Typhoid Fever in New York City-1921. Manhattan. Bronx. Brooklyn. Queens. Richmond City. 1 Total cases reported as typhoid 495 440 97 114 366 353 76 59 35 17 1069 and reported Corrected total of cases Diagnosis confirmed by 1 Widal 2 Blood Cultures 51 17 10 ས 21 1 100 389 80 104 342 332 75 58 35 16 969 151 51 50 242 175 36 29 19 3 0 2 0 0 14 1 7tssom ༷ཏ༢སྶ༤༠ ༤༠སྶ ༥༤:33 983 84 $99 576 0 0 16 1 0 75 3 39 1 2 0 1 11 12 221 35 16 969 60 686 25 77.2 80 104 342 332 64.3 82.5 66.3 82.7 71 8,8 21.2 33.6 33.3 31.3 37.3 41.4 17 43.5 48 32 13 233 021 1000 0006 3629 21 36 3 322 185 389 45 51 68 31 35 54 76 122 98 63 24 131 3 483 428 474 750 957 0 0 0 239 204 03 304 245 44 53 202 232 42 23 16 36 51 139 100 33 35 19 8 360 338 DOMESTIC QUARANTINE AND VENEREAL DISEASE. "The migration of persons suffering with venereal disease from their home state to another state without first procuring from their local health officer a permit stating that their travel is not dangerous to public health violates the Federal law forbidding the spreading of contagious diseases and will be rigidly suppressed," says the U. S. Public Health Service. "Last Spring the Attorney General, at the request of the Service, instructed all United States attorneys to co-operate fully with it and to prosecute offenders vigorously. Since then several violators have been sentenced to reformatories, where their discase-spreading activities have been stopped and they themselves are receiving proper medical treatment. "The law and the regulations based on it are not so widely known as they should be; and the objects sought in their enforcement are not everywhere clearly understood. The law seeks to control the spread of disease but not necessarily to prevent the travel of venereally diseased persons. Such travel, if undertaken under proper precautions in search of medical help will be encouraged by the Service. The law, however, seeks to close every channel through which venereal disease may be spread; and to do this it has been found necessary to put a stop to the movements of those who seek to migrate from one State to another in order more safely to carry on the business of spreading disease. "When such persons and their associates learn that travel from one state to another while venereally diseased leads to arrest and severe punishment they will have an added incentive for submitting to voluntary treatment; and the day will be hastened when every infected person will at once place himself or herself under the care of a skilled physician of his or her own selection. "At present it is probable that very many persons either never receive proper treatment or that they cease treatment too early in the belief that they are cured, and thus become dangerous. Laws on this subject differ in the different states; and this fact leads to migration from those whose laws are rigid to those whose laws are less so. "No attempt either by the U. S. Government or by state governments to police the state borders seems practicable. The laws of practically all states, however, require physicians to report all venereal cases that come to their attention; and a judicial or police investigation of the history of any apparent newcomer who chances to be arrested will early disclose most of the new arrivals in the state. These may then be proceeded against under United States law. "Proceedings," adds the U. S. Public Health Service, "are based on the Interstate Quarantine Regulations, whose making by the Secretary of the Treasury was authorized by Congress Feb. 15, 1893 (27 Stat. ch. 114. p. 449), amended March 3, 1901 (31 Stat., ch. 836, p. 1086). Objections on the ground that the regulations are insufficient or defective or that Congress may not delegate its legislative authority are without merit. The Secretary's act in making the regulations is administrative and is authorized by the Act of Feb. 15, 1893. The penalty for violation is fixed by Congress, is legal, and has been sustained in United States courts. Details of the above are given in Reprint 693 of the U. S. Public Health Service, just issued. Permits for travel obtained from the local health officer must state that the travel in the opinion of the officer is not dangerous to the public health. The traveller must state where he intends to reside, and he must agree in writing to report to the proper health officer there within one week after arrival and to continue treatment under a reputable physician until the health officer certifies that he is no longer infectious. The health officer who issues the permit must promptly notify the new health officer, who must take appropriate action. MORTALITY BULLETIN FOR THE WEEK ENDING JANUARY 28, 1922. The prevailing increase in influenza which started in the second week of the year, as shown by the increased mortality from the acute respiratory diseases in that week and which further increased the mortality from this group of causes during the third week of the year, continued during the week just closed to show a very slight increase in the mortality from influenza and the acute respiratory diseases combined, there having been 296 deaths reported from acute bronchitis and the pneumonias, as compared with 293 deaths from these causes in the immediately preceding week. In addition to this, to influenza was attributed 25 deaths in the week just closed, as compared with 15 in the immediately preceding week, so we are justified in feeling at the present time that the disease will not show the same virulence as in the epidemic of 1920 or the recrudescence in January, 1919, of the pan-epidemic of the year 1918. On the other hand, compared with the week ending January 29th, 1921, there has been a very considerable increase of the deaths from influenza and the acute respiratory diseases, the total number of deaths from these causes in the week just closed amounting to 321, as compared with 211 in the corresponding week of 1921, an increase of 110 deaths from these causes. Age Grouping. In the pan-epidemic of 1918 the age groups most affected were those in the prime of life from 15 to 45 years of age, the school age 5 to 15 years being slightly affected, the mortality averaging about 6 per cent. of the total deaths from influenza and the pneumonias. The extremes of life were not seriously affected in 1918. The age group 45 to 65 was comparatively little affected. During this present epidemic we find that the extremes of life are considerably affected. The deaths under five years of age from these two causes represents 38 per cent. of the total deaths from influenza and the pneumonias; 65 years of age represents 15 per cent.; the school age 5 to 15 years represents 3 per cent; 15 to 25 years represents 5 per cent.; 25 to 45 years represents 17 per cent.; 45 to 65 years represents approximately 22 per cent. The death rate for the first four weeks of the year was 13.56, as compared with 12.98 in the corresponding period of 1921, an increase of .58 of a point. From January 1st to date 81 infants under one year of age died of every 1,000 born, as compared with 78 deaths at this age group in the corresponding period of 1921. VITAL STATISTICS-CITY OF NEW YORK Deaths, and Annual Death Rate Per 1,000; Deaths According to Certain Causes and Ages; Deaths and Death Rate Under One Year Per 1,000 Births For Thirteen Weeks Nov. Nov. Nov. Nov. Dec. Dec. Dec. Dec. Dec. Jan. Jan. Jan. Jan. 5 12 19 26 3 10 24 1181 1123 1229 1184 1153 1201 1246 1332 17 31 7 14 21 28 1364 1486 1481 1581 1523 Annual Death Rate 10 71 10.19 11.15 10.74 10.46 10.89 11.30 12.08 12.37 13.28 13.23 14.13 13.61 Deaths under 1 year. 161 Rates per 1,000 births 62.8 Deaths under 5 years 226 66 5-65 years 665 192 629 148 151 158 140 161 166 179 175 210 196 208 217 66 65 years and 290 over 302 299 295 298 315 309 322 335 385 390 406 343 "Acute Infectious Diseases" include Typhoid Fever, Scarlet Fever, Measles, Diphtheria, Whooping Cough, Smallpox and Cerebro-spinal Meningitis. **Does not include suicides. Mortality Summary for the Week Ending Saturday Noon, January 28, 1922. *Corrected by redistributing deaths according to borough of residence. During the first four weeks of this year there were 6,071 deaths, a rate of 13.56 per 1,000 population. During the corresponding weeks of last year there were 5,724 deaths, a rate of 12.98 per 1,000 population. Deaths by Principal Causes; and Ages During the first four weeks of this year 831 infants died, a rate of 81. per 1,000 births. ing the corresponding weeks of last year 797 died, a rate of 78. per 1,000 births. Infectious Diseases in the Department of Health Hospitals 1,000 Births 20ㄓˋy Rate per 77.8 61 3 Manhattan 11 10.2 The Bronx 18 6.8 33 Brooklyn 93 97.7 6.3 Queens 19 102 6 10.8 Richmond .. 9422 12822 If the deaths under one month, numbering 96 from all causes, be deducted from the total deaths under one year, the resulting rate will be 47 per 1,000 births (weekly average). *Includes deaths from Erysipelas 5, Syphilis 9, Diabetes 36, Alcoholism 2, Locomotor Ataxia 3, Paresis 5, Arterio-sclerosis 64, all other congenital causes 8. |