouth. haa boen greatly facilitated. It should bo at3ted that in ardor to put tho mone7 available by tho budgot to tho bOlt p08siblo use, ro-conditioned r ather than new equipment was purchased at a considerable saviD&8 to tho Un1vcrsity. This ia DOt to say that the oquipment ia not at good quality. It 1, top-erade equ1:pMDt that Dot en17 hlt a cre41tabio appearance but should give ~ ;rear. ot satiBtaot0r"7 .erv1ce a. well.

"Despito tho fnct ~hat tho abovo-aolltionoc1. equ1paent- hal 11840 e. much more thorough an4 dopandablo v1.ual aouth oXB3dnatien poI,ible, no oxamination of the mouth can be completo aDd roliable without dantal X-r~ •• It is quite pOBsible for tair17 good ,iled enTitioB to exi,t betwGon tho posterior teeth without eithar tho dODtt,t or the patlont boing awaro ot thoir presence. AI a relult, IDBIq I'.lOrvo oxposures occur, cauain, UD­ n oco~ BO.r3" auf'ferin,; and lOll of lIIIllQ" toeth. Interproximal or lo-called bito-wing X-rAy, of tho pOstorior teeth of each mouth examinod would «0 a long ~ toward .avin.g moat of tho tooth 10 10at. Such X-ra;rs would involvo the U8e of two or foUl' dental films dopeD41nc upon tho vpo of mouth.

' It 1s hoped tbat tho univ~rsity vill 800 fit to provido dental X-ray and dark-room oquipmont at tho ~lie.t data po,aible. It will fill a very urgont n684.' (G. 7. KOlar . D. D. S.)

COMMUNICABLE DISEASI

1. Students The incidence of communicable disease in the Itudont bod1 .bowed an increaae over last year; tho total enles in 1946-49 worQ 389 Md in 1947-48 were 291. Tho.e type. aro givon bolow in Table '11'. TABLB VI Incidence of Communicable Dis04S0 in the Student Bo~ tor tho Bionni1llll 1947-49

1947-l!§ 1~ Chickonpox 16 4 Conjunctivitis, Acuto 126 159 D,.lontory 1 German Measles 5 ImpetiCO Contngioea 1 59 Influonia 3 37 Malo.ria 5 1 Monelol 9 19 Hump. 65 4 Pneumonia , :Bacterial 3 1 Virue 1 Rboumo.tic fever 2 4 SCAbies 35 9 Scarlot fover 1 Streptococcic Soretbroat 2 69 Vincenti. Ancinn ....u. ~ Total. 291 389 14

II. Faculty ~ Civil Service Employoes

Occurronco of communicablo diseases in the familiee of faculty members and civil sorvice employe os vas r eported as follows : S3 casCe of chickonpo~, ? of measles, 3 each of Gorman measles, ,

2 oach of mumps. thre(l da.y measles, whooping cough, and 1 e8ch of trench mouth and streptococcic sorcthroat.

VACCnYATIOF.S AND IMiIUNIZATIOlIS

Typhoid fovor and smallpox vaccinos wore furnished freo by tho State Department of Public Health. Thoso biologicals wor e used both for tho required smallpox immunizatiOn of now civil sorvice employeos and nll individuals who wiBhod to be certified to serve tood on university prOperty. Tho IlUIDbor of those immunized are givon below in Table VII.

TABLE VII

Immunization A~lnst Disease Number of Disoase Persona Diphtheria 43 Influonza 11 Rocky Mt . Spotted Fever 20 Smallpox 1565 Tetanus 152 Typhoid· F.... "" 832 Typh~ 28

Toto.l 2651

COOP_TIOH IfITH OTHER DEPARTMENTS t. Military Classification

During the yoar, 98 mon were r 9commcndod for ezeuso from

Unitary permanontly, o.nd 39 temporarily.

II. Physical Education Classification

In 1948-49. 9 DeD and 24 women wore excusod from regular 15 physical education per.anently, and JS aen aDd 6) vo.en were deterred temporarl17. Two men were transferred to regular phyaical education as the result of their ImproTed physical conditionj 11 women and 250 men dropped regular education to take prescribed exercise; and 12 students changed their type of p~a1cal education temporarily'.

Students suffering from certain forms of der;matitls, sinusitis. infection at the middle ear, or perforation of the eardrum were trans­ ferred trQm swimming to forms of exerclee 1e8s likely to aggraTate their condition. A total of S44 recommendations were made to Change students from One type of ph10ieal education to another or for other modification of the exercise they were taking.

INSTRUCTION IN HYGIENlI

COmpilation of the results of 2,015 questionnaires fillet out by freshmen registered in HTgiene 102 and lOS revealed that only )4 teachers in hygiene in high schools attended by those students KaTe full­ time instruction in health education. The greater percentage taught the subject as a "side line-, The state of Ill inois is still far behind in having its teaching of hygiene and sanitation of a quality comparable to their importance to the indiTidual, to hiD community, and to the state.

The survey (see Appendix H) reveals, fur thermore, that students who do not attend college do not receive sufficient t raining in high schOOls in personal health. nutrition, sanitation, the control of com­ municable 4ioease, and healthful liTing to meet intelligently the demands of our highly complex society. The seriousness of this situation 1s further emphasiz~d by the number of l8-year-old men rejected for general military service. As only about 10 per cent of thooe graduating from l6 high school attend institutions of higher learning. and aa Bcience can only be applied to the general welfare in a democracl by support ot the people, this deficienc,y in the education of laymen 88aumee the a.pecta of a menace in a world where new recOrda tor rapid t ransportation are being made almost veek17. world-wide trsTel 1a commonplace, and lite 1a tense and complex.

I. Proficiency Examination. A total of 147 students passed the proficiency test in Hygiene and received credit in th, subject. Their distribution by colleges 1s given below in Table VIII.

TABLE VIII Classification of Those Who Pasoed B7g1ene 102 and lOS Proficiency ~lnatlon8 bY' Colleges

Agriculture l7 Commerce l6 Education 1· Engineering 1] J'ino and Applied Arts 12 Journalism 1 Liberal Arts and Sciences 86 Physical Eaucntlon -1 Total 147

II. Hygiene ~ ~ 105. Elomentary HYgiene !a! Sanitation The registrat10n in elementary hygiene and sanitation 1s given in the following table.

TABLE IX Summary of Registration in Element~ Hygiene

Hygiene 102 ~g1.D. 105 Period l'lomen Men '1'otal

First Semes t er 458 743 1201 Second Seme ster m ..12Q 1150 Total 848 1503 2351 17

There were 18 sections the first Gemester , and 18 the second semester for men ; 10 the first semester, and 9 the aecond semester for women .

III. Hygiene 110 . ~ Coaches and Teachers

The ad1£8.Ilced course in hygiene for coacheo, p~ s iea1 educa.tion majors, and teachers had a total registration for the year of 152 students.

IV. Hygiene 216. For OccUPational TherapY Students A total of 11 students who were enrolled in the Occupational

Therapy curriculum received special instruction in hygiene during the past academic year. v. HYgiene X-IO). Extension Course In cooperation with the Director of the University Extenoion

SerTice, a correapondence course in hygiene has been offered, which had an irregular regiotratlon of approximately 37 students. The quality of work presented b.y those taking it io most aatisfactory. This training should better prepare them to protect themselveo and their families and to function more intelligently as citizeno interested in improving living conditiono in their community. VI. HYgiene X- 225 . Extension Course At the request of the Dean of the Division of university Exten­ aion, a correspondence course on Public Health Probl ems haa been continued.

~ing the year, there has been an average registration of 7 studento and the type of work t hey are doing is highly satisfactory.

SANITATION

Immediate attention has been given to reports which have been received concerning the condition of University food-distrlbuting agencies, swimming pools, and water supply. All of these facilities 18 of the university have been well supervised b.r an able Sanitaty Engineer and on the whole are maintained at a high level of sanitation.

FIRST AID CABI~S A total ot 176 firot-ald cabinets are being maintained in the various buildings On the campus. They are much used and are visited weekly or twice-weekly, ~ependlng upon their location and use, to re­ place supplies as needed.

SPECIAl SERVICE AT UNIVERSITY EVElITS

It baa been customary for a number of years for members of the Health Service Staff upon requect to attepd certain University functiona

in order to render emergency medical t reatment if necessary. This ser­

vice is given at the Phydcal Education Tournaments, Farm and Home Week:

Programs, Commenoement Zxercis8a, and certain sports events.

In cooperation with other departments, the offices of the

Health Seryice were alao made available in emergencies to guests of the

University. Its facilities were offered to those attending Farm and Home

Week, 4-H Club Conventions, and short courses given by the University.

STATE LABORATORY SERVICE

Various laboratory servicee were given to students and civil service employees as a part of the routine work of the Health Service.

In many instances. these tests were esaential either in making effective the regulationo of the Univeroity concerning foodbaodlers or in diagnos­

ing and controlling communicable disease. Bacteriological tests (see Table IV) were made by the Branch Laboratory of the State Department of

Public Health on specimens submitted by members of the medical staff of

the Health Service. It is a pleasure to aCknowledge our indebtedness to it. 19

REQ,UESTS FOR INFOIUl!TIOil A total of 23 citizens of the state have requested information on various aspects of public health. Requests were a100 received for reprints of articles by members ot the Department and for copies of forms used by the Health Service. Questionnaires from nuaeroUD sources have been many, varied. and often quite comprehensive. This form of survsy seems to be increasing in popular! ty and in the demand it makes upon the time of those individuals requeoted to fill it out. THE GENERAL PRACTITIONER AlID = HEALTH SERVICE

The Medical Staff of the Health Service bas had the mOst help­ ful cooperation of local and familT physicians in caring for students and injured employees. A total of 594 letters and memoranda have been received concerning the phyoical condition of students and employess who are or have been patients of these doctors.

HOSPITALIZATIOII The number of students admitted to local hospitals during the academic year was 3,464. Of this number, 3.106 were Gent to the hoopital by local doctors, and 358 went directly from the Health SerTiee Station. The 358 vho vere sent to the hospitals from the Health SerTice Station chose 57 different doctors to attend them. Sickness insura.nce was available to all students during 1948-49

to cover both medical and hospital care. as a reoult of its coot being made a regular University fee. Students bav.e taken advantage of their in~urance t o have considerable remedial and corrective surgery done.

This o.ction has removed numerous handicaps and increased their efficiency as studento and soci al unite. 20

I. McKinloy Hospital

The faeili ties of the McKinley Hospital are a great insurance for the etudent body. A total of 3.205 students were admitted to the

Hospital for 8.918 ~8. an average of 2.78 days per patient.

Of all the students hospitalized, 92.52 per cent were admitted to McKinley Hospital and only 7.48 per cent to other hOGpitalo.

II. ~ Hospital.

There were 65 students admitted to the J.te rc)" Hospital for a total of 260 days, an aver ago stay of 4.00j to the »urnham Hospital.

194 for 1,1)0 days, or 5.82 days per student. Students who enter the local hoopitals usually do sO for surgical treatment and, ~hereforet r~in longer On the average than in the McK1nley Hospital. lIt. Communi cable Dioease

From Table X, it will be seen that 759 students vere admitted to the McKinley Hospital for communicable disease and re_lued for a total of 2.954 days or an average stay of 3. 89 days per patient. Coryza oauaed 83.93 per cent ot the cases and about 68.52 per cent of the hocpi- tal ~s . Measles were second in incidence with 71 cases and 445 patient days . There were 16 cases of mumps with a total of 171 hospital days.

TABLE X

student Cases of Communicabl e Diseaoe Cared for at McKinley Hospi tal

Dissase Cases DeyS Coryza. 637 2024 Chickenpox 13 143 La Grippe 4 12 Ueaoles 71 445 Measles. German 10 61 Mumps 16 171 Pneumonia 1 18 TAllLl X (Concluded)

Student Cases of Communicable Disease Cared for at McKinley Hoopital Disease Canes !1!z.! Pol1oDIYellt1o 1 12 RheumaUc fe7er 1 8 Scarl et fever 3 37 Tuber culosis ~ ~ Totals 759 2954

ACCID3lNTS TO El~LOYEES

The Health Service took care of 631 accidents which occurred to

University employees in the l1ne of duty. It was necesGary to have 118 roentgenograms made in order to determine the presence or absence of bone damage. Of tbose injured. 441 required only minor medical attolltion and

190 ¥8r8 referred to outside surgeons or specialists tor prolonged treat- mont. It was naceaBBry to hospitalize 31 omployees_

, •

APlADUA

!11'a 111 ...,ICAL ~ICII' !IO S.,wafS AID ..rL01II8 , 22

TYPES OF MEDICAL ATTEllTION TO STtlDEIITS AND El~LOlDS

1947~ 1946-42 Firat aid in inJury and infection 11062 12898 Sent to hospital 472 50) Referred to specialist )65 499 Urinalyses 9655 94)5 Co~lete phys1cal examinat10n of students and employeee ' 9)78 8845

'UBLE II MONTHLY DISTRIBUTION OF VISITS M1scellaneoul Total Student C1vil Service • Me" ,.lomcn Me" "omen nen "omen Me" WOlDen July 1424 428 277 2)6 26 l1 1727 675 A~st 1801 )49 200 181 )6 8 20)7 5)8 ·September 7)97 1))7 224 2)1 62 )7 768) 1605 October ))01 11:14 2)) )09 74 )7 )608 lQ80 NOl'embar 1941 744 221 212 61 64 222) 1020 December 1)65 )87 178 165 186 45 1729 597 Ja.nuary 166) 540 227 146 210 22 2100 708 February 2480 1047 187 212 55 16 2722 1275 llarch 2676 985 25) 164 65 24 2994 117) April 2508 75) 218 204 57 25 278) 982 MIly 2190 . 779 197 162 56 2) 244) 964 June 1721 ~ ...m -1!!2 ~ ...!!5. 1~16 960 TOTALS )0.467 9051 260) 2569 895 )57 )).965 11.977 Grand Total Visits 45.942 23

TABLE III CLASSIFICATION OF INJURIES TO CIVIL SENVlCE EMPLOYEES FOR rIVE YEARS 191<4-45 1945=46 1946-47 1942-48 1948-49 Abrasions 4 6 6 26 15 Avulsion 1 Bl tes, insect 1 1 3 6 Blhtera 2 2 1 2 1 Brui.e 6 4 7 6 13 Burns, acid 1 1 othere 11 15 38 30 ContUsions 8 15 21 42 42 J'oreign body, remol"ec1 S 4 6 23 41 i'l'actUl"es 1 S 4 Inc1s10ns for drainage 2 8 7 2 1 Infections 9 S 9 17 24 Lacerations 11 lS 41 66 71 Sprains 7 12 14 41 36 Strains 19 VOUlld 1 8 6 Incised 1 18 3 Perfora.t ed. 7 Puncture 1 1 10 8 Miocellaneoue 4 3 22 23 40

TAllLE IV LAllORATORY EXAMIlIATIONS

At State Laboratory

~ B!. Te.t Negativo Pos1t1vo Total Syphllis (Kahn) 2085 9 2094 Vincent's Angina 18 21 39 Gonocoeci 11 40 51 Diphtheria 2 2 Tuberculo.i. (Sputum) 285 265 Feces Blood (Occult) 2 2 Cholera vi brio 1 1 Parad tea 21 5 26 Typhoid Bacilli 14 4 18 Blood Examinations Heterophi le Agglutination 16 3 19 Malaria 2 2 Undulant f eTer 2 2 24

TAllLll IV (Concluded)

Laborator7 Testa At Health Service Station Grund !ze!. g! Teet Rept1ve Poeitiyp Total Urinalysee Routi.e 9247 9247 Acetone 1 Albumin 143 SU~ ~ 178 Ulcroacoplc 146 146 Bacteria 18 Caste 14 lUIC 24 WBC (in pathologic frequency) ...2§. ...lli 958) Kouth and Throat Smears Staphylococci 26 26 Streptococci 76 76 Diplococci '5 55 nnc'ent I Q Angina 166 99 265 Gram ne~ti.e · bacilli 2 2 No organ! eme present 15 ..ll 4)9 Urethral Smears 39 44 44 MIscellaneouB Smear. Canker Bore 1 1 Ear 2 J 5 Eye ) ) hees 1 1 2 Finger 1 1 Foot 1 1 ~ 1 1 Rand 1 1 Knee fluid 1 1 Leg: 1 1 Le.ion (on finger) 1 1 Nasal 4 4 Pin worm 3 3 Pua 1 1 Skin 1 1 Toe 1 1 ToJl8Uo 1 1 Ulcer (on tOQ&U8) 1 1 )0 Feces 1 1 :l 2 Blood ~tud1e. CllC 147 147 Dirt. 116 176 Hb. 175 175 RllC 88 88 ~IllC 260 260 llalaria J 3 Sedimen ta tl on R& tel 57 24 61 Heterophile Agglutination 8 7 .J,i 945 25

TABLE V HOSPITALIZATION AVERAGE HOSPITAL STAY FOR 1948-49 (Burnham . McKin1.~. Morey)

Hospita.l Average Stay Per cent

llurnham 5.82 da~. 46.19 McKinley 2.78 " 22.06 Herey 4.00 " 31 .75

AVERAGE HOSPITAl STAY OVER PERIOD OF SIX YEARS

Percentage of Students Uelnt Hoopltalo (Burnham. IIcXln1e;y. Merey)

Average Per cent of Students Rospt tal Stay Us1¥ Hoapi tala

194J-44 3.30 ~. 35.40 1944-45 3.52 n 36 .98 1945-46 3.50 n 17.98 1946-47 3.25 n 20.54 1947-48 :3.29 " 22 .66 1948-49 3·34 " 14.67 26

TAllLE VI

COMl!UNIC~LE DISEASES CARED FOR AT MCKIlILEY HOSPITAL 1946-47 1947-48 1948-49 Caael !lol. Casee D!lY, Case, Da,y. Ang1M 1 6 1 7 Chickenpox 10 115 18 188 13 143 Coryza 603 1876 Influenza 167 584 165 578 Contagioea 1 7 Measles 15 111 9 164 75 492 Measles, German 2 11 5 30 10 61 Mump. 16 148 65 694 15 166 Pneumonia, Bacterial 8 264 3 19 1 18 Virus 1 3 Pol1omyel1 ti 0 4 142 1 12 Rheumatic feTer 1 40 1 8 Scarlet fever 3 43 1 14 1 14 Tuberculosia ------.£ -ll TOTAlS 223 1282 138 1311 887 3391

TAllLE VII

CAS~ CARED FOR AT KCKINLEr HOSPITAl

Communicable NOn- Communicable Total Cases !lol. Cases DlYI Cases De.l8 July, 1948 19 93 106 280 125 373 August 11 67 72 194 83 261 September 41 124 188 429 229 553 October 88 254 334 796 422 1050 November 39 140 241 660 280 800 December 66 247 157 362 223 609 January, 1949 77 350 198 435 275 785 February 97 397 219 553 316 950 March 206 748 297 733 503 1481 April 139 551 313 935 452 1486 May 87 356 278 672 365 1028 June ~ --.2!!: ---1ll ...£QZ ~ ...m.. TOTALS 887 3391 2484 6256 3371 9647 27

UllLE VIII

ELEIlENTi.JlY J!Yl)IE!IE

1~ber of Students Number of Sections

Hy~ene 102 'tlom8D, First Semester 458 10 'fomen, Second Semester :l2Q ~ Total 848 19 Hygiene 105 Men, Firat Semester 743 18 Men, Second Semester ..w. 18 Total llQ.1 ~ Grand Total 2351 55

ADVAllCED HYClUlNE

Nuober of Students number of Sections

Hy~ene 110 First Semester 65 2 Second Semester ...!!L ...£ Total 152 4

HYClIl:;IE FOR OCCllPATIO)T.AL TlIERI.PY STUDEt!TS

Number of Studento Humber of SectioDe

Hygiene 216 "'omen, 7irst Semester 11 1

COBRESPOiI!lElTCE (}CURSES

l!Umber of Students

Hygiene X- I03 First Semester 38 Second Semester .ll Total 7J Hygiene X-225 First Semester 6 Second Semester ..l. Total 13 ," - ~' J.. .. " • •••. .• '. • 11 , ~ .12 ~? ...08 51 ? < n. ~. 1. ., . tar- % 113 2 ?l II. S Wt • l" • z., 1(;:: 9.1~ • tI " 6 'I na"q ' SJ 1 . ? < , 11 .115 0) .1I«r ....1od.. '" 199 1!.1!6 6.103 . 347 .. DI •••• iJll.V:"'" . "

~ .... ~. ,!4 .L • L o. , 1. ?4 t , '"4 • 79 1 18 .L Jf.!'O t . .59 ~. 41 z.)lIo • to. • . ~ • ,S.l.) 45:' ?ojl

~l·l .S! ~& . , - &...1.- l/92 Ii .47 J c:l ~ 1, ' , C6 )5 ).79 • .-4) .51 .1>5 1 ~ " 'l.J ~. • ." $V ~ , - ~ 1 • 28

TAlILE I

HISTORY Ol' FIJ.IILI.!.L DISUSES

Class Dt 1951 CIA-ss- 0' .2~~ Men "Tolllen Men Women Total ...L -L !Q.=.. -L No. -L ~ :' Apople:q .1) .78 )2 .72 19 1.08 51 .82 Cancer 8.76 16.92 52) 11.78 208 11.85 7)1 11.80 Goiter 2.14 4.47 11) 2·55 71 4.05 184 2.97 Mental Disturbances .58 .97 29 .65 14 .80 4) .69 Diabetes 5.18 9.14 268 6.04 160 9·12 428 6.91 ~llepsy .19 .71 8 .18 6 ·34 14 .2J Kidney Diaease 1.45 2. 07 5J 1.19 50 2.85 103 1.66 Tuberculosis 4.J2 6.48 199 4.48 148 8.4J 347 5.60

TAllLE n

INJURIES

£las8 of 12,Sl Class of l2S2 l~en Women lien Women Total ..L ...L No. --.1... No. -L !!2.:. J... Head 3.28 2.40 149 J.J6 25 1.42 174 2.81 Chest .69 .65 74 1.67 4 .2) 78 1.26 Abdomen 1.J2 . 26 17 .J8 1 .06 18 .29 An 6.50 3.89 J91 8.81 79 4.50 470 7.59 Log 5.49 J.11 241 5.4J 41 2.J4 282 4.55 Others 6.87 2.98 36J 8.18 90 5.1J 45J 7.J1

TAlILE III

OPERATIONS

Class of l2,S1 Class of l2,S& Hen ~Tomen ~fen Women Total -L % No. -L ~ % No. % Head Tonails 27.08 J9·92 1211 27 .28 798 45.47 2009 32.4J Menoido 2.81 6.oJ 105 2.J7 142 8.09 247 ).99 Others J.6J 5.06 157 ).54 78 4.44 2J5 J.79 Chest .24 ·J9 19 .4J 9 .51 28 .45 Abdomen IJ.J7 IJ.J5 560 12 .61 200 11.J9 760 12.27 Circumcision .J5 22 .50 22 .J6 Others 8.J2 561 12.64 146 8.J2 707 11.41 29

TABLE IV USE OF TEA. COFFEE. AlID TOEACCO

Clan of 1251 Cla .. of 1252 Mell Women Men Women Total % $ 110 . -L .J!2.L --i... .J!2.L ---1..' Coffee 59.65 57.16 2663 59·99 1064 60 . 63 )727 60.17 Tea 25.14 42.90 1339 30.16 772 43.99 2111 34.08 Tobacco 52.35 34.15 2061 46.43 603 34.36 2664 43 .01 None of :3 21.)4 18.)4 1072 24.15 327 18.63 1399 22 .59

!AlILE V SLllE?ING HAlIITS

Cla.. of 12~1 Cla.. of 1252 Men Women Men Women Total ~ % 110. ~ .J!2.L $ .J!2.L -L Under 6 hra . 1.08 .13 7 .16 12 .68 19 .)1 6 to 7 hr • • 17.21 20.48 897 20 .21 361 20.57 1258 20.31 8 to 9 hr•• 7).63 71.87 3230 72.76 1254 71.44 4484 72.39 10 hr•. and over 4.36 4.47 139 3.13 51 2.91 190 3.07 UJarecord.ecl 3.n ).05 166 ).74 77 4.39 243 3.92

• TABLE VI STUDENTS GIVING HISTORIES OF TYPHOID FEVER

Cl".. of 1939 1.46 ClaBO of 1946 .77 Cla.. of 1940 1.14 Cla.. of 1947 .37 Clau ot 1941 .69 Clasa of 1948 ·57 Cla88 ot 1942 .94 Cla•• of 1949 ·33 Cla.. of 1943 .94 Class of 1950 .56 ClaSB of 1944 .77 Class of 1951 .94 Cla .. of 1945 1.08 Class of 1952 .65 30 'WlLJI VII

RELATIVE OCCUJUl<:IlGE OF cmTAIN DISEASES IN HISTOllIES OF THE CLASS or 1952

Clan of 12~1 Cla88 at 12Sg lion Women lion Wo_n Total $ !l4. \'. .A.. % No . -.iL AppeDdicith 11". 90 15.68 536 12.07 264 15.04 800 12.92 Asthma 2.53 2.72 140 3.15 54 3·08 194 3.13 Chickenpox 50·39 69.54 2135 48 .10 1248 71.11 3383 54.62 Chorea .09 .58 9 .20 5 .28 14 .23 Constipation 1.53 4.47 67 1.51 105 5·98 172 2.78 Dlabetea .06 ·39 9 .20 4 .23 lJ' .21 Diphtheria 2.92 2.66 100 2.25 45 2..56 145 2.34 lliBcb&rging Ear 5.81 8.43 247 5.56 127 7.24 374 6.04 Dysentery 2.16 .65 99 2.23 12 .68 III 1.79 :lpn.pay .06 He.-u-t Trouble 2·57 2.72 104 2.34 41 2.34 145 2.34 BaT FeTer 6.16 9·79 377 8·49 160 9.12 537 8.67 Hernia (rupturo) 3.59 .26 175 3.94 14 .80 189 3. 05 Infantile P&ralya1a .69 .52 53 1.19 17 .97 70 1.13 Influenza 13.76 21.13 529 11 .92 347 19.77 876 14.14 Kidne,' Trouble 1.19 2.98 57 1.28 57 3·24 114 1.84 l(alaria 3.09 2.14 143 3.22 35 1.99 178 2.87 Measlea 70.04 79.59 3218 72.49 1597 91.00 4815 77.74 }.teaslea. Gerun 25170 35.77 1146 25.82 645 36.75 1791 28.92 IIonill/litia .32 .19 12 .27 7 .40 19 .31 ltuDp. 50·95 53.27 2266 51.05 98) 56.01 3249 52.45 NerTOU8 l3reakdown .48 .32 9 .20 12 .68 21 .34 Pleuris,. 1.49 2.79 73 1.64 38 2.17 III 1.79 Pneumonia 10 .7) 11.86 487 10.97 216 12.31 703 11 .35 Rheumatlam 1.36 2.46 63 1.42 44 2.51 107 1.73 Scarlet reTer 18.42 19·31 811 18.27 305 17.38 1116 18.02 Sinusitis 4.04 7.45 180 4.05 57 3.24 237 3.82 Smallpox 4.06 2.33 186 4.19 64 3.65 250 4.04 Tonsillitis 22.87 24.62 1097 24.71 567 32.31 1664 26 .86 Tracholll& .c6 4 .09 3 .17 7 .11 Tuberculosis .52 .39 26 .63 12 .68 40 . 65 Typhoid Foyer · 91 1.04 25 .56 15 .85 40 . 65 Undulant J'eTer .24 .26 6 .14 13 .74 19 .31 iy"hooping COU&h 39.65 53.14 1798 40.50 932 53.11 2730 44. 07 Others 1.66 2.85 90 2.03 44 2.51 134 2.16 n~!UNIZATIONS Diphtheria 75 . 75 50.36 3239 72.97 971 55.33 4210 67.97 Scarlet J'eTer 61.81 25.15 2618 58.98 529 30.14 3147 50.81 Smallpox 86.70 72.65 3564 60 .29 1279 72.88 4843 76.19 Typhoid rever 65.33 29. 68 2686 60.51 554 31.57 )240 52 .31 TESTS Schick 67.56 40 .05 2901 65 .35 718 40.91 3619 56 .43 Dick 59·29 27 .67 2373 53 .46 411 23.42 2784 44.95 ,1 TAllLE VIII

(lEllERAL DEVELOPMENT

C1..aea of 12.5:1 Class of 12~2 Men Women lion 11- Total -L ~ !!!t:.... ~ .l!!:.. ~ No. 11 Excellent .89 4.15 17 .)8 19 1.08 )6 .58 (lood 93.4) 90.67 4284 96 .51 16)) 9).04 5917 95.5' Fair 5.)6 4.9) 1)0 2.9) 8) 4.73 21) ).44 Poor .15 .1) , .07 2 .11 5 .08 lIar.cordell .17 .1) 5 .11 18 1.0) 2) .)7 BUILD Stocley 9·57 9. 27 249 5.61 207 11.79 456 7.)6 Medium 75.10 60.01 )756 84.61 718 40.91 4474 72.23 Slender 15.01 )0.46 429 9.66 812 46 .27 1241 20.0) Ulll'8corde4 .)2 .26 5 .11 18 1.03 23 ·37

TAllLE IX COLOR OF lMlS

Cla81 of 12.5:1 Class of 12:22 ).180 1-'omen l.fen 'l'lomen Total

TAllLEX

COLOR OF HAm

Clau of 12~1 Class of 12.5:2 Men Women lion 1(om811 Totel -L \Ii No . % No . --....L No. % Flaxen 5.90 12 .05 166 ).74 185 10.55 )51 5.67 Reddish 2.59 2.79 105 2.37 66 3.76 171 2.76 Light Brown 24.45 21.19 1253 28.27 )72 21.20 1625 26.24 Dark llrovn 16 .6) 20 .67 1139 25.66 283 16.1) 1422 22.96 Brown 39.27 30.59 1196 26.94 580 3).05 1776 28.67 Black 9.94 9. 79 521 11.74 171 9.74 692 11.17 Gray .09 .45 6 .14 42 2·39 48 .77 Unrecorded 1.14 2.46 53 1.19 56 3.19 109 1.76 32 TABLE n TEmH

Class of 12S1 Clas8 of 12~2 Men '\1'omeo. Men Women Total ...!..- % No . % ~ ----L ~ ...,J.... No cavities, none ab sent 72.35 28. 00 1535 34.58 137 7.81 1672 26 .99 Caviti •• 2.42 9.14 1087 24.49 573 32.65 1660 26.80 Absent 25.44 52 .82 1908 42.98 1021 58.18 2929 47 .29 Need Cleaninc 6.91 7.84 1000 22.52 290 16.52 1290 20 .83 Devitalhed .93 2.98 195 4.39 107 6.10 302 4.88 Guas diseased. .95 1.56 102 2.30 66 3.76 168 2.71 Did not return for dental emm - 507 11.42 66 3.76 573 9.25

TABLE XII AllNOlUlALITIIlS OF THE =

Class of 12~1 Class of 12~2 Men Women Men Women Total ...!..- :; ~ % No . ? ~ -.L Abnormal1 tiee .73 3.89 44 .99 76 4.33 120 1.94 Irregular pulse . 09 2.85 10 .23 20 1.14 30 .48

TAllLE XIII

THYROID El'LARGEIIEN'l'

Claea of 12~1 Cla!is of 1212 Uen Women Men "Tomeo. Total ...!..- ~ ¥.2..:-.. ~ ~ ....J... ~ :' Enlarged Slight .35 5.31 73 1.64 75 4.27 148 2.39 Moderate ·91 8 .18 6 ·34 14 .23 llarked 1 .02 1 .02 Evidence of toxic1 ty .52 4 .09 8 .46 12 .19 TAlILE XIV

CREST AlIll LUIIGS

CIsss of 12!Z1 Class of 1252 lI.. n Women Men Women Total ---L. ~ ~ % L % ..L :'. Lungs, abnormal .11 .58 9 .20 7 .40 16 .26 Chest Flat 4.84 ).4) 158 ).56 45 2.56 20) ).28 :tunnel .19 ).56 9 .20 15 .85 24 ·)9 Pigeon .1) 1.2) 5 .11 9 .51 14 .2)

TAlILE "m

CONDITION OF A»DOMINAL WALLS Clau ot 1251 Claso ot 1252 Men Women Men Women Total ~ ~ No. % ~ ---L ~ :0 Abnormal .15 .84 11 .25 4) 2.45 54 .87 Hernia .50 .06 28 .6) 1) .74 41 .66

TAlILJ "mI

INCIDENCE OF ENLAllGED LYllPH GLAlIllS

ClIUD of 1251 Cl&sa of 12S2 Men Wo men Mon Women Total ---L. ~ 110. % ~ ~ No. % Axillary .)2 .1) 65 1.46 65 1.05 Cervical .4) 1.2) 7) 1.64 41 2.)4 114 1.84 Epitrochlear .1) .)9 2 .05 2 .0) Inguinal .15 1.56 -59 1.)) ) .17 62 1.00

TAlJLE "mIl

lIllRlIIA IN MEN

Cla.. ot 19)9 .76 Clas8 of 1946 ·7) Claoa of 1940 .70 Clas8 ot 1947 2.11 Clae. of 1941 1.20 Clasa of 1948 .48 Class of 1942 1.20 Class of 1949 ) .94 ClaS8 of 194) .90 Clan of 1950 ).61 Cla88 of 1944 .69 Cla.. of 1951 .50 Claso of 1945 .76 Cla.. ot 1952 .6) TAllLE XVIII

GENITO-URINARY ORGANS

Cla.. of 1951 Cla88 % 110. Tutu Abnormal ·37 85 ClrCUllcle10D 50.76 2191

TABLE XIX

CRYPTORCHIDISM

Cla.. of 1939 .03 Cla88 of 1946 .40 Cla •• of 1940 .29 Cla.. of 1947 .44 Cla.. of 1941 .18 Cla.. of 1948 .26 Clas. of 1942 .18 Cla•• of 1949 .28 CIa.. of 1943 .83 Cla88 of 1950 .77 01868 of 1944- .67 Clas8 of 1951 ·37 ClA •• of 1945 2.55 Cla .. of 1952 1.91

TAlILE XX

URIl~\LYSIS

Clan of 12~1 Class of 12~2 Men Women 14en Women Total -.L % 110. ---1.. ~ % 110 . % Acid 94.62 89 .44 4302 96.91 1702 96 ·98 6004 96 .93 Alkaline 4.75 5.51 111 2.50 42 2.39 15) 2.47 Neutral Sugar .11 .1) 1) .29 ) .17 16 .26 Albumin .78 .45 25 .56 6 .)4 )1 .50 No -specimen .6) 5.06 26 .59 11 .62 )7 .60 J5 TABLE XXI GLYCOSURIA AND ALBUMINURIA OVER A PERIOD OF YEARS

s.,...,. Alb1llllin l~n Women Men '''omen ...L % ...1...- $ Clasa of 1939 .42 .59 4.94 4.69 Clas8 of 1940 .43 .76 6. 06 2.47 Cla 88 of 1941 .13 4.61 3.74 6.24 C1asa of 1942 .11 1.36 1.42 4.51 Clasa of 1943 .37 .09 .97 Clau of 1944 .40 1.61 3.65 4.95 Claae of 1945 .31 .22 2.62 6.00 Class of 1946 .64 5.41 1.50 ClaaB of 1947 1.20 1.54 1.88 2.52 Clasa of 1946 .74 .66 1.26 1.23 Cla88 of 1949 .43 1.02 1.60 3.67 Class of 1950 .11 .64 .90 Clas8 of 1951 .11 . 13 .76 .45 Class of 1952 .29 .17 .56 .34

TAllLll XXII FGOT AllNORNALITIES

Class of 1221 Cla •• of 122~ Men WOID8D. Men Women Total % % No . ----1.. ~ % ~ ----1.. Long arches lst Degree 3.67 25.26 647 14.56 367 22.05 1034 16.69 2nd Degree 4. 10 11.66 267 6. 01 112 6·36 J79 6.11 3rd Degree 1.77 5.06 66 1.94 66 3.67 154 2.46 Anterior arches flat 7. 04 24.69 677 15.25 370 21. 06 1047 16.90 Abnormali t iee of feet 3 .17 3 .05 36 TABLl'l XXIII FOOT Allll0RMALITIES OVER A PERIOD OF YEARS

Lou Arches Anter!Q£ 1st DeQ:ee 2nd Deg::ee 3rd Degree Arches Flat Men lfaman Men ~'Omen Men ,1omen l·fen Women 1- % 1- % 1- -.lL ~ % Class of 1942 9·92 27.21 5.49 10 .94 1.62 2.70 9·78 2.96 Cla•• of 1943 9.04 23 ·52 6.)9 1).76 1.29 4.)6 7.46 )5.50 Class of 1944 12.55 25.0) 10 .12 12.62 1.7) 4.95 14·97 )2.07 C18 •• of 1945 1).92 2).85 7.70 8.59 2.12 6.67 16.42 }4.00 C18 .. of 1946 11.69 28.24 5.64 9.79 . 78 7.90 10.79 )0.60 Class of 1947 14.)) 35.26 10.11 8.57 1.7) 1.79 16.8) )9.98 ClaSB of 1948 6. 56 24.51 6.90 16. 22 2.04 ).0) 12. ?2 )6.86 Cla.. of 1949 ).41 24·57 ).82 10 .10 1.1) 7.56 4.61 )2.17 Cla88 of 1950 2.66 )1.60 4.29 12 .)) .29 8.20 2.14 )0.22 Claoa of 1951 ).87 25.28 4.10 11.86 1.77 5.06 7.04 24:89 Cla•• of 1952 14.58 22.05 6.01. 6.)8 1.94 ).87 15.25 21.08

TABLE XXIV SPINE AllNORW.LITIES

Cl(\88 of 1221 Class of 12S2 l·len ~omen Men "loman Total 1 ~ No. ~ - % ~ 50 ..!!2.. -li... Kypbosis .50 1.94 24 .54 40 2.28 64 1.0) Lordos1a .06 .97 9 .20 55 ).1) 64 1.0) Scoliosis .)2 7.)2 )0 .68 60 ).42 90 1.45

TABLE "'XX'{ NOSE ABNORMALITIES

Class of 1951 Class of 1952 Men Women Men Women Total -L.. % ~ --.1.. No. --.1.. No . !II S_ .)2 .06 24 .54 5 .28 29 .47 Deviation .69 7.1) 78 1. 76 1)0 7.41 208 ).)6 Hypertrophy .11 7.1) 8 .18 97 5.5) 105 1.70 Atrophy 37

'rAJlLli XXVI

THROAT Am!OllllALITIES

Cla .. of 12~1 Cla.. of 12~2 Men Women Men Women Total .L- % ~ ----1.. ~ ----1.. .h.:.. % TONSILS RemoYed 53 ·62 31.57 2269 51.12 151 42.79 3020 46.16 T8€. .60 5.64 37 .6) 169 10.17 226 3.65 Pathological ·56 7.65 72 1.62 206 11.65 260 4.52

TABLE XXVII PERCENTA(}E ar S=1TS '11TH TONSILS llMOVED 0= A PlllIOD OF Y"'..ARS ...J!a.. Woman Men Women Cla.. of 19)9 49.20 56.26 Clan of , 1946 55 .61 62.)) Cla18 of 1940 46.59 57 ·54 Cla" of 1941 65.43 54.93 Class of 1941 51.51 59.11 Cla .. of 1946 60.2) 55.96 Cla88 of 1942 50. 00 59 . 62 Cla •• of 1949 56.20 62.67 CIa .. of 194) 46·55 46.52 Cla .. of 1950 56·50 60.14 Class 01 1944 57. 10 64.01 C13... of 1951 53·62 J1.51 CIa .. of 1945 54.97 6).11 Claea of 1952 51.12 42.79

'rAJlLE XXVIII

EARS Clau of 1951 Cln!s of 12S2 l.{en Women Men Women Total ~ % ~ % No. ---.L No. % Cerumen 1.64 19. 90 106) 2)·95 141 6.0) 1204 19 .44 Perforated drum . 80 2.14- 16 .Jl 45 2.56 6) 1.02 Hearing abnormal 1.04 3.63 63 1.42 7) 4.16 IJ6 2.20 TABLE nIX

EYES

Cla .. or 1951 Claso of 12,S,2 Mon lI_n lion Women Total ....L... f 11'0 . ~ .1!2.:. ~ 110 . sI Abnormal color vision .45 ·32 35 .79 2 .11 37 .60 Retraction O. D. on17 3·59 5.77 176 3.96 99 5.64 275 4.44 O. S. on17 4.34 6.35 251 5.65 136 7.75 387 6.25 o. D. "0. S. 26.37 39.53 1347 30.34 682 38 .86 2029 32.76 Correcta4 wi th gla ••ee 21.34 24 .76 1065 23·99 613 34·93 1678 27.09

TAllL1l XXX

POST1JR]l

Cla!, ot 1951 C1a88 of 12S2 Men WOlleD. Men ifomen Total .-; % % ~ ---.L ...l!e.:. --"- No. ~ Rettriete4 Flox1bll1t7 .09 3.50 13 .29 34 1.94 47 .76 E:z:cellent .48 5.51 3 .07 21 1.20 24 .39 Good 94.15 83. 02 4298 96.82 1478 84.22 5776 93.25 Fair 4.92 10.63 119 2.68 221 12.59 340 5.49 Poor .13 ·58 6 .14 20 1.14 26 .42 Unrecorded .32 .26 1) .29 15 .85 28 .45

INCIDENCE OF HISTORY OF VENEREAL DISEASE Men Total !!9.:... --L No . --L 6 .14 6 .10 Sn>h1Ua 1 .02 1 .02 J9

TAlILE XXXII

INCIDENCE OF VACCIlU,TION SCi>RS

Claaa ot 1952

!WL WOmeR Tota.l

J.rm 4079 -1081 5160 Leg 12 419 4Jl None 325 211 5J6 Unrecorded 23 44 67

TAllLE XXXI II

SKIN DISEASES

Clasa of 1952

~ !!E!!!! !Q!!l Acne 220 258 478 )(ycoa18 202 168 370 Others 29 Jl 60

40 TABLE I

SUl~Y OF I~ICAL HISTORIES

Class of t.52 Class of 'Sl ~ ~ Total ~ Total number examined 4439 1755 6194 6173 Total number of visite 6449 2649 9098 7476 Familial diaeases: Apop1.~ (family history) 32 19 51 18 Cancer ( • " ) 523 208 731 667 Goiter ( • ) 113 71 184 168 Mental disturbanoes " 29 14 43 42 ( " " ) Diabetes ( " • ) 268 160 428 381 Zpllepey ( • ) 8 6 14 20 Kidney disease " 53 50 103 99 ( • ) Tuberculosi s " 199 148 347 300 ( • " ) 'Bir thplace Illinois 3101 1226 4327 4258 Elsewhere 1338 529 1867 1915 "fork for self-suppor t durin« college 1233 204 1437 1479 Use laxatives frequently 35 75 110 91 Sleep Under 6 hours 7 12 19 52 6- 7 hours 897 361 1258 1113 8-9 hours 3230 1254 4484 4518 10 hr 8. and over 139 51 190 271 Unrecorded 166 77 243 219 Habits Coffee 2663 1064 3727 3644 Tea 1339 772 2111 1826 Tobacco 2061 603 2664 2951 None of the three 1072 327 1399 1271 Age started a-oking Younger than 10 years 5 4 9 2 10-14 years 65 65 69 15-19 years 1560 469 2029 2239 20-24 year s 384 81 465 587 25 years and over 47 19 66 54 Meals per day One 1 1 1 Two 150 84 234 177 Three 4235 1658 5893 5937 More than three 20 3 23 17 Unrecorded 33 10 43 41 41 '!ABLE I (Con timed) Clan of '52 Class of '51 ~ WOlllen ~ ~ Weight the past ;year Gained 1383 336 1719 1749 Lost 348 364 712 763 Stationary 2664 1024 3688 3614 Unrecorded 44 31 75 47 Easily fatigued 361 246 607 527 Menses Regular 1297 1297 1321 Irregular 305 305 222 Not started 4 4 Unrecorded 149 149 Pa.in None 564 564 Severe 239 239 236 Slight 699 699 539 Subject to frequent colds in Nose 781 325 1106 1022 Throat 281 196 477 418 Lungs 68 38 106 99 When reading, bothered with Headaches 176 152 328 293 ~lurrl ng of vision 164 88 252 205 Burning of eyes 271 105 376 359 Squint in« of eyes 126 51 177 148 Watering of eyes 187 57 244 228 Twitching of eyes 123 48 171 121 Persistently worry 99 93 192 216 Have the "bluse l1 139 134 273 281 Injuries Head 149 25 174 189 Chest 74 4 78 42 Abdomen 17 1 18 65 Arm 391 79 470 361 Leg 241 41 282 302 Others 363 90 453 364 Operations: Head Tonsils 1211 798 2009 1870 Adenoids 105 142 247 223 Others 157 78 235 246 Chest 19 9 28 17 Abdomen 560 200 760 825 Circuaci ston 22 22 16 Others 561 146 707 385 Arches of feet paintul 30 76 106 81 42

TABLE I ( Contil1Uotl)

Class of 152 Clasa of I Sl !!!a ~ ~ W!! Diseases bad: Appendicitis 5)6 264 800 79) Asthma. 140 54 194 159 Chickenpox 21)5 1248 ))8) )406 Chorea. 9 5 14 1) Constipation 67 105 172 140 Diabe tes 9 4 1) 9 Diphthe:-ia 100 45 145 176 Dl sch:lT g!.ng ear 247 127 )74 )99 Dyseot'bcy 99 12 111 110 Epi :t er. sy 1 Hec..r"'; Trouble 104 41 145 161 Bay Feve:...· )77 160 5)7 4)6 Hcrt. .~ .... 175 14 189 170 Infantile Paralysis 5) 17 70 40 Infl uenza 529 )47 876 96) Klc:'..ney trouble 57 57 114 101 Ma.:a:ria 14) )5 178 176 Me&.s1ea )218 1597 4815 4471 I·leasl.o (Ger..... ) 1146 645 1791 1742 Manlngit1a 12 7 19 18 lluq>s 2266 98) )249 )181 Nervous Breakdown 9 12 21 27 Pleurisy 7) )8 111 112 P::l6'l'Jllonia 487 216 70) 680 Rhfot'"na tl am 6) 44 107 101 Scarll)t Fever 811 )05 1116 1151 Sir.udtia 180 57 2)7 )02 Sm.<:.llpox 186 64 250 224 Tor.3t! U tie 1097 567 1664 1442 T':-(I, choma 4 ) 7 ) Tubet'culosis 28 12 40 )0 T-.rphoid Fe'l'Gr 25 15 40 58 Undulant Fever 6 1) 19 15 Whooping Cough 1798 9)2 27)0 2665 Other. 90 44 1)4 121

Immunizations had: Diphtheria )2)9 971 4210 4284 Scarlet Fever 2618 529 )147 )250 Smallpox )564 1279 484) 51)8 Typhoid Fever 2686 5S4 )240 J48) Tests had: Schick 2901 718 )619 )746 Dick 2)7) 411 2784 )175 43

TABLE II SUMMARY OF PHYSICAL EXAMINATIONS

Class at 152 Class of '51 !!!! Wo ..... Total Total Color ot hatr Fluea. 166 185 351 459 Reddish 105 66 171 163 Light brOWl1 1253 312 1625 1459 Dark brOWl!. 1139 283 1422 1089 Brown 1196 580 1776 2290 Elaok 521 171 692 611 GrO¥ 6 42 48 11 Unrecorded 53 56 109 91 Color of eye. nus 1998 sao 2578 2424 Gray 98 53 151 299 Greenish 162 181 34) )5) Haael 47) 180 65) 612 Brown 1589 680 2269 2294 Black J4 1) 47 87 Unrecorded 85 68 15) 104 Vi.ion abnormal vlth~t glaesee Both e)"8S 1)47 682 2029 18)1 Right eye (O.D.) 176 99 275 255 Lett eye (O.S . ) 251 136 )87 299 Corrected with gla ••e8 1065 61) 1678 1)70 Color vision abnormal )5 2 )7 26 rar. R1!,ht ear Cerumen 556 83 6)9 )51 Perforated dI"U& 6 20 26 )9 Hearing abnormal )) )7 70 51 Left ear Cerumen 507 58 565 )19 Perforated drwa 12 25 37 )1 Hearing abnorwa1 )0 )6 66 5) Nose Spur 24 5 29 16 Deviation 78 130 208 142 Chronic hypertroph7 e 97 105 115 Tonsile Removed 2269 751 )020 2979 Tag. 37 189 226 115 Pathological 72 208 • 280 145 Teeth No cavltiea or absent 15)5 137 1612 )782 Cay1 tiee 1087 57) 1660 25) Absent 1908 1021 2929 199) 44

'l.ULJI II (Conti"",,4)

Clasa of 152 Clas. ot 151 Men Womep !2!!1 Total Teeth (Continued) Need cleanin« 1000 290 1290 441 Devi tali zed 195 101 )02 89 Gums diseased 102 66 168 68 Did not return for dental exam 50? 66 513 Appearance Healthy : Y•• 4436 1148 6184 6151 110 3 1 10 22 Nervous 12 12 24 35 Alert 4423 1742 6165 6125 Apathetic 4 1 5 13 Skin Acne 220 258 478 478 lVcosis 202 168 )70 118 Other skin d1 s84888 29 )1 60 34 Vaccination Bcar Arm 4019 1081 5160 S405 Leg 12 419 431 39) None 325 211 5)6 )11 Unrecorded 23 44 61 58 General development Excellent 17 19 36 105 Go04 4284 163) 5917 5725 Fa ir 130 8) 21) 324 Poor 3 2 5 9 Unrecorded 5 18 23 10 lluild Stocky" 249 201 456 586 Medium )756 718 4414 440) Slender 429 812 1241 1165 Unrecorded 5 18 2) 19 Chest Flat 158 45 20) 211 Funn.1 9 15 24 6!! Pigeon 5 9 14 25 Vertebral column Kypbosis 24 40 64 53 Lordosis 9 55 64 18 Scoliosis )0 60 90 128 Poe't'Of!te Exooll.ent 3 21 24 101 Go04 4298 1418 5716 5640 Fair 119 221 )40 392 Poor 6 20 26 15 Unre corded 13 15 28 19 Flexibility, restricted 1) )4 47 58 4S

TAlILli II (Continued)

Clan of t S2 Clo.811 ot '51 ~ WOllen Total ~

~h node. (Palpable) Axillary 6S 6S 17 Cervical 7J 41 114 J9 Epl t rochlear 2 Z 12 Inguinal 59 J 62 J1 ~old enlarged Sl1ght 7J 75 - 148 98 Moderate 8 6 14 14 Marked 1 1 EYidence of toxicit7 4 8 12 8 Lungs, abnormal 9 7 16 26 Heart, abnormal 44 76 120 94 irregular pulee 10 20 JO 48 Blood pressure, abnormal Systolic Women: 1JO-IJ9 65 65 7J }·!ljIn and \,lomen: 140-149 75 19 94 189 150-159 100 11 III 2JO _160-169 58 4 62 III 170-179 11 2 IJ 4J 180-189 5 5 20 190-200 5 J 8 1J Diastolic Uen and Women: 90- 99 450 26 476 972 100-109 J9 5 44 IJO UO-over 6 5 11 80 Ab4omen, abnormal 11 4J 54 20 Roflexes Patellar (Ab sent) 6 51 57 J6 Romberc (Positive) 1 56 57 25 Pupillary (Absent) 17 21 J8 15 Penia, circumcised 2191 2191 2J50 Teetes. abnormAl 85 85 17 Varicocele. present 244 244 57 Hernia, preeent 28 1J 41 24 Hemorrhoids. present 47 21 68 47 .Flat feet Long archee First deuce 647 J87 10J4 569 Second degree 267 112 J79 J7J Third degree 86 68 154 160 Anterior archeg flat 677 J70 1047 710 .l..bnormal1 tics J J 46 • 'WILJl II (Continued) Clasa ot 152 CIa .. ot '51 Uea. '''omen ~ Total Had vonereal diaeaae Gonorrhea 6 6 3 SyphiliD 1 1 1 Obvious defects Amput ations 11 7 18 14 Atrophies 28 74 102 9 Unusual scar IS 613 116 729 688 Def orud t 1e B 39 86 125 53 Urine Acid 4302 1702 6004 5761 Alkaline 111 42 153 305 No spocimon 26 11 37 107 Albumin Persistent 7 2 9 3 Transitory 16 3 19 25 Unclassifiod 2 1 3 15 S"«"l' Persistent 3 3 6 Trans! tory 9 9 4 Unclassifiod 1 1 3 "eight Bolow 100 pounds 4 58 62 83 100- 115 inclusive 80 392 472 501 116-130 • 415 583 998 929 131-145 • 1139 435 1574 1368 146-160 " 1229 173 1402 1456 161-175 , 868 76 944 1012 176-190 " 421 17 438 489 191 and over 274 11 285 )01 Unrecorded 9 10 19 J4 Height Below 50 inches 2 2 50-59 inclusive 6 52 58 52 60-62 , 17 324 341 401 63 -65 " 222 687 909 961 66-68 " 1254 514 1768 1716 69-71 • 1980 156 2136 2061 72 and over 949 16 965 950 Unrecorded 11 4 15 32

• APPJlllDIX D

81JMIWlY or II!lDlCAL HIS~IE DIVIIIID n our or WTJ - IItIIAL - UIIIWI 47 . TAllLE I SUMlIARY OF lIllDICAL HISTC!UES DIVIDED BY OUT OF STATE - RURAL - URBAN

Qla 8I!S ot • ~2 ClaeB Out of state Rural Urban Total of Men Women Hen Women Me n "Tomen Men 'l'Tomen ~

Total vi s1 t B 1077 320 1408 507 3964 1822 6449 2649 7416 Total number examined 770 252 943 270 2726 1233 4439 1755 6173 Famill H1atorl Apoplexy 3 2 7 5 22 12 32 19 18 Cancer 121 48 109 58 293 102 523 208 661 Goiter 16 12 29 16 68 43 113 71 168 Mental n!sturbance 4 4 10 3 15 1 29 14 42 'Diabetes 38 27 65 24 165 109 268 160 381 Epilepsy 2 1 1 2 5 3 8 6 20 Kidney Di aease 9 9 10 12 34 29 53 50 99 Tuberculosis 35 18 44 32 120 98 199 148 300 Personal lils'.iorz :Birthplace: Illinois 44 24 842 229 2215 973 3101 1226 4258 Elsewhere 726 228 101 41 511 260 1338 529 1915 Work for self-support during college 285 73 284 51 664 80 1233 204 1419 Use laxatives frequently 9 11 5 15 21 49 35 75 91 Sleep: Under 6 hours 2 2 1 5 9 7 12 52 6-7 hours 199 61 173 61 525 239 891 361 1113 8-9 hOUTS 518 175 716 190 1996 889 3230 1254 4518 10 hours and over 18 1 28 8 93 42 139 51 271 Unrecorded 35 13 24 10 107 54 166 77 219 Habits! Coftee 526 170 514 151 1623 737 2663 1064 3644 Tea 303 116 257 114 779 542 1339 772 1826 Tobacco 367 87 370 53 1324 463 2061 603 2951 None of the three 127 35 285 58 660 234 1072 327 1271 Age started smoking: Younger than 10 years 1 1 4 3 5 4 2 10-14 years 10 12 43 65 69 15-19 years 276 53 276 39 1008 311 1560 469 2239 20-24 yea rs 63 20 15 9 246 52 384 81 587 ?5 ani', over 17 9 7 1 23 9 47 19 54 Meals per day: One 1 1 1 Two 38 23 19 13 93 48 150 84 177 Three 721 226 921 257 2593 1175 4235 1658 5937 l~ore than three 6 1 13 3 20 3 17 Unrecorded 4 3 2 27 7 33 10 41 48

Cla.. at 1~2 Cla.. Out of Stat. Rural Urban Total ot Men WOIleD. Men Women Mep WOMP MeR WOII!!!! ~ Weight the past year: Gained 20) 53 )25 54 855 229 1)8) ))6 1749 Lost 66 50 74 5) 206 261 )48 364 76) Stationary 494 142 541 161 1629 721 2664 1024 )614 Unrecordod 7 7 ) 2 )4 22 44 )1 47 Easily fatigued 70 )0 81 45 210 171 )61 246 521 Menses Not B8~ 1 ) 4 J!egular 18) 204 910 1297 1)21 Irregular 43 )4 228 )05 222 Unrecorded 26 )1 92 149 Pain Severe )) 28 178 2)9 2)6 Slight 92 127 480 699 5)9 No Pain 81 87 )96 564 Subject to Frequent Cold8: NOS8 147 49 189 54 445 222 781 )25 1022 Throat 52 35 71 43 158 118 281 196 418 L~. 9 7 15 6 44 25 68 38 99 When reading bothered with: Headaches )2 17 )) 39 111 96 176 152 29) »lurrlng of Vision 21 1) 53 20 90 55 164 88 205 lhlrnlng of '!;yes 49 21 61 23 161 61 271 105 359 Squinting of Eyes 25 4 24 12 77 )5 126 51 148 Watering of Eyes 28 11 40 9 119 )7 187 57 228 Twitching of ~e8 22 8 » 1) 68 27 12) 48 121 Persistently worry 24 17 10 1) 65 63 99 9) 216 Ravs the "blues" 37 18 21 20 81 96 1)9 1)4 281 Injuries: Head 25 9 )4 90 16 149 25 189 Chest 12 ) 17 45 1 14 4 42 Abdomen 4 2 1 11 11 1 65 Arm 7J 15 81 9 2)7 55 )91 19 )61 Leg 45 5 59 6 1)7 )0 241 41 )02 Other. 5~ 17 68 14 240 59 )6) 90 )64 Operations Hoad Tonsils 214 116 2)) 105 164 577 1211 196 1810 Adenoids 20 31 25 22 60 89 105 142 22) Othero 42 10 1) . 6 102 62 157 18 246 Chest 4 1 4 11 8 19 9· 11 Abdomen 101 » 111 28 )48 139 560 200 825 ClrCU1l1cision 4 ) 15 22 16 Others 102 29 102 10 )57 107 561 146 )85 Arches of fset painful' 8 10 3 14 19 52 30 76 81 Diaeases had: Appendicitis 102 )6 118 )8 )16 190 5)6 264 79) Asthma. 21 9 27 12 86 J) 140 54 159 lf9

CIa,. ot 'S~ CIa.. Out ot State Rural Ur""" Total ot )(en ltomen IleA lIOMa MoD VO!!!I lien '110'" .2.jL Diaeasol had (Cont'd) Chickenpox )99 179 544 202 1192 867 21)5 1211a )406 Chorea ) 1 2 4 4 9 5 1) Constipation 21 15 1) 16 )) 74 67 105 140 Dt.bateo 2 1 ) 1 4 2 9 4 9 Diphtheria 21 4 15 4 64 )7 100 45 176 Dlochargtng _ IIa 20 49 24 150 8) 247 127 )99 Dylentery 21 2 14 2 64 8 99 12 110 Epilepsy 1 Heart Trouble 14 2 )) 5 57 J4 104 41 161 Kl.y-J'ever 8) 24 61 22 2)) 114 )77 160 4)6 Hernia 22 5 )7 2 116 7 175 14 170 Infantil e Paralyai, ) 6 16 2 J4 9 5) 17 40 Influenza 120 51 106 47 )0) 249 529 J4? 96) Kidney Troubl e 8 9 16 8 )) 40 5? 5? 101 Malaria 58 10 22 ) 6) 22 14) )5 1?6 )I.easlea 478 194 ?49 220 1991 118) 3218 159? 4471 Meaalea (Oerman) 182 98 280 130 684 417 1146 645 1742 Kenina:lt1a 3 2 2 ? 5 12 ? 18 Mump. 311a 142 58? 171 1331 6?0 2266 983 3181 Nervous :Breakdown 3 ) 4 1 2 8 9 12 2? Pleurisy 15 4 18 6 40 28 7) 38 112 Pneumonia 89 36 102 31 296 149 lla7 216 680 Rheuma.tlslD 9 5 16 4 38 )5 6) 44 101 Scarlet Fever 104 )6 172 J4 5)5 2)5 811 )05 1151 Sinusitis IIa )0 )5 15 9? 12 180 5? )02 Smallpox 25 12 )5 ? 126 45 186 64 224 Tonai111 tie 195 ?4 205 80 69? 41) 109? 567 1442 Trachoma 2 1 2 2 4 ) ) Tuberculoei a 8 1 8 ) 12 8 28 12 30 Typhoid Fever 12 2 ) 1) 10 25 15 58 Undulant Fever 2 ) 1 ) ) ? 6 1) 15 Whooping Cough 285 135 477 169 1036 628 1?98 932 2665 Others 25 15 50 44 90 44 121 Immunization. had: Diphtheria 5?3 125 721 185 1945 661 3239 971 4284 Scarlet Fever 499 58 508 83 1611 388 2618 529 3250 S-.llpox 628 192 852 212 2084 8?5 3564 12?9 51)8 Typhoid Fever 592 99 536 93 1558 362 - 2686 5S4 311a3 Teste had: Schick 489 77 656 13? 1?56 504 2901 718 3?46 Dick 440 32 4?1 ?O 1462 309 237J 411 )175 SO

TABLE II SUMMARY OF PHYSICAL EXAKlNATIOIlS

Class of I ~2 Claa8 Out of State Rural Urban . Total of Men Women Men Women Men Women Mon Women ' 51 Color of bair: Flaxen 16 20 47 36 103 129 166 185 459 Reddish 16 10 26 8 63 48 105 66 163 Light Brown 162 40 303 60 788 272 1253 372 1459 Dark Brown 201 42 219 37 719 204 1139 283 1089 Brown 157 71 276 100 763 409 1196 580 2290 Black 203 51 64 10 254 110 521 171 611 Gray 10 7 6 25 6 42 11 Unrecorded 15 8 8 12 30 36 53 56 ·91 Color of eyes: Dlue 272 70 475 113 1251 397 1998 580 2424 Gray 18 9 24 7 56 37 98 53 299 Greenioh 21 17 39 25 102 139 162 181 353 Ha~el 70 23 112 27 291 130 473 180 612 Brown 361 125 275 85 953 470 1589 680 2294 Black 14 2 2 1 18 10 34 13 87 Unrecorded 14 6 16 12 55 50 85 68 104 Vision abnormal without glasses: 'Both eyes 297 130 203 99 847 453 1347 682 1831 Right eye (O.D.) 38 16 41 18 97 65 176 99 255 Left eye (0.5.) 49 22 50 26 152 88 251 136 299 Corrected with glasses 249 111 163 70 653 432 1065 613 1370 Colorblind 7 5 23 2 3S 2 26 Ears: Right ear Cerumen 77 7 139 19 340 57 556 83 351 Perforated drum 3 2 1 4 16 6 20 39 Hearing abnormal 7 2 7 9 19 26 33 37 51 Left ear Cerumen 67 6 115 11 325 41 507 58 319 Perforated drum 2 2 5 8 - 20 12 25 31 Hearing abnormal 10 2 5 6 15 28 30 )6 53 Nose: Spur 5 1 5 1 14 3 24 5 16 Deviation 10 14 12 14 56 102 78 130 142 Chronic hypertrophy 3 13 1 10 4 74 8 97 115 Tonsils: Removed 390 142 390 129 1489 480 2269 751 2979 Tags 10 18 9 21 18 150 37 189 115 Pathological 2 22 21 38 49 148 72 208 145 Teeth: No cavities - no abeea' 301 11 337 36 897 90 1535 137 3782 Cavities 193 89 230 78 664 406 1087 573 253 51

Class of 1~2 Cla •• Out of state Rural Urban Total of Men Women Men Women M~p Womep Hen Vome s '51 Teeth (Continued) Absent ))4 170 462 167 1112 684 1908 1021 199) Need Cleaning 157 )6 290 5) 55) 201 1000 290 441 Devi tali zed )1 21 )5 9 129 77 195 107 89 Gaae diseased 26 10 18 1) 58 4) 102 66 68 Did not return tor dental exo.m 66 5 102 1 ))9 60 507 66 Appearance: Health;'. Y•• 768 251 942 270 2726 1227 44)6 1748 6151 110 2 1 1 6 ) 7 22 Nervous . ) ) 1 8 9 12 12 )5 Alert 765 249 941 270 2717 122) 442) 1742 6125 Apathetic 2 1 1 1 4 1 1) Skin: Acne )6 )7 44 49 140 172 220 258 478 IVcoais 22 2) )7 )1 14) 114 202 168 178 Other akin diseases 6 4 11 4 12 2) 29 )1 )4 Vaccination Bear: Arm 725 · 174 850 184 2504 ?2) 4079 1081 5405 Leg ) 50 2 4) 7 ) 26 12 419 )9) None )7 26 88 )8 200 147 )25 211 )17 Unrecorded 5 2 ) 5 15 )7 2) 44 58 General development: Excellent 1 1 4 5 12 1) 17 19 105 Good 7)5 2)4 911 254 26)8 1145 4284 16)) 5725 Pair ) 0 17 27 8 7) 58 1)0 8) )24 Poor 2 1 2 ) 2 9 Unrecorded 2 ) ) 15 5 18 10 Build, Stocl<;y 49 ) 0 55 41 145 1)6 249 207 586 Medium 6)9 116 792 11) 2)25 489 )756 718 440) Slender 80 105 96 114 25) 59) 429 812 1165 Unrecorded 2 1 2 ) 15 5 18 19 Chest : Flat 48 8 )0 7 80 )0 158 45 277 funnel 2 2 ) 4 4 9 9 15 64 Pigeon 1 ) 1 1 ) 5 5 9 25 "'ertebral column : Kyphosis 5 6 5 5 14 29 24 40 5) Lordoaia 1 7 5 14 ) J4 9 55 18 SCOliosis 5 11 10 11 15 )8 )0 60 128 Posture: Excellent 1 1 7 2 1) ) 21 107 Cood 7)6 201 907 216 2655 1061 4298 1478 5640 Fair 27 )8 29 42 6) 141 119 221 )92 POOr 2 12 2 2 2 6 6 20 15 Unrecorded 4 5 ) 4 12 1) 15 19 Flexibility restricted 5 6 5 4 ) 24 1) )4 58 52

Class of 152 ClaSB Out of State Rural Urban Total of Men "loman Men "Tomen Men "Tomen Hen Women ' 51

Lymph nodes: Axillary 8 13 44 65 17 Cervical 8 9 8 12 57 20 73 41 39 Epi trochlear 2 2 12 Ingui nal 7 10 42 3 59 3 31 Thyroid enlarged: Slight 18 7 16 17 39 51 73 75 98 Moderate 1 1 3 1 4 4 8 6 14 l.fa.rked 1 1 Evidence of toxicity 3 4 5 4 8 8 Lungs : abnorDlBl 2 2 2 5 5 9 7 26 Heart: abnormal 3 13 15 5 26 58 44 76 94 irregular pulse 4 1 2 9 14 10 20 48 Blood pressure: abnormal Systolic - 130-139 4 12 47 65 73 140-149 8 4 20 5 47 10 75 19 189 150-159 16 4 16 68 7 100 11 230 160-169 6 14 2 38 2 58 4 III 170-179 6 2 2 3 11 2 43 180-189 2 1 2 5 20 190-200 2 3 3 5 3 13 Diastolic - 90- 99 86 7 81 6 283 13 450 26 972 100-109 6 2 7 26 3 39 5 130 nO- over 2 1 3 3 2 6 5 80 Abdomen : abnormal 1 10 6 3 4 30 11 43 20 Ref lexes: Patellar (absent) 2 10 1 10 3 31 6 51 36 Romberg (posi t ive ) 3 1 11 42 1 56 25 Pupillary (absent) 6 4 3 5 8 12 17 21 15 Penis: circumcised 364 332 1495 2191 2350 Testes: abnormal 7 28 50 85 17 Varicocele: present 49 51 144 244 57 Hernia: present 4 2 9 4 15 7 28 13 24 Hemorrhoids : pr esent 16 5 7 3 24 13 47 21 47 Fl at feet : Long arche G: 10 136 49 125 62 386 276 647 )87 569 20 73 15 62 15 1)2 82 267 112 )73 )0 2) 21 16 8 47 ) 9 86 68 160 Anterior ~rches flat 144 57 132 54 401 259 677 370 710 Abnormali ties 2 1 3 Had venereal disease : Gonorrhea 1 2 3 6 ) Synhllis 1 1 1 Obvious defects; Amputat i oDB ) J 5 2 3 2 11 7 14 Atrophies 5 19 · 4 13 19 42 28 74 9 Unusual scars 138 20 III 16 )64 80 613 116 688 Deform! tho 7 21 13 1) 19 52 )9 86 5) 53

Class of 1 ~2 Class Out of State Rural Urban Total of Men Women Men Women Men \'lomen Men Women ' 51 Urine: Acid 139 242 921 266 2642 1194 4)02 1702 5761 Alkaline 26 7 19 3 66 32 111 42 305 No specimen left 5 3 3 1 18 7 26 11 107 Al bumin: Perslotent 1 2 4 2 7 2 J Transitory 2 5 1 11 3 18 3 40 Sugar : Persistent 1 3 2 3 3 Transitory 2 8 10 7 Weight: Below 100 lb. 3 15 10 1 33 4 58 83 100-115 inclusive 33 75 7 77 40 240 80 392 501 116-130 n 97 80 76 90 242 413 415 583 929 131-145 II 192 49 247 60 700 326 1139 435 1368 146-160 II 189 18 271 21 769 134 1229 173 1456 161-175 132 7 176 8 560 61 868 76 1012 176-190 7J 1 98 4 250 12 421 17 · 489 191-over 50 6 64 160 5 274 11 301 Unrecorded 1 1 4 4 9 9 10 )4 ae1ght: Belo.., 50 inches 1 1 2 50-59 inches 1 15 1 13 4 24 6 52 52 60 -62 II 6 66 2 63 9 195 17 324 401 63-65 II 68 123 35 131 119 433 222 687 ~61 66-68 II 246 41 262 59 746 414 1254 514 1716 69-71 n 306 6 449 3 1225 147 1980 156 2061 72-over 141 189 619 16 949 16 950 Unrecorded 2 1 5 4 3 11 4 32 54

TJ.llLE III

BORlIAL DEVELOPIIElIT (IF MEN STUDENTS (BY LOCATI ON) AS DETERMINED BY MINIMUM STAlIDARDS OF THE liAR DEPARTMENT

Minimum Standards of War Department

Che8t at SatisfActory Height l1 e1~ht Ero1ratton Urban Rural Out-s rotal

64 120 30 1 1 65 121 30 2 2 66 122 4 4 67 124 1 1 3Qil~~ 68 126 • 3 2 2 7 69 128 31 3 3 1 7 70 130 31t 1 1 71 133 31.3- 4 2 6 72 138 321 2 2 4 73 143 1 1 2 74 148 2 2 75 155 ~ij 1 i. 76 161 34i 1 1 55

TAllLE IV

TYPES OF SUBlfORMAL DEVELOPMEllT OF MEN STUDENTS AS DETERlIUiEIl BY MINIMUM SUNDA1UlS OF TIlE liAR DEPARTMENT

Minimum StandardB of War De]2t. Be low Hinlmwa. Standardg of War D!t!t. Underdev. Chest Cheot Ex- Underweight and Underweight Grand Ho!ght Weight ptration Urban ~ Out- S Total Urban Rural Out- S Totnl Total

64 120 )0 4 6 10 1 1 11 65 121 ) 0 10 2 ) 15 1 2 ) 18 66 122 14 ) 8 25 4 10 14 )9 67 124 1) 4 7 24 10 2 ) 15 )9 68 126 19 6 4 29 12 1 7 20 49 69 128 )1~~ 22 6 10 )8 4 1 5 4) 70 1)0 9 2 ) 14 9 6 ) 18 )2 ?l 1)3 )1131 5 1 1 7 1 2 ) 10 ?2 1)8 )2 7 4 4 15 ) 2 1 6 21 7) 14) 9 1 1 11 14 4 2 20 )1 74 148 1 - 1 10 2 1 1) 14 75 155 lli 1 1 ) 1 2 6 7 76 161 34;> 2 1 ) ) 77 168 3s! 1 1 1

Deviations

Under 64 in. 120 Ibs. Urban 8 Rural 1 Out- S 8

Under 64 in. 129 Ibs . (or oTer) .

Urban 17 Rural 5 Out-s 10 56

TAJlLEV

SUBIIORIlAL DEVELOPImNT OF lllllf STUDENTS (BY LOCATION) AS DJmlRJ.IINED BY IIIIIIJ.IUM STAllDAIlDS OF THE WAll DEl'ARTIIEIIT l11nimum Standards of War Department Above Minimum. Standards ot \"ar Dept.

Chest at Grand Height Weight !'eEplra tion lh'ban Rural Out-S Total 64 120 30 18 4 18 40 65 121 30 72 25 27 124 66 122 139 43 34 216 67 124 ~g; 218 74 68 360 68 126 30t 309 127 103 539 69 128 31 392 171 98 661 70 130 1 410 130 95 635 71 133 313 } 365 127 93 585 72 138 32, 257 91 64 412 73 143 158 47 43 248 74 148 89 28 12 129 75 155 ~~ 31 5 6 42 76 161 34 22 3 1 26 77 168 35.1 5 5

Deviations !2!!l Under 64 in. 120 Ibs . 17 Under 64 in. 120 Ibs. (or over) 32 • 57

CIVIL SERVICE EXAl!IllATIONS

~ Women ~ Total visita ot those examined 586 560 1146 Total number ezamlned 517 611 1128 Age Under 20 year. 44 101 145 20-29 year" 244 421 665 30-39 year. 131 45 176 40-'>9 yearB 64 23 87 SO years and over 34 18 52 Not recorded 3 3 Married 327 416 743 \,Tidower. l'Tldow 4 14 18 Single 150 157 307 Divorced 1 13 14 t(ari tal status unrecorded 35 11 '>6 Family Hiotor)' Cancor 47 115 162 Epilepsy 3 3 Neurasthenia 2 5 7 Tuberculosia 31 64 95 Othors 6 13 19 Personal History Birthplace IlUnois 346 405 751 Elsewhere 171 206 377 In~urio8 Hoad 22 12 34 Choat 12 1 13 Arm 44 28 n Leg 24 25 '>9 Others 18 38 56 Operations Head Tonsile 94- 294 388 Adono1de 14 52 66 Other 0 16 11 27 Choat 3 1 4 Abdomen 88 85 173 Others 30 112 142 Age of vaccination scar Under 10 years 335 239 574 10-20 years 101 240 )41 Over 20 year 8 65 6) 128 No vaccination scar 16 69 85 Sleep Under 6 hours 2 1 3 6-7 hour. 96 155 251 8-9 houre )88 '>27 815 58

~ '·Tomen Total Sloop (Concluded) 10 hours and over 15 12 27 Unrecorded 16 16 )2 Habits ~.a )09 )75 684 Coffoe 4)6 460 896 Tobacco )59 20) 562 Alcohol 140 117 257 Drug. 2 8 10 ~one of the above )6 66 102 Diseases had : Appendicitis 74 114 188 Asthma 9 1) 22 Chickenpox 271 42) 694 Chorea 4 4 Constipation 6 )6 42 Diabetes 1 1 Di phtheria 12 19 )1 Discharging Ear 6 15 21 Dysontery 8 6 14 Heart Trouble 1 6 7 Hay Fevor 7 7 14 Hernia (rupture) 8 8 Infantile Paralysis 1 1 2 Influenza 94 114 208 Ki dney ll'rouble ) 10 1) lelarla. 12 11 2) Heaslos )74 5)0 904 Moasle s. GerJDB.D. 65 45 110 Ifeningitis 1 5 6 I.fump. 28) )55 6)8 Nervous Breakdown 2 2 Pleurisy 8 16 24 Pneumonia 51 75 126 Rho'UlD£l.tism 11 8 19 Scarlet Fevo:f 67 112 179 Sinus! tis 11 10 21 Smallpox 26 17 4) Tonsillitis III 180 291 Tuborculosis 2 ) 5 Typhoid Fevor 7 11 18 Undulant Fever 2 2 t-t"hooping Cough 229 )50 579 Others 7 42 49 Immunizations : Di phtheria 16) 61 224 Scarlet Fever 142 27 169 Smallpox 259 5)2 791 Typhoid Fever 202 147 )49 59

.' !!s yO!!!! 'fotal '1'ea' •• Dicit 125 28 153 Sch1c1t 1)2 54 186 'l'Ilbel'CQlla 1)8 60 198

, 60 SUI.:!'.AllY OF PHYSICAL EXAI.fIWATIONS

Men "/omen Total Color of hair: Flaxen 5 62 67 Reddish 9 25 J4 Light Brown 112 157 269 Inrk Brown · 100 104 204 Brown 190 186 J76 Black 86 45 131 Gray 9 11 20 Unrecorded 6 21 27 Color of eyes: Blue 234 198 Gray 4J2 25 Jl 56 Greenish 15 57 72 Hazel 52 8J Brown lJ5 169 207 J76 Black 8 9 17 Unrecorded 14 26 Vision abnormal without glasses 40 Both eyes 158 243 401 Bight eye (O.D.) 17 Left eye (o.s.) J9 56 33 68 101 Corrected with gla sse s 80 197 277 Colorblind 1 Ear. 1 Bight car Cerumen J7 42 Perforated drum 79 1 14 15 Hoaring abnormal lJ 40 Left ear 4J Cerumen J8 4J Perforated drum 81 1 12 lJ Hearln~ abnormal 16 Nose J7 53 Spur 4 3 7 DeViation lJ 47 Chronic HYPertrophy 60 Tondle 18 ,8 Removed 159 Taga J15 474 5 67 72 Pathological 18 Teeth 90 108 No cavities or a.bsont 250 105 J55 Cavities 56 Absent 51 107 212 J30 542 Need cleaning 81 108 Devitalhed 189 17 22 J9 Gums Diseased 19 Appearance 11 30 Hcaltb,y: Yeo 512 No 607 1119 5 4 9 61

~ "'omen Total Appearance Nervous 3 9 12 Alert 512 602 1114 Apathetic 2 2 Skin Acno 14 90 104 Y,yC0 81a 29 50 79 Othor skin di.eaSBe 8 14 22 Vaccination Bear Arm 466 413 879 Leg 2 108 110 l~one 46 79 125 Unrecorded 3 11 14 General development Excellont 10 10 Good 470 568 1038 Fa.ir 45 28 ?J Poor 1 1 Unrocorded 2 4 6 llu11d StoclQr 54 73 127 Medium 375 275 650 Slender 86 260 346 Unrecorded 2 3 5 Chest Flat 46 12 58 Funnol 1 3 4 Pigeon 4 4 Vertebral column Kyphosis 9 20 29 Lordosis 2 15 17 Sco11oeis 11 31 42 Posturo Excellent 2 8 10 Good 471 515 986 Fair 37 79 116 Poor 4 3 7 Unrecorded 3 6 9 rlexibil ity, restrletod 2 6 8 Lympb node.: Cervical 7 9 16 Epltrochleat 1 1 Inguinal 3 4 7 Thyroid Enlarged Slight 16 30 46 Hoderate 3 4 7 Evidenc e of toxicity 2 2 Lunge. abnormal 5 6 11 HElart. abnormal 6 39 45 62

Hen Women Total Blood pressure (abnormal) Systolic IJO- IJ9 16 16 140-149 20 7 27 150-159 9 1 10 160-169 11 J 14 170-179 1 1 160-169 4 2 6 190-200 2 2 201-240 4 4 Diastolic 90 - 99 76 16 94 100-109 9 2 11 lID- over 7 5 12 Abdomen . abnormal 1 11 12 Reflexes Patellar (absent) 2 7 9 Romberg (positive) 4 11 15 Puplllnry (absent) J 5 6 Penis , circumcised 141 141 Testee. abnorcal 5 5 Hernia, present 15 J 16 Varicocele. pr esent 14 14 Hemorrhoids, present 5 16 21 Plat feet Long arches Firct degree 40 151 191 Second degree 41 42 6J Third degree 6 21 27 Anterior arches flat 46 149 195 Had venereal disease Gonorrhea. 10 1 11 1 2 J Obvious detects Amputations IJ IJ Atrophieo 4 4 Unusual scare 99 61 160 Deformlt1eo 10 20 JO Urine Acid 47J 565 1056 Alkaline JO 24 54 No specimen left 14 2 16 AlbuJ:dn Persistent J J Transitory 5 6 IJ Unclassified 1 1 Sut;ar Persistent 1 1 Transitory 5 1 6 Unclassified 2 2

• 63

~ "omen ~ "eight Belw 100 lb. 36 36 100-115 lncluaive 5 178 183 116-1)0 inclusive 69 205 274 131-145 InclU1lvo 106 106 214 146-160 Incl,,"l.. 142 45 187 161- 175 iuclusive 94 21 115 176-190 inclusive 56 10 66 191-over 42 8 50 Unrecorded 3 J Height Below 50 iaches 1 1 51-59 Inche. 37 37 60- 62 inches 1 156 157 63-65 Inche. 25 274 299 66-68 Inche. 179 132 311 69- 71 Inch •• 213 11 224 72-over 96 96 Unrecorded 3 3 Grade No grade 4 4 Good 431 518 949 Fair 69 87 156 Poor 9 3 12 Dlsqus.l1fie4 1 3 4 Unemployable J 3 Rechecks - (Same Statue) 11 1 12 L •

.J • -

.. 64

UlnvnlSI'I'Y HIGH SCHOOL BlWIIJlATIOIIS

Women Total

Total Visit. 102 )8 140 Total NulIber Examined 41 41 82 J'o.m1ly Rhtor,.: Apop1e27 1 1 Cancer ) 6 9 Goiter 1 1 2 J~ntal Di,turbanee 1 1 Diabetes 4 1 5 EpUepoy 1 1 Kidney D1,eaa. 2 2 4 Tuberculo,ie 7 ) 10 Personal HistorY:

Elrthplace: 1111n01, 21 28 49 Elsewhere 20 1) )) ~ork for aelf-support during 8choollnc 1 1 2 Us. laxatives trequeDtly 1 1 Sleep: 6-7 hours 2 2 8-9 hour. 15 2) )8 10 hour. and over 21 14 )5 Unrecorded 5 1 6 Babita: Coffee ) 8 11 T... 14 ' 10 24 Tobacco 2 ) 5 None of the three 2) 2) 46 Age started amokinc: 10-14 Tear a 1 1 15-19 years 1 ) 4 Meala per~: One 1 1 Two ) ) Three )9 )7 76 More than three 1 1 Unrecorded 1 1 Weight the past year: Gained )0 29 59 Lost 2 2 4 StatioDaJ7" 5 10 15 Unrecorded 4 4 Jlas1ly Fatigued 2 7 9 Menaes: Regular 16 16 Irregular 5 5 Unrecorded 4 4 Not started 16 16 Pain: NOlle ) ) Se ... ore 6 6 Slight 1 1 SUbject to frequent colds in: Noal 7 10 17 Throat 5 4 9 Lun,. 2 2 4 65

Men WOlDen ~ When readlnc, bothered with: Headaches 3 3 6 Blurring of Vision 1 1 2 :Burning of Eyes 3 3 Squinting of ~'8 1 1 Waterlll1 of Eye', 2 2 Twitchin, of Erie 2 1 3 Persiatently worry 3 2 5 Have the "blues" 2 2 Injuries: Cheat 1 1 Arlll 2 2 Leg 6 1 7 Others 1 4 5 Operations: Head: Tonsile 13 17 30 Adenoids 3 5 8 Others 1 1 Abdomen 4 5 9 Others 8 1 9 Arehea of feet painful 1 1 Disease had : AppeDdlcitl0 4 6 10 Asthma. 2 2 Chickenpox 23 29 52 Chorea 1 1 CODetipat ion 1 1 2 Diabetes 1 1 Diphtheria 1 1 Dlscbarging Ear 3 4 7 DysenterY' 2 1 3 Epilepsy 1 1 Heart Trouble 2 2 Hay Fever 3 5 8 Infantile Paralysis 1 1 Influenza 6 6 12 Kidney Trouble 4 4 Malaria 1 1 Measlee 34 28 62 Measles. German 20 14 34 Mwop. 27 22 49 Pneumonia 3 6 9 RheUmat 1 SIl 1 1 Scarlet FaTer 8 7 15 Sinus! ti. 3 2 5 SmallpoJ: 2 3 5 Tonsill1 ti~ 11 15 26 Trachoma 1 1 Tuberculosis 1 1 Whooping Cough 8 21 29 Others 1 1 66

Men Women Total lmanmitations: Diphtheria 26 20 46 Scarlet Fever 13 13 26 Smallpox 26 29 55 Typhoid Fever 13 9 22 Tests: Schick 17 21 38 Dick 6 12 18

SUIIMIIRY OF PHYSICAL EXiJlINATIONS

~ Voaon Total Color of hair: Flaxen 2 7 9 Reddish 2 2 4 Light 'Brown 13 13 26 Dark lIroWll 8 1 9 Brown 10 13 23 'B lack 6 2 8 Unrecorded 3 3 Color of eyes: 1I1ue 17 22 39 Greenish 2 1 3 Hazel 7 4 11 :Brown 15 11 26 Unr e corded 3 3 Vision abnormal without glasses: 'Both eyeo 12 13 25 Right Eye (O.D.) 1 2 3 Left )']ye (0 .5. ) 4 3 7 Corrected with glasses 5 8 13 Ears: Right Ear: Cerumen 3 1 4 Left Ear: Cerumen 2 3 5 Hearing abnormal 1 1 Nose: Spur 1 1 Deviation 1 1 Chronic Hypertrophy 4 4 Tonsils: Removed 24 19 43 Tago 4 4 Pathological 1 7 8 Teeth: No cay! ties or absent 13 6 19 Cavitieo 16 17 33 Absent 27 )3 60 Need Cleaning 7 4 11 Den tali zed 2 2 Gums Diseased 2 2 Appearance: Healthy 41 41 82 Nervous 2 1 3 Alert 39 40 79 67

~ Women Total Skin: Acne 1 5 6 lVcosil 2 1 3 Vaccination Gear: Arm 37 21 58 Leg 1 17 18 None 3 2 5 Unrecorded 1 1 General Developmen t : G

!!!A Vomen Total Weight: B.1"" 100 lb • • 12 14 26 100-115 lb •• 10 15 25 116-1)0 " 8 4 12 1)1-145 " ) 5 8 146-160 " ) 2 5 161-175 " 4 4 176-190 • 1 1 191-over 1 1 Height: 50-59 inch•• 10 5 15 60-62 " 6 9 15 6)-65 " 8 17 25 66-68 " 10 9 19 69- 71 • 4 1 5 ?2- over ) ) , 11, Ii- 6 r ~ -:..:.1\1:,.. . ". ll~• •

X • 69

CASES ENCOUNTEItED DURING TIlE YEAR

Abdominal Discomfort 1 Abnormality 1 29 Acne 29 Acromioclavicular Separations 2 Adenitis Cervical 10 Unclassified !!2. 59 Adenopathy 2 Adhesions Unclassiflod 1 Albuminuria 2 Allergy 33 Alopocia (baldness) 7 Anemia 3 .\ngina Tobacco 1 Vincent ' a ~ 39 Anorexia 3 Appendicitis Acute 4 Chronic 7 Unclassified g 23 Arthralgia 6 Arthritis 43 Arthrolith 1 Asthma. 31 Astigmatism 1 Athletic foot 11 Avitaminosis 1 Balanitis 5 Baseball Finger 4 Bit03 Animal 16 Insect 31 Unclassified ~ 49 Bleeding 2 Blepharitis 41 Breathing Troublo 1 Bromidrosis 1 Bronchitis ;.cute 227 Chronic ~ 229 'Bunion 4 Bursitis 33 Calcification 1 Calculus. lddney 1 Callosi ty 2 Callus 21 70

Cancrum Orb 8) 1) CardioSpasm 1 Caries of teeth 2 Cavi ty 6 Cellul1 tis )6 Cephalalgia (headache) 85 Ceruminosis )67 Cervicalgia ) Cervici tic 1 Chalazion 5 Chickenpox 4 Chills 2 Chondritia 2 Clavus 18 Coating of the tongue 2 Coccyodynia 2 Colitis 16 Concussion ) Conjunctivitis Acute (pinkeye) 11 Uncla881ficd ill 162 Constipation 33 Coryza 550 Cough 57 Cramp 5 Creaking Knee 1 Cyst Sebaceous 96 Unclassified ~ 165 Cystitis 11 Dandruff 4 Deafness 10 Decalvant 1 Dermatitio Allergic 32 Papil1aris 2 Venenata 9 Unclassif1ed ~ 350 Dermatophytosis 24 Diarrhea J4 D1phtheria 1 Dhdneso 1) Dysentery 1 Dysmenorrhea (pain) 22 Dysuria 2 Ecchymosis 1 EczellB 16 F'..dema 9 Enteritis 158 71

Entropia 1 Epidermophytosio 4 Epididymith 6 Epll_ps;y 1 Epileptiform Attack 1 Epistaxis (nos_ bloed) 31 Epi thelioma. 1 Eructation 1 Eruptint; Tooth 12 Erythe... 3 Eustechi Us 3 Exoetoe18 2 Fatigue 51 Fever 4 Fibroma 1 Fibroaitio 1 Fissure 5 Fistula Rectal 1 Unclassified !t 5 Flat Feet 8 Folliculi tiB 11 Fungus 9 Furunculosis 254 Ganglion 11 Gaseous Distension 2 Gastralgia 5 Gastric Psychaethenia 1 Gastric Upset 3 Gastritis 69 Gastroenteri tis 123 Gingivitio 97 Glossi tis 5 Glycosuria 2 Gro'W'th 1 Halitosis 3 Hay Fever 38 Heat ~ust1o n 1 Hematoma 44 Hematuria 1 Hemorrhage 14 Hemorrhoids 98 Hemotoxio 1 Hernia Inguinal 9 Unclasdfiod 1Q 19 Herpes Labial1l3 17 Simplex 37 Zoster 18 Unclassified ~ 97 72

HlccO~ 1 Hoarsenes8 4 Roolatorm 2 Hordeolum (sty) 74 Hydrocele 1 ~erlacrlmatloD. 1 Hyperhidroa18 4 Hy-perkeratod8 1 HnlertenaioD. 10 Hype rtbyroidhm 1 Rypertro~ 1 lfyaterl& 2 Icht~o81. 2 Ileitie 1 Impacted Tooth 4 Impacted Wa% 1 Impetigo 59 Indigestion 44 Inflamlllat10n 21 Influenza 92 Ingrovn Nail 46 In.Olllia 14 Intestinal Upset 1 Irregular Pa riod 1 lrri tattoD. Skin 1 Unclasslt1ed 18 19 Jaundice 1 Laryngitis 55 Leukemia 1 LeukX>p1a kia 1 Lipoma. 5 Lumbago (baekacho) 1 Lump in Breast 1 Malaise 18 1-1alarla 1 t.(astoi dl till 6 Measles 14 Ifenopaua8 1 !·!enorrhngia 2 Hetataraalgia 6 Migraine 5 Miliari a rubra 1 Mononucleoai. 16 ~~8cular Twitching 1 Hya1g1a 20 Itrcos1a 559 Myopia J l\Yoa1th 181 Nausea 2 lfopbrl Ue 1 Hepbroll thiaa1a 2 Fervousn888 29 lleuralgia, Trlgelll1ual 13 Neurasthenia 4 Neuritis 39 Neurosis 10 Obeait,. 3 Occlusion of Eustachian Tube 6 Odontalgia (toothache) 33 Oph thalmi Ue 2 Orchl ti. 1 Osteocbondro.. 1 Oateem 1 OateoJIIYelitll 1 Otalgia (earache) 11 Ot1th Ext.rna 39 Media 1!t 113 Otdaorcosi8 3 Pain 129 58 Parotitie 6 Pediculosis Pubis 17 Unclassified ~ 41 Perlconchtt1a 29 Periodontitia 12 Periostitis 7 Phal71lgi Ue Acute 1266 Naso ...m. 1538 Phimosis 1 Phlebitie 1 Pi tyrlasia 37 Pleurisy 58 Pneumonia 1 PoieoniDl: Food 2 Ivy 19 Unclassified ..2. 28 Polyuria 2 Post Nasal Sinusitis Drip 5 Pressure Sore (bedsore) 4 Prosta titis 8 Pruritus 27 Psoriasis 2 Psychasthonia (mental fat~) 1 Psychoneurosis J 9 Psychosis 1 74

Pustule 91 Pyelitis 4 Pyelonephrl till 1 Pyuria 1 Rheumtic Fever 4 Rheuma. t1 sa 3 Rhinitis Acu'e 48 Chronic 6 Unclassified 130 184 Rubella 5 Rupture 4 Sacrocoxitla 1 Scabies 9 Scaling 2 Sch! stosomiaal B 2 Schizophrenia 1 Sciatica 7 Scoliosis 4 Scurvy 1 Sinusitis 204 Sore Mouth 1 Spastic Colon 1 Stomatitis (Aphthous) 68 Striae Adi po se 1 Swollen Ankle 5 Face 3 Feet 2 Glan4 1 Lip 1 Wrist !! 16 Syncope (fainting) 6 Tenosynovi ti 8 9 Thrombosis 2 Thyroid Enlarged J Tinea (ringworm) Circinata (body) 1 Cruris (thigh) 62 Unclassified 11 76 Tinnitus aurium 9 Tonsillitis Acut e 125 Chronic -.!t 129 Tooth decay 2 Tooth extraction 2 'J,'orticol l1s 7 'rrachei tis 2 Trichotillomania 1 Tuberculosis (&rre sted) 1 75

TuIIIor Malignant 1 Benign § 26 Tvitchins of E,ye 1 Urachueltia 1 Urothritie 27 Urticaria 39 Varicocele 7 Varlcoe. Veinl 9 Vorruca (vnrt) 385 Vertigo 9 Vitamin Deflciena.y 1 Vitiligo 1 Vomiting 3 Whlp"orm (Trichocepbalu8 diepar) 1 76

I1IJ1lIUl:S. WOUI1DS. SPRAIIlS

Abraaion Ankle 1 Back 6 Buttocks 1 Chost 2 Elbow 4 EyeUd 1 Face ) Finger 21 Foot 5 Hand 15 Head 1 Heol 2 Hip 1 Knoe 15 Leg 19 Nosa 1 Scalp 1 Too ) Uncla.ae1tlfJd 61 16) Blister !!and 2 Hccl 12 Foot 9 Too 4 Unclaae1flod ~ 49 Bruise 65 Burn Acid 4 Chemical 8 Electrical 1 Arm 8 Back 1 Eye 4 Finger 22 Foot 1 !!and 28 Knoe 1 Leg 6 Mouth 2 Sun 6 Wrist ) Unclassified 2l. 156 Contusion Arm 7 Back 7 Choat 18 Ear 1 Eyo 14 77

Contusion (Continued) J'aco 5 Finger 50 Foot 17 Forehead 2 Hand 22 Head 16 Heol B Hip 5 Joint lmklo 1 Elbow 7 Knoo 20 Wrist 2 Leg 17 Lip I> Noaa 6 Rib 17 SaCl'Ulll 1 Scalp 2 Shoulder 1) Spine 1 Testicle 1 Thigh 2 Thumb 19 Too 26 Unclassified. 66 )6) Dlelocated F 1n&er 5 Knee 1 Shoulder 2 Wrist 2 Unclassifiod ...:i 1) Electric Shock 1 Foreign Body Ear 9 Eyo 95 Finger 10 Hand ) Nose 1 Throat 5 Unclassified J!!: 157 Fracture i'l..Ilklc 1 Arm 2 Claviclo 1 Foot ) Hoad 1 Joints Elbow 1 78

Fracture (Continued) Joints Finger 10 ~1Bt 2 Leg 2 nasal Septum 1 Noso 2 Rib 2 Too ) Unclaaa1flod 20 51 Infection AbrasioDs 5 Anklo 4 Arm 5 Blister 9 Clavus 1 Cyst 12 "Ear 6 ll1yo ) ll1yol1d 2 Faco 5 Flngor 69 Foot )5 Fungus 20 Gum 4 IIn"d 1) Head 1 Heel 4 Knee 4 Leg 9 Mouth 10 Nose 8 Respiratory 216 Skin 4 Toe 41 Tooth 16 Verruca. 4 UnclAssifiod 2Q 606 Inj ury Ankle 21 Arm ) B~ck 6 Elbow 6 Fingor 26 Foot 18 Hand 18 Head 8 Knee 15 Leg 4 Uose 1 Shoulder I> Skull 1 Too II> Ver tebrae 1 Wrist 16 Unclassified 28 190 Laceration Arm I> Chin 7 Elbow 5 Eyo 3 Faco 6 Finger 1>7 Foot 9 Hand 28 Hond 5 Knco 2 Leg 8 Lips 3 Scalp 12 Shoulder 1 Thigh 1 Wound 2 Wrist 3 Uncla8aifiod 213 Splinter 2Z. Foot 1 Hand 1 Unclassified g II> Sprain Arm 2 Anklo 217 Back 51 Elbow 8 Fi nger 32 Foot 1>5 Groin I> Hand 8 Hi p 1 ¥.n ee 53 Leg 2 Mus clo 10 Nock 1 Shouldor 13 Tendon 3 Thumb 17 Toe 10 Uri at 33 UnclaS8ified 1>1 551 80

Strain Arm 2 ,\nklo 8 :so.ck 21 ~o 30 Finger 2 Foot 4 Hand 1 KDoo 2 Musclo 43 Tendon 8 ¥'rist 4 Unclaea1flod. 14 139 Wound Arm 4 Finger 18 Foot 6 IL:l.nd 10 1001800 10 Leg 3 Puncture 26 Scalp 5 Unclassifiod 42 124 81

CIVIL SERVICE c.;,SES mCOU!iTERED DURING TIlE YEAR

Abr asiou 15 Abscess 1 1~cnlt18 Cervical 1 Unclassified ..l 2 i..nesthcaia 1 Arthritis 10 Bltea. Insect 6 Blophari Us 1 Blioter 1 Bronchi tis 8 Bruise 1) Burn )0 :Bursl tis 4 Calcification 1 Cancrum OriD 5 CarbunclE) 1 4 Cephalalgia (Headache) 2 Ceruminosis 15 Conjunctivitis 18 Contuoion 4) Coryza 19 Cough 2 Dormat opbytosis 1 Dermatitis 25 Diarrhea 4 Dislocation 1 Dizzinesa 1 Dysmenorrhea (pain) 1 Edoma 2 Enteritis ) Epistaxis (nosa bleed) 1 Fatigue 5 Fevor 1 Flat Foot 1 Folliculi tis 1 Foreign Body 4~ Fracture 4 Furunculosis () 14 Ganglion 1 Gastric Upsot 2 Gastritis ) Ga.at roentori tis 2 Gingivith 4 Hay Fevor 1 Heart Di seaso 1 Hematoma. 12 Homoptysis 1 82

Hemorrhage 3 Hemorrhoido 1 Hernia 10 Herpes 5 Hoarseness 1 Hordeolum 1 Hysteria 1 11IJ!)EIt1go 1 IncieioD8 1 Indigestion 2 Infection 24 Infla.mmatloD. 1 Influenza 2 Ingrown Nail 1 Injury 17 Lacerations 71 L!lryngltis 3 Lues 1 Mo.stoidlt1a 1 Mea sles 1 Menorrhagia 1 Migraine 1 Myalgia 2 Mycosia 18 Hyositia 13 Neuri tis 1 Neurosis 1 Otalgia 1 OU UD Externa 2 Media .1 5 Pain 16 Paronychia 1 Par otitis 1 Periostt tue 1 Pharyngitis 75 Pleurisy 4 Pneumonia 1 Poisoning 1 Prostatitis 1 Pustule 1 Pyelonephrl tis 1 Rhinitis 2 RubellA 2 Rupture 1 Sciatica. 2 Shock 1 Sinus! tis 8 Sprains 36 Stomatitis (Aphthous) 3 strains 20 Sunburn 1 Tenonith 1 Tinea Circ1nata 2 Crur1B 1 J Tinni tUB auriua 1 Tonsillitis J Tooth Extracted 1 Tumor. Benip J Urticaria 4 Verruca (vart) 1 Wounds Incised J Puncture 8 Unclaas1:t'ied 12 )0 84

RECAPITllLATIOII

Pha.ryDg1 ti. 161) Infections 6)0 M;tCOa18 577 Coryza 569 Contusion 427 Verruca (wart) )86 Cerumlno si s )82 Derma t1 ti s ) 75 lacerations 284 Furunculosis 268 Sprains 243 Bronchitis 237 Sinusi tis 212 Injuries 207 Foreign Body 198 1.1yoai tis 194 Rhinl tis 186 Burns 183 Conjunctivitis 180 Cyst 165 Abra. sions 16) Enteritis 161 Strains 159 Wounds 154 Pain 145 Tonsillitis 1)2 Gastroenteritis 125 Oti tis 118 Herpes 102 Gingivitis 101 Hemorrhoid, 99 Infl uenza 94 Pustule 92 Stomatitis (Aphthous) 91 Cancrum Oris 88 Cephalalgia 87 "Bruises 78 Tinea (ringworm) 78 Hordeol WD 75 Gastritis 72 Pleurisy 62 Adenitis 61 Impetigo 60 Cough 59 Par onychia 59 Laryugi t is 58 Fatigue 56 Hematoma 56 :81 tea 55 85

J'ractures 55 Arthritis 53 Blisters 50 Incrown Nail 47 Indigestioll 46 Urticaria 43 Blophari tis 42 Pediculosis 41 Cellulitis 40 Neuritis 40 AlIgina 39 Hu.y Fever 39 Diarrhea 38 Bursi tis 37 PItyriasis 37 Allergy 33 Constipation 33 Odontalgia 33 Epistaxie 32 Asthmo. )1 Ab scess }O AClle 29 Hernia 29 Nervousness 29 Periconchit1s 29 Poisoning 29 Tumor 29 Pruritus 27 Urethritis 27 Dermatophytosis 25 Appendicitis 2) Dysme.orrbea (pai.) 2) Inflammations 22 Myalgia 22 Callus 21 Irritation 19 Clavus 18 Malaise 18 Hemorrhage 17 CoUtis 16 F.czema. 16 Mononucleosis 16 Swollen 16 Measles 15 Carbuncle 14 Dislocations 14 Dizziness 14 Insomnia 14 Splinter 14 Neuralgia Trigeminal 13 86

Erupting Tooth 12 12 Ganglion 12 Otal gia (earache) 12 Periodontitis 12 Athletic foot 11 Cystitis 11 Ed ..... 11 Neuros1e 11 Deatneaa 10 Hypertension 10 Tinni tU8 aurium 10

NI NE CASES:

Flat Feet, Fungus, Prostatitis, Psychoneurosis, Scabies, Scintlca, Tenosynovitis, Varicose Veins. Vertigo.

~ I(}l!T CA~S :

Periostitis

SE= CASES :

Alopecia (baldness), Mastoiditis. Parotitis, Rubella. Torticollis, varicocele.

SIX CASES:

Arthralgia, Cavity~ Epididymitis, Metatarsalgia, Migraine, Occlusion of Eustachian Tube, Syncope (fainting). FIVE CASES:

Balanitis. Chalazion, Cramp. Fever, Fissure, Fistula. Gastralgia. Gastric upset, Glo8s1tts, Hoarseness, Lipoma, Post Nnssl Sinusitis Drip, Rupture .

FOUR CASES :

Baseball ?lnger, »union, Chickenpox, Dandruff, Epidermo­ phytosis. Hyperhidrosis, Impacted tooth, Neurasthenia, Pressure Sore (bedsore), Pyelitis. Rheumatic Fever, Scoliosis.

THREE CASES:

Anemia, Anorexia, Cervicalgia, Concussion, Erythema, Eustachitie , Halt tOBis, Hysteria, UenorrhAgia, Myopia, 87

Obesity. Oto=ycosis, Rheumatism. Thyroid Enlarged, Tooih Extraction, Vomi ting,_

TWO CASES:

Acromioclavicular Separations, Adenopathy, Albuminuria. Bleeding, Calcification, Callosity, Caries of Teeth, Chills, Chondritis, Coating of tongue, Coccyodynia, D,ysuria, Entro-spasm. Zxostosis. Gaseous Distension, Glycosuria, Hematb'bium, Hoola'lorm. Ichthyosis; Nausea, Uephr oli thiasi s. Ophthalm1 t is I Pneumonia. Po lyurin I Psoriasis, Pyelonephritis, Scaling, Thrombosis. Tooth Decay, Tracheitio.

ONE CASE:

Abdominal Discomfort, Abnormality, Adhesions, Anesthesia, Arthrolith, Astigmatism. AVitaminosis, Breathing trouble, Bromidrosis. Calculus GddneW. Cardiospasm, Cervicitia, Creaking Knee, Decalvant, Diphtheria, Dysentery, Ecchy­ mosis, Electric Shock. Entropia, Epilepsy, Epileptiform Attack, ~ithelioma, Eru~t ation Fibroma. Fibrositis. Gastric Psychasthenia, Growth, Heart Disea se, Heat Exhaustion, Hematuria, Hemoptysis , Hemotoxis, Riccougb, Hydrocele, Hyperlacrlmation, Hyperkeratosis. Hyperthyroid­ ism, Hypertrophy, Ileitis. Impacted Wa x, Incision, Intestinal Upset, Irregular Period, Jaundice, Leukemia, Leukoplalda, Lues, Lumbago (backacho), Lump in :Breast, }-k'"l.laria, Menopause, Miliaria rubra, }.hlscular twitching, Nephritio , Orchitis, Osteochondroma, Osteoma, Osteo­ myelitis, Phimosis, Phlebitis, Psychasthenia (mental fatigue), Psychosio, Pyuria, Sacrocoxitis, Schizophrenia. Scurvy. Shock, Sore Mouth, Spastic Colon, Striae Adipose, Sunburn, Tenonitis. Trichotillomania, Tuberculosis (arrested), Twitching of Eye, Vitamin Deficiency, Vi tiligo. l'1hipworm (Trichocephalus di spar). APPEllDIX H

StIRVlIY f1I I!lW.TH TllACHING IN HIGH SCHOOLS f1I

STtmEIITS RmISTlIi8.1lIl III FRESHIIAlI IIYGI;D COtIRSilS 88

BIOLOGY (1948-1949)

Number of Students receiving instruction from teacher. giving ful l-time to subject. • • • • • • • • • • • • • • • • • • 39Z Number of Students recelT1ng instruction trom teacher. CiYing part-time to other ~bject. • • • • • • .. • • ...... 310

Number of Studente receiving instruction in ~lo1ogr from teachers girlnc part-time to other lubjectB as given below'

AQiculture 15 ~lcu1ture and General Science 3 Agrlcuiture and Musio 1 Algebra Z Algebra, Band, and P.E. 1 All Science Courses 1 Art and ~lish Z Botany 4 BotanT aDd PhTsiol ogy 1 Cbemhtl'T 20 Chellh t1'7 and Coach 1 Chemiotr,r and General Science 11 C'llemiotr)'" and Jqg1ene 1 Chemistry and P.~. 1 Chemlstr.r and Physics 6 Chemiett7, Physics, and General Science 9 Chemietr;r, Physics, and Mathematico 2 Chemiotr,r and Phy8101~ 1 Cinea and Economico 1 Coach 7 Coa ch and Au! cultura 1 Coach. Physics, and Physiology 1 Economica 2 English 10 English and French 1 Ingliah, General Science. and Nathematico 1 General :Business 1 General Science 55 General Science, Algebra, Physico, Trigonometry 1 General Science and Coach 2 General Science and English 2 General Science and Hi.tory 2 General Science and HOlDe J:conomce 1 General Science and MathematicB 2 General Science, Mathema t ics, and Chemistry 1 General Science and P.E. 2 General Science and Physics 2 Geography Z Geograpq. General Science. and Music 1 Geometr,r 1 89

Geometry and Tri gonomo try 1 German 1 RistOI7 5 History. Algebra, and Mathe_ticD 1 History and Coach 1 Hiatory And Principal 1 Home Economics 8 Home Ec onomics and P.E. 1 Horticulture 1 Hygiene 6 Hygiene. Chemistry. and Physico 1 Hygiene, General Science. and P.E. 1 Latin and History 1 Literature 1 Mathematico 9 MathemBtico and Chemistry 1 Mathematics and P.E. 1 liiscellD..neouB 6 }/lUoic 1 Other Scienceo 10 Other Sciences and Agriculture 1 Other Sciences and Mathematics J P.E. 21 P.E. and Bookkeeping 1 P.E., Chemiotry. and Physico 1 P.E. and Coach 2 Physico 8 Phy ~ ica and ~iculture 2 Physico, Electricity, and Radio 1 Physico, Mathematics , and General Science ' 1 Phyoiology 5 Physiology and General Science 1 Physiology and Geography 1 Physiology and Pbrslcs 1 Religion J Social Sciences 4 Sociology 2 Zoology J Zoology and Botany 10 GEIIlIiRAL SOIJIIIGl! (19/48-19/19 ) vu.ber of Student. receiTinc Inetruc\!oD,a froa teacher. g11'1nt; full-t1llle t o wbject • •.••. • •••• • • ~ ••• • • 333

Number of Studenh rece1v1nc inetruction troa teachers civing part-time t o other subject. • . . • . . • .- . • •.••• 392 NUmber ot Student, receiving instruction in General Science trom teachers glYing part-time t o other subjects as giTen below:

Agriculture 4 Agriculture and General lhla1neBG 1 Algebra 6 Algebra, Cheadatry. Oeometr.r. Mathematica, PhTelc8. and TrlgoDometr,r 2 Algebra and Geometry 1 All Science Couraaa 1 ut 2 Biology 62 ]1010gy and Acriculture 4 :Blo1ogr, Algebra. PhyaiC8, and Trigonometry 1 Biology, BotAn7 . and Mathematics 1 Biology, Botany, and Phy3icn 1 Biology and Chemistry 10 BioloO, Chemistry, and MathematicD .3 Biology and English 2 Biology, Geouaphy, and J.funio 1 Biology and Hygiene 1 Biology and Physics 7 Bookkeeping 1 Bookkeepin« and Typin« 1 BotaD7 1 Botany. Biology, and Zo ol ogy 1 Oarto!,aphy 1 Chemiotr y 27 Chemistry, Biology, Coach, Physics. and P.E. 1 ChemiDtry and Citizenship 1 Chemistr y and Physics 34 Chemistry, Physics. and Aeronautlco 1 Chemistry, Physics, and Al,ebr a 1 Chemistry, Physics , and P.E. 1 Coach 1 Coach and Manual Training 1 Civics 1 EconOlldca 1 Englieh 10 Engl1ah, 1I1010a and Mathematics 1 En«l1eh and H13tory 2 French J Geometry 2 91

History 4 History and !iolO«1 1 H1otory and Coach 1 Home Econom1cG 24 Home Economics and Chemistry 2 HOlDe Economics, CtTiCD. and Economics 1 HOme Economics and P.E. 2 Home Economics and Spanloh 1 Induatrlo.1 Arte 1 Latin 1 Latin and Mathematics 2 Mathematics 37 Mathematics and Biology 2 Mathemat ics and Chemiatr,y 1 )~thematico. Chemistry. and P.E. 1 Mathematics . Clvica. Economics, and Physics 1 ¥athematicB and Electricity 1 Mathematics , Englioh, and History 2 l~thema.lJlcs e.nd P.E. 1 }.mthematicB and Physico 2 MiacellaneouG 4 Mudc J Other Sciencss 9 Other Sciences and Agriculture 1 Other Sciences and Algebra 1 Other Sciences and Biology 1 Other Sciences and Home Economics 1 Other Sciences and YathematicG 3 Photography 1 Physical Education 10 P . E. and COach 1 P . E. and Hygiene 1 Phy.ios 25 Physics, Chemistry, and Biology 13 Physico. Chemistry, Biology. and Mathematics 1 Physics, Chemistry, and Mathematics ::! PhYDics , r.·orman, and Mathemat1co 1 Phyoico and Pre-Flight 1 Phyoica and Principal 1 Phy.iography 1 Physiology 2 Physiology and 30tan~ 1 Religion 1 Sewing 1 Shop }.fechanicD 1 Social Science 1 Sociology 2 Vocational Guidance 1 Zoology 2 Zoology and Botany 2 92

HYGIEllE (194!\-1949)

NUmber of Students receiving instruction from teachers giving full-time to 8ubj8ct •••••• • • • • • • • • • • • • • NUmber of Studento receiving instruction froll teachers giT1ng part-time to other subjects. • ...... • • • • • • )05.

~ber of Students receiving inotruction in ijlglene from teachers giving part-time to other subjects as given below:

Agriculture and Shop. 1 Biology 6 Biology, Botany, and Zoology 1 Biology and Zoology- 1 Chemistry and Physics 1 Chemistry, Phyalc3, and Biology 1 Clvlc3 2 _. ~ EconomicG 1 Economics and P . E. 1 English and P.D. 1 Gener al Science 1 German 1 History 1 History and Coach 1 Hi story and Government 1 Home TIconomlCG 4 Home Management 1 Military 1 Miscellaneous 4 Physlc:a.l Education 24) Physical ~ucation and Coach 1 Physical 3ducation and Dancing 1 Physical Education and General Science 1 Physical ?.duca tlon and Home Econom1CD 2 Physical Education and First AId 1 Physical Education and Government 1 Physical F~uca tion and History 3 Physical Education and Hathema.t1cG 2 Phy3ical Education and Safety 1 PhYGica1 Educat10n and Swimming 2 Physics 1 PhyGiology 2 Physiology and Biology 1 Physiology , Coach, and Physics 1 Socia.1 Sci Once 2 PllYSIOLOOY (1948-1949)

NUmber of Students receiving instruction from teachers giving full- time to subject •••••• • • • • • • • • • • • • • 27 NUmber of Studenta receiving instructi on frOll teacher s civing part-time to other subjects • • • • • • • • • • • • • • • 66 NUmber of Students r ecol?lng instruction i n Physiology from teaohers giving part-time to other eubjects ae given below:

Algebra and Geometry 1 BotallT 2 Biology 6 Biology and Dotany 1 Chemistry and Physics 2 C1vic8 1 Coach 2 Coach and Phyoics 1 English 4 EngliBh and Civic a 1 General Science J Geograp~ 7 Geography and General Science 1 Hloto17 1 Hlotory and Economics 1 Hygiene 4 Latin 1 Mathematics J Other Science. 2 Pbyeical !¢ucation 9 Physics 1 Phyolography 4 Phyciography, Commercial. and Industrial Geography 1 Phyoiography and Gener al Science 1 Red Crcas 2 Track 1 Vocational Training 1 Zoology and Biology 1 Zoology, Biol ogy, and Botany 1 SCIElICE BAcml!OUIID OF S~S ENlIOLUD III HYGIENE (Total No. of Student. in SUrvey 2015)

Number of students Number of students r~ receiving instruction caiving Instructlo~ froe from t eachers giving teachers giving part-time full-time to sUbJect . to other subjects

SUbjectB Units ~ ~ ~ S :Biology 1345 392 19.45 310 15·38 General Schnce 333 16.53 392 19.45 Hygiene 163n492 . 34 1.69 305 15·14 Phy.iology 10 2? 1.34 66 3.28

Number Qf. Student!! ~ Receiyed ~ Credit !!!l!i ~ ~ School in ~ FolloviA!

Biology ?52 Gene ral Scltmce ?59 Hygiene 334 Physiology 60