Show Daily Health Service Serce D By DR MORRIS FISHBEIN Editor Journal of the American Med Mcd- teal leal Association and nd of or ea th the Health Magazine Typhoid fever is In j many ways an ion index to the te health of a community The Te control of typhoid depends depend on pure water pure milk mik pure food proper d disposal of oC sewage and the isolation of typhoid carriers carrier For 20 years the Journal Joural of the American Medical Medial Association has been publishing the typhoid fever mortality rates rales of ot our cities clUes of over population During this time the rates have fallen flen so s that today there is every indication that most large cities in this country countr have adequate adequate ade ade- quate control of or sanitation Five of or 14 1 large New England cities did not have a single death from typhoid ty ty- ty in 1931 1133 and Boston had only one death for ever every people The Te typhoid fever death rates for New Nev England states as a 8 whole were the lowest ever er e recorded except for forthe forthe forthe the year 1928 Reading Pa and Utica N. N Y die cud not have a single death deat from Irom typhoid fever in 1931 1931 This is the thc second time that Utica has had this record Buffalo Bur falo nb had less le than one death for every ever people New York had a al l slight ht Increase in deaths death from Irom typhoid fever feer in 1931 because of three small smal outbreaks which were traced to food handlers handler who were typhoid fever car car- cr The Te cities in the te cast east north central group led all al others in their low typhoid typhoid typhoid ty ty- ty- ty averages notwithstanding the fact that there were 31 deaths in Cleveland during durin the year ear Twenty of these were due duc to one outbreak in the state hospital for the insane Inane South Bend Ind md has had two con con- years without a death deth and it seems reasonable to believe beleve from the trend of figures during the last lat 10 years year that the great group of midwestern mid mid- western cities with nearly population ls I headed for lor a complete elimination of typhoid fever When it is considered that there would woud have been cases of the disease with deaths in Chicago Chiago alone if iC the rates of 1890 still sti prevailed prevailed pre pre- pre the world will wi have some idea of what a tremendous accomplishment accomplish meat ment this has been for lor science and for public health Alt All Al the rest of the country countr compares favorably with the cities cies that have been mentioned except that New Orleans Orleans Or Or- Or leans suffers with wih a high nonresident death rate There Tere were 05 65 deaths from typhoid in 1931 1031 in New Orleans but 48 of or these cases were brou brought ht into the city from surrounding terri tern terr tory In Texas Houston San Antonio and Fort For Worth had excellent rates and andare andare are arc superior in this field eld to Dallas Dalas and El Paso |