Indiana State Board of Health

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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.............