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Corrected Mortality Among Children, Week Ending January 25, 1913.
Under 1 Year of Age.

Under 5 Years of Age.
Diarrhæal Diseases.

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Rate per
1,000 Births.

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1,000 Living.

Diseases.
Diarrhæal

Rate per 1,000

Living

Diseases. *Epidemic

Rate per

1,000 Living

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• 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.

Week Ending

Oct. Nov. Nov. Nov. Nov. Nov. Dec. Dec. Dec. Dec. Jan. Jan. Jan. Jan.
26. 2. 9.
16. 23. 30. 7. I. 21. 28 + II. 18.

25.

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Total deaths... 1,238 1,149 1,302 1,216 1,354 1,251 1,420 1,333 1,481 1,403 1,519 1,512 1,546 1,461 Annual deathrate.....

12.48 11.55 13.13 12.26 13.65 12.62 14.32 13.44 14.93 14.15 14.75 14.68 15.01 14.19 Typhoid fever.. 14 14 5 14 9 12

5 6 7 3 4
Malarial Fevers.
Small-pox
Measles
Scarlet Fever ..

}
2

14 Whooping Cough 4

4 3 Diphtheria and

15 Croup.....)

17
26 22 19 30 27 26

26

25 25 Influenza ....... 3 +

4

5 5

6
16 17 14

13 Cerebro-Spinal Meningitis.

9
1 I

3

6

7 Tuberculosis

122 Pulmonalis 123 135 140 163 152 166

153 175

147
176

171 180 Other Tubercu

26

13 lous...

33 18
27
25 II

16
23
26 17 28

24 Acute Bronchitis

21 18

13

19

18 Pneumonia.. 89 83

89 77 115 98 127 135 150 11 191 150 162 126 Broncho Pneumonia...... 72

79
80 109 87

I10 104 123 106 73

81 Violent Deaths.

59 73 76 87

81
77 74

60 Under one year.

261
223
231 22€ 246 207 237 177 204

249 243 270 256 Under five years 331 309 332

283 345 279 311 325 363 366 383 363 Five to sixty-five 671 635 717

703 791 782 861 783

863 845 819 Sixty-five years 236 and over...)

205
224 265 284 272 309 295 397

283 318 279 In Institutions... 485

435
514 451 535 457 592

561 492 586 590 608

571

158

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Mean barometer. 29.85 29.86 29.97 29.87 29.91 29.93 30.02 29.96 29.81 29.93 29.69 30.16 30.19 30.04 Mean humidity.. 74.9 62. 63.6 63.6 55.3 61.7

71.7 52.9 64.9 66.4 68.

74.6 71.9 Inches of rain or snow....

3.79in .doin 2.26in .28in. .99in .65in .72in 1335 in 2.33in.72in. .78in .81in Mean tempera

ture (Fahr-156.4° 54.4° 151.6° 51.70 148.39 40.1° 48.° 33.4° 41,1° 33.69 43.6° 39.90 11.90 41.o

enheit). Maximum tem

perature 69.o 172.o 67.o 172.o 66.° 55.° 64.° 46.° 151. 59.9 58.0 63.° 160.0

(Fahrenheit) Minimum temperature

35.° 32. 34.° 18.° 32.° 24.° 30.o 18.0 18.0 27. (Fahrenheit))

44.

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DIRECTORY OF THE DEPARTMENT OF HEALTH

OFFICES
Headquarters: S. W. Corner Centre and Walker Streets, Borough of Manhattan

Telephone, 6280 Franklin
Borough of The Bronx, 3731 Third Avenue.

Telephone, 1975 Tremont Borough of Brooklyn, Flatbush Avenue and Willoughby Street, Telephone, 4720 Main Borough of Queens, 372-374 Fulton Street, Jamaica, L. I..

Telephone, 1200 Jamaica Borough of Richmond, 514-516 Bay Street, Stapleton, S. I..

Telephone, 440 Tompkinsville 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.
The Bronx-Riverside Hospital, North Brother Island. Telephone, 4000 Melrose:
Brooklyn-Kingston Avenue Hospital, Kingston Avenue and Fenimore Street. Telephone, 4400 Flatbush.

LABORATORIES
Diagnosis Laboratory, Centre and Walker Streets. Telephone, 6280 Franklin.
Research Laboratory. Chemical Laboratory. Vaccine Laboratory. Drug Laboratory.

Foot of East Sixteenth Street. Telephone, 1600 Stuyvesant.

INFANTS' MILK STATIONS

Manhattan 1. 172 East 3d St.

8. Vanderbilt Clinic 15. 1391 Avenue A 22. 73 Cannon St. 2 522 East 11th St.

9. 326 East 11th St. 16. 200 East 97th St. 23. 110 Suffolk St. 3. 281 Avenue A

10.
114 Thompson St. 17. 209 Stanton St.

21.

96 Monroe St. 240 East 28th St.

11. 315 East 112th St. 18. 2287 First Ave. 25. 251 Monroe St. 5. 225 East 107th St. 12. 244 Mulberry St. 19. 108 Cherry St. 26. 413 West 40th St. 6. 241 East 40th St. 13. 438 West 48th St. 20. 122 Mulberry St. 27. 74 Allen St. 7. 174 Eldridge St.

14. 78 Ninth Ave. 21. 207 Division St.

Brooklyn 1. 268 South 2d St.

359 Manhattan Ave. 13. 651 Manhattan Ave. 19. 698 Henry St. 2. 660 Fourth Ave.

8. 104 President St. 14. 185 Bedford Ave. 20. 303 Williams Ave. 3. 208 Hoyt St.

9. 698 Leonard St. 15. 296 Bushwick Ave. 21. 167 Hopkins St. 4. 325 Hudson Ave. 10. 233 Suydam St. 16. 994 Flushing Ave. 22, 604 Park Ave. 5. 724 Glenmore Ave. 11. 329 Osborne St. 17. 176 Nassau St. 23. 239 Grabam Ave. 6. 184 Fourth Ave.

12. 126 Dupont St. 18. 129 Osborn St. 24. 1597 Pitkin Ave. The Bronx-1. 511 East 149th Street. 2. 1354 Webster Avenue. Queens-1. 114 Fulton Avenue, Astoria, L. I. Richmond-1. 689 Bay Street, Stapleton, S. I.

CLINICS FOR SCHOOL CHILDREN Manhattan-Gouverneur Slip. Telephone, 2916 Orchard.

Pleasant Avenue and 118th Street. Telephone, 972 Harlem. Brooklyn-330 Throop Avenue. , Telephone, 5319 Williamsburg.

124 Lawrence Street. Telephone, 5623 Main.

1249 Herkimer Street. Telephone, 2684 East New York. The Bronx-580 East 169th Street. Telephone, 2558 Tremont.

TUBERCULOSIS CLINICS
Manhattan-West Side Clinic, 307 West 33d Street. Telephone, 3171 Murray Hill.

East Side Clinic, 81 Second Street. Telephone, 5586 Orchard.
Harlem Italian Clinic, 420 East 116th Street. Telephone, 3584 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, 362 Bradford Street. Telephone, 2732 East New York.
Eastern District Clinic, 306 South 5th Street, Williamsburg. Telephone, 1293 Williamsburg.

Da Camp, Ferryboat '"Rutherford," foot of Fulton St. Tel., 1530 Main.
Queens-Jamaica Clinic, 10 Union Avenue, Jamaica. Telephone, 1386 Jamaica.
Richmond-Richmond Clinic, Bay and Elizabeth Streets, Stapleton. Telephone, 440 Tompkins.

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-A-18 (B) 2000

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DEPARTMENT OF HEALTH

Report for Week Ending February 1, 1913

RESEARCH WORK IN RELATION TO TRACHOMA. For the past two years a special study of the various forms of conjunctivitis occurring among school children has been undertaken by the Research Laboratory of this Department in order to ascertain, if possible, what relation existed between the various forms, what proportion of such cases should be classified as trachoma, and the etiological importance of the so-called trachoma bodies discovered by Halberstadter and Prowazek. Within the past year these studies have been conducted principally in two clinics, over which the laboratory has had complete control. One of these is located in Public School 21, and to it are sent the children from sixteen schools. The second clinic, to which the severer cases are sent, is located in Public School 144, at the corner of Hester and Allen sts., and is connected with an ophthalmia school, in which the more severe and more chronic cases receive their education while treatment is in progress. This second clinic receives children from forty-two schools. To these two clinics the Medical Inspectors detailed to the public schools are supposed to send all children with “sore eyes," and the Physician in charge of the clinics is assisted by a Nurse and Laboratory Assistant and, in the second clinic, by the Matron of the Ophthalmia School. All cases are visited at their homes and explicit instructions are given to the families in regard to the care of the eyes, and any cases of sore eyes found are sent to the clinics. Minute records are kept of each case. At present there are comparatively few bad eyes in these schools, and for several months past there have been no new cases showing thickening of the lids. Many cases, however. present follicles scattered over an otherwise normal conjunctiva. The latter are all under observation, under the same system that is used for the others. As a result of these studies, clinical and microscopical, some very definite conclusions have been reached in regard to certain classes of conjunctivitis occurring in children. These conclusions will shortly be published in full, after having first been presented before cither the County Medical Society or the Ophthalmological Section of the New York Academy of Medicine. For the present, suffice it to say that while they may, perhaps, not prove conclusively what class of cases should be called trachoma, they do illustrate very forcibly what class of cases should not, that is to say, what cases of conjunctivitis in children do not terminate in cicatrization and involvement of the cornea. AN OBJECTION TO THE DISCONTINUANCE OF THE FREE ADMINISTRATION OF DIPHTHERIA

ΑΝΤΙΤΟΧΙΝ. . Under date of January 28, Commissioner Lederle received a communication from Dr. B. J. Beck of this City in regard to the discontinuance by the Department of the free administration of diphtheria antitoxin by its Inspectors.

Dr. Beck calls attention to the fact that in certain parts of the City the antitoxin stations located in drug stores are frequently closed at 11 p. m., and in almost all instances by 1 a. m., and, in general, are not reopened until 8 o'clock in the morning. During this period of from seven to nine hours free antitoxin cannot be obtained by a physician when its use might be sorely needed, and the only alternative to waiting until morning would be to send the case to the hospital, which might be strongly against the wishes of the parents. For the benefit of Dr. Beck and fellow physicians, to whom the same objection to the Department's recent action may have suggesteil itself, it is here stated that free antitoxin can be obtained by a physician at any hour of the night at the Central Office of the Department, 149 Centre st. During the hours that the sub-stations are open, physicians will be able to obtain free antitoxin in all parts of the City for those unable to pay for its use. Immunization will be performed by Inspectors of the Department as hitherto. In those cases in which intubation is imperative, the physician must either perform intubation himself or call in some one to perform it for him. In case he is not able to intubate, and the patient is unable to afford a consultation, the Department's aid can always be summoned, but after an Inspector from the Department has performed intubation the case will be removed to the hospital.

RECENT RESOLUTIONS OF THE BOARD OF HEALTH OF INTEREST TO PHYSICIANS.

At a meeting of the Board of Health held January 21, 1913, several resolutions of interest to physicians were adopted. All these resolutions are to take effect immediately. The following new rules and regulations relate to the reporting of deaths and cases of contagious disease :

1. Reports of cases of contagious disease, of births, still-births and deaths must be written with black ink, upon blank forms provided by the Department, which will be furnished upon application, personally or by mail.

2. Certificates of death will be returned for additional information, which give any of the following diseases, without explanation as to the sole cause of death;

Abortion, cellulitis, childbirth, convulsions, erysipelas, gangrene, gastritis, hemorrhage, meningitis, metritis, miscarriage, peritonitis, phlebitis, pyæmia, septicæmia, tetanus.

(Any of these may be the result of an injury, and thus be subject for investigation by a Coroner. If it is not, the certificate should make that fact plain.)

3. No certificate will be accepted which gives a mere symptom as the sole cause of death (such as “asphyxia,”. “debility," "dropsy," "heart failure," etc.), unless accompanied by a satisfactory written explanation.

4. Certificate containing palpable errors or alterations of name, date, etc., or which are illegible, will be returned, and a new certificate required, as no corrections, erasures or interlineations will be permitted.

The following resolution relating to the duties of undertakers, but which is of interest to physicians' and others, was also adopted :

Burial Permits. 1. No burial permit for a person deceased in The City of New York will be issued except in exchange for a proper certificate of death.

(If a permit already issued has been lost or mislaid, a duplicate will be issued only in exchange for an affidavit of the undertaker that the first one has been lost, and that, if found, it will be returned to the Department of Health.)

2. Certificates of death must be filled out with black ink.

3. No certificate will be accepted which has been corrected, interlined or altered in any way so as to change its meaning.

4. No certificate will be accepted which is imperfectly filled out (except for foundlings or the unknown dead), or which is illegible.

5. No earth burials are allowed below 130th st. No vault below that street shall be opened for the deposit of a body, without the approval of the Sanitary Superintendent or Assistant Sanitary Superintendent.

6. If a permit is issued for burial in the City Cemetery. the coupons are removed and retained by the Bureau of Records. If a change in the place of burial renders it necessary to use the coupons, they can be procured at the Permit Office on showing the original permit and making a written statement of the change.

(Every change in the place of burial from that originally given when the permit is issued must be reported at the Burial Permit Office and the permit exchanged for a new one.)

Transit Perniits. 1. Transit permits will be issued for the burial in or passage through the City of bodies of persons who died outside of The City of New York only in exchange for the papers and evidences of identity and of the cause of death which have accompanied the body from the place of death, and upon a written statement (on blanks furnished by the Department) of the persons applying for such permits.

2. Such permits will be required in every case, excepting when the body is accompanied by a permit issued by the proper health officer, under the laws of the State of New York, New Jersey or Connecticut, a transit permit issued in either of those States having the same effect in The City of New York as one issued by this Department.

3. Transit permits will not, in any case, be issued in advance of the arrival of the body, whether by ship, boat or railroad, nor will such permit be issued when the death was due to yellow fever, Asiatic cholera or smallpox, excepting by express permission of the President of the Department, on personal application to him.

4. Transit permits will be issued for the removal of a dead body from one portion of the City to another, for the convenience of the family or the undertaker. Such permit will have no coupons, and must be returned to the Department of Health when the burial permit is applied for.

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