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ee Tw -- o---- a Exhaustive Review of 1927 Activities of Health Dept. (Continued from page 7) all . the first ure. 6 are declared to have dled a result of developmental faul!, 1 under-developed, 1 of Py- lorie Stenosis, 1 Congenital Hernia 3 of Valv Disease of the Heart 8 arq probably due to Intracnatal conditions, 2 from Placenta Pra: evia; 3 from Difficult Labour, 1 from Haemorrhage, and 2 from Jaundice. 3 are due to early Nu- tritional Causes, 1 Asthenia, 2 Mal- nu . "of the naso-respiratory 1 Bros mus. 1 plug dnd Suspect Diphtheria, 3 ia, 1 was due to Menin- 6 were due to diseases of ntgstine, 1 was due to Diarr- i to Enteritis, 1 to Iutes- fection, 8 to Intes*'mal In- toxichtis 15 to Dysente~ and 2 to Tleo-Colitis, It is much to be tted that our Infant Mortality Ra! a risen so definitely this year above what it was last year, being 4 rafse from 72.93 to 104.77, the ratg per 1,000 T'v4 Births, Thir marked' increase . enf'vely asso- ciated with the ver 'arge number of I nal conditi 1g of ehfld- occurring this year, a condi- feh has been noteworthy out the Province and even throughout the Continent, I notlee 6 ave due to acute in-|. Service-- TORONTO HAMILTON BRANTFORD WALKERVILLE WINDSOR -- and -- DETROIT Hill Mover 800 Spadina Ave, Toronto Tr, 0230 that in checking up the Metropol tan Nurse's record that she reports] 120 cases of irrigation of the bowel for Dysentery cases in infants. As her work is mostly among the poorer classes of people, carrying Industrial Insurance, it indicates, perhaps, the class of people Whose children guffered most, In mo did our Water Supply or the Milk Supply appear to be at fault, Ap acute infection, apparently de- rived through the Naso-respiratory tract, and infecting the Intestine as well, see to be responsible. Perhaps, also, fly-borne contagion was a Somriputoss cause, Gommunica Chickenpox, German Measles, Scarlet Fever, and P- ing Cough had a noticeable 'Inel- dence this year. Cerebro-8pinal Meningitis, Mumps, Anterior Polio-Myelitis and Peurperal Septicaemia are notiee- able from the mrinimum number of cases reported. Peurperal Septicaemia presents no reported cases, a highly satisfac- tory condition, when one has to deal with a total of 569 registered births, 10 cases of Smallpox Is better than we might have exe pected, considering our rapidly growing and shifting population, our Industrial activity, and the fact that Smallpox has been persistent for over a year in fairly adjacent sections of our Province, 8 cases of Typhoid is a larger report than we usually have, but one only of these cases should be properly crediteu to usnawa, The source of contagion could not he traced, and no fault could he found with water or milk supply, The 15 cases of Syphilis are divided up as follows: 8 being children, 2 boys and 1 girl, The infection in each case being derived from the mothers, the remaining 12 caser were adults, They are divided in- to the following groups, according to sex: Total ecases--16; Males--Mar- ried, 8; Single, 5; Widower, 1; Pe- males--Married, 4; Single, 27 Widow, 0. Thre cases under treatment were carried over from 1926, mak- ing total cases treated during the vear, 18, Of the 60 cases of Gonorrhoea reported, they are classified in 'roups according to sex as: Male--Married. 11; Single, 88; Widower, 1; Females--Married, 4; Binele, 6; Widow, 0. ; No cases of Chancroid nor of Ophthalmia Neonatorum have been reported to this Department, Tt is known that 2 cases of Ophthal- mia Neonatorum have been treated successfully, though no report was madé to the Department, Water Supply Treatment given Filtration, (Drifting Sand Filters) and Chlor- ination, dosage maintained to show a residual of Chlorine after 17 minutes of 0.1. to 0.2 p.p.m, How controlled by Wallace & Tiernan SP Proved safe by millions and prescribed by physicians for Colds Ne algia Pain Neuritis Headache abago Toothache ceumatism DOES NOT AFFECT Sue trade mark in Canada) of Bayer Manufacture of ne A. 8. AM). While it bs with BSTERR AS WARNING! Beware of Counterfeits There is only one genuile "ASPIRIN" tablet. fet is offered as "AS N" and is not stamped with the oo ono ASPIRING is at all! Don't take chances! 'only "Bayer" contains proven dir "Bayer" 12 tablets Rn aT of 2 and 10--Drapeinte HE the public seneral mark, the Summer, fewer in the Winter, to- tal--390 for the rn No. of unfavorable laboratory re- porta during the year, None on the domestic supply. One or two re- ports on water coming to the Fil Milk By-law (No. 1433) was passed 1919. Amendments: No, 1816 Paateurizsing By-Law, passed in 1937. Total dally consumption, 1710 gallons. Percentage of milk efficiently pasteurized 99 per cent up until the Pasteurising By-Law was passed. . No. of vendors 4 part of the year later 3. No. of pasteurising plants, 3 No. of inspectors, 2. No, of inspections made on prem. {ses of: (a)--producer, 386; (b) «Distributor, representing 96 farms and 1098 cows, 1st lnapec- tion, 260; 2nd inspection, 200, Our educational programme calls for the following work with the producers and distributors in 1928: Testing of all cattle twice a year; removal of all T.B, and diseased cattle from herds and farm; eclean- liness of stables, animals, utensils and persons; early clarifying of milk, through absorbent cotton strainers; rapid cooling and hold- ing below 60 degrees Fah., Pasteur- {zing, bottling, and maintaining at Refrigerator Temperature, until delivery to consumer, Sediment Test frequently used, 816 T.B. Tésts made during the year, Nuisances Complaints to the number of 238 have been received during the year and action taken in 233 cases. These may be classified as fol- lows: Dirty condition of premises and back yards, and out-buildings, Chicken-houses, Chicken-yards, Stables, Manure Piles, Garbage Dumps, Dead Dogs and Cats for removal; indecent transportation of waste material, refuse, from Butcher Shops; backage in Storm Sewers and choked Sewer Connec- tions, Expenditure for Public Health Pur. poses The cost of Public Health Ad- ministration in the municipality this year amounted to $18.841.84, or a per capita expenditure of 91.43 cents divided as follows: Water Supply--No special com- ment is required to be made this year, Milk Supply---It is a matter of a very great deal of congratulation to sll those who have particularly interested themselves in the ques- tion of a supply of pure, clean, wholesome milk, of standard qual- ity for domestic consumption, In the City of Oshawa, that the year 1027 crowned their efforts by sen. ing & compulsory Pasteurizing By- Law passed by the Municipal Coun- ell of the City of Oshawa. As a direct result of the passing of this By-Law, consolidation of the Dairy distributing Plants commene- od, and whereas less than two years 880 (to 'quote our Veterinary In- spgctor) 'there were 8 Dairies in the City, 8 of these retailing raw, or unpasteurized milk, there are {Bow only 3 Dairies (starting with hy: eommerocement of the year 1928), end both of these, In the very near future, will be housed In a strictly un-to-date Plant, equip- 'ped with all the modern appliances known to Science, as applied to the Dairy business, for the reception clarifying, pasterizing, bottling, storage, and distribution of milk and milk products." It is exceedingly gratifying also to know that as a result of the steady and persistent efforts, in an educated way, among the milk produ~ers, that a very satisfactory condition of things is found on the Dairy Farms. To quote azain from the Veterinary Inspector, "the stables are being kept clean and free from cobweb. snd dust ae cumuiations." "The cows are well fed and recularly groomed at least once a dey." "*The wards sre kept free from manure acenmwla- tions." "All are equipped with a separate milk cooling house." "All those things combined tends to #&' clean, wholesome, sanitary, and diseese-free supoly of milk." penditures, for the year 1921, concerned, we, taking our own ures, recognise that we have op- 'Jerated, for the whole year, with- in our budget allowance, and with a possible surplus of about $200. This, of course, is rough estimat- ing, but still bly accurate. Salary of M.O.H.--$600, Other medical services--3 School Dentists on Dept. Salary: Llabaratory Di- rector, $600: 2 Medical cers of Schools, $650. each, per annum. Sanitary Inspectors, No. 1, at $1800; Veterinary Inspector, No 1, at $1800; Public Health Nurses, No. 4, at, 1, $1600, 3 at $1250 each; Office stenographer and clerk No, 1, at $1100. Dental Inspection: in schools is carried on by 3 tists, 2 taking two half days weekly, 1 taking one halt day, weekly. The work is done (in school) or (at the Dentist's office); 1164 pu- pils were given inspection with- out treatment, while 973 children received treatment. Dental Sen vice is (not) available for pre- school age children, 300 children referred by Nurses to School Den- tists; 673 to the family Dentists Cost of service -tutals $2,400.00, which includes material as well ag salaries. ; Health Instruction for Mothers As yet it has been impossible to develop anything in the way of a Pre-natal Clinic, Individual in- struction of each expectant mother, on the reporting of the name hy the family physician, is all that can be attempted. Sueh Instrue- tion is given to those holding Tn- dustrial policies under the Metro- politan Life, by their District Nurse, to certain private patients by the Trained Nurses who have been retained early by the ex- pectant mother » private duty at the time the confinement, and in all other cases, by the Pub lic Health Nurses, and as the re- port shows, 66.9 per cent of the mothers resident in Oshawa, who gave birth to children in 1827, have received Pre-natal service, A very definite improvement in the number of cases of pre-eclamptie condition of Anaemia and Exhaus- tion, of kidney complication, and of cardiac involvement, has heen realized as a result of this ser- vice. It not only looks after those who are visited, but it has an educating influence upon other prospective mothers, increased fre- quency of their reporting to thelr family physicians, and a stimulat- ing influepee on the physicians themselves, Infant and Pre-school Age Health Su ' ' fon As yet it has been Impossible to open a definite pre-school age ' Clinie, Pre-school age surveillance is given in both the Child Wel. | fare Clinics, and mothers are in- duced to make use of the Clinie for advice for the pre-school sge children, The fact that from 300 to 400 infants and children of pre- school age have been reached In this way indicates appreciation of the service. There remains, how- ever, a very large number of pre- school age children who need pre- school age care, but have not as yet been reached. This ment of Service is one which is be- ing kept importantly In mind. as perhaps the next endeavor which we should make In extending De- partment of Health Service Health Supervision of the School Age Child Medical Inspection of the sch children is so recently tinanced that it is Just now gi. 03 into ite full stride, and commencing 'n show the necessity for such ser- vice, and the real value which it can be in drawing the attention of parents and teachers to undetected or unthought of cases of physical defect in scholars, and the neces- sity of remedial care and the value of such care being given. For the present, we are limit- ing ourselves to physical examia- tion, of the entrant scholars into the Public and Separate Schools, and the leavers who are going to pass on to the High School, or out into general life conditions. It will necessarily be some time before a full survey of the scholars has been made, giving at least one In- spection per year to each scholar, (attention fis directed to the Nurse's report for the year 1927.) (Attention jis drawn to the ap- pended Dental Report, submitted by the School Dentists, -in which is contained a full discussion of this service.) Ope important point might be stressed. Fear has been quite fre- quently expressed that school medi- cal and dental imspection would tend to induce parents to shirk their home, family, and financial » | responsibilitiy, and to pauperize the citizens. That this is unjust, will be fully realized, when it is remem- bered that absolutely no treatment. ~BRUAK { 200.800.000.000 000848080000 «240 "~ 4904 Sedan dnenen Rh J + L k TTT TTT TTTTTTTTTTYTeYY ---ANOT HER--- GREAT MID-WINTER SHOPPING EVENT An Unusual Effort in Value Giving --- Tremendous After Stocktaking-Clearance of Odd AGE NINE SAA LB ASSL D ALLS Fine quality Table Nap- h kina, size 20 x 20, . Very Special, Dozen .... ws CE $1.55 BeBe deeded iocds Sulah Remnants and Discontinued Lines PE) a) hhh J J ll ts --- Broken Sizes Sale Starts THURSDAY MORNING, February 2nd, at 9 O'clock FOR 3 DAYS --- THURSDAY, FRIDAY and SATURDAY Cotton Sheets price. 3 yds. for ,...0vvvaves TURKISH BATH TOWELLING Striped Turkish Bath Towelling, heavy quality, 17 inches wide, Special A SUPER $1.00 Real Leather Hand Bags. Very special ,, LADIES' HAND BAGS pouch style. Different shades. Mostly in $1.69 Beautiful, Various designs, Very Special ,.,.. dese nnnne BATH MATS Large size, heavy quality Bath Mats t below 4 price, l Prices; ! Values to $25.00 cate shades, Specially priced LINGERIE CLOTH Very fine quality, Lingerie Cloth in deli- $9.50 RRR RRS RAB BABB DSB 2 22s os sss 39¢ Rayon Silk Ginghams DRESS FLANNELS Fine quality Dress Flannels in all the popular shades. Special PIER visrsssrermrrstrressrion 98¢c Wool LINEN BEDROOM TOWELS Bedroom Very fine quality neatly "bordered. Very Towels. pair 89¢c ! Large size Union . check , and Mauve, LADIES' WOOL SWEATERS These Sweaters in Coat Style and neatly . $2.19 trimmed are a real bargain Bf rer Perret RRIRRR RII III Ny Special Price Mercury Pure Silk Hose grb ded deride bob Ei ded feet TO CLEAR Ladies' Fur-Trimmed ; Coats luxurious Fur-Trimmed bk Coats, at two prices, Reduced away RNA Prbrorirdrdordedrdodrbodoirp Fine quality Rayon Gingham in neat check de- sicne, 32 inches wide, poe deofeode decfoiloelocdosdidodedodedudrrddrde dont donee AN EXCEPTIONAL BARGAIN Blankets atterns in Blue, Rose, Gold Regular $4.95 pair, $2.95 pr. An exceptional bargain is this high grade full Fash- ioned pure Silk Hose, guaranteed first quality, Regfl- lare $195. Special Large Double Bed Size Sheets, real good quality, well made and ready for use. Very Special ,, 1 .cucoivrieriinsmnnensensssnsnsainnns $2.59 pr. BARGAIN A LUCKY BARGAIN One only very high grade Hudson Seal Coat, Sable trimmed collar and cuffs. Size 38. Regular $400.00 Special price $295.00 FANCY BUTTONS Fancy Dress Buttons, sizes and shapes. Worth. double the price, to clear doz. ....... colors 10¢ Various Will go at Two LADIES' CASHMERE HOSE Outsize Black Cashmere Hose, A very Values to $45.00 priced fine quality. Specially $1.19 = $19.95 3 price LUNCHEON CLOTHS Colored Border Luncheon 54 x 54. Fine quality. Special Cloths, size Very Special Price ... eee 29c yd. Knap WRITING PAPER Fancy Writing Pads in the Pendomium style with envelo, Specially priced Blankets, fancy LADIES' JUMBO KNIT SWEATERS Just the thing for skating and Winter sports. Regular $7.50. Special $5.95 priced ; LADIES' WOOL GLOVES Fine quality Fawn. All sizes. Specially pair OE al 85¢ Wool Gloves in Grey and price $1.59 RAYON SILK BLOOMERS An extraordinary bargain. Beautiful shades, small and medium sizes. Regular $1.25. 89c¢ Special price ..oeerserres ; REMNANTS Every kind and description. of material in short lengths and Dress lengths. All priced very much below the regular price. Many Articles Are Marked at HALF PRICE and Less for Quick Clearance---to Make Room for New Spring Goods Arriving Daily SHOP AT THE ARCADE Depart- ! cases of tooth neglect, of tooth de- fect and decay, where absolutely po previous care hss been given, and the pecessity is so urgent that something should be dono for¥ine | benefit the child's health, as well as for the (teeth, that wisdom demands that Health Department Dental Service be given now, mot only to scholars at the present time, but also for some timé to come. It is plain to be seen also that pre-school age dental care should be being provided on an extepsive scale. Every endeavor is made to see that the Dental Ser- vice is not abused. This will be the better appreciated by a real' zation of the meaning of the figures given, that while during the course of the year the Nurse's report gives a total of 1154 defects in teeth found during the year, and a total of 973 defects corrected, some of these probably being carried over from 1926, and some of the find- ings of 1927 not yet attended to, a further snalysis of the figures has proved that, of the corrected defects, 673 were corrected by a named family dentist, and that the other 300 were cases which had been referred to the School Dentists by the Nurses, being evidently cases in which no family Dentist declaration was made, and finan- cial considerations made it wise and just that such care should be given at the expense of the Muni- cipality. Such action being a bene- fit, not only to the child, a help- ing hand to struggling parents, but what is still more important, an improvement fin the mumber of - | hours given by the child to sehool life and a better adaptation to it= school work, due to the improved physical health. There is still a yery great deal of work requiring to be dome, in connection with the children. at present in attendance at school The School Dentists = were rather surprised after the absorption of the Board of Education Nursing and Dental Services into the wor" of the Health Department, to find that they were scheduled to d« work all the year round. with the exception of the meual two week holiday-time allowance, instead of their old time of operation. the school year. They were still more . {surprised to find that the Numser were able to find, by follow ur work, a sufficient number of child ven to keep them comsiantly busy, THE BUSY BARGAIN » during the full period of their working time, on the new schedule of work. Tuberculosis Clinics Tuberculosis clinics were oper ated by the Provincial-1, under Dr. Brink, 103 cases. Eighty-three adults and 32 children passed through the hands of the medical staff during the year and 261 visits were made by the nurse. Pro- vineial Clinic free of charge. Our care, part of routine Department Servive. Venereal Disease Clinics Treatment for patients suffering from venereal disease was made available through the Oshawa Hos- pital and selected Doctors, for which the Local Board of Health was responsible Eight adults and 3 children were treated and 10 visits were maae by the nurse. These visits were fol low-up welfare calls. The cos" was $330.50, of which $309.50 was for Doctor's fees; $21.00 was for Hospital fees; towards which noth- ing has been contributed during the year by the Provincial Departmen of Health. ' Recommendations The following is a brief outline of the proposed programme of the health activities for 1928: Con- tinuation of present program of work; completion of Tubereulir Testing of all cattle; completion. of Immupization against Diphtlheris mainta'ning of. Immunization against Scarlet Fever and Diphth eria in all Schoo's. Fduecational! program of Vaccination against Smallpox, and Systematic Vaecina- tion of all employees in Industria: Plants, and a commencement of Yaceination prozram for all S:heco! children. by volan'ary coaseut. I should like assistance from the Department as follows: a gen- eral survey of new subdivisions he- ing opened wp in the Olty. and in the Township immediately aur rounding, with the idea of best sanitary provision and protection against Typhoid and Diarroheal das- eases. J should like assistance from the Department as. follows: At the earliest possible convenience of the | Department of Health, a visit from the Tuberculosis Travelling Diag: mostic clinic. Conc'usion In conclusion I wish to thank all who have assisted in the work of public health in Oshawa this year, | STORE particularly the Provineial Depart? ment of Health, and its officials for their unvarying kindness and help; Local Branch of the Ontario Red Cross; Rotary Club; generous spirited citizens; Principals of the d'tferent schools; Board. of Edu- cation, the Industria! Plants, par- ticularly, General Motors of Can- aca, and the Local Press. Recapitulation of Defects Report- ed at Medical Inspection in Schools Vision, 18; Hearing, 5; Eye Dis- ease, 3; Ear Disease, 8; Defective Nasal Breathing, 78; Abnormal Tonsils, 301; Anaemic Appearance, 11; Enlarged Glands, some Thyroid), 45; Skin Diseases, 7; Orthopedic Defects, 9; Malnu- trition, 44; Pulmonary Disease. 7: Cardia~ Disease, 17; Nervous Dis- orders, 6; Thyroids, 4; Mentality, (referred). 12; Total, §70. Report satisfactory-- Total 142 cases, Total cases examined--712. (including | 4 Your choice of 8 Chevrotet Coaches ~Latest models--Very reasonably priced, Chadburn Motor Co, HUDSON-ESSEX DISTRIBUTOR Phone 1160 9 Prince St, Oshawa BY MAIL § We make and ship: Raised Gold Letter Signs Swing Signs for Store Fronts Glass and Opalite Signs Metal Signs Real Estate and Sale Signs Cotton Banners Paper Posters Show Cards Write For Prices GLOBE SIGN SHOP 282 St. W. Ti Make Your Home Comfortable by using the Famous P. & R. 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