c

Nineteenth Annual Report

of the

University of Illinois Health Service

1934-35

\M } 6 1936

ii*u i ur ILLINOIS

Digitized by the Internet Archive

in 2012 with funding from

University of Illinois Urbana-Champaign

http://www.archive.org/details/annualreport193435univ

NINETEENTH ANNUAL REPORT

of the

UNIVERSITY OF ILLINOIS HEALTH SERVICE

I93U-I935

JHF nnogny nr t^

JAN 1.6 1936

UNIVi-noiir or ILLINOIS

table op corara

Page

Calls ?

Physical Examination for Students ...... 2

Recalls ,

"Follow-Up" . h

Possible Nephritis and Diabetes h

Cardiac Abnormalities , c

Tuberculosis g

Mental Hygiene -,

Examination of Students of University High School ... 9

Civil Service Employees q

Communicable Disease ... 10

Supervision of Foodhandlers 37

Hospitalization , c

*S

Choice of Attending Physicians 17

Chauffeurs' Examinations and Car Permits lg

Cooperation with the Departments of Military and

Physical Education ,q

Sanitation

20

Lodging House Inspection # 21

Lunch Hooms and Soft Drink Parlors . . '. \ 27

Swimming Pools 2j?

Sanitary Improvements on the Campus ....'.! \ 25

Cooperation with Attending Physicians 2R

Laboratory Service pr

First Aid g

Health Education

~ 2 -

Page

Proficiency Tests 32

Instruction in Hygiene 3^

Student Deaths 35

Extension 'Vork 3&

Changes Affecting the Health Service 37

Appendix A

Tables

I. Types of Medical Attention to Students and Em- ployees 1

II. Monthly Distribution of Visits 1

III. Classification of Injuries to Civil Service

Employees for Five Years 1

IV. Laboratory Examinations 2

V. Cases Cared for at McKinlcy Hospital .... 3

VI. Average Hospital Stay 3

VII. Cases Cared for at McKinley Hospital .... U

VIII. Elementary and Advanced Hygiene U

IX. Fanily History of Inheritable Diseases ... 5

X. Injuries , . 5

XI. Operations 5

XII. Use of Tea, Coffee, and Tobacco i 6

XIII. Sleeping Habits » 6

XIV. Students G-iving Histories of Typhoid Fever . 6

./if

- 3 - Appendix A (cont'd)

Tables Page

XV. Relative Occurrence of Certain Diseases in Histories

of the Class of 1938 6

XVI. General Development and Build 8

XVII. Color of Eyes 8

XVIII. Color of Hair , 8

XIX. Teeth 9

XX. Abnormalities of the Heart 9

XXI. Thyroid Enlargement 9

XXII. Chest and Lungs 10

XXIII. Incidence of Enlarged Lymph Glands ... 10

XXIV. Condition of Abdominal Tails 10

XXV. Hernia in Men 10

XXVI. Genito-Urinary Organs 11

XXVII. Cryptorchidism t 11

XXVIII. Urinalysis 11

XXIX. Glycosuria and Albuminuria over a Period of Years. 12

XXX. Foot Abnormalities 12

XXXI. Foot Abnormalities over a Period of Years .... 12

XXXII. Spine Abnormalities 13

XXXIII. Nose Abnormalities 13

XXXIV. Throat Abnormalities lU

XXXV. Percentage of Students with Tonsils Removed over a

Period of Years lU

- k -

Appendix A (cont'd)

Tables Pa£e

XXXVI. Ears 1^

XXXVII. Eyes 15

Appendix B

I. Summary of Medical Histories 1

II. Summary of Physical Examinations •*

III. Classified Summary of Physical Examination Results . 8

Appendix C

Civil Service Examinations 1

Appendix D

University High School Examinations ........ 1

Appendix E

Tables Page

I. Cases Encountered During the Year 1

II. Injuries, founds, Sprains , 7

III. Recapitulation 12

CHARTS

I. Monthly Distribution of Student Visits for 1933-3^,

193*+-35 2

II. Total Visits to the Health Service Yearly 2

III. Weekly Distribution of Cases of Rubella 10

IV. Montnly Distribution of Scarlet Fever Cases 11

V. Distribution of Hospital Cases and 'Tospital Days . . l6

- 5 -

TA3LBS . Number Page

I. Communicable Disease Cases Reported in Student Body ... 10

II. Communicable Disease Cases Reoorted in Members of Families

of the Faculty and Civil Service Employees 12

III. Student Capacity of Lodging Houses 21

IV. Sanitary Conditions of Lodging Houses 22

V. Pleating Systems of Lodging Houses 22

VI. Laboratory Tests 26

VII. Sciences Taken by 2183 High School Graduates 28

VIII. Full or Part-Time Instruction in Sciences in High School 28

IX. Sharing of Instruction in Other Subjects by High School

Teachers of Science 30

X. Distribution by Colleges of Those Passing the Proficiency

Examinations in Hygiene 32

XI. G-eographical Distribution of Those Passing the Proficiency

Examinations in Hygiene 33

XII. Student Deaths, I93U-I935 ... 35

XIII. Summary of Student Deaths at University of Illinois, 192U-

1935 35

November I, 1935 To the President of the University Dear Sir:

I have the honor to submit, herewith, the Nineteenth Annual Re- port of the activities of the Health Service for the academic year, 193'"1-

1935-

CALLS

During the year students made 50,691 visits to the Health Ser- vice Station and Civil Service employees I2U7. In addition, there wore 2785 miscellaneous calls on University or other business making a grand total of 5U, 723» This includes H/321 calls as a result of the required physical examination upon entrance anc* l^gS -t"°r ro-examination«

The number of visits per student registered was U.58, The men of the Class of 1938 called 23,lU2 times, an average of 7.69 visits per man; the women 7300 or 5»56 visits per woman. In each instanco ono visit was for the required physical examination*

The visits to the Health Service Station tend to increase with each additional student registered. This is inevitable unless morbidity rates decrease or protection to the health of the University population is reduced. The only way to control contagion or detect disease in its in- cipiency is to make an early diagnosis. Early discovery of din ee.se pro- tects the community, insures the ill of getting prompt treatment, reducrs amplications, and returns the student to the classroom with a minimum loss of time.

- 2 «.

The common ailments of students are respiratory infections, acne, mycosis, scabies, minor injuries, gas tro- intestinal upsets, eye strain, and quarantinable diseases. These conditions are usually readily recognizable and can be quickly disposed of by advice to stu- dents, the use of household remedies, or by reference for study and treatment to a local doctor, the family physician, or a specialist.

By giving its students unrestricted consultation at the Health Service Station, the University avoids their caring for themselves at their rooms, reduces the likelihood of the sore throats of scarlet fever being prescribed for by drug clerics, and prevents their falling victims to quackery or spreading communicable disease by attempting to treat each other. Such consultation is not competition with local practitioners but the means for the control of contagion and getting sick students to their family physician or to the local doctor of their own selection.

PHYSICAL EXAMINATION FOR STUDENTS

A total of U321 students was given complete physical examina- tions during the year, an increase over last year of 593. or 15 -91 Per cent. Of this number, 3^08 were men and 1313 were women, representing an increase of 19.6 per cent for men and 8.2U per cent for women. Ex- aminations were given to 2Ul prospective students who did not matriculate. This necessitated an approximate cost of $85*80. There seems to be no way to avoid the expense of examining high school students who expect to

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GRAPH SHOWING TOTAL VISITS TO HEALTH SERVICE YEARLY

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♦Increase mainly due to smallpox epidemic.

- 3-

become freshmen, but for some unforeseen reason do not do so. It is cheaper to give these examinations when the students present themselves and request them during the sumner than it would be to defer them until during registration and then employ enough outside physicians to take care of the peak load.

KS GALLS

Of the new students examined, 1862 men and 620 women were re- called for conference and advice. This includes 2129 who were re-examined. Whenever students were found to have defects, they were advised to consn.lt their family physicians, specialists, or dentists. In many instances, stu- dents had had their defects of vision corrected and had had dentists treat their teeth between the timo they were examined and their matriculation.

In addition to the regular physical examination, 2880 students, 2112 men and 73^ women, filled out personal hygiene questionnaires which were rather complete inventories of their health, habits, and mental at- titudes. These were studied and a conference was had with each student concerning any deviations from the normal. This procedure has been most helpful in ascertaining the mental and Physical states of students, the conditions under which they live, and their reactions toward them. It has also made it possible in many instances to remove fears, conflicts, and mental tensions wiiich definitely handicapped them in their work and in their adjustment to their environments.

During the last half of the year the members of the senior

- u _

class were given an opportunity to be re-examined and to confer with mem- bers of the staff concerning their general health before assuming posi- tions. Many members of the Class of 1935 took advantage of it. On re- quest, they were immunized against typhoid fever and smallpox, and were given certain clinical tests.

"FOLLOW-UP"

The staff of the Health Service makes a sustained effort to fol- low up students who are found to have physical defects at the tine of their physical examinations until their handicaps are removed, or they have received the benefit of the opinion of specialists of recognized authority. By this procedure, students who attend the University not only receive an excellent opportunity to obtain an education but the best that modorn medicine can provide to make them effective units of society.

Possible Nephritis and Diabetes

A total of I85 freshmen with albuminuria (suggesting possible nephritis) was observed repeatedly and urinalyses were made to determine whether or not their conditions were functional or pathological. Of these, 89.19 per cent had conditions which seemed to be of passing significance only, while 10.81 per cent had to be excused from Military and had to have their physical education modified. They were referred to their family physicians or urologists for further study and treatment.

Of the U32I urinalyses of students and lUo of Civil Service em- ployees at the time of their physical examinations, ^>k showed a oositive

- 5 - test for sugar of wiiicii 51 ^-^ a transient glycosuria and three were diabetic.

Cardiac Abnormalities

The maximum safeguard has been placed around 78 students who were found to have organic disease or marked functional disturbances of the heart. They have been kept under observation, have been re-oeat- edly examined, and have been given advice how to protect their hearts against unnecessary strain. Of these, Hi, or ^2<,^S per cent were ex- cused from Military and regular physical education and were assigned to adaptive exercises or special activities. The condition of four was sucn that required activity was temporarily or permanently contra- indi- cated because of its risk.

Preliminary to participation in athletics, a total of 2587 students was examined of which 196H wore men and 623 were women. Of the men, six were rejected permanently on account of physical defects which made participation in major athletics extra-hazardous. It was necessary to defer the participation of 66 men in major sports sending further study and tests, most of which were to deter nine the normalcy of their cardiovascular systems. These, however, were later certified as able to enter athletics.

The work of the Health Service in observing and examining the hearts of students would be greatly facilitated if it had access to an electrocardiograph in studying the cardiovascular system of all ath- letes and students suspected of heart disease. The usual methods of inspection, palpation, percussion, auscultation, blood oressure taking

- 6 - and pulse counting are inadequate to provide a complete examination of the heart.

Electrocardiograms should be made of the hearts of those stu- dents who have arhythmias or who give a history of acute rheumatic fever or infections which may attack the heart. If such a study could "be made, a number of those students excused from Military and disqualified for regular physical education or athletics \vould be able to participate in these subjects. It would add much to their efficiency and t>eace of mind to have removed, where possible, the persistent thought of having cardiac disease.

Tuberculosis

A group of 20 students, ten of whom had been in intimate con- tact with tuberculosis in their homes and ten of whom had had it and had succeeded in having it arrested were kept under observation during the year. Under a proper diet, hygienic regi.ne, and modified activity all of them went through the year without showing signs of active tuber- culosis. Those contacts who have increased in weight and vigor have been released from observation after being informed as to the precautions they should exercise at all times. The students who have arrested tuber- culosis will be kept under observation throughout their University careers.

During the year four cases of active t\iberculosis were reported of which one was a graduate student and assistant on the faculty, one a. student of the University of the Class of 1937a, one was an instructor, and the other was a member of a family of the faculty. The student with- drew from the University and all of them are undergoing special treat-

- 7 -

ment in sanatoria or at their homes under tae directions of specialists. At the time of the physical examination, it was found that U02 or 13.36 per cent of those examined were below the minimum requirements of the War Department for weight and development for their ages, A con- siderable portion of these were markedly sub-standard and the type which usually shows an increased predisposition to tuberculosis. Many of these have required special observation and consideration.

The chests of students who are definitely below par physically or give a history of contact with the victims of tuberculosis should be examined with an X-ray. It would lead to the saving of useful lives by the diagnosis of tuberculosis in its incipiency when its arrest is most likely. Control of tuberculosis in college students not only requires repeated physical examinations of the lungs but tuberculin testing and stereoscopic X~ray studies of positive reactors with follow-up of sus- picious cases.

Mental Hygiene

Careful consideration has been given throughout the year to the mental health of students and sustained effort lias been made to discover those who were suffering mental disturbances. Every student in the Class of 1933 has had one or more conferences with the Health Service staff. Students have been seen repeatedly who gave a history of being subject to blues or worry, had had a "nervous breakdown", showed a tendency to be "shut-in", or were having difficulty in becoming adjusted to college life. A total of 173 stated that they had a tendency to worry and 31^ that they

- 8 - occasionally had the "blues.

A careful study of their cases revealed that their conditions rarely influenced tueir appetites, prevented sleep, or seemed to handi- cap them in their academic work. With few exceptions, members of this group responded promptly to advice, financial help, a rearrangement of tlieir schedules of living, participation in extra-curricular activities, and friendly interest.

Altuough defective germ plasm, infections, and ooisons may cause mental disease and predispose to functional disturbances of the mind„ the greater part of mental disability comes out of unwholesome environ- ment, defective training, and unhappy experience. In the prevention of mental disorders among students, eugenics, psychiatry, and medicine have contributions to make, but the great preventives are the social, edu- cational, recreational, and religious organizations which help students to find themselves, give them financial assistance, and aid them in ob- taining an adequate philosophy of life.

The promotion of mental health and the prevention of the devel- opment of complexes, phobias, and conflicts are a cooperative enterprise which requires sympathetic assistance, anticipation of conditions which cause mental stress, and alertness in their removal. Loan funds, the F.E.R.A. , the sustained efforts of the University Employment Agency, the friendly interest of faculty members and administration staff are potent factors in the reduction of mental tension, the elimination of emotional strain, and the avoidance of mental disturbances in students.

- 9 - EXAMINATION OF STUDENTS OF THE UNIVERSITY HIGH SCHOOL At the beginning of the school year, 79 high school students were examined - 3'9 boys and *JO girls - and 57 were re-examined, All were classified as to their physical ability to take the prescribed course in gymnastics. Two had defects which required special physical training and one had to be excused from physical activity because of mitral insufficiency and hypertrophy of the heart complicating rheu- matic fever.

In this group, 46 or 5^-23 per cent had had their tonsils removed. Of the total, 24, or 30»3S per cent had suffered severe injuries. Of those examined, 26, or 32-91 Per cent, were unvaccinated, 66 were well-developed, 12 were below the average, and one was poor. Urinalyses showed that four had albuminuria which was transitory.

CIVIL SERVICE EMPLOYEES

During the year, Civil Service employees made I2U7 calls to the Health Service Station of which l4o were for physical examina- tions at the beginning of employment or an increase for the latter of U5. 83 Per cent. These were graded as follows; 125 good and 15 fair. Of the new employees, 130 of whom were men and ten of whom were wo- men, 12 were permitted to work subject to a waiver of claims against the University arising from the defects revealed by their medical examinations.

Employees of the University suffered l4l accidents in the line of duty, an increase of 12.80 per cent. A total of 113 required

- 10 - minor surgical attention as a result of their injuries, and 28 were so severely injured that they were referred to outside surgeons, specia- lists, or radiologists for prolonged treatment or roentgrams. Of these, four were hospitalized for a total of 23 days or an average of 5.75 days per patient. No injury resulted in disability which would seriously interfere with the earning of a livelihood.

COMMUNICABLE DISEASE

The incidence of communicable disease during 193^-1935 re~

flected the rising morbidity rate in the registration area of the

United States. A total of 2959 students was exposed to communicable

disease other than influenza and coryza, an increase of 59*25 per cent.

Of this number, 351 were held in quarantine for the period required by

law and 330 were permitted to attend classes under daily observation.

In Table I are given the communicable disease cases reported in the

student body during the year.

Table I

COMMUNICABLE DISEASE CASES

REPORTED IN STUDENT BODY

Coryza

IO5U

German measles (rubella)

395

Scarlet fever

k2

Coryza (hospitalized)

33

Vincent's Angina

25

Measles

22

Mumps

10

Chickenpox

3

Diphtheria

2

Tuberculosis

2

Typhoid fever

l

Amebic dysentery

1

Encephalitis

l

Total

1591

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An epidemic of German measles during the year probably im- munized most of the susceptibles in the student body. Because this disease is very mild, causes the patient little inconvenience, and is many times not suspected until the eruption appears, it is im- possible to prevent exposures. For this reason, the state regula- tions for quarantine for German measles are quite elastic. They keep the student with the disease out of class for only three days and placo no restrictions on contacts.

Of the total number of U5 quarantines of students for scar- let fever, Uo were due to a student's having the disease and five to a member of the fanily of the keeper of the lodging house having it. In only two instances did secondary cases of scarlet fever develop in a house under quarantine. Both of these students had positive Dick tests.

Certificates were filed with the Health Service by 627 stu- dents immune to infectious diseases. Of this number, five had had smallpox, IS had been vaccinated against smallpox, and 252 had had scarlet fever; two had had typhoid fever, 32 had been inoculated against typhoid fever, and 318 had had Dick tests which were negative.

Of the 832 students exposed to scarlet fever during the year, 330 had negative tests and 3U3 positive. The latter were quaran- tined for a week and the former were permitted to attend class but were kept under daily observation. As the Dick test usually leads to

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- 12 ~ the student's release from quarantine within 24 hours, this repre- sents a saving of 1980 school days. In addition, 92 of those exposed had filed certificates of having had scarlet fever which saved them from a loss of a total of 644 school days.

Members of the faculty and Civil Service employees reported the following cases of communicable disease in their families during the year.

Table II

COMMUNICABLE DISEASE CASES

REPORTED IN MEMBERS OF FAMILIES OF THE

FACULTY AND CIVIL SERVICE EMPLOYEES

German measles (rubella) 1+7

Measles 15

Scarlet fever 7

Whooping cough 5

Chickenpox 2

Vincent's Angina 2

Typhoid fever 2

Tuberculosis 2

Encephalitis 1

Mumps 1

Total 84

The hospitals cared for 39^ students with communicable disease for a total of 1919 days or for an average of approximately 4.g4 days each. Of this total 3^2 were cases of German neasles occurring mainly during April and May at the time of an epidemic of the disease.

The incidence of venereal disease in the student body re- mains quite low. Of the students seen during the year, both as a re- sult of voluntary celling and of a "follow-up" on the basis of recorts, 31 were found to have gonorrhea end one was found to have syohilis. This is a rate of 2.59 VQr thousand for the former and of .O83 for the latter.

. 13 *>

In the diagnosis and control of communicable disease 2UH8 lab- oratory tests were made. Of these, the following were positive; Vin- cent's Angina, twenty-five; Widal tests, eight; gonorrhea, six; typhoid fever, three; diphtheria, two; syphilis, one; dysentery, one; and tuber- culosis, one. Seven of those who had positive Widal tests also had nega- tive examinations of feces and the eighth who failed to register was reported to the State Department of Health.

SUPERVISION OF F00DHA!g)LERS

Prospective employees who would handle food products, students employed as foodhandlers by the University, and those enrolled in courses in dairy manufacturing, lunch room management, and meat coixrses were ex- amined to determine whether or not they had communicable disease or wore disease carriers. Foodhandlers who had not been successfully vaccinated against smallpox within the last five years were re-vaccinated.

A careful history as to communicable disease, particularly typhoid fever and dysentery, was obtained in the case of each prospective foodhandler. If the employee or student gave a history of having disease wiiich might be transmitted through the handling of food or by eating and drinking utensils, appropriate bacteriological examinations were made. Widal tests were taken as a routine, and all foodhandlers were immunized against typhoid fever in accordance with University regulations.

During the year numerous cases of gastro- intestinal upsets in student patrons of four lunch rooms were reported. At the request of and in cooperation with the local and state departments of health, both the

- 14 - student and non-student foodhandlers of these places were examined to determine whether or not they were carriers of dysentery or typhoid fever. To this end, 35 students and 22 non-students were examined.

In cooperation with Director Bracken of the Student Employment Bureau, a large number of students was given foodhandlers' examinations prior to their being certified to jobs as waiters, cooks, or dishwashers. This procedure strengthens very materially the safeguards against pos- sible disease carriers becoming sources of epidemics.

The following table shows the number and distribution of the

foodhandlers examined who were in the employ of and taking courses in

the University. In this group of employees and students, there was an

increase of 6.25 per cent over last year, a part of which was due to

the opening of the University High School Cafeteria.

Distribution of Foodhandlers

Women's Residence Hall 56

Dairy Department , 97

Cafeteria, Woman's Building U6 Davenport House 12

Cafeteria, University High School 10

221

The presidents and commissaries of all organized houses and

the proprietors of all boarding clubs, lunch rooms, and refectories

catering to student trade have been urged to give their patrons the

sane scientific protection against disease carriers as that provided by

the University for patrons of its food distributing agencies. Many

houses and some eating places have responded to this advice and to this

extent have increasedthe safeguards of the health of the University

- 15 - population and of the citizens of the Twin Cities. Consequently, 1U7S Widal tests and 239 bacteriological examinations of the excreta were made on student waiters, dishwashers, and cooks.

The above cooperation was entirely voluntary and offered a considerable protection because not only were the carrier states de- termined, but the kitchen and dining room help were immunized against both typhoid fever and smallpox. This is an advantage to the student who has to support himself, to the community, and to the group which he serves. These tests should be applied to foodhandlers of all lunch rooms catering to student patronage. Unfortunately there are no or- dinances enforced in the two towns requiring a health standard for persons handling food.

HOSPITALIZATION

The McZinley Hospital cared for 2,350 students for a total of 8273 days, an average of 3*52 days per patient, which is in marked contrast to fourteen years ago when the average hospitalization was 7.25 days. The rising morbidity in the country at large is clearly reflected in an increase of 60.96 per cent in patients admitted and U9.76 per cent in hospital days. This fact is further emphasized by all the hospitals together serving 53*52 per cent more students this year than last.

Of the 10,365 students registered at Urbana during the first and second semester, 22.67 per cent or one out of every U.Ul enrolled, was hospitalized at the University Hospital. In 1920-21,

- 16 - only about one student in Uo was admitted to the hospital. Since all students who enter the hospital are attended by local physicians, this increased hospitalization and decreased average stay of the student have an important relationship to the successful practice of medicine in Champa ign-Urb ana, student health, loss of time from classes, and the need of hospital facilities.

While the average stay of a student in the hospital has been short and we have been able to get them into the hospital with consid- erable promptness, we nave been handicapped by the fact that many stu- dents who became ill were not members of the Hospital Association, had only small funds for medical care, and were therefore very reluctant to seek admission. Such a situation promotes the spread of communicable disease and the occurrence of epidemics because such sick students will not seek the advice of a physician until they become quite ill or their condition becomes so alarming that the doctor is called by their room- mates or landladies. In the meantime, many contacts have been made and infection has been spread.

The Burnham and Mercy Hospitals ad ait ted 203 students for a total of 103^ days, an average of 5*09 days per patient. It should be noted that students remain or. the average about a day and a half longer in other local hospitals than in the McKlnley Hospital. This is due to the fact that McKinley Hospital does not admit patients known to require surgery, more particularly major surgery. The McKinley Hospital cared

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- 17 -

for 92.05 per cent of all students hospitalized and the other hospitals only 7*95 per cent, but the latter had the benefit of 11.11 per cent of the student patronage in hospital days.

Students, faculty members, and employees joining the voluntary Mutual Hospital Association during the first semester numbered 4026 and the second semester, 3^57 which were respectively '41. 56 per cent and 41.79 Per cent of the student enrollment for each semester, 193^-1935° The usual rise in illnesses associated with winter and early spring increased admissions to the hospitals during the second semester over those of the first by 20.66 per cent, but memberships in the Hospital Association for the second semester decreased oy 4.19 per cent which approximated the 4.74 decrease in enrollment. Hospital memberships, particularly those of the second semester, must be increased if control of communicable disease among students is to be effective and if they are to receive the benefits of modern medicine when sick.

CHOICE OF ATTEITOI1TG- PHYSICIANS During tue year 2,553 students were admitted to the local hos- pitals. Of this number 499 v/ent from the Health Service Station to be created by local physicians of their own choice, and 205'4 were sent to the hospitals by the local doctors themselves. The 499 students who went to the hospitals from the Health, Service chose 51 different doc- tors to care for them. Except in two or three instances where the reason is obvious, the students who went to the hosoitals from the Health Service

- 18 - Station and those who were sent to the* "oy local physicians proportion- ately show little variation in their selection of a medical attendant. This shows conclusively students are exercising their inalienable right to select their own doctors.

CHAUFF3URS ' EXAMINATIONS AND CAP, PEEK ITS A total of 52 faculty members and employees who were to drive University automobiles was examined with special reference to their acuity of vision, color-blindness, hearing, reflex action, and their general health. Because of marked defects of vision, it was necessary to recommend that four prospective drivers have their eyes examined and that four be re-examined and required to wear glasses. The vision of all applicants was above the minimum recommended by the Committee on Physical Standards for Drivers of Motor Vehicles of the Section on Ophthalmology of the American Medical Association.

In all, 12 students requesting permits from the Committee on Student Affairs for the use of a -notor vehicle on the basis of physical disability were examined. Of these, five were found to have physical de- fects sufficiently handicapping to make the use of a car to attend classes desirable. Six were able to attend classes without a car and one was physically unable to drive. The reasons for recommendation of the grant- ing of permits, most of which v/ere terseorary and for the protection of the student, were as follows: knee injury, one; infantile paralysis, two; recuperation from temporary illness, one; recuperation from operation, one.

- 19 -

COOPERATION WITH THE DEPARTMENTS OF MILITARY AM) PHYSICAL EDUCATION

During the year, 271 uen were assigned to Individual Gymnastics for special physical training. Because of marked physical abnormalities or organic diseases, 13 students were classified as unable to take either Physical Education or Military. Their conditions were such as to make it too great a risk or discomfort to require any form of activity of them. Of these, two had diabetes, three were badly paralyzed, two had marked organic heart disease, one had amputated extremities, one had marked albuminuria, one had arrested tuberculosis, one had a draining fistula of the left thorax, one had recurrent pneumo- thorax, and one had ankylosis of the hip.

A total of 70 students was given tenporary excuses from Mili- tary, Physical Education, or both: 20 from Military and Physical Educa- tion, 26 from Military only, and 2U from Physical Education. They had undergone recent operations, were convalescent, or had lost so much time on account of illness that they were unable to complete satisfactor- ily the work for the semester.

In the course of the year, JO^ prescriptions were issued to students whose physical conditions made it desirable for them to change irom one course in Physical Education to another or to modify their pro- grams of exercise. 3y this procedure students who had sinusitis, infec- tions of the middle ear, or perforation of the drum were transferred from swimming, which would aggravate their conditions, to a form of exercise without an unusual hazard. By such transfers those who had ringworm of

«. 20 - the feet, boils, or who had -undergone operations were able to take exercise with a minimum of risk of injury and with maximum protection to their associates against infection.

A total of 112 students was permanently excused from Military because of their failure to meet the minimum requirements of the Medical Department of the Army; 28 students below the minimum physical require- ttents for commission but who desired to take Military were assigned to it. Their physical conditions were such that they could undergo training without undue risk.

At the request of the Military Department, the Health Service administered I+65 doses of vaccine to 155 stiidents to immunize them against typhoid fever. Those students who were unvaccinated against small- pox and those whose scars were more than five years old were vaccinated preparatory to their going to camps for members of the Reserve Officers Training Corps. Our laboratory made 3^0 urinalyses upon students who were being given special physical examinations oy members of the Medical Corps of the Army in connection with their registration for advanced Mill tary work.

SANITATION The Health Service has done its best to insure students sanitary living conditions by making inspections on the campus, in student lodging houses, boarding clubs, lunch rooms, and refectories. Complaints have been investigated to determine the cleanliness and healthfulness

- 21 -

of the environment in whicu students live. Daily reports have been re- ceived concerning the condition of the swimming pools and water supply. Insanitary conditions and fire hazards have "been reported to the Droper local authorities, and lack of tidiness and cleanliness has been called to the attention of landladies and "DroprietorSr

Lodging House Inspection During the past year inspections of student lodging houses were made as part of an F.E.R.A. project. Its results may be summarized as follows:

1. Tne revision of the map of the student district (the map was made to include tiie territory bounded on the north by Church Street, on the east by Race Street, on the south by Florida Avenue and Gregory Drive, and on the west by the Illinois Central Railroad) was completed and brought up to date. This involved a survey of the student district to determine the general improvements, changes in the buildings, location of wells, the number of outside toilets, sanitary conditions, and fire hazards.

2. An inspection was made of each lodging house and data were col- lected and recorded concerning eacn room, the house, and the premises. All serious defects which were noticed were called to tne attention of the proper local authorities. Repeated visits were made to check fire hazards and to note the progress of im- provements whicu were suggested by state and local authorities.

The data obtained on the conditions and capacities of the lodging houses revealed the following facts.

Table III STUDENT CAPACITY 0? LODGING HOUSES

Houses inspected

Number of houses lodging students

Total student capacity

Number of student occupants

Number of rooms inspected

Number of houses lodging men students

Number of houses lodging women students

Number of dormitories

Organized

Uno

rganized

102

2216

102

682

3858

U627

3163

3179

I67U

2U25

;s 67

539

mts 35

1*3

121*

- 22 -

Table IV SANITARY CONDITION OF LODGING HOUSES

Organized Houses Exc. Good Fair Poor

Unorganized Houses Exc . Good Fair Poor Yes No

Study Rooms

Cleanliness

22

60

20

120

UUg

107

7

Tidiness

22

6o

20

116

UUU

115

7

Lighting

6

579

97

Ventilation

7

57^

100

1

Basements**

Cleanliness

10

70

20

2

57

332

200

65

Tidiness

10

70

20

2

57

328

199

6U

Yards

Conditions

13

55

6

SU

U02

187

9

Bathrooms

Cleanliness

9

571

97

5

Tidiness

S

575

3k

5

Adequat eness***

669 13

Table V HEATING SYSTEMS OF LODGING HOUSES

Organized Unorganized

Steam

85

99

Hot 'Vater

13

93

Hot Air

i

U90

*0f 106 dormitories, 85 were located on the third floor, 19 on the second, and two on the first. Ninety-nine had fire escapes.

**The basements in t'ue unorganized houses do not include the base- ments of apartment buildings.

***0n the basis of one tub, one toilet, and one shower per eaci: eight students.

The general sanitation of the living quarters of students is good both in the organized and unorganized houses. Tidiness and cleanli- ness are qualities subject to sudden changes hat with few exceptions, lodging house keepers are endeavoring to maintain rooms which are a credit to themselves and will attract desirable roomers.

- 23 -

Lunch Rooms and Soft Drink Parlors The University is very much handicapped in dealing with the conditions under wnich the students live "because of the fact that it has no police power in the local municipalities. This situation, however, can he and has been improved from time to time by calling the attention of the local boards of health to insanitary conditions. Progress also has been made by education as to the danger of unpasteurized milk, the patronage of insanitary lunch rooms, and the failure to supervise food- handlers.

Efforts have been made throughout the year to encourage eating places and conf ectionarios about the campus to adopt satisfactory Standards of Sanitation. This would be of great assistance in the prevention r.nd control of communicable diseases, particularly respiratory infections among students and citizens of the community. The adoption of the follow- ing minimum requirements has been urged.

1. SANITATION

The lunch room, kitchen, equipment, and cooking, serving, and eating utensils shall be clean.

2. STERILIZATION

The lunch room shall have ample facilities to provide boiling water to insure tne sterilization of eating and drinking utensils after eacn separate use.

3. MILK

The milk sold shall be from healthy, tuberculin- tested cors, pro- duced under sanitary conditions, pasteurized, and served in bottles.

U. FOOD

The food used shall be fresh, sound, unadulterated, and orotected against contamination from dirt, insects, rats, and mice.

- 2U-

5. PERSONNEL

All foodhandlers shall be neatly attired and careful of their personal cleanliness, shall he medically examined to preclude the pos- sibility of their being carriers of disease, shall be immunized against smallpox and typhoid fever, and shall not be permitted to handle food when suffering from either respiratory or intestinal disease.

6. INSPECT I ON

Inspection shall be at freqiient intervals to insure that sani- tation, the health of personnel, the sterilization of eating and drink- ing utensils, and the wholesomeness of the milk and food arc maintained.

Swimming Pools

The swimming pools of the University have been maintained in a good sanitary condition throughout the year. "7ith the fine cooperation of the staff of the State Water Survey, the Sanitary Engineer of the University, and the Departments of Physical Education, the users of the pools have been required to observe the standard sanitary regulations for swimmers. Daily bacteriological tests have been made, and thn re- .liual chlorine of the water has been determined twice a day. The loads the pools have been controlled, and systematic efforts have been made to care for the pools in accordance with the standards of the Ameri- can Public Health Association and Conference of State Sanitary Engineers.

Colon bacilli were found during the year In three of the samples of water taken daily from the pools for examination. A total of 18 high counts of bacteria was noted. These occurrences, upon investigation, were found usually to be due to some temporary mechanical difficulty, life-saving practice in street clothes, over-loads, or other factors whicii were readily controlled by appropriate action.

- 25 -

Sanitary Improvements on the Campus Under your authorization and t.Ae hi ,..ly efficient direction of Messrs. friaries 5. Havens, John Doak, and Sanitary Engineer, H. L. White, the University has made great progress on the campus towards setting an example of sanitation commensurate with the ideals of its teaching. Dangerous cross-connections have been removed. Plumbing likely to back siphonage has been changed or controlled by appropriate valves. The mattress sterilizer has been placed in the McKinley Hos- pital, therby doing away with the inconvenience, danger, and expense of hauling contaminated articles to the Power Plant for sterilization. New wells have been sunk, which, in construction, are hygienically correct. The water supply has been improved and increased. Many drink- ing fountains have been changed to a type generally recognized as sani- tary and safe.

Tnese improvements are a great protection to the University population and to tae many callers who visit the caamus. They are even more valuable as continuous demonstration before the leaders of tocrorrow of what sanitary science has to contribute to public welfare. They are a challenge to students to seek such modern means for the prevention of disease and tue promotion of health in their o:vn communities.

COOPERATION WITH ATTENDING PHYSIC IANS The cooperation of local doctors and other physicians in the state in caring for the students has been most generous and helpful. A total of 386 letters has been received at the Health Service Station con-

~ 26 - cerning the physical conditions of students who are or have been for-rer patients of the doctors. In addition, family physicians have certified that 23 students were immune to smallpox, 252 have had scarlet fever, and 66U have been given the Dick test. This assistance is of great value in advising students because it provides additional information as to their medical histories.

LABORATORY SERVICE The following table shows the necessary laboratory service given students and employees during the year, a part of which was essen- tial in oiaking effective the regulation of the University concerning food* handlers.

Table VI LABORATORY TESTS

Widal tests lUyg

Bacteriological examination of excreta 239

Sputum examinations 103

Throat cultures 2S1

Agglutination tests for undulant fever 9

X-ray examinations 26

Blood examinations 23

Basal metabolism tests 27

Urinalyses 8556

Kahn tests 156

FIRST AID

A total of 103 first aid cabinets is being maintained in the various buildings on the campus. They are much used and are visited weekly or twice weekly, depending upon their location, to reioloce sup- plies as needed.

During the year a second survey (the first was fifteen years ago)

- 27 - was made of the methods in use for the first aid treatment of hums. To this end the opinions of the leading industrial physicians, elastic sur- geons, professors of surgery, and dermatologists of the state and nation were obtained as to the best procedures for laymen to follow in rendering first aid to those who are burned. With their views as a basis and through the fine cooperation of Professor Roger Adans and his associates, it lias been possible to standardize the giving of first aid to those who are burned in the cnemical laboratories. The new method employed removes the danger of poisoning where burns are extensive, gives prompt relief, does not interfere with more extensive treatment at the hospital, and is in accord with the consensus of opinion of the leading specialists in indus- trial medicine.

HEALTH EDUCATION A study of the health education of high school graduates was made under the supervision of Dr. John R. Cain as a part of F.E.R.A. Project No. C-l . The findings warrant the assertion that unless public school systems provide our leading citizens of tomorrow with more and better information with which to preserve their health, to protect their faiiilies, and to function as intelligent members of a complex society, many needless deaths will occur, much unnecessary suffering will have to be borne, and quackery will thrive. The data obtained indicate the gen- eral knowledge of health facts is such that the application of sanitary science and preventive medicine will be greatly retarded and in many in- stances, lost, regardless of the success of research, the generosity of

- 28 ~

philanthropy, or taxation for the com on good.

The statements of a total of 2,220 high school graduates were studied. Of these, 37 or l.Gj per cent returned questionnaires which were too incomplete to be of any val\ie. From Tables VII and VIII it is seen that 153 or only seven per cent of the remaining 2183 "'ho furnished the data requested had had hygiene in high school, and all of these ™ere taught by teachers who were giving instruction in other subjects.

Table VII SCIENCES TAKEN BY 2183 HIGH SCHOOL GRADUATES

Number

Percent

Hygiene

153

7.01

Biology

1196

5^.79

Physiology

U80

21.99

Cnemistry

1250

57.26

Physics

1336

61.20

General Science

126U

57.90

Table VIII FULL OR PART TIME INSTRUCTION IN SCIENCES IN HIGH SCHOOL

Full

Time

Part

Time

Number

Percent

Number

Percent

Hygiene

0

0

153

100.

.Biology

838

69. U9

36S

30.51

Physiology

230

U7.92

250

52. 08

Chemistry

808

6U.6U

kk2

35.36

Physics

883

66.09

'453

33.91

Gen'l Science

730

57- so

533

U2.20

A little more than half of the 2183 high school graduates had had biology, but of these, 368 or 30. 51 per cent had been taught by teachers also giving instruction in some other subject. The amount of

- 29 -

health education which high school pupils receive through "biology will vary with the instructor and the textbook used, but it is usually alto- gether inadequate for tae responsibilities they will have to assune in life.

Only U50 or 21.99 per cent of high school graduates had had physiology in high school and more than half of these were taught by teachers who gave instruction in one or more other subjects. Where a high school instructor teacnes several subjects, it is impossible to say in which one his primary interest lies. However, as a general rale he is better prepared to teach English, mathematics, or history than either hygiene or physiology. Because physiology is the science of organic func- tion, it is frequently taught with little or no emphasis upon personal hygiene, no consideration of sanitation, and no discussion of the control of communicable disease.

General Science is increasing in popularity as an elective sub- ject in high school. Of the 2183 registrants studied, 126U or 57*9 per cent took it in high school. This subject is a nixture of -ohysics, chemis- try, biology, physiology, and nutrition. As health education for high school pupils, the vast majority of whom will go no farther with their edu- cation after graduation, it offers samrtles of the health education they should have but is entirely insufficient to prepare them for the responsi- bilities they will have to assume in their homes and in their conmunities. Of the teacuing in general science, 1-i2.2 per cent was given by teachers giving instruction in other subjects.

- 30 -

Physics was taken in high school "by 133& or 6l.2 per cent and chemistry "by 1250 or 57.26 per cent. These subjects are often taught by the same instructor who gives his entire tine to them. In many high schools, students have to take a certain amount of science to meet the requirements for graduation, but chemistry, uhysics, or both are frequent- ly considered as satisfying this standard. It is possible, therefore, for cupils to graduate from high school without having had biology, hygiene, or physiology although neither chemistry nor physics provides them witn substantial knowledge of even the elements of personal and com- munity health.

An examination of Table IX reveals that of the 2183 high school graduates -studied not one of them had been taught hygiene by a teacher who gave his entire time to the subject. Of the 153 pupils who hed taken hygiene only lU received instruction in it in connection with biology or physiology. A total of 12U or 81. 05 per cent had been taught by teachers of physical education.

Table IX

SHARING- OF INSTRUCTION IN OTHER SUBJECTS

BY HIGH SCHOOL TEACHERS OF SCIENCE

Hygiene

Gen'l Science

Biology

Physiology

English

2

14

13

11

Physiology

7

17

Uo

Mathematics

k

•57

tt

19

Physics

2

52

2k

6

History

3

25

18

16

Biology

7

150

51

Physical Ed.

124

42

19

27

- 31 -

Table IX (cont'd)

The practice of drafting whoever might he willing to attempt to teach hygiene and sanitation 1. clearly shown by the fact that teachers of English, mathematics, posies, history, agriculture, physiography, and chemistry were given an opportunity to instruct high school students in preventive medicine. Special training in these subjects doos not provide a teacher with an adequate background to give instruction in personal and community health.

- 32 -

The greater part of the small group of high school graduates who have had some instruction in health education received it from their instructors in physical training as occasional talks on personal hygiene. Many of the athletic directors who are in charge of physical education have had elementary courses in anatomy, physiology, and hygiene. If they were permitted to give their undivided attention to health edu- cation, they should do as creditable wori: as the teachers of Dhysiology or biology. They, however, have other activities and are faced with the stern necessity of producing winning teans or hunting for another job with which to support their families. Under such circumstances, they are too busy to give hygiene the attention its importance demands.

PROFICIENCY TESTS

A total of 139 students passed the proficiency tests in hygiene

and received credit in it. Their distribution in the various colleges of

the University and geographically in the state is given in Tables X and

XI below.

Table X DISTRIBUTION BY COLLEGES OF THOSE PASSING THE PROFICIENCY EXAMINATIONS IN HYGIENE

College Number Passing

Liberal Arts and Sciences

69

Engineering

22

Agriculture

20

Commerce

IS

Fine and Applied Arts

5

Physical Education

3

Education

2

Total

139

- 33 -

Table XI

GEOGRAPHICAL DISTRIBUTION OF THOSE PASSING THE PROFICIENCY EXAMINATIONS IN HYGIENE

Illinois

County

Number Pas:

3 in£

County Numb

er Passing

Adams

1

Lee

1

Boone

k

Logan

2

Carroll

1

Macon

2

Cass

1

Macoupin

1

Cnampaign

Ik

Madison

3

Christian

3

Marion

2

Clark

2

McDonough

1

Cook

33

McHenry

1

DeKalb

2

McLean

2

Dewitt

1

Menard

1

Du Page

U

Monroe

1

Fayette

1

Pike

1

Franklin

1

Randolph

1

Fulton

1

Richland

3

Greene

1

St. Clair

l

Iroquois

1

Sang anon

3

Jefferson

1

Stephenson

l

Johnson

1

Vermilion

l

Kane

3

barren

1

Kankakee

2

Wayne

l

Kendal 1

1

Whiteside

l

Knox

1

Williamson

2

Lake

2

Winnebago

5

Lawrence

2

Out of

Woodford

Total - - - -

State

l

- - 123

Arkansas

1

New Jersey

1

Colorado

1

New York

3

Connecticut

2

Oklahoma

2

Indiana

2

Washington, D.C.

1

Minnesota

1

West Virginia

1

Nebraska

1

Total

- - 16

By offering students an opportunity to take a proficiency exan- ination in hygiene at the beginning of each semester, the University is obtaining three very important results:

- 3U-

1. a reduction in its teaching load,

2. the avoidance of requiring a student to take a subject of which he may already have a good working knowledge, and

3. the promotion of health education in the prinary and secondary schools of the state where it is very much needed.

INSTRUCTION IN HYGIENE

For the first semester elementary hygiene and sanitation was taught to I565 students of which 1172 were men and 393 women. This was an increase of 13*^1 Ver cent over the enrollment of the first scraster of last year. The registration for the second semester was 9U0 men and 375 women, a total of 1315* For this period, the increase was IS. 68 per cent over that of last year. In all, there were 20 sections for men during the first semester and 19 sections the socond while the women were taught in seven sections each semester.

The teaching load in elementary hygiene has increased with each rise in registration until the sections are too large for the best work in discuss ion- qui 2 instruction which is essential in a subject of this type. While the number passing the proficiency tests should increase- as time goes on, the above data on health education in the high schools of the state will hardly justify the assumption that the teaching load in hygiene in the University will be materially reduced by better teach- ing of the subject in the secondary schools in the near future.

The advanced course in hygiene for coaches, physical education majors, and teachers had a very marked increase in registration. The enrollment which last year was *+8 students was this year 1U9 or an in- crease of 210. k2 per cent. The absorption of this additional work in the presence of an increased registration in elementary hygiene has taxed the staff to the utmost.

- 35 -

STUDENT DEATHS I deeply regret to report that 13 students died during the year. Of these two were killed in automobile accidents during the Slim- mer "between the regular sessions of the University. The causes of death are as given in Table XII.

Table XII- Student Deaths, 193^-1935

Automobile accidents

It

Heart disease

2

Meningitis

2

Concussion of the brain

1

Burns

1

Amebic dysentery

1

Sarcoma

1

Appendicitis

1

Total - - - -

- 13

In Table XIII is a summary of the causes of death of students

while in attendance at the University from I92U to 1935-

Table XIII

SUMMARY OF STUDENT DEATHS AT

UNIVERSITY OF ILLINOIS

192

lU-1935

Male

Femal s

Total

♦Accidents

2U

5

29

Infections

It

1

5

Pneumonia

2

3

5

Suicide

3

2

5

Heart disease

2

2

k

Meningitis

It

U

Operations

2

1

3

Tuberculosis

2

1

3

Infantile paralysis

2

2

Appendicitis

2

2

Sarcoma

2

2

Ulcer of stomach

2

2

Anebic dysent<

sry

l

l

Unclassified

2

1

3

70

Total

IT

W

*0f this group, 19 were automobile accidents.

- 36-

It should be noted that 27. lU per cent of student mortality during the last ten years has been caused by automobile accidents and that such accidents are about four times that of any other cause of death. Students who die while at the University are of an age of 20.92 years. Automobiles, tnerefore, are not only accountable for one-fourth of the deaths but are killing promising young men and women at an age when the maximum expenditure for their training is being made, thus asking them practically a total economic and social loss.

EXTENSION WORK

At the request of the Director of the University Extension Ser- vice, a course called Hygiene x3 has been offered. At present it has a registration of four students. The quality of work so far presented by those taking it is very gratifying. If a greater enrollment should oc- cur, this course should prove a means for students to render themselves proficient in hygiene, and it should become an important factor in the education of the public in sanitary science and preventive medicine.

Thirty-three citizens of the state have requested information on various aspects of public health and approximately 350 bulletins and pamphlets have been sent to them. A great many of these went to students or teachers of classes on health education especially interested in im- proving their knowledge of personal and public health.

The members of the Medical Staff of the Health Service have filled 35 speaking engagements and have given 20 radio talks. The lat- ter were presented in conjunction with radio station W-I-L-L. Both

- 37 - dealt witn the historical development of oublic health and with various

■chases of preventive aedicine.

CHANGES AFFECT IU& THE HEALTH SERVICE

During- tne year, a number of conditions increased the demands upon the Health Service: (l) A rising morbidity rate throughout the country and a substantial increase in the occurrence of communicable diseases, (2) an increase of lU.72 per cent in new students, Us.?3 Per cent in examinations of Civil Service employees, and Ji&.JO Per cent in students participating in athletics, (3) an annual increase of 15*76 per cent in freshman uyjieno and 210.^2 per cent in advanced hygiene, (U) additional clerical and stenographic services in the ©reparation of complicated time summaries, such as were used under the F.E.E.A. , (5) an increasing tendency of the public to seek inmur.ization against smallpox and typnoid fever, (6) clinical and laboratory examinations of those engaged in aandling food products for the University, and an in- vestigation of epidemic enteritis in students in cooper? tion with the local and state Boards of Health, (7) special attention to the cental health of freshmen who always reauire greater consideration than upper- classmen, and (3) an increasing number of requests for health informa- tion, speaking engagements, and radio talks.

Under sucn circumstances the Health Service has load a most busy year and has had to pursue a policy of ri-.^id economy. While no

- 38 - service necessary to control disease among students has "been omitted, many foctors over which it has had no control have operated to increase demands upon its staff and budget so that it would have "been at a great disadvantage in rendering highly efficient service and in using every effective means to prevent the spreading of disease in the University population had not its personnel been willing to add materially to their regular work.

Respectfully submitted,

J.. Howard Beard, M. D. JHB/vef University Health Officer

NINETEENTH ANNUAL H3P0RT APPENDIX A

Table I

TYPES OF MEDICAL ATTENTION TO STUDENTS AND EMPLOYEES

Advice in case of illness First aid in injury and infection Sent to hospital Referred to specialists Urinalyses

Complete physical examinations of students and employees

1933-1931* 193^1935

3391

3920

3270

3188

371

681

1799

1909

823U

8556

383U

UU61

Table II

MONTHLY DISTRIBUTION OF VISITS

Student Civil Service

Total

Men

Women Men Women

July

770

5^0 205 2

1517

August

1086

U62 220 1

1769

September

6127

1U3I+ 105 15

7681

October

U7O8

I60U 56 22

6390

November

3905

1350 83 10

53U8

December

2511

965 50 6

3532

January

2951

865 59 U

3S79

February

3751

1329 78 16

517U

March

U588

1510 62 9

6169

April

3270

1225 75 lk

U58U

May

36IO

1088 69 7

W

June

529

513 75 *

1121

Total

37,806

12,885 1,137 HO Table III

5L93S

CLASSIFICATION OF INJURIES TO CIVIL SERVICE EMPLOYEES FOR FIVE YEARS

1930-1931 1931-1932 1932-1933 1933-193^ 193^-1935

Abrasions

17

Amputations

2

1

Accident, automobile (death)

1

Avulsion

1

Bites 1

1

2

1

Blisters

1

3

Broken bones

1

1

Braise

6

6

- 2 -

Table III (cont'd) 1930-1931 1951-1932 1932-1933 1933-193^ 195^-1935

Burns, acid 1

otner 5

Contusions h2

Dislocations

Excoriations

Finger nail torn loose

Flashed eye

Foreign body, eye 32

Fractures 3

Gas inhaled

Heat stroke 1

Hernia

Incisions

Infections 2

Inflammations

Injuries 2

Lacerations

Lacerations, incisions, abrasions, and puncture wound 68

Muscle soreness

Pain

Phlebitus

Poisoning

Poison ivy

Puncture wound

Rabies virus on skin

Rupture varicosity

Sliver and splinter U

Sprain and strain 19

Torn ligament

k 10

3^ l

l 3

l

12 g

k3

1

2 23

1

1

11

6 1

Hg

3

9

15

2

1

11

5

k

7

25

2

1U

1

3

12

1

5

l

7

51

2

1

1

1

9 10

n

5

l

2 2 2

3 g

33

5 1

U

Table IV LABORATORY EXAMINATIONS

Widal test for typhoid fever Feces for typhoid fever Feces urine for typhoid fever Sputum for tuberculosis Kahn test for syphilis Throat cultures, Diphtheria

Positive

Negat ive

Total

g

1U70

lkjE

0

128

12g

3

10g

111

l

102

103

l

155

I56

2

190

192

- 3 -

Table IV (cont'd)

Positive Negative Total

Smear, Vincent's Angina

Agglutination test for Undulant fever

Agglutination test for Tularemia

Pus for gonorrhea

Feces for Amebic Dysentery

Smear for tuberculosis

Malaria blood smear

G-onococcus Fixation Blood

Feces: no Endamoeba Histolytica

X-ray examinations

Blood examinations (ffhite Cells)

Basal Metabolism Test

Table V

25 0 0

6 1 0

0 0 0

6U

9 1 Ui 98 1 1

5 20

89 9 1

*7

99

l 1

5 20 26

23

27

CASES CASED FOR AT McKINLEY HOSPITAL

Communicable

No n- C ommun i c ab 1 e

Total

Cases

Days

Cases

Days

Cases

Days

July

0

0

0

0

0

0

August

0

0

0

0

0

0

September

1

1

113

305

uu

306

October

0

12*

2^0

680

2U0

692

ITov ember

0

0

258

sok

258

80U

December

5

25

189

563

19U

588

January

15

87

23U

&sk

2U9

971

February

77

269

2U9

828

326

1097

March

207

909

332

llUl

539

2050

April

81

U85

176

679

257

116U

May

10

10U

151

H35

161

539

June

0

27*

12

35

12

62

Total

396

1919

195U

635^

2350

8273

♦Resulting from cases of previous month.

Table VI

AVERAGE HOSPITAL STAY Percentage of Students Using Hospitals

Average Hospital Stay

Percent of Students

Year

1930-1931 1931-1932 1932-1933 1933-193^ 193^1935

Using Hospitals

3-87

17.8

h.oj

15.8

U.i

11.9

3*91

15.3

3.65

21. H

-• 4 -

Table VII

CASES CARED FOR AT McKINLEY HOSPITAL

Disease Disease

Chickenpox

Diphtheria

Influenza

Malaria

Measles

Mumps

Pneumonia

Rubella

Scarlet fever

Total

Cases Days

193-3-19-fr

Cases

6

56

10

0

0

2

4so

1681

250

0

0

k

l

17

4o

n

102

3

3

79

0

2

6

150

11

276

16

514 2217

'^75

Days

104 21

761

id!

30 0

293

igg4

I2jyi225

Cases Days

3

33

l

13

599

2050

0

0

24

124

7

72

0

0

3U2

1179

19

4qg

995

3969

Table fill

ELEMENTARY HYGIENE

Number of Students Number of Sections

Hygiene V

Men, First Semester

1172

20

Men, Second Semester

940

19

Hygiene II

Women, First Semester

393

7

Women, Second Semester

375

7

ADVANCED HYGIENE

Hygiene X

First Semester Second Semester

Men Women Total

31 4 35 101 13 114

- 5 - Table IX

FAMILY HISTORY OF INHERITABLE DISEASES

1937 Men _J?omen

Men

1938

Women

Total

i

i

No.

I

No.

%

No.

i

Apoplexy-

.83

•33

27

.89

28

2.13

55

1.27

Cancer

9.3s

12.86

272

9,oH

195

lU.«5

H67

10.88

Goiter

2.58

3.21

151

5.02

105

8.

256

5.92

Mental dis-

turbances

1.39

2.39

23

.76

17

1.29

Ho

•93

Diabetes

5.88

9-S9

130

U.32

12S

9.75

25s

5.97

Epilepsy

M

.58

17

.56

7

•53

2k

•55

Kidney dis-

ease

1.71

2.55

80

2.66

6s

5. 18

lUg

3.U2

Tuberculosis

8.03

10.06

176 Table X

5.85

128

9.75

30U

7.03

INJURIES

1937

-Men

•-

193C ..

IFomen

•To

Men

Women

tal

No.

$

* 1

To.

t

No.

i

Head

6.08

1.32

168

5.5s

32

2.UU

200

U.62

Chest

.79

1.07

12U

U.12

23

1-75

1U7

3.0U

Abdomen

.39

0

5

.17

3

.23

8

.18

Arm

1U.H7

7. 08

H51

1U.96

79

6.01

530

10.2

Leg

7.H7

5.28

262

8.71

hs

^.66

310

7.01

Others

5.25

2.72

S3

Table XI

2.7s

28

2.13

111

2.57

OPERATIONS

1937

193S

Men

Women

Men

W01

nen

Total

a,

Head Tonsils Adenoids Others

Chest

Abdomen

Circumcision

Others

U9.66 39. U8

3.7H .08

7-79 2U.77 2.9

5H.O8 26.05

1.89

0

8.57 3.13

No.

1572

llH8

138

12

275

762

9b

52.26

38.16

U.58

•39

9.1U

25.33 3.19

No.

80 5

%7>

0 159

21

*

6l . 30

26.35

3.19 0 12.11

No.

%

2377 55-01 1U9U 3U.^U

180 U.16 12 .27

U3U 10. oU

1.59 117 2.71

- 6 -

USE OF TEA, COFFEE, AND TOBACCO

1937

Men Women

$ >

3U.0U 2U.73

6J4S 12. OU

36.62 11.78

30.79 10.22

-Men

1938

Women

Total

Coffee

Tea

Tobacco

None of three

No. f0

1393 U6.3I

577 15.SU

1062 35.31

95S 31.85

No. %

717 5U.61 633 49.29 U50 3U.27 290 22.08

No. % 2110 U9.75 1210 28. 1512 3M9

12US 2S.35

Table XIII

SLEEPING KABITS

. 1^37 . . Men Women

cl a fi

. ., jfon

1938 . Women

••.Total

No. <jo

No. fo

No. f0

Under 6 hours 6 to 7 hours 8 to 9 hours 10 hours and over

5 .16

3U6 11.17

2U96 82.97

161 5.35

7 .53 175 13.32 10U0 79.97 92 7*

12 .27

521 12.05

3536 SI. S3

253 5. 85

Table XI7

STUDENTS GIVING HISTORIES OF TYPHOID FEVER

Class

of 1927

5.15

Class

of 1928

S.S6

Class

of 1929

U.os

Class

of 1930

3.72

Class

of 1931

2.79

Class

of 1932

2.63

Class

of 1933

3.02

Class

of 193U

2.09

Class

of 1935

2.0s

Class

of 1936

2.21

Class

of 1937

2.2S

Class

of 1938

2.57

Table XV RELATIVE OCCURRENCE OF CERTAIN DISEASES IN HISTORIES OF THE CLASS of 1938

Appendicitis Asthma

1937

Men Women

1 jT

8.7s 11. U6 1.75 I.65

Men

No.

272 HO

9.0H 103

193S Women

Total

*

No. % No.

181 13.79 U53 10. US

17 1.22 57 1.32

- 7 - Table XV (cont'd)

1937

Men Women

%

Chickenpox 54. 99 Chorea .16

Diabetes «32

Diphtheria 7-04 Diphtheria

immunization 5*^5 Discharging ear 3.1^ Dysentery .32

Epilepsy 0 Gonorrhea .19

Heart trouble I.63

Hay fever 5.09

Hernia 2.19 Infantile

paralysis .87

Influenza 24. 6l Kidney trouble .79

Malaria 1*95

Measles 70.58

German measles 9»82 Meningitis .24

Mumps 50.97 Nervous

breakdown 1 . 67 Pleurisy I.63 Pneumonia 11.1+9 Rheumat ism 2.22 Scarlet fever 14. 35 Sinusitis 3*3 Smallpox 4,02 Smallpox vac- cination 82.86 Syphilis 0 Trachoma .OH Tuberculosis .44 Typhoid fever 2.34 Typhoid in- oculation 17'65 Undulant fever .08 Whooping cough 43. 86 Others

$>

68.3

•33

0 8.

fc.7

5-77

.82 0 0

1.81 5.6

.16

•99

36.19 1.1+

1.98

S3. 68 23.58

.41

51.3

3.05 2.14

11.79 3.54

16.57 3.3 4.12

81.2 0 .08 .16

2.14

5.52

.08

61.25

Men

1938

Women

Total

No.

J

1684 55.98

2 .06

5 .17

223 7.41

406

125

11 1

7

79 li+g

86

32

970 37 91

231U

569

3

1735

13

1+2

307 75 523 132 181

13.16

4.15

.38

.03

.23

2.29

4.92

2.85

1.06

32.ll

1.23

3.02

76.93 18. 92

•09 57.68

.43

1.37

10.21

2.1+9

17.32

4.3S 6.02

2491 82.81

1 .03

1 .03 8 .27

97 3-22

588 19.55

2 .06 1573 52.29

* .13

No. %

9I+6 72.05

3 .23

3 .23

73 5.56

169 81

5 0 0

36

61

1+

10

371 3H

28

1151

321

1

750

24

29 119

34

235

49

38

1118

0

1

2

11+

12.88 6,13

.38 0 0

2.74 I+.65

•38

•77

28.33 2.58 2.13

88.5 2U.I+5

.08 56.36

1.84 2.21 9.14 2.59 17.91

3.73 2.91

85.92 0 .08

.15 1.07

No.

2630

5

8

296

575 206

16

l

7

115

209

90

42

13I+I

71

119

3465

890

1+

248 5 37

71

426

109 75s

181 219

3609

1

2

10

111

$

60.87 .12

.19

.6.85

13. 08

4.79 .38 .02 .16

2.66 '4.8'+ 2.08

•95

31.03

1.64

2.75 80.19 20.6

09 57.51

.86 1.64 9.86 2.52

17.54 4.19

5.07

83.52

.02

.04

.23

2-57

93 7.08

1+ .38

873 66.U9

0 0

681 15.7s

6 .13

2I+1+6 56.61

1+ .09

- 8 -

Table XVI

GENERAL DEVELOPMENT

1937

Men Women

i %

Men

193S

Women

Tot

3.1

No.

i

No.

4

No.

Excellent Good Fair Poor

1.87 86.

11.25

.48

10.3

76.3^

10.96

.08

25 2550

402

31 BUILD

.83

84.77 13.36

1.03

22

1145

l4l

5

1.68

87.20 10.74

.38

47

3695

543

36

1.09

85.51

12.57

.83

Stocky Medium Slender

16.5

62.86

20.36

9. 81 57.96 29.6

3b0 1825

775 Table XVII

11.97 60.67

25.76

117

7S5

4n

8.91 59.79 31.3

477 2610 1186

11.04 60. 4 27.45

COLOR OF EYES

1937

Men Women

$ 9>

Men

1938 Women

Total

No.

St

No.

$

No.

t

Blue

Grey

Greenish

Hazel

Brown

Dark

35.7 6.9

s.J

29.6

11.8

31.8 10.1 10.1

9.7 33-7

3.1

1209 102

207

362

1108

20

Ho. 19

3.39

6.88

12.03

36.SU

.66

462 114 156

134 422

25

35.19

8.68 11.88 10.21 32.14

1.9

I67I 216

363

496

1530 45

3S.67 4.77

s.u

11. Us

35.4i

1.0U

Table XVIII

COLOR OF HAIR

1937

Men Women

Men

1S3S

Women

Total

No.

s

4.0 »

$

No.

f>

Flaxen

Reddish

Light brown

Brown

Dark brown

Black

Grey

6.6

2.7 22.1 36.3 21.6 10.2

6.8

24.9

36.

20.1 5-2

202

653 1072

665

326

2

6.72

2.93

21.7

35.64

22.11

10. 8*4

.06

73 43

375

446

3^4

42

0

S.56

3.27 28.56

33.95

25.44

3.20 0

275

131

1028

1518

999

368

2

6.36

3.03

23.79

35.13

23.12

8. 51 .05

1937 Men Women

Cavities Absent

Need cleaning Diseased gums No cavities

none absent Teeth devital- ized

26.3 44.4 21.9

2.7 U3.6

1.9

8.5

25.1

7.5

2.8

67.8

2.5

-9 -

Table XIX TEETH

Men

No.

*

651 21.64

1079 35-87

824 27.39

9 .30

1063 35.3U

122 4.06

1938

Women

w

c.

92 7.01

302 23.

55 ^.19 27 2.06

9^7 72.12 11 .84

Total

No.

%

7^3 17.2

1381 31.96

879 20.11

36 .83

2010 U6.52

133 3.02

Enlarged

Irregular

Murmur

Aortic

Mitral

Systolic

Unclassified

Table XX ABNOEMALITIES OF THE HEART

1937

Men Women

0

•33

0 .08

.16 0

.87 1.7

.16 .08

.08 .6

Men

193s

Women

Total

ro.

i

No.

%

No. £

0 15

0 .5

0 6

0

0 0

21 .Us

1

8 28

.03

.27 .93

0 l4 ] 6

0

L.07 .46

1 .02 22 .51

3^ .79

Enlarged Evidence of toxicity

Table XXI

THYROID ENLARGEMENT

1937

Men Women

l.fe 12.92 ..12 .5

Men

No . $ 30 1. 6 .2

193S

Women

L0 .

jfi

20 1 . 52

6 .46

Total

No. 50 12

1.16 .28

- 10 -

Table XXII

CHEST AND LUNGS

1937

Mf>n Women

Chest, abnormal 2.U Lungs, abnormal ,2

%

6.9 o

Men

No.

52 21

1.73

.7

1932

Women

No.

67 3

5-1 .23

Total

No. 119

2U

2.75 .56

Epi trochlear Axillary Cervical Inguinal

Table XXIII

INCIDENCE OF ENLARGED LYMPH GLANDS

1937

Men Women

1.75 16.32 26.68

31-53

?

0 0

U.S6 .16

Men

No.

50

35^ UU7

928

1.66

11.77

1U.S6

32.25

1932 Women

$ No.

73 17

399 69

5.56

1.29

30.39

5-25

Total

No.

123 2.85

371 g-59

SU6 19.52

1057 2U.U6

Abdomen Rigid Relaxed

Hernia

Class of 1927 Class of 1922 Class of 1929 Class of 1930 Class of 1931 Class of 1932

Table XXIV CONDITION OF ABDOMINAL tfALLS

1937

Men

.32 1.75 1.19

omen Men

1932 Women

lo

Total

No.

<p No.

1o

No.

fb

1.32 2

1.2U 2 .9 35

.06

.27 1.16

6 3

0

.U6

.23

0

2 11

35

.19 .25 .21

Table XXV

HERNIA IN MEN

3.16

1.H0

1.51 1-35 1.26

l.Ul

Class of 1933 Class of 193^ Class of 1935 Class of 1936 Class of 1937 Class of 1938

1.7U 1.30 1.71 .71 1.19 1.16

- 11 -

Table XXVI

G-ENITO-URINARY ORGANS

1937 %

193S

No.

%

Testes Atrophied Enlarged Hydrocele Undescended Varicocele Circumcision

,2k .OU .08 .32 8.07 3^.63

20

1

5 13

186 1108

.66 .03 .17 A3

6.18 36. 8U

Table XXVII

CRYPTORCHIDISM

Class of Class of Class of Class of Class of Class of

1927 1928

1929 1930 1931 1932

.23

•77 •75 •71 .38 .60

Class of Class of Class of Class of Class of Class of

Table XXVIII URINALYSIS

1933 193^ 1935 1936 1937 193s

.32

.70 .US .28

%

1937 Men Women

Men

1938

Women

Total

No. $

No.

No.

i

Acid

Alkaline

Neutral

Sugar

Albumin

79 19

u

M .8

,m .52

.97

67. u 26.1

M

0

1.15

2732 90.88

276 9.1S

0 0

26 .86

138 U.59

876 29U

33

28 H7

66.

22,

2.

2.

3.

72

39 51 13

66

3608 570

33 185

S3. 5 13.19 .72 1.25

U.28

- 12 -

Table XXIX

GLYCOSURIA AND ALBUMINURIA OVER A PERIOD OF YEARS

Sugar Men Women

P P

Class of 1927 -OU .07

Class of 1928 .8U .Ul

Class of 1929 .12 .07

Class of 1930 .19 .60

Class of 1931 «5S 1.86

Class of 1932 .06 ,U8

Class of 1933 .09 -85

Class of 193^ .21 .79

Class of 1935 .22 1.29

Class of 1936 .52 1.19

Class of 1937 .52 0

Class of 1938 .86 2.13

Table XXX FOOT ABNORMALITIES

Albumin

Men

Women

p

i

7. 80

M

3.10

M

3.75

.U9

7.33

h.k

5.71

2.75

3.6

2.1

2,62

l.Uk

5.65

2.97

5.U0

U.2

6.7

2.87

U.97

1.15

U.59

3.66

1937 1938

Men Women Men Women Total

~^~ f> No. <f> No. $ No.

Long arches

1st degree 1U.3 32.9 H76 15.82 331 25. 21 807 18.68

2nd degree 7.1 12.3 210 6.98 103 7.8H 313 7.2U

3rd degree 2.U 2.72 71 2.36 21 1.6S 92 2.13

Anterior arches 22.2 3U. 571 18.93 269 20. U9 8U0 19.UH

Table XXXI FOOT ABNORMALITIES OVER A PERIOD OF YEARS

Long Arches

Anterior

Arches

1st Degree

2nd Degree

3rd Degree

Men Women

Men Women

Men Women Men

Women

CP p'

5 <2

p p

W % f

^—

P

Class

of

1930

16.1*9 33.63

1U.U1 1U.U7

U.g 5.27 2U.79

^5-3

Class

of

1931

15. 82 29.78

11.35 33.22

3.28 11. 20.25

23. 18

Class

of

1932

18. U 17.5

10.9 27.8

2.5 19. 8 27.1

27.5

Class

of

1933

9.99 17.3

7.7^ 17.17

1.33 5.9H 15.23

U2.17

- 13 -

Table

XXXI (cont'd)

1st Degree

Long Arches 2nd Degree

3rd Degree

Anterio

Men

r Arches

Men Women

Men

Women

i

Men Women I 2

Women

Class of Class of Class of Class of Class of

193H

1935 1936 1937 1938

19.5 11.68 15.9 19.2 18. 3 36. k 1U.3 32.9 15. 82 25.21

9.73

9.5

9.5

7.1

6.9s

9.3 8.7 10. 12.3 7.8U

2.03 1.51 1.08 1.6

.99 2.18 2.U 2.72 2.36 1.68

22.31

19.6 28.3 22.2 18.98

28. Ul

35.9 29.

20. U9

Table XXXII

SPINE

ABNORMALITIES

1937

Men Women

1 i

Men

1938

Women

Total

No.

i

No. #

No.

<

Kyphosis Lordosis Scoliosis

I.67 1.2U

5.^5 3-3 7.7 6.U3

60 2lU 1U6

1.99 7.11 u.85

3 .23 15 1.1U 21 1 . 68

63 229

167

1.U6

5-2

3.87

Table XXXIII

NOSE ABNORMAL H

IES

1937

Men Women

Men

1938 Women

Total

No.

i

No. fo

No.

?

Spur 3.7S 1.57 Deviated septum21.2 12. Atrophied .12 0 Hypertrophy 5. 09 2.97

190

U2U

3

13^

6.32

iu.09

.1

U.U5

9 .69 1U3 10.89

1 .08 200 I5.23

199

567

k

33U

U.61 13.12

.09 7.73

- lU-

Table XXXIV THROAT ABNORMALITIES

7

Tonsils

Absent ^5«3

Tags 5*52

Pathological 11.37

1937

Men Women

52.1

13.U

13.3

Men

No.

J

1570 52.19 195 6.U8

383 12.73

1938

Women

No.

751 186

152

57.19 lU.16 II.58

Total

No.

%

2321 53.71 381 8.82

535 12.3S

Table XXXV

PERCENTAGE OF STUDENTS WITH TONSILS REMOVED OVER A PERIOD OF YEARS

Class of 1928 Class of 1929 Class of 1930 Class of 1931 Class of 1932 Class of 1933

Men

20.3 28.78 30.76 35.77

37-3

U2.U8

Women

29.8 33.77

38. 3

42.42

37.2^

45.56

Class of 193^ Class of 1935 Class of 1936 Class of 1937 Class of 1938

Men

Women

U2.U1

U1.1

45.4

52.2

w.

50.1

45.3

52.1

52.19

57.19

Drum retracted Perforated Cerumen

Hearing abnor- mal

Table XXXVI

EARS

1937

Men Women

T *

2.U7 .91

.59 .25

13.08 16.8

.35 .66

Men

No.

44

13

4o4

1.U6 A3

13.^3

1938

Women

No.

19

7

186

I.U5

•53 1U.17

.13 17 1*37

Total

No,

63

20

590

21

1.46

'M

13.65

.*9

-i5-

Table XXXVII

EYES

1938

*SSfrt.K» M o 32 1-06 o o 32 ..*

"Siilti- 13-6U 56.H7 1705 5^ *S *'» 212U U9"15

Refraction Q1 g « 95 7.2H 286 6.62

B:S1 26.7 37-8 967 32-15 385 29.32 1352 31-29

Corrected with 7<gl 3g9 2S.i 6cfc 13.98

glasses 13-5 Jf'c "

NINETEENTH ANNUAL REPORT APPENDIX B

APPENDIX B Table I SUMMARY 0? MEDICAL HISTORIES Men Women

Total number examined

3008

1313

Total number re-examined

224l

1068

Inheritable diseases

Apoplexy (family history)

27

28

Cancer ( )

272

195

Goiter ( )

151

105

Mental disturbances (fam-

ily history)

23

17

Diabetes (family history)

130

128

Epilepsy ( " )

17

7

Kidney disease (family

history)

80

68

Tuberculosis (family

history)

176

128

Birthplace

Illinois

2130

985

Elsewhere

878

328

Work for self-support during

college

1664

2U0

Use laxatives frequently

117

118

Sleep

Under 6 hours

5

7

6-7 hours

3U6

175

8-9 hours

2U96

io4o

10 hours and over

161

92

Habits

Coffee

1393

717

Tea

577

633

Tobacco

1062

450

None of the three

95S

290

Age started smoking

Younger than 10 years

U

0

10-15 years

67

56

15-20 years

96U

373

20-25 years

71

17

Over 25 years

4

U

Meals per day

One

0

0

Two

51

62

Three

295^

1261

More than three

0

Class of 'J>8 Class of »2I To tal To tal

U32I 3309

55

U67 256

4o 258

24 148

30**

3115 1206

1904

235

12

521

3536

253

2110 1210 1512

1248

4

123

1337

8

0 113

42l4 4

3703 2570

25 392 104

64

268

19

7^ 324

1156

309

10 64

899

- 2 -

Table I Continued

Men Women

Weight the past year

Gained 108 5

Lost 328

Stationary 1595

Easily fatigued 126

Subject to frequent colds in

Nose 464

Throat 120

Lungs 17

When reading, bothered with

Headaches 147

Blurring of vision 110

Burning of eyes 141

Squinting of eyes 55

Watering of eyes 91

Twitching of eyes 62

Persistently worry 64

Have the "blues" 137

Injuries

Head l68

Chest 124

Abdomen 5

Arm U5I

Leg 262

Others 83

Operations Head

Tonsils 1572

Adenoids 1148

Others 138

Chest 12

Abdomen 275

Circumcision 7^2

Others 96

Arches of feet painful 100

Possible reasons for not taking

Physical education 113

Military science 151

Diseases had

Appendicitis 272

Asthma 4o

Chickenpox 1684

3UU

253 812

208

267

117

15

155 60 94 50 50 42 109 177

32

23

3

79 Us 28

805

346

42

0

159

21

58 107

181

17

9U6

Class of '28 Class of »2I Total Total

1429 581

2407 334

731

237

32

302

170

235 105 141

10U

173 31*

200

147 8

530 310 111

2377 IU9U

180 12

434 762

117

158

220 151

453

57 2630

169

33 10

450 252 165

1905

1309

117

2

300 623 111

348

63 2212

- 3 -

Table I Continued

Men Women

Class of »2§ Class of '^L Total Total

Diseases had (cont'd) Chorea Diabetes Diphtheria

Diphtheria immunization Discharging ear Dysentery- Epilepsy Gonorrhea Heart trouble Hay fever Hernia (rupture) Infantile paralysis Influenza Kidney trouble Malaria Measles German measles Meningitis Mumps

Nervous breakdown PI eur i sy Pneumonia Rheumatism Scarlet fever Sinusitis Smallpox

Smallpox vaccination Syphilis Trachoma Tuberculosis Typhoid fever Typhoid inoculation Undulant fever Whooping cough Others

5 223

U06

125

11

l

7

79

lUg

86 32 970 37 91 231U

569

3

1735

13 kz

307

75 523

132

181

2U91 l

1 8

97

58S 2

1573

k

3 3

73 169

81

5 0 0

36

61 k

10 371

3*

28

1151

321

1

750 2U

29

119

&

235

38

1118

0

1

2

Ik

93 h

873 0

5

8

296

575

206

16

1

7

115

209

90

U2

13Ul

71

119

3U65

890

u

2U85

37

71

U26

109

758 181 219

3609

1

2

10

111

681

6

2UU6

k

8

8 27U

19^

179

18

0

5

63 196

1059

37

73

2790

533

11

190U

79 67

UU2

99 562 122 151

3089 0 2

13

85

511

3 18U6

921

.

Color of Hair Flaxen Reddish Light brown Brown

Dark brown Black Gray Color of Eyes Blue Gray

Greenish Hazel Brown Dark Vision abnormal Without glasses

Both eyes

Right eye (O.D.)

Left eye (O.S.) Corrected with glasses Color vision abnormal Manifest astigmatism Ears

Both ears

Cerumen

Dmm retracted

Perforation

Hearing abnormal Right ear

Cerumen

Drum retracted

Perforation

Hearing abnormal Left ear

Cerumen

Drum retracted

Perforation

Hearing abnormal

- U -

Table II

PHYSICAL EXAMINATIONS

Men

Women

Class of '38 Class of '37

Total

Total

202

73

275

3U9

88

*3

131

122

653

375

1028

S57

1072

UU6

1518

13U8

665

t

999

787

326

368

320

2

0

2

0

1209

U62

1671

128U

102

llU

216

298

207

156

363

287

362

l&

U96

326

1108

h22

1530

IIU5

20

25

*5

333

967

385

1352

1131

191

95

286

299

232

91

323

28U

235

369

60U

SlU

32

0

32

11

1705

his

21 2k

1028

2U0

113

'%

309

3^

9

31

0

5

5

2

1

11

12

k

89

37

126

119

3

3

6

20

6

1

7

7

3

k

7

7

75

36

111

105

7

7

lU

22

7

l

8

8

0

2

2

6

Nose

Spur

Deviation

Chronic hypertrophy

Atrophy Tonsils

Removed

Tags

Pathological Teeth

Ho cavities or absent

Cavities

Absent

Need cleaning

Devitalized

Gums diseased Weight

Below 100 pounds

100-115

116-130

131-145

lH6-l6o

161-175

176-190

Over 190 Height

Below 50 inches

50-59 ' 60-62 63-65 66-6g

69-71

72 and over General development

Excellent

Good

Fair

Poor Build

Stocky

Medium

Slender

*See Army Chart at end of Appendix.

- 5 -

Table II Cont:

Lnued

Men

Women

190

9

U2U

*3

1*

200

3

1

1570

751

195

186

383

152

1063

9U7

651

92

1079

302

82U

55

122

11

9

27

*

104

kjk

U36

187

76

22

5

U

*

l

32

297

609

3^0

31

3

25

22

2550

IIU5

U02

1U1

31

5

360

117

1825

785

775

U11

Class of »jjg Class of »21 Total Total

199

567

33^

U

2321 381 535

2010

7^3

1381

879

133

36

^7

3695 5^

36

2610 1186

llU 680

16U

3

1795 302 UU7

1921

765

1U31

&k

78

101

172

30S9 U16

13 53U

22SU 871

- 6 -

Table II Continued

Men

Women

Class of '28 Total

Class of Total

Skin

Acne

909

337

12U6

1260

Mycosis

228

1U1

369

Other skin diseases

10

15

25

Vaccination scar

Arm

258U

797

3381

2831

Leg

1

293

29U

262

None

U23

223

6U6

587

Reflexes

Patellar

30

17

*7

Romberg

17

2

19

Pupillary

52

0

52

Thyroid

Enlarged

30

20

50

200

Evidence of toxicity

6

6

12

9

Lymph glands

Cervical

UU7

399

8U6

730

Axillary

35^

17

371

U12

Inguinal

988

69

1057

7ll

Epi trochlear

50

73

123

Chest, abnormal

52

67

119

165

Lungs, abnormal

21

3

2U

9

Heart

Irregular pulse

15

6

21

19

Enlarged

0

0

0

2

Murmur

Aortic

1

0

1

l

Mitral

8

Ik

22

U

Systolic

28

6

3*»

^3

Abdomen

Rigid

2

6

8

2k

Relaxed

8

3

11

59

Penis, circuacised

1108

871

Testes, atrophied

20

6

Enlarged

1

l

Undescended

13

8

Hydrocele

5

2

Varicocele

is6

203

Menses

Regular

1067

956

Irregular

2U5

209

Pain, severe

3UU

258

slight

286

373

- 7 -

Table

II Continued

Men

•Tornen

Class of '38 Total

Class of Total

Hernia, present

35

35

30

Hemorrhoids, present

16

3

19

Vertebral column

Kyphosis (stooped)

60

3

63

,15

Lordosis (swayback)

21 U

15

229

HO

Scoliosis (curvature)

lH6

21

167

78

Incorrect posture

2lU

70

28U

Restricted flexibility

5

9

lU

Flat feet

Long arches

1st degree

U76

331

807

759

2nd degree

210

103

313

328

3rd degree

71

21

92

93

Anterior arches

571

269

sUo

97b

Abnormalities of feet

39

U5

8U

Physical defects

Amputations

10

2

12

Atrophies

lU

2

16

Deformities

38

s

U6

Unusual scars

2S2

30

312

Others

70

2

72

Urine

Acid

2732

876

360 s

2815

Alkaline

276

29U

570

S13

Neutral

0

33

33

66

Albumin

13S

47

IS5

139

Sugar

ZG

28

5H

13

- g -

Table III

CLASSIFIED SUMMARY OF PHYSICAL EXAMINATION RESULTS

MEN Urban. Rural

WOMEN

Total number examined Total number re-examined Inheritable diseases

Apoplexy (fauily history) Cancer ( " " ) Goiter ( " J ) Mental disturbances (fam- ily history) Diabetes (family history) Epilopay ( " " ) Kidney disease (family history)

Tuberculosis (family history) Birthplace Illinois Elsewhere Work for self-support during

college Use laxatives frequently Sleep, under 6 hours 6-7 hours 8-9 hours 10 hours and over Habits Cofee Tea

Tobacco

None of the three Age started smoking Younger than 10 years 10-15 years 15-20 years 20-25 years Over 25 years Meals per day One Two Three More than three

1996 lUSl

13

171 109

16

96

9

665 507

12 78 33

H

23

5

U3 26 106 52

Out- St,

3^7 253

2

23

9

3 11

3

11 18

1565

555

10

S31

110

337

1039

UU5

ISO

60

Hi

16

5

0

0

226

68

52

16H5

566

285

120

31

10

9U5

277

171

386

106

85

7U6

199

117

5SS

290

80

k

0

0

*5

IS

H

710

159

95

38

17

16

1

1

2

0

0

0

31

11

9

1961

65H

338

k

0

0

Urban Rural Out-St,

90U

269

1U0

731

228

109

15

10

3

133

H3

19

6U

30

11

8

6

3

81

39

8

3

3

1

^5

16

7

80

32

16

72U

2U2

19

180

27

121

1U0

86

lU

66

37

15

5

1

1

122

22

31

718

219

103

59

27

6

Us6

129

102

UU6

101

86

301

Uo

109

182

86

22

0

0

0

LU

6

6

2U7

28

98

6

6

5

u

0

0

0

0

0

k2

10

10

862

269

130

0

0

0

- 9 -

Urban

MSN Rural

Out-St,

WOMEN Urban Rural Out-St,

Weight' the past year

Gained

739

237

109

Lost

212

82

3^

Stationary

IOU5

3^6

204

Easily fatigued

90

23

13

Subject to frequent colds

Nose

297

117

50

Throat

75

3**

11

Lungs

8

7

2

When reading, botnered with

Headaches

105

37

5

Blurring of vision

7$

26

10

Burning of eyes

87

33

21

Squinting of eyes

42

7

6

Watering of eyes

63

22

6

Twitching of eyes

^3

12

7

Persistently worry

^3

10

11

Have the "blues"

89

24

24

Injuries

Head

112

32

24

Chest

89

18

17

Abdomen

2

2

1

Arm

301

100

50

Leg

182

56

24

Others

38

39

6

Operations

Head

Tonsils

1093

298

181

Adenoids

792

218

138

Others

89

IS

31

Chest

8

3

1

Abdomen

179

62

3^

Circumcision

580

86

96

Others

70

14

12

Arcnes of feet painful

52

3*

14

Possible reasons for not taking

Physical education

76

24

13

Military science

IOU

33

14

Diseases had

Appendicitis

176

64

32

Asthma

24

8

8

Chickenpox

1064

447

173

Chorea

2

0

0

Diabetes

2

1

2

233

68

*3

181

42

30

490

155

67

1U7

$

27

179

57

31

75

3*

8

7

6

2

110

31

14

38

14

8

7>*

19

1

31

19

0

38

10

2

29

8

5

77

22

16

118

38

21

26

3

3

14

4

5

3

0

0

55

14

10

35

9

4

24

3

1

607

121

77

246

62

38

31

7

4

0

0

0

118

22

19

15

4

2

28

17

13

^>Z

24

15

131

31

19

13

4

0

631

218

97

3

0

0

3

0

0

- 10 -

MEN WOMEN

Urban Rural Out- St. Urban Rural Qut-St,

Diseases had (cont'd)

Diphtheria 170 31 22 57 11 5

Diphtheria immunization 238 108 60 102 55 12

Discharging ear 96 18 11 6l 12 8

Dysentery 9 11 5 0 0

Epilepsy 10 0 0 0 0

Gonorrhea 6 1 0 0 0 0

Heart trouble 57 l6 6 25 6 5

Hay fever 99 29 20 UU 10 7

Hernia (rupture) 53 21 12 3 0 1

Infantile paralysis 22 6 k 7 2 1

Influenaa 599 250 121 235 91 U5

Kidney trouble 20 l6 1 25 5 U

Malaria UU 33 lU 15 7 6

Measles 1502 556 256 778 252 121

German measles 336 178 55 197 87 37

Meningitis 12 0 0 0 1

Mumps IIU3 Ul6 I76 521 I5U 75

Nervous breakdown 10 1 2 l6 7 1

Pleurisy 22 l6 k 21 7 1

Pneumonia 195 77 35 SU 19 l6

Rheumatism 52 21 2 25 6 3

Scarlet fever 3U3 120 60 179 33 2^

Sinusitis 102 17 13 3U 5 10

Smallpox 118 23 Uo 28 8 2

Smallpox vaccination 1717 **91 283 793 203 122

Syphilis 10 0 0 0 0

Trachoma 0 0 1 10 0

Tuberculosis k k 0 2 0 0

Typhoid fever 53 25 19 833

Typhoid inoculation 37U 121 93 55 26 12

Undulant fever 0 2 0 3 0 1

Whooping cough 970 UUb 157 573 210 90

Others U 0 0 0 0 0

Color of hair

Flaxen I3U U2 2o 53 15 5

Reddish 50 25 13 29 9 5

Light brown U25 160 6Z 235 90 50

Brown 706 2bU 102 313 92 Ul

Dark brown U51 131 83 2U5 57 32

Black 228 U3 55 29 6 7

Gray 2 0 0 0 0 0

- 11 -

MEN Urban Rural Out- St,

WOMEN Urban Rural Out-St,

Color of eyes Blue Gray

Greenish Hazel Brown Dark Vision abnormal Without glasses

Both eyes

Right eye (O.D.)

Left eye (O.S.) Corrected with glasses Color vision abnormal Manifest astigmatism Ears

Both ears

Cerumen

Drum retracted

Perforation

Hearing abnormal Right ear

Cerumen

Drum retracted

Perforation

Hearing abnormal Left ear

Cerumen

Drum retracted

Perforation

Hearing abnormal Nose Spur

Deviation

Chronic hypertrophy Atrophy Tonsils Removed Tags Pathological

787 61

13^

238

760

16

63U

99 125

155

23

nil

29U 28

uu

81

217

1

190

69 80 ^2

3

377

12S

13

29

131 3

1U3 23 27

28

6

217

159 56 25

22 9 3

0 0 0

0 0 1

52

25

12

2

1

0

5

0

1

2

0

1

51

18

r 0

6

0

1

6

1

0

0

0

0

12U Ui 25

288 89 U7

9*+ 22 IS

0 12

32U 65

107 92

301

15

278

55 69

265 0

273

30

3

1

3

1106 282

ite 31

239 102

182 22 1+2

5 111 128

0

532 126 109

87 3^ 36 28 81 3

71 32 18 62 0 99

76 23

7 0

U 1

9 0

6

0

0 1

27 8

* 3

1 0

2 0

1

16 55

127 39 30

51 15 13 lU Uo 7

36 8

U

U2

0

^7

lU

2

0 2

1 0

0 0

1 0 0 0

3

16

17 0

92 21

13

- 12 -

Urban

MEN

Rural

Out-St.

Urban

tfOMEN

Rural

Out-St,

Teeth

No cavities or absent-

726

251

86

668

178

101

Cavities

M3

157

81

60

2k

8

Absent

708

233

138

216

k3

37

Need cleaning

506

20U

llU

kl

7

7

Devitalized

76

29

17

9

0

2

Gums diseased

6

2

1

17

9

1

ff eight

Below 100 pounds

85

8

11

100-115

331

103

Uo

116-130

295

92

U9

I3I-IU5

129

3*

2U

lU6-l6o

U7

19

10

161-175

11

7

k

176-190

3

1

1

191 and over

3

0

1

Height, below 50 incnes

*

l

0

0

50-59

25

5

2

60-62

215

52

30

63-65

U20

131

S8

66-68

225

73

42

69-71

15

8

8

72 and over

3

0

0

General development

Excellent

19

k

2

16

5

1

Good

1690

571

289

777

239

12Q

Fair

262

86

5^

109

22

10

Poor

25

k

2

2

3

0

Build

Stocky

2U1

75

uu

85

17

15

Medium

1259

U06

208

517

182

86

Slender

U96

18U

95

302

70

39

Skin

Acne

585

229

95

213

91

33

Mycosis

163

kl

2U

86

^3

12

Other skin diseases

7

1

2

15

0

0

Vaccination scar

Arm

1778

506

300

s6o

139

98

Leg

0

0

1

211

51

31

None

21s

159

1+6

133

79

11

Reflexes

Patellar

22

6

2

15

1

1

Romberg

lk

2

1

2

0

0

Pupillary

U2

k

6

0

0

0

- 13 -

MSN Rural

Out- St.

Urban

WOMEN

Urban

Rural

Out- St

21

5

8

1

1

0

9

6

8

0

3

0

305

2U0

662

2k

35 13

100 81

217 17

13

5

U2

33

109 9

5

3

279 12

P U2

3

66

3 10 21 21

0

5*

2 b

7 U

0

7 0

6

0

2

0

5

0

0 0

l

0

l

U

16

0

3 8

0

1

4

0 10

1

0

1

2

0

3

2

5

0 0

0

3

6 3

0 0

0 0

Thyroid

Enlarged

Evidence of toxicity Lymph glands

Cervical

Axillary

Inguinal

Epitrochlear Chest, abnormal Lungs, abnormal Heart

Irregular pulse

Enlarged

Murmur Aortic Mitral Systolic Abdomen

Rigid

Relaxed

Penis, circumcised 85I 137 120

Testes, atrophied 13 5 2

Enlarged 0 0 1

Undescended 8 3 2

Hydrocele U 0 1

Varicocele 117 50 19

Menses

Regular 735 222 110

Irregular 168 U7 30

Pain, severe 275 Ul 28

slight IU7 91 U8

Hernia, present 17 11 7 0 0 0

Hemorrhoids, present 11 3 2 12 0

Vertebral colunn

Kyphosis (stooped)

Lordosis (swayback)

Scoliosis (curvature)

Incorrect posture

Restricted flexibility Plat feet

Long arches 1st degree 2nd degree 3rd degree

Anterior arches

Abnormalities of feet

39

11

10

3

0

0

150

^9

15

11

3

1

zs

UU

1U

15

5

1

139

6'4

11

58

8

U

1

l

3

9

0

0

301

129

U6

226

79

26

139

U8

23

77

17

9

*3

18

10

lU

U

3

369

135

67

178

69

22

23

10

6

37

5

3

- 1U -

MM

WOMEN

Urban

Rural

Out-St.

Urban

Rural

Out- St

Physical defects

Amputations

6

2

2

2

0

0

Atrophies

13

1

0

1

1

0

Deformities

2k

11

3

5

2

1

Unusual scars

187

57

38

23

6

1

Others

52

13

5

2

0

0

Urine

Acid

ISlU

586

332

67U

99

103

Alkaline

182

79

15

212

51

31

Neutral

0

0

0

18

9

6

Albumin

S7

28

23

26

13

8

Sugar

17

k

5

18

7

3

~ 15 -

SUBNORMAL DEVELOPMENT OF MEN STUDENTS AS DETERMINED BY MINIMUM STANDARDS OE THE WAR DEPARTMENT

Underlie ight and Underweight

( under 64" and 120 lbs.) Underheight (under 64" ; 120 lbs. or over)

Urban Rural

20 5

21 5

Satisfactory

Out-S Grand Total

k 29

io 36

Underdev. Chest

Height Weight Chest at

Expiration Urban Rural Out-S Total Urban Rural Out-S Total

64 65 66

67 68

69

70 71 72

73

7^ 75 76

77 78

120 121 122 124 126 128 130

133 138

148 155 161 168 175

30

30

30i

3oi

30t

31

3li

3ii

324

32f

33^

3^

35i 35f

To tal s

30 62

170 216 262

299 232

172

116

76

29

11

2

1

0

I678

13 21

51

78

104

110

66

59

39

15

10

1

0

0

0

567

8

12

22

40

50

38

46

28

20

11

2

1

0

0

0

51

95 243

334

4i6

447

344

259

175

102 41

13

2 1 0

278 2523

0 0

3 1

3

6

5 10

5 1 0 0

1

0

0

35

0 0 0 0 0

3 1 0 2 0 1 0 0 0 0 7

0 0 0 0 0 0

1 1

2 0 1 0 0 0 0 5

1

3

9

7

11

9 1 2 0 1 0 0

^7

- 16 -

SUBH0BMA1 DEVELOPMENT OF MEN STUDENTS

AS DETERMINED BY MINIMUM STANDARDS OF THE WAR DEPARTMENT (cont'd)

Underdev. gcgst Height Weight Che s t at Underweight and Underweight

Expiration Urban Rural Out- § Total Urban Rural Out-S Total

64

120

30

11

5

3

19

0

1

0

1

65

121

30

16

6

6

28

8

0

1

9

66

122

30i

20

6

5

31

12

u

0

16

67

12U

3oi

22

lU

6

U2

9

3

1

13

6s

126

30f

23

11

5

39

8

6

0

lU

69

128

31

25

5

7

37

13

2

2

17

70

130

3ii

19

It

3

26

10

3

k

17

71

133

3if

9

2

3

1U

6

0

1

7

72

138

32i

4

2

0

6

9

u

1

lU

73

3*3

32f

5

0

0

5

l

0

1

2

7^

1U8

33i

1

0

0

1

6

2

1

9

75

155

3^

l

0

0

1

l

1

0

2

76

161

M

1

0

0

1

2

0

0

2

77

168

35i

0

0

0

0

0

0

0

0

78

175

351

0

0

0

0

0

0

0

0

Totals

157

55

38

250

85

26

12

123

- 17 -

SUBNORMAL DEVELOPMENT OF MEN STUDENTS AS DETERMINED 3Y MINIMUM STANDARDS OF THE WAR DEPARTMENT (cont'd)

Height

Weight

Chest at Expiration

Urban

GRAND I Rural

TOTALS Out-S

Total

6H

120

30

Ul

19

11

71

65

121

30

S6

27

19

132

66

122

3oi

205

61

27

293"

67

124

30!

24g

95

^7

390

6S

126

30^

296

121

55

472

69

128

31

3^3

120

^7

510

70

130

3li

266

7^

5&

394

71

133

31*

197

61

33

291

72

13S

32i

13H

U7

23

20U

73

i*3

32f

83

15

12

110

7H

l4g

331

36

13

4

53

75

155

n

13

2

1

16

76

161

3^

6

0

0

6

77

16s

35i

l

0

0

1

78

175

35*

0

0

0

0

Totals

1955

655

333

29U3

mmTWSTB ANNUAL REPORT APPENDIX C

APPENDIX C

CIVIL SERVICE EXAMINATIONS

Men Women

Total number examined

Married

Widower, widow

Single

Age

Under 20

20 - 29

30- - 39

1+0 - H9 50 and over Inheritable diseases Tuberculosis Cancer

Neurasthenia Epilepsy- Others Birthplace Illinois Elsewhere Injuries Head Chest Abdomen Arm Leg Others Operations Head

Tonsils Adenoids Others Chest Abdomen Circumcision Others Vaccinations Typhoid Smallpox Age of vaccination scar Less than 10 years 10 - 20 years More than 20 years

130

85

3 32

U

*3

31 33 19

13 6 2 0 1

103

27

7 l 1

25 9 0

25 10

5 0

15 5

5

31

110

3^ Ug

21

10 2 3 5

1

3 1

0 2 0 0 0

7 3

0 0 0 0 0 0

7 3 0 0 0

10

10

U

3 3

Total

1U0

87 6

37

7

H5 32 36 20

13 S 2 0 1

110

30

7 1 1

25 9 0

32

13

5

0

15 5 5

Ui 120

38

2U

- 2 -

Men

Women

Total

Sleep

Less than 6 hours

6-7 hours

8-9 hours

10 hours and over Habits

Tea

Coffee

Tobacco

Alcohol

Drugs

None of the above Diseases had

Measles

Rubella

Mumps

Chickenpox

Whooping cough

Scarlet fever

Typhoid fever

Diphtheria

Meningitis

Malaria

Smallpox

Pneumonia

Asthma

Pleurisy

Rheumatism

Tonsillitis

Chorea

Influenza

Otitis media

Gonorrhea

Syphilis

Chancroid

Constipation

Dysentery

Appendicitis

Neurasthenia

Poliomyelitis

Tuberculosis

Glasses

Others

0

0

0

18

0

18

109

10

119

3

0

3

20

7

27

100

7

107

10U

0

I0U

6

0

6

0

0

0

12

3

15

118

9

127

22

3

25

103

5

108

83

5

88

81

8

89

9

3

12

7

l

8

2

2

U

0

0

0

5

0

5

7

1

8

13

1

1U

l

0

1

2

1

3

9

1

10

6

0

6

l

0

l

*5

6"

51

0

2

2

6

0

6

1

0

l

0

0

0

2

1

3

1

0

l

15

3

18

0

0

0

0

0

0

0

0

0

33

6

39

0

0

0

- 3-

Total

Weight

Below 100 pounds 100-115 inclusive llc-130

131-1^5 lH6-l6o

161-175 176-190 191 and over Height

Below 50 inches

50-59 60-62

63-65

66-68

69-71

72 and over Color of eyes Blue Gray

Greenish Hazel Brown Dark Color of hair Flaxen Reddish Light brown Brown

Dark brown

Black

Gray Teeth

Ho cavities or absent

Cavities Absent

Need cleaning Devitalized Gums diseased General development Excellent Good Fair Poor

1

0

1

3

17

UU

0

3

k

u

21

U8

35

22

2

0

37

22

6

6

0

2

0

2

0

0

0

u

1

5

0

2

2

18

7

25

58 Hi

0 0

58 Ul

9

0

9

61

5

66

16

0

16

H

0

U

12

37

0

5

12 U2

0

0

0

10

0

10

0

0

0

26

3

29

57 22

2

u

59 26

9

1

10

6

6

0

11

2

13

Ul

3

UU

97

8

105

69

0

69

0

0

0

UO

k

uu

2

0

2

116

9

125

12

1

13

0

0

0

- U -

Men

Women

Nutrition

Thin

Average

Obese Build

Stocky

Medium

Slender Appearance

Healthy

Borderline

Unhealthy

Hervous

Alert Apathetic

Skin Dry Moist Acne

Other skin diseases Vaccination scar Arm Leg None Thyroid Enlarged

Evidence of toxicity Chest, abnormal Lungs, abnormal Lymph glands Cervical Axillary Inguinal Epi trochlear

Heart

Irregular pulse Enlarged Murmur Aortic Mitral Systolic Abdomen Rigid Relaxed

1 V **

2U

3

9S

5

g

2

27

3

76

5

27

2

127

10

3

0

0

0

1

0

129

0

0

0

3

7

128

2

20

3

11

0

99

7

0

0

31

3

2

0

0

0

1

0

1

0

12

7

11

0

29

0

3

1

2

0

0

0

0

0

0

1

1

0

0

0

7

2

Total

27

103

10

30 SI

29 137

3 0

1 129

0 10

130 23

11 106

0 3^

2 0

1 1

19 11 29

u

2

0

0

1 1

0

9

- 5 -

Men

'To-rnen

Total

Abnormal Liver Spleen Kidneys Knee jeric Hernia, present Hemorrhoids, present Penis, circumcised Testes, atropuied Enlarged Undescended Hydrocele Varicocele Vertebral column Kyphosis Lordosis Scoliosis Incorrect posture Restricted flexibility Flat feet Long arches 1st degree 2nd degree 3rd degree Anterior arches Nose Spur

Deviation

Chronic hypertrophy Atrophy Adenoids, present Tonsils Removed Tags

Pathological Ears

Right ear Cerumen

Drum retracted Perforation Hearing abnormal Left ear Cerumen

Drum retracted Perforation Hearing abnormal

0

0

0

0

0

0

0

0

0

3

0

3

8

0

8

8

0

8

9

9

2

2

0

0

0

0

3

3

10

10

9

0

9

16

0

16

11

0

11

22

0

22

0

0

0

21

3

2U

8

2

10

0

2

2

22

5

27

3

0

3

20

1

21

u

1

5

0

0

0

0

0

0

23

7

30

3

1

U

U

1

5

1

1

2

1

1

2

0

0

0

1

1

2

u

0

u

0

1

1

0

0

0

2

0

2

- 6 -

Men '.7omen Total

Ears (cont'd)

Bo til ears Cerumen

Drum retracted Perforation Hearing abnormal Eyes

Right eye

Abnormal lids Conjunctiva Abnormal muscles Abnormal pupils Fundus

Left eye

Abnormal lids Conjunctiva Abno rmal mus cl es Abnormal pupils Fundus

Bo tli eyes

Abnormal lids Conjunctiva Abnormal muscles 4bnomal iDupils Fundus Vision abnormal

Without glasses Both eyes Right eye (O.D.) Left eye (O.S.)

Corrected with glasses

Color vision abnormal

Manifest astigmatism Urine

Acid

Alkaline

Neutral

Albumin

Sugar

Grade

Excellent

Good

Fair

Poor Waiver require^ Re exami na t i o n

6

0

6

0

1

1

0

0

0

3

0

3

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

69

9

11

0 0 0

69 9

11

7

1

0

0

7

1

0

1

1

9U

lU

6

g

2 0

102 16

6

5 2

0 0

5

2

Classification

0 10U

0

10U

9

0

9 0

12

12

NINETEENTH ANNUAL BEPORT APPENDIX D

APMDIX D UNIVERSITY HIGH SCHOOL EXAMINATIONS

Men Worsen Total

Total number examined

39

Uo

79

Total number reexamined

21

36

57

Inheritable diseases

Apoplexy (family hie

itoi

7)

l

0

1

Cancer ( "

11

)

3

5

8

Goiter ( "

11

)

2

2

u

Mental disturbances

(fam-

ily history)

2

0

2

Diabetes (fanily his

stoi

■y)

1

3

u

Epilepsy ( "

11

)

0

0

0

Kidney disease (family

history)

0

k

U

Tuberculosis (faiiil}

' hi

.story)

0

U

U

Birthplace

Illinois

30

31

61

Elsewhere

9

9

18

Work for self-support

dui

•ing college

U

1

5

Use laxatives frequently

3

12

15

Sleep

Under 6 hours

0

0

0

6-7 hours

Q

0

0

8-9 hours

31

st

S

10 hours and over

8

16

Habits

Coffee

10

12

22

Tea

6

12

18

Tobacco

9

2

11

None of the three

23

20

*3

Age started smoking

Younger than 10 years

0

0

0

10 - 15 years

3

1

k

15-20 years

6

1

7

20 - 25 years

0

0

0

Over 25 years

0

0

0

Meals per day

One

0

0

0

Two

1

2

3

Three

38

3S

76

More than three

0

0

0

Weight the past year

Gained

29

22

51

Lost

2

8

10

Stationary

8

10

18

- 2 -

Men Women Total

Easily fatigued

k

S

12

Subject to frequent colds in

Nose

10

7

17

Throat

5

5

10

Lungs

2

2

u

iThAD reading, bothered with

Headaches

2

u

6

Blurring of vision

2

3

5

Burning of eyes

1

5

6

Squinting of eyes

1

2

3

Watering of eyes

2

0

2

Twitching of eyes

0

5

§

Persistently worry

2

2

Have the ""blues"

k

2

6

Injuries

Head

3

0

3

Chest

2

0

2

Abdomen

0

0

0

Arm

10

3

^

Leg

k

0

Others

0

2

2

Operations

Head

Tonsils

2k

17

Ui

Adenoids

18

12

30

Otners

1

0

l

Chest

0

0

0

Abdomen

2

3

I

Circumcision

U

Others

0

l

l

Arcnes of feet painful

2

2

k

Possible reasons for not talcing

physical education

2

1

3

Diseases had

Appendicitis

2

u

6

Asthma

1

1

2

Cx-aclcenpox

21

33

5U

Chorea

0

0

0

Diabetes

0

0

0

Diphtheria

1

2

3

Diphtheria immunization

9

7

16

Discharging ear

2

4

6

Dysentery

1

0

l

Epilepsy

0

0

0

- 3 -

Men

V7omen

Total

Diseases had (cont'd) Gonorrhea Heart trouble Hay fever Hernia (rupture) Infantile paralysis Influenza Kidney trouble Malaria Measles German measles Meningitis Mumps

Nervous breakdown Pleurisy Pneumonia Rheumatism Scarlet fever Sinusitis Smallpox

Smallpox vaccination Syphilis Trachoma Tuberculosis Typhoid fever Typhoid inoculation Undulant fever 'Vhooping cough

Color of hair

Flaxen

Reddish

Light brown

Brown

Dark brown

Black Color of eyes

Blue

Gray

Greenish

Hazel

Brown

Dark

0

0

0

2

1

3

5

2

7

0

0

6

0

0

0

5

U

9

l

3

u

3

1

u

31

35

66

10

13

23

0

0

0

19

27

U6

0

0

0

2

1

3

5

k

9

2

3

5

3

9

12

2

l

3

2

l

3

2g

26

5H

0

0

0

0

0

0

0

0

0

0

u

u

8

1

9

0

0

0

22

32

5^

k

k

8

2

2

U

13

13

26

13

13

26

5

6

11

2

2

U

18

12

30

1

7

8

2

3

5

2

h

6

15

11

26

1

3

U

.. U -

Men

Women

Total

Vision abnormal Without glasses

Both eyes

Right eye (O.D.)

Left eye (O.S.) Corrected with glasses Color vision abnormal Manifest astigmatism Ears

Both ears

Cerumen

Drum retracted

Perforation

Rearing abnormal Right ear

Cerumen

Drum retracted

Perforation

Hearing abnormal Left ear

Cerumen

Drum retracted

Perforation

Hearing abnormal Nose Spur

Deviation

Chronic hypertrophy Atrophy Tonsils Removed Tags

Patnological Teeth

No cavities or absent Cavities Absent

Need cleaning Devitalized Gums diseased Weight

Below 100 pounds

100 - 115

ll6 - 130

131 - 1^5

1U6 - 160

l6l - 175

176 - 190 and over

16

12

2g

2

2

u

2

1

3

3

11

lU

0

0

0

17

13

30

3

2

5

0

0

0

0

0

0

0

0

0

2

0

2

0

1

1

0

0

0

0

0

0

0

1

1

0

0

0

0

0

0

0

0

0

1

0

1

1

2

3

6

5

11

0

0

0

25

21

U6

4

7

11

7

7

Ik

20

31

51

6

2

g

12

8

20

5

2

7

0

0

0

1

0

1

*

16

16

5

5

11

11

5

5

l

l

0

0

2

2

♦See chart at end of appendix.

- 5 -

Men Women Total

Height

Below 50 inches

50 - 59

60 - 62

63 - 65

66 - 68

69 - 71

72 and over General development

Excellent

Good

Fair

Poor Build

Stocky

Medium

Slender Skin

A**.ne

Mycosis

Other skin diseases Vaccination scar

Arm

Leg

Hone Reflexes

Patellar

Romberg

Pupillary Thyroid

Enlarged

Evidence of toxicity Lymph glands

Cervical

Axillary

Inguinal

Epi trochlear Chest, abnormal Lungs, abnormal Heart

Irregular pulse

Enlarged

Murmur Aortic Mitral Systolic

♦See chart at end of appendix.

*

0

0

5

5

16

16

12

12

7

7

0

0

0

0

0

3

3

31

3?

63

8

k

12

0

1

1

1

It

5

27

23

50

15

13

28

9

9

18

2

3

5

1

0

1

26

17

^3

0

10

10

13

13

26

0

0

0

0

0

0

1

0

1

1

0

l

0

0

0

8

17

25

9

0

9

13

3

16

0

0

0

1

0

1

1

0

1

0

0

0

0

0

0

1

0

1

0

0

0

0

0

0

- 6 -

Mon

Women

Total

Abdomen

Rigid

Relaxed Penis, circumcised Testes, atropnied

Enlarged

Undescended

Hydrocele

Varicocele Menses

Regular

Irregular

Pain, severe

Pain, slight

Wot started yet Hernia, present Hemorrhoids, present Vertebral column

Kyphosis (stooped)

Lo rdos i s ( swayback)

Scoliosis (curvature)

Incorrect posture

Restricted flexibility Flat feet

Long arches 1st degree 2nd degree 3rd degree

Anterior arches

Abnormalities of feet Physical defects

Amputations

Atrophies

Deformities

Unusual scars

Others Urine

Acid

Alkaline

Neutral

Albumin

Sugar

0

0

0

0

0

0

9

9

0

0

0

0

0

0

0

0

1

1

2U

2U

5

5

1

1

k

u

11

11

0

0

0

0

0

0

0

0

0

6

0

6

k

0

U

6

0

6

0

0

0

2

9

11

u

8

12

0

1

1

2

5

7

0

0

0

1

0

1

0

0

0

1

0

1

3

0

3

l

0

l

3U

33

67

5

6

11

0

l

l

3

l

k

0

l

l

- 7 -

COMPARISON OF WEIGHT, HEIGHT, AMD CHEST MEASUREMENTS OF HIGH SCHOOL STUDENTS WITH MINIMUM ARMY STANDARDS

Underhcight and underweight

(under 64 ins. and 120 lbs.)

Underfreight (under 64 ins.

"but weight of 120 lbs. or over)

12

sight

Weight

Chest at Expiration

61+

120

30

65

121

30

66

122

301 30!

67

124

6g

126

30I

69

12S

31

70

130

3i|

71

133

72

138

32i

]l

1U3

32$

148

33|

75

155

76

161

34§

77

168

35!

7S

175

Satis- Underdev. Under- Underdev. Chest factory Chest woight and Underweight

3

0

0

0

0

0

1

2

1

0

2

1

3

1

3

0

l

0

1

0

4

1

0

1

1

0

0

0

0

0

0

0

0

0

0

0

1

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

ITIMETEEHTH AKMJil REPORT APPENDIX E

CASES SFC0U1TTEBED DURDT3- TBS YEAR

Abscess

Alveolar (gunboil) 13

Iscniorectal 1

Unclassified 12 33

p Acidosis

Acne 123

Adenitis

Cervical 2&

Unclassified 20 ^8

Adeno ids *

Adhesions 2

3©«

U

Chronic

Ceriiminosis

6

Albuminuria

Allergy

Amenorrhea 3*

Anaphylaxis

Anemia 3

Angina, Vincent's 2^

Anhidrosis *

Anorexia -1-

Appendicitis

Acut e »

Chronic

Unclassified _62 91

Arthritis

Asthma

Astigmatism *8

Autointoxication

Bites

Animal 13

Insect stings 15

Unclassified 1 29

Blepharitis *7

Bromidrosis

Bronchitis

Acut e ^"3

2

Unclassified 198 2^1

Bunion 9

Bursitis ^

Calculus Callosity Caries of tooth Catarrh

Cauliflower ear Cellulitis 5*+

11

1

6

262

Chalazoin 1

- 2 -

Chapped skin

Chickenpox

Chorea (St. Vitus')

Clavus (corn)

Colitis

Color blindness

Comedo

Concussion

Brain

2

Unclassified

1

Conjunctivitis

Acute

39

Chronic

2

Unclassified

HP

Constipation

Coryza

Cough

Cramp

Cyst

Sebaceous

27

Unclassified

100

Cystitis

Dandruff

Deafness

Dermatitis

Chemical

2

Medicamentosa

6

Occupational

2

Schambergi

1

Venenata

3

Unclassified

121

Deviation, nasal Septum

Diabetes

Diarrhea

Dysentery, amebic

1

bacillary

U

Dysmenorrhea

Ecchymosis

Ec z ema

Edema (oedema)

Enteritis

Epidermophytosis

Epididymitis

Epilepsy

Epistaxis (nosebleed)

Erythema

2

2

1

U9

5I

3

171

95

1087

22

2

127 5

u

12

135 9

1

6U

U

16

9 55

2

U

2

28

15

_ 3 -

Eustachian tube,- obstruction of 3

Eustachitis 2

Excoriation 21

Exostosis 5

Fainting (syncope) J

Fatigue 82 Fissure

Anus 2

Unclassified 18 20

Fistula 1

Flat foot (pes planus) 1+9

Flatulence 7

Folliculitis 13

Frostbite 5

Furunculosis (boil) 51U

Ganglion 1

Gastritis 58

Gastroenteritis i+g

Gingivitis 1+0

Glossitis 2

Halitosis 3

Hay fever 15

Headache (cephalalgia) 1+8

Heart trouble 2

Heat prostration 3

Hematoma 19

Hemorrhage 57 Hernia

Femoral 1

Inguinal 6

Unclassified g ]c Herpes

Liabilis 21

Simplex 20

Zoster (shingles) 26

Zoster Ophthalmos 1

Unclassified 12 80

Hiccough 1

Hordeolum 1q6

Hyperacidity 1

Hyperhidrosis c

Hypermetropia 3

Hyperopia 5

Hyper trophy 2

Hypothyroidism o,

Ichthyosis 2 Impetigo

Contagiosa 33

Unclassified 97 \jq

- U -

75

Indigestion ^

Inflammation gg

Influenza -zg

Ingrown nail -zg

Insomnia -^

Intestinal toxemia | Iritis Irritation

Skin 5 21

Unclassified _i° -

Jaundice ^

Keloid 2

Lagrippe g2

Laryngitis 2

Lipoma 21

Lumbago £

Malaise

1

Malaria ^

Mastitis ^

Mastoiditis ^^g

Measles -,-,

Menorrhagia

Metatarsalgia j^

Migraine ^

Miliaria q

Milium 2

Mucocele g

Mumps 1g

Myalgia -Q0 Mycosis

Mydriasis g

Myopia liq

Myositis g

Nausea u Nasal obstruction ITeisserian infection

Nephritis .- Nervousness Neuralgia

Fac e 5

Intercostal 2 ./- Unclassified _H

Neurasthenia j

Neuritis "q

Neurosis ,g

Nevus (mole) ^ Obesity

- 5 -

Orchitis 2

Osteomyelitis

Otalgia

Otitis

Externa

Interna

Media Overt reatment Overweight Painful arch Painful knee Palpitation Papilloma Paralysis, facial Paronychia Pediculosis

Corporis

Pubifc

Periostitis Pharyngitis Acute

Phimosis Pigmentation Pityriasis Pleurisy Pneumonia Poisoning Ivy

UU 67

1

33

U9

U

2

6

3 29

1 21

Unclassified 8 30

5

lHg

Chronic 3

Unclassified 927 1075

U

5

1

5

27 2

lU

Unclassified 10

Polyuria

Poor posture

Prostatitis

Pruritis

Psoriasis

Psychosis

Ptosis

Pustule

Pyelitis

Pyorrhea

Pyrosis

Pyuria

Quinsy

Regurgitation, mitral H

Rheumatism

1 1

5

5 2

1

lU

1

1 2 3 2

- 6 -

Rhinitis

Acute 52

Chronic lU

Unclassified 182 2Ug

Rubella 12U

Sarcoma 1

Scabies 3^

Scarlet fever 2

Sciatica 2

Scoliosis 5

Seborrhea 7

Septicemia 1

Sinusitis lUg

Stenosis, mitral 1

Stiff leg 1

Stiff neck 1 Stomatitis

Aphtnous 9^

Unclassified _28 122

Synovitis 9

Syphilis 1

Stomacnodynia U

Tachycardia g

Tenosynovitis 10

Testicle, "undescended 2

Tigroid, enlarged 2

Thyroiditis 2 Tinea

Circinata 19

Cruris 30

Veisicolar U

Unclassified _%2 IU5 Tonsillitis

Acut e Uo

Chronic 1

Unclassified _Q£ 136

Toothache U2

Torticollis 10

Tracheitis 33

Trachoma 1

Tuberculosis U

Tumor, unclassified 5

Ulcer 26

Urethritis l6

Urticaria (hives) 55

Vaccinia 15

Varicocele g

- 7 -

Varicose veins Verruca (wart) Vertigo Vesicle Vitiligo Weak ankle Whitlow Worms

U 629

7 6 2

3

5

l

INJURIES, WOUNDS, SPRAINS

Abrasion

Ankle

1

Arm

23

Back

7

Buttocks

1

Elbow

lU

Eyelid

1

Face

15

Finger

51

Foot

22

Gum

1

Hand

^3

Head

10

Heel

6

Knee

51

Leg

Uo

Nose

11

Penis

2

Shoulder

1

Skin

5

Thigh

5

Toe

22

Miscellaneous

28

Unclassified

12

Blister

Heel

57

Miscellaneous

97

Unclassified

13 v»/"\l^'^n

26

jsroKen. Bruise

Burn

Acid

6

Chemical

17

Sun burn

7

Miscellaneous

6

Unclassified

10

372

180 1

H7

U6

- 8 -

Burn (cont'd)

Arm

16

Back

3

Eye

2

Face

8

Finger

30

Foot

3

Hand

^3

Head

1

Leg

3

Mouth

l

Neck

2

Scalp

1

Miscellaneous

k

Unclassified

7

12U

Contusion

Arm

ll

Back

Bone

Rib

5

Tho rax

1

Unclassified 1

7

Brain

2

Buttocks

2

Chest

5

Ear

6

Eye

8

Face

k

Finger

72

Foot

2U

Forehead

1

Head

9

Hand

13

Heel

22

Jaw

2

Joint

Ankle

5

Elbow

5

Hip

3

Knee

12

Wrist

1

26

Leg

16

Lip

8

Neck

2

Nose

19

Scalp

2

Scrotum

2

170

- 9 -

Contusion (cont'd)

Shoulder 10

Thigh 2

Toe

Miscellaneous 31

Unclassified

Defective vision

Dislocation

18 356

61

Knee

1

Shoulder 2 .

Unclassified _1_

Foreign body

Ear 3

Eye 131

Finger 3^

Hand 3

Throat 2

Miscellaneous 13

Unclassified 5 195

Fracture

Compound 1 Unclassified 11 12 Bones

Ankle U

Arm 1

Foot 1

Metacarpal 7

Nasal Septum 2 : Rib 5

Miscellaneous 3

Unclassified 1_ 2H

Joints

Finger Incisions

lU lU 50

Eye

1

Finger 12

Foot 1

Hand **

Head 1

'found 11

Miscellaneous U

Unclassified h_ 3s

Infections

Abrasion 8

Anicl e 2

Arm 8

Blister 20

Cheek 1

- 10 -

Infections (cont'd)

Clavus (corn)

11

Comedo (blackhead)

1

Cyst

Elbow

Eyelid

3

Face

10

Finger

ioU

Foot

30

Gum

28

Hand

9

Heel

18

6

lU

2

Knee Leg

ITasal

Heck

2

6

Nose

Postnasal

l

Sinus

3

Skin

2

Throat

1

Toe

83

6

Tonsils

Tooth

9 6

Wart (verruca)

Wound

3

Wrist

l

Vaccination

3

Miscellaneous

33

Unclassified

10

Injured

iT

Ankle

8

U

Arm

Back

7

Eye

2

Finger

20

Foot

10

Hand

5

Knee

18

U

Leg

Nose

1

Shoulder

Toe

8 6

Wr i s t

Miscellaneous

20

TTnclassif ied

5

U62

122

- 11 -

Lacerations

Arm 4

Chin 1

Eye 6

Elbow 1

Pace 8

Finger 104

Foot 4

Hand 54

Head 3

Knee 3

Leg 8

Lips 4

Neck 1

Nose 2

Scalp 13

Toe 1

Wrist 1

Wound l6

Miscellaneous 5

Unclassified ^ 244

Sprain

Ankle 198

Arm 10

Back 28

Chest 2

Elbow 6

Finger 4o

Foot 46

Hand 9

Intercostal s 3

Knee 55

Leg 2

Neck 4

Shoulder 12

Thumb 21

Toe 11

Wrist 50

Miscellaneous 9

Unclassified 4 510

Strain

Abdomen 1

Ankle 22

Arm 2

Back 22

Eye I58

Foot 46

- 12 -

Strain (cont'd)

Knee

2U

Leg

5

Muscle

29

Neck

3

Sacro- iliac

10

Shoulder

10

Wrist

20

Miscellaneous

22

Grand Total

3188

RECAPITULATION

Coryza

Pharyngitis

Mycosis and Tinea

Verruca

Furunculosis

Albuminuria

Ceruminosis

Rhinitis

Bronchitis

Conjunctivitis

Sinusitis

Tonsillitis

Dermatitis

Impetigo

Cyst

Rubella

Acne

Stomatitis

Myositis

Measles

Hordeolum

Cons troat ion

Appendicitis

Influenza

Fatigue

Herpes

Indigestion

Otitis

Dysmenorrhea

Laryngitis

Callosity

Gastritis

1087

1075 8U5

629 5lU 308 262 2U8 2U7

171 lUs 136

135 130 127 12U

123 122

119

108 106

95 91 88 82

80

75 67 6U

62 58 58

- 13 -

Hemorrhage 57

Enteritis 55

Urticaria 5

Cellulitis 5

Colitis 52

Metatarsalgia 51

Clavus ^9

Flat foot U9

Painful arch *+9

Adenitis ^8

Headache M-8

Gastroenteritis *+6

Toothache H2

Bursitis Hi

Caries, dental - Ul

Gingivitis H-0

Ingrown nail J>8

Insomnia 3^

Nevus 36

Scabies 3^

Abscess 33

Menorrhagia 33

Overweight 33

Tracheitis 33

Amenorrhea 31

Neuritis 31

Pediculosis 30

Arthritis 29

Paronychia 29

Angina, Vincent's 28

Autointoxication 28

Epistaxis 28

Pleurisy 27

Diarrhea 26

Ulcer 26

Cough 22

Excoriation 21

Irritation 21

Lumbago 21

Asthma 20

Fissure 20

Hematoma 19

Astigmatism 18

Blepharitis 17

Nervousness 17

Eczema lb

Myalgia l6

Neuralgia l6

Urethritis 16

lU -

Erythema

Hay Fever

Hernia

Inflammation

Insect stings

Vaccinia

Bites, Animal

Poisoning

Fas tul e

Folliculitis

Deafness

Regurgitation, mitral

Tenosynovitis

Torticollis

15 15 15 15 15 15 lU lU lU 13

12

11 10 10

NINE CASES:

EIGHT CASES: SEVEN CASES;

SIX CASES:

FIVE CASES:

FOUR CASES:

THREE CASES:

TWO CASES:

Bunion, Deviation of nasal septum, Edema, Hyper- thyroidism, Miliun, Neurosis, Synovitis

Mumps, Myopia, Nausea, Tachycardia, Varicocele

Fainting, Flatulence, Neurasthenia, Rheumatism, Seborrhea, Vertigo

Cauliflower ear, Colorblindness, Osteomyelitis, Papilloma, Vesicle

Cystitis, Dysentery, Exostosis, Frostbite, Hyper- nidrosis, Hyperopia, Obesity, Orchitis, Periostitis, Phimosis, Pityriasis, Pruritis, Psoriasis, Scolio- sis, Tumor, Whitlow

Allergy, Anaphylaxis, Dandruff, Ecchymosis, Epididy- mitis, Malaise, Mastitis, Migraine, Miliaria, Nasal obstruction, Otalgia, Painful knee, Stomachodynia, Tuberculosis, Varicose veins.

Anemia, Comedo, Concussion, Diabetes, Obstruction of Eustachian tube, Halitosis, Heat prostration, Hyper- metropia, Intestinal toxemia, facial Paralysis, Pyuria, Weak Ankles

Acidosis, Adhesions, Bromidrosis , Chap, Chicken- pox, Cramp, Epidermophytosis, Epilepsy, Eustachitis, Glossitis, Heart trouble, Hypertrophy, Ichthyosis, Iritis, Lagrippe, Lipoma, Mucocele, Neisserian in- fection, Nephritis, Palpitation, Pneumonia, Polyuria, Psychosis, Pyrosis, Quinsy, Scarlet fever, Sciatica, Testicle undescended, Thyroid enlarged, Thyroiditis, Vitiligo

- 15 -

ONE CAS3: Adenoids, Anhidrosis, Anorexia, Calculus, Catarrh, Chalazoin, Chorea, Fistula, Ganglion, Hiccough, Hyperacidity, Jaundice, Keloid, Malaria, Mastoiditis, Mydriasis, Overt reatment, Pigmentation, Poor Posture, Prostatitis, Ptosis, Pyelitis, Pyorrhea, Sarcoma, Septicemia, Stenosis mitral, Stiff leg, Stiff neck, Syphilis, Trachoua, Worms

Ti.r nnnt-y or T!.J£

JAN 1 6 1936