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Deaths According to Cause, Age and Sex.

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* If the deaths under one month, numbering 108 from all causes, be deducted from the total deaths under one year, the resultant rate will be 48 per 1,000 weekly average births of 1912.

Corrected Mortality Among Children, Week Ending February 1, 1913.

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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 – Nov. Nov. Nov. Nov. Nov. Dec. Dec. Dec. Dec. Jan. Jan. Jan. Jan. Feb.

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Total deaths... 1,149 1,302 1,216 1,354 | 1,251 1,420 1,333 1,481 1,403 1,519 1,512 1,:46 1,461 1,440 Annual death

} 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 rate........

13.98 Typhoid fever..

14 14
14 9 12

5
7 3

2
Malarial Fevers.
Small-pox
Measles
2
5

ü 8

5 Scarlet Fever... 9

12

17 Whooping Cough 3

3

3 5

6 Diphtheria and Croup. 17 22 26 22 19

27

22
26

25 25 33 Influenza .... 4 3 4

8
5 5
6

17 14 21 13 15 Cerebro-Spinal Meningitis. S 9

4
3 4

6

7 4 Tuberculosis Pulmonalis 135 140 163 152 166

153 175

147
176 158 171

180! 174 Other Tuberculous....

33 18
27 22 25 II 16

23
26
12
28

24 ! 29 Acute Bronchitis

12 21 18
10 12

13
20 19 18

II 15 Pneumonia.. 89 77 115 98 127 135 150

141 191 130

162 1 26 130 79 102 37

109 87

104 123 106 95 Violent Deaths.. 98 59 73 761 87

81
77 74

60 63

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Inquest cases ....

205 179 228

170
215 231
180

192 203 185 181 Mean barometer. 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 29.84 Mean humidity.. 62. 63.6 63.6 55.3 61.7 71.7 52.9 64.9 16.4

71.9 66 7 63 ) Inches of rain or snow....

.8oin 2.26in .28in. .99in .65in .72in 1335in 2. 33in . 72in.; -78in .81in .6zin Mean tempera

ture (Fahr- 54.40 51.69 51.70 8.30 '40.1° 48.0 33.4° 41.1° 33.6° 43.60 39.90 11.94 141.0 39.49

enheit)..... Maximum tem

1 perature 72.o 67.0 72.

66.
55.0 64.0 46.° 51.• 57. 58.° 63.9

61. (Fahrenheit) Minimum tem 37. 31.° 35. 32.

28.° 34.
18.• 32.°
24.° 30. 18. 18.

23 Fahrenheit)

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27.0

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 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. 24. 96 Monroe St. 4 240 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.

74 Allen St. 7 174 Eldridge St.

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

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2.

Brooklyn 1. 268 South 2d St.

7. 359 Manhattan Ave. 13. 651 Manhattan Ave. 19. 660 Fourth Ave.

8. 104 President St. 11. 185 Bedford Ave. 20. 3. 208 Hoyt St.

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

12. 126 Dupont St. 18. 129 Osborn St. 24. The Bronx-1. 511 East 149th Street. 2. 1354 Webster Avenue.

698 Henry St.
303 Williams Ave.
167 Hopkins St.
604 Park Ave.
239 Graham Ave.
1597 Pitkin Ave.

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, 5584 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, 302 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 A BINDING CO.

49 TO 57 PARK PLACE, NEW YORK

522-B-18 (B) 2000

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DEPARTMENT OF HEALTH

Report for Week Ending February 8, 1913

DEFECTIVE VISIOX IN PUBLIC SCHOOL CHILDREX. From 1909 to 1912, inclusive, 1,015,219 physical examinations of school children have been made by Medical Inspectors of the Division of Child Hygiene of the Department of Health. In 105,797 instances defective vision was found to exist in some degree.

The regular procedure of the Department has been to call the attention of the parents of these affected children to the existence of the physical defect and to urge the parents to take the child to the family physician for treatment. If no response to this request is received within a few days, a nurse of the Department of Health visits the parents to explain and urge the necessity of treatment, and thereafter repeats her call as many times as may be necessary to see that treatment is obtained or until the parents definitely refuse to provide any medical care for the child. Cases of extreme neglect to provide glasses where they are absolutely needed are reierred to the Society for the Prevention of Cruelty to Children. Absolute refusal on account of indifference or neglect is rarely encountered; more often refusal is based upon financial reasons. In such cases the various relief and social agencies of the City provide the needed glasses for the child, if, upon investigation, it is ícund that the family cannot afford to pay for them. By means of these efforts 65,940, or 62.3 per cent., of these children have obtained the treatment necessary:

Recently an investigation of the defective vision of school children has been made by a physician of this City. This physician examined forty children who were considered mentally defective or rated as delinquent or backward in their studies. Twenty-nine of the cases were followed up, and, after the fitting of glasses to these children, they were found by him to be improved mentally. The control covered a period of six months. From these results he has drawn the conclusion that the children of the public schools are not under competent medical supervision. It may be incidentally remarked that these children were taken to the plysician's office to have their vision tested and that the eyeglasses furnished these children were also obtained from him.

The Department of Health considers it an unwarranted interference with the rights of the medical profession and of parents to refer children with physical deiects to any special physician or dealer in medical or surgical supplies for the purpose of physical examination, treatment or the obtaining of such appliances as may be necessary to correct their defects. It believes that the parents have an absolute right to take their children to their own physicians or to dispensaries selected by themselves.

The improvement in scholastic progress of backward children in whom defective vision has been corrected is obvious. Studies and investigations made by the Department do not warrant the conclusion that the provision of eyeglasses causes any definite improvement in the mentality of children who are actually mentally defective. In the public schools these mentally defective children are wholly under the control of the Department of Education. They are examined by a special physician of that Department before they are assigned to the special ungraded classes. It is a debatable question whether or not such children should be in the public schools or be committed to special institutions for the mentally defective, but, in either event, alienists have not corroborated the claim that the correction of defects of vision occurring in these unfortunate children acts as a panacea.

It is of interest to note here that in 1909 Dr. Leonard P. Ayres, Assistant Director of the Division of Child Hygiene of the Russell Sage Foundation, conducted a careful study of 7,608 children in the public schools to determine the degree of retardation caused by the various physical defects. He found as a result of his investigation that physical defects as a whole caused a retardation that was equal to an additional year in the complete eight-year course. The only defect he found that did not affect retardation in any way was that of vision. The children with this defect finished their course in eight years, with no loss of progress.

There is a middle point of view between the extremes of these two investigations. The Department of Health for many years has had supervision of the media cal inspection and examination of the children in New York City's public schools.

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