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West Virginia State Board of Health

Hygienic Laboratories.
Morgantown, W. Va.

BACTERIOLOGICAL DEPARTMENT.

Dr. .......................................

Dear Sir:

The specimen of sputum submitted by you from

shows the presence of the bacilli of tuberculosis.

Very truly yours,
A. ARKIN, Ph. D., M. D., Chief Bacteriologist.

Laboratory outfits MUST be used—otherwise specimens will not be examined.

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does not show the presence of the bacilli of tuberculosis.

Very truly yours,
A. ARKIN, Ph. D., M. D., Chief Bacteriologist.

NOTE-A single negative result is NOT conclusive proof that the patient does not have tuberculosis. Other specimens will be examined if desired.

Laboratory outfits MUST be used-Otherwise specimens will not be

The following represent information blank, data card, report blanks used in Diphtheria.

West Virginia State Board of Health

Hygienic Laboratories.

Morgantown, W. Va.
BACTERIOLOGICAL DEPARTMENT.

DIPHTHERIA DIAGNOSIS.

Directions. 1. Do not use and antiseptics for at least five hours previous to making the swab.

2. Do not allow the swab to come in contact with anything except the infected throat.

3. Rub the swab thoroughly over the suspected area as far back on the pharynx or nares as possible according to the location of the membrane.

4. Examinations will not be made unless cards are properly filled out and swabs submitted to us in containers supplied from this laboratory. (Postage required prepaid, 6 cents.)

5. No case of diphtheria should be released from quarantine until two regular consecutive cultures taken at intervals of two days are reported negative.

6. Diphtheria outfits are to be obtained from distributing stations in your immediate vicinity. In case no station is near, outfits can be obtained upon request from the Hygienic Laboratories.

A. Arkin, Ph. D., M. D.,

Chief Bacteriologist.

DATA CARD FOR DIPHTHERIA.
Hygienic Laboratories—West Virginia State Board of Health.

Morgantown, W. Va.

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DIPHTHERIA. Swab......

Diag............ 5 hour..........

Types.......... O. N.. (Questions between heavy lines must be answered in full by physician) Physician's Name ....... Physician's Address ........ Patient's Name ............................... Age............ Patient's Address ............................. Sex......

(City, Village, or Township and County). Date of earliest symptoms .......... Date of taking swab ...... Location of Membrane or Exudate.....Pharynx...... Tonsils..... Larynx........ Nares................ Do you wish telegram at your expense? .................

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REPORT BLANKS FOR DIPHTHERIA.

West Virginia State Board of Health

Hygienic Laboratories.
Morgantown, W. Va.

BACTERIOLOGICAL DEPARTMENT. .

Dr. ...

Dear Sir:

The culture submitted by .... does not show the presence of the bacilli of diphtheria.

Very truly yours,

A. ARKIN, Ph. D., M. D., Chief Bacteriologist. NOTE-A single negative result should not be considered conclusive, especially if the case looks suspicious.

Laboratory outfits MUST be used—otherwise specimens will not be examined.

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Dear Sir:

The culture submitted by ................ from ............................... on shows the presence of the bacilli of diphtheria.

Very truly yours,

A. ARKIN, Ph. D., M. D., Chief Bacteriologist. Laboratory outfits MUST be used—otherwise specimens will not be examined.

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Dear Sir:

The culture submitted by you from ................................. on ............ does not show the presence of typical diphtheria bacilli but does show a suspicious organism. Please submit another culture.

Very truly yours,

A. ARKIN, Ph. D., M. D., Chief Bacteriologist. Laboratory outfits MUST be used—otherwise specimens will not be

Examinations For Diphtheria.

Positive. Negative. Atypical. Total.

Month

December, 1913
January, 1914 .
March .......
April ...
May...
July ........
August ......
September ...
October ...
November .........

/
17 47

2 / Totals

66 ............................ This table shows 17 positive specimens out of a total of 66 submitted, or 25.7 per cent positive.

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INFORMATION BLANK IN GONOCOCCUS OUTFIT.
West Virginia State Board of Health

Hygienic Laboratory.
BACTERIOLOGICAL DEPARTMENT.

Gonorrhoea. DIRECTIONS FOR OBTAINING SMEARS FOR EXAMINATIONS

1. Male. To obtain smears from urethral discharge, the foreskin should be stripped back and external meatus and glans penis carefully cleaned, so as to remove bacteria which occur in this region. A drop is then expressed on a clean slide and spread out to make a thin smear.

2. Female. In the female with a profuse discharge it is usually useless to search for the gonococcus in the vagina. It is better first to douche the vaginal tract with sterile water and cleanse the vulva, then obtain a smear from the external os, or press out such secretion as has collected in the urethra.

A second specimen should be sent if the result of the first examina. tion is negative and the case is suspicious clinically.

OPHTHALMIA NEONATORUM. This disease is due to the gonococcus which enters the eys at the time of birth or shortly after. It may be prevented by dropping into each eye one drop of a one per cent solution of silver nitrate. This is washed out with salt solution. If the disease occurs the sight is usually lost in two weeks. The same outfit as above can be used, smears being made on the slides from this conjunctiva.

Specimens must be taken according to above directions, and mailed in cases furnished by the Laboratory. Reports will be sent by telegram if desired, at the expense of those interested. Address to BACTERIOLOGIST, STATE HYGIENIC LABORATORY, MORGANTOWN, W. VA.

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DATA CARD AND REPORT BLANKS FOR GONOCOCCUS. Hygienic Laboratories—West Virginia State Board of Health.

Bacteriological Department.

GONORRHOEA.
Physician's Name .....
Physician's Address .....
Patient's Name ......

....... Age...... Patient's Address.......

........... Sex....... Source of Pus ........... (urethra, vagina, conjunctiva, prostate) Duration of Discharge .................... Nature......... Has previous examination been made? ........... When ......... Remarks ................... . . ........................

(To be filled out by Bacteriologist) Rec'd........ Exam. by........ Rep’t by ........ Date.......

West Virginia State Board of Health

Hygienic Laboratories.

Morgantown, W. Va.
. BACTERIOLOGICAL DEPARTMENT.
Dear Sir:

The specimen from ...... submitted by you on ............... shows the presence of the gonococcus. We therefore report the specimen as positive.

Very truly yours,

A. ARKIN, Ph. D., M. D., Chief Bacteriologist. Case No............

West Virginia State Boari of Health,

Hygienic Laboratories.

Morgantown, W. Va.
BACTERIOLOGICAL DEPARTMENT.
Dear Sir:

The specimen from ................................. submitted by you on.............. does not show the presence of the gonococcus. We therefore report the specimen as negative.

Very truly yours,

A. ARKIN, Ph. D., M. D., Chief Bacteriologist. Case No. .......... Send another specimen if case is suspicious clinically.

WIDAL TESTS FOR TYPHOID. The following table gives the list of Widal tests for typhoid fever done during the year. Of the 99 samples of blood examined 29 were positive, making a percentage of 29. These results further emphasize the need of a bacteriologic survey of the water supplies of the state, as they are in close accord with the results of our examinations of water, which showed 38 per cent of the samples submitted to be

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