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CALIFORNIA STATE BOARD OF HEALTH.

Vol. 3.

MONTHLY BULLETIN.

Entered as second-class matter August 15, 1905, at the post office at
Sacramento, California, under the Act of Congress of July 16, 1894.

SACRAMENTO, FEBRUARY, 1908.

No. 9

STATE BOARD OF HEALTH.

MARTIN REGENSBURGER, M.D., President,
WALLACE A BRIGGS, M.D., Vice-President,

F. K. AINSWORTH, M.D.
San Francisco A. C. HART, M.D.
O. STANSBURY, M.D..
Sacramento W. LE MOYNE WILLS, M.D.
N. K. FOSTER, M.D., Secretary. Sacramento
HON. J. E. GARDNER, Altorney...

STATE BUREAU OF VITAL STATISTICS.

San Francisco
Sacramento
Chico

...Los Angeles

Watsonville

N. K. FOSTER, M.D., State Registrar..Sacramento | GEORGE D. LESLIE, Statistician...Sacramento

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CALIFORNIA PUBLIC HEALTH ASSOCIATION.

The California Public Health Association will hold its annual meeting at Coronado Monday, April 20th, at 10 A. M. There will be no papers, but the following subjects will be presented for discussion, which will be opened by the gentlemen designated. After the opening a full and free discussion of the question is desired, and all are requested to come prepared to take part.

PURE FOODS AND DRUGS.-Discussion opened by Prof. M. E. Jaffa, Director of State Pure Food and Drug Laboratory.

GENERAL SANITATION OF CITIES AND TOWNS.-Discussion opened by Dr. Rupert Blue, Passed Assistant Surgeon, in command, San Francisco. A DEPARTMENT OF EPIDEMIOLOGY IN THE STATE BOARD OF HEALTH.Discussion opened by Dr. W. F. Snow, Stanford University.

The meeting will be the day before the first session of the State Medical Society, and a full attendance is expected.

Arrangements have been made with the railroads to give a rate of a fare and one third for the round trip to any one attending the State Medical Society, and these rates will be granted to the members attending the Public Health Association. Buy a first-class single-trip ticket to San Diego at tariff rates, requesting of the agent a receipt certificate therefor, which, when certified to by the Secretary of the Medical Society, will be authority for the agent at San Diego to sell a return ticket for one third full rate. Tickets for the going trip may be purchased April 10th to 23d, inclusive, and certificates will be honored

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STATE BUREAU OF VITAL STATISTICS.

N. K. FOSTER, M.D., State Registrar..Sacramento | GEORGE D. LESLIE, Statistician..

Sacramento

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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, 83San 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 Ber nardino, 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. Th proportions for pneumonia and tuberculosis were each higher than the preceding month.

The next most prominent causes of death were diseases of the nerv ous 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, a usual, but diphtheria. Deaths from epidemic diseases were as follows 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 bot January and December:

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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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MEETING OF STATE BOARD OF HEALTH.

The adjourned meeting of the State Board of Health was called to meet at 11:00 a. м. 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

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