THE BROTHERS OF THE CLOD WILL ALWAYS HAVE INSANITARY PRIVIES.

MONTHLY BULLETIN Indiana State Board of health entered as a second class matter at the indianapolis postoffice VOLUME XVII. INDIANAPOLIS, JUNE, 1914, Number 6 T 7 25 cents a year T HENRY DAVIS, M. d., PRESIDENT ...... Richmond. ABSTRACT OF MORTALITY STATISTICS FOR JAMES s. BOYERs, M. D., VICE-PRESIDENT ...... , Decatur. JOHN R. HICKS, M. D.,' Covington. JUNE, 1914. H.H.SUTTON, M. D ....Aurora. J, N. HURTY, M. d. PHAR. D., Secretary ,... Indianapolis Total number of deaths reported, 2,598; rate, 11.3. In the preceding month, 3,002 deaths; rate, 12.6. In the same WM. F. KING, M. D. —...... ASST. SECRETARY AND EPIDEMIOLOGIST. J. l. ANDERSON...... CHIEF CLERK . month last year, 2,883 deaths; rate. 12.6. Deaths by im­ CHAS. A. CARTER. M. D...... STATISTICIAN. portant ages were: Under 1 year of age? 305 or 11.7 per WM. SHIMER, AB..M. D SUPT. BACTERIOLOGICAL LABORATORY. ADA E. SCHWEITZER, M. D ...ASSISTANT Bacteriologist. cent of total: 1 to 4, 135; 5 to 9, 48; 10 to 14, 35 : 15 to 19, W. V. BOYLE, M. D. Asst. PATHOLOGIST. H. E. BARNARD B. S...... STATE FOOD AND DRUG COMMISSIOHER AND CHEMIST. 65: 65 and over, 880 or 33.8 per cent, of the total. H. E. BISHOP. B. S. ASSISTANT CHeMIST. J. A. CRAVEN...... engineer and drug CHEMIST. SANITARY SECTIONS: The Northern Sanitary Sec­ WILL H. McABEE.. DRUG CHEMIST. R, L. SACKETT, C. B ...... sanitary engineer. tion, population, 972,129, reports 822 deaths: rate, 10.2. In the preceding month, 944 deaths; rate, 11.4. In the same The MONTHLY BULLETIN will he sent to all health officers and dep­ month last year, 995 deaths; rate, 12.5. uties in the State. Health officers and deputies should carefully read wasA file each copy for future reference. This is very important, for we expect THE CENTRAL SANITARY SECTION, population, 1,152,277, to print instructions, rules and general information, which It will be reports 1,147 deaths, rate 12.1. In the preceding month, necessary for officers t© preserve. 1,381 deaths; rate, 14.1. In the same month last year, 1,232 deaths: rate, 13.1. CONTENTS, THE SOUTHERN SANITARY SECTION, population, 627,551* Page reports 629 deaths; rate? 11.3. In the preceding month, 667 Births for june, 1914. - - 61 deaths: rate, 11.8. . In the same month last year, 656 deaths; Abstract of Mortality Statistics for June, 1914..... SI Summary of Morbidity and Mortality for June. 1914 61 rate, 11.9. Delayed Birth and Death Certificates...... 62 REVIEW OF SECTIONS: The highest death rate oc­ Two Birth Certificates Wanted 02 Report of the Department of Food and Drops for June* 1914...... 62 curred in the Central Sanitary Section. It is ,8 higher than Inspectors Reports for the Month of June. 1914 '...... 63 the State rate. The Southern Section reports the highest List of Prosecutions during the Month of June, 1914..— ...... 63 death rate from consumption, typhoid fever and diarrheal Notice to Egg Buyers, Merchants. Hucksters, and Others Engaged diseases. The Central Section shows the highest death rate in the Production and Handling of Eggs...... '...... 64 Report of Bacteriological Laboratory for June 1914.. —...... 64 for cancer, puerperal fever,- cerebro-spinal meningitis and Patients who have taken the Pasteur Treatment in June...... 65 pneumonia. A Better Meat Supply 65 The Annual Conference of Health Officers 67 RURAL: Population. 1,550,642, reports 1,284 deaths; Encouraging Sickness and Dope Taking...... 67 rate, 10. In the preceding month, 1,477 deaths; rate, 11.2, Why Not Kill Her Outright?...... 67 In the same month last year, 1,384 deaths: rate, 10.8. Redkey Cleans Up...... 68 3074 Hogs...... 68 URBAN: Population, 1,246,315, reports 1,314 deaths; Tobacco vs. Bananas...... —...... — .... 68 Interesting...... — 68 rate, 12.8. In the preceding month, 1,525, deaths: rate. fined for Breaking Quarantine...... 68 Dust Nuisance ...... 68 14.4. In the same month last year, 1,499 deaths; rate, 14.9. Chart showing Geographical Distribution of Deaths from Certain Communicable Diseases © The cities named show the following death rates: Indian­ Table 1. Deaths in Indiana by Counties...... 70 apolis, 15.1: Evansville, 15; Fort Wayne. 10.7; Terre Table 2. Deaths in Indiana by Cities...... 71 Mortality of Indiana for June, 1.914...... 1% Haute, 12.2: South Bend, 9.2. V. S. Weather Report...... 72

BIRTHS FOR JUNE, 1914. SUMMARY OF MORBIDITY AND MORTALITY Total births. 4,790 (stillbirths excluded) : State rate, FOR JUNE, mi, 20.8. Measles was reported as the most prevalent disease. This Males, 2,497: females, 2,293. has been the ease for the two preceding months, The order White males. 2.467: white females, 2,258. of prevalence for the month was as follows: Measles, pul­ Colored births. 65; males 30. females 35. monary tuberculosis, diarrhea and enteritis, typhoid fever, Stillbirths, 165: white, '158; colored. 7. rheumatism, tonsilitis. smallpox, scarlet fever, acute bron­ Northern Sanitary Section, population. §72,129, reports chitis, cholera morbus, whooping cough, diphtheria, dysen­ 1.802 births; rate. 22,5, tery, chickenpox, malaria fever, influenza, other forms of Central Sanitary Section, population. 1.152,277, reports tuberculosis, intermittent and remittent fever, lobar and 1.922 births; rate, 20.2. bronchial pneumonia, rabies in human, cerebrospinal fever, Southern Sanitary Section, population, 672.551. reports erysipelas, puerperal fever, rabies in animals, poliomyelitis, 1,060 births: rate. 19.2. trachoma. Highest rate. Lake Comity. 34.5, SMALLPOX: 313 cases in 30 counties with one death in Lowest rate, Posey County. 10.1. Hamilton county. The deceased was a male, age 85, The Total births for 1914 to date. 30.152. disease appeared in the following counties: Allen, 3 case?*; 02 MONTHLY BULLETIN. INDIANA STATE BOArD OP HEALTH.

Blackford, 11; Cass, 13; Clarke, 8; Clinton, 3$; Crawford, DELAYED BIRTH AND DEATH CERTIFICATES. 6; Delaware, 8; Elkhart, 4; Floyd, 10; Fulton, 1; Gibson, Each month the statistical department receives certificates 3; Hamilton, 5; Hancock, 1; Harrison, 3; Hendricks, 8; for births and deaths that have occurred during preceding Howard, 7; Jackson, 21; Johnson, 19; Knox, 14; Lake, 1; months, which are not sent to this department in time to be Lawrence, 14; Madison, 10; Marion, 21; Noble, 3; Orange, tabulated with the report for the current month. With the 12; Shelby, 10; Spencer, 18; Vanderburgh, 10; Vermillion, report for June the following counties named below were 9; Vigo, 18. In June, 1913, 203 cases in 34 counties with 1 delinquent in 'this matter. death. BIRTHS. TUBERCULOSIS: 327 deaths, of which 282 were pul­ monary and 45 other forms. The male tuberculosis deaths Adams 1; Allen 20; Bartholomew 1; Benton 2 ; Boone numbered 1C5; females, 102, Of the males, 25 were married 4; Brown 6; Carroll 1; Cass 3; Clark 4; Clay 2; Clinton in the age period 18 to 40 and left 50 orphans under 12 1; Crawford 1; Daviess 1; Decatur 5; DeKalb 2: Dela­ years of age. Of the females, 51 were married in the same ware 5; DuBois; Elkhart 2; Fayette 1; Floyd 10; Gib­ age period as above and left 102 orphans, Total orphans son 2; Grant 4; Greene 2; Hancock 3; Harrison 2; Hen­ under 12 years of age made in one month by this preventa­ dricks 1; Henry 1; Huntington 2; Jasper 4: Knox 3; ble disease, 152. Number of homes invaded, 315. Lake 15; La Porte 4; Lawrence 1: Madison 30: Marion 4; Miami 6; Montgomery 3: Newton 2; Noble 2; Owen 4; PNEUMONIA: 82 deaths, rate 35.6. In the preceding Parke 6; Pike 1: Posey 12; Pulaski 1; Ripley 1; Rush 1: month, 170 deaths; rate, 71,5. In the same month last year. Shelby 7; Spencer 2; Starke 3; Steuben 4; St, Joseph. 8: 83 deaths; rate, 38.4. Of the pneumonia deaths during Tippecanoe 5; Tipton 2; Vanderburgh 7: Vermillion 4; June, 15 were under 1 year of age, 13 in the age period of 1 Vigo 6; Wabash 1; Warrick 7; Wayne 1: Wells 7; White to 4, and 22 were 60 and over. Two pneumonia deaths were 7; Whitley 9. Total, SIS. in the age period 90 to 99, one male and one female. One pneumonia death was over 100, and was a male. DEATHS, Adams 2; Bartholomew 1; Brown 1; Carroll 2; Cass 2; TYPHOID FEVER: 124 cases in 30 counties with 31 Clay 2; Crawford 2; Decatur 6; Delaware 3; Elkhart 2: deaths. In the preceding month, 79 cases in 35 counties Gibson 1; Grant 1; Harrison 1; Hendricks 1: Jennings 3 : with 21 deaths. In the same month last year, 96 cases in 35 Koscuisko 2; Lake 4: Laporte 1: Marion 1: Newton 6; counties with 25 deaths. Pike 1; Posey 1; Pulaski 1; Randolph 1: Ripley 7 : Shelby DIPHTHERIA: 82 cases in 22 counties, with 13 deaths. 2; Spencer 1; Starke 1; St Joseph 1: Sullivan 1: Vigo 1 : In the preceding months 137 cases in 34 counties with 19 Warrick 3; Whitley 1. Total, 66. deaths, In the same month last year, 126 cases in 35 coun­ ties with 21 deaths. TWO BIRTH CERTIFICATES WANTED: Mr, Louis SCARLET FEVER: 175 cases in 30 counties with 5 Lemaire, who is manager of the Mississippi Glass Company, deaths, In the preceding month, 315 cases in 43 counties writes to the State Board of Health requesting transcripts with 0 deaths. In the same month last year, 320 cases in 41 of the births of his two children Victor and Marcelle Victorine Lemaire who were both born in Alexandria, Indiana. counties with 16 deaths* Mr. Lemaire writes that he is returning to Europe to stay on account of profitable business connections he has made. MEASLES: 1,549 eases hi 52 counties with 19 deaths. In Germany, where he will locate, it will be necessary for In the preceding month, 3,045 cases in 16 counties with 28 him to record his children and the dates of their births, for deaths. the German Government looks closely after its children. In RABIES: 22 persons bitten by rabid animals and treated that country birth certificates are desired for many reasons by the State Board of Health during the month. There and the same reasons exist in this country, only our govern­ were no deaths. ment does not act in accordance with them. We are una­ ble to supply the certificates of births because the doctor POLIOMYELITIS: One case in Pike County with one had failed to perform his full duties to the family which he death, female, 1 year of age. served. This is another of many instances where doctors through neglect or refusal to obey the law requiring the EXTERNAL CAUSES: Total deaths, 247 ; males, 183; recording of births have brought troubles and disasters to females, 62. Suicide total, 52; males, 37; females, 15. their families. Means of suicide, poison, 26; hanging or strangulation, 6; drowning, 2; firearms, 16; cutting or piercing instruments, 1; other suicides, 1. Accidental or Undefined total, 183; males, 140; females, 43. Other acute poisonings, 6: con­ REPORT OF THE DEPARTMENT OF FOOD AND flagration, 1; burns (conflagration excepted) 11: absorp­ DRUGS, INDIANA STATE BOARD OF HEALTH, tion of deleterious gases (conflagration excepted) 4; acci­ FOR JUNE, 1914. dental drowning. 31; traumatism by firearms, 1; trauma­ tism by fall, 37; traumatism in mines. 1; traumatism by H. E. BARNARD, STATE FOOD AND DRUG COMMISSIONER. machines, 5; railroad accidents and injuries, 27; street During the month of June 114 samples of food were car accidents and injuries, 7; automobile accidents and in­ analyzed, of which 72 were legal and 42 illegal. The two juries* 3; injuries by other vehicles, 6: other crushing, 3; ciders, one ginger ale and eight pops analyzed were found injuries by animals, 3; effects of heat, 21: lightning, 4; to contain benzoate of soda and saccharin and were classed electricity, (lightning excepted), 3; fractures (cause not as illegal. In some instances the pop samples examined specified), 2; other external violence, 7, Homicide total, were also artificially colored and this fact was not declared 12; males, 8; females, 4. Homicide by firearms, 9: homi­ on the label. The illegal apple jelly contained saccharin, cide by cutting or piercing instruments, 1; homicide by One sample of fig jam was found upon analysis to contain other means, 2. benzoate of soda and was classed as illegal. Two samples MONTHLY BULLETIN. INDIANA STATE BOARD OF HEALTH. 68

of butter upon examination proved to be oleomargarine and Of the 26 ice cream parlors visited one was rated excel­ were classed as Illegal. Two of the three samples of cream lent. 11 good, 13 fair and one poor. analyzed were below standard and classed as illegal. Fifty- One of the 9 ice cream factories inspected was rated five samples of milk were analyzed. The seventeen illegal excellent 2 good and 6 fair. samples were either dirty or below standard. Five samples Twelve slaughterhouses were inspected, J) being fair and 0f pickles were found upon analysis to contain alum and 3 poor. were classed with the illegal samples. The illegal vinegar Fifteen poultry houses were visited. Three were rated analyzed was low in acidity. good and 12 fair. The nine drug samples included three patent medicines. One creamery was classed as good and two fair. one Turpentine and five4 miscellaneous drug samples. Inspections were also made of wholesale groceries, fish markets, one bottling works, one milk depot, one fruit store, resulTS OF ANALYSES OF FOODS AND DRUGS DURING THE MONTH OF one flour mill, one canning factory, two ice and cold storage JUNe 1914. companies, three lunch carts twenty-five pharmaceutical houses. Number Number CLASSIFICATION. Legal Illegal. Total. During the month thirteen prosecutions were brought for violation of the Pure Food and Drug and Sanitary Food laws. Two eases were brought for the sale of foods not prop­ Beverages— erly covered. Four bakers were fined for maintaining unsani­ rider.. Ginger ale tary bakeshops. One dealer was charged with the sale of Pop,. food not properly covered and for maintaining an unsani­ Jams and Jelly Fig jam tary meat market. One dealer was fined for operating an Apple Jelly Milk Products— unsanitary grocery store and meat market The Sanitary Butter. ,,,. . Bottling Works of Indiana Harbor was convicted on six Cream ice cream . 13 Jfi different counts for the sale of pops containing benzoate of Milk _ 38 55 Oleomargarine 5 soda and saccharin. They paid fines and costs amounting Pickles 5 Vinegar 1 to $110.50. Miscellaneous, 3 The total fines and costs levied during the month Total amounted to $317.70. During the month 75 condemnation notices were issued, 65 Patent medicines because of unsanitary conditions and 42 because of improper TrionaL Turpentine. . . construction. The summarized list appears below; Miscellaneous.

Total. SUMMARY OF INSPECTIONS MADE DURING THE MONTH OF JUNE. 1914.

INSPECTORS' REPORTS FOR THE MONTH OF No. No, No. No, No. No. INSPECTIONS. Inspected. Excellent. Good. Fair Poor. Bad. JUNE, J914. j f .,. during the month of June the inspectors reported 1.062 I j Daries...... ,.,.,.. m 1 13 | 17 21 13 visits to places handling foods and drugs. The Inspections Grocery stores...... ,., 421 9 124 0 7?, 1 46 1 3 covered seventy-Live cities and towns. drug stores . ... 46 m 1 Of the 65 dairies inspected one was rated excellent, 1?* Bakeries and confectioneries ..... 81 M 7 Hotels and restaurants...... 161 52 54 5 good, 17 fair. 21 poor and V4 bad. Wholesale groceries 112 1 I 1 Fish markets . . 2 :\ I Y Four hundred and twenty-seven grocery stores were vis­ Poultry houses IS •1 12 ited. Of this number 1) were rated excellent 231 good. 176 Ice cream parlors 20 1 11 is r ice cream factories. . . . 9 1 0 fair, and 11 poor. Slaughter houses 12 ft 3" Bottling works ...... I 1 One of the GO drug stores visited was rated excellent, 40 Creameries...... :i "i Milk depot ..... i i good and 10 fair. Canning factory— I i One hundred and sixty-one bakeries and confectioneries i i Flour mill. i i were visited during the month. Of this number 7 were Ice and cold storage companies. 2 2 Lunch carts .... s 1 2 classed as excellent. HI good, 60 fair and 7 poor. Pharmaceutical house .... - 25 14 5 Of the 112 hotels and restaurants visited one was rated Total. . 1 ,(M>2 23 J 535 430 w M excellent. .12 good, 54 fair, and five poor. {

LOT OF PROSECUTIONS DURING THE MONTH OF JUNE, 1914.

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

Lake .Michael Chaswood, Indiana harbor, ind . .Selling foodstuff not properly protected ...... ! 6-11 14 Fined 825.90. Lake eckman and Sherfter, Indiana Harbor. Ind Maintaining an unsanitary bakeshop ... t ....._ . j 0-11 -14 Fined $25.^0. Lake Frank Fredelriviez, Indiana Harbor, Ind Selling not properly covered and maintaining an unsanitary, 0-11--14 Fined $25.90 MI meat market. Lake Maiceli Hodupski Indiana Harbor ind. . • Maintaining an unsanitary bakeshop ... 0 11 -14 Fm«l $25.90, Lake Samuel Meyers Indiana Harbor, Ind i selling foodstuff not properly protected. . . j ft-It 14 Fined $25.90. Lake Abe Hadie. Indiana Harbor, Ind Maintaining an unsanitary grocery and meat market «-Ii -it Fined S25.W. Lake Sanitary bottle works, Indiana Harbor, Ind Selling ginger ale containing benzoate and saccharin. i Tr 11 it Fin«J $22.10. Lake Sanitary bottle works, Indiana harbor Ind ; Selling red pop containing benzoate and saccharin. ; fi-11 -n Fined 122.10. Lake Sanitary bottle works Indiana Harbor, Ind Selling orange cider containing benzoate and saccharin , r, 11 -14 Fined 122.10. Lake Sanitary bottle works, Indiana harbor. Ind Selling Iron Force containing benzoate and saccharin | r, IF -14 Fined $22.10. I.ake Sanitary bottle works. Indiana harbor. Ind Selling root beer containing benzoate and saccharin . ; f* 11 -14 Fined $22.10, Lake Fred spisak, Indiana Harbor. Ind Maintaining an unsanitary bakeshop. . j fi-ii 14 Fiw-d §25.*.*. lake Samuel Walter. Indiana Harbor, Ind Maintaining an unsanitary bakeshop . . fr-Il -14 Fined $25,ft). 04 MONTHLY BULLETIN, iNDIAnA STATE B0ArD OF HEALTH.

children's health, The floor is in such a bad condition the NOTICE TO EGG BUYERS, MERCHANTS, HUCKSTERS* children and teacher froze their feet last winter. We par­ AND OTHERS ENGAGED IN THE PRODUCTION ents think it not M for our children to attend school in. AND HANDLING OF EGGS, Two years ago we asked the trustee to repair it. We kindly Complaint is being made that that Section of the Pure ask you to come and Inspect and see our director. There Food Law prohibiting the sale of decomposed putrid or were 20 scholars last winter, and next winter there will be rotten food is constantly violated by the sale of bad eggs. between 25 and SO" You are advised that farmers and dealers who sell, or bare It is said in many respects the people are in advance of in their possession for sale, eggs which are not sound are the government This is certainly the ease in Grant Town­ liable to prosecution for violation of the Pure Food Law. ship, Greene County, Indiana. A number of parents wish For your own protection buy loss off and handle only to care for their children in the right way and they peti­ candled eggs, tion their own servant, the township trustee, to build a new Print and distribute widely the following notice: schoolhouse that their children may be properly housed, but WARNING ! the trustee has refused to do so and now these parents who are evidently in advance of the local government, petition BAD EGGS. the State department. It is certainly true the children of THE INDIANA PURE FOOD LAW FORBIDS THE SALE No. 2, Grant Township. Greene County, will be surrounded OR OFFERING FOR SALE OF EGGS WHICH with sanitary conditions next school term. ARE IN ANY DEGREE DECOMPOSED, PUTRID OR ROTTEN BY Paragraph 4 of Section 2 of the Law which reads: An arti­ REPORT OF BACTERIOLOGICAL LABORATORY, cle shall be deemed as adulterated: In the ease of food • * * INDIANA STATE BOARD OF Health If it consists in any proportion of filthy, decomposed, FOR JUNE, 1914. putrid or rotten animal * * * substance. WILL SHIMER, M. D., SUPERINTENDENT. Section 4 makes it the duty of all peace and health officers Sputum for tubercle bacilli- to seize eggs found to be unwholesome and which are in­ Positive • • 146 tended for sale or offered for sale. Negative ..... 410 Section 10 of the Act provides that * * * Any person, 558 persons, firm or corporation violating any of the provisions Urine for tubercle bacilli- of this Act, shall upon conviction for the first offense, be Negative • ^ punished by a fine of not less than $25,00 nor more than $30.00; for the second offense, by a fine of not less than Feces for tubercle bacilli— $25.00 nor more than $100.00; and for the third and subse­ Positive ...... 1 quent offenses, by a fine of $100.00 and imprisonment in Negative 1 the county jail for not less than thirty nor more than , "-» ninety days. Pus for tubercle bacilli— Inspectors of the Food and Drug Department of the State Negative * 7 Hoard of Health and all County. City and Town Health Pleural fluid for tubercle bacilli- Officers are instructed to enforce these provisions of the Negative law. Widal teste for typhoid fever- Egg Producers, Dealers and Shippers will take notice that Positive 7 the sale of bad Eggs, or of Stale or Storage Eggs as Fresh Negative • 110 Eggs is in violation of the law and that prosecutions will be instituted wherever evidence of violations can be secured. Paratyphoid tests for typhoid fever— H. E. BARNARD, Positive .... I State Food and Drug Commissioner, Negative 121 July 20, 1014. Indianapolis, Indiana, Throat cultures for diphtheria bacilli— Positive . • 17 NOTICES OF CONDEMNATION DURING THE MONTH OF JUNE, 1014. Suspicious 0 Negative . 04 Reasons for Condemnation. 117 CLASSIFICATION. Total Unsanitary Improper Brains for rabies- Conditions. Construction. Dogs : Positive ...... 17 Bakeries 3 6 13 1 1 Suspicious 1 Bottling works . . , , ., 12 12 12 1 1 Rotten 0 Dairies , . , . , . .„ 29 8 37 fish markets ,...... 3 3 3 Negative .,,,, 1 Groceries ... 3 2 3 Cats: Groceries and meat markets...... 4 i 4 Hotel ! 1 I Negative 2 Meat market . 3 :i 3 Poultry house. ... 1 1 1 Cow: Restaurants 3 3 Unsatisfactory 1 Total. . , fia 42 75 Horse: Positive 1 Winters' SCHOOL is District No. 2, Grant Township, Greene County. A petition signed by nine patrons has this _— Feces for typhoid bacilli to say: "This schoolhouse is so cold it is injurious to the Negative , 6 MONTHLY BULLETIN, INDIANA STATE BOArD OF HEALTH. ©S

Pathological tissues-- A BETTER MEAT SUPPLY. carcinoma ...... o In an endeavor to secure more sanitary slaughter-houses Sarcoma ...... 1 and better Inspection of the meat supply than that at Miscellaneous ...... 24 present afforded the residents of the smaller cities of the SO state, the following letters have been seat out to Health Hlood for counts s s,_ . 13 Officers and Mayors. Wood for general analysis ...... 1 The response to these letters has been gratifying and it is Blood for malaria Plasmodia—- apparent that improved conditions will follow an aroused Negative ...... 14 interest on the part of health officers and city officials. It Pus miscellaneous ...... 0 must be remembered, however, that these problems will not Urine for chemical analysis...... 27 work themselves out but that the hearty and constant co­ operation of every health officer and interested citizen is Pus for gonococci - • necessary if we are to be assured even reasonably clean and Females: sound meat. Positive ' . ^ INDIANA STATE BOARD OF HEALTH, Negative .>•> Suspicious . . 2 DEPARTMENT OF FOOD AND DRUGS, INDIANAPOLIS.

Males . iA May 28, 1014. Positive 10 Negative o Suspicious The State Board of Health is convinced that something must be done to improve the conditions under which the Sex not given. meat supply of the state is slaughtered and prepared. We Positive must devise some means by which we can secure for the local suspicious consumer the same guaranty of fitness for food that Govern- Negative ...... «...... ,*...... ment inspection affords. " A few cities in the state have for some time provided local (cerebro-spinal fluid for meningococci— meat inspection but so far as we know, there is no muncie Positive 10 pal slaughterhouse in operation in Indiana. We believe that Negative 1 the time is ripe consideration of the advisability of municipal slaughterhouses. Stomach contents ...... 1 It may be that already taken up this subject

Feces for general analysis ...... 1 with the mayor. If you have done so will you please dis Worms for identification...... 1 C11SS with him the plan suggested in the enclosed letter _ which shall be glad to have you hand to the Mayor if Total number specimens examined ...... 1.130 your city is not already well served. May we also urge that Hoses of antityphoid sent out. , 785 when you discuss this matter with the Mayor you impress OUTFITS SENT OUT DURING JUNE. 1914. "upon him the neeessity for action and the opportunity he may have during his term of office of doing something for tuberculosis community that will stand, as it were, a monument to Diphtheria his administration. Widals i We enclose an addressed envelope in order that you may Gonococci 4»- Tell us what the mayor thinks the proposition, and

Blood counts 191 wbether or not either on his initiative or Malaria .. * because of an insistent demand for protection on the part of bile media the consumer to provide an inspected and regulated meat Hook worm ...\ supply sTATE BoArD of HEALTH. Total number outfits sent out...... 3,060 _ INDIANA STATE BOARD OF HEALTH. DEPARTMENT OF FOOD AND DRUGS.

PATIENTS WHO HAVE TAKEN "PASTEUR" TREATMENT INDIANAPOLIS. THIS MONTH. May 28, 1911, Mr. Mayor—

Began Finished For a number of years the State Board of Health has NAME. Town. County. Treatment Treatment, made a careful study of the conditions under which slaugh­ terhouses are operated and of the character of the meat pro­ Flora Brenton Indianapolis.. ! Marion. . 7 .5-13-14 | 6- 2-14 duced therein. For this study we have used the results of Mr. J. A. Kirk ..... Indianapolis, , • Marion .. 49 M 5-15-14 I 6- 4-14 Mr.. J. A. Kirk ... Indianapolis. ! Marion F 5-15-14 I 6-4-14 several thousand sanitary inspections made by the State Dortha Davis Indianapolis. , Marion .. . 4 F fr- 2-14 | 6- 2-14 Indianapolis. . Marion . . S3 F 6- 1-14 6-21-14 Food Inspectors, a very complete survey of the slaughter­ Mrs. C. Hedge . . ; Donald Hedge. ... Indianapolis. • ! Marion .... 6 M 6- 1-14 6-21-14 houses of the state made by local health officers, and the Miss Murl Amy. Corydon Harrison. . 15 F ' 5-26-14 6-12-14 Mr. Thomas Dunn . Hymera Sullivan... . 70 M ; 5-23-14 6- 9-14 reports made to the department by the Bureau of Animal Waldemar Wandtke Freelandsville Knox S M ' 6- 3-14 6-20-14 Mr.F. A.Walke. : Mays. . rush... 30 M j 6~ 4-14 6-21-14 Industry of the United States Department of Agriculture. Mr. 0. Beaty. Scipio JENNINGS, . 42 M ! 6-10-14 6-23-24 Curtis Beaty... Scipio Jennings. . . 14 M ^ 6- 6-14 6-1&-14 In order that we may not overdraw conditions we shall Robert Leusing, , . Terre Haute.. vigo . 4 M | 6-15-14 6-28-14 quote not from our own report, but from Circular 185 of the Mr. Charles Burgett Terre Haute. vigo 3iJ M \ 6-24-14 6-30-14 Mr. Hairy Thomas Anderson . - Madison. 31 . M | 6-23-14 6-29-14 Bureau of Animal Industry, prepared by Dr. A. D. Melvin, Mrs. Harry Thomas Anderson .. . Madison .... 33 • F , 6-23-14 6-29-14 Chief of the Bureau, for his statements express most clearly m MONTHLY BULLETIN, INDIANA STATE BOArd OF HEALTH. the average conditions not only in Indiana, but throughout reduction in the number of premises on which slaughtering the country. is allowed, on which account it is urged as all important "Uninspected slaughterhouses as a rule have many fea­ that there be a segregation of slaughterhouses. that all the butchers of any given town trill be compelled tures that are not only objectionable but dangerous to health. The smell of the country slaughterhouse is pro­ to do all their killing in a common enclosed and restricted verbial, ant! the conditions at some of these places are inex­ area. Second, by regulating the factors concerned in spread­ pressibly foul and filthy. They are usually located in some ing the disease: ia) Offal feeding should be abolished: out-of-the-way place, sometimes outside the corporate limits, lb) drainage should be improved: (el rats should be de­ often surrounded by stables or even being a part of a build­ stroyed; and, Id) dogs should be excluded from slaughter­ ing which is also used as a stable, barn, or for some such houses. purpose. Sometimes they are located on the banks of small 5. The appointment on every local board of health of a streams and pollute the water. Such places are often the competent veterinarian, whose duty it shall he to control means of spreading disease- It is frequently the custom to the class of meat placed upon the block, .all meats should feed offal to hogs or to throw it where dogs, hogs, and rats be inspected at the time of slaughter, thus securing for the have access to it. By this means trichinae, tapeworms and local consumer the name guaranty that theNationa l government provides for the foreign consumer and for interstate trade. other animal parasites are disseminated, some of which are dangerous to man. Hog cholera, tuberculosis, and other contagious diseases may also be spread by such conditions, As to whether or not your city should build a municipal Usually there is no protection to the meat against rats, Hies, abattoir is a matter to be determined by local conditions. and other insects and vermin, and this condition consti­ It is quite possible that the butchers themselves can be in­ tutes a dangerous source of contamination and infection. duced to unite in the construction of art abattoir which may The objectionable conditions are not confined to the little be operated under official supervision. The expense of build­ slaughterhouses in small communities. Even in some of the ing a municipal plant could be very well met by an issue large cities there are large abattoirs which do a purely local of bonds, and a sinking fund for the payment of these bonds business and at which the conditions and methods are ex­ could be created by setting aside a portion of the revenue. ceedingly unsanitary and where a very poor class of live­ There should be a system of fees or charges to provide an stock is slaughtered.'' income sufficient to pay the cost of operating and maintain­ lt is estimated that at least 10 per cent, of the dairy ing the abattoir and the cost of inspection, and to meet in­ cows in this country are affected with tuberculosis, and it terest and provide a sinking fund in case bonds have been is a well-known fact that dairy stock forms a much larger issued. A certain sum per head could he charged for kill­ proportion of the animals killed at the small local slaughter­ ing in ease the entire operations were carried on by the houses than at the large establishments under Federal in­ management of the abattoir, or the butchers could be per­ spection. One effect of the Federal inspection has been to mitted to bring their stock to the abattoir and do the work cause the owners of diseased or suspicious-looking animals there themselves by paying a certain sum per head for this to send them for slaughter to an uninspected place rather privilege, This is a system that is followed so successfully than to an establishment where they would have to run the in England; in a thousand German cities: in all French gauntlet,of strict inspection, For these reasons it is cer­ cities; in Cleveland; Nashville and other cities in this tain that the percentage of disease is considerably higher country. among animals slaughtered at the small local places than In order that you may have more complete information on among those slaughtered under Federal inspection." this subject, under separate cover we are sending you an These conditions clearly call for abatement or at least interesting pamphlet entitled "Municipal Abattoirs" ; a page more sanitary control than that afforded at present. This from the Indianapolis News showing Government inspection can he done only by establishing municipal or central work in Indianapolis, and we are asking the Department of slaughterhouses at which the slaughtering for each com­ Agriculture to forward you two circulars, one of which dis­ munity is done at one place which is properly built, well cusses the need of such "Municipal Meat inspection to equipped and operated under the supervision of a compe­ Supplement Federal Inspection" and the other "State and tent veterinarian or inspector. Municipal Meat Inspection and Municipal Slaughterhouses." Municipal abattoirs are quite common in Europe, they 1 shall be glad also to have you obtain Bulletin No. lT.'J, are being built in large numbers in Canada and are in opera­ "Municipal Abattoirs," published by the Kentucky Agricul­ tion in a number of cities in this country. I believe that tural Experiment Station at Lexington, Kentucky. This Is as mayor of your city you can do nothing during your term a very comprehensive report and contains plans, estimates, of office which will be of greater value to your citizens than model ordinances and other information which will he in­ to put on foot plans for a more satisfactory control of your teresting and helpful to you. meat supply, The State Board of Health will gladly co-operate with The officials of the Department of Agriculture summarize you in the development of any plans for a more satisfactory the necessity for regulated slaughterhouses as follows: control of your meat supply. We appreciate the fact that 1. A well-regulated system of slaughterhouses is as neces­ the State is not prepared to supplement federal inspec­ sary to the public health as is a well-regulated system of tion by State inspection, and it is probable that the neces­ schools to the public education. sary inspection may best be worked out by municipalities, 1*. Every slaughterhouse is a center of disease for the We believe this can be done without injury to the business surrounding country, spreading trichinosis, echinococcus dis­ of local butchers. Indeed, we think they will profit greatly ease, gid, wire worm, and other troubles caused by animal by the adoption of plans by which the wastes of their parasites, and tuberculosis, hog cholera, swine plague, and present business methods may be eliminated, and that they other bacterial diseases. will also be exempt from the criticism of selling uninspected 3. The important factors concerned in spreading these meats which at the present time in many cities results in diseases are offal feeding, drainage, rats and dogs. an unequal competition with the inspected meats of the 4. These diseases may be greatly held in check and in Government-controlled abattoirs. some cases entirely eradicated in two ways: First by a May we not have the opportunity of discussing the de- MONTHLY BULLETIN, INDIANA STATE BoarD OF HEALTH. 67

development of municipal abattoirs with you at length, and of trachoma upon the reportable and quarantinable list, and perhaps assisting in the drafting of suitable ordinances, the state in the rule that all cases of trachoma should be quar­ development of plans and the creation of a public sentiment antined unless they were placed under the cat re of a physi­ winch will result in the abandonment of unsanitary cian. This was strongly instrumental in bringing treat­ slaughterhouses and the sale only of sound and wholesome ment and relief to the afflicted children. Tins paper was meat? discussed by Dr. George F. Keiper, of Lafayette. STATE BOARD or HEALTH. Not the least of the important papers presented was that by Dr. Hugh A. Cowing, of Muncie. a general practitioner of medicine, upon "The Need for a Whole-Time Health Officer."* THE ANNUAL CONFERENCE OF HEALTH OFFICERS. Dr. Cowing presented this subject in a clear and forcible The Conference of Indiana Health Officers held' May 26 manner, making plain that the health service of the state and 27 was. we believe, the very best conference yet held, must be reorganized before any very marked advancement The value of these conferences cannot be overstated. The over present health conditions could be secured. Mr A. O. gathering together of the health officers in the public health Neal, State High School Inspector, discussed "The Health cause for consultation and to hear teachings upon the Officer in the Public School," Prof, C. N. Hilliard, professor various phases of public health work is certain to be at­ of Hygiene in Purdue University, discussed "The Social tended with values far beyond the cost in time and money. Nurse and Public Health Work." The question box was, of The program this year with one exception was filled en­ course, interesting. tirely by home teachers. The exception noted was that of The third session was a reception by the Indianapolis Dr. John H. Landis, Health Officer of Cincinnati, who spoke Medical Society at the City Hospital where a clinic was upon the subject of "The Social Evil in Its Relation to held in the amphitheater. Refreshments were served and Public Health." It was a masterly paper and held the rapt courtesies of the society extended. attention of the audience to the end It also brought forth an excellent discussion. "Public Health Work in Clinton County," by Dr. C. A. Zinn, Deputy Health Commissioner, ENCOURAGING SICKNESS AND DOPE TAKING; On was a paper of inestimable worth. Dr. Zinn told how he April Oth the Charity Organization Society made public a had pushed public health work in his jurisdiction and he report showing that "never before has relief work been so also had an exhibit of rare merit. Dr. Zinn's exhibit is in heavy this late in spring, Relief was given to families in­ units. Green burlap curtains with rollers at top and bot­ volving 1,321 persons. Of the cases, 38 were deserted wives, tom are provided, which are suspended upon the wails of a 60 were widows and 7 were divorced women. Four families room. To these burlap curtains are attached by ordinary needed relief because the breadwinners were imprisoned, 1GG suspension pins, photographs, charts, placards, diagrams, because of sickness and 113 because of ill health." maps, etc.. illustrating the subject to which the particular This report speaks eloquently for disease prevention work, unit, is dedicated. For instance, several of the units were It plainly shows that charity, which does not lead to pre­ dedicated to child welfare, and were so headed, and this vention, is only half charity, and results in ill. Charity subject was illustrated as above set forth. Other unit and relief work which is not practiced as a means of teach­ strips were covered with cards illustrating school hygiene. ing, and if necessary, of forcing prevention are downright Still others, the care of the baby. In this way. many phases evils. of preventive medicine were covered. The exhibit attracted Consider the above report: Of 283 families, involving much attention and all were agreed that Dr. Zinn was a 1,321 persons. 4 were given relief because the breadwinners past, master in the matter of bringing before the public the were in jail. Why were they in jail? Investigate these various subjects pertaining to the preservation of health, prisoners and it is two to one they are suffering from some and protection against disease. kind of sickness or disease. Very probably, alcohol disease, Another important paper was by Dr. F. G. Thornton, nicotine disease or some other dope** disease. No one willdeny that alcohol causes much crime, and those who are in president of the Clay County Medical Society. Dr. Thorn­ doubt about the crime-producing power resident in nicotine ton's paper was "The Importance of Vital Statistics.'* and should remember the recent incident at the Jefferson villi? the discussion was opened by Dr. Earp, editor of the In­ Reformatory where? an Inmate deliberately killed another dianapolis Medical Journal. These two gentlemen, both inmate so he would be sent to the Michigan City prison general practitioners, presented the subject of vital statis­ where tobacco is furnished criminals by the taxpayers. tics in all its phases in a clear and convincing manner. The dope'* known as nicotine causes crime in Indiana "School Inspection and Trachoma in Bartholomew County1 every day of the year. Ask charity workers and they will was presented by Dr. James H, Morrison, Health Commis­ tell you they repeatedly find Instances where women and sioner of that county. Dr. Morrison has had considerable children are underfed and even starving, and are driven to experience in school inspection. Through his energy Dr. begging and even stealing. Yet. the breadwinner will have Jas. A. Nydegger, an expert of the V. S. Public Health an abundance of nicotine and will become indignant and Service, came to Bartholomew County and joined with Dr. hurl crank if asked to do without it and buy bread for his Morrison in inspecting the school children. Forty-nine cases children. With such, the cry is nicotine first and food of trachoma were found, and. of course, the usual percent­ and honesty afterward." age of diseased and defective conditions. Ninety per cent, of the children were found to have defective teeth and the paper contended this was an important source of disease and inefficiency among school children. Dr. Morrison found WHY NOT KILL HER OUTRIGHT? A correspondent much difficulty in inducing parents and guardians to look writes the State Board of Health as follows: after the cases of trachoma found among their children and "My wife has tuberculosis and has been confined to her wards. This was a matter of surprise, for it was supposed bed for five months. 1 am a poor man and I cannot find that parents and guardians would immediately look after any one to take care of her while I am at work. I have diseased and suffering children, but it became necessary rented a farm and must put in a corn crop. My wife must for the State Board of Health to pass a rule placing be cared for somehow, and I must work. Is there no pla«'e 88 MONTHLY BULLETIN, INDIANA STATE BoarD OF HEALTH.

I can send her? 1 cannot pay very much, but will gladly patient It is therefore inferred that tobacco dope nicotine.i is regarded by the authorities as a necessity and pay all that I can earn. Please let me know where I can find a place to take her and oblige. Yours truly." bananas, a good, wholesome and cheap food, as a luxury.' Here is a case which is typical of hundreds" occurring In regard to the above we wish to remark what very constantly in the State of Indiana and all other states. funny things come up at times in this and possibly other This woman in ignorance contracted n terrible disease and states. now is a center of infection to others. If the state delib­ erately permits the woman to be attacked by tuberculosis, INTERESTING: Mr. F. W. Clifford, of Teignmouth. and then does nothing whatever to prevent her from poison­ England, asks the State Board of Health whether or not ing others with the .same disease, why should not the state among its records is found the certificate of death of Robert kill her outright? The killing has been going on slowly and Carann and Thomas Carann. These death certificates were without the least care or interest from the state. If the needed in England for use in the courts in a matter pertain­ woman had been brought to the condition by the poison called ing to inheritance of property. It has been found the morphine or the poison called arsenic, then the .state would physicians attending these deaths did not make out certifi­ have quivered with excitement to look after the matter. cates and hence there is no record. The physicians doubt­ But she is only killed with a poison called tuberculosis and less thought that death certificates were a nuisance and not between It and other poisons so far as results are con­ needed anyhow, and besides they were not paid for them. Of cerned, there is no difference. Why should not the state course, they are paid for making out death certificates, for kill her outright? A slow death on account of omission N the pay is included in the sum they receive for all duties certainly the same as a quick death on account of commis­ fulfilled. sion.

FINED FOR BREAKING QUARANTINE: Pleading Redkey CLEANS uP; Redkey is a town of 1,714 in­ guilty to a charge of violating the Elkhart city quarantine habitants in Jay County. Recently they had a Glean Up law, Joe Irello, Nick Coscarelly and Paul Bontiglio, who Day. The inhabitants seemed to rise as one man to do the were arrested Sunday night for entering a home quarantined good work. Of course, there were a few who did not show for diphtheria, were fined $10 and costs each, aggregating great interest and a few who stood with their hands in their $20, in the city court this forenoon. The minimum line is $10 pockets and smiled at the many who worked. ISO loads of and the maximum, $50, to which a jail sentence of six debris were hauled out of town and destroyed with crude months may be added. Prosecutor Jay urged leniency in oil and fire. In the rat killing contest Maurice Stewart took dealing with the prisoners, inasmuch as they had pleaded the prize, five dollars in gold. He killed 76 rats. Chats. guilty and it was their first offense. The three men were siders received second prize, killing 75 rats. Every person charged with slipping into the quarantined home of Bonfiglio was so satisfied and pleased with the clean-up day that it is to sleep nights. now the public resolution to have no more clean-up days but Attorney R, E. Proctor, who appeared for the accused. to keep clean all the time. The health officer, Dr. Martha said the Italians felt they were being unjustly dealth with. Allen Goings, reports no where bad sanitary conditions ex­ inasmuch as an Elkhart physician who is alleged to have cept two or three cellars, notably the cellar at the hotel. failed to report a diphtheria case at the home of Don Coscarelly, 123 State street, until after the child had died, had Of course this cellar will be cleaned up and made sanitary not been prosecuted for health law violation. "Several at a very early date, otherwise the hotel will be closed. mourners had free access to the home," Mr. Proctor said, "and many were exposed to the disease. There is no per­ sonal feeling in this case," the attorney continued, "but if 3,074 HOGS: A certain county newspaper announces in there was a health law violation in this instance, the board heavy headlines the death of 3,047 hogs from cholera and of health should investigate it. The Coscarelly child was in places their value at $29,855. In the same county last year the coffin and the mourners were going into the home. If 74 babies died of cholera infantum and other infantile dis­ these three men have violated the health laws by entering orders. Their value according to the statutes being $148,000. a quarantined home, then it would apply to a physician This information was sent to the paper, was looked upon as who fails to report a case as well."— Elkhart Truth, ridiculous and was not printed. And so we learn from this country newspaper that hog losses are worthy of mention and represent value, but baby losses are not worthy of mention and represent no value. The better baby crop will DUST NUISANCE: The "Culver Indiana Citizen" is cer­ probably be delayed so long as such ideas in regard to baby tainly "a live one." In a late edition the editor has this to values prevail. say in regard" to the dust nuisance: When a baby pig dies the farmer knows the death repre­ "Some people are annoyed by the dust which blows in sents a money loss and that the death should have been pre­ clouds from the streets. There is a way to overcome it; vented. When a baby human being dies, people seem not Buy a sponge large enough to cover the mouth and nostrils. to consider that money is lost or that the death should Get a sponge that has fairly large holes in it. Snip off bits have been prevented. Very strange, isn't it? from the inside until a hollow is formed to fit the face. Tie to each side tapes long enough to fasten behind the head. TOBACCO VS. KANAKAS: The Greenfield Reporter, a To use the sponge when walking in the street, wet it and live paper of Hancock County, Indiana, tells this story: squeeze it nearly dry and tie it in place over the nostrils. "A man named Miller, who was dying of tuberculosis, and It collects all the objectionable dust, and the nostrils and whose family has been helped repeatedly by private charity, throat are thus kept clear and unirritated." recently requested the township to furnish him with some You ask, do you— what about the strange appearance one bananas, which he greatly craved. The township trustee would make and the inconvenience? Well, never mind that. denied this luxury because the township could not afford It. The plan will correct the results of our bad municipal but the township has all along supplied tobacco to the housekeeping, MONTHLY BULLETIN, INDIANA STATE BOARD OF HEALTH, €8

CHART SHOWING GEOGRAPHICAL DISTRIBUTION OF DEATHS FROM CERTAIN COMMUNICABLE DISEASES FOR JUNE, 1914.

NORTHERN SANITARY SECTION. \Total population.., 972,12!* Total deaths., 882 Death rate per 1,000 10.2 Pulmonary Tuberculosis, rate per 100,000...... 86.3 Typhoid, rate per 100,000. 13,7 Diphtheria, rate per 100,000 6.2 Scarlet fever, rate per 100,000 ,. 1.2 Diarrheal diseases, rate per 100,000 28.7

CENTRAL SANITARY SECTION. Total population 1,152,277 Total deaths .... 1,147 Death rate per 1,000 12.1 Pulmonary Tuberculosis rate per 100,000 ...... 130.9 Typhoid. rate per 100,000 7,3 Diphtheria, rate per 100,000 5.2 Scarlet fever rate per 100,000 4.2 Diarrheal diseases, rate per 100,000 .„„,...... 83.7

SOUTHERN SANITARY! SECTION Total Population.672,551 Totals deaths ...... 629 Death rate per 1,000.... 11.3 Pulmonary tuberculosis per 100,000.. 161.0 Typhoid ratepe r 100,000 23.5 Diphtheria, rate per 100,000 5.4 Scarlet fever, rate per 100,000 — Diarrheal diseases,rat e per ,00^000.«... 52.4 Indiana. TABLE 1 Deaths in Indiana by Counties During the Month of June, 1914. (Stillbirths excluded,)^ ^

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

Popu­ lation, STATE AND Esti­ COUNTIES. mated, 1914. myelitis , Pneumonia . Date . sam e Date . Yea r 191 3 to Sam e Date . May 1914. th e Yea r 191 4 t o .Date , June , 1913 . June , 1914, Death s o f Non resident Death s i n Institutions: Smallpox . Externa l Causes. Cancer . Puerpera l Septicemia , Acut e Anterio r Polio - Influenza . Loba r an d Broncho - Rat e fo r Year 1913 t o Cerebrospina l Fever . Whoopin g Cough . Rat e fo r Yea 191 4 t o 15 t o 1 0 inclusiv e Measles . 1 t o 4 inclusive . Othe r Form s o f Tuberculosis Diphtheri a an d Croup, i scarle t Fever , may. 1914 . Unde r 1 Year . 1 0 t o 14 Inclusive . Pulmonar y Tuberculosi s Typhoi d feve r Tota l Death s reported fo r Tota l Death s reporte d for Tota l Death s reporte d fo r June,1913 . 5 t o 9 Inclusive . 65 year s an d Over . Tota l Death s Reporte d fo r Tota l Death s Reporte d fo r June 1914. Diarrhe a an d enteriti s (unde r 2 years) . •

State of Indiana j — --—-——™-—. j Norther Counties,., j Adams. ... j Allan...... j Benton...,...... \ Blackford...... Carrol!...... I Cass., j Dekalb...... ! Elkhart...... 1 Fulton...... ! Grant...... Howard...... Huntington...... Jasper...... Jay...... ,...-., Kosciusk0...... 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 June, 1914. (Stillbirths excluded.)

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

Popu­ lation,

CITIES. Esti­ Under 1 year mated, 1914, Date . Sam e Date . iti s (unde r 2 years) . myelitis . Yea r .191 3 t o Sam e Date . Pneumonia . th e Yea r 1914 to Date . June , 1014 . May , 1914 . Jun e 1913 . Rat e fo r Year 1913 to Externa l Causes . Diarrhoe a an d Enter ­ Deaths i n Institution s Whoopin g Cough . Acut e Anterio r Polio ­ Loba r an d Broncho - Cerebro-Spina l Fever . puerperal Septicemia , Smallpox . Death s o f non residents . Diphtheri a an d Croup , Influenza . cancer, 1 t o 4 Inclusive . 1 0 t o 4 Inclusive . 1 5 t o 9 Inclusive . May. , 1914 . 5 t o 9 Inclusive , 6 5 Year s an d Over , Typhoi d Fever . Measles . Tota l Death s Reporte d fo r June , 1913 . Pulmonar y Tuberculosi s Scarle t fever. Tota l Death s Reporte d fo r Tota l Death s Reporte d fo r Rat e for Yea r 191 4 t o June , 1914 . Othe r Form a o f Tuberculosi s 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...... Muncie,.,..,..,,.. Richmond , Hammond.,,,,,.,, Anderson...... East Chicago Lafayette... New Albany...... Elkhart...... Michigan City Cities of the Fourth Class. Population 1Q»0OQ to 20,000.... Marion...... Logansport Kokomo...... ,... Vincennes...... Mishawska...... Peru Laporte...... Elwood...... Huntington Jeffersonville Shelbyville... Crawfordsville New Castle. Cities of the Fifth Class. Population under 10,000 Brazil Bloomington Bedford Frankfort,.,... — Columbus Goshen. Wabash connersville Washington Whiting Clinton,... Valparaiso Madison...... Linton,..... Princeton , Hartford City Seymour....,.,.,, Lebanon Mt. Vernon.... Greensburg. Kendallville...... Portland Noblesville. Blufftonv...... Alexandria...... Rushville...,..,>„. Martinsville...... Franklin.,.., Aurora Decatur...... Warsaw,...... Greenfield Winchester Sullivan Garrett...... Boonville Tipton.... Auburn Mitchell...... Lawrenceburg- Plymouth..... Greencastle...... Columbia City..... Tell City.. Attica.. Rochester...... Union City Jasonville...... Gas City...... Dunkirk ...... North Vernon..... - Bicknell...... Montpelier...... Angola Rockport...... Crown Point...... , Huntingburg...... Rensselaer...... Loogootee...... Batesville monticello. ligonier..,...... Delphi..,..,,,.... Cannelton Covington...... Butler City... Veedersburg, . ., - - Rising Sun...... Vevay ......

No deaths. Mortality of Indiana for June, 1914. (Stillbirths excluded.)

Annual Death Rate Per I .TOO Important Ages. population

POPULATION If ; Under 1 1 to 4. 5 to 9, 10 to14 . 15 to19 . 65 and Over. GEOGRAPHICAL | Populations SECTIONS AND AS URBAN AMD | 1914. \ RURAL. 1914 . 1913 . 1925 to Date , 1914 , 191 3 to sam e Date . Date , Sam e Date , Pe r Cent , Number . Pe r Cent . rat e fo r Yea 191 4 t o Tota l Deaths Reported fo r Year May 191 4, Pe r Cent , Number . Tota l Death s reported fo r Yea Rat e fo r Yea 191 3 t o Number . Pe r Cent . Number . Pe r Cent . Pu r Cent , Number . Tota l death s Reporte d (for jun e Tota l Death s Reporte d fo r May , Tota l death s re porte d fo r June , Number . June , 1913 Juno , 1014 State...... Northern Counties . Central Counties . Southern Counties. All Cities — .... Over 100,000.... - . 45.000 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 Acute Pulmonary Otto Diph­ Whoop­ and and Cerebro­ Anterior Puer­ POPULATION BY TuberculosisForm s Typhoid theria Scarlet Measles ing Broncho- Enteritis spinal Polio Influenza. peral Cancer. External Small- GEOGRAPHICAL Tuberculosis, Fever and Fever. Cough, Pneu­ (Under Fever. Septi­ Causes. pox, sectIONS AND Croup. monia. 2 Years.) myelitis. cemia. AS UrBAn AnD rurAL Deat h Rate . Deat h Rate . Deat h Rate . Deat h Rate , Deat h Rate . Number . Number . Deat h Rate . Number . Deat h Bate . Deat h rate. Deat h rate . Number . Deat h Rate . Number . Deat h Rate . Number . Deat h Rate . Number . Number . Deat h Rate . Deat h Rate . Number . Numbe r Deat h Rate , Number . Number . Number . Deat h Rate . Number . Number . Number . State...... Northern COUNTIES. Central Counties.. Southern Counties. Ail Cities...... Over 100,000...... 45,000 to 100,000.. 20,000 to45,000.. . 10,000 to20,000... Under 10,000.....

Country......

U, S. Department of Agriculture, Weather Bureau, Condensed Summary for Month of June, 1914.

V. H. CHURCH, SECTION DIRECTOR, INDIANAPOLIS, IND.

TEMPERATURE—IN DEGREES FAHRENHEIT.

Extremes. Departure Section from the average normal. Station. Highest, Date, Station. Lowest. Date.

Rome.. Auburn. . Shoals..

PRECIPITATION IN INCHES AND HUNDREDTHS.

Extremes. Departure Section from the average. normal. Greatest Least Station. monthly Station. monthly amount. amount.

Marco go Elliston.