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 the Times ........................ 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 Chicago, 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.