BAD HOUSING KILLS AND SO DO BOMBS, MONTHLY BULLETIN Indiana State Board of health Entered as second class matter at the Indianapolis Postoffice

VOLUME NUMBER 9 XVIII. INDIANAPOLIS, SEPTEMBER, 1915, 35 Cents a Year

JAMeS s. BOYERs, M. d..President...... Decatur H. H.SUTTON D.., VICe-President . Aurora. ABSTRACT OF MORTALITY STATISTICS J. L. FreelAND, M. 1) ..Indianapolis. CHAS. BRUCE KeRN. M. d...... Lafayette. FOR SEPTEMBER, 1915. J. H. hURTY, M. d, PHAR. D„ secretary Indianapolis. Total deaths reported, 2,672; rate, 11.5. In the preced­ WM. F. KING, M. D...... ASST. SECRETARY AND EPIDEMIOLOGIST. J. L. ANDERSON...... CHIEF CLERK. ing month, 2,526 deaths; rate, 10.5. In the same month CHAS. A. CARTEr, M. D., .STATISTICIAN. WM. SHIMEr, A B.. M. D...... , SUFT. BACTERIOLOGICAL LABORATORY. lust year, 2,713 deaths; rate, U.S. Deaths by important ADA E. SCHWEITZER, M. D...... ASSISTANT BACTERIOLOGIST. ages were: Under 1 year of age, S97 or 14.S per cent, of W. V. BOYLe, M. D...... ASST. PATHOLOGIST. H. E. BARNARD. B. S.. ..STATE FOOD AND DRUG COMMISSIONER AND CHEMIST. total: 1 to 4, 180; 5 to 9, 54; 10 to 14, 42; 15 to 19. 05; H. E. , B. S ASSISTANT CHEMIST. JOHN C. DIGtiS...... Engineer AND WATer CHEMIST. 65 and over. 918 or 34.3 per cent, of total. WILL H. McABEE.. DRUG CHEMIST. R. L. SACKETT, C. E-...... SANITARY ENGINEER. SANITARY SECTIONS: The Northern Sanitary Sec­ tion, population 982.219, reports 911 deaths; rate, 11.2. In The MONTHLY BULLETIN will be sent to all health officers and dep­ uties in the State. Health officers and deputies should carefully read and the preceding month, S72 deaths: rate, 10.4. In the same file each copy for future reference. This Is very Important, for we expect month last year, 914 deaths: rate. 11.4. to print Instructions, rules and general information, which It will be necessary for officers to preserve. THE CENTRAL SANITARY SECTION, population 1,165,270, re­ ports 1,151 deaths; rate, 12.0, In the preceding mon«-hf 1,104 deaths: rate. 11.1. In the same month last year, CONTENTS, 1.1S7 deaths; rate. 12.5. _ Pa§re Births for September ...... ,,.,.,.,.,.. , —, 97 THE SOUTHERN SANITARY SECTION, population 676,748, re­ Abstract of Mortality Statistics for September...... — ...... 97 Summary of Morbidity and Mortality for September...... , 91 ports 610 deaths: rate. 10.9- In the preceding month, 550 Health Officers. Attention ....98 Report of Food and Drug: Department 98 deaths: rate. 9.5. In the same month last year, 612 deaths: Inspectors Reports for the Month of September., ...... 99 rate, 11.0. Medical Frauds •• ...... 99 Sophisticated Drugs .. . —...... 99 Health First ... . , - ...... 100 REVIEW OF SECTIONS: The Central Section presents Report of Bacteriological Laboratory for September...... 101 the highest death rate, which is 0.5 higher than the rate for Patients Who Finished Pasteur Treatment in September 101 Undertakers Arrested ...... 102 the whole State. The Central Section also presents the Dr. John F. Anderson ...... 102 The Fight Against Hay Fever 102 highest death rate for tuberculosis, cerebrospinal fever, and School Hygiene .. .102 cancer. The Northern Section presents the highest death Grace Brown . • .-- ...... —102 The Canal Zone Leads the Way...... 103 rate for whooping cough, pneumonia, and external causes. Why is it? ...... 103 Kendallville Is Hogless ...... 103 The Southern Section presents the highest death rate for A Curious Case.... 103 typhoid fever, diphtheria and croup, scarlet fever, diarrhea Public Health ...... 103 Better Health and Efficiency 103 and enteritis, poliomyelitis, influenza and puerperal septi­ Each Saturday Night ...... 103 The Towns of Rivare and Pleasant Mills... 103 cemia. The Price He Paid ..104 Dig Into Her Dirt ...104 RURAL: Population 1,549,714, reports 1,303 deaths; What an All Time Health Officer Did...... 104 Public Schools are a Public Trust. 104 rate, 10.2. In the preceding month, 1,292 deaths; rate. 9,8, Ignorance la the Only Sin...... ,.,104 In the same month last year, 1,348 deaths; rate, 10.5. Chart Showing Geographical Distribution of Deaths ...... 105 Table !, Deaths In Indiana by Counties ...... 106 Table 3, Deaths in Indiana by Cities...... 107 URBAN: Population 1,274.523, reports 1,369 deaths; Mortality of Indiana 108 rate, 13.0. In the preceding month, 1,234 deaths: rate, U. S. Weather Report...... 108 11.4. In the same month last year, 1,365 deaths; rate. 13.3. The cities named present the following death rates: In­ dianapolis, 12.8: Evansville, 13.7: Ft. Wayne, 10.5; BIRTHS FOR SEPTEMBER* 1915* Terre Haute, 14.3: South Bend. 9.S; Gary, 11.8; Muncie, 11.0: Hammond, 1.9.4: Richmond. 11.6: Anderson, 11.9: Total births. 5.179 (stillbirths excluded^ : State rate. East , 17.6: Elkhart, 13.3; Lafayette. 33.9; Michigan City. 11,7: New Albany. 13.5: Logansport 12.0: Ma­ 11. o. rion. 13.2. Males. 2.69A: females, 2,480. White males, 2.060: white females, 2,445, Colored births. 74: males, 39: females. 35. Stillbirths. 15H: white 150. colored 3. SUMMARY OF MORBIDITY AND MORTALITY Northern Sanitary Section, population 9S2.219. reports FOR SEPTEMBER 1915. 1.9«UJ birth*: rate. 24,3, Typhoid fever was reported as the most prevalent and In­ central Sanitary Section, population. 1.165.270. reports fectious disease. The order of prevalence was as follows; l.O.'tt births: rate. 20.1. Typhoid fever, pulmonary tuberculosis, tosillitis, diphtheria Southern Sanitary Station, population C»70.74s, reports and croup, scarlet fever, diarrhea and enteritis, acute rheu­ 1.2S2 births: rate. 23.0. matism, acute bronchitis, dysentery, malaria fever. Intermittent and remittent fever, whooping cough, cholera morbus, Highest rare. Lake County. ?>SS. influenza, measles, bronchial pneumonia, smallpox, lobar Lowest Rate. Owen County. 10.3. pneumonia, erysipelas. chickenpox. other forms of tuberculosis Total number of births to date for 1915. 46.214. 98 MONTHLY BULLETIN, INDIANA STATE BOARD OF HEALTH.

losis, puerperal fever, rabies in human, cerebrospinal fever, time to be tabulated with the report for the current month. rabies in animals, poliomyelitis. With the report for September the following counties named SMALLPOX: 57 cases lo 10 counties with no deaths. below were delinquent in this matter. The following counties reported smallpox present; Allen 2

eases, Blackford 1* Cass 2, Gibson 10, Grant 5f Knox 2, Lake BIRTHS. 3, Madison 2, Pike 1, Pulaski 1, Tippecanoe 7, Vanderburg Adams 1, Allen 10 (Ft. Wayne 4K Bartholomew 7, Ben­ 6, Vermillion 5, Vigo 5. Wayne 1, White 3. ton 1 (Fowler). Blackford 1 (Hartford City, Boone 1 TUBERCULOSIS: 268 deaths, of which 215 were of the (Lebanon), Brown 1. Carroll 7 \ Flora 1. Burlington 1>. Cass pulmonary form and 53 other forms. The male tuberculo­ 1 Logansport. Clark tf t Jeffersonville 2. Clarksville 4». sis deaths numbered 122, females 146. Of the males IT Clay 2 (). Clinton .1. Crawford 2, Daviess 2 (Wash­ were married in the age period of IS to 40 and left *M or­ ington 1). Dearborn 2 (Aurora U. Decatur 4 (Greensburg phans under 12 years of age. Of the females 44 were mar­ 1). Delaware 7 (Muncie 3 », Dubois 2, Fayette 1 (Connersville), Floyd 6 (New Albany 2), Fountain 3 (Attica 1). ried in the same age period *i« above, and left 88 orphans Franklin 5 (2 for December, 1914 i, Gibson S (Fort Branch under 12 years of age- Total 'number of orphans made in 1), Grant 9, Greene 1 (Linton), Hendricks 2, Henry :; (Middletown), Howard 1. Huntington 2 (Roanoke*. Jasper 2 one month by this preventable disease, 122. Number of (Remington 1>. Jay 1. Jefferson 4 (Madison ;•>). Knox 5 homes invaded, 253. (Vincennes 1. Bicknell 2), Kosciusko 1 (Milford). Lake S PnEUMoNIA: 76 deaths; rate 1*2.7 per llXUsOO, In the (Gary 4, Hammond 1, Whiting 1, New Chicago 1). Laporte preceding mouth, 42 deaths; rate 17.5. In the same month 5, Madison 1 (Elwood, Marion 2 (Indianapolis 1). Miami last year 58 deaths rate 25.2. 1 (Peru), Monroe 1 (Bloomington). Montgomery 2. Newton 1. Noble 8 (Kendallville Orange 1. Parke 4. Pike 1. Posey TYPHOID FEVER: 278 eases in 55 counties with 58 0 (Mt Vernon 1), Pulaski 1. Ripley S (1 for April 1 for deaths. In the preceding month 241 eases in 54 counties Dei-ember, 1914). Shelby 1, Spencer .*> (Dale li, Steuben 2. with 40 deaths. In the same month last year :V£i eases in St Joseph 11 (South Bend 7. Mishawaka 4). Sullivan 2 02 counties with 70 deaths, (Shelburn). Tippecanoe 2 (Lafayette 1), Tipton 6 (Kemp- DIPHTHERIA: 269 cases in 43 counties with 24 deaths. ton 1), Union 2 (1 for September, 1913, 1 for August, 1914). In the preceding month 124 eases in 31 counties with s Vanderburgh £» (Evansville 3, Howell 2), Vermillion <» (Clin­ deaths. In the same month last year 240 cases in 47 coun­ ton 2, Fairview 1. Universal 1), Vigo 2 (Terre Haute 1). ties with 28 deaths. Warren 1 (W. Lebanon), White 1. Warrick 5 (Boonville 1. SCARLET FEVER: 212 cases in 41 counties with 3 Newburgh 1). Wayne 1. Wells s. Whitley (J, Total, 228, deaths. In the preceding month 124 cases in 34 counties with 1 death. In the same month last year 148 eases in 'M counties with 6 deaths. MEASLES: 52 cases in 15 counties with 0 deaths. In DEATHS, the preceding month 54 eases in 10 counties with 1 death. Boone, 1; Clark, 8 (1 for Dec. 1914. 1 for Feb. 1915 K In the same month last year 43 eases in 13 counties- with 0 Clay, 2 (Knightsville, Stanton, 1): Clinton, 1 (Michigan- deaths. town): Crawford, 2: Daviess, 2 (Washington, 1): Dela­ POLIOMYELITIS: 4 cases in 4 counties with 2 deaths. ware, 1 (Gaston) : Elkhart, 1 ; Floyd, 2: Fountain. 1: Gib­ The deaths occurred in Jackson County, female 15 years; son, 1 (Patoka) ; Grant, 4: Greene, 1 (Lyons): Hamilton. Marion county, male 7 years. 1: Harrison. 2: Henry, 2; Howard, 2: Jasper, 1: Jay. 1: RABIES: 20 persons bitten by rabid animals and Jefferson, 1 : Johnson, 1 (Greenwood) : Knox. 1 ; Laporte. •> treated by the State Board of Health during September. (Michigan City. 2; Laporte. 1): Miami, 4: Monroe. 2; There were no deaths. Montgomery, 1: Noble S (Kendallville) : Orange, 1; Parke, EXTERNAL CAUSES: Total deaths, 240; males, 1«0, 2; Porter, 1 (Hebron): Posey 1 (Mt. Vernon): Ripley, 1; Rush, 1; Steuben, 2 (Angola): Tippecanoe. 1

RESULTS OF ANALYSES OF FOODS AND DRUGS DURING THE MONTH OF Twenty-nine canning factories were visited during the SEPTEMBER, 1915. month. 13 of which were good, 14 fair and 2 poor. Other places visited included ice cream parlors, lunch Number Number rooms, fish markets etc*. CLASSIFICATION, Legal. Illegal. Total During the month five condom nation notices were issued and in five eases been use of unsanitary condition and In FOODS, four cases because of improper construction. Beers temperance Three prosecutions were reported during September, in Cider... Catsup . one ease skimmed milk was sold for whole milk. In an­ Gelatin other empty ice icecrea m cans were returned unwashed in Lard . . Milk .... violation of the Clean Milk Can Law. The third case in­ Milk Products— Butter. volved the sale of a genuine beer as a temperance and non­ Cream. alcoholic beer This was the second offense, Ice cream Vinegar . INSPECTORS' REPORTS FOR THE MONTH OF SEPTEMBER, 1915. Total....,

DRUGS, No. No. i No, No. No. No. Patent medicines INSPECTION'S, Excellent. I Good Fair. Poor. Bad. Miscellaneous.. Inspected Total Grocery stores Meat markets.,. Drue stores...... ^.. Bakeries and confectioneries INSPECTORS' REPORTS FOR THE MONTH OF Hotels and restaurants.. . . SEPTEMBER, 1915. Fish market - - - • Slaughter house During the month of September the inspectors visited 334 Poultry house , Ice cream parlors places devoted to the production and distribution of food. Flour mill.... Lunch room. Four places were found to be in excellent condition, 212 Canning factories were rated as good. 110 fair, and 8 poor. No places visited Total were in bad condition, of the 1-S grocery stores visited 2 were rated excellent NOTICES OF CONDEMNATION DURING THE MONTH OF OCTOBER, 1915. s<» px>d. #9 fair and one poor. No places visited were in bad condition. Reasons for Condemnation. Eighteen of the "JT meat markets visited were in good CLASSIFICATION*. Total. condition. 19 were fair and none poor. Unsanitary Improper Construction. Twenty-six of the MO drug stores visited were rated good Conditions. and 4 fair. Butcher shop. of the <>- bakeries and confectioneries visited one was in Dairies Restaurant._.. excellent condition. 4'A good, 15 fair and 3 poor. Soda fountain Twenty-one of the 37 hotels and restaurants visited were Total, .. in good condition. 14 fair and 2 bad. LIST OF PROSECUTIONS DURING THE MONTH OF SEPTEMBER, 1915.

Date of COunTY. Names and Addresses of Defendants. Why Prosecuted, Trial. Final Disposition.

Floyd ... . Ophelia O'Brien. New Alban; Selling skimmed milk for whole milk Fined $19.30. Laporte. W. E. Kalice. Westville. -. - Returning empty ice cream cans not washed fined $23.00. Washington James Dalton, Salem — . . Misbranding beer, (Second offense)...... fined $33.60.

MEDICAL FRAUDS. lates', acetanilid, antipyrin, acetaphenetidin and salol, which were formerly manufactured almost wholly in Europe. The Third Edition of Medical Frauds is exhausted and We have recently examined two samples of aspirin or copy for the Fourth Edition is in the hands of the printer. acetyl-salicylic acid and found one to be milk sugar to Patent medicines, toilet preparations with misleading which a small amount of alum had been added for the pur­ names and cure-alls are not so popular as they were. The pose of giving it the required tart taste, and the other to people who used to buy them now know bow worthless be calcium carbonate and cream of tartar, A sample of they are. Medical Frauds has helped spread this informa­ aspirin tablets labelled to contain five grains, when sub­ tion. Our forthcoming edition will be the largest edition mitted to this department was found to contain but two yet published. grains of sodium salicylate and the usual excipients. Health officers should make arrangements now to Wdistributee have information frothims thbulletie Uniten dwidely State.s LetDepartmen the Statt e Board of Health know your needs and as soon as the bulletins are received of Agriculture that samples of Neosalvarsan have been a supply will be forwarded you, seized because they consist entirely of ordinary salt, colored yellow. An Indianapolis physician recently requested us to examine a sample of the same preparation because it was SOPHISTICATED DRUGS, not freely soluble in water, and although not Identified we The present high prices commanded by practically all found it to contain no arsenic whatever. drugs have enticed many unscrupulous manufacturers and in view of this alarming increase in adulteration those importers into the pratice of adulteration by means of who purchase drugs should never buy from unknown sales­ unheard of schemes, This is particularly true of the prepa­ men and should be constantly alert, Whenever the slightest rations derived from coal tar. such as aspirin, the salicy­ doubt exists, samples should be submitted to the laboratory. Monthly BULLETIN, INDIANA STATE BOARD OP HEALTH.

HEALTH fiRST

HYGIENE can prevent more crime than any law.

Indiana State Board of Health. MONTHLY BULLETIN, INDIANA STATE BOARD OF HEALTH. ioi

REPORT OF BACTERIOLOGICAL LABORATORY, Thigh ...... INDIANA STATE BOARD OF HEALTH, Uterus FOR SEPTEMBER, 1915. Pancreas. WILL SIIIMER. M.D. Superintendent. Ovary Sputum for tubercle bacilli— Omentum Positive* ...... Location not given ...... Negative Sarcoma of Brain Urine for tubercle bacilli- Eye Negative Far ...... Pus for tubercle bacilli Toe ...... Positive Location not given .,...,.....'...... Negative • Miscellaneous ......

Feces for tubercle bacilli— Urine for chemical analysis...... Negative Pus for gonococci— Pleural fluid for tubercle bacilli— Females : Negative Positive Negative Knee joint fluid for tubercle bacilli Males; Negative ., Positive Widal tests for typhoid fever - Negative Positive ...... Sex not given : Negative Negative

Paratyphoid tests— Worm for identification ...... Negative • - Throat cultures for diphtheria bacilli Total number examinations made ... Positive . Guinea pigs inoculated for rabies.-— Suspicious Negative .. Negative Guinea pigs inoculated for tuberculosis— Negative .\ .... Brain for rabies— Dogs : Doses of antityphoid vaccine prepared and sent out.. 8< Positive ...... ••».'.« Negative Rotten OUTFITS PREPARED anD SENT OUT DURING Cows: SEPTEMBER, 1915. Positive Tuberculosis ...... Negative Cats: Diphtheria Positive Epidemic diphtheria .. . Negative ...... ,.."..... Widal ...... Hog: Blood counts ...... Negative Malaria Gonococci ...... Feces for typhoid bacilli— Bile media Negative Total number outfits Cerebrospinal fluid for typhoid bacilli - Negative PATIENTS WHO FINISHED "PASTEUR" TREATMENT. Feces for dysentery bacilli— SEPTEMBER, 1915. Negative .....--

Blood for counts Began NAME. Town. County. Age. Sex, Treatment. Finished treatment. Blood for malaria Plasmodia—Positiiv e .

Negative ...... \...... CHARLES Lefever Indianapolis. . Marion . ,... W. Van Grundy - Indianapolis. Marion , • Virgie Herndon Indianapolis. Marion ,...,. Charles Pence - Indianapolis.. Marion..,..,, Pus miscellaneous ...... Stanley Boss Indianapolis. - Marion .. Galen Basey Indianapolis. . Marion Pathological tissues™ George Cox Indianapolis, . Marion . Oran Chastain - - Indianapolis Marion..,.,,, Carcinoma of Francis Colburn . - Indianapolis . Marion ,..,., Theodore Fredericks Indianapolis Marion.. Eye George Lydick Indianapolis . Marion . Indianapolis Marion. .,,,. Palate ...... Donnell Russell Mrs. DennisIndianapolis Murphy . Marion . Axillary glands ...... Mrs McClelland . - Madison . Jefferson Edgar Moreland.. .Ralph FigleyMadiso n Jefferson. . .. Breast Columbia?. Bartholomew Lung ...... •.•-••••**• 102 MONTHLY BULLETIN, Indiana STATE BOARD OF HEALTH.

UNDERTAKERS ARRESTED. the show windows m the principal streets. This was to educate the public. Twenty convicts were placed at the On October 7, 1915, Mortor Bros., undertakers at Laurel, disposal of the Association by the police, who buried the body of a child who died In the city of Connersville.cleared the streetThes anyd failesidewalkd to sfil oe f a thdeate outeh certificatr sectiones witof h the city health officer of Connersville, as the law commands. The ail weeds. The state board of health and the city board of health lent their influence and general aid. The com­ certificate was filed with the health officer for the incorpo­ missioners of the various parks had the ragweeds destroyed. rated town of Laurel, who bad no jurisdiction within an­ Valuable assistance was given by the women's civic league other corporation. The law specifies that all deaths that which appointed a special committee on vacant lots. The occur within the corporate limits of a city or town mast labor organizations also took a hand. As a result of all be reported to the health officer for the corporation and a this effort, hay fever practically disappeared several weeks certificate of death shall be filed and a burial permit issued earlier than usual in New Orleans. It is estimated there prior to any disposition of the body. The court assessed are 5,000 hay fever sufferers in that city, and therefore n fine of $5.00. the health and economic value of this anti-ragweed work can hardly he estimated. What has been effected there can. of course, be done in all other cities and towns, Dr. Scheppegrell, president of the American Hay-Fever-Prevention Association believes that "hay fever is a distinctly preventable disease." He says: "If we are a practical people,'in a few years cases of this disease will become rare." There are other hay fever producing weeds beside ragweed. The Association suggests that the towns and cities catering to summer visitors will be wise to be able to announce that ragweed and other hay fever producing weeds have been exterminated in their districts.

SCHOOL HYGIENE. School hygiene is one of the greatest problems of man­ kind. Mankind is a gregarious animal; we love associa­ tion. Out of that disposition has grown our great commu­ nities, our immense cities, and in the early years of men the proper sanitation of cities was an immense problem for us to solve, and those who undertook the solution of it were looked upon as dreamers. Before they began their work it was nothing unusual for plague after plague to visit our cities and to wipe them almost entirely out of existence. Men began to realize that the coming together of men and women and children in large numbers brought problems relative to their health, their physical and mental welfare, that required the most careful study, the most energetic action to solve. To a very great extent we have solved the problem of sanitation in our cities. There is yet a great, deal to be done in that direction, but tin* fundamental prin­ DR. JOHN F ANDERSON, ciples of sanitation are very generally known, our school rooms, whether public or private, are little cities in them­ selves; they are cities composed of those who have not yet Dr. John F. Anderson was elected President of the Amer­ reached mature judgment, who have not yet had sufficient ican Public Health Association at its regular annua! meet­ years in life to become familiar with the principles under­ ing which was held in Rochester, N. Y.. September, 1915. lying proper hygiene. Woodrow Wilson. Dr. Anderson is Superintendent of the Hygiene Laboratory of the Public Health Service at Washington, D. C. We cannot here tell even briefly of the researches and writings of Dr. Anderson for they ore so extensive. A GRACE BROWN was two or three years old when her very important work was his research which led to the mother died. Grace's father was an alcoholic and very conclusion that "Brill's disease" was a type of typhus fever% probably a moron. A neighbor remembered that Grace was born in September of either 1912 or 101.'I, but no certificate had ever been issued, for it could not be found in the rec­ The FIGHT AGAINST HAY FeVeR being carried on ords of the Bartholomew County health office nor at the by the American Hay-Fever-Prevention Association seems State Board of Health. Little Grace Brown had six to have been very effective. Tills Association believes that brothers and sisters, and all seven were in the orphans' the pollen of the giant ragweed and also of the common home of Bartholomew County. The father abandoned his ragweed is the most prevalent cause of hay fever. The children when the mother died, just as would be expected, Association has concentrated its first efforts for prevention from a moron and an alcoholic. Some good people desired in New Orleans and with admirable results, The public to adopt Grace, but first wanted to know the exact date was first educated in .regard to the ragweeds so that they of her birth, and, as shown above, this could not be proven could be easily recognized. Illustrations of the weeds were by the public records. Here again is shown the very great published broadcast and live weeds were also exhibited in importance of reporting and recording of births. MONTHLY BULLETIN, INDIANA STATE BOARD OF HEALTH. 108

THE CANAL ZONE LEADS THE WAY PUBLIC HEALTH Indiana has a law prohibiting the employment of dis­ The following resolution was unanimously passed by the eased persons in handling the food supply but our health Federation of Womans Clubs at its annual meeting in In­ officers are not diligent in enforcing the statute. It is dif­ dianapolis October 28, 1015: ferent in the Canal Zone. Down on the Isthmus it is not WHEREAS, The public health is of paramount importance! possible to contract typhoid fever because a typhoid fever carrier works in a restaurant In Indiana, mind yon. con­ being the foundation of all wealth, progress and happiness, valescent typhoid fever patients get back into the kitchen and as soon as they are able to work. WHEREAS, It is now known that the present health law and the present health officer system in Indiana are ac­ If one wishes to keep well the Canal Zone with it* ad­ tually opposed in several ways to the securing of the best mirable sanitary regulations which are enforced by the interests of public health ami practical sanitation; there­ Health Officers of the District is recommended as a place of residence. The following discussion of the physical ex­ fore, be it amination of Hotel and Mess Employes is taken from the Resolved, That we respectfully petition the General As­ Canal Record. sembly to repeal the present Inadequate health law, and enact one up-to-date, which will include all the modern dis­ "The Health Department has completed a physical exam­ coveries in hygiene and preventive medicine, and also re­ ination of all men working in the Government hotels and quiring that all health officers shall be physically able, shall messes in whom the presence of communicable diseases be trained in hygiene and preventive medicine, shall not would constitute a menace to the health of patrons. In practice curative medicine, shall devote their entire time addition to bodily examination for tuberculosis, venereal and service to official duties, and shall have a living salary; and blood diseases, etc., tests of stools and urine were made and, bo it further to determine the presence of typhoid, paratyphoid and dys­ entery. One typhoid carrier was found in the person of a Resolved That we urge the legislature to place all such waiter in a silver mess at Corozal, and he was discharged officers under civil service rules so that they may not be re­ and deported. Several other employes at different messes moved from office for political reasons: and, be it further were discharged for unclean habits, hut. in general, the sani­ Resolved That we respectfully petition the General As­ tary condition of the personnel was found to be highly sembly to pass a law requiring all school authorities to satisfactory. These examinations will be repeated from institute health supervision of the school children, giving time to time, and all new men employed in the hotel and full power to said authorities to employ physicians and pub­ mess service will be subjected to similar examination." lic health nurses to the end that modern methods of preser­ vation of child life and the increasing of efficiency be se­ cured in this State; and, be if further Resolved. That copies of these resolutions ha signed by WHY IS IT communities give such shabby treatment to the president and secretary of the Indiana Federation of applied science, when only through it are betterments to be Clubs, and sent to the Governor. Lieutenant-Governor and secured? Answer- Too many morons in office. other state officials and also to all members of the Seven­ tieth General Assembly which will convene., the first week in January, 1917. "KENDALLville IS HOGLESS"\ for says the Kendallville Sun. "Dr. Williams, city health officer, made an order during September that citizens should remove their hogs Better HEALTH AND EFFICIENCY with their at­ from within the city limits and the order has been complied tendant wealth and happiness will appear first in those with." We congratulate Kendallville that hogs are no States and communities which cease to elect morons to longer raised within their corporation. There is no room office. for hogs witInn the corporation of a clean, modern city.

EACH SATURDAY NIGHT free moving pictures concern­ A CurIOUS CASE is related by Dr. F. L Hosier, of ing public health are given on the streets of towns in Clin­ Amboy, Indiana. He says: "There is a family in town who ton County. This is the work of Dr. E. F. Suhre, health have taken a girl from the orphans home and will not send commissioner. From reports received at this board, the her to school, To those other than school officials they people are deeply interested and Dr. Suhre is to be con­ give as their reason, the fear of the girl finding out they gratulated upon his successful work. are not her parents. When, school officials approach them, however, they say she is not well enough to attend school. To seal this matter there is a physician in town who has THE TOWNS OF RIVARE AND PLEASANT MILLS signed a certificate of hemorrhage of the kidneys as an ex­ are in Adams County, There were outbreaks of typhoid cuse. The child plays, romps outdoors, and rides in auto­ fever in both of these towns. Dr. J. C Grandstaff made an mobiles with other children when invited, still the physi­ inspection and he says: "Words fail me in trying to ex­ cian says she is not able to go to school. Not a few citi­ plain to yon the filth that I discovered in the backyards and zens believe there is an arrangement of some kind in this alleys of Rivare and Pleasant Mills. Everywhere were found matter and that some authority, whatever it may be, should running-over privies, manure piles, and filth of every de­ investigate this matter. This community is deeply Inter­ scription. Fourteen cases have been reported and I think ested." there are about IS in the two towns. I got the people togeth­ This report has been turned over to the State Board of er and told them how they had brought trouble upon them­ Charities and Correction, for it seems to come tinder the selves on account of lack of cleanliness. One man had his authority of said board. It is of interest to learn, if it is chicken park so arranged that he could feed the poultry true, that a physician will lend himself to a deception of from his kitchen window, Most of the people secure their this kind, and it is also interesting to public health that water from the town well and I am confident it Is bad an adopted orphan should be deliberately kept out of school. wafer." Thus it is that some people commit suicide. 104 MONTHLY BULLETIN, INDIANA STATE BOARD OF HEALTH,

THE PRICE UK PAID was 10 and costs for tearing all too many instances do not understand the situation con­ down the quarantine card which County Commissioner cerning their children and the schools. When the parent Cravens of Greene County had placed upon his house. His delivers his children to the care of the schools he certainly name was Eli Hollers. He lives three miles from Bloomfield.has a righ t to insistht e thacountt thye seachildret of nGreen shalel Countybe protecte, Hids child of live years was attacked with diphtheria and the house quaran­ from disease and from harm and will at least be handed tined. He resented this effort to protect him and the sur­ back to him in as good condition as they were received. rounding public and tore the quarantine card from off his Not only has the parent the right to claim such protection house. Squire Lehman imposed the 'above fine and costs but it is his duty to insist upon it. The children also have and now Mr. Hollers freely announces that he will never the right to claim protection from disease, from evil condi­ again violate a quarantine. tions and evil persons and to have a fair chance in life. Not only does the State have a claim upon the children hut the children have a claim upon the State. Allen expressed this thought splendidly when he said: "'When the State "DIG INTO HER DIrt" is the heading of a newspaper for its own protection compels a child to go to school, it article concerning the clean-up at Muncie. This clean-up obligates itself not to Injure itself by injuring the child. was an unusual piece of work. The health authorities, It certainly would be better to sacrifice the education if in the business mens club and newspapers of Muncie have for order to attain it the child must lay down his good health some time worked up a spirit of cleanliness in Muncie. At as a price. It is a sin of omission not to fully and com­ last a day was appointed, and the town was cleaned. The pletely protect children against sickness and disease and motto adopted was, '"Keep Muncie Klean." Of course, the to guide them in the paths of health and strength, and school children were energetic in the movement. One further, a sin of omission is as bad as a sin of commission paper says they did more to clean up the town than the They really amount to the same thing. business men, The children were instructed in the school rooms that they should help in every way to make Muncie clean. Undoubtedly Muncie is at this date the cleanest IGNORANCE JS THE ONLY SIX: This fact is illus­ city in Indiana and is as clean almost as the German cities. trated by a story which comes from the County Health Now if Muncie will pursue the German method and keep Commissioner of a southern county of Indiana. He says: clean every day and punish severely those who make dirt, A child visiting in my town had a sore throat, which was then she will become distinguished. When individuals undoubtedly diphtheria, I told the parents I would return and governments do the right thing then prosperity at­ to my office and get some antitoxin and treat the child. tends, When I returned they had fled to an adjoining town. The doctor there told them the child was suffering from croup WHAT AX ALL TIME HEALTH OFFICER did in hut it died a few hours later and the whole neighborhood Kenosha. Wisconsin. The city of Kenosha got tired of the field a wake and funeral. The corpse was allowed to remain part-time health officer who earns his living practicing unburied for forty-eight hours. Since this death there has medicine, and employed a doctor who would give his whole been two other deaths, one a boy of 14, and the other a time to the work. Here are some of the results: girl of In. Roth deaths were from diphtheria. The do: tor Scarlet fever fell from 200 cases with -17 deaths in 1012 to who called the first case croup said the boy died of tubercu­ one case and no deaths in 1914, losis of the throat and admitted the girl had diphtheria. Diphtheria fell from 13 cases and two deaths in 1012 to The remains of the boy lay at the home of his parents nine cases and no deaths in 3014, from Monday until Thursday and scores of persons had Typhoid fever fell from 17 deaths in 1012 to one death in visited the house. The doctor assuring them there was no 1014. danger. When 1 visited the town and saw the situation The deaths of babies under two years numbered J11 in the "croup doctor" said he had fumigated the house where 1012 and only 54 in 10.14. the girl had died. Upon inquiry I found he had secured This all time health officer cost 17 cents per capita an­ some embalming fluid from the undertaker and sprinkled nually and it is calculated he saved twenty times as much it about the room and probably in adjoining rooms. This as he cost. When will Indiana be wise and employ all he called fumigation. There are other children in this time health officers to look after the public health, the most house suffering from the same symptoms which the dead important work for any State? children presented. I have taken cultures very widely and sent them to the State Laboratory, Most of the inhabitants PUBLIC SCHOOLS ARE A PUBLIC TRUST and most of tins region have been exposed. I can only do the best school officials do not understand this. The parents too in I possibly can with the situation." MONTHLY BULLETIN, INDIANA STATE BOARD OF HEALTH,

CHART SHOWING GEOGRAPHICAL DISTRIBUTION OF DEATHS FROM IMPORTANT CAUSES FOR SEPTEMBER, 1915,

NORTHern SANITARY SECTION. Total population 982.219 Total deaths .,,. 911 Death rats per 1,000... 11.2 Pulmonary Tuberculosis, rate per 103,033 ... 85.4 Other forms of Tuberculosis rate per 100,003 16.1 Typhoid Fever, rata per 103.000 , 9.9 Diphtheria and Croup, rate per 100,033 6.1 Scarlet Fever, rate per 100,000 1.2 Measles, rate per 100,000. Whooping Cough, rate per 100,000,, 6.1 Lobar and Broncho-Pneumonia, rate per 100,000 .... — 39.S Diarrhoea and Enteritis (under 2 years), rate par 100.030 109.0 Cerebro-Spinal Fever, rate per 100,000...... 1.2 Acute Anterior Poliomyelitis, rate per 100,000 Influenza, rate per 100,000 Puerperal Septicemia, rate per 103,333 4,9 Cancer, rate per 100,000 , 88 J External causes, rate per 103,003 115,2 Smallpox, rate per 100,000,......

CENTRAL Sanitary SECTION. Total population 1.165.270 Total deaths 1,151 Death rate per 1,003 12.0 Pulmonary Tuberculosis, rate per 100.030 102.3 Other forms of Tuberculosis, rate per 100,003 28.1 Typhoid Fever, rate per 103.033. 19.8 Diphtheria and Croup, rate per 133,033 11.4i Scarlet Fever, rate per 103,030 1.0 Measles, rate per 103,033 ...... Whopping Cough, rate per 103,003 4.1 Lobar and Broncho Pneumonia, rate per 100,033 32,3 Diarrhoea and Enteritis under 2 years), rate per 103.033 SSJ Cerebro-Splnal Fever, rate per 103,333 2.9 Acute Anterior Poliomyelitis, rate per 100,0J3 1.0 influenza, rate per 103,033 Puerperal Septicemia, rate per 103,033 5.2 Cancer, rate per 100,003 83,7 External causes, rate per 103,033 . . 1Q7.5 Smallpox rate per 103,030......

SOUTHERN SANITARY SECTION. Total population 878,748 Total deaths. 610 Death rate per 1,003 10,9 Pulmonary Tuberculosis, rate per 100,030 85.3 Other forms of Tuberculosis, rate per 100,000 23.3 Typhoid Fever, rate per 133,030. 55.7 Diphtheria and Croup rate per 103,003 14.2 Scarlet Fever, rate per 100,000 ... 1.7 Measles rate per 100,000 Whooping cough, rate per 100,000...... 3.5 Lobar and Broncho Pneumonia, rate per 100,000 23.3 Diarrhoea and Enteritis (under 2) rate per 100,003 111.4 Cerebro spinal Fever rate per 100,000 1.7 Acute Anterior Poliomyelitis, rate per 103.030. 1.7 influenza, rate per 103,033 3.5 Puerperal Septicemia, rate per 103.333 7 1 Cancer, rate per 103,003— 57.5 External causes, rate per 103,033. 75,1 Smallpox, rate per 103,300 INDIANA TABLE 1. Deaths In Indiana by Counties During the Month of September, 1915. (Stillbirths excluded.)

Annual death Rate Per LOGO Population. Important Ages. Deaths from Important Causes.

STATE Population, AMD Esti­ COUNTIES. mated. 1915. Pneumonia, . death s o f non residents . Diarrhoea and enteritis under 2 years to Date . to Same Date . yea r 1914 t o Sam e Date . Pulmonary Tuberculosis. theYea r 1915 t o date. Death s in institution Acut e anterio r Poliomyelitis . Puerpera l Septicemia . smallpox. Whooping cough. Measles , 15 to 19 inclusive Diphtheri a an d Croup . Scarle t Fever . Rate fo r Yea 1915 Rul e for Yea r 1914 Unde r 1 Year . 5 t o 9 inclusiv e 10 to 14 inclusive. Other forms of tuberculosis 1 t o 4 inclusive, Tota l Death s Reported fo r Septembe 1915. Typhoid Fever . 65 and over Tota l Death s Reporte d fo r . Tota l death s Reporte d fo r tota l death s Reporte d fo r September 1915. Tota l Death s Reporte d fo r

State of Indiana

Northern Counties... Adams—...... Allen,..,...... Benton. -, Blackford...... Carroll., Cass,...... Dekalb...... Elkhart...... Fulton...... - Grant..... Howard., Huntington..-. ••• Jasper,...... Jay...... Kosciusko Lagrange Lake... • — Laporte..,,..,.., Marshall.. . Miami. —...... Newton,., Noble - Porter...... Pulaski,...— Starke...... Steuben...... St. Joseph...... Wabash Wells.. • White...... Whitley. Central Counties.... Bartholomew..... Boone.... Brown., Clay Clinton...... Decatur...... Delaware Fayette, Fountain Franklin... — Hamilton...... Hancock...... Hendricks Henry , Johnson Madison Marion ..... Monroe Montgomery Morgan Owen Parke...... Putnam...... Randolph...... Rush Shelby, Tippecanoe Tipton...... Union, Vermillion...... Vigo Warren Wayne..... —.. Southern Counties... Clark Crawford.. Daviess.... — ., Dearborn,,,...... Dubois,., Floyd.. Gibson,., — Greene...... Harrison...... Jackson...... Jefferson...... Jennings...... Knox...... ' Lawrence...... Martin...... Ohio...... Orange Perry Pike.... Posey Ripley Scott...... Spencer Sullivan Switzerland...... Vanderburgh Warrick, Washington Urban Rural TABLE 2. Deaths in Indiana by Cities During the Month of September, 1915. (Stillbirths excluded.)

Annual Death Rate Per 1,000 Population. Important Ages. Deaths from Important Causes,

Popu­ lation, Cities] Esti­ mated, 1915. dents . to Sam e Date . t o Date . Yea r 191 4 t o Sam e Date . Pulmonar y Tuberculosis . August , 1915 . th e Yea r 191 5 t o Date . September , 1914 . September , 1915 . Death s i n Institutions . Lobor an d Broncho - Puerpera l Septicemia . Diarrhoe a an d Enteriti s (unde r 2 years. ) Acut e Anterio r Poliomyelitis . Influenza . Smallpox . Death * o f Non-Real ™ Rate fo r Yea 191 4 Externa l Causes . Rate for Year 1915 1 i n 4 , inclusive . Cancer . 15 t o 19 , Inclusive . Diphtheri a an d Croup , 1 0 t o 14 , Inclusive Othe r Form s o f Tuberculosis . Scarle t Fever . Whoopin g Cough . Measle s Unde r 1 Year . Typhoi d Fever , Cerebro-Spina l Fever . 65 Year s an d Over . 5 t o 9 Inclusive , September , 1 9 l5 . August , 19l5 . September , 191 5 Tota l Death s Reporte d fo r Tota l Death s Reported fo r Tota l Death s Reporte d fo r Tota l Death s Reporte d fo r Tota l Death s Reporte d fo r

Cities of the First Class, Population 100,000 and over .; Indianapolis Cities of the Second Class. Population 45,000 to 100.000..' Evansville Fort Wayne . . Terre Haute . • . | South Bend Cities of the Third Class. Population 20,000 to 45,000. Gary . .. . . i Muncie - • • •! Hammond . • *• j Richmond .. - • • | Anderson.. ; East Chicago • • ' Elkhart, . - -. j Lafayette ; • • • • I Michigan City • • • j New Albany ... Logansport ..... j Marion,. - <•"'-[ Cities of the Fourth I Class. Population 10,000 to 20,000..- Kokomo- • • j Vincennes, .... Mishawaka ...... Peru . ' ' ' Laporte. • • • • j Elwood. . - • • • • j Huntington Crawfordsville. . . Shelbyville - • • • Jeffersonville Newcastle Cities of the Fifth I Class. Population , under 10,000...... j Brazil - ••••-! Bloomington . ... • | Bedford. -•• ••••\ Frankfort - Columbus - - •' Goshen...... ' Wabash _ - - Connersville. < - - * Washington ..... j Whiting.. ••• Clinton. • ....•[ Valparaiso • • • j Linton. • j Madison Princeton Hartford City. .. | Seymour... - • - • | Lebanon. . - ..... j Mt. Vernon . . .. Kendallville .... J Greensburg: ..... Portland. • • - • - • | Bluffton. - • ....j Noblesville - • - - •l Alexandria...... Rushville.. ••••• ' martinsville ...... i Aurora . . • • • • [ Franklin Warsaw...... ! Decatur. . - • • • • • _' Sullivan. • .... -I Winchester . .. • | Greenfield. Boonville. * ••-, Garrett. . • • - -' Tipton • • - Auburn Mitchell Iawrenceburg Plymouth. - • • • Greencastle. Tell City Columbia City..... Attica Union City ••! Rochester . •; Jasonville. • - • Gas City ... North Vernon.. .. Bicknell.. Angola ... - - Montpelier Rockport... - • • Crown Point Huntingburg Loogootee. Batesville. . - • Rensselaer Jasper. . . Monticello I.igonier . Delphi . . Cannelton - - Covington. Butler ,. .... i Veedersburg. Rising Sun Vevay

Incorporated as a city in July. 1915. No deaths- " no report. Mortality of Indiana for September, 1915. (Stillbirths excluded.)

Annual Death Rate Per 1,000 Important Ages. Population,

POpulationBY Under 1. 1 to 4. 5 to 9. 10 to 14. 15 to in. 65 and Over. GEOGRAPHICAL population sections AMD AS URBAN AMD estimated 1915, RURAL. 191 4 to Sam e Date . 1015 . 1915 . Date . 191 5 to Date . Sam e Date . Pe r Cent . Pe r Cent . Number . Pe r Oer>t , Pe r Cent . Number . Pe r Cent . Pe r Cent . August , 1915 . Number . Number , Rat e fo r Yea 1915 to Rat e fo r Yea 191 4 t o Number . Number . Tota l Death s Reporte d fo r August , Tota l Death s Reporte d fo r Sept. , Tota l Death s Reporte d fo r Yea Tota l Death s Reporte d fo r Yea Septembe r 1915 . Tota l death s Reporte d for Sept. .

SMB..... Northern Counties.. Central Counties .. Southern Counties.. Ail Cities...... Over 100,000. .. - 43,000 to 100.000.. 20,000 to 45,000.. 10.000 to 20.000.. Under 10,000 . . Country. .. ..

Deaths and Annual Death Rates Per 100,000 Population from Important Causes.

Lobar Diarrhoea pulmonary Otter Whoop­ and and Cerebro­ Acute Puer­ Diphtheria Anterior POPULATION BY Tuber­ Forms Typhoid Scarlet ing Broncho- Enteritis spinal peral External Smallpox, GEOGRAPHICAL Tuberculosis. Fever. and Fever. Measles Cough. Pneu­ Fever, Polio­ Septi­ Cancer. culosis (Under myelitis- Influenza. Causes. Sections AND Croup. monia, 3 Years.) cemia. AS URBAN AND RURAL Deat h Rat©, . Deat h Rate . Number . Deat h Rate , Deat h Rate . Deat h Rate . Deat h Rate , Number , Number . Deat h Rate . Deat h Rate . Deat h Rate . Number . Deat h Rate . Number . Number . Number . Number . Number , Number , Number . Deat h Rate . Number . Number . Number . Number . i Number * | Deat h Rate . I Deat h Rate . ! Deat h Rate . j Deat h Rate . | Deat h Rate . State., Northern Counties Central Counties.. Southern Counties. All Cities

Over 100.000 43,000 to 100,000. 30.000 to 45,000.. 10,000 to 20.000 . Under 10.000 ...

Country

U. s. Department of Agriculture, Weather Bureau, Condensed Summary for Month of September, 1915.

J. H. ARMINGTON, SECTION DIRECTOR, INDIANAPOLIS, IND.

TEMPERATURE—IN DEGREES FAHRENHEIT.

Extremes. Departure Section. from the Average Normal Station. Highest. Date. Station. Lowest. Date.

Home ... Vincennes,

PRECIPITATION—IN INCHES AND HUNDREDTHS.

Extremes.

Departure Section from the Greatest average. Normal Least Station. Monthly Station. Monthly Amount Amount.

Vevay. Forest Reserve