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Indiana State Board of Health [Entered As Second Class Matter at the Indianapolis Post Office

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Indiana State Board of Health [Entered As Second Class Matter at the Indianapolis Post Office MONTHLY BULLETIN Indiana State Board of Health [Entered as second class matter at the Indianapolis Post office VOLUME XVI. INDIANAPOLIS, AUGUST, 1918. Number 8, 25 cents a year R. 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 AUGUST, 1913. H. H. SUTTON. M, D...... ....Aurora, Total number of deaths. 3.155: rate, 13.4. In the same J. N. HURTY. M. P.. PHAR. D. Secretary Indianapolis month last year. 2,806 deaths: rate, 12.4. In the preceding WM. F. KING, M .D........................ASST. SECRETARY AND EPIDEMIOLOGIST. month, 3,083; rate. 12.7. Deaths by important ages were: J. L. ANDERSON........... CHIEF CLERK. Under 1 year. 610. or 19.0 per cent, of the total: 1 to 4. 276; CHAS. A. CARTER, M. D. .STATISTICIAN. 5 to 0. 05; 10 to 14. 64: 15 to ,10. SS; 65 and over, 891. or WM. SHIMER, A B., M. D................. SUPT. BACTERIOLOGIST LABORATORY, 28.2 per cent, of the total. ADA E. SCHWEITZER, M. D .ASSISTANT BACTERIOLOGIST. L. W. BARRY, M. D... •• ASST. PATHOLOGIST. SANITARY SECTIONS: THE NORTHERN SANITARY SEC­ K. W. HIDY. M. D........... ••• ...ASSISTANT, PASTEUR, LABORATORY- TION, population 962,089, reports 1.050 deaths: rate, 12.8. H. E. BARNARD, B. S STATE FOOD AND DRUG COMMISSIONER AND CHEMIST. H. E. BISHOP, B. S ASSISTANT CHEMIST. In the same month last year, 954 deaths; rate. 11.0. In the J. A. CRAVEN ......WATER CHEMIST. preceding month. 926 deaths; rate. 11.3. WILL H. McABEE.. DRUG CHEMIST. ft. L. 8ACKETT, C. E .. ..SANITARY ENGINEER. THE CENTRAL SANITARY SECTION, population 1.130,717, re­ ports 1.367 deaths: rate. 14.1. In the some month last year L212 deaths; rate, 13. In the preceding month, 1,275 The MONTHLY BULLETIN will be sent to all health officers and dep­ deaths: rate. 13.1. uties in the State. Health officers and deputies should carefully read and file each copy for future reference. This is very important, for we expect THE SOUTHERN SANITARY SECTION, population 607,954, re­ to print Instructions, rules and general information, which it will be ports 73S deaths: rate. 13. In the same month last year, accessary for officers to preserve. 700 deaths; rate. 12.7. In the preceding month, 802 deaths; rate, 14.1. REVIEW OF SECTIONS: The Central Sanitary Section CONTENTS. reports the highest death rate. 14.1. which is .7 higher than the rate for the whole State, The lowest death rate oc­ — Page Births for August, 1913.... 237 curred in the Northern Section, and is 12.8, The Southern Abstract of Mortality Statistics for August 237 Sanitary Section presents the highest death rate for the Summary of Morbidity and Mortality for August................... 287 following diseases: pulmonary tuberculosis, typhoid fever, Her Baby Died 238 measles, whooping cough, and cerebrospinal meningitis. The The Heavy Hand of Heredity 238 Report of Department of Food and Drugs ........................... 239 Central Sanitary Section shows the highest death rate for Reports Don't Agree.. .............................. ..... 239 the following diseases; pneumonia, poliomyelitis, cancer and Delayed Birth and Death Certificates................................ 239 puerperal fever. The other reportable diseases were most A Dispute About Acres 239 prevalent in the Northern Section. Inspectors' Report for the Month of August —..................... 239 Birth Records Wanted.. f................................. .. 240 RURAL: Population 1 ,-148.330; reports 1,522 deaths; List of Prosecutions During the Month of August,. -•-* ...... 210 rate. 11.5. In the same month last year, 1.407 deaths; Concerning Eggs and Some Salesmen 241 Report of Bacteriological Laboratory........ 241 rate. 11.1. In the preceding month. 1,440 deaths; rate, 11. Patients Who Finished Pasteur Treatment During August... 242 Strange to say. the rural consumption death rate for the Current References on Public Health Questions. 242 month Is as high as in the cities, and the typhoid fever rate Indiana Slaughter Houses. .. — ............ 244 Chart Showing Geographical Distribution of Deaths —.. 245 is higher. Table 1. Deaths in Indiana by Counties..... 248 URBAN: Population 1.221,371. reports 1.633 deaths; Table 2. Deaths in Indiana by Cities.. .............................. 24" Mortality of Indiana for August...... ,....„., 248 rate. 15.7. In the same month last year, 1.429; rate, 14.2, Weather Report for August 249 In the preceding month. 1.554 deaths; rate, 14.9. The death rates of the following cities were: Indianapolis, 1.7.1; Evansville. 14.9; Fort Wayne. 10.2; Terre Haute, 16.3; South Bend, 1.2.1; Gary. 21: Miracle. 15.2; Richmond. 13.2; BIRTHS FOR AUGUST, 1913, Anderson, 18.9; Hammond. 22.8: New Albany. 0.7; La­ Total births, 4,787 (stillbirths excluded) : State rate. 20.1. fayette. l."\5. Males, 2.300: females, 2,357. White males, 2.260; white females. 2,35*3. SUMMARY OF MORBIDITY AND MORTALITY Colored births. 72, males, 40; females. 32, Stillbirths, 126; white. 123; colored, 3, FOR AUGUST, 1913. Northern Sanitary Section, population, 062.430: rate 19,9. Typhoid fever was again reported as In the previous Central Sanitary Section, population. 1,139,717: rale 19.8. month as the most prevalent communicable disease. Fifty- Southern Sanitary Section, population, 007.054: rate 21.0. eight observers again reported the disease as the most prev­ Highest rate, Warren County, 36.7. alent as In the preceding month. The order of prevalence Is Lowest rate. Brown County. 5.S. as follows: Typhoid fever, diarrhea and enteritis, tonsillitis. Total births to date for year 1013. 30,005. diphtheria, cholera morbus, rheumatism, pulmonary tuberen- 238 MONTHLY BULLETIN, INDIANA STATE BOARD OF HEALTH, iosls, dysentery, malaria fever, intermittent and remittent lightning. ^: electricity (lightning excepted!. *•: fractures fever, acute bronchitis, scarlet fever, measles, influenza, i«*ause not specified). 2; other external violence. 1, H^mi- whooping cough, poliomyelitis, smallpox, other forms of <-i<h:—Total. 1*;: males, 14; females. 2. Homicide by firearms. 10: homicide by cutting or piercing instruments. 2: tuberculosis, rabies, in human, lobar pneumonia, bronchial homicide by other means. 4. pneumonia, puerperal fever, erysipelas, chicken pox, rabies\ in animals, cerebrospinal fever, SMALLPOX: 135 cases in »'.2 counties witli im deaths. In the preceding month. 110 eases in 22 counties with 1 HER BABY DIED. death. In the corresponding month last year, 11 cases in 5 counties with no deaths. The following counties reported The hour for the funeral had arrived and neighbors were smallpox present: Cass, 4 eases; Dubois. 10: Fountain. 1: coining hi to the services. The dead baby lay in a little Fulton, 22; Hendricks. 3: Jackson. 3: Madison, 4; Marion. white coffin lined with white satin, was dressed in white. 3; Parke, 4: St. Joseph, 3; Vanderburgh. 0; Vigo, 1; Wash­ and flowers in profusion decorated the room and testified to ington, 1, the sympathy of the neighbors. TUBERCULOSIS: 323 deaths, of which 242 were pul­ The preacher made a short prayer, uttered a few comfort­ monary, and Ht other forms. Male tuberculosis deaths num­ ing words, a song was song, the little baby was borne bered 150; female 104. Of the male deaths. 27 were in tlie to the white hearse by four young girls in white, and the age period 18 to 10, were married, and left 54 orphans under procession moved toward the cemetery. 12 years of age. Of" the female deaths, 57 were in the same The baby had died from intestinal disorder induced by age period as above, and left 114 orphans under 12 years wrong feeding, yet the preacher had said—"The Lord giveth of age, Total orphans under 12 years of age made by this and the Lord has taken away." The doctor told how it all monster in one month. 108. Number of homes invaded, 207. happened. "That baby," said he, "was born strong and healthy. The mother nursed it for weeks, bur finding that PNEUMONIA: 54 deaths reported, rate 22.0 per 100.000 nursing interfered with bridge parties and other social in the preceding month SO deaths, rate 34, In the same affairs provided a bottle, and when she was absent, her aunt month last year S4 deaths, rate 30.3. Eleven infants under who lived with her, fed cow's milk. This irregularity of i year of age succumbed to this disease, and 0 infants in breast feeding soon lessened the amount of the mother's the age period of 1 to 5. Eight of the pneumonia deaths milk and she concluded she would cease nursing entirely. were of persons between SO and SO and two in the age period The child seemed to do well on the bottle for a while, but 00 to 90. it soon became evident that something was wrong. One TYPHOID FEVER; 722 cases in 75 counties with 112 time I saw the mother give a piece of rich pie crust to her deaths. In the preceding month, 307 cases in 51 counties baby and I warned her against doing so. She told me she with 47 deaths. In the same month last year 418 cases in found the infant, liked coffee and a little was frequently 75 counties with 70 deaths. given to it. And so despite my medicines and my warnings in regard to feeding, the child's digestive apparatus gradu­ DIPHTHERIA: 105 cases in 41 counties with 36 deaths. ally broke down. An old grandmother told the mother that In the preceding month, 307 cases in 51 counties with 47 It was natural for babies to throw up. Another one pre­ deaths, In the same month last year. 247 eases in 30 scribed soothing syrup which contained morphine. Another counties with 24 deaths. one recommended .anise seed cordial, and so it went; the SCARLET FEVER: 135 eases in 28 counties with 0 young mother being willing to depend upon drugs and reme­ deaths.
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