The following text may have been generated by Optical Character Recognition, with varying degrees of accuracy. Reader beware!

"PAGE TWELVE THE OSHAWA DAILY TIMES, SATURDAY, FEBRUARY 9, 1929 PUBLIC HEALTH NURSE'S REPORT (Continued from Page 1) which have [Sprung up, Skins definite dorm, an come thoro estab- 1 form Not the least of these is the © control of communicable disease, and . the problems arising therefrom. These problems, in a city where no isolation hospital exists, demand and secure an endless amount of watch- fulness, care, educational teaching and supervision. Communicable Diseases The following communicable dis- eases have been reported for the year 1928 No. of Disease cases Deaths Mumps: «vueviseevesssges 908 Chickenpox .....c.eess. . 7312 'Whooping cough ...... Scarlet fever ........ rr Diphtheria (active) .... Diphtheria (inactive) . Erysipelas Smallpox German mi Cerebral spinal-meningitis Typhoid Total During this year, as far as was practicably possible, each case of in- fectious disease has been visited, iso- lation provided for and insisted up- on, and to be as complete as hous- Ing conditions would permit, in order to protect other,members of the fam- ily. Several cases were sent to the Isolation - Hospital in Toronto, Mumps 'and "chickenpox attack principally children of school age, In each case the nurse saw the pa*ient at the onset of the contagion, and again when ready for release. An interesting feature of scarlet fever, as it has occurred this last year, is the fact of its prevalence amongst adults. A large number of cases has been in adults, in rooming houses, with no facilities for pro- perly caring for them. The result of this inability to give proper care to this serious disease, under such en- vironment, has been that seven of these cases had to be sent to the Isolation Hospital, Toronto, In each case the patient was accompanied to Toronto by one of the public health nurses. ' Need for Isolation Facilities The absence of an Isolation Hos- pital, in Oshawa, and the inability to secure or guarantee complete isola- tion, owing to unhealthy surround- ings, and to over-crowding in the homes, has impressed the nurses of our service with the really acute need of an isolation hospital, from every point of view, personal, public, and municipal. It is worthy of note that there have been few cases of diphtheria, | the great majority of thi g res corded among pre C ildren, bes tween the ages of 210 6 ygars of a This fact brings foreibly to mind the absolute necessity of securing im- miunization against diphtheria in 'all children during preschool period. We can point with absolute con- fidence to the value of the protéctive measures which have been used in our schools, with school age children, against diphtheria. The same remark may also be made with reference to scarlet fever immunization and the very definite returns which we have had from the 9 schools, which are under our supervision and which have been practically 'free from either disease during the past year. In no case of communicable dis- ease has any child been admitted to school after recovery, without the official permit of the department of health, signed by the M.O.H,, and is- sued through the nurse for that dis- trict. Tuberculosis Considerable interest and effort has been given this year to activities relating to tuberculosis, which is an important problem to us. We have had under supervision the following cases:--Active tuberculosis 102, sus- pect tuberculosis 40, new cases for the year. 29, in sanitaria 24, dis- charged from sanitaria 8, total deaths 8 All contacts have been examined and kept under surveillance. We feel that definite results are being obtain- ed under our present methods of dealing with this diseasc. Tuberculosis Clinic Considerable importance, in the public mind, has been given to our methods of handling tuberculosis problems by the fact of the presence once a year, in our city, of te Pro- vincial travelling clinic, under Dr. G. C. Brink. : i In April, 1928, the Provincial clinic was present in Oshawa for a week, at the Oshawa General Hospital, in the out-door department. All con- tacts who had been in close and daily proximity to open cases have had complete physical examination, T.B. test, and X-ray examination. The following is a summary of the clinic findings: -- Total cases examined 133, re- examinations 43, new cases, active tuberculosis 11, suspect tuberculosis 9: This last year we have experienced, for the first time, difficulty in secur- ing early admission to sanitaria of cases for whose admittance we have made application. This is entirely due to the limited available bed ac- commodation and the congestion of these sanitaria, and a lack of their being able to open up fresh accom- modation. Child Welfare Prenatal Service We have had under observation, during the year, for care and super- vision, 239 prenatal cases. This num- ber is lightly in excess of the figures for the previous year. When one considers the increased number of £28 s.m.~Dail: t - Sunda; : gi 4 : Ye 8.58 pine id only, 9.59 a.m.~Daily. 1.17 p.m.~Daily except Sunday, 2.32 p.m.~Daily except Sunday, except Sunday, Daily. Daily, Daily except Sunday. Daily. Daily except Sunday. Daily except Sunday. y. Sunday only. N Whitby, Oshawa, BUS LINE WEEK DAY SCHEDULE (Eftecieve w. snd aftes Nov, 4 Going West Arrive Hespital i § £ 5 B SH Eee pm 1113 4A BERERRREREREEE Eoaducentts geeetobsis FREFEFEERREREE REERRERFEE gag istis & Hp i li » 8 8s 1: Eb {373 N SARA DA BREERRERESEEE BEEEREREEEE HAE AA 34439439337 HH iE ; ; 3 4 | i z 2 b I Hg if HH 3ed HH rosebs BERBER: BEBebE: 3311313 : EH Base TL fi: [in fsa HT | programme is being carried out by births reported, 729 in all, one can- not but feel this is too small a show- ing for the amount of prenatal care and welfare work which should have been accomplished. This is not, in any 'way, a reflection on our depart- ment, but is an indication of pres- ent conditions and the general atti- tude of mind of a public, as yet un- educated to the value of prenatal service, Quite a large number of these prenatals are reported to us by the attending physician. A few cases we find ourselves, in the course of our daily house to house calls, Some are reported to us by the cases them- selves, or their friends. We feel we should be receiving a far more thor- ough reporting of these cases, if ade- uate prenatal service is going to be one in Oshawa. How to secure this is our problem. Infant Mortality The true index of our year's work shows, perhaps, most in the Infant Mortality rate, For the year 1928, the infant mortality rate is 64.9 per thousand. Each mother and babe are called upon as soon as possible after report of birth is received. In addition to these initial calls, re- visits are made at various times in the course of the baby's first year of life, as conditions are found indi- cating such visits to be necessary. An excellent co-operation between the parents, the public doctors and nurses, is found in the attempts tc reduce infant mortality. Reduction in death rate is not an adequate measure of the value of the parental education in scientific care of children. Our best measure, and what will prove of greatest value, ultimately, to the children, is the ex- tent to which practical education in child care is made available to all parents. Here is where personal touch an contact are of the utmost im, nce, Tnfant mortality figures for 1923 were: Premature births 19, intestinal troubles 10, other causes 16, total 45. Mortality rate, 649. Stillborn 36, stillborn rate 49.3. Births registered, totalled 729. Comparative figures of infant mor- tality over nine years are: 1920, 148; 1921, 124; 1922, 128; 1923, 112; 1924, 80; 1925, 60; 1926, 69; 1927, 104; 1928, 649. Child Welfare Programme Under the guidance of the Provin- cial department of Health, Toronto, a well rounded-out child welfare each nurse, working alone, in her district, and in all branches of public health work. This includes com- municable disease work, prenatal, birth registration calls, infant wel- fare, intensive nursing work among sick babies, supervision of well babies educative work with pre-school chil- dren, concentrated effort in school nursing, and the follow-up work among the school children. Clinics Not the least among the influences for the betterment of infants and preschool children are the two clin- ics, held each week. The attendance in 1928 was larger than in preceding years. As a result of the supervi- sion given by the doctor and nurses in attendance at these health centres, children are not only helped to live, but they are definitely improved in general, physical health, and early health faults are corrected. The at- tendance for the year was, Canadian clinic, 3919; foreign clinic, 1081 Preschool I He Each year preventive work has been stressed among preschool chil- dren. Very gratifying results havel en' presented" this past "year, Our fighires shaw: Scarlet fever active im- ization, r: 244; diphtheria active immunization, Canadian foreign "189; ina~ tions (smallpox), Canadian 129, for- eign 80. » A special summer clinic was held in St. Gregory's School in the north- ern section of the city, for pre- school and school-age children, liv- ing in this section, and for whom the distance to be travelled to the south- ern clinics was too great. Preventive work and immunizations at St, Gregory's clinic were: Diph- theria active immunization 306, scar- let fever active immunization 116, vaccinations (smallpox) 15. Total number of individuals immunized and vaccinated in clinics were: Diphtheria 293, scarlet fever 170, vaécinations 224, Preschool Service to Children + An endeavour is now being made to obtain a corrected list of all those children who will be beginners at school attendance in September, 1929, and to round them up so as to have each child protected against diseases, such as scarlet fever, diphtheria, smallpox, and also to have a medical inspectional examination and a dental survey made, by either: family doctor and dentist, or by the board of health clinic services, in order that dental and physical defects requiring attention may be treated, and, if possible, corrected, before these chil- dren enter school. In this way, we are aiming to have the children as nearly 100 per cent perfect, at the commencement of school age, as may be obtainable, School" Nursing Service The school nursing service of the local Board of Health is being con- tinued as first arranged for when the amalgamation took place between the department of health nursing service and the Board of Education school nursing service. Fach nurse has complete and individual charge of the schools in her district, and con- trols them in concordance with the Public Health programme. The work anadian 320, foreign included: Visits to schools. 992, chin impecons, 3 88 re-admissions , treatments 1,294, pediculi 498, cxelu- sions 360.. } Defects Delegts Defects Found Corrected MHSION soy sansgesreess . Hearing +....00 Eye disease Ear disease Breathing defects Tonsils (abnormal) Anaemic appearance ... Teeth (defective) Glands (enlarged) Skin disease Orthopedic defects Malnutrition Cardaic cases .... Bronchial infection .... Pulmonary disease .... Mentality (referred) .. Speech (defective) ..... Nervous disease ....... Digestion (abnormal) .. 3539 1855 From the above figures one will be impressed with the outstanding num- ber of defects uncorrected, and in addition to those are also the defects uncorrected from previous . years, While we endeavour to secure cor=- rections of defects in every way available to us, it is difficult to se- cure parental co-operation in all cases. Dental Service We now have five dentists attached to the Board of Health service, work- ing for the benefit of the children of those citizens who are unable to pro- vide for their children's dental care, Three of these dentists are giving each, one half a day each week, and two of them are giving two half days teens cach week, making a total service of' three and one half days weekly, in- cluding holiday seasons. Medical Service Two school medical officers have each, been given two half days each week, during the school year, to school medical examination service. Children examined totalled 1171, par- ents present457, defeéts corrected as result of 'medical examinations 203, | Classes examined. were all. junior fourths and primary grades. : tion In Schools . Following a programme developed in 1927, when scarlet fever immuni- zation was intensively stressed, a di- rect campaign against diphtheria was developed in the schools in 1928, the toxoid being administered by the school medical officers. In this diph- theria active immunization, 1,149 children were treated, making a total of 3,447 doses of toxoid administered, In the same period of time, 291 vac- cinations against smallpox were per- formed. ; The completion of the immuniza- tion programme of scholars attending *¢ public schools, against diphtheria, scarlet fever and smallpox will be made in the early part of the year 1929. Red Cross Aids The Red Cross Society, local branch, has co-operated very closely, as in previous years, with the local Department of Health, and have car- ried out the peace-time policy of pre- vention of disease and mitigation of suffering, It is hardly possible to adequately express our realization of the help red cross has been to us, by supply- ing equipment for the handling of contagious diseases in the home, and by loans of linen, bedding, cots, etc. When, as in our city, no isolation hospital exists, the work in contag- ious discases is doubly important and imperative, and should be receiving the. adequate support and common- dation of all public spirited citizens. Pneumonia jackets have also been made by red cross and provided to the local Board of Health for distri- bution, through the nursing service, to needy patients. The Red Cross society has given very material sup- port, as ih previous years, to the Fresh Air Cottage at the Lake, for those needy and under-privileged children selected by the public health nurses, for the two weeks rest [rm ---- | LETT, NIC \ HALLITT i Real Estate Insurance atd ii Loans. Phone 32064 | 11 King Lome. period at the Lakeside These children have been selected principally from the ranks of the school children, Children who re- ceived the benefit of this outing total 136. Again, as in previous years, Red Cross has supplied to under-privil- eged, under-weight children, (mere than 10 per cent under-weight), who were in attendance at school, and whose parents were unable to afford their daily allotment of milk, to each child, one-half pint of milk, daily, throughout the school term. Red Cross provision of milk has been 63 half pints daily and is equivalent to about 25 per cent of the total supply provided to under-weights during the school term, Rotary Club Assistance Special commendation is due the Rotary Club of Oshawa for its co- operative work done for crippled children, and for the under-privileged physically defective children, who have received the benefit of the out- Cottage. SPECIAL ONE OF OSHAWA'S FIN- EST HOMES. FIGURED GUMWOOD TRIM. BUILT IN BATH --- PEDESTAL BASIN--SUN PORCH, ALL OAK FLOORS. FIRE. PLACE. LOTS OF OTHER EXTRAS. SAVE $1,500.00 FOR A QUICK BUY, Disney Real Estate HO ing at the Red Cross Cottage and Hospital care in Toronto, Were it not for the assistance given by Ro- tary, few of the cripples would ever be able to attend school, Besides these Social Welfare as- sistances, there must also be noted the provision of care for tuberculosis children of school age, sent to pre- ventorda, at the expense of, and with the willing assistance of Rotary, Summary of Visits Child welfare 5131, contagion 2383, bedside care (dressing and treat- ments) 617, birth registration 483, infant welfare 415, prenatal 395, tu- berculosis 328, social welfare 200, mis- cellaneous 23, total 10,181, Real Estate Insurance CUTLER & PRESTON 64 KING ST, W. Telephone 372-228 Night Calls 510-1560 > PHONE' Fas" .C.YOUNG 4% Prince St. Oshawa, ont. REAL ESTATE Automobile and Fire Insurance of all kinds I. H R. LUKE Phones 871, 031, 687W., Money to loan at 61% first mortgages. REGENT THEATRE BLK. per cent, ! | i r-- ELLA CINDERS--What Money Can't Buy qlitin Lor 7] By Bill Conselman and Charlie Plumb 1a BRINGING UP FATHER-- WELL: IF IT 16HN'T SOUINT=- EYED DUGAN - HE LOOKS PRETTY GOOD FER A SICK MAN VLL TAKE HIM TO THE DANCE COME ON! VTS A SWELL AFFAIR ITLL DO YOU GOOD, YOU'VE BEEN SPENDIN' ALL YOUR TIME iN HOSPITALS ALL RIGHT. LL GO- BUT YOU KNOW I'VE BEEN PRETT YY, DICK - IF 1 FAINT AN GIT UNCONSCIOVS AN' THEY TAKE ME TO A HOSPITAL" TAKEN COLT DX APPENDIX HAD BEEN TIMES ALREADY 7 ~ Fa TELLING TOMMY OUR ALPHABET 1S SUPPOSED TO HAVE BEEN DEVELOPED FROM THE OLD EGYPTIAN a (i A DL EGYPTIANS APPARENTLY WERE THE FIRST TO INVENT AN ALPHABET ABOUT 30008.C. ALTHOUGH 1T DID NOT DISPLACE THEIR HEIRO~ GLYPHIC WRITING. THEY WERE ALSO THE FIRST T0 USE WHAT YE CALL "PHONETIC WRITING, RE- 7/4 7 : § EGYPTIAN CUTTING HIEROGLYPHICS J. Is 34 ABOVE DRAING SHONS HOM WE GOT OUR ALPHABET FROM THE EGYPTIANS BY YiAY OF THE PHOEMICIANS AND THE ROMANS. "A WAS FIRST THE PICTURE OF AN EAGLE (OR 1815). THEN THIS PICTURE BECAME SIMPLIFIED, STEP BY STER UNTIL IT YOOK ITS PRESENT FORM, © 1929, King Features Syndicate, Tac, Great Britain rights rescrved. Bn Y | 7A(C i i i | Uj i i | ; YOU KNOY THE REWARD FOR THE RETURN OF THE SECUR( To {200 - SO @ET BUSY, © 1525, King Featares Syndicate, Toc, Geent Bitain wlghts reserved. USE THE MONEY NOW AS Vi EDING TO A MAS BALL NEXT WEE ub Ey. rr SP.