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and sickness will be reduced a quạr-

Section on

ter and the investment will be re-

HEALTH.

turned a hundred fold in dividends.

Thursday, April 27, 9 a.m. to 12 m.

Dosing oneself with unknown drugs,

Chairman: Dr. Walter M. Dickie.

with patent medicines, guessing at the 1. Mental Hygiene and Its Relation to the

cause when the baby has convulsions, Health Problem.

are no more sensible than treating a Dr. V. H. Podstata, Assistant Professor

community without making a diag-

of Psychiatry, University of California.

Discussion led by Elizabeth B. Skeele, Sec.

nosis first and learning the true cause retary, Associated Charities, Oakland,

and extent of prevailing diseases, most

California.

of which are preventable.

2. Public Health and Its Relation to the Social

Problems.

Health is wealth; it is purchasable; Dr. Emory S. Bogardus, Professor of
within natural limitations any com-

Sociology, University of Southern Cali-

munity can determine its own death 3. The Control of Communicable Diseases and

fornia.

rate.

Its Effect Upon the Social Problem.

Dr. William C. Hassler, Health Officer,

City of San Francisco.
Health Programs at San Diego.

Discussion led by Dr. Alex M. Lesem,

Health Officer for San Diego.
In addition to the meeting of the 4. The Health Center and Its Relation to the

Section on Public Health to be held

Community.

Dr. Alvin Powell, Director, Alameda

Thursday morning, April 27, at the County Health Center.
annual Conference of Social Workers 5. The Relation of the County Hospital to the

General Social Problem.
in San Diego, joint sessions with the

Rev. C. A. Ramm, President, State Board

sections on family and child welfare, of Charities and Corrections.

relief and education will be held on

6. Care of Hospital Convalescents.

Mr. Norman Martin, Superintendent of

Wednesday and Friday mornings, Charities and Hospital, Los Angeles

April 26 and 28. It is hoped that a County.

large number of public health work-

Joint Sections on

ers will be able to attend the con-

ference. The full programs for these

FAMILY AND CHILD WELFARE,

three meetings are published here-

HEALTH AND RELIEF.

with.

Friday, April 28, 9 a.m. to 12 m.

Chairmen:
SECTION ON HEALTH.

Dr. Miriam Van Waters,
CALIFORNIA CONFERENCE OF SOCIAL

Dr. Walter M. Dickie,

WORK.

Miss Katherine Felton,

Civic Auditorium, April 25-28, 1922. 1. Mental Hygiene in Solving Problems of
San Diego, California.

Ex-Service Families.

Chairman

Dr. Walter M. Dickie

Frances McCalughry, Psychiatric Field

Secretary, State Board of Health.

Worker, Letterman Government Hos-

pital, San Francisco.

Joint Section on

2. Childhood, the Golden Period of Mental

EDUCATION and HEALTH.

Hygiene.

Dr. Ernest B. Hoag.

Wednesday, April 26, 9 a.m. to 12 m.

3. Child Hygiene in the Home.

Dr. A. J. Scott, Jr., Member, State Board

Chairmen:

of Health.

Mrs. 0. Shepard Barnum,

4. Dental Hygiene.

Dr. Walter M. Dickie.

Miss Charlotte Greenhood, Bureau of

Theme: "Education and Re-Education."

Dental Hygiene, State Board of Health.
Presiding :

5. Social Aspects of Sterilization.
Mrs. Elizabeth McManus,

Dr. John R. Haynes, State Board of
Director, Bureau of Social Hy.

Charities and Corrections.
giene, State Board of Health.

1. Constructive Factors in Health.

Dr. Herbert R. Stolz, State Supervisor of

Physical Education.

2. Rebabilitation by Education.

A Correction.

(a) Disabled Veterans.
Major F. H. McKeon, Command-

It was announced in the April 15th
ant, U. S. Public Health Hos issue of this publication that blood for
pital, Camp Kearny.

the new diphtheria immunity test devised
(b) The Industrially Handicapped.

Mr. H. D. Hicker, Assistant State by Dr. W. H. Kellogg, could be sent to
Supervisor Rehabilitation.

the laboratory in tinfoil sheets such as

3. Social Hygiene Education.

were used several years ago for sending

Dr. Edna F. Bailey, Director of Science, specimens for Widal tests. This infor-

Oakland Public Schools.

4. Conservation of Health in the Los Angeles mation is in error. Specimens may be

Public School System.

sent in the Widal outfits now in use, the

Mrs. Susan B. Dorsey, Superintendent, blood to be collected in the small vial
Los Angeles City Schools.

and forwarded in regular container.

5. Child Health Education.

Mrs. John Collier, Child Health Organi. Regulation outfits for the new test will

zation of America.

be ready soon.

cast

DIAGNOSIS AND TREATMENT like the temperature, pulse and res-

OF A COMMUNITY. piration of a patient and disclose the
By Haven EMERSON, M.D., New York City. is the object of all this information?

state of community health. And what
The health officer is the family phy- In the first place the health officer
sician of the state, the county, the needs information because he is the
city or the village.

health engineer and educator of the
His patient is the entire population. people. It is as foolish to advise

This super-physician is engaged in people against pneumonia in July, or
an endless campaign of study and malaria in January, as to tell a patient
action for development of health, the how to treat himself for rheumatism
prevention of sickness, and the post- when he comes complaining of an
ponement of death. He must know earache.
his population with precision, not only Education of the public is the health
the number of individuals, but their officer's most important service, edu-
ages, races, and the occupations of all cation in the laws of health and how
whom he is responsible for. He must to observe them. When he learns
know where they live and under what that the mothers of his county or city
conditions they live. He is interested die because they have not known how
in their earnings, because when wages to live in health while waiting for the
are steady and income good most baby's arrival, he must spread broad-
preventable diseases decrease.

the promise of safety which
Habits of work and play, the cus- comes from medical care of the ex-
toms and religions of his people, are of pectant mother.
importance to him. As one person dif- When he learns that many school
fers from another, villages, towns and children have crooked backs, weak
cities have their characteristics as eyes, decayed teeth, thin bodies and
definitely marked. All facts that bear diseased tonsils, he must become a
upon human life and happiness must crusader in the homes of his com-
be collected and recorded by the munity where the children are waiting
health officer by standard methods for for school age. When he finds from
each succeeding generation.

2 to 5 per cent of working men and
Thus is gathered the family history women sick all the time because they
of this community patient.

and their employers have not learned
What does this great family eat and the necessity of cleanliness, good air,
drink? asks the health officer. Is the safe machinery, avoidance of fatigue
water safe and good to taste? Are in shops, he must carry his message
the foods clean, wholesome, nourish- and drive it home with regulations,
ing? In particular, is the milk free if necessary.
from pollution and kept cold, and Health can not be given the com-
clean, and covered?

munity by laws, moving pictures, of-
So the inquiry of the health officer fering advice, or fining those who fail
is similar to the questions the doctor to report disease. The patient, the
asks when a patient in his office comes community can be as healthy as it
complaining of fever, pain or weak- chooses, or as sick as it is willing to

stand for. Only when the community
Is there always fresh, sweet, clean fully understands the reasons for
air for these many noses of the com- things will it take an active part in
munity to breathe? Are houses, public health work. Public health is
schools, shops, theaters, and trains purchasable just as private health is,
always good places for mankind which by personal effort, willingness to fol-
requires such generous doses of fresh low advice and the payment of a very
air, cool air, moving breezy air, to small insurance premium.
keep in health? Do the people keep It costs less to keep a baby alive
their own bodies clean and see that than to bury it. It costs less to pre-
the waste and sewage of houses and vent disease than to care for it. A
factories are disposed of decently and sick community is a poor community
without damage to others? Making his and a bad neighbor.
inquiry still more precise, the health The health department of any state
officer wants to know at once and at is the greatest insurance company and
all times all cases of preventable the cheapest in existence, but it can
sickness, especially the communicable not run without payment of premiums
and occupational diseases, and the in- and when in addition to money, the
fections of mothers and little babies. patient gives his earnest and intelli-
and sickness will be reduced a quar-

ness.

Section on

ter and the investment will be re-

HEALTH.

turned a hundred fold in dividends.

Thursday, April 27, 9 a.m. to 12 m.
Dosing oneself with unknown drugs,

Chairman: Dr. Walter M. Dickie.

with patent medicines, guessing at the 1. Mental Hygiene and Its Relation to the

cause when the baby has convulsions, Health Problem.

are no more sensible than treating a Dr. V. H. Podstata, Assistant Professor

community without making a diag-

of Psychiatry, University of California.

Discussion led by Elizabeth B. Skeele, Sec-

nosis first and learning the true cause retary, Associated Charities, Oakland,

and extent of prevailing diseases, most

California.

of which are preventable.

2. Public Health and Its Relation to the Social

Problems.

Health is wealth; it is purchasable; Dr. Emory S. Bogardus, Professor of

within natural limitations any com- Sociology, University of Southern Cali-

munity can determine its own death 3. The Control of Communicable Diseases and

fornia.

rate.

Its Effect Upon the Social Problem.

Dr. William C. Hassler, Health Officer,

City of San Francisco.

Health Programs at San Diego.

Discussion led by Dr. Alex M. Lesem,

Health Officer for San Diego,

In addition to the meeting of the 4. The Health Center and Its Relation to the

Section on Public Health to be held

Community,

Dr. Alvin Powell, Director, Alameda

Thursday morning, April 27, at the County Health Center.

annual Conference of Social Workers 5. The Relation of the County Hospital to the

General Social Problem.

in San Diego, joint sessions with the

Rev. C. A. Ramm, President, State Board

sections on family and child welfare, of Charities and Corrections.

relief and education will be held on 6. Care of Hospital Convalescents.

Wednesday and Friday mornings,

Mr. Norman Martin, Superintendent of

Charities and Hospital, Los Angeles

April 26 and 28. It is hoped that a County.

large number of public health work-

Joint Sections on

ers will be able to attend the con-

ference. The full programs for these

FAMILY AND CHILD WELFARE,

three meetings are published here-

HEALTH AND RELIEF.

with.

Friday, April 28, 9 a.m. to 12 m.

SECTION ON HEALTH.

Chairmen:

Dr. Miriam Van Waters,

CALIFORNIA CONFERENCE OF SOCIAL

Dr. Walter M. Dickie,

WORK.

Miss Katherine Felton.

Civic Auditorium, April 25-28, 1922. 1. Mental Hygiene in Solving Problems of

San Diego, California.

Ex-Service Families.

Chairman

Dr. Walter M. Dickie

Frances McCalughry, Psychiatric Field

Secretary, State Board of Health.

Worker, Letterman Government Hos-

pital, San Francisco.

Joint Section on

2. Childhood, the Golden Period of Mental

EDUCATION and HEALTH.

Hygiene.

Dr. Ernest B. Hoag.

Wednesday, April 26, 9 a.m. to 12 m.

3. Child Hygiene in the Home.

Dr. A. J. Scott, Jr., Member, State Board

Chairmen:

of Health,

Mrs. 0. Shepard Barnum,

4. Dental Hygiene.

Dr. Walter M. Dickie.

Miss Charlotte Greenhood, Bureau of

Theme: "Education and Re-Education.”

Dental Hygiene, State Board of Health.

Presiding:

5. Social Aspects of Sterilization,

Mrs. Elizabeth McManus,

Dr. John R. Haynes, State Board of

Director, Bureau of Social Hy.

Charities and Corrections.

giene, State Board of Health.

1. Constructive Factors in Health.

Dr. Herbert R. Stolz, State Supervisor of

Physical Education.

2. Rehabilitation by Education.

A Correction.

(a) Disabled Veterans.
Major F. H. McKeon, Command-

It was announced in the April 15th
ant, U. S. Public Health Hos issue of this publication that blood for
pital, Camp Kearny.

the new diphtheria immunity test devised
(b) The Industrially Handicapped.

Mr. H. D. Hicker, Assistant State by Dr. W. H. Kellogg, could be sent to

Supervisor Rehabilitation. the laboratory in tinfoil sheets such as

3. Social Hygiene Education,

were used several years ago for sending

Dr. Edna F. Bailey, Director of Science, specimens for Widal tests. This infor-

Oakland Public Schools.

mation is in error. Specimens may be

4. Conservation of Health in the Los Angeles

Public School System.

sent in the Widal outfits now in use, the

Mrs. Susan B. Dorsey, Superintendent, blood to be collected in the small vial
Los Angeles City Schools.

and forwarded in regular container.

5. Child Health Education.

Mrs. John Collier, Child Health Organi- Regulation outfits for the new test will

zation of America.

be ready soon.

MORBIDITY.

Epidemic Encephalitis. General health conditions through

Three cases of epidemic encephaout the state were much better last litis were reported in Los Angeles week than they have been for many

ast week. preceding weeks.

Nearly every re- Poliomyelitis. portable disease showed a decrease. One case of poliomyelitis was reWith the beginning of warm weather ported in Pasadena last week. there will be a continued decrease in the respiratory infections, and the

LIST OF DISEASES REPORTABLE usual increase in typhoid must be

BY LAW. looked for.

ANTHRAX

MEASLES
BERI-BERI

MUMPS
Influenza.

BOTULISM

OPHTHALMIA NEONA.

CEREBROSPINAL MENIN. TORUM Influenza is no longer epidemic GITIS (Epidemic)

PARATYPHOID FEVER within the state. There were but 134 CHICKENPOX

PELLAGRA
CHOLERA, ASIATIC

PLAGUE cases reported last week.

DENGUE

PNEUMONIA
DIPHTHERIA

POLIOMYELITIS
Smallpox.

DYSENTERY

RABIES
ENCEPHALITIS

ROCKY MOUNTAIN Forty cases of this disease occurred

(Epidemic)

SPOTTED (or Tick) in California last week. Alameda ERYSIPELAS

FEVER

FLUKES
County, Hayward and San Jose each

SCARLET FEVER
FOOD POISONING

SMALLPOX reported 6 cases; Stanislaus and Santa GERMAN MEASLES SYPHILIST Clara counties each reported 51 GLANDERS

TETANUS

GONOCOCCUS INFEC. TRACHOMA cases; 1 case was reported in each of

TION*

TUBERCULOSIS the following places: Oakland, Sacra-HOOKWORM

TYPHOID FEVER mento, Livermore, Los Angeles, Rich- INFLUENZA

TYPHUS FEVER
LEPROSY

WHOOPING COUGH mond, Merced, Berkeley, Bakersfield

MALARIA

YELLOW FEVER and Fresno County. Stockton reported 3 cases.

*Reported by office number. Name and address not

required. Typhoid.

QUARANTINABLE DISEASES. Four cases of typhoid were reported

CEREBROSPINAL MENIN- POLIOMYELITIS
GITIS (Epidemic)

SCARLET FEVER in Stockton last week and the same CHOLERA, ASIATIC SMALLPOX number of cases was reported in San DIPHTHERIA

TYPHOID FEVER Francisco. Willows, in Glenn County,

ENCEPHALITIS (Epidemic) TYPHUS FEVER
LEPROSY

YELLOW FEVER reported 1 case.

PLAGUE
COMMUNICABLE DISEASE REPORTS,

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[graphic]

GEORGE E. EBRIGHT, M.D.

EDWARD F. GLASER. M. D.
PRESIDENT

ADELAIDE BROWN, M. D.
FRED F. GUNDRUM. M. D.
VICE PRESIDENT

ROBERT A. PEERS, M. D.
A. J. SCOTT, JR., M.D.

WALTER M. DICKIE, M. D.
SECRETARY AND EXECUTIVE OFFICER

Entered as second-class matter February 21, 1922, at the post office at Sacramen:o, California, under the

Act of August 24, 1912.
Acceptance for mailing at special rate of postage provided for in Section 1103, Act of October 3, 1917.

GUY P. JONES
Vol. I, No. 11
APRIL 29, 1922

EDITOR

a

February 27th. He came to the city health department March 2d for the Pasteur treatment. This treatment was completed in 21 days. A physician notified the health department April 19th that this man was in a Los Angeles rooming house apparently suffering from rabies. A representative of the State Board of Health saw the case 24 hours after the onset of the symptoms. At this time the patient was extremely nervous and morose. There was a slight paralysis

of the pharynx and harsh breathing. That night the patient became mania

cal and uncontrollable, forcibly ejecting the nurse. A crash of breaking glass was heard in the patient's room and the attendants found that he had broken a water bottle over the iron bed and was endeavoring to cut his throat with a sharp pointed piece of glass. It required five orderlies to subdue the patient. The nurse, in attempting to remove pieces of glass

from within the reach of the patient, received a number of superficial cuts.

Since she had handled his salivary This dog is suffering from rabies. Note the secretions the nurse has started the rigidity of the lower jaw due to paralysis of Pasteur treatment. the muscles. Also, note the widely dilated eyes, the paralyzed hind legs and the general tense rabies even though he began the

The fact that this patient contracted posture. This condition is typical of a well developed case of rabies in a dog. Had this

Pasteur treatment 4 days after he was animal received the Pasteur preventive treat

bitten is undoubtedly due to the severe ment, he might not have developed the disease nature and the location of the bites. and his life might have been saved. The It is extremely dangerous for a person Pasteur treatment is equally effective in pre- to be bitten on the face or near the venting rabies in inan and in animals. large nerve centers. It is very seldom

that death occurs in a person who has Human Death From Rabies.

received the Pasteur treatment after

having been bitten by a rabid animal. residing in Los | The mortality rate among such perAngeles died an agonizing death from sons is less than 0.5 per year. Out of rabies April 21st. He was employed 1813 persons receiving the treatment by the city as a laborer. A small bull at the Pasteur Institute, Paris, in 1919, dog bit him on the face and wrist there were but three who died.

[graphic]

A young

man

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