MONTHLY BULLETIN Indiana State Boardofhealth [ E n t e r e d as a s e c o n d - c l a s s m a t t e r a t the I n d i a n a p o l i s VOLUME XIV. postoffice I N D I A N A P O L I S , J U L Y , 1911. The MONTHLY BULLETIN w i l l be sent to all health officers anil » titles in the State, Health officers and deputies should carefully read and flic each copy for future reference. This is very Important, for we expect to print Instructions, rules and general information, which It w i l l be necessary for officers to preserve. Total births, 4,443, .stillbirths excluded, Males, 2.262; females, 2,18.1. Males, white, 2,208; females, white, 2,152. Hales, colored, 23; females, colored, 44, Stillbirths, 128; white, 122; colored, 6. State birth rate, population 2,700,867, was 20, Northern Sanitary Section, population 927,229; rate, 10.2. Central Sanitary Section, population 1,114,087; rate, 18.9. Southern Sanitary Section, population 659,660; rate, 23.3. Highest rate, Martin County. 33.8. Lowest rate, Carroll and "Whitley Counties; rate, 10.8. CONTENTS. A B S T R A C T O F M O R T A L I T Y STATISTICS FOR JULY, 1911 W.N. W I S H A R D . M. 0., president F. 4. TUCKER, M. D.. ViCe president,. ..... . T. HENRY DAVIS. M. » . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . «BO, T. McCOY. M. I ) . . . . . . . . . . . . . . . . . J. N. HURTY. 51. D., FHAR. I)., secretary ... .... .. Indianapolis. Noblesville Richmond. . Columbus Indianapolis WM, V. K i n g . M.d ASsT. secretary and EPIDEMIOLOGIST J. h. A N D E R S O N . . . . . . . . . . . . . . . . cheif clerk of VITAL STATISTICS. CHAS. A. CARTER. SI. L) ......STATISTICIAN. J. P. S I M O N D S . M. U . BACTERIOLOGICAL LABORATORY. ADA E. S C H W E I T Z E R , M. D. '-..ASSISTANT BACTEriologist WM. S H I M E r , A. B., M. D ASST, PATHOLOGIST. H. E. BARNARD, B. S . . . . . S T A T E Food and drug COMMISSIONER AND C H E M I S T . a . E. B I S H O P , B. S ASSISTANT CHEMIST. J. A . Craven WATER CHEMIST. L L. M I L L E R . A.B DRUG C h e m i s t . R. L. S A C K E T T , 0 , E ., .. . . S A N I T A R Y ENGINEER. page B i r t h s for J u n e , 1911 ........... 85 A b s t r a c t of Mortality S t a t i s t i c s for J u l y , 1 9 1 1 . . . . . . . . . 85 Review of Sections 85 S u m m a r y of Morbidity and Mortality, for J u l y , 1911... 88 Report of Bacteriological L a b o r a t o r y , for J u l y , 1 9 1 1 . . . 86 Report of Department of Food and Drugs, for J u l y , 1911 88 Inspectors" reports d u r i n g the m o u t h of J u l y , 1 9 1 1 . . . . . S7 List- of Prosecutions d u r i n g t h e m o n t h of J u l y , 1 9 1 1 . . . . 88 The Ohio River S a n i t a r y Survey 88 License to practice medicine m a y be revoked if the physician fails to p r o m p t l y report births a n d deaths 89 Rabies.... ........ . . . . ..............89-91 Medical Inspection of S c h o o l s . . . . . . . . . . . . . . . „ .. 91 Manual for officials a n d Teachers. . . . . . . ' . . . 92 Chart s h o w i n g G e o g r a p h i c a l D i s t r i b u t i o n of Deaths from certain C o m m u n i c a b l e Diseases for J u l y , 1911.. 93 Table N o . 1 S h o w i n g Deaths in Indiana by Counties, for J u l y , 1911 ' ... ,\.......... 94 Table No. '1 S h o w i n g Deaths by Cities, in J u l y , 19! 1... 115 T a b l e of Deaths by Geographical Sections, for J u l y . .911 96 W e a t h e r Report for J u l y , 1911 . . . . . . . . . . . . . . . . . . . . . . 06 Total number of deaths, 2,921 : rate 12.7, In the corresponding month last year, 2,947 deaths; rate, 12.3. In the preceding month, 2,482; rate, 9.2, Deaths by important ages were: Under 1 year, 524, or 17,9 per cent, of the total; 1 to 5 years, 214; 5 to 10 years. 48; 10 to 15 years, 4 1 ; 15 to 20 years,. 00; 65 and over. 879, or 30 per cent, of the total. SANITARY SECTIONS: T H E NORTHERN SANI- population 027,229, reports 941 deaths; rate, 11.1). In the same month last year, 895 deaths; rate, . TARY SECTION, TUB: CENTRAL SANITARY SECTION, population 3,114,007, reports L211 deaths: rate 12.8. In the same month last year. J.301 deaths; rate, 13.4, TOE SOUTHERN SANITARY SECTION, population 659 r 560. reports 7C)Q deaths: rate. 13.7, In th*-> same month last year. 75] deaths: rate4, 12.2. REVIEW OF SECTIONS: The Southern Sanifary Section shows the highest death rate, being 1 BIRTHS FOR J U N E 1911 higher than the rate for the State. The Southern Under the provisions of the Ophthalmia Neona- Sanitary Section shows the highest death rate m tutorum Law. it is made the duty of physicians and berculosis, being 133,8, as compared with 13] in the midwives to report births within thirty-six hours Central Section, 311.7 in the Northern Section and after a birth has occurred. Whenever physicians and J25.1, for the whole State. The Southern Sanitary midwives comply with this provision of the law it will Section shows the highest death rate of typhoid fever, be possible to give in the Bulletin the birtlis for the being- 51.7, as compared with 25.3 in the Central preceding month instead of one month late, as must Section, 24.1 in the Northern Section and 31,3 in the now be done. entire State The Southern Sanitary Section shows 8© MONTHLY BULLETIN, INDIANA STATE BOARD OF HEALTH. the highest death rate in diarrhea and enteritis under two years of age, being 187.4, as compared with 141.6 in the Central Section, 110,4 in the Northern Section and 1421 in the State, The Northern Section shows the highest death rate in pneumonia and deaths by violence. The Central Section shows the highest death rate in cancer. VIOLENCE: 296 deaths from violence. In the corresponding month last year, 234. Of the 296 violent deaths, 13 were murders, 32 suicides, 251 accidental deaths. Of the accidental deaths, 37 were by steam railroad, 1 interurban, 3 street cars, 1 automobile, 2 motorcycle, 51 by drowning, 31 by accidental falls. C I T I E S : Total population 1,147,277, report 1,450 deaths; rate, .14.8. In the same month last year. 1,499 deaths; rate, 15.3. The city rate is 2.1 higher than the State rate and 4.2 higher than the country rate, which is 11.1. Death rates of cities are as follows: Indianapolis, 15.4; Evansville, 17.5; Ft. Wayne, 11.7; Tcrre Haute, 21.4; South Bend, 16.2; Munce. 12.7: Anderson, 9.9; Richmond, 12.7; Hammond, 15.7; New Albany, 20,5; LaFayette. 15.8; Marion, 9.7: Elkhart, 9.7; E. Chicago, 13.5; Logansport, 9,4; Kokomo, 14.5; Gary, 27.3; Vincnnes, 9.4; Mishawaka, 15.8; El wood, 10.7; Peru, 22,6; Laporte, 16.6; Jeffersonville, 29.3; Huntington, 11.4. HOOKWORM DISEASE: One death from this disease'was reported from Posey County. summaryofmorBIDITYAND MORTAL1TY F O R JULY, 1911. Diarrhea was the most prevalent disease; then, following in order, typhoid fever, rheumatism, cholera morbus, tonsilitis, tuberculosis, cholera infantum, dysentery, bronchitis, inflammation of the bowels, measles, diphtheria and membraneous eroup, scarlet fever, whooping cough, small pox, influenza, pneumonia, chicken pox, erysipelas, poliomyelitis, cerebro-spinal meningitis, puerperal fever. TYPHOID F E V E R ; 296 eases reported in 59 counties, with 72 deaths. In the same month last year 246 cases were reported in 47 counties, with 45 deaths. The disease prevailed unusually in the following counties, Allen, 20 eases; Knox, 14 eases; Marion, 26 eases; Parke, 14 cases; St. Joseph, 28 eases; "Washington, 25 cases. TUBERCULOSIS: 354 deaths, of which 287 were of the pulmonary form. In the same month last year 370 deaths, 305 being of the pulmonary form.'\ Of the total deaths in July, 159 were males and 195 "females. Of the males 25 were fathers in the age period 18 to 40. The mothers in the same age period numbered 73. Orphans under 12 years of age to the number of 141 were left by these fathers and mothers who died of tuberculosis. PNEUMONIA: Pneumonia caused 56 deaths, 33 males and 23 females. In the same month last year this disease caused 50 deaths, 28 males and 22 females. DIPHTHERIA; Deaths from diphtheria nuni'bered 10, In the same month last year, 9, PELLAGRA; One death was reported from this disease in Kokomo, Howard County. R E P O R T O F BACTERIOLOGICAL T O R Y FOR JULY, t9lU LABORA- J. P. SIMMONS, SUPERINTENDENT. Sputum for tubercle bacilli, positive 124, negative 230; throat cultures for diphtheria, positive 24, negative 56; blood for Widal reaction, positive 10, negative 153; special Widals on patients injected with antityphoid vaccine, 28; blood for malaria, positive 2, negative, unsatisfactory 1; pus, 14; cerebrospinal fluid, 1; milk, 4: cultures for identification, 2; insect larvae (musca domestica) from stool. 1; blood smears, 9; urine, 27; feces, 31; for rabies, dogs' heads positive, 6, negative, 13, unsatisfactory, 2; cat's head, positive 1; cow's head, positive 1; sarcoma, 3 ; endothelioma, 1; carcinoma, 7; tuberculous tissues, 23; autopsies, 2; for gonococci, males, positive 18, negative 12; females, positive 6, negative 13, doubtful 6. Total, 847. Outfits sent out: Sputum, 487; diphtheria, 100; Widal, 231; malaria, 40; special, 65. Total, 923. R E P O R T OF T H E D E P A R T M E N T O F FOOD A N D DRUGS, INDIANA S T A T E BOARD OF H E A L T H , FOR JULY, 1911. H. E, BARNARD, STATE FOOD AND DrUG COMMISSIONER. One hundred and sixty-two samples of food were analyzed during the month of July, of which 116 were legal and 46 illegal. Thirty-three of the 96 samples of milk were illegal, most of which were condemned because of the presence of visible dirt. Three samples of cream were also classed as adulterated because of the presence of dirt. Three of the 12 eider vinegars analyzed contained less than the required acid content, and 2 of the 17 samples of ice cream wen classed as adulterated because of the presence of less than 8 per cent, of butter fat. It is worthy of comment that of the 96 samples of milk analyzed 33 or 34* per cent, were either deficient in butter fat, watered or skimmed, These samples were collected in twelve cities and towns and, it is probable that the figures obtained represent the character of the milk supply, The fact that the percentage of adultera- 87 MONTHLY BULLETIN. INDIANA STATE BOARD OF HEALTH* confectioneries were classed as excellent, Eighty-six o the 142 places visited were in good condition; 51 were fair and 5 poor. Fifty-one of the 90 hotels and restaurants were fair only. Twenty-seven were rated as good, 10 poor and 2 bad. The insanitary condition of the poultry houses are improving, although they are still far from satisfactory. Seven of the 24 places were in good condition, 14 fair, but one poor and two bad. Other places visited included slaughterhouses, bottling works, creameries, dairies, fruit results of analyses of foods and drugs during the month of july stores, canning factories, cold storage plants, etc. During the month 70 notices of condemnation were Number number Total Legal. Illegal served against proprietors of food producing and distributing establishments. In 65 cases the proprietors were maintaining insanitary conditions and 28 establishments were improperly constructed, being rt 1 J 0 1 i poorly lighted, badly ventilated or poorly equipped. 0 i I r 1 i Thirty-one prosecutions were brought during the i 0 1 month for violation of the food, drug and sanitary i 0 2 C I n food laws, and in every case a conviction was obIYA 33 36 tained. The total fines and costs amounted to $643.60, 0 2 ,"i 8 .1 Ten cases were brought because of the sale of bad 17 2 In tion is so high call for active and energetic work on the part of local inspectors. Eleven of the 25 drug samples were illegal. The six samples of hydrogen peroxide were all below standard. Two of the 5 linseed oils were adulterated with mineral or foreign seed oils. Two of the 4 .spirits of camphor were1 illegal. An unknown drug upon was found to he cocaine hydrochloride. ground cloves, ginger Ground nutmeg:; . Mustard 1 5 0 I 4 1 1 n a 1 2 ? » 3 1 cider Distilh-d Soap . 0 0 0 a 0 ! 2 12 2 1 162 Total SUMMARY OF INSPECTIONS MADE DURING THE MONTH OF JULY, 1111. s 6 IS 3 362 134 113 142 TO 24 10 INSPECTIONS. Grocery stores? ,.....,,,,..,...,,., drugs Alum cocaine hydrochloride Linseed oil Metal polish Olive oil orcherade syrup Quinine sulphate . , < royale peroxide Simple syrup . ... . Spirits of camphor . . Sulphur Teething powder Hydrogen peroxide. . .. Total 1 I 1 1 \ I 0 i 0 ! 4 0 1 2 0 0 0 0 0 0 2 0 0 5 1 1 ! 1 1 1 4 I 1 6 6 151 25 INSPECTORS' REPORT FOR THE MONTH OF JULY, 1911. During the month of July the inspectors visited 51 cities and towns and made 952 sanitary inspections. Of this number 17 were found to be in excellent conditio!). 54;l good. 346 fair, 38 poor and 8 bad. Eight of the o*62 grocery stores visited were in excellent condition, 226 were rated as good. 116 fair. 10 poor and 2 bad. While the condition of the meat markets was not as satisfactory as the grocery stores, the results of the month *s work was a decided improvement. Of the 134 visited. 2 were in excellent condition. 76 good. 53 fair. 2 poor and 1 bad. Of the 113 drug stores inspected, 5 were in excellent condition, 91 *rood and 17 fair. No drug stores were reported as in poor condition. No bakeries and con- Drug stores , Bakeries and confectioneries...... ,..»,.. Hotels and restaurants . , , .,,.,,... Poultry houses Slaughter h o u s e s . . . . . . . . . Fish m a r k e t s . . . . . . . .. . . . . , . , , . Bottling w o r k s . . . . . . . . . . . , Ice cream parlors . . . . . . , Ice cream factories . . . . . . . . Creameries fruit s t o r e s . . . . . Wholesale groceries . . . Retail produce companies . .. Wholesale produce companies . . . . . . Wholesale drug stores ... Flour mills . . . . " . . . . . . . .. Brewing company, , Canning f a c t o r i e s . . . . . . . Milk depot .. Ice and cold storage plants. . . . Tea stores . . . ... 6 1 11 118 0 8 2 n 0 0 0 76 01 86 27 0 9 0 1 1 3 1 2 2 0 I 3 1 0 0 0 0 0 0 0 2 0 8 3 4 4 fi 5 n n 'I 0 0 0 0 0 0 4 1 2 1 3 2 2 2 17 NOTices © 55 53 1? 51 51 14 7 7 2 5 2 1 2 1 2 10 1 1 0 1 0 1 0 n 0 0 0 0 0 0 0 ft n 0 o R 3g 543 1 346 OF CONDEMNATION DURING THE MONTH OF JULY, I Reasons for Condemnation. | Total. j _ _ _ Unsanitary Conditions. .- Bakeries . ! Bakery and confectionery . . . i Confectioneries, ,. i Dairies...... .....j Drug stores.. . .,,,.,.., Groceries.. . . . ; Groceries and meat markets . , j Meat markets ... Poultry h o u s e , . . . . < , Poultry and slaughterhouse , . . Restaurants . | slaughter houses . « , Produce and poultry storeroom, ' Hotel . . . . . , Total 1 0 0 0 0 0 0 0 1 fi 0 0 CLASSIFICATION. _.. _ 0 2 1 0 0 2 1 10 2 0 5 1ft 1 2 0 0 2 0 0 1 1 1 I 226 n 1 ! (1 i i No. Bad. ( | . , I No. Poor, No. Poor, fruits, cannedCherries Maple syrup Milk products Milk . Oe mr ai e lo agrn. Ice cream Spices • Allspice Black pepper Cayenne pepper | flour No. Fair, . - No. Good. Hop tonic-- . whiskey bread .. No. Excellent. I Oiilr-r No, Inspected. CLASSIFICATION. .. . . j . I Improper construction. j _.|___j_ 3 1 2 « 6 10 $ 8 « i 10 2 I 1 j j : . ; ! i j I J ' • i 2 Q 0 4 [ 2 3 5 1 2 fj 7 2 0 0 j 5 1 2 8 6 10 8 8 0 1 11 2 1 tft I 28 J 70 t 88 MONTHLY B U L L E T I N , INDIANA STATE BOARD O F H E A L T H . eggs. In twelve eases milk dealers were fined for selling dirty milk. Another milk man was fined for soiling skimmed and watered milk, Two ice cream manufacturers were convicted of selling iee cream which was artificially colored. Four proprietors of meat markets, slaughterhouses and grocery stores were prosecuted for maintaining insanitary conditions. One dealer was convicted of selling cider containing benzoate of soda. lished a Heating laboratory fully equipped for carryiiig on both chemical and bacteriological work. Tins laboratory is fitted out in a large house boat, which also provides quarters for the chemists engaged in making the survey. The first samples for analysis were taken at the Fernbank dam just below Cincinnati, about July 1st. The survey has now been completed as far as Louisville, Kentucky. Samples have been collected every LIST OF PROSECUTIONS MADE DURING THE MONTH OF lab. No. july Why Prosecuted, Name and Address of Defendant. Date of Trial. Final Disposition. ] A l l e n . . , . . .. Allen.... ,. Bartholomew. Bartholomew. Bartholomew. Bartholomew. . Bartholomew, Bartholomew. Daviess Delaware Delaware. . . . Delaware Delaware Delaware Elkhart.... Elkhart.... . Knox KnoxKnox........ Marion...... Marion. . . . . . Marion Marion. Marion. .. Marion. , . , , . Marion Marion.,., . Marion Marion... Dekalb 20053 20955 20075 20077 20710 20781 20782 20786 20791 20793 2tKS09 20828 20S47 20848 Joseph Oddon, Fort Wayne. Geo. Herrman, Fort Wayne H, BoydColumbus Geo. I. Winona, Columbus Watson & Baker, Columbus John Hughes, Columbus Adrian E, George, Columbus Herman Leatman, Columbus Boyd & Pearce, Columbus J, L. Dowling, Washington .... Carl Nottingham, Muncie . . . E. E. Ramey, Muncie Hurst Brothers, M u n c i e . . . . . . H. W.Jones, Muncie.. . Jos. B . Cashdollar, Muncie .. Ira S ; Marshall, Goshen., Ed. Yeager, Goshen, . . . Win. L. Shuler, Vincennes. . . H. G. Paniel, Vincennes Albert Hartjie, Vincennes . ,. . Gioe Bendetto, Indianapolis . , . E. F. Eckles, I n d i a n a p o l i s , . . . . , . . . , Union Dairy Co., Indianapolis .. . . . . , Geo. T . Ryan, I n d i a n a p o l i s . . . , . . . . . . Win. Clark, Indianapolis Fraiee Sanitary Milk Co., Indianapolis. Geo. W. Kinnick, Indianapolis..,, H, E . Wtschmeyer, Indianapolis.... . , . John B . Browder, I n d i a n a p o l i s . . . . . . . John B . Browder, Indianapolis H. S. Mason, A u b u r n . . . . . . . . . . . . . . . . I Selling dirty m i l k , . . . , . , .. .. | Maintaining insanitary refrigerator in meat market. i selling bad e g g s . . . . . . . i Selling bad eggs ,,,.., , .. . j Maintaining insanitary slaughterhouse , i Maintaining insanitary grocery store j Maintaining dirty grocery store , . . , | selling bad eggs i Selling bad e g g s . . . . . . 1 Selling bad eggs. j Selling skimmed and watered milk ! Belling artificially colored ice cream • ] Selling kid eggs. 'j Selling bad eggs., ,.,,,,,. . ... ! Selling bad milk ; Selling dirty and skimmed milk ', Selling skimmed milk .... j Selling bad e g g s . . , , ! Selling cider containing benzoate of soda . j Selling bad e g g s . , . . , . . , j Selling iee cream artificially colored. . . , j Selling dirty milk Selling dirty milk Selling dirty milk Selling dirty milk. Selling dirty m i l k . , . , , , , . . . . . . . Selling dirty milk Selling skimmed and dirty milk. Selling dirty milk Selling dirty milk Selling dirty milk T H E O H I O RIVER S A N I T A R Y SURVEY Continuing its work in making a sanitary survey of waters utilized either for drinking and domestic purposes or sewage disposal, the State Board of Health is this summer making a study of the waters of the Ohio River. The Ohio River, which forms the southern boundary of the State, is drawn upon as a source of water supply by nearly all the Indiana cities situated along its banks from Lawrenceburg, near the Ohio line, to Evansville in its southwest corner, It also receives the sewage of the Indiana cities and the run-off of the water sheds contiguous to it. The purpose of the survey now under way is to determine the present sanitary character of the river during its entire course across the State; to study the increase and decrease of contaminating material at different points; to determine the extent of the pollution at points where the sewage of Indiana or Kentucky cities enter; to collect data showing the influence of the water upon the health of the cities which depend upon it foi* a water supply and to contribute, if possible new data, to the literature of the self-purification of flowing streams. In order to collect accurate chemical and bacteriological data, the State Board of Health has estab- 7- 7-11 7- 8-11 7-14-11 7-14-11 7-14-11 7-27-11 7-27-11 7-25-11 7-25-11 7- 1-11 7-29-11 7-19 4 1 7-19-11 7-19-11 7-19-11 7-31-11 7-31-11 7- S-U 7-11-11 7-18-11 7- 3-11 7-24-11 7-25-11 7-26-11 7-20-11 7- 6-11 7-26-11 7- 6-11 7-26-11 7-26-11 7-29-11 Fined S10 and Fined $10 and Fined $10 and Fined $10 and Fined $15 and Fined $10 and Fined $10 and Fined S10 and Fined 810 and Fined $10 and Fined $10 and Fined $10 and Fined 110 and Fined $10 and Fined SlO and Fined SlO and Fined $10 and Pined SlO and Fined SlO and Fined $10 and Fined S10 and Fined SlO and Fined S10 and Plea of guilty; Fined SlO anil Plea of guilty; Plea of guilty; Fined SlO and Plea of guilty; Fined SlO and Fined SlO and costs. COStS. COStS. costs, costs, costs. costs. COStS. COStS. costs. COStS. COStS- costs. costs costs, costs, costs. costs. costs. costs. costs. COStS. COStS. $10 and costs, costs, SlO and costs. costs, costs. mile between Cincinnati and Louisville and additional samples have been taken from all creeks and rivers which enter the Ohio between these points. The work thus far accomplished has developed interesting data covering the extent of the pollution of the river due to the inflow of sewage from the Indiana cities, and also the fact that in the course of its flow the river between Cincinnati and Louisville is somewhat improved in character although in no ea.se has it been found a suitable supply for drinking and domestic purposes. The colon bacilli have thus far been present in all samples and both chemical and bacteriological examinations show a heavily polluted water. Some of the tributaries flow sewage so concentrated that no dissolved oxygen is present, but the flow of these streams is relatively so small compared with the flow of the Ohio, that the pollution, while gross at the point of entrance does not appreciably affect the character of the water. A careful study has been made of the water supplies of Aurora, Vevay and Madison, Ind., cities which take water from the river. At Vevay and Madison the- water is pumped direct to reservoirs without treatment. At Madison, however, partial purification is assumed to take place because the water is pumped from wells sunk in the, sandy bed of the river. MONTHLY BULLETIN, INDIANA STATE BOARD OF HEALTH. Tito study which is being made of the typhoid mortalities of these cities is most interesting and in the final report will he fully developed. It is not expected that, the survey will be completed before late fall. The health officers of the cities and towns along the course of the river are giving much assistance. LICENSE T O P R A C T I C E MEDICINE MAY BE REVOKED IF A PHYSICIAN FAILS T O PROMPTLY R E P O R T BIRTHS AND DEATHS, The following opinion given by the attorney-generaf of the State of New York will be of interest to physicians and health officers throughout Indiana. The attorney-general says, in part: "The method of registration of births by the local boards of health is prescribed by the State Department of Health and should be followed by such local hoards. I fail to conceive that the prosecution of a physician for a violation of law is more serious than that of a. person of any other profession or occupation. Because of many more privileges accorded him by law, and his prominent place in society, a duly licensed and registered physician should be one of the first in the community to realize the public benefits secured by compliance with the public health law and he should be one of the first to assist in its enforcement. The authorities in any municipality should not. through fear, hesitate to enforce the law. Where the authorities of municipalities neglect or' refuse to perform the duties of their office they may be removed. The State of New York will not tolerate its system of vital statistics to be impaired by the failure at the authorities of a municipality to perform the duties they have sworn to perform. After a careful consideration of the matter requested, I arrive at the conclusion that where a local board of health neglects or refuses to make and enforce the ordinances as provided by the Public Health Law, the State Board of Health may mandamus such board under the authority given by section 37; or, after .notice to the local board is given of registration defects, the State Department may under Section 5. take control in any municipality of the registration and record thereof, enforcing the rules and regulations in regard thereto, securing complete registration and continue such control until the Commissioner of Health is satisfied that the local board of health will make the proper registry and record required by law, and that the expenses of such control shall be a charge upon the municipality. Also, that persons violating lawful local health ordinances may be prosecuted under such ordinances, and where a physician is found guilty of violating the Public Health Law he may be proceeded against under the provisions contained in Section 170 of the Public Health Law for the annulment m of his registration and the revocation of his license, to practice medicine in this State. , ? In this opinion the responsibilities resting upon local boards of health and upon practicing physicians are so clearly outlined that the Indiana State Board of Health urges a careful consideration of the legal principles involved in the opinion by every health officer and physician in the State, Especially is this opinion of importance when considered in connection with the Indiana law requiring all births to be reported within thirty-six hours. When it is considered that this provision is not a "rule of the State B o a r d / ' but is the law of the State, the seriousness of neglecting or refusing to comply with the law should be apparent to every physician. RABIES* This disease is attracting considerable attention throughout the State on account of the unusually large number of canines that have "gone mad17 and the number of persons who have been bitten by rabid animals. Since July first, when the fund provided by law to enable the State Board of Health to furnish free Pasteur treatment to indigent cases became available, ten eases have been given the Pasteur preventative treatment and two cases are now under treatment by the State Board Laboratory of Hygiene. Numerous other eases have been given the Pasteur treatment in private institutes. The report of the Laboratory of Hygiene for July shows that the heads of 6 dogs, 1 cat and 1 cow were found to contain negri bodies upon examination in the laboratory, proving positive existence of rabies. The Hydrophobia Law enacted by the last legislature, which became a law March 2, 1911, provides as follows with reference to the duties of health officers: ''Section 5. Whenever, in the judgment of the health officer of any town, city or county there is danger of the outbreak or spread of hydrophobia within his jurisdiction, he shall thereupon order, with the consent and aid of the sheriff, the muzzling or quarantining in such territory, as they may deem proper, of all dogs and other animals during such period as they may deem necessary. Such order shall be given in writing to the person or persons concerned, if demanded. All police officers, sheriffs, constables and marshals shall kill any dog running at large without a muzzle in the locality where the muzzling1 of dogs is ordered as herein provided. "Section 6, Penalty. Any officer neglecting or refusing to fulfill the duties as set forth herein, or any person or persons who violate this act or who may resist legal orders as herein provided, shall, upon conviction, be fined in any sum not less than five nor more than fifty dollars/' 00 MONTHLY BULLETIN, INDIANA STATe BOARD OF HEALTH, The Hydrophobic Law also provides thai the State Board ot" Health shall provide the Pasteur; treatment for such persons a.s are kl in danger ot being affected with hydrophobia and who have no visible means with which to pay for the Pasteur treatment/' Jn carrying out the purpose of this law, the State Board of Health is prepared to give the Pasteur treatment at its Laboratory of Hygiene in Indianapolis, where, as stated above, ten patients have already been treated. The State Board has adopted the following rules to govern applicants for free Pasteur treatment : Rule L Any person applying to the State Board of Health for free treatment for the prevention of hydrophobia shall be required to furnish a certificate from the health officer in whose jurisdiction the said person received the bite or injury from a dog or other animal, which certificate shall state the facts relative to the bite or injury and the reasons why such preventive treatment is deemed necessary. The certificate shall further state that in the opinion of the health officer granting such certificate, the applicant has no visible or known means with which to pay for the Pasteur preventive treatment. Rule 2. Any person applying to the State Board of Health for free treatment for the prevention of hydrophobia, shall be required also to furnish a certificate from the trustee of the township in which such said person resides, which certificate shall state that said person was a resident of that township at the time the bite or injury was received and that such person is an indigent person or unable to pay for or procure the Pasteur preventive treatment. Rule 3. Whenever in the opinion of the Secretary of the State Board of Health, a person applying for treatment as provided above has complied with the rides of the State Board of Health, in regard to such treatment, the Secretary of the State Board of Health shall cause such person to be given the Pasteur treatment at such place and by such physician or physicians as in the opinion of the said Secretary will insure to the applicant the best treatment at the least expense compatible with said approved treatment, and shall authorize the payment of all necessary expenses by reason of said treatment. Rule 4. Whenever in the opinion of the Secretary of the State Board of Health it shall be necessary that the applicant for treatment, said applicant being a child or other helpless person, be accompanied by a nurse or a person acting as a nurse, to care for such helpless person dining treatment, the Secretary shall certify a statement of such need and shall authorize the payment of the necessary traveling and living expenses of such nurse or person acting as nurse, as provided in the Act. On account of the many questions that have been asked the Stnte Board of Health in regard to rabies the following information will he of timely interest; Rabies is an acute, virulent, specific disease, peculiar to dogs, but occurring in all carniverous animals and may be communicated to all warm-blooded animals. The transmission takes place from one animal to another only through inoculation with virulent matter. Rabies or hydrophobia always occurs in man as the result of an infection from some lower animal, usually the dog. Statistics from the Pasteur Institute in Paris in Hi,172 persons bitten by rabid animals, show that 15,121 were bitten by ylogs, 950 by cats, 14 by wolves, 2 by jackals, 9 by horses, 40 by cattle, 32 by mules, 67 by sheep, 3 by hogs and 3 by man. The danger following the bite of a rabid animal depends partly on the species of animal, and partly on the location and extent of the injury. As to the animal, the wolf is the most dangerous, the cat next and third the dog. Bites on exposed parts of the body are more dangerous than bites through clothing, as the clothing in a measure cleanses the virus from the teeth. Bites on the face or head are especially dangerous because the virus is easily and rapidly carried to the brain, The comparative danger is shown by statistics of 18,645 eases at the Pasteur Institute in Paris, Of 1,608 cases bitten on the head, 21, or 1.36 per cent., died. Of the 10,254 bitten on the hand 47, or .46 per cent,, died. Of 6,783 bitten on the limbs but .29 per cent. died. As a matter of fact statistics show that of all persons bitten by rabid animals, not more than 20 per cent, develop rabies or hydrophobia. The disease may be transmitted by the rabid animal licking an abraded surface on the hand or face, or through wounds received while making autopsies on the dead bodies of animals or man, In all cases an abrasion of the surface must be present, since the virus cannot pass through healthy skin. The virus or poison is contained only in the saliva. The saliva of the rabid dog has been shown to be virulent from 24 to 48 hours before any symptoms of rabies are shown by the animal. Consequently, whenever a dog has bitten a person it should be kept in confinement for several days before being killed in order to determine whether or not it is rabid. The average period of incubation, or the time between the receipt of the poison and the manifestation of symptoms of the disease, is about 40 days, Most cases occur between 20 and 80 days. No symptoms are manifested in the period of incubation. Death from hydrophobia usually occurs between the second and sixth day following the first manifestations of the disease. No treatment is effective after the disease has developed The list of drugs and cures that have been recommended is a Ion* one, but none have any specific value. The only " treatment for rabies is preventative. Every wound should be monthLY thoroughly mid completely cauterized ;it once. Cauterization after tin- lapse of 2-1 hours is probably of no value. By preference cauterization .should bo made with fuming nitric arid, freely exposing every part of tjhe wound. In the absence of nitric acid, lunar caustic, the actual cautery or the strongest antiseptics, may be employed. The Pasteur preventive treatment should always he begun as soon after the bite as possible. Cases which are given the initial treatment within a week are safest from the disease, although the large per cent, of cases in which treatment is begun within 20 days will be immune. The Pasteur treatment is absolutely useless after the symptoms of the disease have appeared. No statistics are available to show how long immunity lasts after treatment. Experiments on dogs show they are immune from one to live years. a person is bitten the second time by a rabid animal he should receive the preventative treatment. Rabies is thoroughly preventable in the most simple m a n n e r imaginable -by the muzzling of all dogs. INDIANA STATE BOARD SECRETARY'S 91 BULLETIN, INDIANA STATE BOARD OF HEALTH. OF HEALTH OFFICE OFFICIAL ORDER TO EXPRESS AGENTS CONCERNING S H I P M E N T S OF D O g S ' H E A D S VOW R A B I E S ( H Y D R O P H O B I A ) EXAMINATION. 1. Refuse to receive shipments of dogs ? heads or heads of other animals unless well packed in ice and plenty of sawdust or closely packed straw, and placed in a watertight outer receptacle. 2. Refuse to receive such shipments on S a t u r d a y , as the shipment will thus remain in the Indianapolis express office until Monday. Direct the shipper to park in ice and hold such shipments until Monday, so t h a t they can be delivered without delay at Indianapolis. :>. The express charges on shipments of this kind must be prepaid. 4. The n a t u r e of the contents of the box must l>e plainly marked on the outside, and the box addressed to LABORATORY OF HYGIENE Indiana State Board of Health, Indianapolis. Ind. By order of the Indiana State Board of HealthAugust LI, 1010. attest: JN HurtY. Secretary. The above order is published for the information of health officers, who arc urged to cooperate with ihe Laboratory of Hygiene by seeing that d o g s ' heads when prepared under their supervision a r e . m a d e to comply with the instructions given in the order. By so doing the work id' the Laboratory will be made more satisfactory and efficient and of greater usefulness in the prevention of rabies throughout the State. Neglect to observe these rules has resulted in many heads being received at the Laboratory so badly decomposed that an examination was impossible. MEDICAL INSPECTION OF SCHOOLS* BY .JW Birchfield. When a child is inattentive, and refuses to respond to the touch of interest which is raging among the other members of tlu* class, it may be he is suffering from adenoids, hypertrophied tonsils, or poor hearing or vision—results of former illnesses; or. perhaps, he may at the time be suffering a rise of t e m p e r a t u r e due to some of the so-called harmless diseases of childhood. The poor, overwrought teacher, however, does not comprehend that it is due to any cause outside of herself, and begins a severe examination of her method. 1st. Is the subject of interest to the child? 2d. Does it connect the child's thought with the thought of order in the thing taught ? M. Have I presented the thought completely ? These and m a n y other questions are gone over repeatedly by the painstaking teacher, only to find a continuance of the same inability to give attention on the p a r t of the child. The teacher changes the method, using the same t h e m e : changes the theme with varying methods and finally discouraged and with her belief in the enemy of human souls much strengthened, she either lets the child slip by or removes herself from the scene of activity—and so loses an opportunity—both to herself and also to the child; to herself, in failure to master her environment ; to the child, in discouragement for future endeavor, No, dear teacher, do not hastily conclude that tin* author of evil, whose real name is too ugly to mention here, has as yet conquered the citadel of t h a t child's mind, for every child is a recent, embodiment of the divine. It may be only a bad case of adenoids, or a mental defect resulting from a former case of scarlet fever. Who can tell . * Surely you would not add to the already crowded curriculum of your teacher's course a study of diagnostics! Life is entirely too short for such a tiling. and it is out of harmony with the spirit of the age to attempt the compass of all knowledge in on«; small head. From whom, then, can such information be reasonably expected* Only from a person trained in thai large and constantly growing branch of knowledge the medical sciences. Upon whom shall rest the responsibility to discover these physical defects and impediments to mental and moral growth, except the medical inspector of schools? MONTHLY bulletin. INDIANA STATE BOARD O F H E A L T H . hi 1SS7 J a m e s Sully slated in his Handbook of Psychology, speaking of the art and science of education: " E d u c a t i o n seeks by social stimulus, guidance and control, to develops the natural powers of the child, so as to render him able and disposed to lead a healthy, happy and morally worthy life gave as the divisions of this seizure two sciences, viz: " P h y siology, or the science which treats of the bodily organism, its several structures and f mud ions, and Psychology, or mental science, whieh deals with the mind, its several faculties and their mode of operation." Experience shows that a large and proportionately growing part of child life is handicapped in its mental and moral development by bodily defeats which are more or less of a preventable or removable nature, and we are now entering' a new era of educational endeavor which seeks to differentiate the varying grades of mentality upon a physical basis so as to dispense the educational pabulum with a more nearly just ami equal discrimination for the individual's capacity. The child, sick with measles, whooping rough, mumps, chickenpox. scarlet fever, dyphtheria. meningitis, or any of the other communicable diseases, is not only unlit at the time of his disability to follow the usual course of study, or any other course of study, for that matter, (his greatest need being; at the time to have an opportunity to get well), but he is also a menace to other children with whom lie associates, by bringing them within the range of infection, sickness and possible death. It is also a well-known fact that grave defects of hearing, sight and mentality follow as a .result of the so-called harmless diseases of childhood, such as measles, scarlet fever, etc., and at the present time advocates of the medical inspection of schools feel that much future disability has been spared the State even with the very limited application which the schools have been employed. It is a wise law that calls attention to the developmental periods of child life. However much we may differ as to The methods of handling, there can undoubtedly be no difference of opinion upon the " p a r a m o u n t " importance of that period of life which is known as the adolescent period something 1 more delinite has been evolved from the efforts now making to improve educational conditions, the medical inspection of schools offers the best means of handling; that very delicate and hazardous subject, viz: sex hygiene. < iiven as a court of inquiry the average present day school teacher, with her noble optimism and aspiration for achievement, and the average medical practioner. there possibly ho nothing but good cometo the boy or girl who is struggling through tins period of "'riot of the emotions,'' being scarcely able to heed the voice of conscience. The varying grades of parental indifference and ignorance will not only leave much to be desired in this kind of child training-, but it will also leave much more attention to personal hygiene and cleanliness which the medical inspector of schools can handle with dignity and efficiency. M A N U A L F O R SCHOOL OFFICIALS TEACHERS, AND The State Board of Health and State Board of Education together have prepared a Manual of Instructions for school authorities, which will be distributed by the State Printing' Board about Sept. 1st. This manual will contain the Medical School Inspection L a w ; the Sanitary School House L a w ; Rules and Regulations Concerning 1 Quarantine and Exclusion from School: Instructions for Disinfection, of School Mouses; Rules for Medical Inspectors and Teachers; Blank F o r m s for Records of Medical Inspection; Comments on the S a n i t a r y School House Law and Medical Inspection Law, with much information in regard to school administration that it is hoped will prove of value to all school officials. The manual will be distributed through county a n d city superintendents, who will be supplied with a. sufficient number of copies to furnish one to each school official and teacher in his county or city. Health officers arc urged to procure a copy of the manual and to become thoroughly acquainted with all the sanitary provisions p e r t a i n i n g to school management in order to cooperate with the school authorities in enforcing all sanitary and hygienic school regulations. MONTHLY BULLETIN, INDIANA STATE BOARD OF HEALTH, CHART SHOWING GEOGRAPHICAL DISTRIBUTION OF DEATHS FROM CerTAIN COMMUNICABLE DEBASES FOR JULY, 1911- NOrTHERN SANITARY SECTION. Total population , Total deaths rate per 1,000 Pulmonary Tuberculosis, rate per 1 0 0 , 0 0 0 . Typhoid, rate per 100,000 Diphtheria, rate per 100,000 Scarlet fever, rate per 100,000 . , diarrheal diseases, rate per 100,000 CENTRAL SANITARY 927,229 941 U.9 111.7 ., 24.1 10.1 2.5 ,. HO.4 .. SECTION, Total popalation Total deaths Death rate per 1,000 . Pulmonary Tuberculosis, rate pw 100,000 Typhoid, rate per 100,000 Diphtheria, rate per 100,000 Scarlet fever, rale per 100,000 Diarrheal diseases, rate per 100,000 1,114,087 1,211 12.8 131.0 25.3 1,0 141.6 SOUTHERN SANITARY SECTION. Total population . . . Tote! ............659,560 ..................... rate pw l f 000 _ . . . . . . . . . . . . . pulmonarytuberculosisrate pw 1 0 0 , 0 0 0 . . Typhoid, rate p«r 100,000 . . . . . . . . . . . Diphtheria, rate p r 100,000 . . . . . . . . . Scarlet fever, rate per 100,000 . . . . . . . . diarrheal disease, rate par 100.000 , . . . 769 13,7 13S.8 51.7 3,5 1.7 187.4 08 t 1910. 4i 9 ' 42 | 56 j 3^0 j 1! 2! Deaths in institutions Violence. Smallpox. Cancer. septicernia, poliomyelitis. ENTERITIS Lobar and Broncho Pneumonia* Scarlet Fever. Croup. Diphtheria. Typhoid Fever. Pulmonary Tuberculosis. ; indiana 2.700,876 '2,921 ! 1 2 7 | 524 ! 214 f 48 ' 41 i 90 679 j ! o 7 I 67 ] 72 \ 10 \ . \ cerebro-spinal fever. from I m p o r t a n t Causes. Diarrhea deaths . II to 1®. inclusive, ages 10 to 14, inclusive. 0 to 9, inclusive, I to 4, inclusive. Under 1 Year. j Annual Death Rata 1,000 Population. important Other Forms of Tuberculosis. per ' State of T Total Deathreportedfor July. 1911. Population According census, STATE AND COUNTIES. (Stillbirths occluded.) j! TABLE 1. deaths in Indiana by Counties during the Month of July, 1911. \ •• 4 ' 180 \&*^ _ J _ ^ " 1 S % S " i 941 ! T l T T l M I 85 I 23 1 11 ' 29 ; 2S§T 88 i 16 : 19 i 8 , . .i 2 ! 5 i 5 | 23 : 8 7 j . I I . ' 1 ; 3 9 • 121 j ' 6N> I i I i i j : ; I ; ; ! i j i • : l I i \ ' 21,840 ] 16 I 8 6 1 3 i 2 ! > 1' 1 * I * i 1 j .!...'... i.....! . : . > 1 21 ! . | . ' , 1j , Adams, , , , . , , , , , , §3,388 , so : io n 1 12 j s i 2 ' l , l | 221 7 1.... i 2: i j . I . : is 2\ i i I . , • 3j n , it> Allen,........... 12.SS8 6 ! 5 5 I ! . ! . j ... | 3 .. I 1 \ . I ...'•,.,. | . . . . • ; ..! , . J 1 \ - • J 2' ! • Benton........... 15.820 17 ;112 6 I 3 ! ! 2....'. • i 1 - . .' .. ;. . . i ... . , , . . ; . . ! ! ., . ; . M Blackford........ 17,§70 22 14 3 I 2 1 1 j 1 L . ' 2 • 10 I 2 ! 2 ' 1 ] . . . . i.. .. .1 . . ! . . I . . \ . . .. j . • ! ••• ! ' 1 oi - ! .. Carroll........... 31,368 i 38 ; 12 3 I 2 j 3 < 1 ! 1 ! 1 14 1 7 . . . I . |. „ , , . ! , . \ .. .' . I 1 1 ' \ • \ . • 31 5 , - 11 Can......... ; 25,0M 20 i 9 4 I 1 j , . i 1 I . ! *\ 2 > .. j . . .! ... I .. i . ! . • . . .| i ; ' • - ! « • ' . Dekalb........... 49.008 5S j 13 9 I 3 : 4 I . J 1 - 1 i 22 1 2 1 • 3 1... J I ' .. - 1 ] 3; . \ i ! ! 5 ; 10 ' . . I Elkhart. 16.879 1 10 j 6 3 I 3 . ! . ' . J 41 . ! i ... I . I ' .. ! J .. i 1i i . ' l ' 11 ! . Fulton.,,,..,,,,. 51,426 1 52 I 11 9 1 8 ! 4 1 ! . . j 3 2 1 1 6 J I I ... I . . ! . ! . . , • A ... « i - j • •• ! ! M M i * Grant............ S3,177 ) 36 ! 12 7 I S\ 71 i 1 1 81 5 j . . . . . . . . ! 2 i. . . . . . .|. .. i. . I . . . . 7 . ! ..!.. '; ... II 3 t ! 1 Howard.......... 28,982 27 j 10.9 I 2 ] j i....; I 9I 2 ; . . 1 I .. j . . . \ .. . | . I. . I i | . ;• . ' 1 ; ? i! Huntington....... u 13,044 J 14 t 12 0 I 1 | 2 I... I S I . . . . . I . . . . . . . I ... I . . . . . ' . !j . '. . , .. I 1 j . ! . . I | I 2 • 1 ., Jasper........... 24»»6I 22 9 4 I 3 I 3 i 1 i .. I I H I 2 i 1 .. !, I .. • . i . i j 2\ I . '• I. | 2i 3 I Jay............., 27.938 I 27 11 3 I 1 . . 1 . . I 2 ' 17 I 5 .j 1 I . j . • ; . . . . ! . . . ' ! I • -. I . 1 * • • l Kosciusko. . . . . . . 15,148 15 11 6 I 2 i 1 I j l ,j 6I 1j 1' . I . , . I * . | . i , j ! . i ! .. 1! 3' Lagrange......... 82.864 113 16 0 I o i l 10 j 1 t I 3 I 13 I 6 1 . 1 2 i 1 | , ,|. ; 2 • .. .! 5 ; 30 i . j J .. ; 1 | 10 | t i\ 45,797 51 13.1 1 6 1 4 I 4 ., \ 2 ' It I ? | 1 I 1 I 2 | .'< 1 - . I I I 2 . 4 j , ! , . 1 1 1 4 ' [ * Laporte.......... ; ,.. ! * * I I , .. . j . . . ' . ' . . ! . . . •' . ' 1 2 . • ' ' ' 1 3 ' , M a r s h a l l . . . . . . . . |. 24,175 I 20 9 7 I 4 | t 29,350 | 43 j 17.6 1 6 ! 1 1 I 2 ! 18 I 5 I 1 j ... 1 . . I !. ! . . I 1! . \ I \ , 3 1 8 \ 1 Miami........... ! l 10,504 8 1 891 t j 1i 1 .:• - 1 I • '....!...! i . ' . . . . , . I 1 3 • Newton.......... 24.009 24 1 1 . 7 1 1 I I . | . j 111 3 I . . . . 1 1|.....| '. . ! . I . 1| I . | | . ! li 5, i Noble.. 20,540 21 12.0 I 5 | I.....! . S I 4 . . . . . . . . . . i . . . \. . j \ , j . - i 1 - -. . I •• ! • i 2 | 3 j , \ Porter. 13,312 1 11 9 7 I .. j 1 ! 2 1... 1 . . . i . . . ... I . . . . I , J . I . . j .. |. . I 2 1 1 j ;; Pulaski........... 10,567] 6 8.6 I 2 ) l | 1 . ' . ..1.... 1 I .... J . . . . . . . . . . . . . \ . . \ -!•-• ••• !•• i\ • ! M Starke,.......... 14,274 18 14.8 1 4 | 1 I .. ! 7 I . . . . . . . . .| . . i. . . . . . . . . | . . 1 | . .. ! .. | ; 1 3;. Steuben,,..,.,.., 84,312 107 j 14 9 I 22 | 16 I 2 j . 6 i 23 I 13 2 j 6 1 2 1 . . . II 2 . . 5 IS ' . j. i. | 1 . . 8 I 13 St. J o s e p h . . . . . . . . 8 3 3 J Wabash......... 26,92-6 25 10.9 I 4 1i 1 . s 1 I 2 i ....... |....... I. . 1i •-• • I--••••• -•• I * Wells........... 22.418 1 1 5 71 1 1 . . . . . I. , 2I 2 ....i 1 . . . . . . . . . j . .. | 1 1 - j . . . . . . . . . . J .. 1| White........... 17,602 13 8 6 1 . . 1 ].... 1 •01... .....| . . . . . . . . . . 1!. • - ' ... •• • • \ \\ - \ | , Whitley......... 16.8S2 10 0 9 1 . . ... 1i........ j 81 ..... ... j . . . . . . . . . . . . . ... I • • | j • • • 1 1 ••• j• • I l 1.114.087 1.211 Il2.8 I 196 83 16 16 32 1 369 I 124 I 28 24 .......... | 1 2 14 20 134 j . 1 1 ! 2 77 | 1 CO | , | 136 . central counties., Northern Counties. . 24,813 33 15 6 I 6 . . . I ...... 2 9 1 5 . . A 3 . . I... . I 1 . | 3 . ... j.. . 1j 1j : 1 24.673 23 10 0 I 3 . . ! . . . I. 2 ,. ., 5 1 1 3 .... . . . .. , , j 1 - . \ 1 ] . j . . . i ......... . 1 2 | . 7 97S 7 10 2 I 1 1 . 3I •. . ' • > -• 1I . , I . • i • • 32,'535 34 12J I 10 4 j" ' j' V. 3' I 4 1 " 1' 1 2 j 1 I . [ [.'.'. .... '.\'J, , I ' 1 9 ! ]. '. j . 1I 1 3 26.674 22 9 6 1 1 1 . ]...., 1I 7 1 2 j . . . . . . . . . . . . J . . . . . . 1 . I .. 1 1 . . ' , . . . . I 1j 4 3 1 . . . 4 18,793 22 1 3 . 7 1 l l . .. 1 111 2 1 1 . . . . . . , . . , } , ... 2 ••!••• •••! "• I " 51.414 j 45 10.3 I 9 i 6 1 . .. A 2 1 14 I 7 1| 1 .. I . .. . j 1 5| 1 4 . ..| .. . .. 1 3 I.. 2 14.415 j 16 13 0 I 2 j 1 1 ... .. 6I 2 1 j ....... J , . . . . j . . 1 . . ........ . . . . . .• • 20,439 22 12.6 I 4 i I 2 . .., 8I 2 .. .. ..! . j . ,. .. . 4 , .. 2 3 .| 15,335 12 1 9.2 1 3j 1 . . .. 1 ll 3 . . | .....j I... . . 2] . . , , | | . ! 27,026 32 13.9 1 i\ 11. . . . 1 17 1 8 , ....I . .....!.. ....... 1 . . 1 1- . > li 1 ; ] • 19,030 21 12.9 1 6 ! 2 j ,.! 1 .. 5 1,..,, 2 ... J. .......;,.. , . . . . . 2 .. .. . .. j 1j .. .. j j • •• • 20,840 10 5.6 I 1 j . . . . . . . . . . . . . . . .... 6 1 1 I . . . . ! . . j... ...... . . . . 1 I ........ | . | . ! 2 ... .. Hendricks....... 29,758 24 9.4 I 5 . . . . . j . . . . . 1 2 9 I 3 ... . . ..1. . j... . . . . | 1 , 3 ......... ! . j 1 1 . . . . . Henry 20,394 17 9.8 I 3 1|.. ... 1 ... 8I . .. .. 3 . 1 ...... |.,....] . I ! ]. . . | .. I . Johnson , 65,224 58 10.4 I 9 4j 2 ... 1 .. 20 I 7 2 1 . .... . 1 L. . 1 . 4 . L . ... I 2 9| ^ Madison 263,661 333 14.8 1 51 16 5 4 7 74 1 27 10 9 2 ...... L I 3 6 37 I . | . . 31 27 ! . ! 80 Marion,.,.,,.,,. 23,426 18 9.0 | 5 .......... 1 . . . 6 I 4 ......... ........ .. I. , 3 . . | . . . j . «... .. .. 1j 1 Monroe,..,,.,.. 2 29,290 28 10.4 1 1 ......... |.... . 1 13 I 5 . . . . .. . .] . . j . . 1 . . ,.. i . . . j 1 . . • I . . '. .| . Montgomery 21.182 16 8.8 I 3 1 ..... ..... 1 til 2 1 .. . . . . ! 1 . I 2 .. . |. .... .. . , .. j . Morgan......... 14,053 12 10.0 I 2 3 .. .. .. .. . .. 4I 1 . . 2| j, | 2 Owen........... 22,214 23 12.1 I 4 . . . . . . . . 1 .... 9 1 4 . . .......... . . , , ! I 3! I j. .,; 2 4|. |.. Parke 20,520 23 13.1 I 2 . . . . ...... 2 .. 8 1 1 I. .. . 1 ........ '. . 5i . . . . I 2| 4 | Putnam 29,013 23 9.3 I 2 1 1 ... .. 10 I 2 I ..... i , . ... !, ., , . . 31 . . j . 1 i, . j j • • Randolph... Rush........... 19,349 15 9.1 I 2 1 1 1 .. .. "I • • • 1 j... . . . . . . I . . . 1i ! .. . • • 1 2 Shelby.......... 26,S02 26 11.4 1 3 2 . . . . ... .. 10 I 5 j . . . . I. ... ! .. ! . . 2 ! .. i .. 1 3 ] 40,063 47 13.S I 2 1 1 2 23 I 7 j . .j . . . j . . . . . 1 2 ... .; I.... 4 | 5 : 18 Tippecanoe..... Tipton 17,459 18 9.6 I 3 2 . . 6 1.... 31... . . . . ....... I 1 -• .| . |.. .. j 11 • •• • Union 6 S 260 4 7.5 I 1 1j . . .....J 2 1..... ... . . . . . | . . ... I 1 . • . . . .1.. . | 1 . ... . 18.865 14 8.7 I 6 . . . . . . 1 | 4 1..... j... . ... |. . . , .. ! 4 j . ;. . .. .. . .. .i . . 2 . . . . Vermillion 87,930 153 20.5 1 29 2« 2 2 4 J 29 1 17 l i 3 . | . . I 1 . . j 28 j. . . ! . ... . j 8 19 . 18 Vigo............ Warren......... 10,899 7 7.5 1 1 1 1 ....1 2 1 1 . ....... . i - • I 1 •• • • ; I •• • !• • -i • Wayne.......... 43,757 55 14.7 11 5 1 .. .. .. .. 20 1 1 • • • 1 1 . .. j .| 1 .. 2 5 . I I 3j ft 11 Bartholomew.... Boone,„,.,,,,,. Brown..,,,...,, Clay............ Clinton......... Decatur......... Delaware.,...... Fayette Fountain , Franklin Hamilton.. . . . . . Hancock........ Southern Counties . 159,560 Clark........... Crawford........ Daviess......... Dearborn .... Dubois Floyd,,.,.. Gibson........... Greene....,.,.,. Harrison......... Jackson. . Jefferson Jennings Knox............ Lawrence,.., Martin.......... Ohio Orange 30,260 12,057 27,747 21,396 19,843 I 30,293 30,137 I 36.873 i 20.232 24,727 20,483 14,203 39.183 30,625 12,150 4,320 I 769 13.7 I 165 66 12 14 29 214 I 75 j 25 29 47 18.2 I 15 2 1 ... 1 .. 6 5.SI 1 1 .......... .... 27 11.4 I 4 1 ... 1 .. 3 IS 9.9 I 1 ......... . . . 1 .. 25 14. Si 7 5 1 ....! 3 46 17.8 1 11 . 5 . . . 2 I. .. . I 51 19,9 | 13 3 j I .. 2 35 11.1 1 13 2 1 1 . I. 20 I t . 6 1 5 . . , . I 3 12 5.7 1 . . . . 1 1 .... 2 32 18,4 1 3 1 1 1 2 14 11.6 I 2 1] j . . .... 29 8,7 I 8 5 I. ..« 1 1I 32 12.2 1 9 3 I 2 j M 1j 10 I 9.1 1 3 1 j.. ! . . 4 1 10.8 I . I i. !. ... I 2 .. . 21 1 ! i •• I 17,192 ! 11 7 5 I 2 2 1 i .. . .. I . . . - J 3 ; 2 j . ,, . , j 18,078 i 28 IS 2 1 1 4 2 2 | 10 I 4 1 2 1 11,684 19 11.5 1 3 3 ...... 9I 2 1 . ! I 21,670 33 17.9 | KM 4 2 , , . .. 71 j 2 1j I 19,462 26 15 7 1 2 1 I .. 1 12 I 2 1 4] ! 8,323 16 22 5 I 3 1I I 1 61 5 .. . .I . I 20,076 29 Hi 5 I 7 4| . 1 1I 7I . | 1 2 . 32,439 32 1 M l | Hi 4i 1 1 2I 4 | 2 i .. I. . 0,914 8 I 9 5 1 .. ! . ! . . ! 4I I .. , . • 77,438 123 j 18,1)1 27 12 ! 1 I 4 1 1 I 3n I U 1 1 .. 21,911 18 J 9.6 I 5 . . . . J. .]...! 1 71 2 1 | 2 .... 17.445 18 12.1 1. ... 1 !... j 1 I . . . 7 1...., 2 3..... Perry Pike............ Posey........... Ripley.......... Scott. Spencer Sullivan Switzerland... , . Vanderburgh.... Warrick......... Washington.« I _J i I I I I 1 1 1 2 I 23 I 13 105 | 1 1 j 1 44 75 , | 46 10 I 4 | 4 1 j... . . . . 2 2 9; L . . . . ] 3| . 1 I... . 1 .... . ... .... . i. . 1 I j..... | . . . ) . . . . I . , 1 | 91 3 .. .. 3 ........ j .... \. ... 4 . , |..! 1 . .. 11 I , . 1 . . ........ I . . j, 1 j. .....j . ! 2 . 1 3 .. . 2 .. . . . . |., . 3 . > 3 | . | 1 ... . . . | . 15 1 4 | 2 | j . 1 1 2 ! 7 . i . 1 ' . • 3j 11 I 9 | 1 I 1 I j ; | 2 1j , . j 1 s I ! 3 8 I - 1 I 1I 1 I I s . j . 2 71 2 2.; i | | | I 3I 2 | 1 1 1 31 1 l • ' | ) I | ' i j ; 11 I 5 \ \ 1 | . I ! 1! : I 3| BI 2 ; S | 1 1 . 1 | j ; 3I 10 I I 1 ' t I I 1 8 I | 2| 8 1 .3 1 3 1 ; i 2 5 . I j 11 2 I 1j 1 I . 2I . I I 1I ! 1 _j I I I - I- I • I •• ! , I \ 1I \ ., I j .. ( I I . . I . I } 1 ... I I I I ... \ j I. . . . • | ! , 1 I I 1 ', '. \ 1! 2 • | i ' • , !,, j , ,j 5 ! 3 | . . . 1 . . . . . . . I..... i , . ...... j_ __ 1_ I I I 1 ' I ' \ \ • ., | I 2; j . . . j j 1i .. | . 9 . I . I I ' 1] . I . ! ; 2i I ! . 5I I i . 1 . . . . | 22 . ,, .. I. , ! 2 ....... | ,.; . 1 .... . j ... 1 I i 1 ! I , I | 1 2 1j 1 3 ' 2 I 1| i I | 2• I 2| I 5 ... I 3 1 .. 1 ... 6 |. . 2 |. .. 6! • ! 1' 5 ; | ' 1! \ 2 I 3i I 6 2 1 •; ! 1 | 1 . 1 . 5 1 10 1 i j 1 I... 1 j . 3i [ . . 4 ' ! { ! 5! | 6' I 1 j 13 I 27 2 . | ... l | . j..,.. 1 j _ ! ! ' i ! I ! I 130.440 ! 160 | 14.4 24,005! 22,470! 22,324 20,925 | 20.629'| 20.081 I ' ' i 71 41 4' 6 10 25 j 9 , 5 ; 3 1 1 10 ; 2 i 1 j 1 \ 1 17 IS I... 2; 3 19 j 12 I 2 | ...J 5 | 31 j 15 | 2 2! I I 70 I 37 J 3 I 22 10 ! i t 16 4! .. . ! 19 12 | j 13 I 11 | 2 j 5 ! 49 I 14 | 2ill27| 5 ! 4 ! 1 .....! 1; 71 10 j 9 9 . . ! . . . j 1 . . . -i 1 | 7 | 21 | 12 7 7 . 3: . . | . . . .[. . 91 28 I 15 7 10 ; 3 i . . . ' , .! 2 3I 36 20 5 9 | 4l 1 II..... 12 1 2" 15.S . . . ' 1| 1 1 I II I I I 4i I 7 1 1 2 3 3 I ' ! I ' ! Deaths in i Smallpox- Cancer., Puerperal __ I j 3 Poliomyelitis, Cerebrospinal Fever. ( 233,850 ! 307 i 15.4 I 47 14 4j 4 6 : 66 | 24 < 10 9 2 .....!..... 233,050 j 30" • 15 4 | 47 | 14 4: 4 6 1 68 24 j 10 9 2 ........... 245.421 348 i 16.6 69,647 104 17.5 63,933 I 04 11 7 58,157 j m I 21.4 53,684 I U \ 16.2 excluded,) j Whooping-Cough. ' Lobar and Broncho j j Pneumonia. Diarrhea and Enj teritis, under 2. Measles* Scarlet Fever. j Croup. | ! l I 05 Yeara and over, j Diphtheria. 15 to 19, inclusive. I 5 to 0, inclusive, ! I i 10 to 14. inclusive. J j ' j I (Stillbirths D e a t h s F r o m I m p o r t a n t Causes. Typhoid Fever. ! J u l y , 1911. 1 I Pulmonary ] Tuberculosis. j Other Forms of J Tuberculosis, Cities of First Class, j Population 100,000 and ever I Indianapolis....... Cities of Second Class.: Population 45,000 to 100,003........ Evansville i Ft. Wayne... Terre H a u t e . . . . . . . ' South B e n d . . . . . . . . ii Cities of Third Class, i Population 20.000 to 4 5 , 0 9 0 . . . . . . . . !! Muncie , Anderson., II Richmond.......... Hammond..... jI i New Albany ! Lafayette ji Cities of Fourth Class. [ Population 10,000 to.20,000....,...!! M a r i o n . . . . . . . . . . . . iS E l k h a r t . . . . . . . . . . . I| East Chicago :: Logansport........;: Michigan C i t y . . . . . ; Kokomo,.......... ' Gary.............-! Vincennes. Mishawaka. '' Elwood — Peru......... — . Laporte.v... Jeffersonville .. t Huntington |; Cities of Fifth Class. ; Population under I 10,000 . . . iI Brazil. ...... Shelbyville......... New C a s t l e . . . . . . . . Crawfordsville.....; Bloomington....... Columbus Bedford...........' I Wabash Frankfort..........' Goshen. Washington........ Connersville Valparaiso.........; Madison.. — . . . . . .! Whiting..... . . . . . Princeton . . . . . . . . . ' Seymour.......... Clinton.... — . . . . Hartford C i t y . . . . . Linton Mt. Vernon. . . . . . . Lebanon........... Greensburg........ Portland....... Alexandria......... Noblesville........ Bluffton .....' Kendallville... , Rushville .Martinsville Franklin,.......... Decatur Greenfield.........' Warsaw Aurora . . . . . . Winchester........ Garrett............ Sullivan........... Tipton.......... . Boonville . . . . . . . . . Lawrenceburg...... Auburn. Plymouth. . . , , . , , , Greencastle Columbia C i t y . . . . . Mitchell.., .... Tell C i t y . . . . . . . . . . Rochester. . . . . . . . . Attica....... . . . . . Gas C i t y . . , . . . . . . union C i t y . . . . . . . . Dunkirk North V e r n o n . . . . . . Montpelier. . . . . . . RockportAngola . . . . . . . . . . Huntingburg.... .. Rensselaer . Ligonier Monticello........ Delphi Loogootee......... Cannelton Covington. Butter C i t y . . . . . . . . Veedersburg....... Rising s u n — . . . . . Vevay............. 1 to 4, inclusive, i Important Ages. Under 1 Year. j Population According to U. S. Census, 1010. CITIES. Deaths In Indiana by Cities During t h e Month f otai Deaths Reported for July, 1911. (Stillbirths Excluded.) Annual Death Rate per 1,000 Population. TABLE 2. ' ' 3 I 6 37 1 27 | 28 ft f 3 j 6 37 \..,. L .. , ,!.. |. ! !! !| 27 23 . !.. I ?g ! i I 2 1.....! 1 ..... 7 8 52: ...... 14 42 I |............... 51 2 17 .... . ... ....I 4 12 | """| 1 '.... I......... ] 2 1 ....................! 3 12 '" .,..[... !......... 1 ... . 19 .............. .| 7 j 12 !!!. .I 1 '-. ...\ 1j .....| 4 15 ... . I .... .| ...!.... } fl . ... 1 j . . L ... .| ... J . 7 5 1 17 J 2 | l[ ll.... [„.... j 5 l ! 3 1 1 !....................(..... 1 ......... 1I ......... I 1 1 1 . . . . . 1 ... .1.... .|.,...(.....;..... 2 3 2|.....| I.....!..... 1 ..... 4 L....I .................... 1 3 2 5 6 1 I . . . . . . . . ! 6 i 13 I 63 21 18 18 8 I 28 1...............1 1 ( 2 1 I 2 .......... ......... 2 2 ..... ..... 1 1 I ........ I... 4 '""'ft .... .....,....! 3 ....... I 5 ..,..!.,.., 1 4 ..!.. g 209^556 264 I 14.8 70 25 I 4 2 ] 6 j 59 I 18 5 7 31 1 3 2I 7 47 . . . . . . ! 1 10 27 Ifi 19,350 17 | 9.7 3 1 . . . J ... 1 5I....I 1 ................... L...! 2 ..........!!.. 1 . . . . I!!!!! 19,282 1 16 1 9.7 3 1 ... ,f......... 61 11 |.............. 1 ................... ..... l ! 4 .....""* 19.098 1 22 13.5 18 ! . . , . . ; . . . I 1 . . . . . . . . . . I . . . | I I i.......... •— 2 | 12 . . . . . . .. 1i ""** 19,050 | H 9.4 I 2 j 1 ; I j 1 I. . . . . ( 41 2 ..... ..... | .......... It . . . . . . .. 2 1 I ""' 19,027 24 14.8 1 2 2! 2 j . . .j 3 I 4 1 ............... 1 ..... 1 1 ............... 2 ' . ' " . " '*? 17,010 21 j 14.5 I 6 4 ! 1 31 4 ..... If ..... . . . . .....I 6 ... ...! ... 1 21 16,802 3 M 2 7 . 3 I 17 6 ....! . . . . . . . 3 1 2 .......... I [..... I l ( 17 . . . . . .....I..... 5 ....'* " s 14,895 12 I 9.4 I 1 3 .. . . ! 51 .....I ... .......... 2 ..... ..... . . I 2 1 11,886 1 l i t 15 8 I 3 4 ...,l .... 1 21 I 3 1 .....j 2.......... 1 . ... 1L J 3 11,028 1) 10.7 I 1 1 ......... 3 I I |... ...... I ......... .....i..... . . . . . . . . . . . . . . . I . . . . ! . . . . . ..... 1 2 10,910 21 22.6 1 4 ; l ! ! 1 •' 9 1 1 j 1 ; .... .1 . . . .1. ... .1 . ....|...... ...... j. ....!.... 4 ""i 10t525 r> I 16.6 I... .) . I 1 ... I I 5I 2; 1 1 i .... ..... »....( 1 ......... I....., .... 1 I . . . 1 10.412 2* 29 3 I 10 j 1 ! 1 31 2 2 1 L . ! 1 1 6 ............ J 2 2 '*" 1 10,272 11 I 1 1 . 4 1 . . . . 328,210 I 371 13.3 I 60 I 28 I 9,540! 9,500 I 9,440! 9.371 8,838 8,813 s 8,716 j 8,687 1 8,634! 8.514 1 7,854 7.738 6.987 1 6,934; 6,587! 6,448! 6,305 I 6,229 6,187 5,906 1 5,563 1 5,474 i 5,420^ 5,130 j 5,090 1 5,073 ! 4,987 ( 4,m I . j... .1..... . 4 5 [--'- 4 i 10 j 121 I 4 4 I 8 .......... 8I i... ......|......... I .... 1 ' . . I .... ... 2 6i 5 46 ... .. 1 1 .... J 2L;j ,. ,, 1 I 20 ' 25 [ 1 1 i n 15.9 I 5 | 3 j .....[ 1 2 • . . . . . . . . . . . . . J . . . .1. . . . . . . . . . 1 7 ......... 1 .....!.... . L ... 14 17.3 I . •[ 2 | . . . . ... 8 I 3 L . . . . . . . . . 1 . . . . .1. . . . . !..... ..... 1 ....... .... I 21 "*"" < I 11 2 I 4 . . . . . . . . I . . . . . . , | 3 l . . . . . . . . . » ! .................... 3 ...............1...............[.. . " " ' 11 i 1 2 . 6 1 1 . . , . . . , . ! . . . . . . . .{ 3 1 2 . . . . . .............. ,1.......... 1L...I....I j . . . . I . I""* 1) I 13.3 1 2 . . . .! 1 , , . , ! 4 1 3 . . . . . j I ..........I 2 ..........1 L . . . . . . . . . . . . . I'"" " 12 ! 16.0 I 2 ! ...! I I... j 4 1 2 . . . . . . . . . . . . . . . . . . . . . . . . j .......... 1 2 ........ . 1 . . . . . . . . . . . . . . . . . . . ! " " i S I 10.8 I 1 2 i .. . . . . . j 2 1 1 . . . . . . . . . . . . . . . 1 . . . . . . . . . . . . . . . . . . . . I. . . . J 2 . . . . . . . . . . . . .1.... .1..,. . 2...!., S 10.8 I 2 i 1 l | II,.,.. it..... ............... 1I.............!........................,..."" * 9 12.2 I 1 .. [..,. 2I ........ J.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . 1 .................. . 2 1 ...'."""' 11 15.1 I 1 l i !. . 1 31..... l i 1 .....I..... ! !......,...| 1 ..........[ ..... I ! 3 . 11 16.5 I 3 1 ' . '..,..1 3 1 2 . . . . . . . . . . j . . . . . [..... [ .......... J 3 .............. .... 2 1""" 10 15.2 I l ! 11 1 .....! . . . . 31 2 1 ..... . . . . . . . . . . .....|..... L . . . . . . . . . 1 .......... ....... . . . . , L ] \'. " " " 3 5.0 | . . . . . | . . . . . | . . . . I . . . . . 1 . . . . J 11 1 ...................... .....I ........ ,,...,..,,!.. . 1 ........ . ' " " 11 IS.7 I 2 j ...j.....) 2 31 2 .................... ..........{..... 1 .......... .....I..... 1 ..... ! ' " " S 14.31 4 ! . . | . . . . ! . . . . . | 11 l | ..........! l l f 3 .... ............ ,\""' 11 20.0 1 2 ( . . . 1 . . . . . j 1 ! 3 1 31 . . . . . . . . . . 1 . . . . . . . . . . . . . . .j |..... 1 ..... 1 ......... J 1 II..!!. l 5 9.3|.....i I........ \ 1 II......... 1 .....j.....!..... ..........!..... ...............!..... i J " " * 8 1 15.1 I 5 j . . . . . | . . . . . . . . . . . . . . . 11 ......... J.................... 4 ..... .......... I..........I'"" * I t 1 20.9 I 1 ..... !.....[..... 4 1 1 .... . 1 . . . . . . . . . . I....................1 .........J...............( 2 .....j""" 7 I 14.0 I 2 . . . . . . . . . . ( . . . . . ! J l|.... 1 1-....................... J 2 .....I.......... |...,!.... ' " " 10 21 2 I 2 . . . . . I t I I 31..., li.......... .....1..... ! 1 ............... 2L..--1 ""*" 6 [ 12 9 I I | . . . . . j . . . . . . . . . t . . . .i l | . . . 1 . . . . J . . . . . . . . . . . . . . . I-.... 1 i .................... ' }'""" 10 1 2 1 . 7 1 1 j . . . . ; . . . . . ; ... 3 | 1! 1 1|........................ J 1| ............... 2 (.....!' 7:i6.ll If 1 ,....).....: ....| 4 l . . . . | 1 ! ......,...{............... 2 t.......... .......... 11 1 (.....( 3 ! 6.9 I 2 ' . . . . . | . . . . . 1 . . . . . ' . . . . . ^ . . . . J 1, . . . . . [ . . . . . ' . . . . .L . . . . [ . . . . . 1 . . . . . . . . . 1 . . . . .} . . . . . . . . . . . . . . . . . . . . . . . . . J.. -If 6.9 I 1 .....j.....: I : \ I !..........( ;..... .... .i..... . . . . .....! ... .......... ,|......... | 7 i 16.5 I 1 .....!.....:.... J , 2 | l|...,j 1 (.....j..........}.... .L.... \ \ I \.... . j . . . . . . . . . . . . . . . , j . . . . ,\,..., 7 : irt!V I " ' i ' 1 ' ' ' ! " ! ! ! ! ! ! ' ' ' " ! ' ; ! ; ! ! ! ! ' " " ! |!!!!!l'!!!!i!!!!; ; ! ; ; ; | ! : ! ; ! | ! ! ! ; ; l ! ! ; ; ! i ; ; ; ; ; | ! ! ! ! ! | " ' " i " ; ! ! ! ! ! ' ! ! ! ; ! ; ; ; : : 1;::;; 1::;;;i;;;;; 1 ;;:;;[*"**" 4,529 5.13.01....'....!.....;... ! 1J 21 2'......... I.... . j , . . . . 1 . . . . . i.....l 1 I..........I !.. . 4,502 3 ; 7.8 I . . . . ; . . . . 1 . . . . J . . . . . 1 . . . . . : 2 1 2 ; ....; 1 . . . . . ; . . . . . j . . . . . t . . . . . ' . . . . . (.....[ [.....!,... .|. . . . . • . . , . . ! . . . . J . . . . . ' ! ! ' * 4.471 4 10.51 f........... |... 2 1 t . . . J ....! !..... i . . . , . ' . . . . I.......... J (.....[....,;..... (.....[..... I ;' '* 4.448 « I 15.9 I 1; .....i.... 1 21 ? I . . . . . \..... I . . . . . ; . . . . . ! , . . . . 1 . . . . . ! . . . . . I |.....;.... J,....! 1; | 1" " 4.43" I 7 ! 18,6 1 . . . . I :..... |.. 5 1 2 1 . . . . . 1 , . . . . i . . . . . . . . . . f........... I . . . . . I | . . . . . . . I . . . . . \.....; | . . . .[ 1 ' . . . . . ! . . . . . 4,410 N 21.3 I . . . . . . . . . . . J . . . . . ; . . . . ' . . . . ! 4 I . . . | .....j.....1.....!.....'....,...:.....; I.... I . . . . ' . . . . . I..... • 1| I tj , . . . 4,266! 7 119.31.. ' 1 ! . . . . I.....!.....' 4 1 i :.....! |.......... j . . . ..j.....'.....[.... • 1 |.....|.....|.....'....., l|....l .]' ' 4,149 ' I I 2.S I . . . .1 . , . . 1 . . . . 1 . . . . . ' , . . . .; . . . I . . . . ' . . . . .! I '. . . . I . . . . . I . . . ..! . ! . . . . . ; . . . . . ! . . . ••,,.. ; !..,,.! 1[ . I 4,115' 5,14.31 2 . 1 '.... ......'. ......... i ...!.....'...........I !.....!.....' l i 21...... I..........:' 1 i..... L ....:!!" " 4,075,' 3 s.fi I I I; ......... I ..'.....:..... 1 ....' .....I.....;... . . . ' . . . I ....! . . . . . . . . . ! . . . . J 1 :, . . . i , 3 934 ' 3 8,9 1. . . . . . . . . , '. . . . . . . ' 21 .....'.....!.... !..........', .;....! | . . . . . . . . . . . 1..... 1 . . . . ' i 3,930 ; 3 ' 9.0 I . . . . . . . . I . . . - 1 ,. . . . i 3 1 , .' ' ...J.....:.....1 . . . ! . . . . .1 1 '. .. ]... > ....;' . . . I . . . . . ' . . . . ; . . . . ' * l""*" 3,919 . ' 5 • 15 0 I . . . ; . . . . . . . , . . ' . . I 1 1 . \ ....'..... '..,....... I.....;.., ;.,...'... '....' !....; ! 1 ] 3,818' 3 . 9.2 I I . ... 2I , ; !.. ...'.....,.............. .1.......... .j.... .....;... .1.... .1,!! " 3,790 3 9.3 I . . . . ., J . . , . . : . . . . ! ' . . . , ' , . . , ; . . . . : 1 . . . . . I ... |.....; , |••• ' '' 2 l . . , t, \ 3,448 ' 2 6,51,...,. .. . 6 | . . . . . . , ...'.., ' . . . . : . . . . . : . . . . . . . . . . . ; . . . . ' . . . | . . . . . 1 . . . . .j ! ; ,,..,!.....[.,!,! 1 3,43s 2, ft.sl 1 . 1 •,.... . . . . . . . . , I '.....;... 1..... : 1 ' ....I... r ... j [.... • . . . . . ' . . . : . . . . . ; . . . . ' 3,369 5 '17 51 . . 1 ,... ..... l l I'..... 1 :..... . . . . . . . . . . . . . . . . . . . . . . . . . J 1 L....1 ' L,.,. 1 :...,.:..! 3,364 No D pathos. I ! '-. ..1.....' ; . . ' ......'...,' ...... . 1 . . , . , . . . . ' ',. . ! ! l 3.335 t o l".f»| ' • • • ' :* I • ' ! ! ;.....!,....;....! 2 ' . . . . , . . . . . . . . . ; . . . . . : . , . . ! , . . . . \ ....;.!!!! 3,224 ! 1 25|-' - '••••• • • • • ! • ' I 1 . . . . ' .. l I . . . . . . . ; . . . . I . . . J . . . . . I . . . ., ...,....,...-!.....;....'..... 2!9i5 ' 5 s o l .. !!!.. .-!.. 1 . !.' !!!!. i I "i ".[ .'!!!'!;!!!!'!'!!!!f!i!!)!!!!!:!!.'!!;;!!;!!!!!!!;!!;."!i!!!!!l!!!!!!!!!!! ' " i " ! ! ! ! ! ' 1 . ' . " ' ! ! ! ! 2,786' i 421 1 . . I . . . . ' ....|.....j 1 ' •.... ,..,..!.....!.... I ...I... ',,„.. 2,736 S 34 4 I i 2 21 ....: . . 1 . . . . . . . . . . . . . . ! I................ I.........! \\ 2 : . . , . . 2.610 1 4..>|.. ^ . . . . . . . . . J ... ' ' -•!-•>-, ' [-....;....;.....!,....| f . . . . '. .!.......... 2,4644 ' 19 1 1 . . 3 ,...§.. • 1 | .. j ...'....., I1.........1....;.. !.. [ ! 1 ....|...., 2,393 1 4 ' 19 J) I 1--- . - . . . . I I .. ; , . .--..•! - . . , ! - . . . . . . . . . . . . . • - • • - . . . . , '.....; ............... ! 2,173 i No D cMh<. I , - . . . . • . . ; . . . L....., ... i . . . . . ; . . . . . ' . . . ..... .; — ; . . . ; . . . . | . . . . . ....;.,... 2,16> ; 3 16 2 I . . . l -- , I ...;...'........'....;..... l 1... I ....................: 1 ...... .. . . . . . . ! 2,161 1 4 . 21 s 1 . . 1 ............. i l i1 1 ....,.....:.....! — : — *- - -! — -- 1 — i — : — — . , . . . . . . . . . * 154 f 3 16 4 1 , ... 11 i , . . . . : . . . . 1 1 ;... .!.....: :,..,.;..... 1,.... j . . . . • 1 i.....i...... i ! 130 1 4 ' 22 1 I - i I ; . . . I l i . . . , 1 • 1 J-...-! 1 !....:,.., .1.....'.....;..... 1 :....!..... 1 1. . . . j 2,069' 3 17.0 I . . ., .; i l 1 .....'..... ..... j . . . . . . . . . . . j . . . . . . ....; , i ;....;• 1,757 No D e a t h s . I . . 1,513 ! 4 • s i ji • . . 1 ; 1 I ....,....,'..... ................ 2 1 1 ;.....;.....'... .... Total Urban Popula- 1.147,277 t.450 ! 14.8 j 279 ' 121 , 18 t 18 I 37 362 I 137 | 30 | 3 4 ! 9 ; . . . . . tion Total Rural Pepula- 1.553,599 1.471 . 11.1 I 245 93 ; 30 ;' 23 ' 53 517 J 150 37 38 1 ..... 1 „,. tlon ! ... ;,....,..... ....;..,..!.....i.....j.... j , 2;, i 2! 4 ' 17 • 25 f 127 i 2 5 , 31 ; 199 ' . . . . . ! 1 ,.,.,;„... I........... | . . . . •.....!. ....... l'.....i 2 ; 77 ; 132 ' i 1| 2 | 83 ' 164 | . . . . '' 78 1| I IP important I 101.14. 1 15 to 10. 165 and over pulmonary tuberculosis typhoid fever diphtheria croup Death rate [ Death rate. \ | 1.4 90 1 3.0 1 879 - 30.0J 2S7 jl25.1 f" 67 i "29.2 72 31.31 10 , 4.3 041 1 L 9 | 103 ' 17.3 Northern ..., 927.220 Central Counties..... l,114,(fe7 1.211 ; 12,8 I 196 16.1 760 13.7 1 163 .' 21.4 Southern Counties.... 65U.560 65 I 6.9 | S3 I 6.S 68 j 8.5 20 16 12 2.1 I I I 1.3 16 1.5 14 1.1 13 1.8 29 j 3.0 1 2 9 6 31 4 I SS |111.7 32 2 6 369 30 4 1 124 1131 0 29 3 7 214 27.8 I 75 133 S 19, 24 1 S ;'ill 1 24 25 3 . 20 51.7 2 j 3 5 | 18 1.2 I 18 1.2 j i T j 4 1.3 4 1.1 2 ' 1.2 4 « 1.5 I 4 1.0 30 j 2.0 4 6 2 2 4 23 1.3 | T | 1 9 I 1.7 10 \ 2.2 1.2 5 1 3.1 .7 8 i 2.2 1 1.0 10 j 2.6 1.5 53 3,6 1.147.277 1.450 |T4TiT|279" ; 19.2 All cities 121 \ 8.3 233.650 307 ! 15 4 1 47~"; 15.3 Over 100.000. MB • 16,6 I 71 ! 20.4 45.000 to 100.000.....!! 245.421 20.000 to 45.000...... 13.3 26 27 4 25 I 44 6 24.9 T l i F ' 1 4 0 . 5 f 30 j 30.7 [ 3 4 S6 2 L 5 | 24 ,'120 9 70 20.1 8 37 ,177 4 49 ' 30.6 I 14 '126 3 56 21.2 1 IS 101 I 121 ! 32.6 I 44 .157 * 517 \ 35.1 1 150 ;i!3 6 34.8| 9 j 9 . 2 ^ 10 ! 50.3 | 9 45 : > j 2 3 j 14 3 7 3H 5 2 4 , 36 1 3 27 0 1 5 j 2?* 0 7 39 3 3 > ' 28 7 S 2$ 7 1 37 - 2«.n 3S 25 7 1 10 0 I95 . 9 i> 16 SI j 3 51 .. 7 Deaths and Annual Death Rates per 100,000 Population from Important Causes, State......... .j 4 j 1.7 42 j 18.3 Northern Counties,,.. Central Counties.....; Southern Counties,.., 1 2 25 113 0 1 I 1.7 5! 6 3 2 ' 2.11 2 j 3.5 All C i t i e s , . . . . . . . . . . . I 2 I 2.0 5i 5 6.3 I 14 14.7 23 41,0 5,1 [~25 Over 100,000.........:.. . . . I ......' 1 j 4.7 . . . . . . i 45,000 to 100,000 ; 20,0ft) to 45,000. '..... J !. 10,000 to 20,000 , 1 1 56 3 I Under 10,000 ,..|. 2! Country ..,..,,..] 2 15 4 , I .... I . 16,8 7.1 I 3,0 25.6 3115.1 7 33.5 7 63.1 2 11,2 I 6 21.5 17 12.N 56 j 24.4 j 1 : .4 1 i T 39.2 20 I 21.1 13 f 23,2 31 | 31.8 2 87 Ill0.4 . . . . . . ' f 134 '141.6 . . . . . . ' . . . . . . 105 '187.4 1 ' 1.7 1 199 J204.1 L T 7 . J . . . . . . 6 8 5 7 5 25 I 30.2 I 37 ,186.4 i 38.3 52 ;249.3 ; 45.1 17 '153.4 I 39,3 47 ;264.0 I 17,9 46 |165 0 18,9 127 I 96.2 .8 1 I puerperal I septicemia | Cancer. fever. Violence, I , „ Smallpox. _ _ _ 1 .4 4 1.7 1 1 1 ; 1.2 I 2 . 2,1 1 j 1.7 1 1.0 pTTTTT, 3u I 49 5 77 SI.3 41 7.S 0 2 j 2.0 I j Death Rate. , Number, Death Rate. Number. 160 | 69.7 | 296 ,.,.,'.,.... j 1.0 1 1.0 1.7 . . . . . . . . . . . I* Death Rate, Number, Death Rate. Number. Death Rate. Number, j Death Rate, j ; Number, I Number. 326 |l42.1 1 1 I poliomyelitis. Influenza. spinal Death Rate. 1 Cerebro Spinal Death Rate, j Number. Death Rate. I ' 9 1 3,9 Lobar andbronchoDiarrhea Enteritis | (Under 2 Yrs) | Number, cough " Number. j Death Rate. | 1 Number. Death Rate. | Number. j fever whooping Measles. Death Rate. 1 POPULATION BY scarlet GEOGRAPHICAL ;!! SECTIONS AND 4 8 URBAN AND • • RURAL. , 129.0 121 153 6 Uhl 105 7 75 133 S 77 | 79.0 j 132 135.4 F~^~~\ _ [~T~~ . . . . . . [T7, . ' . . . . . . fT. ... I ,,,,,,,, 1. . . . . . . . . . . . . . . . ............ . .. . . . . . !. ...... . ..., . , .., I I 36 . .... 1 1 3,5 . . . . . . . . . , ll 3 5 1 I .7 1 ' ,7 1 7 2 I 15 27 j 136 0 I 25 125 9 14 i 67.1 42 201 4 6 ! 54 1 13 117 3 in I 06.1 27 151.6 20,717 25 ML7 v) | 62 8 10-1 121.2 U. S. Department of Agriculture, Weather Bureau. Condensed Summary for Month of July, 1911. V. H. CHURCH, SECTION DIRECTOR, INDIANAPOLIS, IND. TEMPERATURE—IN DEGREES FAHRENHEIT, _ _ _ _ Section average. _ _ _ _ J I ! Departure 1 I from the , J normal. : ! i 1 _ _ _ _ . „ . _ . _ _ _..__. _ _ _ _ _ .__. . - . _ _ _ „ _ . _ . _ - _ . _ . . _ _ Extremes. •— ————•-— —— Station. : •—• I I Highest. ! Connersville ... .. I Crawfordsville . . . . - Seymour,,,, •— I Date. I --~^—-»~^~-~^.--~^~-^-.—••— ' 1! Station. ^_^^--_.—»_«—. , Lowest. Date. ': P R E C i P I T A T i o N - in degrees AND HUNDREDTHS.' 'I section average departure from the normal i Station. Greatest. j monthly amount. 1 1 .ST— —1*5 Collegeville . . . . . . . ' ,j j 0 I Station, "I 3 16 , Marengo. . Least , monthly amount. I .. , j f) 46