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Manhattan
The Bronx..
Brooklyn..
Queens..
Richmond

City of New York...

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* Includes Spall 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.

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Total deaths.... 1,359 1,237 1,248 1,301 1,153 1,160 1,183 1,281 1,250 1,388 1,288 1,372 1,343 1,439 Annual death

} rate...

13.20 | 12.01 12.12 12.63 11.20 1.26 11.49 12.44 12.14 13.48 12.51 13.32 13 04 13.97 Typhoid fever..

14
21 27 17 II 8 14 12 17

6

5
Malarial Fevers.
Small-pox
Measles

1

5

8 9 Scarlet Fever...

4
3

2

4 Whooping Cough 6 7 7 6

3 Diphtheria and Croup.... 7 14 20

13 13

19 26 20 14 16 21 32 Influenza.

I

5 4
3 5 7 S

7 Cerebro-Spinal Meningitis.

6 6
5 4 2
1 3 6

4
5 2

4 4 Tuberculosis Pulmonalis 180 132 131 139 143

138
122 140 149

178 168

152 159 Other Tubercu. lous...... 29 17 23 26 22

19 22 20

13 18 16

24 Acute Bronchitis 12 7 10 7 IT 9

Jo 13 13

18

20 13 Pneumonia...

53 44 46
59 +7 51 56 61 70

99 107

86

105 Broncho Pneu-l monia......

65
62 48

72
75 71
87 75 81

89 Violent Deaths..

80 96 109

72
93 74

91 89 75 86

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Mean barometer. 30.08 29.98 29.73 30 or 29.86 29.85 29.89 30.07 29 839 98 0.13 29.97 29.85 29 93 Mean humidity.. 72. 167.6 13. 86.3 64. 76.3 64. 63 7

75 3

59 4 59.9 laches of rain

1.18in 1.2oin 5.28in 1.13in 1.00in 5.36in .2oin .25in .62inl.87in .4.in .8oin or snow.... Mean tempera

ture (Fahr- 61.0° 63.70 61.74 66 3 56.70 155.1° 52.79 51. 15 3' 52.4" 441° +5 4° 37.6° 39.0

enheit)....
Maximum tem-
perature 77.0 77.0 74 77.o 69.966.0

72.
63. 65 . 70.° 58.0

57.0 55.0 (Fahrenheit) Minimum temperature 56.° 56.0 42.° 39.

30.° 36.9 31.° 38." 19.0 24.0 (Fahrenheit)

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12.

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 Tompiar 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 Flatba

LABORATORIES
Diagnosis Laboratory, Centre and Walker Streets. Telephone, 6280 Franklin.
Serological 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. 421 East 74th St. 22. 73 Cannon St 2. 513 East 11th St.

9. 326 East 11th St. 16. 205 East 96th St. 23. 110 Suffolk St. 3. 281 Avenue A 10 114 Thompson St. 17. 209 Stanton

24. 96 Monroe St. 4. 240 East 28th St. 11. 315 East 112th St. 18. 2287 First Ave. 25. 251 Monroes 5. 225 East 107th St. 12. 244 Mulberry St. 19. 108 Cherry St. 26. 289 Tenth Are. 6. 241 East 40th St.

13. 508 West 47th 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.

7. 359 Manhattan Ave. 13. 651 Manhattan Ave. 19. 698 Henry St. 2. 660 Fourth Ave.

8. 49 Carroll St.

14. 185 Bedford Ave. 20. 552 Sutter Ave. 3, 208 Hoyt St.

9. 69 Johnson Av. 15. 296 Bushwick Ave. 21. 167 Hopkins 31 4. 176 Hudson Ave.

10. 233 Suydam St. 16. 994 Flushing Ave. 22. 604 Park Ase 5. 2346 Pacific St.

11. 329 Osborne St. 17. 176 Nassau St. 23. 239 Graham de 6. 184 Fourth Ave.

126 Dupont St. 18. 129 Osborn St. 24. 49 Amboy St. 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, SI.

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.
164 Second Avenue. Telephone, 2081 Orchard.
449 East 121st Street. Telephone, 3230 Harlem.

P. S. 144 Hester and Allen Streets. Telephone, 5960 Orchard.
Brooklyn-330 Throop Avenue. Telephone, 5379 Williamsburg.

124 Lawrence Street. Telephone, 5623 Main.

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.

DIAGNOSTIC CLINICS FOR VENEREAL DISEASES
Manhattan-Centre and Walker Streets. Week days, 9 to 10 a.m.
307 West 33d Street. Wednesdays, 8 to 9 p.m.

TUBERCULOSIS CLINICS
Manhattan-West Side Clinic, 307 West 33d Street. Telephone, 3471 Murray Hill.

East Side Clinic, 81 Second Street. Telephone, 5586 Orchard.
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.

Day 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, 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 D.m.

M. B. BROWN PRINTING & BINDING CO.

49 TO 67 PARK PLACE, NEW YORK

892-L-18 (B) 2000

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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.,

under the Act of August 24, 1912.

New SERIES. VOL. II.

DECEMBER 27, 1913.

No. 52

THE BOARD'S ACTION ON DR. BIGGS' RETIREMENT. In recognition of the valuable services rendered the department by Dr. Hermann M. Biggs, whose retirement, after twenty-six years of service, was announced in the last publication of the bulletin, the Board of Health of the Department of Health has adopted the following resolution:

"Whereas, The present high standing of the Department of Health is inseparably connected with the work of preventive medicine, and

"Whereas, Through the establishment of bacteriological laboratories, the organization of a disinfection service, the initiation and development of measures for the administrative control of tuberculosis, the provision of facilities for the bacteriological diagnosis and specific treatment of diphtheria and other infectious diseases, the administration of the Department of Health of The City of New York has everywhere been conceded to be a model of its kind, and

"Whereas, All these activities are due almost wholly to the genius and initiative of the General Medical Officer of the Department of Health, Dr. Hermann M. Biggs, whose broad scientific knowledge and sound judgment has been of inestimable value to the Department of Health, and

Whereas, Through the retirement of Dr. Hermann M. Biggs, after a service of over twenty-six years, the Department of Health and The City of New York lose the services of one of the most distinguished public health administrators; therefore be it

"Resolved, That the Board of Health records its appreciation of the high services rendered by Dr. Biggs to the Department of Health, to the community and to the cause of public health everywhere, and be it further

“Resolved, That Dr. Biggs be appointed a member of the Medical Advisory Board; Honorary General Medical Officer of the Department of Health, and Medical Adviser to the Otisville Sanatorium.”

PHYSICAL EXAMINATION OF CHILDREN IN INSTITUTIONS. In the appropriation for the Division of Child Hygiene for 1913 was included an item of ten thousand dollars, to be expended by the Division in extending to the

child caring institutions of the City the same system of physical examination of children as was provided for in the public and parochial schools.

Five Medical Inspectors were assigned to this duty, under the direction of a Chief Inspector.

For many years, under the State Public Health Law, the Department of Health, through the Division of Child Hygiene, has made monthly visits to all child-caring institutions, in order to ascertain whether the sanitary and hygienic conditions necessary for the welfare of the children were maintained. The children, themselves, however, had received no direct attention and this special appropriation made this extension of the work possible.

There are sixty-three of these institutions in New York City, divided as follows: Manhattan, 16; The Bronx, 14; Brooklyn, 25; Queens, 4, and Richmond, 4. Work under this special appropriation was begun in March. The institution managers were notified of the department's desire to give each child a physical examination with the idea of furnishing the institution with a health record of each child, so that appropriate treatment, when indicated, might be obtained for it.

In all except one instance the most cordial co-operation was met with. In the instance referred to the lack of co-operation was not on the part of the institution authorities, but was due to the objection of the attending physician.

From March 29 to October 18, 14,697 children were examined. Of these 6,486 were found to be normal, 8,211 suffering from one or more physical defects. The total number of defects found was 10,884, divided as follows: Defective vision

1,888 Defective hearing

91 Defective primary teeth

3,730 Defective permanent teeth

1,987 Defective nasal breathing

1,109 Hypertrophied tonsils

969 Defective nutrition

212 Cardiac disease

259 Pulmonary disease

363 Orthopedic defects

204 Nervous diseases

76 In general, the percentage of defects noted is about the same as that found among children in the public and parochial schools, an exception being noted in the case of defective teeth. This defect was found among the institution children in only 38 per cent of the cases, while among the children in the public and parochial schools 49 per cent. were found to have defective teeth. This condition is undoubtedly due to the greater attention paid by the institutions to defects of this nature.

After each examination the institution authorities were furnished with a record showing the physical status of the child and its need of treatment. The Medical Inspector co-operated with the institution in obtaining assistance required by the attending physician, if such were needed. In this way much volunteer corrective work has been done by the physicians of the City and appropriate treatment has been obtained at an early date.

In October these children were all re-examined to determine whether or not the treatment provided had had the desired result. It was found at that time that 2,730 or 44 per cent of the children were entirely cured: 1.868 or 30 per cent. were improved, while 1,593 or 25 per cent. remained unimproved. Considering the brief time elapsing between the original examination and the re-examination, the percentage of children cured is remarkable and indicative of what may be accomplished in safeguarding the health of children when it is possible to apply direct and prompt attention to their needs.

There can be no question whatever but that the City owes to these dependent children the same supervision over their health that it owes to the other children of the City, and even the brief time that this work has been in operation has shown the need for such supervision and the beneficial results that may be obtained.

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THE STORY OF AN UNREPORTED BIRTH. Not long since application was made to this department by a father for the record of his child's birth in order that the child might gain admission to school. No record of the birth could be found, and the applicant was advised to secure a certificate of birth from the attending physician. He returned several weeks later and reported that he had made several unsuccessful attempts to secure a certificate from the physician. The doctor was then sent for and the following is his story:

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