Document N2j3kj4nzLE8XaNgrVveV3QM8

FILE NAME: Caterpillar (CAT) DATE: 1942 June DOC#: CAT061 DOCUMENT DESCRIPTION: Public Health Unit Annual Report - Dr. Milton Kronenberg was Chief, Division of Industrial Hygiene, IL Dept of Public Health JULY 1,1941 - JUNE 30, 1942 A CO O PERATIVE PUBLIC HEALTH AGENCY OF THE C O O K CO U N TY BO ARD OF COMMISSIONERS ILLINOIS DEPARTMENT OF PUBLIC HEALTH AND THE UNITED STATES PUBLIC HEALTH SERVICE ,,.v jjg to lis JOM 4-12 UNDER TH E SU PERV ISIO N OF THE BOARD OF COMMISSIONERS OF COOK COUNTY C LA Y T O N F . S M IT H . P.-Mlioot FRANK BOBRYTZXE W ILLIAM 8U 8SE E LIZA B ETH A. CONKEY W ILLIA M N. ER IC K SO N P E T E R FOSCO M AU RICE F. KAVANAO H MARY M tENERNEY GEORGE A. M ILLER GEORGE F. NIXON HARRY E. PERSY D A N IEL RYAN C LA YTO N F . SM ITH EO W A R D M. S N E E D JOHN E. TH A EG ER COOK COUNTY BUREAU OF PU BLIC W ELFARE JO SE P H L. M O SS D IR E C T O R PU BLIC HEALTH UNIT 73? S. W OLCOTT AVENUE CHICAG O TctrpHONF Mon ro e 3950- 3904 E. A. PSZCZEK. M. D.. M. P. H. Kt*LH ornai July 1, 19^2 Hon* Clayton ?. Smith, President Cook County 3oard of Commissioners County Bui line; Chicago, Illinois Bear Sir? I have the honor to transmit to you and to the Cook County Board of Commissioners, this, the second annual report of the activities of this Unit for the fiscal year July 1st, 19^1 to June 30*h, 19^2. Respectfully submitted, 2. A. P C1ZCZEK,^.D^ M. ?7h. Health Officer Cook Cour.y Public Health Unit. SAP:S. COOK COUNTY PUBLIC HEALTH UNIT ANNUAL REPORT JULY 1st,19^1 - JUNE 70th, I9U? FOREWORD AND ACKNOWLEDGMENT! The Cook County Public Health Unit was established on July 1st, 19^0 as a coopera tive public health agency sponsored by the Cock County Board of Commissioners, the Illinois Department of Public Health, and the United States Public Health Service. The jurisdiction of this Unit, as defined by the Director of the Illinois Depart ment of Public Health, consists of Cook County exclusive of those cities which have a full-time: health department (Chicago, Evanston, Winnetka, and Kenilworth. This area comprises 706 square miles with a population of (19^0 census), 7S0 persons At this time, the close of the second year of operation, it is again our pleasant duty to acknowledge the cooperation anc. help that this organization has received in its effort to carry out a public health program in Cook County. The carrying out of this program, as any other health program, is dependent, to a large degree, upon the participation of the community either as individuals or through representative organizations. The following organizations anc persons have been particularly helpful during the past year and to them we extend our sincere thanks. COCK COUNTY 3CAP.D 0? COMMISSIONERS Clayton ?. Smith, President MEMBERS Prank 3obrytzke Mary McSnerney William Busse George A. Miller Elizabeth A. Conkey George F. Nixon William N. Erickson Harry E. Perry Fred Fischman Daniel Ryan Peter Fosco Clayton F. Smith Maurice F. Kavanagh Edward M. Sneed John E. Traeger COOK COUNTY BUREAU OF PUBLIC WELFARE Joseph L. Moss, Director Charles Mayr, Chief Clerk William Mahoney, anc other members o^ the staff COUNTY SUPERIN T S D E N T 0? SCHOOLS Noble J. Puffer, Superintendent Assistant Superintendents George C. Butler K. V.T. Bollman Clarence M. Callahan Nellie G. McMahon Catherine McClaughry David Heffernan U1IIT3D STATES PUBLIC HEALTH SERVICE Dr. Thomas Parran, Surgeon General Dr. M.3. Ziegler, Director, District III Dr. H.A. Holle, Medical Consultant Dr. D.C. Elliott, Venereal Disease Control Officer L. M, Fischer, District Engineer Henrietta Landau, Public Health Nursing Consultant Kenneth Revell, Regional Tabulating Unit ILLINOIS DEPARTMENT OF PUBLIC HEALTH Dr. Roland R. Cross, Director Dr. H. L. Pettitt, Assistant Director Dr. Allan J. McLaughlin, Medical Administrative Consultant B. K. Richardson, Senior Administrative Officer Dr. H. V. Hullerman, Chief, Division of Local Health Administration Dr. Richard F. Boyd, Asst.Chief, Division of Local Health Administration Dr. Fred L. Adair, Chief, Division of Maternal and Child Hygiene Dr. Raymond y. Brokaw, Chief, Division of Cancer Control Maud B. Carson, R.N., Chief, Division of Public Health Nursing Dr. Charles F. Deatherage, Chief,Division of Dental Health Education Mrs. Leona East, Chief, Division of Public Health Instruction Mr. C. W. Klassen, Chief, Division of Sanitary Engineering Dr. Milton Kronenberg, Chief, Division of Industrial Hygiene Dr. John J. MeShane, Chief, Division of Communicable Disease Control Dr. 0, K. Sagen, Chief Statistician, Division of General -Administration Dr. K. J. Shaughnessy, Chief, Division of Laboratories Dr. K. M. Soloway, Chief, Division of Venereal Disease Control Dr. 3. K. Steinkopff, Chief, Division of Tuberculosis Control Dr. Robert H. Woodruff, Chief, Division of Vital Statistics ADVISORY BOARD OF THE COOK COUNTY PUBLIC HEALTH UNIT Dr. Winston H. Tucker, Chairman Dr. E. A. Piszczek, Secretary Dr. H. R. H. Brevig Dr. N. S. Davis III Miss Harriet Fulmer, R.M. Mrs. Charles Greaves Dr. Earl Kleinschrnidt Dr. M.3. Mrs. Esther Kohn Mr. Joseph L. Moss Hiss Mary Murphy Dr. Howard Crvis Mr. Alexander Ropchan Mrs. Theodore B. Sachs Dr. K. J. Shaughnessy Ziegler THE CHICAGO HEALTH DEPARTMENT Dr. Herman 17. Bur.desen, President, Chicago Board of Health Dr. 3. X. Masson, Chief, Communicable Disease Section Dr. R. F. Wright, Asst. Bureau Chief, Communicable Disea.se Mrs. Eloise Phelps, R.N., Supervisor of Nurses THE NATIONAL FOUNDATION FOB INFANTILE PARALYSIS, INC. Mr. Basil O'Connor, President Dr. Morris Fishbein, Member of Committee on Education Dr. Philip Lewin, Chairman, Orthopedic Committee Mr. Herbert J. Lorber, Cook County Chairman Dr. Edward L. Compere, Chairman, Medical Advisory Committee Miss Agnes McMahon, Cook County Executive Secretary CHICAGO MEDICAL SOCIETY Dr. James P. Simon&s, President Dr. H. Prather Saunders, President-Elect Dr. Oscar Hewkinson, Secretary Dr. Edward W. White, Treasurer CHICAGO DENTAL SOCIETY Dr. Willis J. Pray, President Dr. Leo W. Kremer, President-Elect Dr. liarry A. Hartley, Vice-President Dr. Harold W. Cppice, Secretary Dr. A. C. Kuncl, Treasurer Dr. John J. Hollister, Executive Secretary DENTAL HYGIENE INSTITUTE OF CHICAGO Dr. William B. Pringle, Director THE TUBERCULOSIS INSTITUTS OF CHICAGO AND COOK COUNTY Mrs. Theodore B. Sachs, Executive Director Miss A. Elizabii. Gallaway, Director of .Irrses Dr. J. B. Novak. Medical Director Miss Alice Mi-i e , Director of Health EducatIon THE AMERICAN BED CROSS - CHICAGO CHAPTER Mr. James 3. Fcrgen, Chairman Mr. Joseph K. King, Vice-Chairman Col. A. A. Sprague, Treasurer Mr. Forman G. StcckdaL;, Secretary and Assistant Treasurer And tc all local Health Officers, Municipal and Township Officials, Council of Social Agencies of Chicago, Illinois and Cook County League of Women Voters, local Parent-Teacher Associations, Friends of Pural Public Health Nursing, Members of the Press, various lay and professional organizations and to many members of the public who have been of so much assistance to us during the past year. Since the issuance of our last annual report the problem of public health has become of paramount importance. This organization has, during the past year, due to the war, entered into many additional activities, such as the training of Nurses* Aides, classes in nutrition for defense workers, surveys of emergency housing and water supplies, and ether programs designed to aid in the prosecution of the war. We feel that we should, and we intend, to so still more. offer to ell organizatior.3 interested in the war effort, services of this department. To ta;v. eni we the specialized Health Officer Cook County Public Health Unit. ''The public health is the foundation upon which rests the happiness of the people and the welfare of the nation." "The care of the public health is the first duty of the statesman. " Disraeli PERSONNEL 0? THS COOK COUNTY PUBLIC HEALTH UNIT (All perrormel in the Cook County Health Unit meet the qualifications recommended "by the conference of State and Territorial Health Officers for health officers and other public health personnel) MEDICAL AND ADMINISTRATIVE 3. A. Piszczek, M.D., M.P.H,, Health Officer John 3, Hall, M.D*, M.S.P.H., Epidemiologist Harriet Fulmer, R.N., Supervisor of Nurses Edward E. Xopriwa, Administrative Assistant Arthur J. Fox, Quarantine Officer Joseph Svec, Quarantine Officer Ellen M. Bertinelli, Secretary Lorraine Johnson, Secretary Irene Fahey, Secretary Eleanor Norton, Secretary Mary J . Pearce, Secretary PUBLIC HEALTH ENGINEERS 3enn J. Leland, M.S., Senior Engineer P.cbert R. de Jonge, 3.S., Jr. Eng. Steven Nichiporuk, E.S., Jr, Eng. PUBLIC HEALTH DENTISTRY Moreland Emerson, D.D.S., Director Mary A. Eagan, R.N,, M.A., Dental Health Consultant NUTRITION Marie E. Dohm, M.A., Nutrition Consultant PUBLIC HEALTH NURSES Teresa Bernoudy, R.N. Katherine Borham, R.N. Luella Ca.ll.ihan, R.N. Grace Cole, R.N, Claudia Durham, R.N. Frances Erickson, R.N, Ruth Feely, R.K. Mary Flynn, R.N. Jane C-adde, R.N. Frances Svoboaa, F e m e Hobson, R.N. Rose Hoy, R,.N. Erna Keel, R.N, Irene C'Connor, R.N. Margaret ? h ian, R.N. Hilda E, Sehvli.e, R,N. Myrtle Scrsnsen, R.N, Margaret Stealey, R.N. Alouise Steward, R.N. R.N. PART-TIME SOCIAL HYGIENE CLINICIANS Dr, E. G. Brust Dr. F. 3. Deardorff Dr. E. A. Harris Dr. Hugo Long Dr. A. Nady Dr. *'/. M, Winston PART-TIME PEDIATRICIANS Dr. K.H. Boyle Dr. H.L. Faulkner Dr. J.A. Forbrich Dr. R.E. Koeley R esign ed - March 15 th, I 9U2 Dr. R.L. Marks Dr. S.S,Snider Dr. r.T. Wolford Dr. W.M, Winston C0MMUNICA3LE DISEASE CONTROL The control of communicable diseases is the constant and unremitting task of a health department. Any lapse would bring with it the possibility of an epidemic. The best way to control these diseases is to prevent their occurrence. This can be done in certain diseases by immunization against them. This is real preventive medicine in protecting the health of the citizens. Procedures for immunization against diphtheria and vaccination against smallpox are well established. By universal application of these procedures, these diseases eould be wiped out entirely. The President of the United States has recognized this fact, and in February of this year issued a proclamation asking that all children be immunized against diphtheria and vaccinated against smallpox by Child Health I>ay (May 1, 19^2). Thu Cook County Public Health Unit has always endeavored to carry out these_pre ventive measures and in accordance with the president's proclamation tried to have all the children within its health jurisdiction so protected. On July 1st, 19^2, a survey snowed that more than 85$ of all school children, (those of parochial as well a 6 public schools),in the area served by the Nursing Division of this unit have received these protections. The number of children protected both as a result of this campaign, and as e result of the continued activity during the year, is :i8 follows: Number of children immunized against diphtheria 9,206. Number of children vaccinated against smallpox 3.018 The value of whooping cough vaccine has been increasingly demonstrated. Up to the present time, it has been use! only in selected groups of children. However, when the Division of Laboratories of the State Department of Health begins to furnish it free, as it t'oes diphtheria toxoid and smallpox vaccine, its use wil^ be greatly increased. Since over 90$ of the children dying from whooping dough are under three years of age, its health value lies in the infant and preschool group rather than in the children of school age. Immunization against typhoid fever is also well known and it is part of the health protection of every soldier. However, as typhoid fever is not prevalent in this area, this program has not been emphasized. All persons traveling in the rural areas and vacation resorts are advised to get this type of protection as they may encounter unsafe water supplies. EPIDEMIC CONTROL To complement our active program in preventive medicine through an campaign, the Unit was faced with two serious outbreaks during the one, an outbreak of infantile paralysis in the summer of 19^1, and ar. outbreak of smallpox in June, 19^2. immunization last year - the other infantile paralysis During the calendar year of 19U1 , 5^ cases of infantile paralysis occurred in Cook County outside the city of Chicago. In six of these cases the disease proved fatal The first fifteen cases reported during the year were the subject of a clinical, laboratory and epidemiological report by a committee of ten individuals formed by Dr. Edward A. Piszczek, Health Officer, as chairman and constituting the Illinois Committee on Infantile Paralysis. The remaining members of the committee included: Dr. Robert Black, professor of pediatrics, Loyola University School of Medicine; Dr. Herman N. 3undesen, president, Chicago Board of Health; Dr. Roland R. Cross, director, Illinois Department of Public Health; Dr. Irving Cutter, former dean, Northwestern University Medical School; Dr. Morris Fishbein, Editor, The Journal of The American Medical A s sociation; Mr. Arthur Gorman, engineer of Water Purification Division, City of Chicago; Dr. Sidney 0. Levinson, diroctor, Samuel Deutsch Serum Center of Michael Reese Hospital; Dr. Howard J. Shaughnessy, chief, Division of Laboratories, Illinois Department of Public Health, and Dr. Winston H. Tucker, Health Commissioner, Evanston, Illinois. This committee received an appropriation of $9,000 from the National Foundation for Infantile Paralysis, Inc., for the study of this outbreak during the year 19^1 and an additional $S,$50 was appropriated to carry on the work of this committee during the calendar year 19^2. The preliminary report of this outbreak of acute anterior poliomyelitis was publishod in the Journal of the American Medical Assoc iation on December 6, 19U1 . A report of this work was given by the chairman of the committee, Dr. Piszczek, Cook County Health Officer, at the Second Annual Medical Meeting of the National Foundation for Infantile Paralysis at the Hotel Pierre, New York City, on December U, 19U1 . This study has received wide acclaim as one of the most scientific epidamiological studios conducted on infantile paralysis during the past year. Below is an editorial from the Boston post, September 3, 19U1 , regarding the preliminary an nouncements and results of the study. FIGHTING INFANTILE "Reports that Illinois doctors have succeeded in locating healthy carriers of infantile paralysis, and arc studying the means by which this deadly infection is transmitted to other childron, offer ono of tho most successful advances made in the study of this disease. As they push forward with thoir study to aid the young of the country in fighting this scourge, the hopos of thousands arc with thorn. Their goal is tho solution of one of tho many mysteries of medicine that has baf fled scientists for gencre-tions. They are to bo commended for their laborious re search. All wish them success. 11 SMALLPOX On June 15> 19*42, a case of smallpox was discovered in a Chicago resident at the Cook County Hospital. On questioning this case as to where he might have con tracted the diseaso he stated that he had been visiting relatives in the suburban area of Summit who wore known to be suffering from chickenpox. Epidemiological investigation by the medical staff of the Cook County Public Health Unit revealed eight cases in the Summit area. Because these victims of smallpox believed they had chickenpox and their families had been permitted to mingle with the general population, it was deemed advisable to vaccinate the whole community. On July 17th, 19^2, nurses from the Cook County Public Health Unit, the Tuberculosis Institute of Chicago and Cook County, the Metropolitan Life Insurance Company, and the Illinois Department of Public Health united to make a house-to-house canvass of the entire community. A copy of the letter that was left at the home of every resident is included in this report. Over 1^00 home call6 were made by the nursing staff and over lU,000 persons were vaccinated within the four-day period following the discovery of these cases. Over 5000 0* these persons have been vaccinated by industrial physicians in manufacturing plants in the Summit area. Over UOOO were vaccinated by their own private physicians, and the remaining vaccinations were done at two vaccination clinics established by the Public Health Unit in the Argo Health and in the Community Hall. No further cases of the disease developed after the initial 8 cases were discovered in the first three days of epidemiological investigation. Or. June 29, 19^2, Dr. Piszczek, Cook County Health Officer, issued the following letter which was published in the local newspaper to the Summit area residents: THANK YOU! SUMMIT AREA RESIDENTS "Surgeon General, Thomas Parran, of the United State Public Health Ser vice, many months before the onset of the war stated - "Protection of the public health is the first line of National Defense." "During the week of June 15th eight cases of smallpox were discovered in a localized area in the town of Summit. These victins believed they were suffering from chickenpox and allowed the remaining members of their families to mingle at large with the rest of the general pop ulation. When it was discovered these cases were smallpox all hands .joined in an urgent appeal to protect the public health. "The Cook County Public Health Unit staff joined with the local Health Commissioner, the local village nurses,and these in turn were joined by ether nurses of the Tuberculosis Institute of Chicago and Cook County,the Metropolitan Life Insurance Company nursing staff and med ical and nursing staffs of the Illinois Department of Public Health in one effort - to urge everyone who had not been vaccinated within 5 years to be vaccinated and protect the entire community from the spread of smallpox. "Those of us whose work it is to protect the health of the general popu lation feel proud we have been able to control this outbreak,but we feel prouder of the cooperation that you have given us to carry out this mass vaccination. Without the universal cooperation of the people of the Summit area and without the 6plenaid cooperation of the Health Commissioner, Dr. S.L.Mann, and the other doctors in the community, Drs. Allison, Barclay, 3er.ton, Nienow,Plucinski,and Rush, we could not have achieved our goal. "As we prepare this week to celebrate Independence Day,July ^th,we feel sure that you will take pride with us in the fact that the Summit area has shown such patriotism in this move to wipe out an epidemic. On be half of all my co-workers in this effort to protect your health, we thank you, Summit area residents for your fine cooperation and patriotic spirit. 11 Sincerely, 2. A. PISZCZ2K, M.D., DIRECTOR, COOK COUNTY PUBLIC HEALTH UNIT. TO ALL RESIDENTS OP ARGO-SUMMIT AND VICINITY: June 17th, 19I+2 Seven cases of smallpox have been discovered in the Argo-Summit area during the past two days and it is probable that many more cases may occur within the next week or two. Although the cases have been centered in one area of the town, many of the home contacts of these cases have been shopping in the downtown section, and have come ir. contact with many of the citizens of this town VACCINATION WILL PROTECT YOU AGAINST SMALLPOX ECTED ? It is urged at this time, that everyono be vaccinated against small pox as early as possible in order to control this epidemic. Anyone vaccinated longer than five years ago should be re-vaccinated. Sco your physician at once and join your neighbors in this civic cause to control this epidemic. SEE YOUR. PHYSICIAN TODAY.' DON'T DELAY.' S.L.Mann, K.D. .Health Officer Summit, Illinois Health Officer Cook County Public Hoalth Unit 737 S. Wolcott Avonuo Chicago, Illinois VENEHEAL DISEASE AUD WAR We are now in the midst of a war for the preservation of our way of life* The health of every one of us is important in this program. It is well known that the health of the soldier must be protected, but now more than ever before, the health of every worker and every citizen is of significant value. The production lines are just as essential as the firing lines. Two of the greatest enemies of our health arc the voncroal diseases -- syphilis and gonorrhea - - and thoir control is vitally necessary in the protection of tho public health. In several ways tho Cook County Public Health Unit is doing its part in the program of control of these diseases. The oxporiencos of tho last war showed how these affoct tho morale .and efficiency of the armed foreos. Al though syphilis and gonorrhea do not rank high in mortality statistics, in tho figures of war days lost their true effect is evidont. Tho immediate loss is important, but it should also be remembered that $23,000,000 has boon spent by tho United States Government for treatment of complications of venereal diseases in veterans1 hospitals as a rosult of acquiring in fection during tho last war. The first figures of interest aro those show ing the presence of positive blood tests in selectees. Up to the present time this averages U5 per 1,000 examined. These may not fill bo incapaci tated, but further investigation in each caso is necessary. Acting as a branch of the Venereal Disease Division of the Medical Advisory 3oara ITo. 3S the State Selective Sorvicc System, all solcctoes found to havo positive blood tests during examination aro referred to one of our clinics for rcoxamination. Those found to havo syphilis are immediately placed under treatment either with their family physician or at a clinic. These deferred registrants aro given continuous treatment until they have had the minimum treatment required for induction into the Army. There is very closo cooperation botwoor. tho local draft boards and this office, in tho rehabilitation of draftees. The State Medical Office of the Sel ective Service System has been very helpful in carrying out this program. When necessary, members of the Unit assist the local Draft Boards by tak ing tho blood test3 of draftees, compensating for lack of local medical assistance due to tho exigencies of war. This organization is giving 100 por cent assistance to tho Army and ITavy in thoir efforts to protect soldiers and sailors against these diseases. There are several training centers in this area, and reports of venereal disease contacts a r e immediately investigated and measures taken to stop the spread of theso diseases. Intensification of all normal activities is a necessary part of this war program. Venereal disease in war workers sabotages the war effort. All venereal disease contacts arc immediately referred for medical examination and treatment if necessary. There have been a few blood testing surveys of grade school children --these have not boon very successful as case finding programs, neverthe less, there has been a start and tho goal of this program is the blood testing of all high, school students. In this group of adolescents and young adults case finding should be more successful. These young men are our future soldiers; the young women are future mothers. Their health is of vital importance in any long range program. Slowly a program of industrial hygiene is commencing. This is limited by a lack of personnel. however, the increase in employment in vital in dustries and the establishment of new war industries makes blood testing of industrial amployees a necessary part of the program. The officicncy of industry must be kept at a high levol. To complotc this picture it is important to mention that under the statutes the director of the Unit acts as the representative of oho State Liroctor of Public Health in issuing permits to marry to tnesa with pos.-.4lve olooa tests where he feels that the marriage will not affect the health of either party or issue thereof. To aid in this program sir. freo venorcal dicea.se clinics have hci.-n estab lished in areas whore largo indigent groups .tv located. These *.* -n Maywood, Berwyn, Robbins, Harvey, Calumeo C x * y t and Chicago Heigh.-.2. Persons admitted to medical service........ 65 Clinic visits................................ 16,60U Field visits. * .............................. 7,065 Thus, in many ways the Cook County Public Health unit is doing its part in the control of the spread of the voneroal disoasos as one of its efforts to protect the public health. ******** "Thanks to the advances of science our social evolution is largely in our own hands. Bettor nutrition is one of the best tools wp can use to fashion our future in a way which will bring the most happiness and usefulness to the greatest number of people." - - Dr. Frank G. Boudreau. N a t i o n a l strength can be built up only by the adequate application of all the sciences to the provision of armament, munitions and supplies, food and manpower... Important in the oasy days of pca.ce without a cloud on the horizon, it is urgent now that the people of the nation bo physically tough, mentally sound, and morally strong...... If our workers are malnourished they cannot be efficient ir. producing what we need for defense. Yet every study of nutrition, by whatevor method cor.ductod, shows that mainourishment in this country is widespread and serious." - - Thomas Parran, M.D,, Surgeon General, U.S, Public Health Service. NUTRITION IN THE PUBLIC HEALTH PROGRAM The nutrition program is the newest service to be added for our county health's protection. This program was started on February 1, 19^2. when Marie 3. Dohm, nutritionist, became a member or our staff. The objective of the nutrition service is to promote, stimulate, and execute a program of activities that will bring about better health for ALL the citizens of Cook County. This is carried out through the various methods of nutrition and health education at our command, staff and group education, individual conferences and interviews, cooperative efforts through other groups and individuals, the use of films, posters,litera ture, radio, and press, bearing in mind that application of our know ledge is of first importance in our efforts for national defense. Most important of our the patients who come children to the Child for the public health groups. nutrition activities is group education, reaching to various clinics, the mothers who bring their Health Conferences, providing staff education nurses and university students, and other community Early in the program opportunity presented itself to cooperate with Loyola University Department of Preventive Medicine and Public Health, in teaching a class in Applied Public Health Nutrition. Our nutrition ist is also an enrolled Fed Cross nutrition instructor, and a class has been completed in Oak Lawn. Other Red Cross nutrition classes are anti cipated. In this way we can aid in recruiting lay helpers, and can do our part to create a corps of well-informed people who in turn spread this knowledge of nutrition and thus aid us in the program of conserving and improving civilian health. During the summer a regular schedule of visits have been m.-de to Camp Reinberg,(operated by the County Bureau of Public Welfare) for the purpose of group education reaching mothers, young girls, and the health camp counselors on matters pertaining to nutrition, its relationship to better health practices, and encouraging the practical application of nutrition principles. Many individual lectures on nutrition were given to Home Hygiene Classes conducted by the nurse instructors, Parent-Teacher Associations, Civilian Defense Committees, Health Councils, Women'-s Clubs, and church groups. During the past year eleven radio talks on nutrition were given over Station W. H. F. C. as a part of our Cook County public health programs. The nutrition film, ''Proof of the Pudding" was shown many tines throughout the county. Nutrition literature, consisting of pamph lets leaflets, booklets, and posters generously contributed to our programs by Federal, State, and local health and welfare agencies, and various commercial organizations, has been distributed. Whole-hearted cooperation with other groups has been extended through the P.s-d Cross Chapter in conducting food and nutrition classes: School Lunch Community Projects and Housekeeping Projects of the W. P, A.: The National Youth Administration in the training of youthful workers: Home Service Personnel of the Public Service Company in cooking demonstrations and preparation of exhibits, and with other public and private organizations. Many mothers have been reached through attendance at the Child Health Conferences, Summer Hound-Ups, or Health Centers, with conference* or interviews by the nutritionist. Others were reached through field and office visits, with the nurses. In one area we nave had p_n opportunity to work with a. group o^ Mexican families - - special bulletins ir. Spanish have been secured for these people-. Advisory service to public health nurses, canp_managers and directors, cafeteria and lunchroom managers, teachers, cental assistants, grocers, news editors, theatre managers, restaurateurs, and others was extended as an aid in solving problems of nutrition relating to their particular fields. Plans are under way for rendering service in aiding and pro tecting the nutritional health of the industrial worker and his family. All members of the Public Health Unit staff have given whole-hearted cooperation in launching this new program, and without the helpful assistance of the public health nurses, the nutrition consultant would have been unable to reach many groups of individuals with nutrition information. Through these nurses the program has been carried out, and the nutrition needs of the communities have been discovered. A challenge for even greater cooperation and efforts in conserving the health of the civilian workers is, indeed, encouraging. ********** " . . , During these days of stress the health problems of the military and civilian population are inseparable. Total defense demands manpower. The full energy of every American is necessary. Medical authorities recognize completely that efficiency and stamina depend on proper food. Fighting men of our armed forces, workers in industry, the families of these workers, every man and woman in America, must have nourishing food. If people are undernourished, they cannot be efficient in producing what we need in our unified drive for dynamic strength . . . The Depart ment of Agriculture has estimated that many millions of men, women, and children do not get the foods which science considers essential." President Roosevelt- PUBLIC HEALTH NURSING- SERVICES The Cook County Public Health Unit extends public health nursing service to all rural areas in Cook County in addition to those towns and villages which have a population of 5,000 or less. At present there are twenty nurses as sisting with the conduct of this generalized public health nursing program. C0MMU1ICA31E DISEASE CONTROL Ranking second to none in its degree of importance is the program for the prevention and control of communicable disease. Intelligent cooperation on the part of the public is evidenced by such impressive figures as 19,013 vac cinations against smallpox and the total of 9206 immunizations against diphtheria during the past year. Various procedures and activities are fol lowed in order to inform the public regarding the need for general participa tion in the control of widespread disease which can bo so disastrous economically in addition to the direct physical and mental suffering; of the persons afflicted. At all times the nurse is really a liaison agent between the public health officials and members of a family among whom there exists any known communicable disoasc. Through summer round-ups, at which time preschool children are afforded r. medical examination in addition to being immunised and vaccinated in prepara tion for entrance to school, the public health nurses have a splendid oppor tunity to be of assistance to parents. During the entiro school year teachers and nurses work hand in hand in order to hold the absentee list to a minimum. Home visits arc made not only to demonstrate the actual care of the sick and teach isolation procedures to the well, but these calls are never ceasing in so far as the nurse is concerned. She must be constantly alert to homo and community health problems, provent their arising if possible or meet the exi gencies of the case when and if it does ariso. There is a definite unity of purpose on the part of local health officers, physicians, public health engineers, public health nurses and all civic-minded citizens in connection with any effective communicable disease control program. VENEREAL DISEASE CONTROL Among the responsibilities of the public health nurse is that of keeping the members of the community fully informed as to the purpose, location and operating time of the Social Hygiene Clinics. As venereal disease is one of our most devastating national health problems today., it is the duty of one and all of us to assist in the destruction of the forces conducive to the perpetu.ation of this country-wide menace affecting the war effort generally, while specifically they account for an enormous amount of economic waste through indi-vldual inefficiency, and the mental and physical suffering involved. Through education and guidance of the adolescent and parents, the public health nurse can and does assist materially in reducing the number of cases of venereal disease. She encourages clinic pationts tc have the proper regard for the need of continued treatment until a cure has been offcctcd. Homo visits are made, educational material presented and interpreted to those under care and to those who may or may not havo been exposed to 3uch diseases. TUBERCULOSIS CONTROL Within the State of Illinois tuberculosis now rates fifth as a leading cause of death while in 1880 this disease headed the list. This change can be a c counted for (to a large extent at least) through the activities of a bettor informed public. Through the education of law-making bodies more adequate provisions have been made for the prevention of the disease as well as treat ment and proper care of the afflicted. Under the auspices of the Chicago and Cook County Tuberculosis Association the services of twenty-five chest clinics are available within Cook County. Carefully planned programs which include tuberculin testing and x-ray examinations are available to the public. Other institutions also provide a similar service for the purpose of case finding, supervision of those threatened by the disease or those individuals diagnosed as active cases. While the basic philosophy of a public health program is that of education through means of the press, radio, educational films end bulletins, medical advice to the individual, the public health nurse holds a unique position in the direction of case-finding. She knows her community and health prob lems through well-planned,purposeful home visits and because of her assoc iation with teachers and pupils. It is also her responsibility to know clinic and sanatoria facilities which are available and to stand ready to assist in whatever manner is indicated for the welfare of a givon pationt. It is a. source of encouragement to note that during the past year there has been a marked increase in the number of individuals admitted to medical and nursing service as compared to figures of the proceeding year. MATERNITY SERVICE Another important phase of a public health nursing servico is the assistance rendered in various ways to expectant mothers. The success of such a program depends largely upon case-finding and seeing that the expectant mother promptly secures the services of her physician. In instances wherein she prefers to attend a prenatal clinic for economic or other reasons the nurse is in a position to familiarizo her with available facilities. Home visits by the nurse are of considerable assistance to the patient who is in a re ceptive framo of mind regarding the principles end habits of correct living, proper diet, rest, and so on. Post par turn advice and caro is fully as important as adequate prenatal at tention. The importance of the post-partum nodical examination is explained to the mother and when indicated the nurse is glad to be of assistance in making arrangements for the necessary medical attention or assisting the family with the solution of problems relative to proper home care. INFANT AND PRESCHOOL HYGIENE An encouraging feature of the Infant and Preschool Hygiene program is the marked increase in the number of individuals admitted to medical and nursing service, the combined total for the year 19^1 being 2,Ul8 as compared to that of the present year which is 3^07* The Cook County Public Health Unit conducts thirty-two monthly Child Health Conferences within the area over which it holds jurisdiction. These are wellbaby clinics staffed by pediatricians (part-time) who in turn arc assisted by members of the nursing division. Tho infants and preschool children are checked for dofocts by the attending clinician who makes the indicated reconmendations and is ready to advise the mother regarding dietary problems or others manifested through the medical examination. When necessary the public health nurse makes home follow-ups in ordor to bo of further assistance to the family. The total attendance at the various Child Health Conferences C7302) is indicative of the value placod upon these services by the parents of infants and preschool childron. SCHOOL HYGIENE Or.e of the major functions of the public health nurse in the school hoalth program is the active assistance lent by her in the formulation of a health program which is genuinely educational. Through classroom health talks, the presentation of films, and various hoalth projocts the student body learns much in reference to healthful living. The nurse familiarizes the parent and teachers through home and school visits with the indications of sound health and physical,mental and emotional well-being. The nurse assists with the arrangement of medical and dental examinations for the school child and en courages the family to assume this responsibility when they are in a position to do sc. When these examinations are conducted within the school there is an opportunity for utilizing the medical and dental findings to the advantage of the child. Insofar as possible, remediable defects are corrected as soon as possible. This is largely achieved as the result of home visits and parent consultations. Vision and hearing tests are often the means of discovering hitherto unknown defects. When the necessary corrections are made,frequently there is a marked decrease in classroom and home behavior problems, in many instances there is a noticeable acceleration of achievement and learning among the affected boys and girls, Ono hundred and twelve public schools and thirty-five parochial schools are serviced by the nurses of this Unit. In the various schools, teacher consultations numbered 10,081. MORBIDITY SERVICE In addition to the aforementioned activities the nursing staff is ready to extend a limited amount of bedside nursing care. She interprets physician1s orders to the bedside attendant and demonstrates the.proper procedure of caring for the sick. Luring the past year fieid nursing visits of this nature were made by the members of the nursing staff. CRIPPLED CHILDREN SERVICE Home visits are made on behalf of the crippled child, at which time the family is adviced regarding necessary nodical and nursing care. Tho parents aro ma.de acquainted with any available facilities which, will bo of assistance to tho family in general and the handicapped child in particular. DENTAL HEALTH EDUCATION On August I, 19^1 at the request of Dr. Edvard A. Piszczek, Health Officer oft the Cook County Public Health Unit, Dr. Charles P. Deatherage, Chief, Division of Dental Health Education, Illinois Department of Public Health, assigned Dr. Moreland Emerson as full time dentist of the newly-created Department of Dental Health Education within the Cook County Public Health Unit. Miss Mary A. Eagan, public health nurse of the Cook County Public Health Unit nursing staff,was as signed by Dr. Piszczek to assist Dr. Emerson with the program. While a definite period of time on the part of the dentist has been devoted to furthering a service program consisting of actual oporative procoduros and dental restorations at the DcsPlainos Clinic, nevertheless, the most emphasis and time is diroctod toward individual and community dental health education. Various methods, procodures and activities are initiated and followed in ordor to achieve this goal. To illustrato: Por the school examinations parents aro invited to bo present, at which timo dental findings aro interpreted to the paront who then has the opportunity of asking questions and securing the nec essary information regarding this particular phase of child health. If the teeth are in need of prophylaxis or cleaning, fillings or other dental attention,the parent is advised to consult the family dentist and place the child under his care. In the event that the parents are unable to afford such services the local public health nurse is consulted regarding the possibility of securing such care at the nearest dental clinic. At present there are six dental clinics operating under the supervision of the Cook County Public Health Unit and are maintained for the purpose of meeting the needs of the economically underprivileged school child. Dentists in various parts of Cook County are most cooperative and actively participate in the school program. They spend much of their timo conducting dental examinations, explaining the importance of clean, healthy teeth and tho relationship of good oral hygione to general physical welfare. In this manner both the paront and child learn to appreciate much more fully tho need of pre serving their teeth in good condition. School nursos too, throughout suburban and rural Cook County have rendered invaluable assistance in the carrying out of dental programs. Available dental health films or slides arc shown to school children, ParontToacher associations, local health councils, student nurses or other interested groups upon their request. The presentation of these slides or films is always accompanied by an cr^fLrxiato t j talk by our staff dentist. Hadio talks are also an important feature of the program. Consequently, there is much evidence of genuine interest and community participation in the development of this par ticular program. Education material,such as teaching units, provided through the Division of Dental Health Education, Springfield, Illinois, are presented by the dental a s sistant nurse to teacher groups in ordor that they may integrate the principlos of dental health into the school curriculum. Those materials of instruction are a substantial, time-saving device for tho teacher because of the outline of suggested teaching procedures and the body of knowledge which is incorpor ated within these volumes. This information is scientifically up-to-date and sufficiently non-technical bo le readily understandable to the teacher. As these units are arranged on various achievement levels they can easily be adapted to the needs and interests of pupils within the various grades. On April l, 19U2 the Preschool and Maternity Mothers clinics were inaugurated and began functioning through funds procured from the Children1s Bureau of the U. S. Department of labor. Cur staff dentist is responsible for the or ganization and administration of these clinics which are actually operated by ten practicing dentists of Cook County who are solocted with the aid of the Chicago Dental Society because of their individual interest in children's dentistry. Evidence of the community need for such a service to maternity mothers and preschool children also serves as a guide in deciding upon the lo cation of the clinics. Specifically, the Preschool and Maternity Mothers Dental Program is for the exclusive purpose of providing adequate dental care for underprivileged pre school children (3 to 6 years) in addition to expectant mothers or those whose last born child is not beyond the age of eight or nine months. This particular dental program does not offer similar cervices to the school children, the roasor being that by greater concentration of effort on behalf of this selected group there is more definite promise of earlier and more lasting results. Proper dental health habits are instilled in the preschool child before he has formed undesirable and unhealthy habits regarding dental care and oral hygiene. The prenatal mothers who are economically underprivileged and therefore eligible for this dental service also afford excellent opportunity for the toaching of dental care, growth and development of the teeth. They aro familiarised with the necessary knowledge of good nutrition and its relation to general physical welfare. The old maxim - "A tooth for every child" - has been proved to bo scientific ally incorrect. Prenatal mothers arc shown how they may preserve their own teeth in addition to affording the expected child his birthright, which, of course, includos the foundation of sound tooth structure for later life. ********* 11................. All of U 3 today are conscious of the gravo task lying before us. We shall need in the days to come rugged health and courage such as the world has never seen. The magnitude of our efforts for this is only the begin ning of our historic task. After the w a r ........ All the strength and courage that America con muster will *00 needed for the rebuilding of a shattered world. We Americans must be conscious of our destiny -- for America is the last great hope on earth." - - - Surgeon-General Thomas Parran. PUBLIC HEALTH SE&IKEERIBG The staff of the public health engineering division during the past year has consisted of a senior engineer and two junior engineers. In-service training of the entire engineering personnel is constantly carried on by staff conferences, special projects, survey of current professional publications, and by attendance at selected professional meetings. The public health engineering staff has participated actively in problems arising from the war effort in which this country is engaged at the present time. The nature and extent of these problems will be discussed in the sections devoted to each particular activity. -he work of the public health engineering division may be subdivided into the following catagories: 1 . Inspections and investigations made at the request of the Illinois Department of Public Health in cases where authority is vested in that Department. 2. Inspections and investigations made at the request of local health officials who desire assistance in the correction or elimination of some public health problem. Advisory services furnished to official agencies such as the federal Housing Administration and Cook County Zoning Bureau are included in this category, 3. Inspections and advisory service given directly to individuals or organizations in connection with their specific environmental sanitation problems. Environmental sanitation which is the particular field of the public health engineer may assume a position of lessor importance in the larger, well established communities having modern sanitary engineering structures operated by competently trained personnel. However, such personnel are not generally available ir. the rural areas, subdivision, rind smaller cities end villages. The past decado has witnessed a definite migration of people from the larger cities to the unincorporated rural areas and subdivisions and to the smaller cities ar.d villages. Also, during the past year, several new "defense" plants have been built in the rural areas bringing up certain problems directly at the plant concerned and also problems concerned with the housing of their workers in the immediate area. This migration is accentuated by the tendency of the residents of the congested Chicago metropolitan area to seek recreation at golf and country clubs, forest preserves, and eating aid drinking establish ments located ir. the rural areas. The following will present the various activits ir. which the public health engineering personnel functions, will present the magnitude of each particular activity, and will show to what exsent these problems may have been attacked. SCHOOLS A sanitary survey of both urban and rural schools is being carried on, through the cooperation of Mr, IToble . Puffer, County Superintendent of Schools This survey has concerned itself primarily with the water supply and sewage disposal facilities; at the larger schools having public water supply or private pressure systems, a check was made to determine the presence of plumb ing fixtures which could permit the back-siphonage of sewage into the drinking water supply. Several schools were advised on food handling problems in connect ion with their cafeteria or Hot Lunch programs. During- the past year, inspect ions have bean made at llH schools (public and parochial). There are ; total of U26 schools, considering all the public and parochial grade and high schools located in urban and rural areas of Cook County. PUBLIC WATER SUPPLY An inspection and advisory program of public water supplies has been formulated in cooperation with the Illinois Department of Public Health; under this program routine inspections are scheduled at least once yearly, either by our public health engineers or jointly with the engineers of the State Depart ment. There are 76 incorporated ^nd five subdivisions having public water supplies; of these, kg aro supplied by Chicago or some other city and consequent ly in these, only problems of distribution are encountered. During the past year, a Mutual Aid program has been instituted as part of the State and Metropolitan Civilian Defense programs. Under this program, the various municipalities furnish information to a central source whore it is compiled; this information includes various types of extra equipment which they have available and which in the event of an emergency in a neighboring community could be loaned to that community. Our engineers are actively engaged in this program. CAMPS Inspections of the tourist and trailer camps in the county of which there are 59 have been made during the past year for the Illinois Department of Public Health, The grades assigned to these camps, based on the inspections, are included in the Tourist Camp Guide, issued by the Illinois Department of Public Health, This program involves several inspections of each camp during the year. The importance of this program at the present time, can readily be appreciated by observing the number of trailers which appear near the various industrial plants devoted to the production of war materials, A summary of the grades assigned to the cabin and trailer comps in the county shows than there are 4 "AA" camps, 1 ''A" camp, 10 "3" camps, 5 11C11 camps, and 39 nD n (Unapproved) camps. In recognition of the problem arising from the large number of "unapproved'1 comps existing in the county, the Board of Commissioners of Cook County have recently passed a resolution intended to secure the improvement or closing of such unapproved camps. Recreational camps, both public and private are being inspected as request ed. There are 8 "free and low cost" camps in the County, in addition to other camps operated by the Boy Scouts, Girl Scouts., Y.M,C,A. and C.Y.O. PRIVATE HOME SANITATION There are (l) three manners in which this program is being performed, In cooperation with the Federal Housing Administration. In order for a prospective homo-owner to receive a loan insured by the F.H,A, to finance the construction or namely: purchase of a hone to be served, by private water supply and/ or sewage disposal facilities, it is necessary for him to secure approval of these facilities by the county public health engineers. During the pant year 70^ applica tions have been approved; a number of these applications require two or more conferences, reviews, or inspections prior to their approval. (2) In cooperation with the Cook County Zoning Bureau, The Cook County Zoning Ordinance specifies that all homes and buildings to be built or materially altered and which are located in the/xncorporated portion of the County, must have water supply and sewage disposal facilities which comply with the recommendations of the health department. Standards for these facilities have been formulated and supplied to the Zoning Bureau to serve as a guide in issuing of permits and making of inspections for such installations. However, the larger installations ar.d also those where some special problem is encountered are reierrod b y the Zoning Bureau directly to our engineers for review and approval, (3) -Ana, in furnishing an advisory and inspection service to the individual home owners, and to the various local health offi d e a l s who request inspections 3EC3SATI03LL APHL-vS Daring the past year, water samples for bacteriological analysis were collected from 210 wells in the Cook County forest Preserves, All the analyses results are reported to our office; these results are then interpreted in view of the information which our engineers have collected previously on the locat ion and construction of these wells. There are 79 golf and country clubs, either public or private, located in Cook County outside of Chicago, which serve thousands of persons yearly. Dur ing the past year, inspections of the water supply end sewage disposal', facili ties have boon made at 5S of these clubs. This inspection program has been planned with the cooperation of representatives of their association This particular program assmes a particular importance when it is realized t;.it these premises may serve as excellent emergency housing centers in the event :>i some disaster - the information gathered during the inspections can bo . ide available to Civilian Defense authorities at such a time. SWIMMIHG- POCLS The responsibility for the proper construction and operation of swimming pools in the State of Illinois is, by law, a function of the Illinois Depart ment of Public Health. The county public health engineers are cooperating in the inspection and sampling program at the 2U indoor and k 2 outdoor pools in the county. It is expected that the swimming pools will attract a greater number of persons during the present time duo to the greater need for recreat ional facilities near home. A swimming pool has certain filtration and dis infection equipment which can, in the event of an emergency, be used to furnish an auxiliary veurce of safe drinking water* MA.T3HKITY HOSPITALS AlsD OxHE?. INSTITUTIONS Routine inspections of the Maternity Divisions of 15 hospitals in the County are being made for the Illinois Department of Public Health who ad minister'- the law regulating maternity hospitals. Inspections of three childrens1 institutions are being made for the State Division of Child Welfare. PUBLIC SSWa G-5 TREATMENT There are U3 incorporated cities and villages in the County which dis charge their sewage to treatment works maintained by the Chicago Sanitary District, This District, serving Ul2 square miles (212 of which are in Chicago), does not come under the jurisdiction of the State Sanitary Water 3oara, Efforts to obtain abatement of pollution in this District are made, therefore, thru the Sanitary Nuisance Lav;, v.'hich is enforced by the State's Attorney. There are 12 cities and villages which maintain their own sewage treatment works; our engineers participate in the inspection and advisory program of these plants in cooperation with the engineers of the Sanitary Water Board. Sewage Treatment works to serve schools and other public and private buildings which: serve more than 15 persons require a permit from the Sanitary Water Board; these plans are given preliminary review by our engineers so as to securo on acceptable design prior to submission to the Sanitary Water Board. NUISANCES AlTD GENEFAL COMPLAINTS While seldom of public health importance, numerous nuisance complaints and requests for abatement of same are received by the health department. Res ponsibility for the abatement of such conditions is vested in the local city, village or township officials or in the office of the State's Attorney; however, every effort is made to assist the complainant and the officials involved in securing the elimination of the offending condition. Our engineers have on many occasions made inspections and later testified at hearings before the State's Attorney. MILK The engineers serve in on inspection and advisory capacity whenever requests are received from local health officials or other individuals. At the present time, our engineers are not performing a routine milk control program. All milk producers electing to label their product ''Pasteurized'1 or "Grade A" come under tno jurisdiction of tho State Department of Public Health who enforce the State Laws covering these practices. Cur public health engineers, endeavor at very possible opportunity to promote the passage of the Model Grade A Milk Ordinance in the various cities and villages ir. the County. COOK COUNTY PUBLIC HEALTH UNIT 737 So. Wolcott Avenue Chicago, Illinois. TABULATION OF HEALTH UNIT SERVICE FOR THE YEAR July 1st, 19^1 - June 30th, 19^2 A / Total Last Year Total Total First Second Quarter Quarter Total Total Third Fourth Quarter Quarter Total This Year .* A. COMMUNICABLE DISEASE CONTROL. 1.Admissions to service 2,Consultations with physicians 276 .8 5 . U6 . 25 kl 197 356 112 .. 105 112 .. 157 Field Visits 3 .Diphtheria U.Typhoid fever and paratyphoid 5.Scarlet Fever 6 .Smallpox 1 5 .O .. 97 I9*i 5 lb ....A T 22 - 10 13 3 lb .... 3.2. 18 105 . 1 0 3 .. . 95 - 352 bo 1% 325 S52 7 .Measles 8 .Whooping Cough 9 .Other ...353 .... 3 1 - .3... . 70 228 2 SS ib ... 3.5.. . 13 80 Mumps Chickenpox Adult Chickenpox Pneumonia Ringworm 26 2 2 .......5 _ J 3 . 62 .... 3 . .. 15.. ..... 5.. .... 5_._. ..... !.. 1 ..... SL -- So J! lq9 l6 A Uo 8 ..... . 13 mm Meningitis Poliomyelitis Trichinosis .j o . 2 6 1 9 .. J S j ... 1 2 S ..7.2.. 26 591 1 . mm Bacillary Dysentery Amebiasis ondulant Fever Infant Diarrhea Psittacosis 12 3 8 lU mm 25 12 3 _ 9 ..... 9. .. 5 . 1 mm 10 ..... J. -- -- - mm 2 - -- -- _ rnm Strep Throat Rabies Rocky Mt. Snotted Fever . Opthalmia Neonatorum Leprosy 2 ......5.. -- - - ... J . ..... r . 2 -- .. 2 - 1 _ - 11 mm ... If 2 z. mm 1 (fib Immunizations(persons Immun ized) 1 5 .Smallpox 2009- 3 lUU-S ,9 1 s lo ^ b s 19018 l6 .Diphtheria, under 1 year ... 2 5 0 .. b 221 .... 76 ...209.. ......5ia. 1 7 .Uiuhtheria, 1 through b years 1Q7. s 3.99.. 292 615 13 lU IS,Diphtheria, 5 years and over 2721 -- 292 3700 .73.82 19.Typhoid Fever ... 155. _ 20 .Other Whooning Cough .. 17.7.. ... ,2o.,,. .. .7.6 ... .... b i .37 .. .J.S6 Shick Tested Tuberculin Tested .. 2137... ...2gjL .27.09.... .3.27.6 700 2722 12 ..5 3 0 ,,. ...075... 324 69^8 IQbl A/' Conforming to United States Public Health Service Tabulation of Health Depart ment Services, reprint No. 17SS. Omitted items are those activities in which this Unit did not participate during the reporting period. - 2- tyd i Total Last Year : First Second Quarter rter Third Quarter Total Fourth This Quarter Year 21,Public lectures and talks 22 Attendance Film Showings Attendance Radio Talks 210 2 5 0 3 5 .. 220 - a\ LfJ- Ik 22 ....1931 2 ....3 . 8 .. 6.53.7... ..3.57 .... 350.. ..6 1 5 . 7 .5 M93. .U73c.. ...M263. 8 ... 5.. 1Q3 1U2S7 isS 1647a ... 15 B. VENEREAL DISEASE CONTROL 1.Admission to nodical service k21 3^7 3Clinic Visits ...6.26,3.. .3.15Q. Field Visits ............ .... .3.527 1353 5.Other Service Scl, Service Bloods Drawn ____163. Marriage Permits Issued ..... .... 13. o*Public Lectures and Talks . .20 7.At tendance ... . 725 Film Showings Attendance ............... -- .. 72 2 . 31. 2 17 -- Radio Talks ............. ... 92 k212 IS3 5 ..._.,v...._9.9.. llo 656 k i j i ...5 0 5 1 .... l6o0^- 1670 2207 7065 1.1.27. ....j J e g .. .. 335 ... .3720 Id ..... r 86 _ 15 .... 2.. ... 535. *12 .. 9 l H . _ a J 6 a... .10 . ... 18... 638 .1336 ...rl. .. 729.. 169.7. .... 1 .. 1 C. TUBERCULOSIS CONTROL 1 ,Individuals admitted to medical service ....... IS 2. Individuals admitted to nursing service ...... 3 .Physical examinations in clinics ................. .... . U, X-ray examinations .... .53.. .. 1 .2S. .. 135... 5# Clinic Visits 6 , Visits to orivate physicians 7 Field nursing visits ... 172. .... .25. ... 353. .Office nursing visits 9 .Admissions to sanatoria 1 0 .Other service ... 523 _ 1 Epidemiologic investigation visits 10 1 1 .Public lectures and talks 2 1 2 ,Attendance ........ ... .. ...198. Film Showings Attendance ............... U7 116 .... 75. ..... 9. ... 9.Q ... ...?93. 13. 2 2 ...6.1 k.. ... 4.5. .132. ... 97 ..... 3... ...10.0 ..,. ..... i ... 2 79 ... 22 2 Sk - -- ko 20 152 1+g .73 369 ... 6 .2 .. ... 77 . ..3 1 1 . .... 5.6 .... 109 . 183 ...8Q_... . 1 1 0 . .. 380 k k2 2% 2 9 1 ...m i ....9... .....2 3 ... ..73... 2 .... 5._. 1 1 106 1 S5 .. 355. -- -- 2 SES 9 9 ,, .5.7.QQ. 57PO.. D. MATERNITY SERVICE 1 ,Cases admitted to antepartum medical service 2 ,Cases admitted to antepartum nursing service 3 *Visits by antepartum cases to medical conferences ......... .. 17.. ..... IQ. 9. ... 1 2 ... ..,,...16. ... i+7 ....9 3 .......6 3 ... .... 20__ ...2Q........ .28. .. 137 ....2k. ... 10 ..... 2^ ....2 6 .. ...28. ... .8 8 ., - 3- Total Last Year First Second Quarter Quarter Third Fourth wpttrter Quarter Total This Year Vis its "by antepartum cases to private physician 5 .?ield nursing visits to antepartum cases ... 6 .Office nursing visits by antenartum cases 7 .Oases given nursing service at delivery .......... ,..... 8 .Cases given post-parturn medical examination ....... 1 0 ,Cases admitted to postpartum nursing service ............. 1 1 .Nursing visits to postpartum cases 18.Public lectures and talks 1 9 .Attendance ...._............ 2 0 .Enrollment in maternity- classes ..... .. h _ 3 ................ ........ .32 8 2k 73 ... 5.21... 12 2 ... .9.9 ... 117 12 lo j 505... 6 18 *7 2 2 . 6 U 3, 1 12 .. 50 203 62 1 _ 6 _ 1 2 ...... a . . 53. 9f.2~ ............... _ 20 .. 91 . 91, ...3 P 1 -- . 2 - - 2 INPANT' AND PKESCHGOi HYGISUS Infants 1 .Individuals admitted to medical service .......... . 2 .Individuals admitted to .... .595... .. i.7fe. nursing service ...355 Newt,' rr. infants included in FZ .......... 3 .Vi~ii-r, to medical conferences 3030 17J+ . .............. 57 7^8 Visit:, to private physicians '42 5 .Field vi.its to and in belieIf 0/ infants ...... b 1763 ....3. ... 5*5 a.Field visits to newborn infants included in E5 c.Office nursing visits . .. 157 J . 3 L 12.5 ................. 81 ... . 5*46 U76 12 1559 .... h 627 3b .. J 2 U3 ................. 311 12c9H 693 107 15 222 1185 100 906 7C 5 o 2 2 ........................... $2$ 203 5038 -- 7- 20 1 2H93 118 U38 IcU .. 3>-o Proschool 3.Individuals admitted to medical service 9 *Individuals admitted to nursing service 1 0 .Visits to medical conference* 1 1 , Visits to private physicians 1 2 . Field nursing visits 13.Office nursing visits lU.Inspections by dentists or dental hygienists 17,P u b H c lectures and talks 13,Attendance 669 369 l660 3.2 1610 lbs 153 185 1627 25^ .... JtL Hk 2^2 73^ TO 2 ^ 9o .UP. ..................... 103 11 ..13 ... 139 131 2 2 550 3?X ...................... ... 253 8 128 .. 58 2 677 1323 -- 36 ........... J p S . ...............7 P . 1882 ? > .. 28 -- 1 -- .... 60 1 ^05 . . . . m ^ 5 - .. ..2 - .............................M . .......... _ s l - U- ml fTPorttr.aall Last Year First Quarter Second Third Fourth Quarter Quarter Quarter W -2 Tnottratll This Year 1 3 .Enrollment in infant and preschool classes 20. Attendance 203 67 ... 273. - 171 - 10 77 33 204 F. SCHOOL HYGIENE. 1.Inspections by physicians or nurse3 2 .Examinations by physicians 3 .Examinations by physicians v/ith parents present .... 5 Fiel& nursing v i s i t s ...... o.Office nursing visits 7 .Inspections by dentists 9.Other Service Parent consultations Teacher consultations ... Vision tests ._... _.... Hearing tests .. Weighing and measuring 1 0 .Public lectures and talks .. 11Attendance 1 2 ,Classroom health talks 1 3 .Attendance ... Dental Talks -lectures not included above Attendance ... Film Showings - Dental Radio Talks - Dental .. SM... .. 5?3 ..4 3 1 .3. .1131. 3722 .2 6 1 5 .... 3603 S}7 . 2148 10 39 6 709 .5293 20s ...... 59.. 91 1 H0 _ <3591. .ljll . 1500 .. y W " 79 _. m . .1 0 1 . ^362 2537... 2631 129 .. 1 ife . ms 419 . S y 42321 6 6 kk .23.65 .. >as2 ..7.25$. 923 1001 135? 2926 361. ,. 133 .5919. ... 679. 11635 .... 3.7. - * * $ 541 ..1 3 2 5 . 1 7 2 .% 5 1 5 .... . 7^9 2808 10 .. M . 424 iio$9 16 U5 20 6 1 ....5979. 37.32 3422 10031 . 2040. 628" 5311 .m 2)12 469 1224 2996 8301 48 ........ 5. 67 880 ... 1 5 ?. 2000 . > 35. 328 .1359 .12263 .. .56.39 .3.5.681 ....7.2. ...12.7... .....5.. ....2. s k -- _ Uik3 .M3P7-. 672 ...97.22 _ -- ..........2 L. ... 3$.._ 28 91 - - 6 6 wv Sl E. MORBIDITY SERVICE 2 .Admissions to nursing service 5 *Pield nursing visits 6 .Office nursing visits .. 2.7.9 .53.8 1 1 S ...932 .. 1 1 5 2 1 40 10 bl 48 1333 20 74 7 7 s 153 5155 284 " 375 I. CRIPPLED CHILDREN SERVICE 2 .Individuals examined at diagnostic clinics 4.Individuals admitted to nursing service 6 .Field nursing visits 7 .Other service Office nursing visits .... 5 lU . 73 4 1 2 28 12 4 36 .... 7 5 .. .... 39 - 4 7 2 46 37 237 - - 5 J, GENERAL SANITATION Total Last Year First Second Quarter Quarter Third Fourth Quarter Quarter Total This Year 1.Approved individual water suoulies installed 3.New seotic tanks installed 220 ...7.7 ... 71 110 35. 2.93 .2 ? , ... 2^9. .. .153... .. 12.9. .. 125. . 656. Field visits or inspections U,Private premises 5C&mD sites 6.Swimming oools S.Schools ... 9.Public Water Supplies 10.Sewage Plants 11*Other Institutions F.H.A. Subdivisions Other Subdivisions Recreational areas Pood Handling Establishments Industrial Plants ........ Defense Industrial Plants .. National Defense Areas Country Clubs - Golf Courses 16.Other Service Local nuisance investigations Stream oollution Conferences or meetings re garding any of the above F.H.A. forms reviewed Samples Collected 1 7 .Public lectures and talks 18.Attendance Radio Talks Film Showing 6 19 ... U7 .. 59.... . .... 5 . 6^ .. is .Jig xhs ... 26 - .12 ...... 5. 20 ... ...5.. - 1 2h ..... .9 ... 36 8 ...._ 119 . ....8.... .8 ....5 - 202 ... 36 U2 .M .. .. 38 . 1 .. 53 16 . Vl . 1 .. s.5 ' 9 ... .... 6 ... 6. .. ... 6 . . . u _ _ _ 1R .. u _ .... .3 .. .... L. 1 1 ... 3. ... 3. ... 3 ..... 2L .... 8.. 51. . H. .... 5. .... 13. .... ..17 5 _.. \ \ ..... 3... 12 . 5.. ....3 .... 2 .. ... 59... .59 .. 73. ... 29. ....... 1 2 . 1 .639.. 916 ..2.3. IO36 - 229 283 75 ........................3 78 - ..... 7 ... 5 17 58 2 .... . 2 . 3. .8 2 U6 203 207 .... 152 .17 . IDS .. 3 . ..... 5... 398 .. ,,239... -- . 2 -- - 210 838 1 U2 .7qk . . J + 5 .. . ...292 1 .. 1.2 . ..5.2 767 3 5 i .... 1 .1^, ! health Officer 0 0 Cook County Public Health 737 South Wolcott Avenue Chicago, Illinois M.D., Unit, M.P.H. TABUL..TION or ITUTSIT IONI ST 1S SERVICES Por the Months of February, March, April, May, and June, 1942. A,/ Interviews School Superintendents and Principals .... . 17 Teachers - Home economic .27 Science .. . Elementary Schools Rural Schools .............. 5 2 2 Other .......................... ...... 7 Cafeteria and Lunchroom Supervisors Officers of Parent-Teacher Associations ..................... 5 13 Public Health Nurses 31 Doctors and. Dentists 2 Group Conferences 17 P u b lic Iip c tu re s and T & lks, Rdio T a lk s and F ilm S'hovrings Parent-Teacher --ssocintor.s ____ __ ____ ____ ___ ...6 A ttondane0 ............................................................................. M o th ers1 otu d y Glubs ...... .. ............................................_............ _o Attendane 3 Mi c c e l l a n e sub Grcur,s Bed Cross Nutrition ........ ......... .......JLS Attendance Advisory Service Cafeteria and Mmchroon Managers Teachers - nome Economic S Science Public Health Nurses 3 Miscellaneous Groups 11 Direct Service Visits for Nutrition Service at Maternal and Child Health Conf-r-er.cos ..... 113. Field Nutrition Vinito Office Nutrition Visits ........53.-53 J * A/ Conforming to the Division of Maternal r*ad Child Hygiene Tabulation Form for Nutritionists Monthly Report* PRESCHOOL CHILDREN AND MATERNITY MOTHERS REMEDIAL DENTAL SERVICE PROGRAM April, May and dune 1942 J HUMBER OP CLINICS CONDUCTED NUMBER OP CLINIC HOURS 42 ......... ill PRESCHOOL CHILDREN Admissions to Service ..... Number Completed ........ 13.2 _...... ....52 Number of Prophylaxis ..... ... ....... ........ 3.9... Number of rillings - Total Silver Amalgam Cement Synthetic Porcelain .. .. ............... 1J2 77 5^ 5 Number of Cement Bases 1 Number of Extractions 41 Humber of Root Canal Operations ...... .. ....... ._4 Anestactics Given - Total____________ Local General _ ,,,,....23 23 2 Number of Miscellaneous Treatments .... .......?! MATERNITY MOTHERS Admissions to Service Numb er Comul ated 89 ..... 1.5 Number of Prophylaxis 3 Number of Treatments for Gingivitis 12 Number of Fillings - 'Total Silver Amalgam .... Cement ... Syn the-tic Porcelain Number of Cement Bases Number of Extractions ..... 15 55 1 19 l S4 Number of Root Canal Operations Number of Local Anesthetics ...... ,5. . Number of Miscellaneous Treatments .. __..7 A/ Clinics were conducted in Rcb'ins, Chicago Heights, Dos Plaines, Fr;uiklin Park, Hazel Crort, Lenont, Northbrook, Oak Lawn, and Tinley Park. Activities of the Cook County Children1s Dental Clinics for the year June 30, 19^1 - July 1,191+2. A/ First Second Quarter Qiarter Third Fourth Qiarter Quarter Total This Year Admissions to Service - Total Clinic Visits - Total Services Prophylaxis Re-examinations Fillings - Total.... Permanent - Sub Total Foil Amalgam Copper Cement Zinc Cement Cement Base Zinc Oxide Silicate Cement Deciduous - Sub Amalgam Copper Cement Zinc Cement Cement Base Zinc Oxide Total Radiograms - Total Root Canal Filling Diagnosis Treatments - Total Permanent - Sub Total Number pulps removed Pressure Anesthesia Dead Pulp Root Canal Fillings Silver Nitrate Conduction Pulp Capped Miscellaneous 1013 56 U6 .. 2 3 2 1 6137 20 69. 1035 6 0 9 6 , .. 60.92 . 61+88 23971 781 1 3 . 7 ............. H 52 867 9.61 ............... .......37.6.1 2 6 3 .. 322 296. 1018 _ 37^8. 1+975 1+66? 1+2Q5 ......17590.-... .......... 3 1 U5 . 116 1791 99 2^7 li b 3 110 J*251 225 2*++9 178 27 180 716 229 3931 185 2397 129 257 1 S5 66i 137 3I+I.L 230 1606 1+1+7 795 % ....................... 1 L7U1 756 sofe 750 1225 579 550 603 3.? ................. ......... ... 5* 20 iU I85 72U 3 + 67 % .....9... 158 ... 7 3 1 ^3 ....59 5 S8 ... .... 791 28**9 ...3Q5 5 8 10U 126 2 g~ 275 bl ................... 250 71 111 U 107 211 127 2083. 1 2 52 ............................ ... 78 2 : te _52 7 19 508 M a .. . ......... 5 9 7 1 .5399. U7 U5 2081U U5 7 U 1 - .. .............. 71......... 6 5 0 .. ........ 1 5 UUUo 5866 _________ 3 1 ... .9.5_ 12 ........................ f e ....... 1 5 5 Ss 5331 2 -- 70 11 5 2 12 .5139 U7 0 1 -- So ..... 6 8 5 K622 201+72 6 i 296 35 168 ir 27 19935 A/ Locations - Cook County Hospital, Chicago Heights, Calumet City, Oak Forest, Desplaines, and Harvey. Deciduous - Sub Total Dead Pulo Root Canal Pilling Silver titrate Pulp Capoed Anesthetics - Total Hovccaine Nitrous Oxide Ethyl Chloride Vinetheme Extractions - Total Permanent - Sub Incisors Conoids Bicuspids First Molars Second Molars Total Deciduous - Sub Incisors Oust)ids First Mo Lars Second Molars Total Surgery Humber of Caerations Gas (Ethyl Chloride) Ho Anesthetic X < 2 First Second Quarter Quarter Third FourthQuarter Quarter Total This Year 122 27 U 91. . ,1Q5 ....... 15 12 2 . 88 ... 56 . _ "7 1? .3U . 1 3^.2 6 ... 6 " 269 1 803 733 . ... 917 ...9.?P. . 79.6 6 so 80U 697 .2977. 6 Uq . . H3 5... . .33 l ii .. 7.3 . n s 196 - ~ ........ iL... 160 .. 177 .. ... 1722 Iq0,3 .. 195.^ ....7322 ... f*33.. 30S ...7 11 8 ._. .7. ....53. ....3 5 .. . . 332... 289 13.... 2.1 .. !> .. U.7.. 10 lb 172'4 4*4 7 :m:iii . 26 12 3U 'UR " .. 17* .372 .. ..1359 .. .31 .... 113 1^10 ....I357 . .1.353 ...273.... 21*4 228 260 ?U6 226 767 375. 778 ^98 522 521 1^78 281 2oU 1+11 522 .559,s 1002 1002 1531 20b 3 2 2 _ 1 _ _ 1 - 1 - - x I