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MARTIN REGENSBURGER, M.D., President,

F. K. AINSWORTH, M.D.

San Francisco San Francisco A. C. HART, M.D.

Sacramento WALLACE A. BRIGGS, M.D., Vice-President,

O. STANSBURY, M.D.

Chico
Sacramento | W. LE MOYNE WILLS, M.D.

Los Angeles
N. K. FOSTER, M.D., Secretary. Sacramento
Hon. J. E. GARDNER, Altorney

Watsonville

STATE BUREAU OF VITAL STATISTICS.
N. K. Foster, M.D., State Registrar..Sacramento | GEORGE D. LESLIE, Statistician...

Sacramento

STATE HYGIENIC LABORATORY. ARCHIBALD R. WARD, D.V.M., Director..

University of California, Berkeley

STATE FOOD AND DRUG LABORATORY. M. E. JAFFA, M. S., Director

University of California; Berkeley

VITAL STATISTICS FOR JANUARY.

Births.-For January there were reported 2,065 living births. The population of California in 1908, estimated by the Census Bureau method with slight modifications, is 2,019,519, and for this population the January total represents an annual birth-rate of 12.1.

The January totals were highest for the following counties: Los Angeles, 486; San Francisco, 440; Alameda, 269; Santa Clara, 96; Fresno, 71; and Sacramento, 52.

Births for January were registered in freeholders' charter cities as follows: San Francisco, 440; Los Angeles, 359; Oakland, 147; Berkeley, 45; Sacramento, 43; Alameda, 36; San José, 35; and Pasadena, 33.

Marriages.—The marriages reported for January number 1,720 and 'for an estimated State population of 2,019,519 represent a rate of 11.7 for the year 1908.

The numbers were greatest for the following counties: San Francisco, 341; Los Angeles, 339; Alameda, 192; Sacramento, 90; Santa Clara, 71; Marin, 65; and Fresno, 64.

Deaths.-Altogether 2,920 deaths, exclusive of stillbirths, were reported for January, the registration being now more complete than it appears to have been heretofore. This total gives an annual deathrate of 17.1 on the basis of an estimated State population of 2,019,519. The January death totals were highest for the following counties: San Francisco, 630; Los Angeles, 609; Alameda, 300; Santa Clara, 119; Fresno, 103; Sacramento, 98; San Bernardino, 95; San Joaquin, 83; San Diego, 74; and Sonoma, 57.

Deaths for January were reported as follows for the leading cities : San Francisco, 630; Los Angeles, 404; Oakland, 133; San Diego, 69; Sacramento, 67; Berkeley, 54; Pasadena, 51; Stockton, 47; San Bernardino, 43; Fresno, 40; Alameda, 38; and San José, 30.

Causes of Death.-In January there were altogether 486 deaths, or 16.7 per cent of all, from pneumonia and other diseases of the respiratory system; 446, or 15.3 per cent, from various forms of tuberculosis ; and 397, or 13.6 per cent, from diseases of the circulatory system. The proportions for pneumonia and tuberculosis were each higher than in the preceding month.

The next most prominent causes of death were diseases of the nervous system, violence, diseases of the digestive system, Bright's disease, epidemic diseases, and cancer.

The leading epidemic disease in the month was not typhoid fever, as usual, but diphtheria. Deaths from epidemic diseases were as follows: Diphtheria and croup, 48; typhoid fever, 37; influenza, 27; and scarlet fever and whooping-cough, each 10.

Further details appear in the following table which gives the number of deaths from certain principal causes reported for January, as well as the proportions from each cause per 1,000 total deaths for both January and December:

Proportion per 1,000.

Cause of Death.

Deaths:
January,

1908.

January,

1908.

December,

1907.

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ALL CAUSES.
Typhoid fever
Malarial fever
Smallpox
Measlės
Scarlet fever
Whooping-cough
Diphtheria and croup
Inhuenza
Plague--
Other epidemic diseases
Tuberculosis of lungs
Tuberculosis of other organs
Cancer
Other general diseases.
Meningitis
Other diseases of nervous system.
Diseases of circulatory system
Pneumonia and broncho-pneumonia
Other diseases of respiratory system
Diarrhea and enteritis, under 2 years.
Diarrhea and enteritis, 2 years and over
Other diseases of digestive system.
Bright's disease and nephritis.
Childbirth
Diseases of early infancy
Suicide.
Other violence.
All other causes

2 10 10 48 27

1 14 402

44 132 118

1,000.0

23.0 1.7 0.3 1.7 3.4 1.7 14.4 5.2 2.6

3.7 129.7 17.5 53.4 40.8 16,1 76.9 138.6 107.6 33.0 26.1 10.1 51.1 50.5

58

0.7 3.4 3.4 16.4 9.2 0.3

4.8 137.7 15.1 45.2 40.4 19.9 70.5 136.0 128.1 38.4 16.4

6.6 23.8 16.1 72.3 72.1

5.8 48.0 58.9

9.2 31.2 16.4 66.8 64.4

206 397 374 112 48 17 140 172 27 91 48 195 188

Geographic Divisions.—The table below shows the number of deaths from main classes of diseases reported for January for the several geographic divisions of the State, including the metropolitan area, or “Greater San Francisco,” in contrast with the rural counties north of Tehachapi:

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The adjourned meeting of the State Board of Health was called to meet at 11:00 A. M. February 1st. There were present at that hour Doctors Briggs, Regensburger and Foster. There being no quorum, the time was spent in a general and interesting discussion of the various subjects before the Board, and formulating work for the afternoon session, which was called to order at 1:30 by the President, Dr. Regensburger.

Present, Doctors Briggs, Hart, Regensburger and Foster.

Dr. Briggs moved the following resolution, which was seconded by Dr. Foster, and carried.

Resolved, By the State Board of Health of the State of California, that all Health Officers in the State of California, city, county, town, and city and county Health Officers included, be and they are hereby ordered and directed, immediately and continuously, to enforce and insist upon the enforcement of the provisions of the Act of the Legislature of the State of California “An Act to encourage and provide for the general vaccination in the State of California,” approved February 20, 1889; and

That it is the fixed determination to insist upon the enforcement of said Act and the provisions thereof, and to prosecute all persons who shall violate the same.

Dr. Briggs moved and Dr. Hart seconded the following resolution :

That the Secretary be instructed to arrange for a conference in San Francisco at an early date of the officers of the Marine-Hospital Service, State Board of Health, Boards of Supervisors and Trustees of the Bay Counties and all territory in water connection therewith; and

That the officers of the Marine-Hospital Service be requested to address the conference and instruct in the methods and importance of plague eradication, and in as far as possible afford them object lessons in the actual work of eradication; and

That the Secretary urge upon this conference the absolute necessity of providing in the next tax levy for sufficient funds to carry this work to a successful conclusion.

Carried.
Dr Briggs moved and Dr. Hart seconded the following resolution:

Resolved, By the State Board of Health of the State of California, that this Board deems it of the utmost importance that the law forbidding expectoration on the floors of public conveyances and on sidewalks be strictly enforced ; and that this Board do and does hereby request the Citizens' Health Committee of the City and County of San Francisco to use every effort in its power to obtain in said City and County a strict enforcement of said law, particularly in the case of street cars.

Carried.
Dr. Hart offered and Dr. Foster seconded the following resolution:

Resolved, By the State Board of Health of the State of California, that, whereas, in the judgment of this Board, it is necessary to prevent the spread of contagious and infectious diseases,

It is hereby ordered, that no old rags, sacks, paper or other old waste, shall be shipped, transported or carried, from or into, any town, city, county, or city and county, in the State of California, unless the same shall first have been thoroughly sterilized by boiling or by steaming, and shall have been inspected by the local or Federal health authorities; and that no such rags, sacks or waste material shall be shipped, transported or carried, or received for shipment, carriage or transportation, by any person, firm or corporation, unless the same is accompanied by the certificate of such Health Officer or authority, that the same have been so sterilized

Carried.
Dr. Foster moved and Dr. Briggs seconded the following resolutions:

Resolved, By the State Board of Health of the State of California, that, whereas, a certain contagious and infectious disease, to-wit, the Bubonic Plague, now exists and has for a long time last past existed, in the City and County of San Francisco, State of California ; and

WHEREAS, The said disease is most frequently communicated through the medium uf rats and other vermin; and

WHEREAS, It has been ascertained by this Board, and it is the fact, that large quantities of manure have been and are being shipped out of said city and county and said County of Alameda, and into other counties of said State ; and

WHEREAS, Dead rats and other vermin -have been found in such manure and are frequently conveyed therewith ; and

WHIEREAS, Said disease has recently existed in the County of Alameda, .in said State, and rats and other vermin infected with said disease are yet being found in said County of Alameda ; and

WHEREAS, The danger of spreading said disease by and through the shipment of manure as aforesaid and infecting new territory is great; and

WHEREAS, It is in the judgment of this Board necessary to arrest the further spread of said disease ;

It is hereby ordered, That no manure shall be shipped, transported, taken or carried from said City and County of San Francisco, or from said County of Alameda or any city therein, to, or into, or received into, any other city, town, county, or city and county, of the State of California, unless such manure and the stable from which it is taken have first been inspected by a member or inspector of the United States Public Health and Marine-Hospital Service, and the said manure and stable found to be sanitary; that no person, firm or corporation, either as principal, agent or otherwise, shall ship, transport, carry, or receive for carriage or transportation, from said city and county, said County of Alameda, or any city therein, to or into any other city, county, or city and county, any manure unless the same shall have first been so inspected, and shall be accompanied by the certificate of a member or inspector of the said United States Public Health and Marine-Hospital Service ; that all City and County, City, Town, and County Health Boards, Health Officers and authorities, are hereby directed to enforce this order within their respective jurisdictions; and that this order shall supersede all previous orders as to the same subject.

Carried.

Resolved, That this Board favors and urges the immediate rat-proofing of the water fronts of all cities in the State as a means of preventing the introduction and

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