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AMERICAN PUBLIC HEALTH ASSOCIATION MEETING, CINCINNATI, OHIO, OCTOBER 24-27, 1916. M O N T H LY B U L L E T IN Indiana State Board of Health (Entered as second-class matter at the Indianapolis Posfoffice NUMBER 7 VOLUME XIX INDIANAPOLIS, JULY, 1916 25 Cents a Year JAMES S. BOYERS, M. D. PRESIDENT. - . ......... Decatur ABSTRACT OF MORTALITY STATISTICS H. H. SUTTON. M, D., VICE-PRESIDENT, . . Aurora J. L. FREELAND. M. D.. . .. Indianapolis FOR JULY, 1916 CHAS. BRUCE KERN, M. D .................. . . Lafayette J. N. HURTY, M. D., Phar. D., SECRETARY. .... .Indianapolis Total deaths reported, 3,118; State rate 12.8. In the pre ceding month, 2,494 deaths; rate 10.6. In the same month WM, F. KING. M. D....... .. ...... ASST. SECRETARY last year, 2,554 deaths; rate 11.6. Deaths by important ages H. H. MITCHELL, M. D., .EPIDEMIOLOGIST J. L. ANDERSON .CHIEF CLERK were: Under 1 year, 458 or 14.6 per cent, of total; 1 to 4, CHAS. A. CARTER, M. D .STATISTICIAN WM. SHIMER. A. B., M.D...SUPT, BACTERIOLOGICAL LABORATORY 212; 5 to 9, 54; *10 to 14, 40; 15 to 19, 89; 65 and over, 998 ADA E. SCHWEITZER. M. D ...ASSISTANT BACTERIOLOGIST or 32.0 per cent, of total, R. J. ANDERSON, M. D. ASSISTANT PATHOLOGIST H E. BARNARD, B. S., STATE FOOD AND DRUG COM'R AND CHEMIST SANITARY SECTIONS: The Northern Sanitary Section, H. E. BISHOP, B, S. - .ASSISTANT CHEMIST JOHN C DIGGS ..ENGINEER AND WATER CHEMIST population 998,000, reports 1,084 deaths; rate 12.8. In the WILL D. McABEE............................. DRUG CHEMIST preceding month, 903 deaths; rate 1L0. In the same month last year, 808 deaths; rate 9,6, The MONTHLY BULLETIN will he sent to oil health officers The Central Sanitary Section, population 1,178,368, reports and deputies in the State. Health officers and deputies should carefully read and file each copy for future reference. This is 1,299 deaths: rate 13.0. In the preceding month, 1,034 deaths; very important, for we expect to print instructions, rules and general information, which it will be necessary for officers to rate 10.7. In the same month last year, 1414 deaths; rate preserve. 11.2. The Southern Sanitary Section, population 684,552, reports 735 deaths; rate 12.6. In the preceding month, 557 deaths; CONTENTS rate 9.9. In the same month last year, 632 deaths; rate 10.9. Page REVIEW OF SECTIONS: The Central Sanitary Section Births for July. 73 Abstract of Mortality Statistics for July. . . 74 presents the highest death rate, which is 0.2 higher than that Summary of Morbidity and Mortality for July. 74 for the entire State, The Northern Section presents the Health Officers Attention . 74 Report of Bacteriological Laboratory. 74 highest death rate for lobar and broncho-pneumonia, cerebro Patients Taking Pasteur Treatment In July 75 Things of Interest from the Laboratory. 76 spinal fever, poliomyelitis and external causes. The Central Report of the Department of Food and Drugs for July....... 76 Section presents the highest death rate for diphtheria and Inspectors Report for July. 76 Coming Meetings of Interest to Health Officers............... 77 croup, scarlet fever, measles, and cancer. The Southern Two Instances Showing the Importance of Proper Birth Regis tration ......................... 78 Section presents the highest death rate for tuberculosis, Agnes and Ralph Stefke , . 78 typhoid fever, whooping cough, diarrhea and enteritis, and Fishing from a Window. 78 Maybe. 78 influenza. Some Community Measurements... ..................... 78 How to Live. 79 RURAL: Population 1,552,380, reports 1,462 deaths; rate All Time Health Officers 79 ILL In the preceding month, 1,189 deaths; rate 9,3. In An interesting Sidelight on Infantile Paralysis in New York.. . , 79 Women Sterilized. . 79 the same month last year, 1,238 deaths; rate 9,4. In Regard Reduction Plants. 79 When Will We Demand a Fresh Air Guarantee. 79 URBAN: Population 1,385,540, reports 1,656 deaths; rat# Need for Dental Inspection. SO 14.9. In the preceding month, 1,305 deaths; rate 12.1. In Alcohol. 80 A Horrible Condition 80 the same month last year, 1,316 deaths; rate 12.1. The cities She Was Born in Morgan County. 80 Chart Showing Geographical Distribution of Deaths........... 81 names present the following death rates: Indianapolis, 14.8; Table l. Deaths in Indiana by Counties 82 Evansville, 17*4; Fort Wayne, 9.9; Terre Haute, 15.9; South Table 2, Deaths in Indiana by Cities........................ S3 Mortality of Indiana for July............................... 84 Bend, 14.8; Gary, 26.6; East Chicago, 22.3; Muncie, 12.4; Weather Report for July. .................................. 84 Hammond, 18.7; Richmond, 15.0; Anderson, 6.4; Elkhart. 10.5; Michigan City, 15.0; Lafayette, 22.9; New Albany, 23,4; Logansport, 12,0; Marion, 17,3; Kokomo, 13,4* BIRTHS FOR JULY, 1916 Total births, 5,097 (stillbirths excluded); State rate, 21.0. Males, 2,536: females. 2,561. SUMMARY OF MORBIDITY AND MORTALITY White males, 2,485; white females, 2,513. FOR JULY, 1916 Colored births, 99; males 51, females 48. Stillbirths 173; white 168, colored 5. Typhoid fever was reported as the most prevalent infectious The Northern Sanitary Section, population 998,000, reports disease. The order of prevalence was as follows: Typhoid 1,981 births; rate 23.4. * fever, measles, tuberculosis, diarrhea and enteritis, tonsillitis, The Central Sanitary Section, population 1,173,368, reports cholera morbus, diphtheria and croup, dysentery, acute 2,057 births; rate 20.6, rheumatism, scarlet fever, whooping cough, malaria fever, The Southern Sanitary Section, population 684,552, reports smallpox, acute bronchitis, poliomyelitis, intermittent and 1,051 births; rate 18J. remittent fever, lobar pneumonia, influenza, bronchial pneu The highest rate, Lake county, 34.8- monia, chickenpox, rabies in human, erysipelas, puerperal The lowest rate, Clark county, 12,4. fever, rabies in animals, cerebro-spinal fever, trachoma, Total births to date for 1916, 37,389. pellagra. 74 MONTHLY BULLETIN, INDIANA STATE BOArD OP HEALTH, SMALLPOX: 81 eases reported in 17 counties with, no be tabulated with the report for the current month.. With deaths. The following counties reported smallpox present: the report for July the following counties named below were Dekalb 3, Delaware 1, Gibson 1, Grant 2, Greene 1, Harrison delinquent in this mat tor: 7, Howard 29, Knox S, Kosciusko 1, Laporte 2. Madison 3, Miami 10, Steuben h Tipton 1. Vanderburg 3, Vermillion L BIRTHS Vigo 7. Adams i; Allen. 40—12 for 1914 (New Haven 4), 3 for 1915 TUBERCULOSIS: 290 deaths, of which 241 were of the (Now Haven 2). 1 for January, 1 for February* 2 for April, pulmonary form and 49 other forms. Male tuberculosis 1 for May, 1 for June 1916 from New Haven; Monroeville 1; deaths numbered 120, females 101. Of the males 27 were Benton 2; Blackford 1 (Montpelier); Boone 9—3 for 1915 married in the age period IS to 40 and left. 54 orphans under (Lebanon 4): Cass 1; Clark 2 (Jeffersonville); Clay 3 (Knightsville D; Crawford 1: Daviess 1 (Washington: Decatur 1; 12 years of ago. Of the females, oO were married in the same Dekalb 8: Delaware 9-—1 for October 1909; Dubois 2—1 for age period as above and left 112 orphans under 12 years of May. 1915: Elkhart 1 (City); Floyd 2 (New Albany): age. Total orphans made in one month by this preventable Fountain 2: Franklin 2; Gibson 3 (Owensville); Grant S disease, IOC). Number of homes invaded, 277. (Marion 2, Fairmont 1, Swayzee 1); Greene 2—1 for Septem PNEUMONIA: 0o deaths; rate 2(5.8 per 100,000. In the ber, 1915 (Linton 1); Harrison 3; Hendricks 2; Henry 4 (New preceding month, 1)9 deaths: rate 42,3. In the same month Castle 2); Howard 1; Jackson 1 (Seymour 1); Jasper 4: Jef last year, 62 deaths: rate 25.8. ferson 3 (Madison 1); Knox 6 (Bicknell 3); Kosciusko 1; TYPHOID FEVER: 223 eases in 53 counties with 37 Lagrange 1; Lake 6 (Hammond); Laporte 1 (City); Madison deaths. In the preceding: month. 135 cases in 33 counties with 17 deaths. In the same month last year, 149 cases in 37 1 (Anderson 1—for March., 1915); Marion 1 (Indianapolis, counties with 17 deaths. for November 1915); Marshall 1 (Bourbon); Martin 2; DIPHTHERIA: 81 cases reported in 28 counties with 5 Miami 2 (Peru 1); Montgomery 1 (Ladoga); Newton 1 deaths. In the preceding month, 99 cases in 21 counties with (Kentland); Orange 2 (French Lick 1); Parke 5 (Rockville 2); Perry 3; Pike,.l; Porter 2: Pulaski 1; Ripley 10 deaths. In the same month last year 101 cases in 26 13; Shelby 1; Spencer 3; Starke 1; Steuben 2 (Angola counties with 17 deaths. 1); St. Joseph 7 (South Bend 4, Mishawaka 3); Sullivan 4— SCARLET FEVER: 114 cases in 27 counties with 1 death. In the preceding month 140 cases in 28 counties with 4 deaths. 2 for September, 1915; Tippecanoe 6 (Lafayette 3, W. In the same month last year, 112 cases in 29 counties with 1 Lafayette 1); Vanderburg 8 (Evansville 1 for April, 1915); death. Vermillion 12 (Clinton 4, Universal 1); Vigo 8 (Terre Haute MEASLES: 781 cases reported in 48 counties with 13 4—2 for 1915); Warrick 1; Wabash 5 (City 3); Warrick 1 deaths. In the preceding month, 4.044 cases in 60 counties (Elberfield); Wayne 4 (Richmond 1, Centerville 1); Wells 9 with 27 deaths. In the same month last year, 330 cases in (Ossian l Uniondale 1); White 1; Whitley 5 (Columbia City 23 counties with 3 deaths. t 3); Total 243. POLIOMYELITIS: 25 cases reported in 14 counties with 5 deaths. The deaths occurred in Boone county, male, 10 DEATHS years; Dekalb county, female, 1 year; Madison county, female, 4 years; Lake county, female, 1 year; Miami county, Allen 3 (Fort Wayne 1); Benton 1 (Boswoll); Clark 2; female, 4 years. Clay I (Carbon); Dearborn 1; Delaware 1; Elkhart 1 (City); RABIES: 29 persons bitten by rabid animals and treated Floyd 1 (New Albany); Grant 3; Hancock 1; Harrison 1; by the Stale Board of Health, There were no deaths, Jasper 1 (Rensselaer); Jay 1; Jefferson 2; Knox 1—for "EXTERNAL CAUSES: Total 3S1. males 291, females February; Lake 1 (Hammond): Martin"!; Miami 4; Mont 90. Suicide: Total 40, males 29, females 11. Suicide by gomery 1 (Waynetown); Morgan 1; Orange 2; Owen 1—for poison 14. by asphyxia L by hanging or strangulation 5, by January: Porter 1; Posey 1; Rush 1; Tippecanoe 1; Ver drowning 4, by firearms 12. by cutting or piercing instru million 1; Warrick 3 (Boonville 1); Wayne 1; Wells 2 (Ossian ments 2. by jumping from high places 1, other suicides L 1): White 1; Total 43. Accidental or undefined: Total 328, males 255, females 73. poisoning by food 2. other acute poisonings 5, conflagration 3, burns (conflagration excepted) 15. absorption of deleterious REPORT OF BACTERIOLOGICAL LABORATORY, gases (conflagration excepted) 5, accidental drowning 54, INDIANA STATE BOARD OF HEALTH, traumatism by firearms 8. traumatism by culling or piercing FOR JULY, 1916 instruments 2 traumatism by fall 41. traumatism in mines 6. 4 traumatism by machines 3, railroad accidents and injuries 54, Will Shimer, M.D., Superintendent street-car accidents and injuries 9, automobile accidents and Sputum for tubercle bacilli injuries 17, motorcycle accidents and injuries 3, injuries by Positive 153 other vehicles 11. injuries by animals 2. effects of heat 61. Negative.................................. 349 lightning 8, electricity (lightning excepted) 6, fracture (cause — 502 not specified* 7. other external violence Ci Homicide: Total 13. males 7, females 6. Homicide by firearms 9, by cutting Pus for tubercle bacilli— or piercing instruments 3. by other means 1. Negative. 4 Spinal fluid for tubercle bacilli- HEALTH OFFICERS ATTENTION. Negative, ................................. 1 Ascitic fluid for tubercle bacilli- Delayed Birth and Death Certificates. Suspicious. ................................ 1 Each month the statistical department receives certificates for births and deaths that have occurred during the preceding Feces for tubercle bacilli- months, which are not sent to this department in time to Negative ......*...................... 1 MONTHLY BULLETIN, INDIANA STATE BOARD OP HEALTH. 75 Widal tests for typhoid fever- Sarcoma of tibia........................ Positive Miscellaneous tissues.................... Negative,.. . . , Urine for chemical analysis................ Widal tests for paratyphoid fever— Negative.. ................. Urine for typhoid bacilli- Negative Throat cultures for diphtheria bacilli- Positive. Feces for typhoid bacilli— Suspicious.......... Negative Negative No growth Unsatisfactory. Feces, miscellaneous. 148 Spinal fluid for meningococci— Brains for rabies — Dogs— Negative Positive Negative. Milk for analysis .......,...-,.,.,,,•. Rotten Calf- Total number examinations made. ..... Rotten....................... Hog— Doses of antityphoid prepared and sent out.. Negative. .................... Guinea pigs inoculated for tuberculosis— Colt---- Negative Negative. .................... OUTFITS PREPARED AND SENT OUT DURING JULY, 1916 Blood for counts.................. Tuberculosis... Diphtheria.... Blood for malaria Plasmodia— Widals. Positive Gonococci Negative Malaria Bile media..... Pus for gonococci— Females— Total number outfits prepared and sent out. 941 Positive Suspicious.................... PATIENTS TAKING "PASTEUR" TREATMENT DURING Negative ........."..... JULY, 1916 Males- Treat Treat Positive. ..................... Name Town County Age Sex ment ment Suspicious. began ended Negative..................... 1. Mr. A. Hobbs Elwood Madison..... Sex not given- 2. Marjorie Shewmaker... Muncie Delaware.... Positive ...................... 3. Mrs. Maud Shewmaker Muncie. Delaware.... 4. Joseph Shewmaker, Muncie Delaware.... Suspicious 5. Robert Shewmaker.... Muncie •Delaware.... 6. Vernon Hayes. — Muncie Delaware.... Negative 7. Carl Githens........-- Indianapolis..... Marion. 8. Bertha Brook......... Martinsville..... Morgan 0. Mr. John Ross Madison........ Jefferson..... 10. Anna Margers..,.,.,.. Elwood...,.,... Madison...,. Pus, miscellaneous................. 11. George Clark, Muncie...., Delaware.... 12. Charles Stoolmiller.... Elwood..,,..... Madison..,., 13 Mr. Noah Carpenter.., Lawrence,...... Marion,. II. Herbert McCurrdy Indianapolis,.... Marion..,,.. Pathological tissues- 15. Arthur Masters,...... Littles..........P ike........ Carcinoma— 16. Ellen Sullivan W. Terre Haute. Vigo........ 17. Mrs. L. Shouse. Sugar Creek...., Vigo........ Carcinoma of ear................. IS. Mrs. Neil Riordan,.... Indianapolis. Marion...... 19. Arthur Windish....... Indianapolis..... Marion...... Carcinoma of neck............. 20- Mr. Adin Riordon. Indianapolis..... Marion...... Carcinoma of breast........... 2.1. Alberta Terry......... Indianapolis..... Marion...... 22. James Worthington.... Indianapolis. — Marion,,,,,. Carcinoma of hand............ 23. Russel Heib.',......... Indianapolis.... Marion...... Carcinoma of liver............. 2245.. ARarnyomldo nDdi cDkmickeymeery, er., IInndidaniaaponlisa...,.pIndoialniasp.o.li.s....,.. MMaarriioonn Carcinoma of colon............ 26. Wm. Worthingon. Indianapolis,.... Marion. 27. Barton Rirodon......I.n dianapolis..,.. Marion.. Carcinoma of prostate......... 28. Edward Conners Marion — Carcinoma of uterus 3209.. JEodhwna rSdu tWheorllfaonrdth............. IInnddiiaannaappoolliiss. , .< MMaarriioonn, ...... Carcinoma, location not given,., 31. John Hassselburg.. Indianapolis,.. . Marion...... 32. Wilbur Riordon Indianapolis..... Marion...... Carcinoma of rectum 53. William Street........ Indianapolis . Marion 34- Edwin Riordin. Indianapolis..... Marion 35- Victorien McBride..., Indianapolis., ,, Marion Sarcoma— 3fc Otho Huntzler......... Indianapolis-.,.. Marion...... 37. Roy Brook,.... Elwood Madison... . Sarcoma of eye 3S. Oscar Hawkins Richmond Wayne. Sarcoma of breast............. 39. William Shuck........ New Middletown Harrison . m. Joe Pekoski........... Fairview......,. Vermillion .. Sarcoma of abdomen........... 76 MONTHLY BULLeTIN INDIANA STATE BOARD OF HEALTH, THINGS OF INTEREST FROM THE LABORATORY Two of the live samples of temperance beer analyzed were illegal because they contained a slight amount of alcohol Occurrences in everyday life are often stranger than in excess of the legal, limit of one-half of one per cent. fiction, and very humorous if serious consequences were not The four illegal sodas were mislabeled either in regard to so likely to follow. color or contents. Mr. Adin Riordon, 1346 Oliver avenue, Indianapolis, had a fox terrier that he prized very highly. This dog was allowed Ten of the 47 samples of milk analyzed were illegal because to run loose about the streets after it- had begun to show of the presence of visible dirt and were in some cases below symptoms of rabies and 18 persons were bitten before it standard. was killed. A veterinary surgeon was called after several Forty-eight drug samples were analyzed during the month. members of the Riordon family had been bitten. Of the three illegal samples one was a spirit of camphor which The circumstances under which the different persons were contained but- 82 per cent, of the U. S. P. amount of camphor; bitten are interesting; one a linseed oil which was classed as adulterated because it Edward Wolforth, 544 Chase street, age 12 years, was bitten contained an excessive amount of water and the third a July 5th on the arm, while sitting on a gravel pile; Edward sample of quinine. It is hard for us to understand the cause Conners, 541 Chase street, age 13 years, was bitten July 5th of the adulterated quinine in that it was pure aspirin and on the arm, while playing in a sand pile; Raymond Dick- worth ten or twelve times as much as the product called meyer, 528 Chase street, age 6 years, was bitten July 6th" for. on hand, while walking along the street; Otho Hutzler, 546 Oliver avenue, age 12 years, was bitten July 7th on ANALYSIS OF FOODS AND DRUGS DURING THE MONTH OF JULY, 1916. right arm, while trying to catch the dog; William Street, 547 Chase street, age 8 years, was bitten July 7th on right hand while playing in a sand pile; John Sutherland, 546 Chase CLASSIFICATION Legal Illegal Total street, age 9 years, was bitten July 7th on finger and arm, while pushing a small boy in a cart; Arthur Windish, 1422 Oliver FOOD avenue, age 12 years, was bitten July 7th on finger while Beverages— Beers. . . , playing with the dog; James Worthington, 548 Chase street, Beers, temperance. Sodas. age 6 years, was bitten July 7th on right hand, while running Bread, gluten. ........ past the dog; Arnold Dickmeyer. 528 Chase street, age Flour, gluten. Jam. strawberry, 11 years, was bitten July 7th on mouth, while playing with Milk products— the dog; John Hasselburg, 401 S. Harding street, age 13 Butter. .......... Cream............ years, was bitten July 7th on arm, while sitting on a step Ice cream......... Milk.... .... when dog came out of a door; Mrs. Nell Riordon, 1436 Oliver Mustard avenue, age 41 years, was infected July 7th, by getting Vinegar.............. saliva on her hand while mending a screen door which the Totals. . . .. the dog had torn; William Worthington, 548 Chase street, age 14 years, was bitten July 7th on finger, while playing in DRUGS the sand; Adin Riordon, 1346 Oliver avenue, age 43 years, was Aspirin tablets. ..... bitten July Sth on hand while trying to keep the dog from Camphor, spirits of.. biting a woman; Edwin. Riordon, 1346 Oliver avenue, age 7 Salicylic arid......... Quinine. ........... years, was bitten July 8th on hand while playing; Russell Miscellaneous....... Linseed oils......... Heib. 1442 Oliver avenue, age S years, was bitten July Sth on right- arm, while trying to get away from the dog; WIbur Totals Riordon. 1346 Oliver avenue, age 15 years, was bitten July Sth on lingers, while walking past the dog; Burton Riordon, 1346 Oliver avenue, age 17 years, was bitten June 24th on INSPECTORS REPORT FOR THE MONTH OF the hand while playing with the dog. JULY, 1916 From these histories one is most forcibly impressed with the idea that in spite of the frequent occurrences of rabies in During the month of July the Inspectors made 683 inspec Indianapolis, very few people know anything about the tions of food producing and distributing establishments, disease and care less as long as they themselves are not Of this number 296 were in good condition, 316 fair, 57 poor bitten. and 14 bad. Of the 13 dairies inspected one was found in The Riordon dog was not killed until July Sth. Why it good condition, 5 fair and 7 poor. took four days for these people to wake up it is hard to Two hundred and fourteen grocery stores were visited. Of understand. This dog should have been killed long before this number 108 were rated good 89 fair, 13 poor and 4 bad. F because it was a vicious dog by nature, having bitten Alberta Of the 74 meat markets inspected 44 were rated good, Terry, May 30th. and Burton Riordon. June 24th without T 28 fair, 1 poor and 1 bad. any apparent cause. Eleven of the 16 drug stores were found in good condition and 5 were rated fair. REPORT OF THE DEPARTMENT OF FOOD AND One hundred and two bakeries and confectioneries were visited. Of this number 47 were good 39 fair, 11 poor and DRUGS, INDIANA STATE BOARD OF HEALTH. 5 5 bad. FOR JULY, 1916 Of the 234 hotels and restaurants visited 73 were in good condition, 135 fair, 23 poor and 3 bad. H. E Barnard, State Food and Drug Commissioner Five of the nine creameries inspected were in good con During the month of August 92 samples of food were dition and four were rated fair. analyzed in the food laboratory. Of this number 70 were Of the seven ice cream parlors inspected four were rated legal and 22 illegal. good and three fair. MONTHLY BULLETIN, INDIANA STATE BOArD OF HEALTH. Two milk depots were found in fair condition, and public health workers. Dr. John F. Anderson, president Of the two poultry houses visited one was in fair condition of the association, has issued the following statement in and one poor. regard to the Cincinnati meeting: "Of all the questions During the month four prosecutions were brought for that axe now in the minds of the people of our country, the violation of the pure food and sanitary food law. Two question of National Preparedness stands uppermost. To prosecutions were brought for the sale of adulterated oysters; the great majority this means preparedness as to munitions, one for the sale of milk containing added water and one army supplies, ships of war and all the numerous things butcher was fined for maintaining unsanitary conditions at that our army and navy have to use. To a lesser number of his meat market. The total fines and costs amounted to the people preparedness also means the health and physical eighty-four dollars. condition of those who are to man the ships and to be the One hundred and four condemnation notices were issued soldiers in our armies. We, members of the American Public during the month because of unsanitary conditions or because Health Association, belong to the lesser number who realize of improper construction of buildings and equipment. that the health and physical condition of our present and pros pective soldiers and sailors constitutes the most important elements in National Preparedness, It is largely with us, SUMMARY OF INSPECTIONS MADE DURING THE MONTH OP JULY, 1916 as guardians of the health of the nation, to see that this vital element is as it ought to be. I, therefore, as your president, I No. No. No. No, No. No. selected by you to preside for a time over your great Associa Inspections ! In Excel Good Fair Poor Bad tion, call upon you to meet in annual conference in Cin spected lent cinnati on October 24. 1916, in order that we may consult Dairies among ourselves as to the steps for us to take as guardians Grocery stores of the public health, which will best serve to insure that the Meat markets. Drug stores vital and human element in National Preparedness is ready Bakeries and confectioneries . when the call shall come." In addition to the regular program Hotels and restaurants Creameries of the different sections, an interesting program of entertain Milk depots Poultry houses ment for delegates and guests is announced. Not in many Fish market.... years has a meeting of this great association been so conven Flour mills Ice cream parlors ient for health officers of Indiana, and every Indiana health Ice cream factories.......... Saloons officer who can, should be in attendance, The preliminary announcement has the following to say in regard to the history Totals. and work of the association; "The American Public Health Association, established in 1872, is one of the oldest public health organizations in the United States. Founded during LIST OF PROSECUTIONS DURING THE MONTH OF JULY, 1916 the birth of the science of public health in its modern form, with Pasteur and Lister about to startle the world with Names and Addresses of Date of Final their epoch-making .discoveries, it has ever marked the County Defendants | Why Prosecuted Disposition onward progress of the public health movement, a move ment which has outgrown its original conception, and is now Delaware Waiter Catron, Muncie.... i Selling milk containing added water divided into many great fields of health conservation. Grant- Wilson J. Curfman. Marion Unsanitary conditions Marion Mrs. Hettie Egan. Indianapolis. - ............. j Today the American Public Health Association is the or Selling adulterated oysters, ganization which stands in a national sense for modern public , Marion George C, Nicholason, Indianapolis ........... Selling adulterated oysters health endeavor. It is the organisation through which the health workers of North America are drawn together in their common interest of promoting public health. Its membership includes the health officers of the leading cities in the United States and Canada, the executive officers NOTICES OF CONDEMNATION DURING THE MONTH OF JULY. 1916 of most of the state and provincial health departments and the leading officials of the United States and Canadian Reasons for Condemnation government health services, and in addition to these we Classification Unsanitary Improper, number many bacteriologists, chemists, sanitary engineers, Conditions ; Construction | and sociologists. Bakeries .. Within the association are six sections composed of the Confectioneries. Creameries. . . . members of the association who are peculiarly interested in Dairies. the special phases of public health; Public Health Adminis Fish markets. ....... Fruit markets....... tration, Laboratory, Sanitary Engineering, Vital Statistics, Groceries. ........... Sociology and Industrial Hygiene." Hotels.............. Meat markets. Dr. John H. Landis, health officer of Cincinnati, is chairman Milk depots Restaurants of the local executive committee, to whom requests for in Totals....... . . . formation in regard to local arrangements for the meeting, hotel reservations, etc. should be addressed. The State r Board of Health urges upon health officers in Indiana who COMING MEETINGS OF INTEREST TO HEALTH can possibly attend this meeting to do so. OFFICERS THE MISSISSIPPI VALLEY MEDICAL ASSOCIA The Forty-fourth annual meeting of the American Public TION will hold its Forty-second annual meeting at Indianapolis, October 10, 11, 12, 1916. The program prepared for Health Association will be held in Cincinnati, Ohio October its meetings is one of unusual excellence. All scientific 24-27. The preliminary program indicates that this meeting sessions are open to the medical profession generally, and will be one of unusual interest to all public health officials 78 MONTHLY BULLETIN, INDIANA STATE BOARD OF HEALTH. the physicians of Indiana should take advantage of the FISHING FROM A WINDOW with an actual fishing opportunity to attend the sessions of the Mississippi Valley rod, line, hook and bait, was the method adopted by Milton Medical Association, which is second in importance only Bock at Hartford City to cause ridicule upon insanitary con to the American Medical Association. Dr. Albert E. Sterne, ditions. On the west side of the public square was a deep Indianapolis, is chairman of the local committee of arrange rut full of water on account of the recent rain, which would ments. be full of mud later on. Mr. Bock saw what a comment THE MISSISSIPPI VALLEY CONFERENCE on Tuber it was upon the city's management and to impress the fact culosis will meet' in Louisville, October 4, 5, 6, 1916. The upon his fellow-citizens he solemnly pretended to be fishing object of this conference is well set forth in the preliminary in the mud hole. As said, he fished from the second floor announcement as follows: of an adjoining building. A large crowd soon gathered to J. To bring1 about a closer relationship between anti-tuber watch the proceedings of the practical joker, with the culosis agencies in the Mississippi Valley and provide for the result, the mud hole was cleaned out in a short time by interchange of ideas and experiences. the street commissioner. 2. To strengthen and extend the work of the National As sociation for the Study and Prevention of Tuberculosis. 3. To arouse the people of this valley to the need for con MAYBE certed action, both public and private, against tuberculosis and to effect closer co-operation between anti-tuberculosis When cows fall ill the government proceeds to take alarm societies and other .health agencies. And sends a veterinarian to sanitate the farm, Dr. Dunning S. Wilson. Louisville, Kentucky, is secretary The cow herself is put to bed and plied with drugs and pills, of the conference and will be glad to furnish information in And Uncle Sam comes forward, when she's cured, to pay the regard to the meeting to any one interested. The program bills. of this meeting is especially interesting to health officers and But when a baby falls in need of medicine and care. to all who are engaged in anti-tuberculosis work and it is The government contends that that is none of its affair. to be hoped that a large number of Indiana health officers When pigs and lambs are threatened by a deadly pestilence will find if possible to attend the sessions of the conference. Their tender lives are guarded at the government's expense. They're coddled, nursed and dieted until they're well and fat, And never reckon of the cost for Uncle Sam pays that. But when an epidemic marks the babies for its own, The next annual meeting of the Indiana State Medical The government, untroubled, lets them fight it out alone. Association will be held in Fort Wayne. September 27 to 29, Some day, perhaps, when all the pork has lavishly been passed. 1916. When every scrap of patronage is handed out at last, When all our noble congressmen have got all they desire, And have attained whatever heights to which they may as pire- TWO INSTANCES SHOWING THE IMPORTANCE To unknown heights of common sense the government will OF PROPER BIRTH REGISTRATION: Earnest Howard leap, Love of Detroit, Michigan, wrote Dr. George L. Gibbons, And do as much for mothers as it does for cows and sheep. health officer at Mitchell, Indiana, for a certified copy of Ms Chicago Examiner. birth, which occurred in Mitchell in 1891. Dr. Gibbons wrote the State Board of Health to know if this birth had been filed. He was informed that certificates of birth were not SOME COMMUNITY MEASUREMENTS collected by the State Board of Health until 1907 because there was no law under which this work could be done until that DYSPEPSIA. The amount of dyspepsia in any com year. Prior to that time birth and death records had been munity is in direct proportion to the hasty eating of im kept in incorporated towns, cities and county seats, but as properly cooked foods by the average citizen. there was no penalty for violations or neglect, such records DIPHTHERIA. The mortality from diphtheria in any are very incomplete. It was found impossible to secure any community is in direct proportion to the failures to early record of this birth which was wanted by Mr. Love to prove administer antitoxin, by the average citizen. his right to wages of So per day in the Ford Automobile SYPHILIS. The amount of syphilis in any community Factory at Detroit. It is a rule of the Ford Company that is in direct proportion to the amount of illicit commerce, by an employe to secure a minimum wage of $5 a- day must be the average citizen. twenty-one years of age or over, and this age must be proven GONORRHOEA. The amount of gonorrhoea in any com by a certified copy of a legal birth certificate. munity is in direct proportion to the amount of wild oats sewed by the average citizen, INSANITY, The amount of insanity in any community is in direct pro-portion to the amount of syphilis and alco holism of the average citizen, AGNES AND RALPH STEFKE were born respectively June 5. 1891, and February 10, 1894 in Bloomington, In BAD BREATH. The amount of bad breath in any com diana. Transcripts of the certificates of their birth are munity is in direct proportion to the decayed teeth and in desired to be used at Wagstadt, Austria, as evidence in testinal indigestion of the average citizen. securing an inheritance. The letter from the Austrian TYPHOID, The amount of typhoid fever in any community is in direct proportion to the quantity of human consul asks that the transcripts be written in German. Here excrement consumed by the average citizen. is another illustration of the very great importance of regis tering births. The doctor who neglects to report the births TUBERCULOSIS. The amount of tuberculosis in any he attends is a violator of law and also a drawback to Ms community is in direct proportion to the quantity of foul patients. air consumed by the average citizen. MONTHLY BULLETIN, INDIANA STATE BOArD OF HEALTH. 79 INFANTILE MORTALITY, The amount of cholera This in spite of the fact that infantile paralysis was prevailing infantum and infantile diarrhoea in any community is in in epidemic form and at the time of his report the deaths from direct proportion to (ho amount of food poisons consumed infantile paralysis from June 1 to August 17 numbered by the average infant. more than 1,600. The reason for this lowered death rate in SMALLPOX. The amount of smallpox in any community spite of the death toll from infantile paralysis is obvious. is in direct proportion to the neglect of the average citizen Because of the prevalence of this disease, health authorities to be successfully vaccinated. of New York have been laboring day and night and for the ARTERIOSCLEROSIS. The amount of arteriosclerosis first time perhaps in the history of the city have had the in any community is in direct proportion to the amount of earnest and whole-hearted co-operation of New York's autointoxication acquired by the average citizen. governing officials and the people of the city. Parents have been unusually careful of their children and have taken every possible precaution to shield them from communicable disease of all Muds. Garbage and waste matter of every kind HOW TO LIVE is the title of a book published by the has been given careful attention and it may be said that the Life Extension Institute, This institute is a philanthropic people of New York City have devoted their time and atten organization, the president of which is Hon. W. H. Taft. tion to the conservation of child life, with the result that aside Surgeon General Wm. C. Gorgas of the U. S. Army, Professor from infantile paralysis babies and children have been made Irving Fisher of Yale University and other eminent men are safer in New York City during the past few months than members of the Life Extension Institute. The book "How ever before, This only goes to show what any community to Live" has been called "the nation's foremost book of may do when by intelligent effort and earnest co-operation health.'' The Indiana State Board of Health heartily it seeks to make the work of health officials effective and to recommends this book which is published by the Funk & practice the well known principles of sanitation and pre Wignalls Co., New York and may be purchased from any vention. book dealer. The New York Times says: "A volume, the scientific accuracy of which is vouched for by William J. Mayo, ex-president of the American Medical Association, WOMEN STERILIZED. The State Board of Control Alexander G. Bell, M, D., Major-General Wm. C. Gorgas, of Wisconsin on June 20, according to the statutes, authorized Surgeon-General, Rupert Blue, Dr. Harvey W. Wiley and a the sterilization of the women inmates of the State Home host of other men of this class certainly establishes the fact for Feeble-Minded at Chippewa Falls. This will insure that 'How to Live' is one of the most important books ever society against idiots from this source. published upon public health." The Indiana State Board of Health urges all health officers and physicians to recom mend this book to their patients and every health officer should himself have a copy. This book will serve every IN REGARD REDUCTION PLANTS OR FERTILIZER health officer in his duties and also will serve him as a prac FACTORIES, Many inquiries and complaints have been titioner of medicine. received by the State Board of Health in regard to reduction plants where dead animals are reduced to tankage and fertilizer. This process of reduction is accompanied by most disagree ALL-TIME HEALTH OFFICERS able odors that seem to be inseparably connected with the business and because of this odor, residents of homes near Authorities agree that the following conditions should such plants find life almost unbearable at times. For the prevail in public health administration: information of all those affected by these plants, it should 1. That the local health officer be directly responsible to be known that the legislature of 1913 enacted a law placing the State Department of Health and receive and enforce orders the control and supervision of fertilizer plants with the State or regulations issued from that source. Veterinarian and requiring that all such establishments must 2. That the public health 'officer must be a man trained in conform to the rules and regulations adopted by the State the science of sanitation and public health, the average phy Veterinarian's Department, The law also requires that the sician not being qualified to undertake such work. State Veterinarian either in person or by deputy shall Inspect 3. That the man wanted for the position of public health each plant of this kind at least once each year and as often officer should be a trained man who is interested in public as he deems necessary to see that the plant is conducted in welfare; who will be a live executive; and who can use per conformity to the rules and regulations of that department. spective in the direction of public health activities. This law practically takes the supervision and control of 4. That such an officer should be a full-time official, giving such plants from the jurisdiction, of health officials and makes all his time to the work of serving the public and not engaging these plants directly responsible for the conduct of their in any other business and that an adequate salary should be business to the State Veterinarian, paid to him so that it will not be necessary to engage in any other occupation. The following editorial from the Terre Haute Post is both AN INTERESTING SIDELIGHT ON INFANTILE good and timely. PARALYSIS IN NEW YORK. It may be said that no public calamity it without its compensation in some form or WHEN WILL WE DEMAND A FRESH AIR other. Dr. Haven Emerson, Health Commissioner of New GUARANTEE York City, in a report to the Conference of State and Provincial Boards of Health at Washington, August 17 and 18, stated that the death rate in children under five years of age Good Ventilation Guaranteed!" in New York City had been lower throughout June, July and Ten years from now every church, theater or lecture hall August up to that time than for a number of years past. that hopes to draw an audience will have to display a sign like that right outside the main doors. so MONTHLY BULLETIN, INDIANA STATE BOARD OF HEALTH, By thai time, let us hope, the human race will have learned wants to know her birthday," The birth was not reported, and become pretty thoroughly convinced that in a hall or and the doctor who attended says he has no record. This auditorium where great numbers of people congregate, there is haphazard living. 'When people are so careless and is sure to congregate all sorts of foul air infections, ranging thoughtless as not to know that a record of birth is highly from cold germs to those of pneumonia and tuberculosis. important to them, what can be done? "The only sin is But why wait ten years? People ought to know now— ignorance. Let us educate. and health officers are trying hard to convince them—that there is no better place for taking cold, than in our churches, theaters and lecture halls. In practically every state the county has been the unit for public health administration, but up to last year only seven First because they are usually badly ventilated, and sec teen of the whole number of counties had arranged for full- ond, because there is always someone who is sure to have a time health officers, North Carolina is the only state em fit of coughing which fills the stagnant air with a fine germladen spray for the others to breathe. ploying to any extent full-time county health officers and we find eleven of the total number of seventeen such officers There ought to be a guarantee of a current of fresh air doing good work toward bettering public, health conditions sufficient to carry off these dangerous germs issued with every in that state. The system of administering regulations per ticket or invitation to a public gathering. taining to the health of the rural dweller in the past has When people learn to keep well instead of paying for proved inefficient for these reasons. No one saw the need cures, they will insist upon it. for an efficient public health service for the rural dweller, Problems of sanitation and health have never been brought NEED FOR DENTAL INSPECTION. Dr. T. Van home with such force to him as they have been to the resi Winkle of the Department of Health, who recently examined dent of a great city, where, if the water supply is polluted, the teeth of 231,081 New York City children outside the scores and hundreds of persons die in a day. Funds were dental clinics, found 131,747 defective. A special examina lacking with which to carry on public health work. And, tion of the teeth of 500 school children between the ages lastly, men were employed as health officers who were un of fourteen and sixteen selected at random revealed 486 trained for the work, and who received such small salaries defective cases. The above facts indicate that there is that they were obliged to keep up some other business as abundant need for establishing dental clinics in connection the practice of medicine to the neglect of their duties as a with every well organized public school system. public health officer in order to make a livelihood. Seven states in the last few years have made an effort to better public health conditions for their rural population by ALCOHOL, even in moderate quantities, causes disturb providing for a division of these states into health districts ances m the brain's action, paralyzes critical capacity, power with a trained health officer at a good salary devoting all his of will, and the ethical and esthetic sense. It is a poison, time to public health conditions in each district. and no longer may be classed with foods. Its use lowers A brief review of the, outstanding features of these various resistance to sickness and shortens life. state laws follows: Those who abstain wholly have a greater capacity for Massachusetts was the first to adopt the plan of dividing work and endurance, both intellectual and physical. They the state into health districts. In 1907 a law .was passed fall sick more rarely and are cured more quickly (especially providing for fifteen health districts, with a full-time state from infectious diseases) than drinkers. inspector appointed by the governor with the advice and Drink brings degeneracy, poverty, sickness, vice, crime, consent of the senate in each district. Later the number of madness, and death. It endangers those who personally are health districts was reduced to fourteen, and still later to abstemious, for thousands die yearly because of drunkenness twelve. Prior to the creation of the slate board of Labor of others. and Industries, in 1912, many of the duties of that depart ment were administered by the district inspectors, la 1914 A HORRIBLE CONDITION is described by Dr. L. R. McCormick of Brownstown. lb8 says: "A woman of 70 or a new law reorganizing the state board of health was passed. A commissioner of health was made the head of the depart 80 years, with a son aged about 40. occupy one room in a ment, and with the approval of the public health council, house here containing five or six other families. The son is was empowered to divide the state into eight health districts a hopeless permanent cripple, bed ridden with paralysis and and appoint a full-time health officer in each district. syphilitic. The township trustee wants to send them to the county infirmary. They object. Can ho force them to go? The state department of health in New York state was also' The bedding and all within the room should be burned. If reorganized in 1913. The department was separated into is vermin infested, infected, contaminated, nasty, dirty. nine divisions, each managed by a director appointed by the What can I do?" We have informed Dr. McCormick that state commissioner of health. There was also provided a the conditions he describes are condemned in the law. and public health council possessing broad legislative powers, instructed him to secure the co-operation of the county health which consisted of the commissioner of health and six other officer and enter condemnation of the conditions and order members all appointed by the governor. The commissioner that the two patients needing attention be removed to the of health was empowered to divide the stale excluding New county infirmary. It is not only within the power but it is York City into twenty or more districts, and appoint a the duty of health officers to look after such conditions as sanitary supervisor in each district. Last year, owing to a are here described and abate them. lack of funds, the number of sanitary supervisors was reduced to ten. The 1913 legislature passed a law for the state of Wiscon SHE WAS BORN IN MORgan COUNTY, but the exact sin authorizing the state board of health to divide the state year is not known. The birth occured on September -!>. into live districts and appoint a full-time deputy state health Her name is Miss D. M. L., her father's is J. T. L. This officer in each. The Wisconsin deputy is under civil service much information and more is supplied the State Board of regulation, and his term of office is during efficiency and good Health because the correspondent says: "The young woman behavior. MONTHLY BULLETIN, INDIANA STATE BOARD OP HEALTH. CHART SHOWING GEOGRAPHICAL DISTRIBUTION OF DEATHS FROM IMPORTANT CAUSES FOR JULY, 1916. NORTHERN SANITARY SECTION Total population ....,,... §98,000 Total deaths. 1,084 Death rate per 1,000.................. 12.8 Pulmonary Tuberculosis, rate per 100,000, . 73.3 Other forms of Tuberculosis, rate per 100,000 17.7 Typhoid Fever, rate per 100,000 11.2 Diphtheria and Croup, rate per 100,000 1.1 Scarlet Fever, rate per 100,000. ........ .... Measles, rate per 100,000 3,5 Whooping Cough, rate- per 100,000. ... 4.7 Lobar and Broncho-Pneumonia, rate per 100,000. .... v ............ , 29.5 Diarrhoea and Enteritis (under 2 years), rate per 100,000 102*9 Cerebro-Spinal Fever, rate per 100,000 2.3 Acute Anterior Poliomyelitis, rate per 100,000. 3.5 Influenza, rate per 100,000. l.l Puerperal Septicemia, rate per 100,000 7.0 Cancer, rate per 100.000. . 85.1 External causes, rate per 100,000 205.8 Smallpox, rate per 100.000. , , .... CENTRAL SANITARY SECTION Total population ..................... 1,178,368 Total deaths. . . 1,299 Death rate per 1,000 13.0 Pulmonary Tuberculosis, rate per 100,000.' 98,1 Other forms of Tuberculosis, rate per 100.000 ................ ... 22.0 Typhoid Fever, rate per 100,000. ...... 6.0 Diphtheria and Croup, rate per 100.000 3.0 Scarlet Fever, rate per 100,000 ..... 1.0 Measles, rate per 100,000. ............. 8.0 Whooping Cough, rate per 100,000. ... 9.0 Lobar and Broncho-Pneumonia, rate per I00.000 27.0 Diarrhoea and Enteritis (under 2 years rate per 100,000 99.1 Cerebro-Spinal Fever, rate per 100,000 1.0 Acute Anterior Poliomyelitis, rate per 100,000.... . . . 2,0 Influenza, rate per 100,000 ........ 2,0 Puerperal Septicemia, rate per 100,000 8.0 Cancer, rate per 100,000 96.1 External causes, rate per 1.00,000 135.2 Smallpox, rate per 100,000. . , . , ..... SOUTHERN SANITARY SeCTION Total population 684,552 Total death.** 735 Death rale per 1.000 12.6 Pulmonary Tuberculosis, rate: per 100,0'00 139.7 Other forms of Tuberculosis. rate per 100,000. ... ....... 20.7 Typhoid Fever, rate per 100,000. 22.4 Diphtheria and Croup, rate per 100,000. 1.7 Scarlet Fever, rate per 100,000.. . .... Measles, rate per 100,000. ...... 3.1 Whooping Cough, rate per 100.000. . 17.2 Lobar and Broncho-Pneumonia 100,000. 22.i Diarrhoea and Enteritis (under 2) rate per 100,000. ......... 139.7 Cerebro-Spinal Fever, rate per Ac1u0t0e ,00A0.n terior Poliomyeli•t vi s, • .... rate per 100,000. .... ...... .... Influenza, rate per 100,000. ..... 3.4 Puerperal Septicemia, rate per 100,000. _8.6 Cancer, rate per 100,000 31.7 External causes, rate per 100,000 124.2 Smallpox, rate per 100.000 .... |NDIANA, TABLE, 1. Deaths in Indiana, by Counties During the Month of July, 1916. (Stillbirths Excluded*) o STCAOTUEN TAIENSD. lmP1aEo9tasi1ptote6iun d. , Total Deaths Reported for July. 1916. Total Deaths Reported for June, 1916. Total Deaths Reported for July, 1915, Total Deaths Reported for the Year 1916 to Date. Total Deaths Reported for the Year 1915 to Same Date, July, 1916. pAern n1June, 1916, u,0a0l0 DJuly, 1915. PeoaptRate for Year 1916 to hu Date. lRatarate to for Year 1915 tioteSame Date, n . Under 1 Year. Im1 to 4 Inclusive. po5 to 9 Inclusive. rtan10 to 14 Inclusive. t A15 to 19 Inclusive. ges, 65 Years and Over. Pulmonary Tuberculosis. Other Forms of Tu berculosis Typhoid Fever, Diphtheria and Croup. Scarlet Fever. DMeasles. eatWhooping Cough. h froLobar and Broncho-Pneumonia. m IDiarrhoea and Enteritis m(under 2 years). porCerebro-Spinal Fever. tanAcute Anterior Polio t Cmyelitis. auInfluenza. ses. Puerperal Septicemia. Cancer. External Causes. Smallpox. Deaths in Institutions. Deaths of Non-Residents. State of Indiana.. Northern Counties Adams Alien Benton Blackford Carroll,, ..'..... Cass DoKelb Elkhart Fulton Grant... . Howard, ....... Huntington Jasper Jay. ; Kosciusko....... Lagrange....... Lake Laporte Marshall Miami Newton,........ Noble... ...... Porter. ,...,.,,. Pulaski......... Starke........,, Steuben St. Joseph Wabash Wells........... White Whitley Central Counties Bartholomew.... Boone Brown Clay........... Clinton Decatur. Delaware....... Fayette . Fountain. ...... Franklin........ Hamilton....... Hancock. Hendricks...... Henry.., Johnson. Madison.,....,. Marion......... Monroe........ . Montgomery Morgan.,......, Owen....... Parke....../.]. Putnam. ....... Randolph Rush.., ... Shelby....../..'. Tippecanoe. . , . . Tipton Union.......... Vermillion...... VIgo;;;; Warren . , . Wayne,....'.;;.' Southern Counties Clark........... Crawford.,, . . . . Daviess......... Dearborn.....".. Dubois.., Floyd......;;;. Gibson.,,...... Greene. ..,.;,*].* Harrison. ..,.*,. . Jackson.....*..;. Jefferson.. ..... Jennings, ,..*.;. Knox. ..."..'." Lawrence....... Martin,.... Ohio. Orange.......... Perry............ Pike............. Posey........... Ripley........... Scott..... Spencer.......... Sullivan ..... Switzerland...... Vanderburgh..... Warrick. Washington. ..... Urban.. Rural.............

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The MONTHLY BULLETIN will he sent to oil health officers And Uncle Sam comes forward, when she's cured, to pay the bills. But when The amount of arteriosclerosis . wants to know her birthday," The birth was not reported,.
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