File:The Cleveland medical journal (1913) (14590133200).jpg

Identifier: clevelandmedical12clev (find matches)
Title: The Cleveland medical journal
Year: 1913 (1910s)
Authors:
Subjects: Medicine Medicine
Publisher: Cleveland : The Cleveland Medical Journal Company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and the National Endowment for the Humanities

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on of the consultingexpert treatment was withdrawn for about twenty-four hours,and then resumed at a rate of about 0.4 parts per million, whichfor the rest of the year was seldom exceeded and which fre-quently fell to 0.2 parts or even lower. It may be noted in pass-ing that the recommendations of Dr. Haskins and one of uswere that the rate should never fall below 0.7 parts per millionexcept possibly when the water was warmest. At the time of the winter investigation the arrangement of Ellis and Perkins—Typhoid in 1912 583 the dosage was altered, the point of treatment being moved for-ward so that samples of untreated water could be obtained forexamination, this having been impossible when the treatmentwas begun at the bottom of the main shaft, as originally planned. Analysis of Data The cases as reported to the Health Department were takenand checked for duplications, dates, etc., and were furtherchecked against the various hospital reports, to complete the TYPHOID JAN-JUL.DEC.191S
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CHART I. number of actual cases. It was found that 77 cases or nearly27 per cent of all, had not been reported, though all deaths hadbeen sent in. Cases which had been out of town for a notable part of thethree weeks preceding illness were classed as imported, thoughthe fact that the date obtainable was that of reporting and notthat of incidence makes this part of the record less accuratethan we could desire. (For the 1913 report, now in process ofpreparation, the date of incidence is being more carefully ob-tained.) These cases have been omitted from statistical calcula- 584 The Cleveland Medical Journal tions though it must be remembered that their presence addedto the amount of typhoid organisms reaching the lake. Each case was located on the map of the city, and differentcolored pins were used to indicate seasonal distribution, and im-ported cases. The year was arbitrarily divided into two parts, those casesoccurring in January, February, March, April, May, June, andDecember being

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