16th of January, twenty days after the operation, the cause of his death being meningitis or inflammation of the brain. It will thus be seen that, so far as the operative procedures in this case are concerned, the Department of Health did not urge their performance, was not officially cognizant of the conditions for which they were indertaken, and cannot, therefore, be held in any way responsible for the unfortunate result. A New REGULATION RELATING TO THE REMOVAL TO PUBLIC INSTITUTIONS OF SURGICAL

Cases SUFFERING FROM CONTAGIOUS DISEASES. Until quite recently, there has been no rule rigidly adhered to by the Department in its attitude towards surgical cases in public institutions when the patient, after being admitted to these institutions, is attacked by some one of the contagious diseases. When the surgical affection has been trivial in character, the Department has usually removed the case to one of its own hospitals, and the treatment, both of the surgical condition and the contagious disease, from that time onward, has been conducted by the physicians of the Department. When the surgical affection has been of a more serious nature or one requiring special surgical skill, it has been the practice to obtain from the superintendent of the institution his verbal promise to maintain supervision of the surgical character of the case after its removal. As a rule, this rather indefinite arrangement has worked fairly well. Recently, however, the right of the Department to demand such cooperation on the part of the institution from which a case is removed has been seriously questioned, and the Department has decided, therefore, to assume complete charge of these surgical cases, at least, in so far as those removed to the Willard Parker Hospital, in Manhattan, are concerned. For this purpose, four Assistant Attending Surgeons have recently been appointed to the staff of Willard Parker Hospital, and the following circular letter will shortly be mailed to the superintendents of all hospitals and dispensaries:

"Under a new regulation, surgical cases developing scarlet fever or diphtheria in general hospitals, will be admitted to the Willard Parker Hospital, and will be cared for by Surgeons attached to the Medical Board of the Willard Parker Hospital, instead, as was formerly the case, by representatives of the Surgeons previously having charge of these cases. It is obvious that under these circumstances, the Surgeons of the Department of Health should possess a complete history of the case previous to its admission to the Willard Parker Hospital and such cases will, therefore, only be received by the Ambulance Surgeon if a complete medical history or a complete history with a copy of the X-ray findings (if such an examination has been made) accompanies the patient. Furthermore, in cases having a plaster of Paris cast, such a cast must have been previously properly trimmed and cut so as to permit a quick and satisfactory examination of the parts.”

At the Kingston Avenue Hospital, the hospital for contagious diseases in the Borough of Brooklyn, no visiting surgical staff exists at the present time, and in this hospital, therefore, the Department has no facilities for the care of surgical cases. The same is true at the Riverside Hospital, on North Brother Island. For the present, therefore, surgical cases suffering from contagious diseases will not be admitted to these hospitals unless they are accompanied by a signed agreement stating that their surgical treatment will be continued by the institution from which they are removed. As soon as possible, however, visiting surgical staffs will be appointed at Kingston Avenue and Riverside Hospitals, after which the Department will undertake complete charge of all such cases.

MORTALITY OF THE WEEK. There were 1.461 deaths reported during the week ending January 25th, with a rate of 14.19 per 1,000, as against 1,564 deaths, and a rate of 15.77 during the corresponding week of 1912, a decrease of 1.58 of a point corresponding to a decrease of 163 deaths.

The most notable decrease was that from typhoid fever, the number of deaths reported during the week fell to the extraordinarily low number of 2, probably the lowest number of deaths from this cause reported weckly during a great many years. The acute respiratory diseases, notwithstanding the peculiar atmospheric conditions, showed a decrease of 42 deaths, heart diseases a decrease of 45 deaths, tuberculosis a decrease of 15 deaths. On the other hand, the deaths from measles and scarlet fever, especially the latter, were augmented considerably.

The mortality from the first of January, 1913, is almost one-half a point below that of the mortality of the corresponding period in 1912.

VITAL STATISTICS

Summary for Week Ending Saturday, 12 211., January 25, 1913.

• Corrected according to borough of residence.

* The presence of severai large institutions, the great majority of whose inmates are non-residents of the city, increases considerably the death-rate of this Borough.

Deaths by Principal Causes, According to Locality and Age.

364

338

363 472 333

338

2

397 463 301 | 214 19 50

Tuberculosis... 398

452
402 +85 311

452 394 365 332 295 497
Diphtheria
and Croup..

272
305 292 296 332 293 317 309

318

338 280 Measles 104 91 128 175 211 223 276 274 412 208

395 551 Scarlet Fever .. 93 IO2 114 118 167 182 17 232 259 283 |

304 Smallpox.......

1 Chickenpox...

68
95 86
107

170 204 185 133 149 68 Typhoid Fever II2 50

62 61

52 56 49 52 21 36 23 Whooping Cough..

24 19 22 30 32 32 20 31 45 25 I2 26 Cer-Spinals

6

5, 3 11 Meningitis..

5 4

2
9
6

6 Total....... 1,052 1,092 1,071 1,181 1,400 1,213 1,482 1,495 1,636 1,436 1,534 1,991

43

278 20 63

4

1. Typhoid Fever....
3. Malarial Fever....
4. Small-pox...........
5. Measles..
6. Scarlet Fever.....
8. Diphtheria and
Whooping Cough.
Croup

25 9. Influenza...

13 12. Other Epidemic

8 Diseases. 13. Tuberculosis Pul

180 monalis....... 14. Tuberculous Men

8 ingitis... 15. Other forms of

16 Tuberculosis... 16. Cancer, Malignant Tumor...)

70 17 Simple Meningitis. 15

of which 172. Cerebro. Spinal} Meningitis.....

7 18. Apoplexy, Softening of the Brain

17 19. Organic Heartl Diseases.....

203 20. Acute Bronchitis.. II 21. Chronic Bronchitis. 22. Pneumonia (ex-)

cluding Broncho 126

Pneumonia)..... 22a.Broncho Pneumonia 106 23. Other Respira

tory Diseases.. 24. Diseases of the

Stomach (Can

cer excepted).. 25.Diarrheal diseases (under 5 years)

32 26. Appendicitis and 16 27. Hernia. Intestinal/ Obstruction....)

14 28. Cirrhosis of Liver.. 15 29. Bright's Disease and Ac.Nephritis)

129 30. Diseases of Wom

6 en (not Cancer) 31. Puerperal Septicæmia..

3 32, Other Puerperal Diseases.....

8 33. Congenital Debility and Mal

74 formations.. 34. Old Age...... 35. Violent Deaths.... 60

a. Effects of Heat b. Other Accidents. c. Homicide..

54

6 36. Suicide ...

16 37. All other causes... 207 38. Ill-defined causes..

* If the deaths under one month, numbering 99 from all causes, be deducted from the total deaths under one year, the resultant rate will be 60 deaths of infants per 1,000 weekly average births of 1912.

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

Under 5 Years of Age.
Diarrhæal Diseases.

• 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. 23. 30.

18.

25.

26.

2.

9.

16.

I.

21.

28

rate........

12

II
2

2

2

I

WON

in OOON

بیا دی د دی مد

6:175766 2

12

22

22

No

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 death.) 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

7

4
Malarial Fevers.
Small-pox
Measles

5
Scarlet Fever... 1 9
Whooping Cougb

3
4 3

3

5 Diphtheria and Croup ...

15 17

26
19 30 27

26

26

25 Influenza. 3 + 3

8 5 5

6

17 14 Cerebro-Spinal Meningitis.

9

1
1
I

3 4 6
Tuberculosis
Pulmonalis
122
140 163 152 166

153 175 147

176 158

171 Other Tuberculous....... 26 18

25

16
23

26 17. 28 Acute Bronchitis

18

13

19 18 Pneumonia..

89
771

127
135 150
HI

1jo 162
Broncho Pneu-)
monia......
72

79

8o

109 3

87

104

123
73
Violent Deaths.

81
59 73 76 87

81

74 Under one year.

261
231

207 237 177 204 199 249 243 270 Under five years

331
332 315

283
671

345 279 311

325 363 366 383 Five to sixty-five

717 571
703 791

861

783
Sixty-five years) 236
and over...)

253 230
265 284 272 309

283 318 In Institutions... 485

514 451
457 592 508

492

590

608

12

2 ||

22€

66 7

Inquest cases

183
205 179

170
200 215

180
244

192 203 i 185 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.. 74.9 162. 63.6 63.6 55.3 61.7 71.7

52.9 64.9 16.4 68.

74.6

71.9 Inches of rain

3.79in.8oin 2.26in .28in. .99in .65in .72in 1335in 2.33in .72in. .78in .81in or snow.... Mean tempera

ture (Fahr- 56.4° 54.40 151.6° 51.70 48.3° '40.1° 48.° 33.4° 41.1° 33.6 43.6° 39.99 $1.99 141.0

enheit)..... Maximum tem

1 perature 69.o 172.o 67.o 172.o 55.° 64.° 46. 51.

59. 58.° 63.° 60.0 (Fahrenheit) Minimum tem perature

32.° 24.° 30.o 18.° 18. (Fahrenheit))

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, 1973 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, 410 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, 1000 Melrose.
Brooklyn--Kingston Avenue Hospital, Kingston Avenue and Fenimore Street. Telephone, 410) 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.

Brooklyn 1. 268 South 2d St.

7. 359 Manhattan Ave. 13. 651 Manhattan Ave. 19. 2. 660 Fourth Ave.

8. 104 President St.

11.

185 Bedford Ave, 20. 3. 208 Hoyt St.

9. 695 Leonard St. 15. 296 Bushwick Ave. 21. 4. 325 Hudson Ave. 10. 233 Suydam St. 16. 991 Flushing Ave. 22. 5. 724 Glenmore Ave. 11. 329 Osborne St.

17. 176 Nassau St. 6. 184 Fourth Ave.

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

695 Henry St.
303 Willians Ave.
167 Hopkins St.
604 Park Ave.
239 Graham Ave.
1597 Pitkin Ave.

23.

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.

1219 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, 5581 Harlem.
Southern Italian Clinic, 22 Van Dam Street. Telephone, 412 Spring.

Day Camp, Ferryboat “Middletown," foot of East 91st Street. Telephone, 2957 Lenos.
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 Eat 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, 140 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.