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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..
Borough of Brooklyn, Flatbush Avenue and Willoughby Street.
Borough of Queens, 372-374 Fulton Street, Jamaica, L. I..
Borough of Richmond, 514-516 Bay Street, Stapleton, S. I..

Telephone, 1975 Tremont
Telephone. 4720 Main
Telephone, 1200 Jamaica
. Telephone, 440 Tompkinsville

Office Hours-9 a.m. to 5 p.m.; Saturdays, 9 a.m. to 12 m.
HOSPITALS FOR CONTAGIOUS DISEASES

Telephone, 1600 Stuyvesant.

Manhattan-Willard Parker Hospital, foot of East 16th Street.
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.

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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, 362 Bradford Street. 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, 410 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-D-13 (B) 2000

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DEPARTMENT OF HEALTH.

Report for Week Ending April 19, 1913.

NOTABLE INTERNATIONAL CONGRESS ON SCHOOL HYGIENE, AT BUFFALO, AUGUST 25-30TH.

All the leading nations, every state in the Union, every college and university of note in this country, and various other leading eduactional, scientific, medical and hygienic institutions and organizations, as well as various women's organizations, will be represented at the Fourth International Congress on School Hygiene in Buffalo, August 25-30, according to a preliminary statement just issued by Dr. Thomas A. Storey, of the College of the City of New York, Secretary-General of the Congress.

Mr. Woodrow Wilson, as President of the United States, has accepted the honorary office of Patron of the Congress. The president of the Congress is Dr. Charles W. Eliot, ex-president of Harvard University. The vice-presidents are Dr. William H. Welch, of Johns Hopkins University, formerly president of the American Medical Association, and Dr. Henry P. Walcott, president of the recent International Congress on Hygiene and Demography, and chairman of the Massachusetts State Board of Health.

It is the aim of the organizing committee in charge to bring together at Buffalo a record number of men and women interested in improving the health and efficiency of school children, and to make this Congress-the first of its kind ever held in America-one of direct benefit to each individual community. A program of papers and discussion is now being arranged covering the entire field of school hygiene. There will be scientific exhibits representing the best that is being done in school hygiene, and also commercial exhibits of educational value.

Nor will the entertainment of delegates in any way be neglected. Buffalo has just subscribed $40,000 toward covering the expenses of the Congress. The Buffalo citizens' committee has planned for a series of social events, including receptions and a grand ball, a pageant in the park, and excursion trips to the great industrial plants, and to the scenic wonders of Niagara Falls.

The Congress is open to all persons interested in school hygiene, who may join as regular active members upon the payment of a $5 fee. Application for membership should be sent to Dr. Thomas A. Storey, College of the City of New York, New York City.

PROGRESS OF THE "CLEAN-UP" MOVEMENT.

At a meeting held on April 16, 1913, at the American Museum of Natural History, which was well attended by those interested in sanitary work, great satisfaction was expressed in regard to the recent action of the Board of Aldermen in appropriating $37,000 for the purpose of prosecuting the "Clean Up" campaign inaugurated by Commissioner Lederle. The meeting which marked the opening of the Hall of Public Health of the Museum also inaugurated the second or active stage of the first official municipal clean up New York has ever had, a movement which has excited the greatest interest in many cities throughout the country. At this meeting Dr. Lederle made a strong plea for active co-operation on the part of all citizens. He called attention to the fact, so well known, that it is much easier to prevent disease than to cure it and, incidentally, more pleasant to the public. Of all sanitary problems, the most important is the removal of possible causes of disease, and accumulations of dirt are not only possible but extremely probable causes, which are, at least, fairly certain to furnish the medium through which disease is spread. It has also been proven by sanitary departments throughout the world that filth is one of the removable causes of disease and, being removable, it is the duty not only of public department but of the individual citizens to see that this removable cause is eliminated. Since the project of a municipal clean up has been suggested, it has been said on several occasions that it is the duty of the city departments to perform this work and not the affair of the citizens. The most efficient Health Department and Street

Cleaning Department in the world, armed with a perfect set of laws, and backed by absolute authority, could not effectually clean New York City and keep it clean without the active support of its citizens. If we were to attempt to prevent violations of the Sanitary Code by sheer force of authority, it would be necessary to station a policeman or sanitary inspector on every street corner, causing endless confusion and resentment. It is for this reason that the Department of Health has requested civic organizations to aid in the work, It is hoped that three objects will be accomplished. In the first place, that the city will be actually cleaned; secondly, that the death rate will be decidedly reduced; and thirdly, that the public will be educated so that they will keep the city clean.

In the City of New York large quantities of refuse material have collected. Part of the refuse of the city is removed as a matter of routine by the Street Cleaning Department. It is the remaining collections of filth and refuse which the Department of Health purposes to attack in the clean up movement. There are airshafts choked to the level of the first story windows with piles of rubbish, and there are basements filled with broken barrels, boxes and other ancient accumulations. Not only are such conditions a menace to health, but they also increase the danger of fire.

The Board of Aldermen has also voted $66,000 to be used in draining the marshes where mosquitoes breed and in otherwise seeking to rid the city, especially the outlying districts, of the pests.

We have had the cleanliness of Germany held up to us as an example too often not to know how thoroughly and efficiently the work of sanitation is carried on in German cities. The streets and parks are immaculate and the houses are wholesome because no rubbish is allowed to accumulate. A German city is not only made clean but stays clean. There can be no question that the way to perform this work most efficiently is to enlist the hearty and voluntary aid of the citizens. The whole subject is largely a matter of public sentiment. It is for this reason that the cooperation of civic organizations, such as women's clubs of all kinds, Boy Scouts, playground leagues and babies' welfare societies, so essential to the success of the plan, has been sought.

INCREASE IN "GERMAN MEASLES."

During the past three months, the city has experienced a marked increase in the number of cases of German measles reported, and the increase has been noticeable, not only in Manhattan but in the Boroughs of Brooklyn and The Bronx. During the first quarter of 1913, 965 cases were reported in Manhattan, 609 in Brooklyn, and 233 in The Bronx. During the entire year of 1912, 697 cases were reported in Manhattan, 633 in Brooklyn, and 182 in The Bronx. Previous to 1904, German measles was not a reportable disease, for the reason that, although contagious and frequently attended by a well-marked eruption, the disease never results in death, its constitutional symptoms never amount to more than slight malaise, and treatment is, generally speaking, unnecessary. The chief interest in the disease centers in the fact that it was formerly confounded with measles to which certain types present some resemblance. Differentiation, generally speaking, presents no difficulties, the bright rose color of the eruption, absence of catarrhal symptoms, slight constitutional disturbance, and enlargement of the post-cervical glands, usually sufficing to distinguish so-called German measles from measles. It must be admitted, however, that in some cases a rise of temperature, even to 101 F., may be present, as may also injection of the ocular conjunctiva, which when complicated by an intercurrent bronchitis may cause some difficulty in discriminating between the two diseases. For the sake of the public, it cannot be too strongly insisted that the term “German measles" is a misnomer. The disease is not measles and, except for the superficial resemblance of the eruption, has no connection whatever with that disease.

COCOA SHELLS.

Under date of April 19, the Commissioner has issued food circular No. 3, defining the attitude of the Department in regard to the use of cocoa shells for food purposes:

Our attention has been called to a circular letter to the confectionery trade, offering for sale "Powdered Cocoa Shells" in car lots or less, with the statement that this "product is guaranteed to be positively pure and gives excellent results in the manufacture of cheap candies and chocolates for which they are usually used." Confectioners are hereby notified that this Department considers the use of cocoa shells in

confectionery or in any food or food product an adulteration, and that users thereof for such purpose will be prosecuted.

We are informed that some of our largest manufacturers of cocoa and chocolate burn their cocoa shells in the furnace. There is no objection to the sale of cocoa shells in packages, plainly marked, for the purpose of preparing a beverage therefrom.

DEATH RATE FOR THE WEEK.

There were 1,567 deaths reported during the week ended Saturday, April 19, 1913, with a death rate of 15.22 per 1,000 of the population as against 1,562 deaths and a rate of 15.75 for the corresponding week of 1912, an increase of five deaths and a decrease of 0.53 points. Considering the increase in population this decrease in the death rate is equivalent to a decrease of 55 deaths. The mortality from the infectious diseases, measles, scarlet fever, diphtheria and croup, diarrhoea, influenza and pulmonary tuberculosis was about the same as that of the corresponding week of last year. Typhoid fever and whooping cough showed a slight increase in the mortality, as did the organic heart diseases. The deaths from lobar pneumonia were considerably below the mortality from this cause for the corresponding week of 1912. Viewed from the point of age grouping, there were 41 more deaths under one year of age; between one and five years of age the mortality was lower by two deaths; between five and sixty-five years it was lower by twenty-two deaths, and above sixty-five years of age lower by eleven deaths.

The death rate for the first sixteen weeks of 1913 was 15.64 as against 15.83 during the corresponding period of 1912, a decrease of .19 of a point.

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