found at the frenum extending towards the glans. It had not assumed any typical appearance. In fact, he had gone to the surgeon who had referred the case, for a dressing, thinking it was a wound from the injury. A dark-field examination, as well as an India ink smear, was made and both demonstrated spirocheta pallida in large numbers. A Wassermann taken before the treatment was started was one plus. Arsphenamine (D. R. L.) was given immediately and repeated in five days, at which time the sore was rapidly disappearing. After a long conversation with this patient. he admitted sexual intercourse some three weeks previous while he was in a western city. Had his history, together with the clinical appearance of the sore, been considered as sufficient, he would have probably gone on to a later stage of the disease and his prognosis would not have been so encouraging. "Another argument is that if there are two or more lesions present it is not likely to be syphilis, but rather multiple chancroids. It must of course be remenbered that in this section of the country chancroids are not nearly so prevalent as chancres. It must be borne in mind that chancres and chancroids very often occur as a mixed infection. A case illustrating this fact was demonstrated in a boy of nineteen who presented seven distinct sores on the glans and foreskin. In five of these it was possible to demonstrate the spirochetes. Another rather recent case was in a man aged thirty who had two definite sores, one on the glans anteriorly and one on the frenum. Both of these showed large numbers of spirocheta pallida. Both sores disappeared rapidly following arsphenamine treatment.”—(Article by A. M. Crance, M. D., in "American Journal of Public Health," October, 1923.) MORTALITY BULLETIN FOR THE WEEK ENDING NOVEMBER 10, 1925. During the week just closed there were 1,220 deaths and a rate of 10.74 per 1,000 of the population, as compared with 1,326 deaths and a rate of 11.85 for the corresponding week of 1922, a decrease of 106 in the absolute number of deaths and 1.11 points in the rate, which is equivalent, taking into consideration the increase in population, to a decrease of 126 deaths. During the past week there were 21 deaths reported from the contagious diseases, as compared with 21 deaths in the corresponding period of last year. Four deaths were reported from typhoid fever, as compared with 3; 100 deaths from cancer, as compared with 121; 265 deaths from heart disease, as compared with 286, and 72 deaths from Bright's disease, as compared with 117. There were 134 deaths reported from the pneumonias, as compared with 172 in the corresponding week of last year, a decrease of 38 deaths. The deaths from pulmonary tuberculosis were 74 and 92, respectively, a decrease of 18 deaths. There were 143 deaths reported from violence, as compared with 84, an increase of 59 deaths over the corresponding week of last year. There were 27 deaths from accidental illuminating gas poisoning, as compared with 8; 27 deaths from automobile accidents, as compared with 3, and 9 deaths from railroad accidents, as compared with 1. There were 139 deaths of infants under one year of age, as compared with 171, a decrease of 32. There were 707 deaths between the ages five to sixty-five years, as compared with 727, and 330 deaths at ages sixty-five years of age and over, as compared with 363. The death rate for the first 45 weeks of 1923 was 11.83 per 1,000 of the population, as compared with 11.96 in the corresponding period of 1922. From January 1st to date 67 children died out of every 1,000 born, as compared with 76 deaths at this age group during the corresponding period of 1922, a decrease of 9 deaths per 1,000 children born. ALCOHOLISM AND DRUG ADDICTION CASES COMING UNDER MUNICIPAL CARE IN NEW YORK CITY. (Figures Supplied by the Department of Public Welfare) Jan. 1 to Alcoholism in Police Courts, City Hospitals and Prisons. June 30 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 2638 1835 2302 1145 965 1024 1168 1924 1190 **Police Department Arrests 23041 6328 2596 2575 2301 2694 4502 16311 8795 7028 7804 8169 11402 ..... 32607 (Department of Correction figures are included in those of the Police Department) Total Alcoholism 30803 12536 24941 30259 10568 11129 12031 17828 Jan. 1 to Drug Addiction in Police Courts, City Hospitals and Prisons. June 30 (Department of Correction figures are included in those of the Police Department) 1. Hospital figures are minus those committed through Police Department. 2. In 1919. there were 7464 enrollments at the Narcotic Clinic of the Health Department, of which 3000 entered Riverside Hospital for treatment. PUBLIC HEALTH DIVISION of the MUNICIPAL REFERENCE LIBRARY 3rd Floor, 505 Pearl Street Open to the general public for reference use. Material will be loaned to persons on the payroll of the City. CARRIERS-Diseases man has to fear from dogs. (Nation's Health. October, 1923. p. 715-716, illus.) CHILDREN, CRIPPLED-Chatterton, C. C. State institutions for indigent crippled children, describing the Minnesota plan. (Nation's Health. October, 1923. p. 688690; 748, illus.) MEASLES-Herrman, Charles. The relative immunity of infants under five months of age to infection with measles. (Arch. Pediat. October, 1923. p. 678-682.) NURSING-Hill, Dorothy D. Textbook of nursing procedures; Bellevue School of Nursing. Macmillan. 1923. 187 p. 610.73H55t OBSTETRICS-Reed, Charles B. Obstetrics for nurses. Moshy. 1923. 399 p., illus. 618.2R25. OCCUPATIONS, DISEASES AND HY GIENE Collis, E. L. and Major Greenwood. The health of the industrial worker, containing a chapter on reclamation of the disabled by Arthur J. Collis, with an introduction by Sir George Newman. Blakiston. 1921. 450 P 613.6C69. diagrs., tables, illus. POISONING-Haggard, H. W. Gas poisoning and methods of resusciation. (Hygeia. November, 1923. p. 482-486, illus.) PRE-NATAL CARE-Hirst, J. C. How the medical social worker assists in prenatal care. (Hospital Social Service. October, 1923. p. 200-204.) POSTURE-Sherman, F. A. Habits of pos ture as related to health and efficiency. (Nation's Health. October, 1923. P. 708-709.) of SEWAGE DISPOSAL-Pearse, Langdon. The 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. Aug Aug. Sept. Sept. Sept. Sept. Se p Oct. Oct. Oct. Oct. Nov. Nov. 8 15 22 29 13 20 27 6 8 10 1089 1049 1064 1096 1046 1125 1054 1178 1121 1186 1220 9.96 9.58 9.28 9.36 9.65 9.21 9.90 Total deaths 18 25 1058 1132 1 9.28 10.87 9.87 10.00 10.74 2 89 89 169 170 159 180 155 168 141 164 182 184 140 183 139 234 287 280 225 226 286 289 281 264 285 293 302 330 "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, November 10, 1923. *Corrected by redistributing deaths, according to borough. { residence. During the first forty-five weeks of this year there were 60,524 deaths and a rate of 11.83 per 1,000 population. During the corresponding weeks of last year there were 60,267 deaths and a rate of 11.96 per 1,000 population. During the first forty-five weeks of this year, 7,504 infants died, a rate of 67. per 1,000 births During the corresponding weeks of last year, 8,506 died, a rate of 76. per 1,000 births. Infectious Diseases in the Department of Health Hospitals. If the deaths under one month, numbering 68, from all causes, be deducted from the total deaths under one year, the resulting rate will be 29. per 1,000 births (weekly average.) *Includes deaths from Erysipelas 2, Syphilis 10, Diabetes 8, Alcoholism 8, Locomotor Ataxia 0, Paresis 8, Arterio-sclerosis 68, and other congenital causes 6. 492 25a-2022-23-O'C. |