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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, 51; Pasadena, 51; Stockton, 17; San Bet nardino, 13; Fresno, 10; Alameda, 38; and San José, 30.

Causes of Death.-In January there were altogether 186 deaths, or 16.7 per cent of all, from pneumonia and other diseases of the respira tory system: 116, or 15.3 per cent, from various forms of tuberculosis and 397, or 13.6 per cent, from diseases of the circulatory system. Te proportions for pneumonia and tuberculosis were each higher than : the preceding month.

The next most prominent causes of death were diseases of the nertous 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 follow: Diphtheria and croup, 48: typhoid fever, 37; influenza, 27; and scarle: 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 we.. 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.

Decembe:

1907.

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ALL CAUSES
Typhoid fever
Malarial fever
Smallpox
Measlės
Scarlet fever.
Whooping-cough
Diphtheria and croup
Influenza
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

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

5.8 48.0 58.9

9.2 31.2 16.4 66.8 64.4

132 118

58 206 397 374 112 48! 17 140 172 27 91 48 195 188

1361 1074

% 10: 511

.

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

WHEREAS, 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 Alamedia 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 op 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 jurisdir tions; 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 am

propagation of rats, and that the Secretary confer with the Governor as to the best means of attaining this object.

Carried.

Resolved, That the State Board of Health of the State of California invite the Surgeon-General of the United States Public Health and Marine-Hospital Service to call at an early date a conference of that Service with the State Boards of Health in San Francisco.

Carried.

FLEAS. One of our exchanges, after quoting the article on plague in the last Bulletin, says :-"Now if the Board will tell us how to quarantine against fleas when the open season arrives it will confer a still greater favor." Could we do this in its entirety much suffering could be prevented and many lives saved. Unfortunately, we know of no way to entirely keep rid of fleas, but very much may be done. The very means that will prevent rats from coming to our places will prevent fleas. A basement with a complete cement floor, which is kept clean and free from litter and rubbish, deprives the flea of the dirt in which it will live and breed. Floors and carpets should be kept clean and can be dusted with flea powder or sprayed with an insecticide which will destroy the fleas. Finely powdered air-slaked lime spread on floor or carpet and swept off will, it is claimed, drive them away.

They live and breed in the fur of animals, especially cats, dogs, rats and mice, and if they are allowed in the house fleas must be expected. There are on the market preparations which, sprayed into the hair of an animal, will kill the fleas. If animals must be allowed in the house these should be freely used, for animals are our most prolific source of fleas.

When we have learned to build our houses with concrete basements and foundations, to keep domestic and wild animals outside, banish carpets that can not be taken out and shaken each day, and have our floors built of some smooth material which can not harbor insects, we will have little trouble with fleas, but you can't quarantine the rascals. They have no respect for quarantine regulations, but by persistent effort and not allowing their breeding places to exist they can be kept away.

cases.

SMALLPOX. Reports from all parts of the State show a great number of smallpox

Unfortunately, many of them are light and no attention is paid to it, the patient traveling at will about the State, scattering the disease broadcast. Again, the disease is often diagnosed chickenpox, with the usual result of multiplication of cases. There is but one way to check it,-vaccination. This is sure and safe. With the present methods of preparing the vaccine lymph there is no danger, providing it is put on a sterilized arm and kept clean. No person properly vaccinated ever had smallpox, nor did a person ever die with vaccinia. When death has resulted from vaccination it was because an impure lymph was used, or the arm was not properly cleaned and kept clean.

At the present time our vaccine lymph is certified by the United States Government and is pure, and it depends upon the doctor and

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