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Corrected Mortality Among Children, Week Ending December 6, 1913.

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• Includes Spiall 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 -
Sept. Sept. Sept. Sept. Oct.

Oct Oct. Nov. Nov. Nov. Novo Nov. Dec.
6. 13.
27.
18. 25.
8. 15.

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Inquest casos .... 182 132

164
205
224
181 172

177 199

203

190 Mean barometer. 30.06 30.01 30.08 29.98 29.73 30.01 29.86 29.85 29.89 30.07 29.83 29.98 30.13 29.97 Mean humidity.. 83.

67.6 73.
62.7

176.3 64.
63 7
75.3 69.

69. Inches of rain

4.15in .47in 1.18in 1.20in 5.28in 1.13in 1.00in 5.36in .2oin .25in .6zin .87in .4.in or snow.... Mean tempera

ture (Fahr- 71.90 64.9° 61.0 63.70 61.70 66.3° 56.70 155.1° 52.7° '51. (45.3° 152.4° 44.1° 45.4°

enheit). Maximum temPeratuit)

84.0 86.0 77.o 177.0 74. 77.o 69.0 66.0 72. Minimum temperature 61.

49.° +5.0

56.° 56. 42.° 39.0 33.9 Fahrenheit)

30.° 36. 31.°

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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 Tomplainsville, 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, 4400 Flatbush.

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. 209 Stanton St. 24. 96 Monroe 4. 2410 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. 289 Tenth Ave. 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 Are. 3. 208 Hoyt St.

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

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

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

12. 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. S. I.

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, 3171 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 p.m.

M... BROWN PRINTING & DINDING CO.

40 TO 87 PARK PLACE, NEW YORK

522-L-13 (B) 20

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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 13, 1913.

No. 30

TYPHOID FEVER DURING 1913. The typhoid fever figures for the first eleven months of the year 1913, after the elimination of the duplicates and reported cases proving not to be typhoid fever, amount to a total of 2,487 cases. This compares favorably with the figures of previous years. During 1912 there were 2,881 cases, and the average for the past fine years was 3,096. The showing of 1913 is the more remarkable on account of the sharp outbreak which occurred in the lower eastern section of Manhattan. There were fewer cases reported in the city as a whole than during any corresponding period since the organization of the greater city.

All of the boroughs except Manhattan have participated in this showing. lanhattan exceeded the five-year average by 65 cases. Up to the week ending September 6 the number of cases reported for this borough was considerably less than during the previous year and much below the average of the past five years. From this time up to the week ending October 11 the number of cases reported was in excess of all figures for corresponding periods, but declined thereafter from week to week unsil on November 22 it reached the average of the previous years. There were fewer cases reported in the week ending December 6 than during the same period of 1912, and a smaller number than the average for the last five years. But for the decisive action taken early in September in excluding a suspected milk supply, the sharp outbreak might have reached epidemic proportions. Unless something unforeseen occurs. we shall close the year with an unprecedentedly low figure for the city as a whole.

TUBERCULOUS INFECTION OF CHILDREN. It has long been known that children are very susceptible to tuberculous infection. but there has been considerable difference of opinion as to how and when this intertion is acquired. Through a combination of favorable circumstances, Dr. Alfred Hess was recently able to study this question in the case of some children left for six weeks in the charge of an attendant who was suffering with tuberculosis of the lungs. (Transactions National Association for the Study and Prevention of Tuberculosis. Washington, 1913.)

Thanks to the skin test devised by von Pirquet, we now have a simple means of determining the presence of tuberculous infection, and in many institutions for children routine skin tests are now made on all children admitted. The children studied by Dr. Hess were part of the population of a large infant asylum in this city, where for some time past routine skin tests were made on all children every six months. The results were found to be remarkably constant-a negative reaction on admission meaning almost always a negative reaction later on. In the case of the children studied by Dr. Hess, seven out of ten were free from tuberculosis (as shown by the von Pirquet test) prior to their being in charge of the tuberculous attendant. Three months later all of the children gave a positive reaction, and since all other sources of infection could be excluded, there was no doubt of the role played by the tuberculous attendant.

Dr. Hess's report emphasizes the importance of safeguarding young children exposed to tuberculous infection in their homes, and also furnishes a strong argument for the need of tuberculous preventoria conducted along the lines of the institution now successfully operated at Farmingdale, N. J.

RESOLUTION AFFECTING THE SALE OF BICHLORIDE OF MERCURY.

On account of the numerous cases of poisoning from bichloride of mercury (corrosive sublimate) which have recently occurred, the Department of Health has had under consideration for some time the advisability of adding a section to the Sanitary Code controlling its sale. At a meeting of the Board of Health of the Department of Health of The City of New York, held in the said city on the ninth day of December, 1913, the following resolution was adopted :

Whereas, Bichloride of mercury, otherwise corrosive sublimate, a poison, has frequently been taken by mistake and loss of life has resulted therefrom, therefore be it

Resolved, That the Sanitary Code be and the same is hereby amended by the adoption of an additional section to be known as section sixty-seven (a), to take effect March 1. 1914, and to read as follows:

Section 67a. Bichloride of mercury, otherwise known as corrosive sublimate, shall not be held, kept, sold or offered for sale at retail in the dry form except in colored tablets individually wrapped, the wrapper to have the word “POISON” in plain letters conspicuously placed, and dispended in sealed containers of glass, conspicuously labeled with the word “POISON” in red letters.

This section does not apply to tablets containing one-tenth of a grain or less of bichloride of mercury.

TRICHINOSIS MADE NOTIFIABLE. At a meeting of the Board of Health of the Department of Health, held December 9, 1913, the following resolution was adopted :

Whereas, Trichinosis, a very painful disease occasionally followed by death, is caused by eating meat, especially pork, which has been invaded by the trichinella spiralis and has not been sufficiently cooked to destroy this worm, which causes trichinosis, therefore be it

Resolved, That the Department of Health requires all physicians to report cases of human trichinosis.

AMENDMENT AFFECTING REMOVAL OF REFUSE. At a meeting of the Board of Health of the Department of Health of The City of New York, held December 9, 1913, section 108 of the Sanitary Code, which defines the duties of owners, tenants, lessees and occupants of buildings in relation to the preparation of refuse material for removal by the Street Cleaning Department, was amended in so far as its action applies to the Borough of Richmond, as follows:

in the Borough of Richmond ashes from house furnaces shall be kept a receptacle separate and apart from the remainder of the household waste, and no material other than furnace ashes shall be placed in said receptacle. Other household waste materials, including garbage, kitchen ashes, sweepings, soiled paper or rubbish shall be placed in a separate metal or metal lined receptacle, which, when placed outside of a building for removal, shall be covered and kept covered with a tight fitting cover.

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