HEALTH IS NATURAL, DISEASE IS UNNATURAL. MONTHLY BULLETIN Indiana State Board of health Entered as second-class matter at the indianapolis Postoffice,] INDIANAPOLIS, OCTOBER, 1914. NUMBER 10 VOLUME XVII. 25 Cents a Year T. HenrY DAVIS. M. D., President .............. ............ Richmond. ABSTRACT OF MORTALITY STATISTICS JAMES S. BOYER8. M. D., VlCe-PReSIDeNT.... ....... Decatur. FOR OCTOBER, 1914 .!. L. FrEELAND, 31. D. ....Indianapolis. H. H. SUTTON, M. D Aurora. Total number of deaths, 2,736; rate.. U.S. In the pre­ J. N. HURTY, M, D.. pHAR. D„ Secretary . Indianapolis. ceding month, 2,713 deaths: rate. 11.8. In the same month last year, 2.S33 deaths; rate 12, Deaths by important ages WM. f. KING. M. D Asst. SECRETARY AND EPIDEMIOLOGIST. were: Under one year of age. 448, or 16.3 per cent of total: J. L.ANDERSON - .CHIEF CLERK. CHAs, A. CARTER. M.d statistician 1 to 4. 184: 5 to 0, 00; 10 to 14, 41 ; 15 to 10, 55; 05 and WM. SHIMER, AB.J. D........ Supt. BACTERIOLOGICAL LABORATORY. ADA E. SCHWEITZER, M. D....... ........ASSISTANT BACTERIOLOGIST. over, S61, or 31.4 per cent, of total. W. V. BOYLE. M. D..... ASST. PATHOLOGIST. H. E. BARNARD B. s .STATE FOOD AND DRUG COMMISSIONER AND CHEMIST. SANITARY SECTIONS: THE NORTHERN SANITARY SEC­ H. E. BISHOP. B. S .... ASSISTANT CHEMIST. TION, population 972,129. reports 985 deaths; rate, 11.4. In JOHN C. DIGgs • .... ........ ENGInEER AND WATER chemist. WILL H. McABEE.. ••••••\ ....DRUG CHEMIST. the preceding month, 914 deaths; rate, 11.4. In the same R. L. SACKETT, C. E •••••• •• • SANITARY ENGINEER. month last year, 920 deaths; rate. 11,4. THE CENTRAL SANITARY SECTION, population 1,152,277, re­ The MONTHLY BULLETIN will be sent to all health officers and dep­ uties In the State. Health officers and deputies should carefully read and ports 1,212 deaths; rate 12.3. In the preceding month, file each copy for future reference. This is very Important for we expect 1,187 deaths: rate, 12.8. In the same month last year. to print instructions, rules and general information, which it will be necessary tor officers to preserve. 1,138 deaths; rate 12. THE SOUTHERN SANITARY SECTION, population 672,551, re­ ports 5S9 deaths; rate 10.3. In the preceding month, 012 CONTENTS, deaths; rate 11. In the same month last year. 075 deaths: rate, 12.2. Page REVIEW OF SECTIONS; The highest death rate oc­ Births for October. 1914 109 curred in the Central Section 12.3. It is 0.7 higher than Abstract of Mortality Statistics for October 109 Summary of Morbidity and Mortality for October.................... 109 the rate for the whole State. The Central Sanitary Sec­ Report of the Department of Food and Drills for October........... 110 tion presents the highest death rate for tuberculosis, diph­ Inspectors' Reports for October... 110 theria, pneumonia, diarrhea and enteritis under 2 years, Report of Bacteriological Laboratory for October ill influenza, cancer and external causes. A Model Monthly Health Report 112 Patients Who Have Taken Pasteur Treatment in October...... —. 112 RURAL: Population, 1.550,^42, reports 1,290 deaths; Mrs. Goforth 112 rate 9.8. In the preceding month, 1,343 deaths; rate, 10.2. The Necessity for Efficient, Properly Paid, All-Time Health In the same month last year, 1,290; rate. 10.1. Officers. •• 113 Sleepy Town...... 113 URBAN: Population. 1,240,815, reports 1,110 deaths; Government Expenses ..,,..... —.................. 113 rate, 13.6, In the preceding month, 1,365 deaths; rate, 13,3. The Health Side Show 114 Canneries, Good and Bad..... — —....... 114 In the same month last year, 1,437; rate 14.3, The cities Not Reported 118 named show the following death rates: Indianapolis, 1G.1; Chart Showing- Geographical Distribution of Deaths.. .,— 117 Evansville, 12.2: Fort Wayne. 13.1; Terre Haute, 13.7; Table 1. Deaths in Indiana by Counties 118 South Bend. 14.7; Gary, 11.4: Muncie, 10.8; Richmond, 13.4; Table 2. Deaths in Indiana by Cities... —........................... 119 Mortality of Indiana for October 120 Hammond, 12; Anderson. 13.2; E. Chicago, 11.8; LaFayette. U. S. Weather Report for October. 120 15.9; New Albany, 13.7: Elkhart, 9.1; Michigan City, 12.7. BIRTHS FOR OCTOBER, 1914. SUMMARY OF MORBIDITY AND MORTALITY FOR OCTOBER, 1914, Total births, 4f9SS (stillbirths excluded), State rate, 21,0, Males, 2.599; females, 2,389. Typhoid fever, as in the three preceding months, was re­ White males, 2,560; white females, 2,300. ported as the most prevalent disease. The order of preval­ Colored births. 62; males. 39; females. 23. ence for the month was as follows: Typhoid Fever (En­ Stillbirths, 164: white, 102; colored, 2. teric), Scarlet Fever, Diphtheria and Croup, Tonsilitis, Northern Sanitary Section, population 972,12?>. reports Acute Rheumatism, Pulmonary Tuberculosis, Acute Bron­ 1.931 births: rate 23,3. chitis, Diarrhea and Enteritis, Smallpox, Malaria Fever, In­ Central Sanitary Section, population 1,152,277. reports fluenza, Measles, Chickenpox, Dysentery. Intermittent and 1.S60 births: rate 19,0. Remittent Fever, other forms of Tuberculosis, Bronchial Southern Sanitary Section, population 072,551. reports Pneumonia. Whooping Cough Lobar Pneumonia. Cholera 1,197 births: rate 3.9. Morbus- Poliomyelitis, Erysipelas, Puerperal Fever, Cerebro­ Highest rate. Lake County, 37.9. spinal Fever. Rabies In Human, Rabies in Animals, Lowest rate. Newton County, 112*1 SMALLPOX : 232 cases in 23 counties with no deaths. Total births to date for 1914—51.SS2. In the preceding month, 140 eases in 24 counties with no 110 MONTHLY BULLETIN, iNdIAnA STATE BOArD OF HEALTH, deaths. In the same month last year, 12<» cases.< in 21 REPORT OF THE DEPARTMENT OF FOOD AND counties with 4 deaths. The disease appeared this DRUGS, INDIANA STATE BOARD OF HEALTH, month in the following counties: Allen. 1.1 «-;i>e> : Blackford FOR OCTOBER, W4. 1.1; Clark T: Clinton r»: Delaware 47: Floyd 1: Foun­ H.E. Barnard State FOOD anD drug commissioner, tain .1: Gibson i\; Hancock 1: Harrison .">: Howard 1: Jef­ ferson 2.1; Johnson 2; Knox 17: Lake 4*»; Marion 1: Mar­ During the month of october special work in connection shall 1; Owen 1: Parke 1; Pike 1: Porter 22: Shelby 1: with the foot and mouth epidemic occupied much of the Washington 1. time of the laboratories. Pot 40 samples of food were an­ Tuberculosis: 2]*J1 deaths, oi which 222 were of the alyzed, and of fills number »M were reported as legal : twi> pulmonary form, and .11* other forms. The male tuberculo­ maple syrups were found to contain an excess of moisture: sis deaths numbered 14-1: females. 14*J. Of the males, 22 two vinegar samples were low in acid content : 4 honeys were married in the age period of l,s to 40 and left 44 sent in on suspicion proved to he genuine. orphans. Of rile females, 4«i were married in the same aire of the L" drug samples analyzed all were pure and properly labeled, period and left iw.» orphans'. Total orphans under 12 years of age made in one month hy this preventable disease. VM, Number of homes invaded. 27*1. RESULTS OF ANALYSES OF FOODS AND DRUG? during THe MONTH OF OCTOBER, 1914, Pneumonia: *4 deaths: rate 21.2, In the preceding _____ month. .is deaths: rate 2.1.2. In the same month last year. Number number Total 121 deaths: rate .1J.4. CLASSIFICATION. Illegal j DIPHTHERIA: .1S1 cases reported in 14 counties with -__ lit) deaths. In the preceding month. 240 eases in 47 counties Foods with 28 deaths. In the same month last year. 727 eases in (JO counties with t'»1 deaths. Orange cider, Tea. .. TYPHOID FEVER: 414 eases in <><> counties with 7.1 Apple batter.. Canned gooseberries: deaths, In the preceding month, 222 eases in *>2 counties Honey ...... with 70 deaths, In the same month last year. 4SU eases in Maple syrup... sugar 00 counties with 12f> deaths. Meat Products Meat SCARLET FEVER: Mil eases in 10 counties' with s Sausage.. Milk ProductsButter. , . deaths. In the preceding month, 14S eases in ot> counties with Milk . (J deaths. In the same month last year. 4K:j eases in 02 vinegar counties with II deaths. Total . ,* MEASLES: 122 eases in 2;* counties with 4 deaths. In drugs. She preceding month, 42, eases in 12 counties with no deaths. Alcohol... ,. , . oilss_ POLIOMYELITIS: II cases in 7 counties with 2 deaths. Linseed oil., Olive oil.,, In the preceding month, 1 cases in «! counties with .1 deaths. Oil peppermint In the same month last year. 14 eases in S counties with 4 Oil turpentine Silver nitrate,..,.,. deaths. The deaths tins month occurred in Lawrence coun­ Miscellaneous.. ty, l male 1 year old: Lake county. 1 female 2 years old: Total , . Posey county, 1 male 1 year old. EXTERNAL CauSES: Total deaths. 22o: males UK!: females 14. suicide total, 47: males, 32.: females, 14. INSPECTORS REPORTS FOR THE MONTH OF Means of suicide— poison, 10: asphyxia. 1: hanging or OCTOBER, 1914. strangulation. 7: drowning, 2: firearms, Hi; cutting or piercingA seriou s ouinstrumentst break of , the1 : so-callecrushingd foo. 1t . anAccidentald mouth diseasor eUndefined Total. 172: males. 12i>: females, .",'i. Poisoning hy food, 2; appeared in St. Joseph and Laporte Counties early in Oc­ other acute poisonings, 11; conflagration. ,1: burnstobe (conflagrationr and made it necessar excepted)y , to10 concentrat: ahsorptioe thn e oworf deleteriouk of the s gases (conflagration excepted). 12: accidental drowning. .1: trau­ inspection force in northern Indiana, where it was able to do excellent service in organizing the force necessary to matism by firearms, .1; traumatism by cutting or piercing control the epidemic. On account of this service hut 100 instruments.