5. Measles... 6. Scarlet Fever.. Whooping Cough. 3. Diphtheria and Croup.. 9. Influenza...... 12. Other Epidemic) Diseases... 13. Tuberculosis Pulmonalis. 14. Tuberculous Men- 15. Other forms of 18. Apoplexy, Soften- 20. Acute Bronchitis.. 21. Chronic Bronchitis. 22. Pneumonia (ex-) cluding Broncho Pneumonia)..... 22a. Broncho Pneumonia Respira23. Other tory Diseases.. 24. Diseases of the) Stomach (Cancer excepted)... 25. Diarrhoeal diseases (under 5 years) 26. Appendicitis and Typhilitis.... 8 10 20 19 592 209 13 w: ::: .00 4 14 71 76 :: I 3 155 11 6 16 3 5 18 16 1 3 69 60 34 30 10 2 2 1 4 *If the deaths under one month, numbering 85, from all causes, be deducted from the total deaths under one year, the resultant rate will be 48 deaths of Infants per 1,000 births, (weekly average of 1912) Boroughs. Corrected Mortality Among Children. Week Ending June 21, 1913. Manhattan.. Brooklyn.... 75 49. 3.8 20.6 13.1 2.6 8 19 356 32.5 Includes Small Pox, Measles, Scarlet Fever, Diphtheria and Whooping Cough. Deaths According to Cause, Annual Rate per 1,000 and Age, with Meteorology and Number of Deaths in Public Institutions for 14 Weeks. Mar. Mar. Apr. Apr. Apr. | Apr. May May May May May June June June 17. 24 31. 7. 14. Total deaths.. 1,685 1,660 1,512 1,460 1,567 1,677 1,532 1,543 1,531 1,572 1.323 1,447 1,303 1.370 Annual death ture (Fahr- 46 4° 50.9 50.3 44.7 53.9° 58.6 64.3° 58 7° 55.9° 60 7° 61.3° 69.1° 65.° 72.9' Inches of rain or snow.... Mean tempera 1 DIRECTORY OF THE DEPARTMENT OF HEALTH OFFICES Headquarters: S. W. Corner Centre and Walker Streets, Borough of Manhattan Borough of The Bronx, 3731 Third Avenue. Telephone, 1975 Tremont. . Telephone, 1200 Jamaica. Office Hours-9 a.m. to 5 p.m.; Saturdays, 9 a.m. to 12 m. HOSPITALS FOR CONTAGIOUS DISEASES Manhattan-Willard Parker Hospital, foot of East 16th Street. Telephone, 1600 Stuyvesant. Diagnosis Laboratory, Centre and Walker Streets. Telephone, 6280 Franklin. CLINICS FOR SCHOOL CHILDREN Hours: 2-5 p. m. Saturdays, 9-12 m. Manhattan-Gouverneur Slip. Telephone, 2916 Orchard. Pleasant Avenue and 118th Street. Telephone, 972 Harlem. P. S. 144 Hester and Allen Streets. Telephone, 5960 Orchard. 1249 Herkimer Street. Telephone, 2684 East New York. The Bronx-580 East 169th Street. Telephone, 2558 Tremont. Richmond-689 Bay Street. (Dental only). Telephone, 686 W. Tompkinsville. Manhattan-Centre and Walker Streets. Week days, 9 to 10 a.m. TUBERCULOSIS CLINICS Manhattan-West Side Clinic, 307 West 33d Street. Telephone, 3171 Murray Hill. Harlem Italian Clinic, 420 East 116th Street. Telephone, 2375 Harlem. Southern Italian Clinic, 22 Van Dam Street. Telephone, 412 Spring. Day Camp, Ferryboat Middletown," foot of East 91st Street. Telephone, 2957 Lenox. The Bronx-Northern Clinic, St. Pauls Place and Third Avenue. Telephone, 1975 Tremont. Southern Clinic, 493 East 139th Street. Telephone, 5702 Melrose. Brooklyn-Main Clinic, Fleet and Willoughby Streets. Telephone, 4720 Main. Germantown Clinic, 55 Sumner Avenue. Telephone, 3228 Williamsburg. Brownsville Clinic, 64 Pennsylvania Avenue. Telephone, 2732 East New York. Eastern District Clinic, 306 South 5th Street, Williamsburg. Telephone, 1293 Williamsburg. Queens Jamaica Clinic, 10 Union Avenue, Jamaica. Telephone. 1386 Jamaica. Richmond-Richmond Clinic, Bay and Elizabeth Streets, Stapleton. Telephone, 1558 Tompkinsville. SANATORIUM FOR TUBERCULOSIS Otisville, Orange County, N. Y. (via Erie Railroad from Jersey City). Telephone, 13 Otisville. TUBERCULOSIS HOSPITAL ADMISSION BUREAU Maintained by the Department of Health, the Department of Public Charities, and Bellevue and Allied Hospitals, 426 First Avenue. Telephone, 8667 Madison Square. Hours 9 a.m. to 5 p.m. M. B. BROWN PRINTING & BINDING CO. 49 TO 57 PARK PLACE, NEW YORK 522-F-18 (B) 2000 All communications relating to the publications of the Department of Health should be addressed to the Commissioner of Health, 149 Centre Street, New York Entered as second class matter May 7, 1913, at the post office at New York, N. Y., NEW SERIES. VOL. II. JUNE 28, 1913. No. 26 SOME RESULTS OF IMMUNIZATION AGAINST TYPHOID FEVER. From January 1 to June 15, 1913, the cases of typhoid fever in New York City have been fewer in number than during the corresponding period for many previous In 1912, the total number of cases was greatly below that of previous years, but the total for 1913 promises to exhibit even fewer cases. The following figures compare corresponding periods of the two years: years. Reported cases (January 1 to June 15) Five-Year 1912. 1913. Average. 809 419 729.8 Since January 1, 1913, the Department of Health has offered to supply free of charge, to physicians attending cases of typhoid fever, the anti-typhoid vaccine to be used for the protection of the other members of the patient's family. Not infrequently, however, the family physician does not avail himself of this offer, and will not even permit immunization to be performed by the Department. On this account immunization has not been performed in about 58 per cent. of the cases of typhoid fever reported, and this, in spite of the fact that with the systematic immunization of all persons exposed, practically no secondary cases would occur. In the experience of the Department, the few persons immunized, who have subsequently developed the disease, were already infected at the time of immunization, the disease not clearly manifesting itself until later, and none of these cases exhibited the severity of the average case of typhoid fever. On the other hand, numerous instances have occurred where immunization was declined, and the disease was later contracted in its worst form. The Department has on record 900 immunizations performed since January 1, 1913. During the first four weeks 75 were performed; during the second four weeks, 132; during the third, 167; during the tourth, 185, and during the sixth period of four weeks, 171. It will thus be seen that, speaking generally, immunization is growing in popularity, the slight decline in the last period being due to emergency work which urgently required the employment of some of the Inspectors in other fields. Immunization is performed by means of three injections. a week apart, and during the period mentioned, about 2.700 injections were made. and in some cases immunization is not yet completed. The injections are not very painful. Some slight indisposition may follow, lasting twenty-four, or, occasionally, |