WHEN WILL SALVARSAN SUPPLANT VIRTUE? MONTHLY BULLETIN State Board of health Entered as second-class matter at the Indianapolis Postoffice.1

Number 5 VOLUME XVIII. INDIANAPOLIS, MAY 1915, 25 Cents a Year

JAMES s. BOYERs. M. D., president ...... Decatur. ABSTRACT OF MORTALITY STATISTICS H. H.SUTTON, ,u. I)., VICE-PRESIDENT, ...... Aurora, J. L. FREeLAND, M. P...... Indianapolis. FOR MAY, 1915. CHAS. BRUCE KERN M.. D. .Lafayette Total deaths reported, 2,669; rate, 11.1. In the preceding J. H. HURTY, M. D., PHAR. D., Secretary lndianapolis- month, 8,212 deaths; rate, 13.3. In the same month last WM. F. KING, M. D...... ASST. SECRETARY AND EPIDEMIOLOGIST. J. L. ANDERSON...... ;...... Chief Clerk. year, 3,002 deaths; rate, 12.6. Deaths by important ages CHAs. A. CARTER, M, D. STATISTICIAN. were: Under 1 year, 335, or 12.5 per cent of the total; WM. SHIMER, A B.. M. D.... SUPT. BACTERIOLOGICAL LABORATORY. ADA E. SCHWEITZER, M. D...... ASSISTANT bacteriologist. 1 to 4, 106; 5 to 9, 53; 10 to 14, 32; 15 to 19, 69; 65 and W. V. BOYLE, M. D.. ASST. PATHOLOGIST. H. E. BARNARD, B. S...... STATE FOOD AND DRUG COMMISSIONER AND CHEMIST. over, 934, or 35.1 per cent of total. B. E. , B. S... ..Assistant CHEMIST. JOHN C. dIGGS...... ENGINEER ANd WATer CHEMIST. • SANITARY SECTIONS: THE NORTHERN SANITARY SEC­ WILL H. McABEE.. Drug Chemist. TION, population 982,219, reports 932 deaths; rate, 11.1. In R. L. SACKETT, C. E .. SANITARY ENGINEER the preceding month, 1,078 deaths; rate, 12.9. In the same The MONTHLY BULLETIN will he sent to all health officers and dep­ month last year, 944 deaths; rate, 11.4. uties In the State. Health officers and deputies should carefully read and THE CENTRAL SANITARY SECTION, population 1,165,270; re­ file each copy for future reference. This Is very Important, for we expect to print Instructions, rules and genera! Information, which It will be ports 1,187 deaths; rate,. 11.9. In the preceding month,, necessary for officers to preserve. 1,484 deaths; rate, 14.4. In the same month last year, 1,381 deaths; rate, 14.1. CONTENTS. THE SOUTHERN SANITARY SECTION, population 676,748, re­ _ Page ports 550 deaths; rate, 9.5. In the preceding month, 700 Total Births for May 49 deaths; rate, 12.1. In the same month last year, 677 deaths; Abstract of Mortality Statistics for May 45 rate, U.S. Even Bran is Adulterated ...... 49 Summary of Morbidity and Mortality for May 50 REVIEW OF SECTIONS: The Central Sanitary Section Health Officers, Attention...... 50 presents the highest death rate, which is 0.8 higher than A Vacant Lot Cartoon 50 that for the whole State. The Northern Sanitary Section Report of Bacteriological Laboratory for May, — 51 presents the highest death rate for typhoid fever, diph­ Outfits Prepared and Sent Out During May..... 51 Patients Who Have Finished Pasteur Treatment in May 51 theria and croup, whooping cough, lobar and broncho­ Report of the Department of Food and Drugs for May. 52 pneumonia, diarrhea and enteritis, and cancer. The Central Lake County Organizes 52 Section presents the highest death rate for tuberculosis, Inspectors' Reports for the month of May 53 scarlet fever, cerebrospinal fever, influenza and external The Anti-Tuberculosis Act 53 Making Children Stupid..... 54 causes, The Southern Section presents the highest death An All Time Health Officer 54 rate for measles, puerperal septicemia and smallpox An Ingenious Cover for a Garbage Can. 54 Efficiency and Forethought at Gary —...... *...... 54 RURAL: Population 1,552,080, reports 1,348 deaths; Early Diagnosis of Tuberculosis —. 54 rate, 10.2. In the preceding month, 1,660 deaths; rate 12,5, The Destruction of Fly Larvae. 55 In the same month last year, 1,477 deaths; rate, 11.2, Washing Butter with Polluted Water 55 Count the Babies...... —...... 56 URBAN: Population 1*272,157, reports 1,321 deaths; Chart Showing Geographical Distribution of Deaths , 57 rate, 12*2, In the preceding month, 1,552 deaths; rate, 14.4, Table 1. Deaths in Indiana by Counties 58 In the same month last year, 1,525 deaths; rate, 14.4. The Table 2, Deaths in Indiana by Cities., 59 Mortality in Indiana for May 60 cities named present the following death rates: Indian­ P. S. Weather Report for May.. 60 apolis, 13.6; Evansville, 12,0; Ft Wayne, 8.5; Terre Haute* 12.1; South Bend, 10.4; Gary, 10,3; Muncie, 9.7; Hammond, 10.6; Richmond, 12.2; Anderson, 10.0; East , 12.6; TOTAL BIRTHS FOR MAYf 1915. Elkhart 16.3; Lafayette, 15.7; Michigan City, 13J; New Total births. 4,737 (stillbirths excluded) ; state rate. 22J. Albany, 14,2; Logansport, 12.2; Marion, 11,

Males, 2?450; females, 2,287. White males, 2.417: white females, 2,258, EVEN BRAN IS ADULTERATED, for says the U. S. Bureau of Chemistry "250 sacks of so-called bran remaining unsold in the original unbroken packages at Coopers- Colored births, 62; males, S3? females, 29. Stillbirths, 164; white, 161; colored. 3. town, N. Y., were seized by the U, S. authorities. The product was labeled: 100 lbs. Diamond Bran K. Guaranteed Northern Sanitary Section, population 9S2 219 reports ? f Analysis: Protein 14.50%, Carbohydrates 53.50%. Fat 1,802 births; rate, 21.6. 4.00-%. Grade fibre (not more) 10.00%. Made from Wheat Central Sanitary Section, population 1,165,270, reports 1,833 births; rate, 18.5. "Adulteration of the product was alleged in the libel for Southern Sanitary Section, population 676,74Sf reports the reason that it consisted in whole or in part of screenings, 1,102 births; rate, 19.1. weed seeds, broken bits of wheat grains, chaff, dirt, and Highest rate, Martin County, 34.8. dust and unwholesome and unit vegetable substance? and Lowest rate, Clark County, 9.7. was deleterious and injurious to health, and, adulterated Total number of births to date for 1915, 24,879. within the meaning of said act." 50 MONTHLY BULLETIN Indiana STATE BOARD OF HEALTH.

SUMMARY OF MORBIDITY AND MORTALITY vehicles 1L other crushing 3, injuries by animals 1, elec­ FOR MAY, If 15, tricity (lightning excepted) 1. fractures (cause not speci­ Pulmonary tuberculosis was reported as the most prev­ fied) 4, other external violence 3, Homicide total. 9: males alent infectious disease, The order of prevalence was as 7, females 2. Homicide by firearms 8, homicide by other follows: Pulmonary tuberculosis, tonsillitis, measles, rheu­ means 1. matism, smallpox, scarlet fever, acute bronchitis, diphtheria and croup, influenza, lobar pneumonia, chickenpox, typhoid Health OFFICERS, ATTENTION, fever, bronchial pneumonia, whooping cough, erysipelas, other forms of tuberculosis, intermittent and remittent fever, Delayed Birth and Death Certificates. malaria fever, diarrhea and enteritis, puerperal fever, Each month the statistical department receives certifi­ rabies iu human, cerebrospinal fever, cholera morbus, cates for births and deaths thai have occurred during pre­ rabies in animals, poliomyelitis. ceding months, which are not sent to this department in SMALLPOX : 268 cases in 40 counties with 1 death. The time to be tabulated with the report for the current month. following counties reported smallpox present; Blackford 4, With the report for May the following counties named be­ Clark 6, Clinton 5, Daviess 5, Delaware 74, Dubois 1, Elk­ low were delinquent in the matter: hart 4, Floyd 1, Fountain 5, Fulton i, Gibson S. Greene 2, Hamilton 10, Henry IS, Howard 4, Jackson 5, Jay 1, Knox BIRTHS. 48, Lake 3, Marion 113, Montgomery 1, Ohio 1. Pike 20, Adams 1, Allen 7 (Ft. Wayne 5), Benton 3. Boone 6 Scott 10. St. Joseph 12, Vanderburgh 7. The death oc­ (Lebanon 2), Brown 1. Carroll 1, Cass 1 (Royal Center), curred in Knox County, female, 79 years. Clark 2, Crawford 2 (Leavenworth Is, Dearborn 1 <.Au­ TUBERCULOSIS: 396 deaths, of which 340 were of the rora), Dekalb 1, Delaware lo Muncie 6. Normal 1, Selma pulmonary form and 56 other forms. Male tuberculosis 1). Dubois 1 (Huntingburg Elkhart 1 (city). Fayette 2 deaths numbered 199; females, 107. Of the males, 82 were (Connersville L E, Connersville 1). Floyd (New Albany married iu the age period IS to 40 and left 04 orphans under 1), Franklin 21. Fulton 1, Gibson 3 (Princeton 1. Ft. 12 years of age. Of the females 66 were married in the Branch 1). Grant 3 (Marion 1). Hamilton 3 (Arcadia 2K same age period as above, and left 132 orphans under 12 Harrison 3, Henry 6 (New Castle 4. I.ewisville 1), Howard years of age. Total number of orphans made in one month 1 (Greentown), Jay 2, Knox 2. Lake 6 (Hammond 2, Gary by this preventable disease, 196. Number of homes invaded, 1 for 1913). Laporte 1 (Michigan City), Lawrence 2. Madi­ 383. son 5 (Elwood 2). Miami 1 (Peru). Monroe 2 (Stinesville PNEUMONIA: 135 deaths, rate 56.2 per 100,000. In 1), Montgomery 1 (New Richmond), Morgan 1, Newton 6 the preceding month, Ml deaths; rate, 152.9, In the same (Brook 1, 1, Mt. Ayr 1), Noble 3. Parke 2 (Rose- month last year, 170 deaths; rate, 71.5, dale 1), Perry 1. Pike 2 (Petersburg 1), Porter 1, Putnam TYPHOID FEVER: 67 eases in 24 counties with 17 1, Ripley 1, Spencer 5 (Rockport 3) St. Joseph 17 (South deaths. In the preceding month, 67 cases In 26 counties, Bend 13, Mishawaka 2, Lakeville 1 for 1911). Tippecanoe with IS deaths. In the same month last year, 79 cases in 35 2 (Lafayette 1), Tipton 2, Union 2 (W. College Corner 1), , counties, with 21 deaths. Vanderburgh 10 (Evansville 7. Howell 1), Vermillion 9 DIPHTHERIA: 104 eases in 36 counties with 9 deaths. (Clinton 4, 1 for . Fairview 1), Vigo 3 (Terre In the preceding month 126 cases in 27 counties with 14 Haute 1, W. Terre Haute 1), Wabash 2, Warren 1 (Williamsport), Warrick 2. Washington 2 (Salem 1), Wayne 5 deaths. In the same month last year 137 cases in 34 (Richmond 4, White Water l», Wells 17 (Bluffton S), counties with 19 deaths. WhiteS (Wolcott 3), Whitley 1 (Columbia City). Total, 1S9. SCARLET FEVER: 226 cases in 42 counties with 4 deaths. In the preceding month 294 cases in 50 counties DEATHS. with 13 deaths. In the same month last year 315 cases in Benton'4 (Ambia 1, Boswell 1), Clark 2 (Jeffersonville 43 counties with 6 deaths. 1), Clay 1, Crawford 3 (Leavenworth 2), Dearborn 1 (Lawrenceburg), Decatur 2, Delaware 2 (Muncie). Fayette L Gib­ MEASLES: 954 cases in 46 counties with 14 deaths. In son 1, Grant 3. Hancock 1, Harrison 1 (New ), the preceding month 1,913 eases in 53 counties with 14 Henry 1, Howard 2. Jasper 1, Kosciusko 1, Lake 1 (East deaths. In the same month last year 3,045 cases in 66 Chicago), Laporte 1 (city), Marion 1 (Indianapolis). Mi­ counties with 28 deaths. ami 1 (Peru), Monroe 1 (Stinesville), Noble 2, Orange 1 PELLAGRA: 2 eases with 2 deaths; Clark County male (Paoli), Owen 1 (Spencer), Perry 2, Posey 1 (Griffin), 74 years Tippecanoe County, female 63 years. Ripley 2, St. Joseph 2 (South Bend 1, Lakeville 1), Vermil­ RABIES IN HUMAN: 12 persons bitten by rabid ani­ lion 1 (Clinton), Vigo 1, Wabash 1, Warrick 1, White 3 mals and treated by the State Board of Health during the (Wolcott 2), Whitley 1 (Columbia City). Total. 52. month of May, There were no deaths. EXTERNAL CAUSES: Total deaths, 191; males 148, fe­ males 43. Suicide total* 46; males 35, females 11. Means A VACANT LOT CARTOON in a recent issue of the Ft. of suicides, poison IS, asphyxia 1, hanging or strangulation Wayne News shows a vacant lot grown up with weeds and S, drowning 2, firearms 14, cutting or piercing instruments littered with trash of all kinds and standing by is a Good 1, crushing 2. Accidental or undefined total, 136; males 106, Citizen who says: "Places like this are an eye-sore to any females 30. Acute poisonings 2, conflagration 4, burns (con­ city," Adjoining this cartoon is the picture of a vacant flagration excepted) 11, absorption of deleterious gases lot clean, and leveled and children playing thereon with (conflagration excepted) 6, accidental drowning 4, trau­ joy upon their faces. In the comer stands the Good Citi­ matism by firearms 6, traumatism by cutting or piercing zen again and he says: "Now isn't that the proper spirit? instruments 3, traumatism by fall 29, traumatism in mines More beauty is secured and the children are given a chance 4, traumatism by machines 2, railroad accidents and in­ to get some good healthy out-door exercise." These car­ juries 27, street-car accidents and injuries 3, automobile toons speak a great lesson and will doubtless have a bene­ accidents and injuries 9, motorcycles 3, injuries by other ficial influence wherever the Ft. Wayne News is read. MONTHLY BULLETIN, INDIANA STATE BOArd OF Health. 51

REPORT OF BACTERIOLOGICAL LABORATORY, PES for gonococci— INDIANA STATE BOARD OF HEALTH* Females: FOR MAY, W5. Positive ...... ,....»•,•,•.., 9 sputum for tubercle bacilli-— Negative ...... 21 Positive Males: Negative Positive ...... „.,•„.,,.,,,.•,.•...,. 4 Urine for tubercle bacilli— Negative .,.,...,.,... 15 Negative Unsatisfactory ...... 1 Feces for tubercle bacilli— sex not given: Negative .. . Positive ...... , 4 Cow's milk for tubercle bacilli- Negative 2 Negative Pus for tubercle bacilli— Stomach contents ...... Negative Widal rests for typhoid fever— Total examinations made Positive Examinations of diphtheria cultures of potassium Negative ...... tellurtate ......

Paratyphoid tests for typhoid fever - Grand total examinations made. Negative ...... Doses of antityphoid vaccine prepared and sent out.. Throat cultures fur diphtheria bacilli— Guinea pigs inoculated for rabies— Positive Suspicious Positive 1 Negative Negative 4' Unsatisfactory ...... Guinea pigs inoculated for tuberculosis— Negative 1 Epidemic throat, cultures for diphtheria bacilli Positive Suspicious OUTFITS PREPARED AND SENT OUT DURING Negative MAY, 1915, Brains for rabies— Tuberculosis Dogs: Diphtheria .. Positive Diphtheria epidemics Negative . WIdals Cats: Blood counts Positive .,....,...... ,.,,..... Malaria Negative Gonococci ...... Cows: Negative Total number outfits .... Rotten Horse: Negative PATIENTS WHO HAVE FINISHED PASTEUR TReatMEnT THIS MONTH. Feces miscellaneous ...... MAY, 1915. Pus miscellaneous Blood for counts Finished NAME:. Town. County. Age. Sex. Treat- Treat­ blood for malaria Plasmodia— meat, ment. Positive Mr. R. Greuling. Indianapolis Marion..... Mr. W. Greuling. Indianapolis. Marion Negative pathologicaltissues — Miss Clare Greuling.. Indianapolis. Marion Clarence Clark.. Indianapolis SellersburgMarion Lexington.. . Carcinoma, : Lester Grammer...... BoswelL,. .., Clark Delia Lee Dawson — Noblesville. - Scott...... Mildred Hartley Indianapolis. Benton Carcinoma of pharynx ...... Mr.A.Godby...... Indianapolis. Hamilton. . Antonitte Parks Indianapolis Marion.... Carcinoma of stomach Ozenie Parks...... Noblesville. . Marion..... Mrs. Mary Brooks..., Marion Carcinoma of liver ...... Mr. John Davis Hamilton... William T. Pruitt . . . Boswell Benton Carcinoma of bladder ...... Thomas Osborn Lyons...... Greene..... Carcinoma of cervix ...... Louise Brier...... Attica... Fountain... Mrs. Brier Attica ...... Fountain.,. Frank Fox...... Indianapolis. Marion...,. Sarcoma : Mrs. Emma B. Wright Indianapolis. Marion Mr. A. D. Rea Indianapolis. Marion Sarcoma of eye ...... Arnold Schnepel Indianapolis. Marion Sarcoma of finger Mr.G. W.Harker.... Alfordsville.. | Daviess.... Kenneth Harker. Alfordsville.. J Daviess.... Miscellaneous Tissues ...... Mr. W. E. Sanders. .. Indianapolis. Marion,.... Lanoma Scherer Attica Fountain... James McCradie. . ,. Indianapolis Marion Urine for chemical analyses ...... 1 m MONTHly BUlleting, Indiana state board of health.

REPORT OF THE DEPARTMENT OF FOOD AND LAKE COUNTY ORGANIZES. DRUGS, INDIANA STATE BOARD OF HEALTH, The food inspectors and weights and measures officials FOR MAY, 1915. of Lake County have perfected an organization which H. E. BArnardf STATE FOOD AND DrUG COMMISSIONEr promises to do much in the interest of better foods and During the month of May but 19 reports were made of honest weight. Inspectors Tucker and Willett, finding in food analyses. Seven of the samples examined were listed the several cities in Lake County excellent laboratories and as illegal. This included four of the 7 vinegars analyzed, well organized corps of inspectors and chemists, felt that which in every case contained less than the required amount better work could be done among the large foreign popula­ of acetic acid. In this connection It is interesting to note tion If the cities joined hands, and the organization known that of 214 samples of eider vinegars sent in by the pro­ as the Lake County Food and Scale Inspectors' Association ducers* usually farmers, 163 were classed as illegal, in 137 is the outcome, Frank Hubinger of Gary was elected presi­ cases because of low acidity. When less than 25 per cent, dent and Frank J. O'Rourke, city sealer of Hammond, sec­ of the vinegars made on the farm conform to the acid strength required by law, it is evident that methods of retary; A. W. Hedrich, inspector and chemist of East Chi­ manufacture are inadequate or the vinegar is commonly cago; C. Renollett, city inspector of weights and measures sold long before it is matured,. of Gary; T. M. Porter, sanitary inspector of Gary: E. O. Twenty-nine drug samples were analyzed in May. Eight Engle, city chemist of Gary, and Demott Beach, city chemist cocoa butters conformed to the requirements. Mine miscel­ of Hammond, are members of the association and they will laneous samples submitted by physicians and interested have the co-operation of the other officials of their re­ persons were examined and in every case found to be pure. spective cities. Six samples of quinine sulphate were analyzed, and in Recommendations were made at the meetings which are each instance was found to be heavily adulterated with to be taken before the city councils by the inspectors. strychnin sulphate, the amount of strychnin varying from Frank O'Rourke was instructed to ask the Hammond City 20 to 30 per cent. These samples represent but a part of Council to abolish the fee system for inspectors which a large number sent in during the month by persons who brings but small revenue to the city and hinders the work suspected them to be wilfully adulterated with poison. A complete report of this most interesting case of attempted as it leaves the impression that the fees instead of going poisoning will be published later, to the city belong to the inspector. Sanitary inspections of stores are to be made at least once a month and all scales The State Board of Health has long felt It advisable both will be tested at least once in six months. Analysis of In the interest of the public health and wise economy to de­ milk from the producer as well as after leaving the hands termine the actual value of the many brands of antiseptics of the dealer is recommended. and disinfectants sold within the State. A department of the drug laboratory has therefore been given over to dis­ Inspector Tucker made the following recommendations infectants and is now engaged in a preliminary study of a to the members of the association: number of the better known preparations. We have asked If dirt is visible in bottles of milk the evidence without the superintendents of schools throughout the State to sub­ any analysis will be taken to a Justice of the Peace, (The mit samples of the solutions used in schoolhouses and only thing left for the dealer to do is to march up and pay schoolrooms as deodorants and disinfectants. These his fine.) samples will be analyzed to determine their phenol co­ Where substitution is made for food (such as oleo" efficient or actual value as compared with pure phenol. We for butter or "skim" milk for whole milk) restaurants must shall also study the formaldehyde content of the various so notify their patrons by placard or inform them by word types of formaldehyde generators on the market. The of mouth. data already at hand warrants, we believe, the opinion that When cereals are added to meat, often increasing its much money is spent each year in the purchase of prepara­ weight GO per cent, it is an adulteration unless the cereal tions which are of little or no value, or which while of be less than two per cent, and even then the presence of the some merit, are far less effective than represented. cereal must be declared. Food stuffs in bakeries, groceries or restaurant kitchens must be kept covered. RESULTS OF ANALYSES OF FOODS AND DRUGS DURING THE MONTH OF If dealers on streets or in stores have overripe and de­ MAY, 1915. caying food it will be confiscated. Any restaurant serving food containing benzoate of soda Number Number CLASSIFICATION. legal. Illegal. Total. will be prosecuted. soda fountain proprietors cannot dispense concoctions

FOODS. containing benzoate of soda. Maple syrup.... Milk...... Bakers using artificial coloring in jelly rolls and cakes Milk Products- must state the fact on a wrapper around each roll. "Cream.,,,, Ice cream.. And lastly, all merchants must CANDLE ALL EGGS Vinegars. for it is an offense to sell bad eggs. Total...... The action taken in Lake County may well be emulated Drugs Cocoa butters.... elsewhere. We hope the formation of the Lake County Miscellaneous... Association points the way to a state-wide association in Oil of turpentine. . Patent medicines. which food officials and inspectors and all other servants Quinine sulphate.. Whiskey...... of the people may gather each year in the interest of pub­ Totel.. lic health and honesty to study methods of work and get better acquainted with each other. MONTHLY Bulletin INDIANA STATe BOARD OF Health. S3

INSPECTORS' REPORTS FOR THE MONTH OF constructed and in addition unsanitary conditions were MAY, 1915. found at every plant condemned.

Eight hundred and sixty-eight sanitary inspections were INSPECTORS' REPORTS FOR THE MONTH OF MAY, made during the month of May. Six places were listed as excellent, 514 good, 337 fair, 11 poor and none bad. This Ho. No, No. No. is one of the best reports yet made by the inspection force. INSPECTIONS. Inspected, Excellent. Fair. While the number of places rated as fair is not as low as it ought to be, yet the fact that but eleven out of the total Dairies.,. number of places visited were In poor condition must be Grocery stores,...... Meat markets. accepted as evidence that the purpose and workings of the Drugstores...... Bakeries and confectioneries.,. Sanitary Law are now thoroughly understood by the man­ Hotels and restaurants...... Canning factories ufacturing and retail trade. Wholesale groceries,...... Of the 340 grocery stores inspected 3 were in excellent Slaughter houses...... Ice cream parlors condition, 167 were good, 169 fair and one poor. Fifty- Produce companies. Commision house — four of the 96 meat markets were in good condition. Forty Wholesale produce stores. were fair and two poor. Of the 166 drug stores visited 342 Creameries,...... Poultry houses,...... were in good condition and 24 were fair. Seventy-six of Fish markets Flour mills , the 123 bakeries and confectioneries visited were listed Brewing companies good, 46 were fair and one poor. Two of the 172 hotels Wholesale drug store...... Ice and cold storage company.. and restaurants inspected were in excellent condition, 30- were good, 37 fair and three poor. The condition of restau­ Total. rants is far from satisfactory, This is in part due to the fact that the cheaper class of restaurants frequently change NOTICES OF CONDEMNATIONS DURING THE MONTH OP MAY, 1915. hands and usually are operated by men who know little Reasons for Condemnation. about the business of preparing and serving food, and less Classification about sanitation. Fifteen of the 17 wholesale groceries Unsanitary Improper Total. Conditions. Construction. visited were rated as good, two were fair only. Other places listed during the month were canning fac­ Bakeries. Canning factories...... tories, slaughterhouses, ice cream parlors, creameries, Dairy poultry houses, flour mills, etc. Drugstores...... Groceries . During the month of May ten prosecutions were Grocery and meat markets Grocery and restaurant... brought, in all but one case because of the sale of dirty or Hotels...... adulterated milk. These cases were all brought in the city Ice cream factory...... Meat markets...... of Terre Haute. Restaurants, Thirty-nine condemnation notices were Issued during the Total.. 39 34 39 month. In thirty-four cases the buildings were improperly

LIST OF PROSECUTIONS DURING THE MONTH OF MAY, 1915.

Date COUNTY. Names and Address of Defendants. Why Prosecuted. of Final Disposition Trial.

Vigo— M. C. Anderson, Terre Haute. Selling dirty milk, Fined 121. Vigo John Coultrin Terre Haute Selling dirty milk. Fined $21 Vigo,. . J. Frye & Son, Terre Haute ... .. Milk below the standard..,.,.,.,, . Fined $21. Vigo. Kiser Brothers, Terre Haute...... , . . . * . Milk below the standard Fined $21 Vigo..... Pierce & Berry, Terre Haute Milk low in butter fat...... Fined $21 Vigo George Poulis, Terre Haute Selling watered milk...... Fined $21 Vigo Henry Stouffers, Terre Haute . Setting dirty milk,...... Fined $21- Vigo Terre Haute Pure Milk and Ice Cream Co., Terre Haute Selling dirty milk...... Fined 121 Vigo ... Charles Hemming, Terre Haute Setting adulterated and dirty milk. . Fined $21 Hamilton Guy Lloyd, Noblesville...... Selling compound whiskey not labelled Fined $20.

THE ANTI-TUBERCULOSIS ACT passed by the General declares tuberculosis to be an infectious and communicable Assembly, was introduced into the Senate while the State disease and i*n provides that "It shall be the duty of every Board of Health and the anti-tuberculosis forces of the practicing physician in this State to report the name and State were pushing the Miller bill in the House, which bill address of every person known by him to have tuberculosis was modeled after the New York law and if It had passed to the health officer of the city, town or county in which would have placed Indiana ahead of many of her sister such person resides at least five days after such fact comes States in the matter of legislation leading to the control to the knowledge of the physician." It will he noted from of the great white plague. The excellent Miller bill was the above wording that every physician must report "every defeated, and the half-baked act referred to became a law. person known by Mm to have tuberculosis4*, and further, The author of this law was a young man who became in­ that the law actually prevents physicians from reporting terested in the fight against tuberculosis, he saidP because their eases earlier than five days after they come under his father-in-law was an undertaker. His education was observation. A physician Is permitted to report after five very deficient and the frequent use of "I seen" and "I done** days but there is no limit after and therefore it would be indicated his unfamiliarity with good English. He had a perfectly lawful for him to wait twenty years if he so de­ disinfectant to sell, and his bill, immature, badly worded sired. It has been said that "Ignorance is the only sin". and imperfect in a dozen ways, was made into law. The and here we have an illustration of this saying. Other question arises—Why is It that the legislature is continually glaring faults and ignorant requirements are found in the performing in this manner? The law in question first de­ law, but why present them? 64 MONTHLY BULLETIN, INDIANA STATE BOArD OF HEALTH.

niently, it is sure to be kept covered. We hope that Dr. MAKING CHILDREN STUPID is not one of the purposes of our schools, yet It is going on all the time to no Nicodemus will be able to market his invention at a good small degree The process is frequently begun at home and profit. vigorously continued at the school At not a few "dear little red school houses** privies are non-existent, and at many which are supplied, the con­ EFFICIENCY AND FORETHOUGHT AT GARY appear ditions are a horrible disgrace to civilization. Children from the following statement printed recently in the Gary who are compelled to use horrible privies delay going as Tribune. The statement says: "In late September or early long as possible, thus inducing constipation with poison October the usual Fall Festival will be held in Gary. John absorption with all the well known results among which E. Gilroy, director of athletics in the Gary schools has stupidness is not the least. Then, again, the foul air brings suggested that the Fall Festival and Disease Prevention stupidity, for the dear little red schoolhouse" is never Day be worked together. List year 5.000 school children well ventilated in cold weather. The ever present cross- marched through the streets with banners and flags encour­ lights, too, help materially, And, how about a child being aging cleanliness and disease prevention. The procession the only one in its grade and being forced to study and re­ ended in a demonstration at the West Side Park in which cite without the stimulus of associates? Reciting alone is hundreds of children formed themselves in the letters Quite stupefying of itself. One of the first essentials for "HEALTH". A greater health demonstration is to be given child growth and mental development is pure water, and this year and it is Mr. Gilroy's idea to make the event one many district schools are scantily supplied from farm house of the attractions of the Fall Festival. The Commercial wells at a distance, or the school well has a dead rabbit Club approves the idea. or other dead animal in it and the water has a bad taste and is polluted. Owl Holler School House (an actual name) has a well, but it is dry, and the teacher carries the drinking water a full half mile. "The bucket and rusty EARLY DIAGNOSIS OF TUBERCULOSIS is absolutely battered tin cup method of watering the children*' is in essential if any cures are to be made. Dr. Lawrason use. What does it profit a child to be more or less edu­ Brown of Saranac Lake, the well known scientist and prac­ cated and in the process lose health and have illness forced tical worker in tuberculosis, says; "Anybody can diagnose upon him? consumption in the late stages after the disease has prog­ ressed to the point where there is frequent coughing, much sputum, fever, sweats and a flushed face; even a careless doctor will know it. but a diagnosis at that stage is not worth much to the sick man."' The above statement is AN ALL TIME HEALTH OFFICER presides over health absolutely correct. Dr. Brown knows what he is talking affairs in Vance County, North Carolina. His name is Dr. about. Further. Dr. Brown says: "In my opinion con­ I). C. Absher. He has been an all time officer for three sumption should be diagnosed not only before there are months. At the present time he is starting anti-typhoid bacilli in the sputum but also before the physician can vaccination dispensaries over his county. At Kittrell And any signs in the chest.'* lie contends that whenever twenty-live per cent, of the people have availed themselves a person has been exposed lo tuberculosis infection, espe­ of the free treatment. Elsewhere over the county the people cially in childhood, and who later passes through any are lining up fur the treatment before the fly and typhoid debilitating experiences and then develops a little fever, season arrives. One enthusiastic Vance County business has a little cough, fires easily, loses color and loses a man writing of the splendid results they are getting from little weight, a diagnosis of probable tuberculosis should their whole time health officer says: *TIe is a hustler. He be made, even though a physical examination shows no gives his whole time to the work and is doing great good, sign of consumption in the lungs and there is no bacilli His work is a great contrast to the old limes when the in the sputum, if there is any sputum. This probability health officer had to earn his living practicing medicine is increased if the person is ten pounds below the average and practiced disease prevention in a haphazard way." weight for height and age and if he has a pulse that is Some day Indiana will have all time health officers, and a few beats, say ten, faster than the average. From this then real public health work will he done. it is obvious that Dr. Brown puts the history and a gen­ eral sizing up of the situation above all other factors in making a diagnosis of very early singe consumption, When we find bacilli in the sputum that sign comes rattier late. AN INGENIOUS COVER FOR A GARBAGE CAN has The patient is probably doomed and it is further true that been invented by Dr. John P. Nicodemus of Logansport. symptoms are a better and more accurate guide to activity Indiana, One of these cans is in the office of the State than physical signs. Board of Health. Every one knows the liability of dogs (This classification is printed on the reverse of the Indiana pushing over garbage cans and the contents being emptied Tuberculosis Report Blanks.) on the ground. And everybody knows also how servants and careless people throw the cover upon the ground and EARLY TUBERCULOSIS. First Stage. Eminent colds. fail to cover the garbage. Dr. Nicodemus" invention pro­ Dyspeptic symptoms. Loss of appetite. Loss in weight. vides a bail in which the cover is held by a pivot and can­ Fatigue on slight exertion. Tired feeling. Not rested in not be detached from the can, yet may be lifted up and down the morning. Rapid pulse. Slight rise in temperature in and thrown to either side without the least trouble. It is the afternoon. Slight or much debilitation. Loss of color. impossible to lift the can or handle if by the bail without Morning cough sometimes present. Tubercle bacilli absent keeping it covered, yet so ingeniously constructed that a in mouth, throat and nose mucus. Consumption should be simple one-hand movement lifts the cover and throws it diagnosed before bacilli appear in the sputum ami before to one side, making tin* interior very accessible. The cover any signs appear in the chest, case is not early if even on this can cannot be detached and if the can is handled slight deviations from the normal are discovered by inspection by the bail, and it cannot be handled, any other way conve­ palpation and percussion, MONTHLY BULLETIN, INDIANA STATE BOARD OF HEALTH. 55

MODERATELY ADVANCED. Second stage. Partial, Resolved: 1. That the promotion of improved methods non-extensive consolidation, with moisture in the bronchial of disposal of human excreta at unsewered homes is one tubes throughout the infected area. No marked degree of of the most important duties of Municipal, County, State emaciation, pallor, dyspnea or cyanosis. Slight flushing of and National health officials. cheeks may bo present and moderate loss of weight. Asymmetry of upper portion of chest. Localized impairment of 2. That the only disposal methods to be recommended respiration. Kales of an explosive, crackling type and are those which prevent the conveyance—by water, foods. recognized at the end of inspiration following a cough. fingers. Hies or other agencies- of human excreta to human Tubercle bacilli present in sputum in small numbers. mouths.

ADVANCED CASES. Third Stage. Striking combina­ l\. That human excreta not previously treated so as to tion of physical signs. Emaciation, pallor, dyspnea, cyano­ be rendered free from all living pathogenic agents likely sis present. Hands thin, cold, clammy. Skin dry. harsh or to be contained in such manner should not be deposited in even scaly. Neck thin and appears unduly long. Ears the ground at any place near, and certainly not less than prominent, often waxy, bloodless and almost transparent. 200 feet from any source of water supply used by persons Eyes sharp and bright, the hair dry and lusterless. Stoop­ ing posture, general attitude of marked debility. Scapula for drinking or culinary purposes or for washing foods or conspicuous. Cough markedly present. Tubercle bacilli food containers. abundant in sputum. 4. That the places used for the disposal of human ex­ The above classification is not hard and fast. It is in­ creta in the ground should, wherever practicable, be down­ tended to be simply suggestive and helpful. hill, and never up-hill, from dwellings and from sources of water supply.

5. That at every place of human abode, and also at schools and churches, either sanitary water closets or sani­ THE DESTRUCTION OF FLY LARYaE is a very im­ portant matter. The 1". S. Department of Agriculture ad­ tary privies, should be provided, and these should be used vises the use of borax to be sprinkled around the edges of in a cleanly manner. manure piles and then watered with a sprinkling pot. Fly 0. That in advocating privies for use in the disposal of larva* cannot live in the presence of borax. The Depart­ human excreta, not only proper construction, but also proper ment of Agriculture has recently issued another bulletin in which it announces some experiments in which it is upkeep and proper use of the same and proper disposal of proven that powdered hellebore sprinkled over manure, then contents should be urged. watered with a sprinkling pot will destroy the fly larvae as 7. That in general, the only types of privy to be rec­ soon as they are hatched from the eggs. Hellebore is rec­ ommended as sanitary, are those provided with water-tight ommended above borax because it does not lessen the value of manure as a fertilizer and does not injure vegetation receptacles to receive the excreta and so constructed that regardless of the amount used. Hellebore decomposes in flies cannot have access to the excreta. the manure and does no harm except to the fly larva! it 8. That the construction and use of privies such as fly- is intended to destroy. The directions say use one-half pound of powdered hellebore mixed with 10 gallons of proof surface privies,, unscreened receptacle privies and the water to 8 bushels or ten cubic feet of manure. The mixture so-called "pit privies," which may be improvements over should be sprinkled carefully over the pile, especial atten­ existing privies in certain localities, but which can be made tion being paid to the outer edges. About one pound of to serve the purpose of sanitary privies only under certain powdered hellebore per horse per week will destroy fly conditions of location, season and soil formation, should larvae in manure. be suggested only as compromises and with a full presenta­ tion of their attendant dangers. At the Thirteenth Animal Conference of State and Terri­ torial Health Officers with the Public Health Service. Wash­ That the so-caled "pit privies" are especially un- ington, D. C, May V\. 101.", resolutions were adopted on suited for use in sections having limestone or marshy soil the Safe Disposal of Human Excreta, at Unsewered Homes. formation. These are given in full and are evidence of the importance which the Public Health officers in this country and 10. That in recommending an installation or modifica­ attach to the subject. They are in effect the same tion of privies, the principles of sanitary disposal of human that the Louisiana State Board of Health has been advo­ excreta should l»e emphasized. cating, the advice of the Board having been, first, a sewer system; next, septic tanks of the approved type; if neither is possible, sanitary privies of the Kentucky or Stiles type. It is urged also that where there are closets, night WASHING BUTTER WITH POLLUTED WATER is de­ soil should be burned and that the condition of the closets c-lured against, by Dr. G. W. Eddingfield of New Boss. He should be considered a community responsibility. says: I wish to call your attention to tile fact that very frequently butter is washed with water from polluted wells. Resolutions presented TO THE Thirtheenth annual cONference of state and territorialHEALT H OFFICERS Doubtless by this means disease may be transmitted. Not WITH THK Public Health ServiceWASH­ a little of the country butter I buy has a flavor or taste INGTON. D.C. on , 1915 that Is foreign to it and I suspect that frequently this Whereas Much preventable disease in the United states foreign flavor or taste is due to the use of polluted water," results from insanitary disposal of human excreta in our Dr. Eddingfield recommends that an order or rule be passed rural districts, therefore be it by the State Board of Health in regard to this matter. MONTHLY BULLetin, INDIANA STATe BOArD OF health.

COUNT THE BABIES

BIRTH CERTIficate

IMPORTANT: REGISTER EVERY BIRTH WITH YOUR HEALTH OFFICER. MONTHLY BULLETIN, INDIANA STATE BOARd OF HEALTH.

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

NORTHERN SANITARY SECTION. Total population , 982,219 Total deaths 932 Death rate per 1,000,. 11.1 Pulmonary Tuberculosis, rate per 100.000 95.9 Other forms of Tuberculosis, rate per 100,000 20,3 Typhoid Fever, rate per 100,000 10.7 Diphtheria and Croup, rate per 100,000...... 7.1 Scarlet Fever, rate per 100,000. Measles, rate per 100,000, , 4J Whooping Cough, rate per 100,000 13.1 Lobar and Broncho-Pneumonia, rate per 100,000 71.9 Diarrhoea and Enteritis (under 2 years), rate per 100.000 27.5 Cerebro-Spinal Fever, rate per 100,000 1.1 Acute Anterior Poliomyelitis, rate per 100,000 Influenza, rate per 100,000 8.3 Puerperal Septicemia, rate per 100,000. — 5.9 Cancer, rate per 100,000. 82.6 External causes rate per 100,000, ...... 82-6 Smallpox, rate per 100,000,

CENTRAL SANITARY SECTION. Total population. 1,165,270 Total deaths 1.187 Death rate per 1,000. 11,9 Pulmonary Tuberculosis, rate per 100,000 170.6 Other forms of Tuberculosis, rate per 100,000 30.3 Typhoid Fever, rate per 100,000. 7.0 Diphtheria and Croup, rate per 100,000 1.0 Scarlet Fever, rate per 100,000 4.0 Measles, rate per 100,000.... 4.0 Whooping Cough, rate per 100,000 6.0 Lobar ami Broncho Pneumonia, rate per 100,000,...... 49.4 Diarrhoea and Enteritis (under 2 years), rate per 100,000 13 J Cerebro-Spinal Fever, rate per 100,000 , 3.0 Acute Anterior Poliomyelitis, rate per 100,000...... Influenza, rate per 100,000 11.1 Puerperal Septicemia, rate per 100,000. 4,0 Cancer, rate per 100,000 S1.S External causes, rate per 100,000. 84.S Smallpox, rate per 100,000 ..

SOUTHERN SANITARY SECTION. Total population 676,748 Total deaths 550 Death rate per 1.000 9.5 Pulmonary Tuberculosis, rate per 100,000 153.3 Other forms of Tuberculosis, rate per 100,000,,,, 15,6 Typhoid Fever, rate per 103,000 1.7 Diphtheria and Croup, rate per 100.00J, .... 3.4 Scarlet Fever, rate per 100,000 Measles, rate per 100,000 10.4 Whooping Cough, rate per 100,000...... Lobar and Broncho-Pneumonia, rate per 100,000 45.2 Diarrhoea and Enteritis (under 2} rate per 100,000 13.9 Cerebro-Spinal Fever, rate per 100,000 Acute Anterior Poliomyelitis, rate per 100,000 Influenza, rate per 100,000 8.7 Puerperal Septicemia, rate per 100,000, 6.9 Cancer, rate per 100,000 55,6 External causes', rate per 100*000...... 66.1 Smallpox, rate per 100.000 ..... 1.7 INDIANA. TABLE 1. Deaths In Indiana by Counties During the Month of May, 1915. (Stillbirths occluded.)

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

Population Esti­ STATS AMD mated, COUNTIES. 1915. Date . Yea r 1914 to Sam e Data . Sam e Date , Rat e fo r Yea 1914 t o 1 to 4 lnclusive , May , 1914) . Externa l Causes , Tota l Death s Reporte d fo r May . 1914 Unde r 1 Year . Othe r Form s o f Tuberculosis Typhoi d Fever , Acut e Anterio r Poliomyelitis , Cancer , 10 to 1 4 Inclusive 15 to 19 Inclusive Pulmonar y Tuberculosis . 5 t o 9 inclusive. Smallpox . 6 5 Years and ove r ! ; Rat e fo r Yea 191 4 t o i Tota l Death s Reparte d for I May , 1915 . | Tota l Death s Repotte d fo r j . j Tota l Death s Reporte d fo r j th e Yea r 191 5 to Date . 1 Tota l Death s Reporte d for Death s i n Institutions. J April . 1915 | Puerpera l Septicemia . | Diarrhoe a an d Enteriti s (unde r 2 years) . | Influenza . | Measles , loba r an d Broncho - Pneumonia . | Death s o f non resi dents . Diphtheri a an d Croup . j Scarle t Fever . whoopin g Cough . | Cerebrospina l Fever . State of Indiana Northern Counties..., Adams...... Alia...... Benton...,...... Blackford...... Carroll.,...... CASS...... Dekalb...... Elkhart...... Fulton...... : Grant,....,...... , Howard...... , Huntington.... Jasper ...... Jay ...... Kosciusko...... Lagrange...... j lake...,...... ! Laporte ...... i Marshall...... I Miami...... ,.. \ Newton...... J Noble...... Porter...... Pulaski...... Starke...... ' Steuben . ' St Joseph ....,, Wabash...... ; Wells...... ! White...... ! Whitley ,. j Central Counties.. , J

Bartholomew...... j Boone...... i Brown I Clay..,. ..j Clinton Decatur...... -.] Delaware..,,,,,. , Fayette...... Fountain Franklin Hamilton Hancock.,,.,..... Hendricks...... Henry,...... j Johnson ,,.... j Madison Marion., Monroe...... Montgomery.... Morgan.,,...,,.., Owen Parke Putnam.. Randolph...... Rush,.,...... ,.. Shelby...... J Tippecanoe Tipton. Union Vermillion...... Vigo,...... Warren...... Wayne ,. Southern Counties....

Clark,,.,.,.,.,.,, Crawford...... Daviess j Dearborn...... Dubois.. Floyd Gibson,,...,,...,. Greene.,...... Humsoft...... Jackson...... j Jefferson...... Jennings,...... Knox...... Lawrence...... Martin...... Ohio...... Orange...... Perry...... Pike Posey...... Ripley...... Scott...... Spencer...... Sullivan.... Switzerland.. Vanderburgh Warrick...... Washington...

Urban...... 1 Rural,,,; 1 TABLE 2. Deaths in Indiana by Cities During the Month of May, 1915. (Stillbirths excluded.)

Annual Death Rate Per 1.000 Population. Important Ages. Deaths from Important Causes.

Popu­ lation, CITIES. Esti­ mated, 1915. non residents. j Date . May , 1915 . myelitis , I May , 1914 . Rat e fo r Yea 191 4 t o Unde r 1 Year . 1 t o 4 Inclusive . 1 0 t o 4 Inclusive . Loba r an d Broncho - 5 t o 9 Inclusive . 1 5 to 19 Inclusive . Diphtheri a and Croup . Measles . Whoopin g Cough . 65 Year s an d Over . Othe r Form s o f Tuberculosis Cerebrospina l Fever , Influenza I Puerpera l Septicemia . | Death s i n Institutions . Tota l Death s Reporte d fo r j Tota l Death s Reporte d fo r | Typhoi d Fever . Scarle t Fever . Externa l Causes . Tota l Death s Reporte d fo r Diarrhoe a an d Enteriti s (unde r 2 years) . 1 Sam e Date . J Tota l Death s Reporte d fo r | Yea r 191 4 t o Sam e Date . j th e Yea r 1915 t o Date . | May , 1015 . | May , 1914 . i Tota l Death s Reporte d Fo r ] April , 1015 . | April , 1915 . 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 Smith Bend Cities of the Third Class. Population 20,000 to 45,000... Gary v Muncie Hammond Richmond...... Anderson...... East Chicago...... Elkhart..."...... Lafayette.._ Michigan City. New Albany...... Logansport Marion ... . Cities of the Fourth Class Population 10,000 to 20,000... Kokomo, Vincennes Mishawaka Peru Laporte Elwood Huntington. Crawfordsville Shelbyville Jeffersonville...... Newcastle Cities of the Fifth Class. Population under 10,000.... . ;...... ' Bloomington Bedford Frankfort Columbus Goshen Wabash Connersville Washington Whiting Clinton...... Valparaiso Linton...... Madison Princeton - Hartford City J Seymour Lebanon I Mt. Vernon | Kendallville | Greensburg Portland | Bluffton | Noblesville | Alexandria...... \ Rushville j Martinsville I Aurora Franklin ...... j Warsaw...... Decatur...... Sullivan Winchester Greenfield Boonville Garrett Tipton...... Auburn I Mitchell..... j Lawrenceburg...... j Plymouth...... Greencastle...... ! Tell City...... j Columbia City. Attica... Union City | Rochester I Jason ville j Gas City i Dunkirk ! North Vernon Bicknell. Angola, — Montpelier Rockport | Crown Point j Huntingburg... | Loogootee i Batesviile | Rensselaer I Monticello j Ligomer \ Delphi...... j Cannelton- | Covington.. — .. J Better I Veedersburg j Rising Sun ! Vevay...... f I No deaths. Mortality of Indiana for May, 1915. Stillbirths excluded.)

Annual Death Rate per1,000 Important Ages. Population.

POPULATION BY Cider 1. 1 to 4 5 to 9. 10 to 14. 15 to 19. 65 and over GeOgRAPhICAL Population sections anD Estimated 1915 as URBAN AND 1915 , 191 5 t o Data , 191 4 to Sam e Date . 1915 . Date . Sam e Date . Pe r Cent . Tota l Death s reported for April , Pe r Cent . Number . Number . Tota l Death s Reporte d for May , Tota l Death s Exporte d for May , Tota l Death s reporte d for Yea r May , 1915. April , 1915 . May . 1914 Rat e fo r Yea 1915 to Number . Pe r Cent . Number . Pe r Cent . Tota l Death s Reporte d for Yea r Ratefo r Yea 191 4 to Number , | Pe r Cent . i Number . 1 Pe r Cent . 1 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 Other Diph­ and and Cerebro­ Puer­ Forma Typhoid theria Scarlet Broncho- spinal Anterior peral Small­ poPUlaTION BY Tuberculosis. Measles. Enteritis Polio- Cancer. External geographical sections Tuberculosis. Fever. and Fever. Whooping Pneumoniacough.. (Under Fever. Influenza.Septi ­ Causes. pox. AND Group. 2 Years.) myelitis cemia. AS URBAN AND RURAL, Deat h Hate . Number . Number . Number . Deat h Rate . Deat h Rate . Number . Number . Number . Number . i Number . J Number . i Deat h Rate , I Number . I Number . I Deat h Rate . I Deat h Rate . [ Number . I Number . | Deat h Bate . I Number , I Deat h Bate. . | Deat h Rate , I Deat h Rate . I Number . I Deat h Rate . I Deat h Rate . I Deat h Rate . I Deat h Rate . j Deat h late . I Number . 1 Deat h Rate . State...... Northern Counties— - Central Counties Southern Counties..... AH Cities.. Over 100,000...... 45,000 to 100,000.... 20,000 to 45,000.,..,. 10,000 to 20,000...... Under 10,000.... Country.

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

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

TEMPERATURE IN DEGREES FAHRENHEIT.

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

Vincennes. Auburn

PRECIPITATION—IN INCHES AND HUNDREDTHS.

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

Princeton Connersville.