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by the State Statute. Six hundred and eleven (611) cattle
and one hundred and twenty (120) swine were examined.
Five cattle were condemned as suffering from tuberculosis.
During the year about thirty thousand pounds of beef and
fifty-three (53) swine were stamped. Five (5) carcasses of
beef and sixteen (16) carcasses of calves w r ere condemned
after slaughtering.

PUBLIC COMFORT STATIONS.

We respectfully call the attention of your honorable
Board to the imperative need of public comfort stations.
Such stations should be installed in various parts of our
city.

PLAY GROUNDS.

The health of the children and the future welfare of
our fast growing city demands action on the part of the
city government to provide playgrounds while desirable
locations are available at reasonable prices .

TUBERCULOSIS.

The Board of Health are pleased that this vital subject
has been taken up through the kindly interest of some of
our citizens; and we trust a great deal of good may be ac-
complished, not only in relieving those who are sick, but in
spreading such information and suggestions as will in time,
if heeded, make this disease as rare as is small pox. The



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REPORT OF BOARD OF HEALTH 215

best informed authorities agree that it is possible to prac-
tically stamp it out.

We endorse heartily all that is being done and will be
pleased to aid in disinfecting dwellings or rooms which
have been occupied by persons ill with this disease.

KEEPING OF PIGS.

There has been a tendency on the part of a few to keep
pigs on their premises without obtaining permission to do
so. These have at various times been a great nuisance to
those living in the immediate neighborhood and complaints
have reached this Board regarding this nuisance. It Joes
not seem to be understood that permisson from this Board
must first be obtained before pigs can be kept in the thickly
settled parts of the city, and under no conditions will such
permission be given where there is any possibility of a nui-
sance to the neighborhood being established.

INSPECTION OF BAKERIES.

The various bakeries in the city have been visited and
most of them were found to be in anything but a sanitary
condition. Lack of cleanliness was observed in nearly
every case both as regards the rooms and the utensils which
were in use.

Strict orders were given to put these places in a proper
sanitary condition and to effect a thorough cleaning, which
in most cases has been complied with. Two bakeries were
closed by order of the Board- during the year.

GARBAGE.

This Board finds that the time has arrived when those
who collect garbage should be licensed and be made to have
the proper equipment necessary for this kind of work. The
present way of collecting garbage in barrels covered with old
pieces of carpeting or sacking or in wagons with loose fit-



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2l6 REPORT OF BOARD OF HEALTH

ting covers, is very unsatisfactory in every way and not at
all pleasant for those who meet these vehicles on the street.
With a properly constructed wagon this work can be en-
gaged in without being offensive to any one.

MEDICAL INSPECTION OF SCHOOLS.

Under authority of Chapter 502 of the Acts of 1906,
entitled "An act relative to the appointment of school phy-
sicians", an appropriation was made by your honorable
Board with the approval of his honor, the Mayor, to begin
this important work. As soon as the appropriation was
available this Board appointed six physicians at a salary of
$150 per year to perform the duties required by the Statute.

Each physician visits the schools under his care during
the first and third weeks of each month and examines all
children who are referred to him by the principal or
teachers.

Bi-monthly reports are made to this Board by each phy-
sician, of all inspections made.

DISEASES DANGEROUS TO PUBLIC HEALTH.

This Board has adjudged that the diseases known as
small pox, scarlet fever, diphtheria, membranous croup,
typhus fever, typhoid fever, chicken pox, pulmonary tuber-
culosis, cerebro-spinal meningitis, measles and cholera are
infectious and contagious and dangerous to the public
health and safety within the meaning of the Statutes.

Physicians are required to report immediately to this
Board every case of either of these diseases, and postal cards
printed and addressed are supplied to them for the purpose.

DIPHTHERIA.

Diphtheria has been very prevalent here for the past
few months and some rases have been verv severe. The



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REPORT OF BOARD OF HEALTH 217

majority of the cases, however, have yielded to treatment
and it is undoubtedly a fact that had all the cases been seen
by a physician at the beginning of the disease, there would
not have been as many deaths to report. There is no doubt
but that the tendency on the part of some to pay no atten-
tion to a commencing sore throat to neglect to call in medical
aid when they should have done so, and go about among the
people, as is the usual custom, have been sufficient causes
to spread this disease and to continue it indefinitely.

QUARANTINE REGULATIONS.

If the public at large would assist the Board of Health
in enforcing and complying with the rules of quarantine,
good results would follow and any contagious disease, re-
stricted to the locality in which it is found.

It is almost impossible for any Board to keep a close
watch all of the tme on each individual case, and to see that
strict compliance with the rules is observed. If those who
know that the law is not being observed would assist this
Board by coming forward and testifying, prosecutions
would immediately follow and good results thereby be ob-
tained, and undoubtedly the progress of the contagious
diseases would be checked.

TABLE A.

Showing the comparative number of deaths, still-births
and death rates for the years 1890-1907, inlcusive.

Deaths Still-births Total Death rate

1890 739 37 766 21.00

1891 674 39 713 19.00

1892 914 48 962 23.00

1893 759 52 811 21.29

1894 742 43 785 20.22

1895 766 57 823 18.99

1896 761 58 819 18.87



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2l8 REPORT OF BOARD OF HEALTH





Deaths


Still-births


Total


Death rate


1897


842


60


902


19.06


1898


778


55


833


* 17.59


1899


701


63


764


15.58


1900


971


82


1053


21.24


1901


876


52


928


19.16


1902


766


78


844


15.93


1903


814


54


868


16.51


1904


858


64


922


16.97


1905


806


95
69
95


901

943

1147


16.14


1906


874


16.90


1907 .


1052


20.48



TABLE B.
Showing deaths and still-births during year.

Deaths Still-births Total

December 84 5 89

January 101 8 109

February 72 8 80

March 81 13 94

April 98 7 105

May 86 4 90

June 83 7 90

July 86 7 93

August 101 7 108

September 87 6 93

October 79 7 86

November 94 16 110



Total 1052 95 1147

TABLE C.
Showing sex of deaths and still-births during 1907.



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REPORT OF BOARD OF HEALTH 219

Death* Still-birth*

Males Female Malet Female* Total

December • 44 40 4 1 89

January 48 53 4 4 109

February 29 43 6 2 80

March 41 40 8 5 94

April 52 46 4 3 105

May 50 36 3 1 90

June 44 39 5 2 90

July 40 46 3 4 93

August 60 41 5 2 108

September 47 40 4 2 93

October 45 34 3 4 86

November 47 47 11 5 110

Total 547 505 60 35 1147



TABLE D.
Showing deaths by sex and age.

Males

Under 1 year 175

From 1 to 2 35

From 2 to 3 18

From 3 to 4 11

From 4 to 5 6

From 5 to 10 21

From 10 to 15 8

From 15 to 20 11

From 20 to 30 34

From 30 to 40 50

From 40 to 50 51

From 50 to 60 36

From 60 to 70 50

From 70 to 80 25

Over 80 16

Total 547



Females


Tota


150


325


19


54


22


40


9


20


10


16


9


30


5


13


13


24


40


74


36


86


43


94


46


82


41


91


33


58


29


45



505



1052



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220



REPORT OF BOARD OF HEALTH



TABLE E.

Showing the number of deaths occurring at the various
ages, during each month.

Dec Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Total



uec jan reo Mar Apr May jun jul „ r . __

Under i yr 23 37 19 26 27 25 17 39 40 35 15

From 1 to 2. ... 41364534586
From 2 to 3.... 11226533



From . .„ «...
From 2 to 3..
From 3 to 4..
From 4 to 5...
From 5 to 10....
From 10 to 15...
From 15 to 20...
From 20 to 30...
From 30 to 40...
From 40 to 50 ...
From 50 to 60 ...
From 60 to 70. ...
From 70 to 80...
Over 80..



I

2
1
1
1

4
11

9

7

12

5
3



2
1

4

2



2
10

7
12

9
8

7
5



1
6
6
9

5
8

2
3



2

5
1

3
9
11
8
7
3
9
3



5
2
2
3

2

4
6

3
10

9
5
5



3

2

3

9

11

9
5
8

3
6



2
2
2
2

4
2

5
4
11

4
2



5
4

2

7



3
7
3
8
6
3
3
4



22 325

5—54

6 40

2 20

1 16

5 — 30
.... — 13

.... 24

5 — 74

9 86

7 94

10 82

9 9'

7 — 58
6 45



Total .



84 101 72 81 98 86 83 86 101 87 79 94 1052



TABLE F.

Showing the number of deaths from each of the follow-
ing causes, occurring in the city during the year 1907.



GENERAL.



Diphtheria . . . ,

Scarlet fever

Measles

Typhoid fever

Cerebro-sp. meningitis .
Membranous croup

Septicaemia

Parotitis

Rheumatism

Pernicious anaemia

Syphilis

Erysipelas

Rachitis

Tuberculosis pulmonary
Tuber, laryngitis



25

14
2
4

4
5
9

1
2
1
1
1
1
87
3



Tuber.
Cancer



Tuber, of intestines . .

Tuber, meningitis . . .

of peritonium.

of rectum . . .

41 " uterus

" " liver

41 " breast . . . .

" stomach . .

" prostate . .

" " omentum .

" " mouth

" oesophagus

Sarcoma of face

Pemphigus veg



Total 200



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REPORT OF BOARD OF HEALTH



221



NERVOUS DISEASES.



Alcoholism 6

Meningitis 33

Septic meningitis 1

Apoplexy 37



Infantile convulsions

Hemiplegia

Paralysis N. S

Infantile paralysis . .

Dementia

Delirium tremens . .
Epilepsy



Paresis

Myelitis

Cerebral embolism

Cereforal congestion ....

Spina bifida

Locomotor ataxia

H otocephalus

Graves's disease

Multiple sclerosis of cord

Ataxic paraplegia

Paral. Pneumo Gas. Nerve



Total 118



URINARY DISEASES.



Acute nephritis 10

Chr. Parenchymatous Neph 9

Chr. interstitial Neph 28

Uraemia 7



Total



Cystitis

Abscess of kidney

Diabetes

Pyeo-nephrHis . . .



63



DIGESTIVE DISEASES.



Marasmus


60


Mai nutrition


. . . 19


Acute indigestion . . .


1


Gastritis acute


5


Gastro-enteritls


37


Enteritis


.. . 17


Entero-colitis


3


Ileo-colitis


1


Cholera Infantum . . .


... 38


Gastric ulcer


1


Dysentery


1



Intestinal obstruction ... 3

Peritonitis 4

Appendicitis 4

Cirrhosis of liver 9

Amyloid degen. of liver. . 1

Yellow atrophy of liver. . 1

Icterus neonatorum .... 1

Jaundice 1

Strangulated hernia, .... 6

Choleocystltis 2

Hepatitis 2



Total 217



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222.



REPORT OF BOARD OF HEALTH



CIRCULATORY DISEASES.



Heart disease, not stated 22

Fatty degen. of heart. ... 5

Valvular disease of heart 4

Dilation of heart 1

Mitral regurgitation .... 5

Mitral insufficiency 6

Aortic stenosis 1

Aortic regurgitation .... 6

Endooariditis 4

Chronic endocarditis .... 15

Septic endocarditis 1

Ulcerative endocarditis . . 1



Pericarditis

Cardiac embolism

Cardiac paralysis

Addison's disease

Myo-carditis

Angina pectoris

Septic phlebitis

Artero sclerosis

Gangrene of foot

Rupture foramen ovale.

Haemophilia

Leucocythemia



Total



93



RESPIRATORY DISEASES.



Pulmonary abscess 1

Pulmonary congestion . . 7

Pulmonary oedema 1

Pulmonary embolism .... 2

Pulmonary haemorrhage 2

Pneumonia croups ...... 104

Pneumonia broncho .... 59

Bronchitis acute 11

Bronchitis chronic 12



Bronchitis capillary
Bronchiectasis
Oedema of glottis .

Influenza

Acute laryngitis . .
Whooping cough . . .

Pleurisy

Hydro-thorax

Croup



8
1
3
7
1
3
6
1
2



Total 231



GENERATIVE DISEASES.



Complicated labor 1

Puerperal septicaemia . . 4

Abortion . • . 1

Salpingitis 1



Uterine cyst 1

Ovarian cyst 1

Extra uterine pregnancy. 1

Placenta previa 2



Total



12



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REPORT OF BOARD OF HEALTH 223

VIOLENT CAUSES.

Shock, surgical 3 Abdominal haemorrhage

Suicide by poison 1 Fracture of skull



Suicide by shooting .... 1 Fracture of neck

Suicide by drowning .... 1 Fracture of spine

Suicide by cutting throat 2 Fracture of femur

Burns 8 Accidental drowning

Suffocation, accidental . . 1 Crushed by train

Homicide 1 Accid. strychnine poison'g

Asphyxiation by ilium gas 3 Accid. morphine poison'g



Total 49



UNCLASSIFIED.

Premature birth 37 Infantile asthenia 9

Congenital causes 12 Senile asthenia 11



Total 69

Total deaths from all causes 1052



TABLE G.

Showing the deaths occurring in each ward in the city
and the various institutions.

Ward 1 139

Ward 2 171

Ward 3 96

Ward 4 182

Ward 5 53

Ward 6 92

Ward 7 66

799

City Hospital 52

House of Providence Hospital 70

Harkins Home 10

Almshouse 50



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224



REPORT OF BOARD OF HEALTH



Brightside Institution 69

Mt. St. Vincent Institution 2

Total

Non-residents



253

1052
100



TABLE H.
Showing the nativity of those dying in the city during



the year 1907 :

Holyoke 438



Massachusetts
Other States .



Total, United States.

Ireland

Germany

England

Canada

Russia



139
97

674

161

16

26

122

4



Scotland

Greece

Poland

Austria

Italy

New Brunswick
Switzerland . . .

Sweden

Wales

Unknown



22

1
6
9
3
2
1
1
1
3



Total 1052



TABLE K.

Showing the interment of those dying in the city and
those brought here for burial during 1907. (Still-births
included).



Calvary 131

Elmwood 12

Forestdale 211

St. Jerome 240



Brighteide

West Holyoke

South Hadley Falls

Out of town (otherwise)



.429
189



Local burials 530

Brought to Holyoke for burial 81

.Sent from Holyoke for burial 617

Total number of burial permits issued 1221



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REPORT OF BOARD OF HEALTH



225









TABLE L.






Showing the contagious diseases


as reported by m






Memb.


Scar.


Tjrph.


Cerebro Small





Diphteria


Croap


Measles Fever


Ferer


Sp. Meng. Pox


Dec.


8


2


— 7


2





Jan.


4





7 13


6





Feb.


• 6





46 8








Mar.


9


1


288 15


1





April


20


2


106 10


1


2 —


May


14





66 11





— —


June


14





30 11


1


1 —


July


14





5 20





— —


Aug.


27





3 15





— —


Sept.


27





2 21





— —


Oct.


47


1


— 21


4


— —


Nov.


34


2


1 22





1 —


Total


224


8


554 174


15


4 —



Total
19

30
60
314
141
91
57
39
45
50
73
60

979







Tl


LBLE


M.










Showing c


ontagious diseases by wards.










i


z


i


4


5


6


7


Total


Diphtheria


57


27


23


48


18


42


9


224


Memb. croup


1


4


1


1








1


8


Measles


49


23


92


6-


93


80


156


554


Scarlet fever


9


10


31


57


16


27


24


174


Typhoid fever


2


1


2





8


2





15


Cer.-sp. meng.


1








1


2








4



Total



119 65 149 168 137 151 190 979



TABLE N.
Presenting the deaths from contagious diseases during



1907.



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226



REPORT OF BOARD OF HEALTH



December


Diphtheria


Merab.
Croup

1


Meailea


Scarlet
Fever


Typh.
Fever

1


Cerebro
Sp. Meng.


Small
Pox


Total

2


January














1








1


February


















March


1


1












2


April
May


4
3


1


2








2





7
5


June


1











1


1





3


July








2


4











6


August

September

October


6
1
6








1
2
1


1








7
3

8


November


2


2





5











9



Total



24



13



3 — 53



FINANCIAL STATEMENT.

The following is the financial statement of the Board of
Health for the year ending November 30, 1907.

Appropriation $9,000.00

Additional appropriation 859.21

Receipts 152.92

Balance on hand, 1906 100.00

Total $10,112.13

Salaries $6,472 18

Regular monthly bills 2,749.16

Milk department 890.79

Total $10,112.13

Respectfully submitted.

A .B. WETHERELL, M. D.
FRANK A. WOODS. M. D.
J. SIDNEY WRIGHT.

Board of Health.



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Report of the Health Officer.



To the Board of Health.

Gentlemen: — I submit herewith my report from the
time of my appointment, April 2, 1907. The past year has
been no especial exception to former years in the usual rout-
ine of labor and care devolving upon the Health Depart-
men. The increasing growth of the city must and does add
to the duties and expense of the Department.

The following is a summary of the inspections made,
and those in answer to complaints, all of which have re-
ceived the needed attention during the year of 1907.

Number of complaints investigated 215

Number of tenements inspected 245

Number of tenements ordered cleaned 35

Number of cellars inspected 124

Number of cellars ordered cleaned 41

Number of yards inspected 280

Number of yards ordered cleaned 57

Number of ash chutes ordered cleaned 7

Number of stables ordered cleaned 15

Number of markets ordered cleaned 11

Number of fish carts ordered cleaned 5

Number of cesspools ordered cleaned 9

Number of privy vaults ordered cleaned 7

Number of cellars, hens ordered removed from 11

Number of cellars, pigeons ordered removed from. . 5

Number of cellars, pigs ordered removed from 7

Number of cellars, water ordered cleaned from. ... 12

Number of swill cans ordered cleaned 23

Number of premises ordered vacated 5

Number of mattresses destroyed 42



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2 28 REPORT OF BOARD OF HEALTH

Number of bakeries inspected 27

Number of bakeries ordered cleaned 23

Number of barber shops inspected 57

Number of barber shops ordered cleaned 9

Number of slaughter houses inspected 1

Number of slaughter houses ordered cleaned 1

Number of notices served 27

Number of peddlers ' places investigated 110

Number of dead animals removed:

Dogs 23

Cats 15

Horses 3

FRUIT.

Very lttle fruit has come under my observation that was
not saleable. The following was condemned and destroyed :
Two (2) crates strawberries.
One (1) crate oranges.
Two (2) crates lemons.
Two (2) barrels apples.
Two (2) bushels pears.
Two (2) bushels tomatoes.
Five (5) bunches bananas.

.MEAT.

Inspections have frequently been made at the various
wholesale and retail shops, and the conditions have been
fairly satisfactory. During the year seven veals and two
hogs were condemned as being unfit for food. I would re-
commend that an inspector be appointed to devote his whole
time to this branch of the work.

CONTAGIOUS AND INFECTIOUS DISEASES.

This branch of the work of this Department has re-
quired and been given good and careful attention. This



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REPORT OF BOARD OF HEALTH 229

work is of such a nature that it has required and taken the
entire time of an inspector to attend to and care for each
case reported, including placarding and obtaining a history
of each ease, together with the removal of the notification
cards, the cleaning and fumigating of premises after the
recovery or death of the patients.

Number of houses fumigated 364

Number of rooms fumigated 728

Number of school rooms fumigated 8

Number of cards posted 907

ICE CREAM.

During the year 63 visits were made to places where
ice cream was made and sold. The places where the ice
cream was made for the street vendors were not, in my
opinion, clean, and no precautions were taken in regard to
sanitary conditions. These goods are mostly sold to chil-
dren. I would suggest that all street vendors of ice cream
be licensed, as by this means it would be possible to control
the conditions under which the goods are made and handled.
The other places visited, with these exceptions, were mostly
in a good condition and the minor suggestions made were
promptly complied with.

Respectfully submitted,

J. SIDNEY WRIGHT,

Health Officer



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Report of the Inspector of Plumbing.



To the Board of Health.

Gentlemen: — As Inspector of Plumbing, I have the
honor of submitting the fourteenth annual report for the
fiscal year ending November 30, 1907.

The following table will show to some extent the am-
ount and nature of the w r ork:

Water closets put in new buildings 270

Sinks put in new buildings 249

Baths put in new buildings 225

Howls put in new buildings 251

Wash trays put in new buildings 212

Urinals put in new buildings 28

Traps put in new buildings 718

Water closets put in old buildings 119

Sinks put in old buildings 69

Baths put in old buildings 67

Bowls put in old buildings . . . 81

Wash trays put in old buildings 14

IVinals put in old buildings 17

Traps 244

Number of permits granted 453

Water tests made 359

Inspection of old and new plumbing 2,036

Legal notices served to abate nuisances

All cases have complied with the requirements of the
Board.

The decrease in the amount of new work during the
year has enabled your inspector to complete the Department



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REPORT OF BOARD OF HEALTH 23 1

work left over from last year. This fact may be appreci-
ated, as hundreds of inspections were made the last twelve
months for plans filed the prevous fiscal year.

An unusual number of calls for imperfect plumbing and
nuisances pertaining to same have been made, and as nui-
sances have been abated by verbal notice, no records have
been made. This branch of the Department work seems to
meet with great approval from the general public and the
results are most satisfactory.

The sanitary condition of the men's and women's lock-
up as regards plumbing and ventilation should receive the
attention of the proper authorities, and the brick sewers in
the basement of the city hall should be removed and proper
plumbing installed.

As the Revised Laws of the ,State of Massachusetts
state that "No person, firm or corporation shall engage in
or work at the business oi plumbing, either as a master or
employing plumber or as a journeyman plumber, unless he
or it has received a license or certificate therefor in accord-
ance with the provisions of this Chapter/' it would seem
consistent with said law for the Board to pass rules to the
effect that no person, firm or corporation should advertise
as a plumber either by having a plumber's sign at a place
of business or otherwse, until said person, firm or corpora-
tion have complied with the requirements of the law\ In
the opinion of the writer, this would have a tendency to
remedy existing conditions and simplify the methods of de-
tecton and supervision of unlicensed persons doing plumb-
ing.

It would seem advisable that plans for all sewers from
the building line to house should be filed at the office of the
Board of Health and permits granted before work is com-
menced. These sewers should be laid by plumbers or li-
censed drain-layers, and in all cases be inspected before be-
ing filled in. The need of this is imperative and immediate
action should be taken. The amending of that section in



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232 REPORT OF BOARD OF HEALTH

the Rules and Regulations of the Board of Health is, there-
fore, presented for consideration.

During the year it has at times been impossible or ex:
tremely difficult for your Inspector to give the necessary
time to the office during the hour from 1 to 2 P. M. I find
that many people desiring the services of this Department
request that call be made at this hour so they may be there
in person, thereby receiving a more intelligent and compre-
hensive report of existing conditions. During busy times
the value of the hour may be appreciated on new as well as
old work. It would, therefore, seem advisable to make the
official office hours of the Inspector from 8 to 9 A. M. only.
This has been found necessary in most cities of our size and


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