Corrected Mortality Among Children, Week Ending September 13, 1913. Includes Sniall 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. Week Ending- June June June July July July July Aug. Aug. | Aug. Aug. Aug. Sept Sept. 16 23 30 14. 21. 28. 5. 12. 19 26. 2 9 6 13. Total deaths.... 1.303 1,370 1,182 1,291 1,270 1,250 1,249 1,310 1,390 1,250 1.324 1,274 1,253 1,184 10 2 2 4 4 12 9 16 14 12 18 16 I I I 2 4 2 Mean barometer. 30.00 29 89 29.89 29.89 29.76 29.80 29.88 29.93 29.91 29.99 29.99 29.86 30.06 30.01 Mean humidity.. 57.9 63 4 Inches of rain or snow.. Mean tempera 73.9 65.4 60. 59. 61. 171. 68 00 65 4 62. 69.3 83. 62.7 1.34in .08in .67in .63in .45 in. 1.17 in 3.64in 1.08in o.13in .49in .181n 4.15in) .47in ture (Fahr-65. 72.9° 73 4° 79.° 73.6° 75.9° 75.° 77.3 74.9 72.9 751 72 7° 71.9° 64.9° enheit)..... 90.° 93.87.° 95. 91.0 90. 88. 95." 90. 95. 94.9 184. 84. 86. perature 49. 59. 62. (Fahrenheit) 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. Office Hours-9 a.m. to 5 p.m.; Saturdays, 9 a.m. to 12 m. Telephone, 1600 Stuyvesant. Manhattan-Willard Parker Hospital, foot of East 16th Street. Diagnosis Laboratory, Centre and Walker Streets. Telephone, 6280 Franklin. Drug Laboratory. Foot of East Sixteenth Street. Telephone, 1600 Stuyvesant. INFANTS' MILK STATIONS CLINICS FOR SCHOOL CHILDREN 2. 1354 Webster Avenue. Richmond-1. 689 Bay Street, Stapleton, S. I. 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, 3471 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 522-1-13 (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. SEPTEMBER 20, 1913. No. 38 THE PRESENT LOCALIZED EPIDEMIC OF TYPHOID FEVER. A Preliminary Report. As is well known by almost every one at the present time, typhoid fever is contracted in but one way, namely, by swallowing the bacillus that is the cause of the disease. This takes place through the medium of infected milk, infected food, or infected water, or by direct contact with other cases. Infection by means of polluted water usually takes place in country districts during the summer, and the disease is thus contracted by persons who are on their annual vacation and who frequently exhibit their first symptoms upon their return to the city. An equally fertile source of the disease is contaminated milk. For a number of years, at no time as energetically as at the present, the department has endeavored to render the milk supply of the city innocuous, and during the year 1912 and the first half of 1913 typhoid fever showed a marked decrease in the number of its cases, accompanying which was a decrease also in the percentage of deaths. It would seem probable that this decrease has been very largely due to the rigid inspection by the department of the out-of-town dairies and creameries from which milk is shipped, to the inspec tion in the city of the premises upon which it is sold, and to the enforcement of pasteurization of most of the milk supply. Certain milk, conforming to a high standard and produced under special conditions, is not at present submitted to the pasteurizing process. On September 3, several unreported cases of typhoid fever in E. 21st st. were discovered by the department. Other foci of the disease developed in the middle Manhattan, eastern section, below 40th st., and also in the lower East Side. Up to ani including September 19 the total number of cases in the infected district amounted to 185. Many were in public hospitals and had not been reported to the Department of Health by those institutions. The milk supply as the source of infection was instantly suspected. Cases contracted in the country would not occur as a localized epidemic, contact cases are relatively few in number, and as a source of infection the Croton water supply is a negligible quantity. Upon investigation it was found that most of the families in which these cases occurred had been supplied by one milk company in this city. The milk company was notified immediately that the suspected milk would either have to be properly pasteurized or it would be excluded |