CONSERVE THE CHILD. CHECK THE LIFE WASTE.

MONTHLY BULLETIN Indiana State Board of health [Entered as second class matter at the Indianapolis Postoffice.

NUMBER 3 VOLUME XVII. INDIANAPOLIS, MARCH, 4914. 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, I> Covington. MARCH, W4 H.H.SUTTON, M. d,...... Aurora, J. N. HURTY. M. I)., PHAR. D.. Secretary...... Indianapolis. Total deaths reported, 3,506; rate, 15.1. In the preceding month. 2,939 deaths; rate, 13,7. In the same mouth last WM. F. KINg, M.D .ASST. SECRETARY AN© Epidemiologist. J. L.ANDERSON...... CHIEF CLERK, year, 3,558 deaths; rate, 15.1. Deaths by important ages Chas. A. CARTER. M. L> ...... STATISTICIAN. WM. SHIMER, A B.. M. D supT. BACTERIOLOGICAL LABORATORY. were; Under 1 year. 556? or 15.4 per cent; 1 to 4, 1S1; 5 to ADA E. SCHWEITZER. M. I) ASSISTANT BACTERIOLOGIST. 9, 76; 10 to 14, 47; 15 to 19. 85; 05 and over, 1300, or 36.1 W. V. BOYLE. M. D...... AS8T. PATHOLOGIST. H. E. BARNARD B. S. . ..STATE FOOD AND DRUG COMMISSIONER AND CHEMIST- per cent H. E. BISHOP, B. S...... ASSISTANT CHEMIST. J. A. CRAVEN Engineer and WATER CHEMIST. WILL H. McABEE ...... DRUG CHEMIST. SANITARY SECTIONS: THE NORTHERN SANITARY SEC­ R, L, SACKETT. C. e SANITARY ENGINEER. TION, population 972,129, reports 1,142 deaths; rate. 13.3. In the preceding month, 97S deaths: rate, 1*11. In the The MONTHLY BULLETIN will be sent to all health officers and dep­ same, month last year, 1,200 deaths; rate, 15,6. 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 CENTRAL SANITARY SECTION, population 1,152,277, re­ to print instructions, rules and general Information, which It will be necessary for officers to preserve. ports 1,022 deaths; rate, 10.5. In the preceding month, 1.270 deaths; rate, 14.3. In the same month last year, 1,505 CONTENTS, deaths; rate, 15.5, THE SOUTHERN SANITARY SECTION, population 672,551, re­ Births for March, 1914..... 25 ports 832 death rate, 14.5. In the preceding month, 001 Abstract of Mortality Statistics for March, 1«>14 ...... :...... 25 Summary of Morbidity and Mortality for March. 1914...... 25 deaths; rate, 13.3. In the same month last year, 793 Delayed Birth and Death Certificates 26 deaths; rate, 13.9. Report of the Department of Food and Drugs for March, 1914...... 2S Inspectors' Reports for tlie Month of March. 1914...... 27 REVIEW OP SECTIONS: The Central Sanitary Section Water Laboratory Report for March, 1914 28 presents the highest death rate, 10.5, which is 1.4 higher Report of Bacteriological Laboratory for March. 1914...... 28 than that for the whole State, The Central Section also Patients Who Have Taken Pasteur Treatment in March. ...,,....., 1*5 presents the highest death rate for diphtheria, scarlet fever. A Correction - 29 Signs of ...... 29 lobar and broncho-pneumonia, cerebro-spinal fever, puer­ Health Officers and Food Inspectors, Attention ...... 29 peral septicemia, and external causes. The Southern Sec­ A Word to Women...... 29 tion presents the highest death rate for tuberculosis. Township School and Social lCenter 30 measles, whooping cough, poliomyelitis, and influenza. The Reporting Typhoid Fever and Tuberculosis...... 30 Picture of a Model for School and Social Center for Townships— 31 Northern Section presents the highest death rate for ty­ Two Kinds of Grocers 32 phoid fever, diarrhea and cancer. The Passing of the Common Towel...... , —.. 32 Violation of Death Laws 32 RURAL: Population 1.550,642. reports LS00 deaths; Every Baby Named 32 rate 13.6. In the preceding month. 1,450 deaths; rate 12,2. Secrecy a Crime ...... 32 Contact is Dangerous ...... "A2 In the same month last year, ,1,758 deaths; rate 13.3. The Court Adjourned — ...... — ...... 32 Chart Showing Geographical Distribution of Deaths from .Certain URBAN; Population 1,246,315, reports 1,790 deaths; Communicable Diseases 33 Table I. Deaths in Indiana by Counties...... —...... 34 rate, 10,9. In the preceding month, 1,483 deaths; rate. 1-5.5, Table 2. Deaths in Indiana by Cities-...... 35 In the same month last year, 1,800 deaths; rate. 17.5. The Mortality in Indiana for March. 1914...... 36 cities named present U.th e following death ratesS.: Weathe Indianr Repor­ t 38 apolis, 19.2; Evansville. 13.3; Ft. Wayne, 14.5; Terre Haute, 18.2: South Bend. 13.1; Gary, 12.9; Muncie, 10.0; Rich­ BIRTHS FOR MARCH, 1914. mond. 14.4: Hammond. 20.5; Anderson, 19.3; East , Total births. 5,1 OS (stillbirths excluded) ; State rate, 21.S. 22,0; Lafayette, 23.8; New Albany, 15.4; Elkhart 13.2; Males, 2,071: females, 2,527. Michigan City, 17.9. White males, 2,621: white females, 2,485. Colored births, 92; males, 50; females, 42, Stillbirths. 187; white, 179: colored, S. SUMMARY OF MORBIDITY AND MORTALITY Northern Sanitary Section, population 972,129, reports FOR MARCH, If 14. 2,08.°* births; rate, 24.G. Central Sanitary Section, population 1,152,277, reports Measles was reported as the most prevalent disease, 71 l.OtN births; rate, 20.1. per cent. • of observers reporting it present The order of Southern Sanitary Section, population 672,551, reports prevalence Is as follows: Measles, scarlet fever, tonsliitis, 1,197 births: rate. 20.$*. influenza, acute bronchitis, pulmonary tuberculosis, lobar Highest rate. Lake County, 37,9, pneumonia, diphtheria and croup, acute rheumatism, whoop­ Lowest rate, Scott County, 8.0. ing cough, smallpox, typhoid fever, bronchial pneumonia, Total births for 1914 to date. 15.520, chickenpox. diarrhea and enteritis, malaria fever, cerebro­ Total births for 1913 to date, 59.221. spinal fever, erysipelas, intermittent and remittent fever* S0 MONTHLY BULLETIN, INDIANA STATE BOA\RD OF HEALTH,

other forms of tuberculosis, dysentery, cholera morbus, puer­ street-ear accidents and injuries, 3; injuries by other ve­ peral fever, poliomyelitis, rubies in human, rabies in ani­ hicles, 4: other crushing. 3: injuries by animals, 7; exces­ mals. sive cold. 4; electricity (lightning excepted), 2: fractures SMALLPOX: €80 cases in 40 counties with no deaths. cause not specified), 7; other external violence, 4, Homi­ The following counties reported smallpox present: Benton, cide total. 14: males. S: females. 6. Homicide by firearms. 5; Blackford, many; Brown, 10; Cass, 4; Clark, 12; l«»; Crawford,homicide by cutting or4 ;piercing Decatur instruments, 1; Delaware, 2,: 12homi; Gibson­ , 11; Greene, 25; Hancock. hZ; Harrison, 4; Hendricks, 1; Henry, 5; How­ cide by other means, 2. ard, 1; Huntington, 11; Jay, 3; Jefferson, 3 ;• Johnson, 3; Knox, 1; Kosciusko, 3; Lake, 1; Lawrence, 50; Madison, 1; Marion, 216; Montgomery, 1; Morgan, 1; Orange, 2; Parke, DELAYED BIRTH AND DEATH CERTIFICATES. 6; Posey, IT; Rush, 7; Shelby, 54; Spencer, 41; Sullivan, '8; Tippecanoe, 2; Vanderburgh. 60; Vigo, 5; Wabash, 1; Each mouth the statistical department receives certifi­ Washington, 2; Wayne, 1; Wells, 1. cates for births and deaths that have occurred during the preceding months which are not sent to this department in time to be tabulated with the report for the current month. TUBERCULOSIS: 389 deaths, of which 330 were of the With the report for March the following counties named pulmonary form and 59 other forms. The male tuberculosis below were delinquent in this matter: deaths numbered 199; females, 190. Of the male deaths, 33 were married and in the age period of IS to 40 and left 66 BIRTHS. orphans under 12 years of age. Of the females, 03 were married in the same age period as above and left 128 or­ Adams 1; Allen 3; Bartholomew 5; Benton 3; Blackford phans under 12 years of age. Total orphans under 12 1; Boone 10; Brown 4; Clark 5; Clay 4; Clinton 5; Craw­ years of age made in one month by this preventable disease, ford 7; Daviess 5; Dearborn 1; Decatur 7; DeKalb 1; 102. Number of homes Invaded, 374, Delaware 13; Dubois 2; Elkhart 2; Payette 9; Floyd 3; Franklin 3; Fulton 1; Gibson 1; Grant 12; Greene 2; Har­ PNEUMONIA: 4S2 deaths; rate, 202.9 per one hundred rison 10; Henry 11; Howard 1; Huntington 2; Jackson 1; thousand. In the preceding month, 356 deaths; rate, 165.9. Jasper 1; Jay 1; Jefferson 3; Jennings 3; Johnson 1; Knox In the same month last year, 444 deaths; rate, 189,6. 15; Kosciusko 2; Lake 27; Laporte 5; Lawrence 3; Madison DIPHTHERIA: 186 eases in 45 counties with 33 deaths. 0; Marion 6; Martha 2; Miami 2; Monroe 2; Montgomery In the preceding month, 312 cases in 56 counties with 39 4; Morgan 1; Newton 1; Noble 3; Orange 1; Parke 3; deaths. In the same month last year, 189 cases in 41 coun­ Perry 2; Posey 4; Pulaski 2; Ripley 2; Scott 2; Starke 1; ties with 24 deaths, Steuben 2; St Joseph S6; Sullivan 9; Switzerland 1: Tip­ pecanoe 10; Vanderburgh 8; Vermillion 10; Vigo 10; Wa­ TYPHOID FEVER: 132 eases reported In 37 counties bash 1; Warrick 3; Washington 3; Wayne 2; Wells 1; with 45 deaths. In the preceding month, 127 eases in 32 White 5; Whitley 4. Total 805. counties with 38 deaths. In the same month last year, 53 cases in 19 counties with 27 deaths. DEATHS. SCARLET FEVER: 662 eases 'in 57 counties with 10 deaths. In the preceding month, 593 eases in 57 counties Allen 8; Bartholomew 4; Boone 1; Brown 2; Clay 1; Clinton 1; Crawford 1; Daviess 2; Dekalb 1; Delaware 2; with 0 deaths. In the same month last year, 641 eases in Dubois 1; Grant 5; Harrison 4; Hendricks 1; Henry 3; 54 counties with 38 deaths. Jefferson 1; Jennings 1; Knox S; Kosciusko 5; Lagrange 1; MEASLES: 1*955 eases in 65 counties with 21 deaths. The Lake 3; Laporte 1; Lawrence 1; Madison 1; Marshall 1; disease was epidemic in the following counties: Allen, 31; Monroe 2; Montgomery 2; Morgan 1; Orange 1; Parke 5; Clinton, 85; Elkhart, 71; Jackson, 38; Johnson, 88; Law­ Perry 2; Porter 1; Posey 1; Pulaski 2; Rush 1; Spencer 0; rence, 55; Marion, 920; Martin, 40; Montgomery, $4; Sullivan 5; Tipton 3; Vanderburgh 1; Vigo 5; White 5. Orange, 62; Tippecanoe, 84; Vigo, 71. Total 103. RABIES: 11 persons were bitten by rabid animals and treated by the State Board of Health during the month. There were no deaths, REPORT OF THE DEPARTMENT OF FOOD AND DRUGS, INDIANA STATE BOARD OF HEALTH, POLIOMYELITIS: 6 cases in 6 counties with three FOR MARCH, 1914. deaths. The deaths occurred in Jennings County, male 57 years; Marion County, female, 5 months; St Joseph H. E. BARNARD, STATE FOOD AND DRUG COMMISSIONED County, female, 9 months, During the month of March, 72 samples of food were analyzed, of which 3S were classed as legal and 34 illegal PELLAGRA: One case and one death in Howard County, Of the illegal samples 17 were milks which in almost every fern ale 46 years. instance were so reported because of the presence of visible EXTERNAL CAUSES: Total deaths, 221; males 164, dirt. Four catsups were examined and all were condemned females 57. Suicide total, 42; males 31, females 11. Means because of the fact that they were in whole or in part com­ of suicide, poison 14; asphyxia 1; hanging or strangulation, posed of decomposed or putrid vegetable matter. In other 2; drowning, 4; firearms, 14; cutting or piercing instru­ words, they were made from rotten tomatoes. Six of the ments, 3; crushing, 4, Accidental or undefined total, 165; fen vinegar samples were illegal because of the fact that males 125, females 40. Poisoning by food 4; other acute they were only partially fermented. Many of the samples poisonings, 7; conflagration, 3; burns (conflagration ex­ analyzed are sent in either by the manufacturer who wishes cepted), 14; absorption of deleterious gases (conflagration to know whether or not his goods are saleable or by the excepted), 10; accidental drowning, 4; traumatism by consumefirearms,r who doubt s the purity5 ;o ftraumatis the producm tb ysh cuttine is g or piercingpurchasing instruments , 2; for her table. While the analysis of these samples traumatism by fall, 40; traumatism in mines, 8; trauma­ is perhaps not contemplated under the law, we believe that tism by machines, 4; railroad accidents and injuries, 30; the cause of pure food can be served In no better way, MONTHLY BULLETIN, INDIANA STATE BOArd OF heaLTH. 27

Twenty samples of drugs were examined during the the 90 meat markets were in good condition, 25 were fair month, most of them for the purpose of ascertaining whether and 5 poor. Of the bakeries and confectioneries visited, 44 or not they were misbranded or sold under extravagant were good, 31 fair, and 7 poor. One place was reported as claims. in excellent condition, Too many are in fair condition only. The same comment may be made concerning restaurants and hotels. But one of the 103 places were in excellent condition, 33 were good, G0 fair and 9 were rated as poor. RESULTS OF ANALYSIS OF FOODS AND DRUGS DURING THE MONTH OF MARCH, 1914. Other place® visited during the month were wholesale groceries, poultry houses, ice cream parlors, fish markets, milk stations, etc.

No. No. CLASSIFICATION. Legal. Illegal. Total. During the month, 28 condemnation notices were issued against bakeries, grocery stores, hotels, meat markets, and restaurants, twenty-seven because of unsanitary conditions Beverages— Beer . and 24 because of improper construction. It is worthy of Temperance beers. note that in almost every instance the unsanitary conditions Ale...... Ciders... were chiefly due to improper construction. Men who go Catsups. Baking powder into the business of producing or selling food are not suffi­ Hominy.. ciently careful that the building they propose to occupy is Maple syrup... fitted to the use to which it will be put. Sorghum . ...,, Meat Products— But four prosecutions were brought during the month, Lard Meat..... — three because of the sale of dirty milk and one because of Sausage...... the sale of catsup containing benzoate of soda. The fines Milk Products- Butter and costs imposed amounted to $82.40. Oleomargarine. Milk Ice cream...... Pickles Vinegar SUMMARY OF INSPECTIONS MADE DURING THE MONTH OF Miscellaneous MARCH, 1914. Total.

DRUGS. No. No, No. No. No. No. INSPECTIONS. Inspected, Excellent. Good. Fair. Poor. Bad. Hair preparations... Patent medicines... Toilet preparations. Dairies...... Linseed oil Grocery stores...... Omega oil. — Meat markets...... St Jacob's oil Drug stores. Tincture of iodine.. Miscellaneous Bakeries and confectioneries,.. Hotels and restaurants...... Total. Wholesale groceries Fish market....: Poultry houses Ice cream parlors Flour mill...... Fruit store...... INSPECTORS REPORTS FOR THE MONTH OF Milk stations...... MARCH, 1914. Tea and coffee company Remedy companies Six hundred and seventy-three places were inspected during the month of March and of this number, ten were Total . reported in excellent condition, 379 good, 223 fair, 47 poor and 14 had. It is worthy of comment that all of the places

reported as bad were dairies. Of the 44 dairies visited, NOTICES OF CONDEMNATION DURING THE MONTH OF MARCH. 1914. none were graded as excellent, none were even good; 13 were fair, 17 poor and 14 bad. If food inspectors were not Reasons for Condemnation, optimists the condition of our dairies would drive them to CLASSIFICATION Total. despair. We have never taken a position favoring com­ Unsanitary Improper pulsory pasteurization of the milk supply, but the longer Conditions. Construction, we study dairy conditions the more we are convinced that the only way to protect the consumer from the evils of Hotels..., dirty milk is to require all milk to be pasteurized before it is sold. Restaurants.. — ......

Of the 247 grocery stores visited, four were in excellent Total...... condition, 171 were good, 06 fair and 6 poor. Fifty-nine of

LIST OF PROSECUTIONS DURING THE MONTH OF MARCH, 1914.

Laboratory Date of County. Number, Names and Addresses of Defendants. ; Why Prosecuted. Trial. Final Disposition, [

Allen... ALLEN Carl Stemmel Ft. Wayne.....! Dirty milk. Allen Oscar Adler, Ft, Wayne...... ,...... ! Selling milk that contained visible dirt.. Walls m MONTHLY BULLETIN, INDIANA STATE BOArD OF HEALTH.

WATER LABORATORY REPORT FOR Pathological tissues— MARCH, 1914 Carcinoma ...... 7 During the month of March, 114 samples of water were Sarcoma ...... —...... 3 examined in the Water Laboratory, Ninety-five of this Miscellaneous ...... 10 number were from private supplies and 19 were taken from — 29 public supplies. Sixty-three of the private supplies were Guinea pigs inoculated for tuberculosis- judged goods 15 had and 17 doubtful. Negative 1 The public supplies of Boonville, Bluffton, Muncie, Ander­ Blood • 17 son, Marion, Kokomo, Hammond, Richmond, Peru, Con­ Blood for malaria Plasmodia— verse, Port Wayne, Seymour, Sheridan and Decatur were Positive ...... 2 found to be in a satisfactory condition. Negative 10 A special investigation of the condition of the filtration • 12 plant of the public water system of Aurora was made. Pus miscellaneous ...... 7 Plans for a proposed sewerage system for Chesterton were Feces for hookworm—• examined. Negative ...... 5 A sample of water from a deep well, the proposed public Urine for chemical analysis. 37 supply of Hebron, was found to be too highly mineralized to Urine for gonococci— be suitable for either domestic or Industrial purposes. Negative 1 Private Supplies. 95; good, 63; bad, 15; doubtful, 17. This for gonococci— Public Supplies, 19. Females: Total samples examined, 114. Positive 1 Suspicious 1 Negative 22 Males : REPORT OF BACTERIOLOGICAL LABORATORY Positive ...... 8 INDIANA STATE BOARD OF HEALTH, Suspicious 2 FOR MARCH, 1914. Negative 19 ' WILL SHiMER, M. D., SUPERINTENDENT. Sex not given: Positive 1 Sputum for tubercle bacilli— Negative .., ...... 5 Positive ...... 108 — 59 Negative 3S2 Cerebrospinal fluid for meningococci— -— 490 Positive 2 Urine for tubercle bacilli- Negative 8 Negative ..,...... 2 ___ 8 Pleural fluid for tubercle bacilli—- Pus for tubercle bacilli- Negative 2 Positive ...... 1 Stomach contents . 1 Negative ...... 3 Chickens for sarcoma- .—- 4 Positive 2 Widal teste for typhoid fever- Positive 18 Total number specimens examined...... 1,731 Negative 70 Ampules of antityphoid vaccine sent out 622 $£ — 622 Throat cultures for diphtheria bacilli- OUTFITS SENT OUT DURING MARCH, 1914. Positive • 69 Tuberculosis 550 Negative 313 Diphtheria S02 Suspicious * 22 Widals 169 No growth 4 Gonococci 89 Unsatisfactory 6 Blood counts IS — 414 Malaria 10 Epidemics for diphtheria bacilli- Bile Media 6 Positive 50 Hookworm 1 Negative ...., 455 Suspicious 22 Total number ... l,CSr> No growth 3 — 5^0 PATIENTS WHO HAVE TAKEN "PASTEUR" TREATMENT Brains for Negri bodies— THIS MONTH. Dogs; Positive 8 Began 1 Finished NAME. Town County Age Sex. Treatment. Treament. Negative 10 i Cafe : Opal Dishinger., Rushville.. Rush.... Positive ...... 2 Florence Martin. Rushville,.. Rush,.,. Negative 1 Mamie Brock... Rushville... Rush.., Adona Price. ... Terre Haute Vigo — 21 NoahEvett Princeton,.. Gibson,. J. A. Suhling — Princeton... Gibson.. Feces for typhoid bacilli- Talitha Gerlach. Indianapolis. Marion. Negative 1 MONTHLY BULLETIN, INDIANA STATE BOArB OF Health. 99

A CORRECTION. HEALTH OFFICERS AND FOOD INSPECTORS, Since the publication of the Second Edition of Medical ATTENTION, Frauds, evidence has been presented to the effect that the For five years you have been active in protecting food manufacturers of Herpicide do not claim to prevent falling stuffs from contamination. The food of our people is prepared and sold under as sanitary conditions as In any state. hair in all cases. Dermatologists agree that a variety of Indeed you may be pardoned if you go a little further and conditions cause falling hair, each of which demands a say under the most sanitary conditions, Recently however, particular mode of treatment It is "unfortunate that the our inspectors report a tendency to slip back a little from label "Herpicide" is not qualified, as it led us to include It the high standards we have reached. The confectioners are in our list of preparations for which extravagant claims are not quite as careful as they should be to keep their candies made. In view of the evidence above referred to, we are under cover; bakers leave their bread, rolls and pastries on convinced that Herpicide should not be classed with prepa­ top of the case and butchers are too prone to pile their meats rations for which fraudulent claims are made and we have on the counter instead of in the ice box. Too many grocers removed it from the list shortly to he published as the third are trying to do business on the sidewalk instead of in the Edition of Medical Frauds. store.

Read carefully Rules 9 and 10 In the compilation of the Pure Food Laws. For fear you are unable to find the rules SIGNS OF THE TIMES. we repeat them. See to it that they are obeyed in every The most active exponents of sanitary food are not health particular by every dealer or purchaser. officers nor consumers, but progressive manufacturers, A Rule 9. Sidewalk Display of Food Stuffs. Fruits, vegetables, and other food products shall not be displayed or large breakfast food manufacturer publishes a monthly mes­ stored on the sidewalk or outside the place of business unless sage filled with pithy and thoroughly up-to-date suggestions they are securely covered by cases of glass, wood, or metal for dealers. A recent issue of Kellogg's Square Dealer, and or enclosed in tight boxes, bags or barrels and all such cases we give the name because the message merits approval, con­ or containers shall be raised at least two feet above the tained a letter written by "Joe the Delivery Boy" to his ? sidewalk. The practice heretofore followed of covering small friend, We are glad to quote Joe's observations on the fruits with screens or nettings is not sufficient compliance modern way of running the grocery business. with this rule. This rule shall not, however, apply to fruits DEAR SKINNY : I have got a new job. It is driving a and vegetables which have to be skinned or peeled before use waggin for five dollars a weak for Jenkins Famaly Grocerys and which are stored in tight barrels, boxes or crates. and Fresh Meats. I get five dollars a weak on Sataday nite. Passed July 9, 1909. I got the job becaws Fatty Hogan quit He says grocery drivin' is going to the dogs. He used to be so he could fish Rule 10. Unprotected Food Stuffs. Prepared food stuffsf a cracker out of some bag, pore some mo-lasses on it out of a such as bakers' goods, confectionery, shelled nuts, etc.; dried jug and make several good meals on each trip but a hard fruits, such as dates, figs, peaches, prunes, apricots, etc.; workin' boy will starve on a grocery waggin now 'cause cereal products, such as tapioca, breakfast foods, noodles, peeple dont like the boys stickin* their fingers in stuff and etc.; pickled products, such as pickles, chill sauce, chow- they are putting the molasses in cans and the crackers in chow, etc.; fruit products, such as apple butter, jellies, jams, boxes. He says two that he used to eat things and take just etc.; meat products, such as dried salted or smoked fish, one swaller out of each milk bottle and nobody never saw veal loaf, pickled pigs' feet, mincemeat} chipped beef, boiled any was gone but things is different now. ham or other foods prepared for eating or subject to attack of worms or flies, shall not be displayed for sale unless pro­ So I got his job and it is all rite but the horse He is tected from flies, dust, dirt and all other foreign or injurious mashed termater color and 1 have named him Skinny after ? contamination by suitable coverings of glass, wood or metal. you becaws he looks that way. He is not a streak horse but Passed July 9, 1909. he has canned lots of streaks to peeple who et them. I have to get up hear mighty early and they almost meake Of course, it would be better If we did not have flies and me wash myself to death. They make me wash my nex and dust but so long as we have them our food must be protected, as the rules require. hack of years where I never see. They make me Manaker my finger nails for the boss is strong on the pure food stuff and sais nobody is ded in this place and no finger nales shall A WORD TO WOMEN, wear mourn in. I dont see no use washing no place no body Under the caption "Brains and Buying Jane McKibben, cant see, and who ever looks behind a fellers years? I do the Chairman of the Food Sanitation Committee of the General Federation of Women's Clubs has some very pertinent get to cat a turnip or a sweet potato now and then. things to say to the housewives who are the purchasers of I had some trubble with a woman today. I had a peek of ninety-five per cent, of the food supply. She Is right, food pertatoes for her and she said there was not that menny and inspectors are necessary to invoke the majesty of the law wanted to take a few apples off of Mistress Smith basket to occasionally but women who use "brains In buying" have, make them up. but I woodent let her cause I had took off after all, the remedy for unclean shops at their command, and et two and thought that was enuff. 1 toled Jenkin about the apples she wanted to take and he "Since the housewife usually does the buying for the fam­ said I must watch the horse when I went there to her house ily, it naturally follows that the housewife controls the or she would feed it to her boarders but not to tell her he market, not only the kind of products sold but the kind of sais so. selling place. Whenever the housewife ceases to buy from It's a nise jobe Skinney but as Fatty Hogan said they put the dirty food shop, the dirty food shop will cease to exist, too many things in ceiled up packages so you can't poke your Is It not worth while to put brains into the buying of food finger in era. and get some of the stuff to ran out In your for your family? hand. Tours very respectfully, ' Every club woman knows the importance of good food JOE. and the danger that always lurks in impure or carelessly 30 Monthly Bulletin INDIANA STATE BOARD OF HEALTH.

It studied food. In these days we are not willing that only . These country schoolhouses have wells for a water the fit shall survive, but are cutting down the death rate and supply, but sometimes even these are absent and water must making many abnormal children normal. In this work, noth­ be carried from a distant farm house. When wells are sup­ ing Is more important than the wise selection of food- Let plied, a mud puddle is generally their accompaniment A us select with as much care the materials that are to make wheezy pump must be worked vigorously in order to get a brain and sinew as the materials that are to make oar cupful of water. The overflow falls back into the well clothing. Can we ask for more privileges and authority through the open cracks of the platform, The outhouses unless we use the power that has been in woman's hand for are hardly with exception nasty, abominable and revolting. ages, the power that lies in intelligent buying? We need Altogether, these schoolhouses are from every point of pure food laws and market inspection. As women are the view a failure and a matter of regret Yet out of them, in housekeepers of the world, they make the best food shop spite of their objections have come a few great men and a housekeepers, 1 e., local market inspectors, But with per­ few well educated people. This has happened in spite of fect laws and expert inspection, if women buy dirty food the the poor environment forced upon the children. merchant will find a way to evade the law and dodge the The idea conveyed by the picture is plain. It means that inspector. The impure milk, the unwrapped bread, the schoolhouses of the township shall be gathered to the center, infected meat and fly contaminated food of all kinds will be or as near the center of the township as possible. If a sold to careless housekeepers. To me, the most important township is very hilly and has bad roads and perhaps has a thing for every community to do is to decide that it will have river or large creeks running through it which are not no more dirty food. The flies must go, the filthy milking bridged, then the central school and social center as here shed must go, the food shops must be clean and sanitary, the depicted is impracticable. It will be noted the auditorium people who handle the food must be healthy and clean. You is the largest building. In this will be housed the superin­ can readily see that the success of this sort of campaign tendent of the schools, and the township trustee. In the depends on numbers, A merchant studies his market If auditorium may be held corn shows, spelling bees, church clean food is called for, he will furnish it If the food shops fairs, picture shows, lectures and entertainments of all are not right, it is the fault of the careless buyers. kinds. The gathering together of the schoolhouses in one ''To my mind, this better buying campaign can best be man­ place will also make possible the grading of the pupils, In aged by fitting your work to local conditions. If you have the one room district schoolhouse, one teacher must teach an active civic organisation, club, congress, or city federa­ all grades. Under this arrangement, as said, children may tion, do the work through them. If you have none, organize be graded. In addition, buildings may be added for the one. In any case, district the town and hold district meet­ teaching of domestic science, manual training, agriculture, ings, in the school houses if possible, getting all the mothers etc. Proper water closets can be provided, and the whole out. Have occasionally a mass meeting when your state or system of houses heated from a heating plant situated back local health officers will give you inspiring and helpful talks. of the auditorium but not shown in the picture. Cement Never make the mistake of fighting the local health officials, walks, as shown, will lead from building to building. These Help them and ask them to help in your work. Have singlinstructionse building s must be tolighte motherd fros ma paronet sidof e'th onle districy as tth meetinge . Don't be afraid of opening the doors of your organization wide. law commands. They must be constructed with ventilating Remember our work of bettering humanity will be most ducts and must have separate cloak rooms for the sexes. It effective when we are in touch with those whose needs are was found upon investigation that such a central township greatest school and social center may be constructed for 20, perhaps 25, per cent- less than the cost of a large brick, stone and steel structure. This is a great advantage, Other ad­ TOWnship SCHOOL AND SOCIAL CENTER. vantages are, that in case of fire no lives will be lost The picture herewith given is made from a photograph of because the children are on the ground floor and simply a model for a school and social center for townships. This have to walk out of the burning building, and again, if model was prepared and is to be seen in the office of the more room is required it is only necessary to add one or State Board of Health. Under the present system, except two buildings as the case may be. The plan has its draw­ where central schoolhouses of steel, brick and stone con­ backs and objections, but these are outweighed by the ad­ struction are supplied, little one room school houses dot vantages. Not least among the advantages is the play­ each township. These schoolhouses are almost without ex­ ground shown in the quadrangle around which the buildings ception insanitary In all respects. Many of them arc are arranged. This should be deeply graveled and well badly situated upon low ground, are damp most of the year drained so that it is available for play at all times. A flag pole could be provided and Old Glory could be raised and and in rainy seasons are simply islands in that they are lowered every day with brief ceremonies as a lesson in entirely surrounded by water or what is the same thing, patriotism. The plan has much to commend it, appealing to mud, These one room schoolhouses are generally built on economy and to the aesthetics of the situation. the ground or raised only a foot or two above. In in­ stances, hogs and chickens live beneath them, and in quite all eases in winter time the floors are cold owing to the free entrance of cold beneath. These schoolhouses are gen­ reporTING TYPHOID FEVER AND TUBERCULO­ eral dreary and forbidding in appearance, not having a SIS: The law requires that all cases of typhoid fever and particle of beauty or attractiveness about them. They are tuberculosis shall be reported to the Board of Health. It is quite always lighted from two sides, thus bringing injury by quite evident that many physicians are ignoring the require­ cross lights upon the eyes of the children. They are heated ments of the law, and it may not come amiss to call their by stoves, and not ventilated at all, unless we accept win­ attention to the fact that failure to report typhoid and dow and door ventilation. In these days this method of tuberculosis cases may result in prosecution and subsequent ventilation cannot be accepted, and so it is, the schoolhouse fine if convicted. Some of the health officers throughout that Is not provided with ventilating ducts is an abomina­ Indiana have threatened to institute prosecution for viola­ tion. And it is also true to say that the schoolhouse that is tions of the law, and they should be supported in this action. not provided with playgrounds for children is an abomination —The Journal of the Indiana State Medical Association. MONTHLY BULLETIN, INDIANA STATE B0ArD OF HEALTH 81 8S MONTHLY BULLETIN, INdiANA STATE board OF HEALTH.

TWO KINDS OF GROCERS. SECRECY A crime-:: The worst thing you can do for a We health officers aren't the only forward' lookers when it consumptive is lo keep him from knowing that he is a consumptive. We used to think that telling folks the truth conies to sanitation. Walt Mason, who writes rythmic prose about themselves when they had consumption would scare in Kansas, has his own ideas of neatness. This is what he them to death. Somehow some of them found it out in spite says in the Kansas City Journal: of us and instead of being seared to death they set about Jim Griggins the grocers a seedy old jay; his whiskers taking the cure and got well. Most of those we didn't tell are ragged, his hair all astray; his hand are begrimed when he weighs out our squash, his garments suggest that they're found it out too late or aggravated their cases through fit for the wash. And Griggins keeps saying, when people ignorance and landed in consumptives" graves in a short will list, "The country is going to blitzen, I wist! My trade's time. growing duller— I can't make it thrive— i haven't one patron The State Board of Health is in receipt of a letter from where once 1 had five!" But Grimkin, the grocer just over a gentleman regarding one of his associates who is known to the way, is selling his prunes and his Young Hyson hay; he be a consumptive, The consumptive's faintly and friend always seems busy, lie takes in the scads, the roubles, the are aware of his condition and are afraid of him. They are rhino, the dust of our dads But Grimkin is always in natty also afraid to tell the consumptive lest it might scare him array, his whiskers are combed in the Ham Lewis way; his to death. Yet they are letting him go about his daily work bald spot is washed till it mirror-like gleams, his shirt has unwarned. The consumptive is an ambitious, hardworking no butter or lard on its seams, his trousers are creased and fellow, and as such is almost certain that he will end in a don't bag at the knees, his shoes aren't spotted with Limburger cheese. And all through his store things are nifty consumptive's grave in a comparatively short time, or, what and clean, from codfish and soap to shredded sardine. So is still worse, learn of his sad plight when it is too late and people parade to his place by the score, while Griggins is have none but his friends to blame for letting him drift into grouching around in his store." such a condition unwarned. Furthermore, a consumptive who does not know that he is a consumptive is a menace to others and a really danger­ ous person to be around. On the other hand, a careful con­ sumptive is a safe person with whom to live. THE PASSING OF THE COMMON TOWEL. The first thing to do in a suspected case of consumption is On the recommendation of the Secretary of the Treasury to find out whether or not it is consumption. If it is, there the President issued the following executive order Septemberis no tim e to lose. 30It , yo1913u wan, prohibitint to get gwel thle youuser chanceof commos arne towels in Gov­ ernment buildings: good if you begin early, but your chances are slim if you wait. Bulletin North Carolina Board of Health. [No. 1833|.] EXECUTIVE ORDEB. CONTACT IS DANGEROUS: The old idea of infectious and contagious diseases was that they came out of the air. It is hereby ordered, in the interest of the public, health, and until very lately it was "also the general opinion that in­ that the use of roller towels and other towels intended for fection was frequently carried in clothing. We now; know use by more than one person be discontinued in the public that infection does not come out of the air but usually buildings of the . . comes as a result of contact. We are beginning to know White House, September 30, 1913. that contact is dangerous only to the susceptible. There are 'Bulletin of U. S. Public Health Service, persons who are immune against most diseases. It is well known a person who had had scarlet fever is immune, and then again we know that people may be exposed to this disease who have not had it, and do not catch it. Such VIOLATION OF HEALTH LAWS, persons do not take on the infection or were not susceptible [South Bend News Times.] to it. It should not be necessary to provide or enforce a legal We have learned a great deal about the question of penalty against violations of the health laws. The penalties immunity against diphtheria from the investigations of inflicted by disease itself should be sufficient to prompt a' Schick. He has devised a method to determine which chil­ strict observance on the part of the public, but they are dren are and are not immune to diphtheria. If we ever are able to pick out or discover the immunes to diphtheria. not In a sense many people persist in being wards of the probably we shall be able in the future by some method yet State, who though not confined in an institution must be to be discovered, pick out the immunes in other diseases. constantly watched and prodded and sometimes prosecuted This work is all very interesting and very important, but to compel them to do their duty to themselves and the com­ after all prevention Is the thing. munity. And it is not the ignorant and shiftless alone who force the health authorities to drastic measures. Many people who would he indignant over the insinuation or THE COURT ADJOURNED: At Lawrenceburg, Indiana, charge that they are not intelligent or good citizens are guilty of this indifference which makes the progress of recently a clean up day was celebrated, All the manufacturing plants and business houses closed and 300 teams and sanitary movements slow and too frequently Ineffective. nearly GOO men and boys engaged in cleaning up the city and in removing trash and litter from the city alleys, vacant lots and private premises. All the saloons were closed until evening and the Dearborn County Circuit Court was ad­ EVERY BABY NAMED, is the report of Dr. C. A. Zinn, journed until Tuesday by Judge Warren N. Hauck. Who deputy health commissioner of Clinton County, for March. will now say that municipal house keeping has not made Continuing, Dr. Zinn says: "The doctors make many mis­ progress in Indiana. When the saloons close and the court takes hi their reports. Several have called at my office to is adjourned for the purpose of cleaning up, then something make corrections. One report said the baby was a female, is certainly doing in the sanitary line. yet it was well marked as a male. MONTHLY BULLETIN, INDIANA STATE BOARD OF HEALTH. SB

CHART SHOWING GEOGRAPHICAL DISTRibUTION OF DEATHS FROM CERTAIN COMMUNICABLE DISEASES FOR MARCH, 1914

NORTHERN SANITARY SECTION.

Total population 972? 129 Total deaths 1,142 Death rate per 1,000 13.8 Pulmonary Tuberculosis, rate per 100,000,...... 85,9 Typhoid, rate per 100,000 25,4 Diphtheria, rate per 100,000 14.5 Scarlet fever, rate per 100,000 ..... 4,8 Diarrheal diseases, rate per 100,000.... 28.6

CENTRAL SANITARY SECTION. Total population ....„,...... 1,152,277 fetal deaths...... 1,622 Death rate per 1,000...... 16.5 Pulmonary Tuberculosis, rate per 100,000 155.8 Typhoid, rate per 100,000 15,8 Diphtheria, rate per 100,000.... 15.3 Scarlet fever,rit e per 100,000 8.1 Diarrheal diseases, rate per 100,000 22,4

SOUTHERN SANITARY SECTION. Total Population • .672,551 Total deaths 832 Death rate pet 1,000...... 14.5 Pulmonary Tuberculosis, rate per 100, 000 ).. 187.8 Typhoid, rate per 100,000 ...... 15.7 Diphtheria, rate per 100,000 10.5 Scarlet fever, rate per 100,000 1.7 Diarrheal diseases, rati per 100,000..... 17.5 INDIANA, TABLE 1. Deaths in Indiana by Counties During the Month of February, 1914, (Stillbirths excluded.)

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

Population, STATE AND Estimated, COUNTIES. 1914. Date , Yea r 1913 t o Same Date . myeliti s Pneumoni a J March , 1913 . th e Yea r 1914 t o Date , tuberculosis February , 1914. March , 1914 . Smallpox , Externa l Causes , 1 t o 4 Inclusive , Diarrhe a an d Enteriti s (unde r 2 years) , 15 t o 1 0 lnclusiv e Cancer . Acut e Anterio r Poli o , 10 t o 1 4 Inclusive . Puerpera l Septicemia . Measles . Influenza . March , 1913 . Whoopin g Cough . loba r an d Broncho - Unde r 1 Year, . 5 to 9 Inclusive . March . 1914 Othe r form s o f Tuberculosi Cerebro-Spina l Fever . Tota l Death s Reporte d fo r February , ,1914 Diphtheri a an d crou p J 6 5 Year s an d Over . Typhoi d Fever . I Scarlet Fever . I Tota l Death s reporte d 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 Rat e fo r Yea 1914 to Rat e fo r Yea 191 3 to same date J Death s in Institution | Death s o f No n residents . State of Indiana Northern Counties.- Adams...... ALLEN...... -..- Beaton Blackford...... ' Carroll...... -• Cass...... Dekalb...... Elkhart...... Fulton Grant...... Howard...... • Huntington...... Jasper...... "-" Jay. •• Kosciusko ...... 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 . (Stillbirths excluded.)

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

Popu­

lation, _ CITIES, Esti­ mated, 1914. Date . .Sam e Date . March , 1914 . th e Yea r 191 4 t o Date . "Yea r 191 3 t o sam e Date , Rat e fo r Yea 1914 t o Rat e fo r Yea 191 3 t o February , 1914 . March , 1914 Marc h 1913 . 1 0 t o 4 Inclusive . Tota l Death s Reporte d fo r Tota l Death s Reporte d fo r I t o 4 Inclusive . 15 t o 1 9 Inclusive . 5 t o 9 Inclusive . 6 3 Year s an d Over , Pulmonar y Tuberculosis . Diarrhe a an d Enteriti s (unde r 2 years? . Othe r Form s o f Tuberculosis loba r andbroncho - Acut e Anterio r poliomyelitis . Typhoi d feve r . Externa l Cause s I | Unde r 1 Year . J March , 1913 1 Tota l death s Reporte d fo r j February , 1914 ! Tota l death s Reporte d fo r | Tota l Death s Reporte d fo r : Scarle t Fever . | Whoopin g Cough . I Diphtheri a an d Croup . Pneumonia : Measles , J Cerebro-Spina l Fever. | Puerpera l Septicemia, ; ] Influenza . i | Cancer . J Smallpox . Death s in .Institutions. , i Death s o f Non-resident 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 10,000 to 20,000.... Marion...... Lopansport...... Kokomo—...... Vincennes...... Mishawaka...... Peru ...... Laporte...... - • - Elwood Huntington.. Jeffersonville...... Shelbyville Crawfordsville..... New Castle Cities of the Fifth Class. Population under 10.000...... ...... 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 ,. Rushville... Martinsville...... Franklin Aurora., Decatur...... ...... Greenfield...... Winchester...... Sullivan.- Garrett Boonville...... Tipton...... Auburn...... Mitchell.. Lawrenceburg Plymouth. Greencastle ^ Columbia City Tell City...... Attica Rochester Union Citv 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 March, 1914. (Stillbirths excluded.)

Annual Death Rate Per 1.000 important Ages. Population.

POPULATION BY Under 1. 1 to 4. 5 to 9. 10 to14 . 15 to 19. 65 and Over, GEOGRAPHICAL Population secTIONS AND Estimated AS URBAN AMD 1914. RURAL 1914 . 1914 t o Date , 101 3 t o sam e Date . Date . 1913. Sam e date. Pe r Cant . Number . Pe r Cent . Number . Pe r Cent , Pe r Cen t March , 1913. Pe r Cent . Rat e for yea r 1913 t o Number . Number . Number , March . 1914 February , 1914 . Pe r Cent . Tota l Death s Reported for March , Tota l death s Reporte d fo r February . 1914 Tota l Deaths Reporte d for Yea r Total Death s Reporte d fo r Yea Rat e fo r Yea 191 4 t o Tota l Death s Reporte d fo r march. , Number . State...... ,...,.. Northern Counties.. Central Counties.... Southern Counties.. All Cities...... Over 100.000...... 48,000 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 Diarrhea Acute Pulmonary Other and and Cerebro­ Puer­ Diphtheria Whooping Anterior Influenza, peral Cancer. External Small­ POPULATION BY Tuber­ Forms Typhoid Scarlet Measles, Cough. Broncho- Enteritis spinal GEOGRAPHICAL culosis. Tuber­ Fever. and Fever, Pneu­ (Under fever. Poliomyelitis. Septi­ Causes. pox. SECTIONS AND culosis, Croup. monia. 2 Years.) cemia, AS URBAN AND RURAL. Deat h Rate , j Number . Deat h Rate . Deat h Rate . Number . Deat h Rate . Deat h Rate . Number . Deat h Kate . Number . Number . I Deal! ) Rate . ! Number . Deat h Rate , Deat h Rate . | Number . I Deat h Rata , I Deat h Rate . | Deat h Rate , j Number . Deat h Rate . | Number . Number . Deat h Rate . Number . Number . Number . Deat h Rate . I Deat h Rate . | Number . 1 Number . Number . I State....,.,.....,. Northern Counties,. Centrall Counties.... Southern Counties..

All cities 0ver 100,000...... 48,000 to 100,000... 20,000 to 45,000.... 10,000 to 20,000.... Under 10.000...... Country......

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

Huntingburg. Paoli. Salem

PRECIPITATION—IN INCHES AND HUNDREDTHS.

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

Crawfordsville. veedersburg .