• TABLE OF CONTENTS
HIDE
 Front Cover
 Title Page
 Letter of transmittal
 Table of Contents
 Epidemiology
 Dental health
 Narcotics
 Vital statistics
 Tuberculosis
 Local health service
 Finance and accounting
 Maternal and child health
 Laboratories
 Sanitary engineering
 Venereal disease control
 Merit system council
 Public health nursing
 Malaria research
 Health education
 The library






Title: Annual report - State Board of Health, State of Florida
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 Material Information
Title: Annual report - State Board of Health, State of Florida
Series Title: Publication - Florida. State Board of Health
Physical Description: v. : ill., ports. ; 23-29 cm.
Language: English
Creator: Florida -- State Board of Health
Florida -- State Board of Health
Publisher: State Board of Health.
Place of Publication: Jacksonville Fla
Frequency: annual
regular
 Subjects
Subject: Public health -- Periodicals -- Florida   ( lcsh )
Genre: government publication (state, provincial, terriorial, dependent)   ( marcgt )
 Notes
Dates or Sequential Designation: Ceased in 1968.
Numbering Peculiarities: Report year for 1893/94 ends Mar. 31; for 189<7>-1968, Dec. 31.
Numbering Peculiarities: Reports for 1923-32 combined in one issue.
General Note: Reports for 1910-<17> issued as its Publication.
 Record Information
Bibliographic ID: AM00000243
Volume ID: VID00014
Source Institution: Florida A&M University (FAMU)
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Resource Identifier: oclc - 01569394
lccn - 07039608
 Related Items
Succeeded by: Annual report - Division of Health, Department of Health and Rehabilitative Services, State of Florida

Table of Contents
    Front Cover
        Front Cover
    Title Page
        Title Page
    Letter of transmittal
        Unnumbered ( 3 )
        Unnumbered ( 4 )
    Table of Contents
        Table of Contents
    Epidemiology
        Page 1
        Page 2
        Page 3
        Page 4
        Page 5
        Page 6
        Page 7
        Page 8
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        Page 79
        Page 80
        Page 81
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        Page 83
        Page 84
        Page 85
    Dental health
        Page 86
        Page 87
        Page 88
        Page 89
        Page 90
    Narcotics
        Page 91
        Page 92
    Vital statistics
        Page 93
        Page 94
    Tuberculosis
        Page 95
        Page 96
        Page 97
        Page 98
    Local health service
        Page 99
        Page 100
        Page 101
        Page 102
        Page 103
        Page 104
        Page 105
        Page 106
        Page 107
    Finance and accounting
        Page 108
        Page 109
        Page 110
        Page 111
        Page 112
    Maternal and child health
        Page 113
        Page 114
        Page 115
        Page 116
        Page 117
    Laboratories
        Page 118
        Page 119
        Page 120
        Page 121
        Page 122
        Page 123
        Page 124
        Page 125
        Page 126
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        Page 142
        Page 143
        Page 144
        Page 145
        Page 146
        Page 147
        Page 148
        Page 149
        Page 150
    Sanitary engineering
        Page 151
        Page 152
        Page 153
        Page 154
        Page 155
        Page 156
        Page 157
        Page 158
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        Page 174
        Page 175
        Page 176
        Page 177
        Page 178
        Page 179
        Page 180
    Venereal disease control
        Page 181
        Page 182
        Page 183
        Page 184
        Page 185
        Page 186
        Page 187
        Page 188
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        Page 201
        Page 202
        Page 203
        Page 204
        Page 205
        Page 206
        Page 207
        Page 208
    Merit system council
        Page 209
        Page 210
    Public health nursing
        Page 211
        Page 212
        Page 213
        Page 214
    Malaria research
        Page 215
        Page 216
        Page 217
        Page 218
        Page 219
        Page 220
    Health education
        Page 221
        Page 222
        Page 223
        Page 224
        Page 225
        Page 226
        Page 227
    The library
        Page 228
        Page 229
        Page 230
Full Text

I I


STATE OF FLORIDA




FORTY-FOURTH ANNUAL REPORT
of the


STATE


BOARD


OF HEALTH


FOR THE YEAR ENDING
DECEMBER 31, 1943




HENRY HANSON, M. D.
Florida State Health Officer


b14+

'"t FLORIDA
1945
0(j,


STATE BOARD OF HEALTH
Jacksonville, Florida
1945


1







STATE OF FLORIDA


FORTY-FOURTH ANNUAL REPORT
of the


STATE


BOARD


OF HEALTH


FOR THE YEAR ENDING
DECEMBER 31, 1943






HENRY HANSON, M. D.
Florida State Health Officer




FLORIDA STATE BOARD OF HEALTH
Jacksonville, Florida
1945





















His Excellency, SPESSARD L. HOLLAND,
Governor of Florida
Tallahassee, Florida


SIR:


I beg to hand you herewith a report of the Florida State Board of
Health for the period of January 1, 1943 to December 31, 1943, in-
clusive.
Respectfully submitted,


HERBERT L. BRYANS, MN. D.
President


Jacksonville, Florida
September 1, 1944





















The Honorable HERBERT L. BRYANS, M. D., President
Florida State Board of Health
Jacksonville, Florida


DEAR DR. BRYANS:


I herewith submit the forty-fourth annual report of the Florida
State Board of Health for the year ending December 31, 1943.

Respectfully submitted,


HENRY HANSON, M. D.
State Health Officer


Jacksonville, Florida
September 1, 1944















TABLE OF CONTENTS


Epidemiology ........----- ----- ----------

Dental Health ------.......--

Narcotics ----- --- -----

V Vital Statistics --- -------

Tuberculosis --------- ----

Local Health Service ----------------

Finance and Accounting -----

Maternal and Child Health ---

S Laboratories -------

S Sanitary Engineering ---- ---

Venereal Disease Control --

SMerit System Council ---

Public Health Nursing ----- -

Malaria Research _.__.. ---._. _.._...

Health Education ----

The Library ----------............... -


---- --------------------- ----... .. ... ...... .. 1

-.- --- ------ ---- -- 86

-......-.---------. --... ----.-...- 91

------- --- ----. 93

95
--.--_---... --------------..-.-...-.. .. ........ 95

---- ------ --- --- --- 99

-_---.. --- ----- --_-_108

--.-.-- -- ----_----- -- ---- 113

-118

------ ------------- 151

--------. ------- 181

209

- .211

.---.... ...........- ..................... 215

---.-.. -....- -..-.. .- ... ..-------- ............ 221

-.----.-..-.-.- .....- .........--- ......-..... 228









EPIDEMIOLOGY

E. F. HOFFMAN, M.D., Director

PERSONNEL
The activities of the Bureau of Epidemiology during 1943 were
under the direction of E. F. Hoffman, M. S. P. H. Though the Bureau
of Epidemiology budget provides for an assistant and a student epi-
demiologist, these could not be employed because of the scarcity of
available applicants caused by war conditions. Instead the director
employed one additional clerical assistant and approved the employ-
ment of an additional general public health nursing consultant with
funds originally budgeted for an assistant epidemiologist, to work
out of the Bureau of Public Health Nursing. It was agreed by the
two bureaus that, all State public health nursing consultants would
be made more available for epidemiological consultation to all the
counties and for epidemiological follow up in counties without any
public health personnel.
The responsibility of Epidemiological Activities for approved
county, health departments has been placed with the directors of
those counties, who.in cooperation with the U.S.P.H.S. were appointed
as Assistant Collaborating Epidemiologists to the State Health Officer
(Collaborating Epidemiologists) and to the Surgeon General.
Appointment of some one physician in each county without an
approved Health Department to act as assistant collaborating epidem-
iologist for the respective county until such a time as an approved
Health Department can be established was begun. These appoint-
ments are made upon the approval of the local medical group, the
county Board of Commissioners and the Board of Education.

OFFICE ACTIVITIES
Expanding activities of the department have increased the need
for additional clerical personnel. The present staff of two clerical
assistants is not sufficient to meet the demands on this Bureau.
The Senior Stenographer, under the direction of the director, is
assigned to taking dictation, opening, sorting, filing, writing and
mailing correspondence, typing manuscripts and reports, preparing
and mailing circular letters, memoranda and health cards, and pur-
chasing and dispensing insulin.







2 ANNUAL REPORT, 1943


The typist was assigned to the recording, tabulation and filing of
morbidity and carrier reports, the composition and maintenance of
morbidity graphs, charts and spot maps and the compilation of
weekly, monthly and annual epidemiological reports from the Bureau.

NEW RULES, REGULATIONS AND POLICIES
To provide the State Board of Health and the county Health De-
partments with more prompt and complete morbidity reporting,
facilitating earlier tabulation, investigation, study, segregation and
isolation or quarantine of persons having, or suspected df having, any
communicable, contagious, infectious or other reportable disease; to
facilitate the treatment, segregation, isolation and disinfection of all
animals or birds having, or suspected of having, diseases communi-
cable to man; to provide more prompt and complete reporting of re-
portable disease mortality; to facilitate cross checking to see that
each death was reported as having been a case of illness and to
facilitate making a comparison of morbidity and mortality incidence,
all county health departments, armed force stations, government
institutions, physicians or other persons were directed to send in
morbidity reports through the county health departments, or if
there is no county health department directly to this Bureau. Daily
and weekly Reportable Disease Morbidity and Mortality summary
sheets were requested from county health departments, armed force
stations and government institutions on the special forms EPI.,
No. 3 and No. 6.
All health departments were requested to keep a copy of each
individual and summary morbidity report on file in their respective
offices. Local morbidity files were to be set up for filing morbidity
reports alphabetically by diseases.
All morbidity reports were to be checked locally for accuracy,
completeness and authenticity before sending same in to this Bureau
as an official report.
All cases of illness were requested to be allocated to the Place
of Onset of the symptoms which prompted the first diagnosis of
the disease being reported.
Health Departments are now being requested to record all posi-
tive and negative follow up laboratory reports of dangerous com-
municable diseases received locally on the proper individual record
(age group record, Epidemiological case record, carrier record or
Health Examination Certificate). This will assist in obtaining com-
plete reporting because any positive laboratory report on a dan-
gerous disease demands a morbidity report and the necessary epi-







EPIDEMIOLOGY 3


demiological follow up. The policy of writing each physician in
whose name a positive laboratory report was made for which no
corresponding morbidity or carrier report has been received, is
being continued. In this way the laboratory findings in question
are verified by the clinical findings of the attending physician and
many unreported eases are being promptly reported on receipt of
the letter of reminder.
Many of the County Health Departments now have a mortality
file set up for filing the pink copies of the copies of the original
death certificates. These pink copies are now made available to
the counties through the local registrars appointed by the Bureau
of Vital Statistics of The State Board of Health. Unfortunately
the franking privilege is not available for sending these reports
to the county health departments. Each department is required
to furnish postage for mailing or must call for the death certificate
copies by messenger.
The health departments have been asked to check all death
certificates on deaths due to reportable diseases and see that a
corresponding morbidity report has been made.
Special carrier files are now being set up in each county health
department for recording a carrier record on all carriers reported
including all potential tuberculosis (far advanced tuberculosis cases
either waiting to be institutionalized or discharged as incurable)
and arrested cases of leprosy who are released from the Lepro-
sarium at Carville and must be kept under surveillance. Quarterly
reports are required on all carriers. Duplicate reports on all car-
riers are to be sent to the State Board of Health to be kept in the
master file of carriers in this Bureau.
No new rules or regulations were added to Chapter XXXIV of
the Florida State Sanitary Code during 1943.

REPORTING BY ARMED FORCE STATIONS
Early in the year the commanding medical officers of approxi-
mately 150 army, navy, coast guard or marine stations were con-
tacted by letter or personal visit by a local health department or
State Board of Health representative and were asked to send in
individual, daily and weekly summary sheets of all reportable
diseases occurring at each air field, base or station. Due to the
large turn over of commanding medical officers it was impossible
to obtain a consistent uniform and complete reporting from all the
stations. However the commanding medical officers, whenever con-
tacted were most cooperative and have done everything possible








4 ANNUAL REPORT. 1943


to cooperate with the State Board of Health in supplying the re-
quired reports. Although there is still considerable ironing out to
do in our system of reporting from the armed force stations it is
felt that the effort was justified and that the completeness of re-
porting will improve in the ensuing year.

TABULATION AND ANALYSIS OF STATISTICAL DATA
The morbidity reports are now being channeled through all the
County Health Departments in the State. Most of the departments
now have morbidity files containing duplicate copies of all morbidity
reports for their respective areas, including armed force stations mor-
bidity reports. With but one or two exceptions the county health
departments are now 'sending in daily morbidity report summaries
and weekly cumulative morbidity report summaries. This has
greatly facilitated the cross checking of reports and has aided this
department with its limited personnel to get our weekly reports
more accurately and promptly. All local health departments have
been requested and are now checking all morbidity reports for
duplication, completeness of data and authenticity. Each card is
allocated to the Place of Onset of the symptoms upon which the
first diagnosis of the illness was made. The Bureau of Epidemiology
double checks all cards for duplication, completeness of data, and
allocation before including them in our official report to the Surgeon
General's office.
The corrected morbidity reports are compiled as a weekly re-
port for the State of Florida and by counties. These reports, which
also contains figures for the corresponding weekly report of last year
and the five year mean for the corresponding weeks of the past five
years also contains a cumulative summary of all morbidity reports
received for the current year to date.
All morbidity report duplicates are now being returned to the
counties for correction of their respective reports. The added
amount of data now included in the corrected weekly reports from
this Bureau should facilitate local morbidity studies and control.
Comparisons can now be made with the current morbidity inci-
dence in adjoining counties. Comparisons of current State totals
with the reports of previous years are also being made.
In addition to newer statistical tables the statistical summary
tables begun and published in last year's report are being brought
up to date for the use of physicians, health departments, students
and others interested. Many of these tables are included in this
report.








EPIDEMIOLOGY 5


GRAPHS AND SPOT MAPS
Line graphs showing the weekly rise and fall of morbidity inci-
dence for the year 1943 are included in this report under the sum-
mary statement on morbidity incidence of each dangerous com-
municable disease. Spot maps showing the current incidence of cer-
tain dangerous communicable disease have been maintained through-
out the year in this Bureau and the maps showing the total inci-
dence of each of these diseases is also included in this report.
County health units are being stimulated to maintain and pre-
sent statistical data collected locally by graphs and spot maps.
Very few of our counties have made use of these methods in con-
nection with local incidence of morbidity.
HEALTH EDUCATION
During the year 50,000 copies of the wall chart containing "Vital
Information Concerning the Prevention of Communicable Diseases"
were distributed to physicians, health departments, schools, col-
leges' and other interested persons in and outside the State of
Florida.
A manual, "Information Concerning Epidemiological Principles,
Materials and Methods" designed to serve as a teaching manual
and guide for county health departments was developed and dis-
tributed to all the county health departments. The same manual,
which contains a general outline of epidemiological methods, pro-
cedures and recommended forms for use in the county and state
reportable disease control activities, was also used as reference
material in the assignments of the General Extension Course in
Public Health, Epidemiology I, being given jointly by the Univer-
sity of Florida in cooperation with the State Board of Health.
Another publication "Information Concerning the Use of Biologi-
cals and Other Treatment in the Prevention and Control of Com-
municable Diseases" especially prepared for the family physician
was prepared and published. Over 600 copies of this booklet have
been sent out.
During the course of the year newspaper articles were written
on various communicable disease subjects and several articles were
written for "Health Notes" on Epidemiology; "Immunization for
Protection"; "Recommended Emergency Immunization"; "Hook-
worm Treatment Program"; "Health Certification of Food
Handlers."
Two articles entitled "The Selection of Pupils for Public Health
Examinations" and "The School Health Service" were written in








6 ANNUAL REPORT, 1943


cooperation with the Bureau of Health Education as contributions
to Bulletin No. 4, "Florida's School Health Program", published
jointly by the State Department of Education and the State Board
of Health.
During the year the Bureau of Epidemiology has also contrib-
uted toward the war-time training of sanitation personnel by writing
a course titled Public Health, Epidemiology I, which is being con-
ducted by the University of Florida, General Extension Division, in
cooperation with the Florida State Board of Health.
This course consists of an epidemiological study of all reportable
diseases common in Florida. It is primarily a reading course which
serves as an introduction to other courses offered in Public Health.
The course outline follows:
There were 26 enrollments in this course during 1943. Nineteen
of these have turned in assignments. Twelve of these have com-
pleted over half of the assignments and eight have about completed
the course and the other 7 have failed to forward assignments for
one reason or another.

UNIVERSITY OF FLORIDA
GENERAL EXTENSION DIVISION
Gainesville, Florida


PUBLIC HEALTH


Assignment

Assignment



Assignment
Assignment
Assignment
Assignmer
Assignment


Assignmer

Assignmen


EPIDEMIOLOGY I


OUTLINE OF COURSE-PRELIMINARY STATEMENT
Part I
it 1 Epidemiological Principles, Materials and Methods.
Part II
it 2 Infection, Immunity and Prevention.
Part III
Diseases of the Gastro-Intestinal Tract, Spread Largely
Through Alvine Discharges.
it 3 Typhoid Fever.
it 4 Undulant and Paratyphoid Fever.
it 5 Food Poisoning Group; (Salomonella infections, Botulism,
Bacillary Dysentery).
it 6 The Dysentery Group; (Cholera, Bacillary, Amebic and Balan-
tidial Dysentery).
it 7 The Parasitic Group; (Hookworm, Amebic and Balantidial
Dysentery, Trichinosis and other Parasitic Infections).
Part IV
Diseases of The Respiratory Tract, Spread Largely Through
Discharges of the Mouth and Nose-
I. Respiratory Diseases Caused by Bacteria
it 8 Bacilli Group-Diphtheria, Vincents Infection, Leprosy, Pul-
monci Plague, Tuberculosis and Whooping
Cough.
it 9 Cocci Group-Streptococcic Infections, Pneumococci Pneumonia
and Meningitis.
II. Respiratory Diseases Caused by Vires.









EPIDEMIOLOGY 7


Assignment 10

Assignment 11

Assignment 12





Assignment 13



Assignment 14







Assignment 15




Assignment 16


Upper Respiratory Group-Common Cold, Influenza, Pscitta-
cosis and Mumps.
Skin Group-Smallpox, Chickenpox, German Measles and
Measles.
Cerebrospinal Group-Encephalitis, Lymphocytie Choriomen-
ingitis, Acute Anterior Meningitis.
Part V
Diseases in which Infection is Introduced Largely Through the
Mucous Membrane of Skin by Contact; Trauma or the Biting
Insect.
1. Diseases spread through Mucous Membrane by Contact:
Syphilis, Gonorrhea, Ophthalmia Neonatorum, Infectious
Jaundice, Chancroid, Granuloma Inguinale, Lymphopathia
Venerea, Weils Disease, etc.
2. Diseases Spread through the Mucous Membrane or Skin
Through Mechanical Trauma, Animal Bites and Infections
or Infestations:
a. Mechanical Trauma: (Impetigo Contagiosa, Tetanus,
Tularemia).
b. Animal Bites: (Rabies, Rat Bite Fever).
c. Infections or Infestations: (Scabies, Pediculosis, Bed
Bugs, Roaches, Infectious Jaundice (Weils Disease),
Hookworm.
3. Diseases Spread Through Mucous Membrane or Skin by
Insect Bite or Insect-like Organisms:
a. Mosquitoes: (Malaria, Yellow Fever, Dengue, Filariasis).
b. Flies: (Tryhanosome Diseases, Pappataci Fever, Lesh-
maniasis).
c. Fleas, Lice, Ticks:
Lice: Epidemic Typhus ..1.


Fleas:
(Fleas of rats or Plague
other rodents) Endemic 9
Ticks: Rocky MoL
Spotted Fe
Relapsing
Texas Fev

Assignment 17 4. General Principles- Insecticides.


Assignment 18
Assignment 19
Assignment 20
Assignment 21
Assignment 22

Assignment 23

Assignment 24


typhus .2 Rickettsial
ntain Diseases
intain
ver .......---- 3
Fever
er


Part VI
Deficiency Diseases
Vitamins and other Nutrients and Their Metabolic Relationship.
Protein and Carbohydrate Deficiencies.
Vitamins A, C, D, E and K Deficiencies.
Vitamin B Complex Deficiencies.
Goitre, Sprue, Pernicious and Nutritional Macrocytic Anemia
and other Nutritional Deficiency State.
Early Deficiency Diseases-Pathology, Physiology, Recognition
and Treatment.
Nutrition as it Affects Pregnancy, Teeth, Eye, Wound Healing,
Practice of Medicine, and Military Personnel.


HEALTH CERTIFICATION OF FOOD HANDLERS

In an effort to reclaim health certification from disrepute and
place it on a practical epidemiological and educational basis, the
State Board of Health in cooperation with the physicians and vari-








8 ANNUAL REPORT, 1943


ous other state agencies concerned with health certification has,
through its various Bureaus including the Bureau of Epidemiology,
made considerable effort to introduce a uniform state system of
health certification for participation in any vocation, avocation or job.
SAs a step in this direction a, health card, designed to put the health
certification regulation of Chapter XXXIV of the Florida State Sani-
tary Code into effect was developed, approved, printed and distributed
to all health departments and physicians in unorganized counties in
the state.
Although directives were written outlining the epidemiological
approach for the examiner, many of the examining physicians still
cling to the erroneous idea that the examination of the individual
for venereal diseases is all that matters, leaving out of consideration
entirely those diseases frequently spread in public by direct con-
tacts, such as tuberculosis, typhoid and salmonella including the
paratyphoids and the dysenteries. However the improvement in
interest and method of examination has been encouraging and of *
sufficient significance to warrant continuing the present method
of certification.
Health cards are now being issued to anyone who because of
Florida state law or for other reasons is required to present a cer-
tificate of health for purposes of travel, attendance at or visits to
camps or institutions or for employment or participation in any
other vocation or avocation.
During 1943 over 10,000 health cards were issued by the organ-
ized county health departments and the Bureau of Epidemiology.
Considering that there are over 8,000 restaurants in the state alone
this number of health certificates is only a very small percentage
of the food handlers who come under the new State Board of Health
food handlers health certification regulation.
Our carrier files now contain the names of several persons found
to be carriers of typhoid bacilli, salmonella, ameba, shigella and
tuberculosis bacilli who were found in the course of examination
for health certification. Three individuals occupied in the oyster
industry were found to be typhoid carriers. One woman typhoid
carrier was found to be running a combination tavern and restau-
rant. Another woman typhoid carrier was found employed as a
cook in a school lunch room. One individual with far advanced
tuberculosis was found employed as a waiter in a restaurant and
has since passed away as a result of his tuberculosis infection.








EPIDEMIOLOGY 9


A recent outbreak of bacillary dysentery in a hospital in the
state apparently had its inception with contaminated food handled
by a carrier.
Although certification is by no means a catch-all for carriers,
yet the stimulation of interest in the maintenance of personal health
as a protection of the public will, it is believed, assist considerably
in reducing the incidence of infection due to the carrier state and
will also contribute toward the development of general public health-
mindedness and the development of better health habits and atti-
tudes in general.
DISTRIBUTION OF INSULIN
Certain complaints that insulin was' not being made readily
available throughout the state to diabetic patients prompted this
Bureau, which has been made responsible for its distribution, to
develop a plan of distribution for supplying the health departments
with an initial stock supply of insulin and with publicity material.
A system of forms for application, dispensing, reporting and order-
ing of new insulin stock each month were developed and distributed
to the county health departments. Insulin is now available and is
being dispensed locally through all county health departments.
Insulin has continued to be dispensed directly from this Bureau to
counties without County Health Departments.
The following three tables show:
A. The Distribution of Insulin by Counties for the State of
Florida for 1943.
B. The Number of Vials of Each Strength and the Total Num-
ber of Vials of Insulin Purchased for 1943.
C. The Total Amount Spent for Insulin and the Average Price
per Vial 1943.
MEDICAL PERSONNEL ACTIVITIES
Because of the marked decrease in the medical personnel of
this Bureau it has become necessary for the director to place more
and more responsibility for epidemiological investigations and fol-
low-up upon the local health officers. Every county health depart-
ment director has been officially appointed by the Surgeon General
of the U. S.'P. H. S. and the Florida State Health Officer as Assistant
Collaborating Epidemiologist for his respective county or counties.
The Federal and State appointments charge the assistant collabo-
rating epidemiologists with the responsibility of assisting the State
Collaborating Epidemiologist (State Health Officer) and the Direc-








10 ANNUAL REPORT, 1943


tor of the Bureau of Epidemiology with the collection of morbidity
reports from physicians and other persons within their jurisdiction;
the giving of advice regarding reportable disease control; enforcing
or causing to be enforced the laws, rules and regulations of the
Florida State Sanitary Code pertaining to the control of communi-
cable diseases and informing the State Board of Health regarding
the occurrence of unusual outbreaks of communicable diseases.
The assistant collaborating epidemiologist is also charged with
the responsibility of giving advice in the development of local
programs designed to prevent the occurrence of reportable diseases.
During 1943 it was necessary to rely considerably upon the
assistance of the Bureau of Public Health Nursing consultants in
the making of epidemiological follow-ups in counties without health
departments. The assistance of the county or school nurse function-
ing in a county without an approved health department was also
secured in making epidemiological studies locally.
The director of the Bureau in visiting the various unorganized
counties made considerable effort to stimulate the development
of year around program of immunization and hookworm treatment
as a school health service to act as a nucleus for the development
of a maternal and child health service for the county.
An effort has been made to tie this service in with the venereal
disease clinical services which the State Board of Health, through
the Division of Venereal Disease Control, now has functioning
in practically every county in the state.










EPIDEMIOLOGY 11


TABLE A.-DISTRIBUTION OF INSULIN BY COUNTIES FOR THE STATE
/ OF FLORIDA FOR 1943.

COUNTIES PROTAMINE ZINC PLAIN INSULIN

10 U 40 10 U 80 10 U 20 10 U 40 10 U 80
Alachua...... ......................... 150 19 19 16 21
SBaker................................. 30 5 5 20 0
Bay......................................... 10 5 19 15 0
Bradford................................... 30 5 5 10 0
Brevard.............................. 0 0 0 17 0
Broward ......................... 20 5 10 20 0
Calhoun.................................. 0 0 0 0 0
Charlotte ............................... 28 0 0 0 0
Citrus.................................. 28 0 0 0 0
Clay......................................... 11 36 5 22 0
Collier ........ ..... 0 0 0 0 0
Columbia................................... 0 0 9 46 0
Dade...................................... 23 7 10 20 0
DeSoto...................................... 9 0 4 196 66
Dixie......... ....... ............ ...... 0 0 0 0 0
Duval............................ 814 481 183 288 0
Escambia............................... 62 35 20 56 0
Flagler........................ ............ 0 0 4 0 0
Franklin.................................... 20 5 10 20 0
Gadsden............................ 54 5 10 63 0
Gilchrist .............................. 0 0 0 0 0
Glades............................... 0 0 0 0 0
Gulf.................................... 0 0 0 0 0
Hamilton.................. .............. 0 0 0 0 0
Hardee.................. ........... 23 44 18 57 21
Hendry.................................. 0 0 0 0 0
Hernando................................ 0 0 0 0
Highlands.................................. 20 5 10 15 0
Hisborough.......................... 56 28 19 36 0
Holmes............................. 0 0 0 0 0
Indian River. ......................... 18 0 0 0 0
Jackson................................ 20 10 10 15 0
Jefferson................................ 16 8 5 10 0
Lafayette................................ 0 0 0 0 0
Lake....................................... 17 5 10 36 0
Lee............................................. 22 0 0 2 0
Leon.................................... 27 5 20 20 0
Levy.......................................... 10 5 5 32 0
Liberty................ .... .. 0 0 0 0 0
Madison.............................. 38 12 30 10 0
Manatee............................ 0 0 0 0 0
Marion................................ 45 0 0 32 0
Martin ................................... 0 0 0 0 0
Monroe _................ .............. 16 5 5 10 0
Nassau................................. 75 6 5 58 0
Okaloosa............................... 14 5 5 47 0
Okeechobee................................ 0 0 0 0 0
Orange...................... ...... 313 142 50 271 17
Osceola...................................... 0 0 0 0 0
Palm Beach............................. 116 3 28 45 0
Pasco............................. 7 8 0 34 0
Pinellas.................................. 141 5 145 20 0
Polk.......................... ..... 179 42 50 361 0
Putnam...... I .................. 19 0 67 58 0
St. Johns.............................. 1 0 27 2 0
St. Lucie ............................. 70 0 1 8 0
Santa Rosa........................... 10 27 5 49 0
Sarasota.................................... 22 0 0 0 0
Seminole.................................... 10 5 23 35 0
Sumter............................... 0 0 21 0 0
Suwannee............................... 5 0 90 53 0
Taylor.... .................. 12 5 10 19 0
Union.............................. 0 0 0 0 0
Volusia............................ ..... 12 32 67 57 0
Wakulla ................................ 10 5 5 10 0
W alton........................................ 12 13 10 28 0
Washington............................... 10 5 5 22 0











12 ANNUAL REPORT, 1943

TABLE B.-THE NUMBER OF VIALS OF EACH STRENGTH AND THE
TOTAL NUMBER OF VIALS OF INSULIN PURCHASED FOR 1943.

PROTAMINE ZINC PLAIN INSULIN

10 U 40 10 U 80 10 U 20 10 U 40 10 U 80
131 70 120 152 10
150 90 50 200 75
80 150 70 170 120
150 100 100 200 100
250 100 230 200 90
395 150 100 300 10
400 200 100 420 10
420 200 150 300
300 110 250
200 40 250
100 40
100
300
Total 2,976 1,060 1,110 2,442 415


TABLE C.-THE TOTAL AMOUNT SPENT FOR INSULIN AND AVERAGE
PRICE PER VIAL FOR 1943

Organizations Protamine Zinc Plain Insulin I Total Amount Spent
10 U 40 10 U 80 10 U 20 10 U 40 10 U 80

Surgical Supply Co.
Jacksonville, Fla. .63 1.20 .32 .55 1.09 $ 493.03

Sharpe & Dohme
Philadelphia, Pa. 1.11 11.10

Halliday's Apothecary
Jacksonville, Fla. .63 1.20 .32 .55 1.09 1,305.10

J. K. Attwood
1024 Park St.
Jacksonville, Fla. .63 1.20 .32 .55 1.09 3,425.25

TOTAL AMOUNT SPENT 1943............ ......................---.. .....-.......$5,223.38







EPIDEMIOLOGY 13


COMMUNICABLE DISEASES IN FLORIDA 1943
Emphasis on the control of such communicable diseases as small-
pox, diphtheria, typhoid and whooping cough for which we have
prophylactic treatment will persistently decrease the incidence of
these diseases and gradually reduce the need for epidemiological
investigation to a minimum. However until this phase of public
health work can be complete, epidemiological investigation and fol-
low-up for the purpose of learning the source of the infection and
preventing the spread of the disease will continue' to be necessary
for these as well as other dangerous communicable diseases for
which we have no generally established prophylactic measures.
The Bureau is requesting that epidemiological records be ob-
tained on all cases of dangerous communicable diseases (see direc-
tive and Form CIHW #4) and that a copy of each report be for-
warded to the Bureau of Epidemiology.
Table 1 of this report, "Summary of Communicable Disease
Epidemiological Follow-Up", shows a definite interest and effort
by many of the counties to maintain and improve the epidemiologi-
cal follow up of cases in their respective counties. It is hoped that
in-service-training of health department personnel for the doing of
epidemiological work will help to improve this service still more
in the future.

ANTHRAX
No cases of anthrax were reported for 1943. Only 1 case was re-
ported within the past 5 years. This case was reported from Talla-
hassee, Florida in 1941. Diagnosis was made on the basis of a cul-
ture of material obtained from a skin lesion. The patient was an
agricultural worker who was caring for cattle. The exact source
of the infection was never determined and the patient apparently
recovered.

BOTULISM
No cases of botulism have been reported to this Bureau for the
past five years.

CANCER
There were 429 new cases of cancer reported during 1943 as
,compared to 384 in 1942 and 351 in 1941. The 5 year mean remains
at 344 showing an increase over previous years. In 1942 there were
1,955 resident deaths due to cancer which was third in the ten lead-








14 ANNUAL REPORT, 1943


ing causes of death for Florida. Comparison of the above figures
show that the morbidity reporting for cancer is apparently in-
complete.
Efforts through the Florida Women's Field Army in conjunc-
tion with the Florida Medical Association are being made to estab-
lish free clinics for the early diagnosis and treatment of this
disease. In as much as early diagnosis is of paramount importance
in curing this disease, it is felt that this type of service will do
much to reduce the high mortality rate due to cancer.
Statistical figures on the morbidity and mortality of cancer will
be found in tables 7, 8 and 9.
CONJUNCTIVITIS
Because of the frequency of conjunctivitis in connection with
war industry this disease was made reportable in 1942. Only 15
cases were reported in 1943 although the incidence of this disease
was probably much greater. Unofficial reports indicate that this
infection very commonly preceded many of the cases of measles
which occurred during the year. Several of the cases of conjunc-
tivitis reported were war plant workers.
INFANTILE DIARRHEA
There were 42 cases of infantile diarrhea reported during 1943,
as compared to none in 1942 and 7 in 1941. None of these cases
were studied. It is felt that a closer check should be made of those
cases occurring in connection with infant care in our hospitals
and institutions.
In 1942, 130 deaths were reported due to infantile diarrhea and
enteritis. Of these, 134 were under 1 year of age, 162 were under
2 years of age and 68 were 2 years or over.
These figures show that the morbidity reporting of infantile
diarrhea is very incomplete. Better reporting of these illnesses in
infants would facilitate earlier epidemiological follow up and the
institutions of earlier and better infant care which should and
would decrease the number of deaths due to this disease.
DIPHTHERIA
We again had 242 cases of diphtheria in 1943 as compared to
258 in -1942 and 212 in 1941. The 5 year mean was 290. A total of
27,016 diphtheria immunizations were reported during 1943. Of
this number, 25,233 were reported from counties with organized
Health Departments, and 1,783 from counties without organized







EPIDEMIOLOGY 15


county health department services. Several unorganized counties
did not report. In 1942 there were 28 deaths in Florida due to diph-
theria. Of these, 21 were white and 7 colored. Twenty one of these
deaths were between the ages of 1 to 4. This definitely proves that
we have not as yet completely protected the pre-school children
who fall in the dangerous age period for this disease. We can and
must put more emphasis on the immunization of ill infants and pre-
school children. Deaths due to this disease should and could be
eliminated by the well established prophylactic and treatment pro-
cedures now at hand.
Observations reveal that health officers as well as private physi-
cians who are neglecting the safer prophylactic procedure or admin-
istration of diphtheria toxoid to the pre-school child are grasping
at the more dangerous treatment procedure and are giving diph-
theria antitoxin to contacts without any apparent symptoms of the
disease. This practice is to be condemned because a certain percent-
age of children treated promiscuously with such animal serums
will become sensitized, prohibiting a later administration of the
same or other life saving serum without desensitization and endan-
gering the life of the individual if sensitivity is not detected prior
to another treatment with a horse serum.
Spot Map 1 on diphtheria shows a general distribution of the
incidence of this disease and Line Graph 1 shows that the disease
was prevalent throughout the year having its lowest incidence in
June, with a comparative increase in incidence in September and
with the peak in October and November and again declining to a
lower incidence in January.

DYSENTERY
A total of 336 cases of dysentery were reported in 1943 for
Florida.

AMEBIC DYSENTERY
There were 132 cases of amebic dysentery, ninety nine or over
two thirds of which occurred in Gadsden County. Most of the Gads-
den County cases were reported from the State Hospital for the
Insane at Chattahoochee, Florida. It will be noted that the above
figure shows a marked increase in the reporting of this disease over
1942 and 1941 in which 25 and 32 cases were reported respectively.








13 ANNUAL REPORT, 1943


MORBIDITY INCIDENCE OF DIPHTHERIA FOR FLORIDA
BY COUNTIES-1943.


S"'-- "" L 0 I L A













Each Case Reported
Spawort* Mop I













Spot Map 1
Spot M ap 1 owma
b~




Spo Mayn 1 r~t









EPIDEMIOLOGY


Line Graph 1







18 ANNUAL REPORT, 1943


BACILLARY DYSENTERY
In 1943 a total of 180 cases of bacillary dysentery were reported
as compared to 47 in 1942 and 18 in 1941, likewise showing an in-
crease in reporting.
More intensive laboratory work on these diseases has revealed
carriers of both the endomoeba hystolitica in the encysted forms
and shigella (dysentery bacilli).
A total of 21 dysentery bacilli carriers have been reported to
this Bureau.
A total of 37 deaths due to all forms of dysentery were reported
in 1942 as compared with 268 in 1917.
DYSENTERY OUTBREAK, JACKSON MEMORIAL
HOSPITAL, MIAMI, FLORIDA
During the period September 3 to October 22, 1943, an outbreak
of dysentery occurred at the Jackson Memorial Hospital at Miami,
Florida.
Reports by the Miami Health Department and the Superintend-
ent of the hospital now on file in this office described many unsani-
tary conditions throughout the hospital system and particularly
in the dietary department.
A visit to the hospital by the director of this Bureau confirmed
the conditions described. It was recommended to both the health
department and the Jackson Memorial Hospital officials that ade-
quate study and follow up of all cases be instituted, that adequate
records be made and that all faulty sanitation facilities be corrected
as soon as possible. The hospital was advised to comply with the
Florida State Sanitary Code regulations including the health certifi-
cation regulation, Chapter XXXIV, requiring health certification of
food handlers.
A few of the unsanitary conditions have been corrected but as
yet the health certification regulation, Chapter XXXIV of the State
Sanitary Code, has not been complied with.
A total of 144 cases of dysentery were reported. No epidemiologi-
cal case records were ever received by this Bureau on any of the
cases, therefore the accompanying report is consequently very
meager. However, it will be noted that the first case of bacillary
dysentery had its onset on September 3, 1943. This case was in the
person of one of the hospital internes. Other single cases occurred
two weeks later on September 12, 13, 14, 18 and 20th. From Septem-
ber 21 to 26th there was a gradual increase followed with a slight
fall in the number of cases and then another increase up to 17 cases







EPIDEMIOLOGY 19


on October 16th after which the number of cases reported grad-
ually dwindled to one case reported on October 11th. One straggling
case was reported ten days later on October 22. Of the total 144
cases reported, 49 were student nurses; 24 graduate nurses and 16
were unspecified as to work. The remainder of cases were distrib-
uted by ones, twos, and threes among the various other types of
employment in the hospital.
A cursory check was made on stool specimens submitted by the
various individuals but these checks as will be noted from the
statements made in the reports, were made late in the course of
the outbreak. As a result only four specific laboratory diagnoses
of shigella-sonne were made on four individuals. These reports
together with the mild nature of the clinical symptoms can prob-
ably be accepted as evidence as to the etiology of the outbreak.
It is of passing interest to note that the cases occurred more
frequently in females probably because the hospital population of
600 persons was made up largely of females. Most of these were
white. The ages of the cases, except for one infant in the nursery,
ranged from 14 to 60 years. The majority of the individuals were
in the age group 18 to 25.
Undoubtedly the unsanitary conditions in the kitchen played
an important part in the spread of the infection. What part the
first case reported on September 3, 1943, might have played in the
development of later cases is problematical. The superintendent
of the hospital states in his report that the butcher's assistant had
been ill the week prior to September 22 when lamb was served and
prior to September 24 when an egg salad was served.' It is probable
that an unknown carrier instigated the whole affair. No reports
were submitted designating whether a local effort was made to
identify such a carrier by release cultures.

INFLUENZA
A total of 782 cases of influenza had been reported at the close
of the year 1943 as compared to 227 in 1942 and 3,832 in 1941. There
was an appreciable increase in the number of reports received in
the last three months of 1943 indicating a beginning moderate epi-
demic. Clinical symptoms of the reported cases compared with re-
ports of similar illness being reported in other states showed that
the consensus of opinion among epidemiologists throughout the
states was that most of the reported cases were true but mild-
virus infections comparable to the influenza of previous epidemic
years.








20 ANNUAL REPORT, 1943

INFECTIOUS JAUNDICE

Twenty-seven cases of infectious jaundice were reported in 1943.
This disease has recently been added to the list of reportable dis-
eases. Unofficial reports from the various parts of the state seem
to indicate that this disease is more commonly prevalent in Florida
than is appreciated at this time.
Recent studies -of infectious jaundice have shown that two infec-
tious diseases giving similar clinical symptoms associated with
jaundice do occur. Both infections are apparently transmissable
by rats but one caused by a spirochete, icterohemorrhogica (Weil's
Disease) and the other by a virus.
Which of the two types of jaundice is prevalent in Florida would
have to be determined through research.
Previous studies have revealed that this disease causes consider-
able economic loss of time especially when affecting adults. It has
also been noted that the clinical symptoms are progressively more
severe and debilitating as one goes up the age scale of life. Preschool

TABLE D
Jackson Memorial Hospital Dysentery Outbreak-Sept. 3 to Oct. 22
TABULATION OF DYSENTERY CASES
BY OCCUPATION
Student Nurses.----.- ------- --- ---------------------4 49
Graduate Nurses ------- -----.---- ----- ---- 24
Other Unspecified .- -------------.-------- 16
Orderlies ----------- ------- ----------- 5
Maids ....------------- ------------------ ---------------------------- 5
Lab Technicians ..--------.. -------------------------------------- 5
Bookkeepers --....-------------------------- -------------- ----- 4
Clerks _-- ---------- -------- ---------------- 3
OB Cases -...-- --------------------.---....----------...-------------- 3
Internes -.....-------------- ------------------------------------------------- 3
Seamstresses ....---------------------------------- --------------------- 3
Kitchen Help --------.....----. ---------3-----------3
Nurses Aides .------........ --------------------- 3
Lab Workers -....-----.....- -------------------- ------------ 2
Student Technicians ..--- --------------------.- -- -----------..-- 2
Waitresses ---------------------------- ----------- 2
Radiologist ------------------------ ----------------------- 1
Infant ---- -- ----------- ----------- 1
Secretary .--....--..------------------------ 1
Butcher --..._ -------- 1----------------------------
Laundress .......-- ...--------.......... -----------------------.-----.. 1
Laundry Worker ---.....---.--- ----------------------------- 1
Stenographer 1 ----------------1
Dir. Soc. Service --. -------. --------.--------------------- 1
Nutritionist ..-......... ------ --------------------- ----------- 1
Elevator Operator .--....... ....- -- .....-----------------------. 1
Store Keeper--.........- ---. ------.- ---- 1
Telephone Operator-....--.. ....... ------------------ 1

TOTAL .....--........----.. ----------------- ----..--- 144








TABLE F
Jackson Memorial Hospital Dysentery Outbreak-Sept. 3 to Oct. 22
TABULATION OF DYSENTERY CASES BY AGE
Age L 1 14 15 16 17 38 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39
No. of
Cases 1 0 1 1 14 10 17 7 4 8 9 2 2 5 1 1 7 2 0 4 3 1 2 3 0 1
Age 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 Unspecified
No. of
Cases 1 1 2 1 0 1 1 1 0 2 0 2 2 2 2 1 0 1 0 0 2 15
TABULATION OF DYSENTERY CASES BY DATE OF ONSET
September


Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Z6 27 28 z2 .u 31
No. of
Cases 1 1 1 1 1 1 3 1 6 4 16 13 6 7 8 8
October
Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
No. of
Cases 13 11 5 17 10 1 2 5 1 1-
TOTAL 144

TABLE E
Jackson Memorial Hospital Dysentery Outbreak-Sept. 3 to Oct. 22
TABULATION OF DYSENTERY BY SEX & COLOR
SEX Male Female Not Given
No. of
Cases 22 121 1
COLOR White Colored Not Given
No. of
Cases 133 8 3









22 ANNUAL REPORT, 1943


MORBIDITY INCIDENCE OF MENINGITIS FOR FLORIDA
BY COUNTIES-1943.



* ," 'L ^T D"^ V L O 1 i D A
**~W ** yo..v,,n. -, .m.













Each Case Reported






Cutr GLANS







.. .....






Spot Map 2









EPIDEMIOLOGY 23



24


Line Graph 2








24 ANNUAL REPORT, 1943


and first and second grade children frequently have merely a head-
ache with nausea and slight vomiting. The older grade children have
headache, nausea, vomiting, backache, constipation, abdominal pain,
nose bleed and varing degrees of jaundice developing in 5 to 10 days
following the onset of symptoms. Adults usually have severe head-
ache and joint pains in addition to the above symptoms and are
prostrated due to the severity of symptoms.
LEPROSY
Only one case of leprosy was reported for 1943. One case of
leprosy from Florida was released from the Leprosarium at Carville
as noncommunicable to be kept under surveillance. Modern methods
of leprosy treatment have improved to the extent of making such
releases possible.
MENINGITIS
There were 252 cases of epidemic meningitis reported to this
Bureau in 1943 as compared to 25 in 1942 and 27 in 1941. Only 73
epidemiological case reports were submitted to this Bureau. Most of
the cases reported were from armed force stations and the reports
submitted revealed the beneficial results of the administration of
sulfa drugs by the high percentage of recovery in these cases.
Tables 6, 7, 8, 9, and 15 show the statistical morbidity and mor-
tality figures for meningitis.
MYCOSIS
No cases of actinomycosis, blastomycosis or favus have ever been
reported in Florida. However a recent 10 year study of death certi-
ficates reveal that there have been 14 deaths reported as being due
to actinomycosis; 9 due to blastomycosis; one death due to acti-
nomycosis occurred in 1942. These three diseases were added to the
list of reportable diseases in this state in 1942 and morbidity as well
as mortality incidence of this disease should be reported.
Mortality incidence of these infections by years will be found
in tables G and IH.









EPIDEMIOLOGY 25


TABLE G
Deaths in Florida Due to Actinomycosis
By Age, Color and Sex
From 1923 1942


County Cert. No. Disease Age Color Sex Year
Dade 12782 Due to Actinomycosis
(liver abscess) 58 White M 1942
Dade 13254 Actinomycosis of left shoulder. 48 M 1940
Dade 20491 Actinomycosis (Left Renol
Abscess) 20 M 1940
Orange 14461 Actinomycosis of lung with
secondary Bro. Pneumonia 59 M 1940
Gadsden 2112 Actinomycosis (right lung) 70 M 1939
Duval 15595 Pneumonia Actinomycosis 27 M 1938
Pinellas 18447 Actinomycosis of lungs 38 M 1938
Palm Beach 19681 Actinomycosis 51 M 1933
Duval 16674 Actinomycosis 55 F 1932
Leon 982 Actinomycosis of the chest
wall and lung. ? 1932
Pinellas 12962 Actinomycosis of the right
hip and shoulder. 64 M 1931
Dade 10570 Actinomycosis of right lower
Jaw. 34 M 1930
Dade 5615 Actinomycosis 11 M 1928
Polk 10005 Actinomycosis of left lung. 32 F 1924








TABLE H
Deaths in Florida Due to Blastomycosis
By Age, Color and Sex
From 1923 1942


County Cert. No. Disease Age Color Sex Year
Hillsboro 4473 Blastomycosis White 1927
Hillsboro 904 Blastomycosis 1927
Pinellas 15801 Blastomycosis 1932
Pinellas 2974 Blastomycosis, Pulmonary "1932
Palm Beach. 19681 Blastomycosis 1933
Lake 19380 Blastomycosis (Lungs) 1933
Palm Beach 21198 Blastomycosis, Staphylococci-P
Pulmonary 1934
Palm Beach 21999 Blastomycosis, Pulmonary 1939
Dixie 5800 Blastomycosis Colored 1940









26 ANNUAL REPORT, 1943


TABLE I-MORBIDITY INCIDENCE OF DYSENTERY BY COUNTIES FOR
FLORIDA 1934-1943

County ............................... 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943
Alachua................................ 0 0 0 0 0 0 0 0 0 O 1
Baker .... ............ 0 0 0 1 0 0 0 0 1 0
Bay................................... 0 0 0 0 1 0 1 0 0 4
Bradford ...................... 0 0 0 0 0 0 0 0 0 0
Brevard ............. ....... 0 0 0 0 1 0 0 0 0 1
Broward ....................... 3 0 0 0 0 0 0 0 0 1
Calhoun ...................... 0 0 0 0 0 0 0 0 0 0
Charlotte....................... 0 0 0 0 1 0 0 0 0 0
Citrus ... .................... 0 0 0 0 0 0 0 0 0 0
Clay..................................... 0 0 0 0 0 0 0 1 0 0
Collier ........... ............. 0 0 0 0 0 0 0 0 0 0
Columbia ........... ...... 0 0 0 0 0 0 2 0 0 0
Dade ..... .. 5 7 20 28 14 13 14 8 7 151
DeSoto ............................... 0 0 0 0 0 0 0 0 0 0
Dixie ..................................... 0 0 0 0 0 0 0 0 0 0
Duval.... ............. 10 0 5 12 31 4 7 3 15 9
Escambia ....-................... 0 0 0 0 2 0 0 0 0 1
Flagler ..................... 0 0 0 0 0 0 0 0 0
Franklin....................... 0 0 0 0 4 1 0 0 0 1
Gadsden...................... 17 0 0 0 0 36 18 25 15 100
Gilchrist...................... 0 0 0 0 0 0 0 0 0 0
Glades.................. 0 0 0 0 0 0 0 0 1 0
Gulf............... .......... 0 0 0 0 2 1 0 0 0 0
Hamilton .... ....... 0 0 0 0 0 0 0 1 0 0
Hardee...... .............. 0 0 0 0 1 0 0 0 0 0
Hendry........................ 0 0 0 0 0 0 0 0 0 0
Hernando-.................... 0 0 0 0 0 0 0 0 0 0
Highlands....................... 0 0 0 0 0 0 0 0 0 2
Hillsborough ................ 0 1 0 0 1 0 2 1 0 8
Holmes....................... 0 0 0 0 0 0 0 0 0 0
Indian River ................ 0 0 0 0 0 0 0 0 0 0
Jackson..................... 0 0 0 0 1 0 0 0 0 0
Jefferson .................... 0 0 0 0 0 0 0 0 0
Lafayette ................. 0 0 0 0 0 0 0 0 0 0
Lake............................ 0 0 0 0 0 0 0 3 1 5
Lee .......... ................. 0 0 0 0 .0 0 0 0 0 0
Leon ............. ......... 0 0 0 0 0 0 0 0 18 0
Levy ........................ 0 0 0 0 0 0 0 0 0 0
Liberty.... ..... .............. 0 0 0 0 0 0 0 0 0 0
Madison...................... 0 0 1 0 0 0 0 0 0 0
Manatee.......................... 0 0 0 0 0 0 0 0 0 0
Marion...... .............. 0 0 2 0 0 1 0 0 0 0
Martin..................... 0 0 0 0 0 0 0 0 0 1
Monroe........................ 0 0 0 0 0 0 0 0 0 0
Nassau...................... 0 0 0 0 0 0 0 0 9 2
Okaloosa........ .......... 0 0 0 0 0 0 0 0 0 3
Okeechobee.................. 0 0 0 0 0 0 0 0 0 0
Orange ..................... 0 4 0 0 0 2 0 11 1 6
Osceola................................ 0 0 0 0 0 0 0 0 0 0
Palm Beach.................. 0 2 0 0 1 0 0 0 1 3
Pa o.... .................. 0 0 0 0 0 0 0 1 0 0
Pinellas...... ................... 2 0 0 0 3 0 0 1 1 0
Polk........................ 1 4 0 0 0 0 0 1 0 1
Putnam........................ 3 0 0 0 0 0 0 0 0 0
St. Johns....................... 0 0 0 0 0 0 0 0 0 0
St. Lucie..................... 0 0 0 0 0 0 0 0 0 0
Santa Rosa.................. 0 0 0 0 0 0 0 0 0 0
Sarasota...................... 0 0 0 0 1 0 0 1 0 0
Seminole............................ 0 0 0 0 0 0 0 0 0 0
Sumter..................... 0 0 0 0 0 0 0 0 0 0
Suwannee............................... 0 0 0 0 0 1 0 0 0 0
Taylor ..................... 0 0 0 0 0 0 0 0 0 0
Union................................. 0 0 0 0 0 0 0 0 0 1
Volusia..................... ..... 0 1 2 4 0 0 0 0 0 4
Wakulla ....................... 0 0 0 1 0 0 0 0 0
Walton ............. 0 0 0 0 2 0 0 0 0 7
Washington .... ...... .0 0 0 0 0 0 0 0 0 0
TOTAL............................... 41 19 30 45 67 59 44 57 70 312







EPIDEMIOLOGY 27


PARATYPHOID FEVER AND SALMONELLA INFECTIONS
A total of 31 cases of salmonella infections were reported dur-
ing 1943. Only 9 case records were received by this Bureau. Eleven
salmonella carriers were found during the year. Several of these
were found as a result of routine physical check up on food handlers.
More and more interest in the salmonella infections causing
dysentei-y is being stimulated. Reports on the recent research done
at the central laboratory of the Florida State Board of Health and
elsewhere have been sent out to each county health department and
are available to any private practicing physician or public health
worker. Two of these publications now available are "Varieties of
Salmonella Isolated in Florida During 1942" by Mildred M. Galton,
SC.M., and Alice Lee Quan, M.S., and "The Salmonella Group With
Special Reference to the Species Found in Florida During 1942" by
the same authors.
POLIOMYELITIS
During 1943 there were only 28 sporadic cases of poliomyelitis
reported as compared to 43 in 1942 and 263 in the epidemic year of
1941. Only 12 epidemiological case reports were received this year.
There were 4 deaths in 1942 as compared to 34 in 1941.
Spot Map 3 for 1943 shows a general distribution of sporadic
poliomyelitis cases throughout the year. In 1941 the epidemic inci-
dence of poliomyelitis occurred in the more populated areas of
Florida.
Line Graph 3 shows a general distribution of sporadic cases
throughout the year with slight accentuation of incidence during
September as compared to the epidemic year of 1941 in which there
was a gradual increase in the number of cases reported beginning
with one case the first week in January and reaching a peak of 27
cases in October after which there was a gradual decline in the
number of cases reported, none being reported for the last week in
December, 1943.
The morbidity and mortality statistics of poliomyelitis will be
found in tables 6, 7, 8, 9 and 25.
PSITTACOSIS
No cases of psittacosis were reported for 1943. Although an
effort was made to have the regulation of the Florida State Sani-
tary Code, pertaining to the control of psittacine birds rescinded.
The State Board of Health in executive session on January 16, 1944,
discussed the regulation and concluded that it would not be in the








28 ANNUAL REPORT, 1943


MORBIDITY INCIDENCE OF POLIOMYELITIS FOR FLORIDA
BY COUNTIES-1943.


0 Each Case Reported


Spot Map 3









EPIDEMIOLOGY


Line Graph 3











30 ANNUAL REPORT, 1943


MORBIDITY INCIDENCE OF TYPHUS FEVER FOR FLORIDA
BY COUNTIES-1943.




















G uk p Hountl ** I !**m ** CL th ,







Spote Map n****



Spo Map*4i 4t
hrL ..

COL.it AR
,,* ::
ente




Spot Map 4









EPIDEMIOLOGY


Line Graph 4








32 ANNUAL REPORT, 1943


promotion of the best interests of public health to modify the present
regulation. The final factor in this decision was the recent develop-
ment of several cases of psittacosis in this section of the country.
This particular situation seemed to be one where the interest of a
small group had to be sacrificed to the protection of the general
public.

TYPHUS FEVER (Brills)
There were 314 cases of endemic typhus in 1943 as compared to
313 in 1942; 196 in 1941 and a 5 year mean of 179 cases.
The gradual increase of typhus emphasizes the need of a more
definite rat control program through the Bureau of Sanitary Engi-
neering.
At present rat control programs are being conducted at various
points throughout the state by the Sanitation Division of the United
States Public Health Service. The progress of this work is hampered
by the scarcity of materials and labor shortage.
The Bureau recommends that a definite rat control program as
a post-war activity be established and properly personneled in the
Bureau of Sanitary Engineering. Figures showing the morbidity
and mortality statistics for typhus fever for 1943 and the past years
will be found in tables 6, 7, 8, 9 and 27.
Spot Map 4 shows a general distribution of this disease through-
out the state with the greatest incidence in the more populated areas.
Line Graph 4 shows a continued incidence of typhus throughout
the year with but slight increase in the incidence during the spring
months.

SCARLET FEVER
There were 365 cases of scarlet fever reported for Florida in 1943
as compared to 281 cases in 1942, 205 in 1941 and a 5 year mean of
301. Only 2 deaths, one white and one colored were reported for
scarlet fever in 1942. The low mortality incidence may be attributed
to the relative mildness of the disease in warmer climates.
Spot Map 5 on scarlet fever shows, the incidence of this disease
having occurred largely in the more populated areas in the state.
Line Graph 5 shows the scarlet fever incidence as having been
low during June, July, August and September with a gradual rise
in October, November and with its peak in December and January
and again a gradual fall in incidence in February, March and April.
Morbidity and mortality data relative to scarlet fever will be
found in tables 6, 7, 8, 9, and 16.








EPIDEMIOLOGY 33


SMALLPOX
Only 2 cases of smallpox were reported during 1943. Both of
these individuals died. A total of 32,068 smallpox vaccinations were
reported for Florida. Of this number, 30,120 were reported by organ-
ized county health departments, and 1,948 by counties without
organized county health department services.

TYPHOID FEVER
During the year 1943 a total of 68 cases of typhoid fever were
reported in Florida as compared to 196 cases in 1942, and 166 cases
in 1941. The 5 year mean being 152 cases. A total of 51,762 typhoid
immunizations were reported from all the counties in Florida. Of
this number, 49,042 were reported from organized county health de-
partments and 2,720 from counties without organized health depart-
ment services. Only 39 epidemiological case records were received.
Forty-one typhoid bacilli carriers are now recorded with the Bureau
of Epidemiology. Seventeen of these were found in 1940 and 41.
Fifteen in 1942 and nine in 1943.
Four of the carriers found during 1943 were found in the routine
examination for health certification. One of these was a shellfish
worker at Apalachicola and another a woman at Niceville who was
conducting a combination tavern and restaurant. Three carriers
were found in routine epidemiological study of current typhoid cases.

TYPHOID OUTBREAK ON ALACHUA COUNTY FARM
In April and May of 1943, Dr. M. H. DePass of Gainesville, re-
ported three colored children, Willie James Robinson, age 5; Sam
Robinson, age 6 and Ethel Mae Robinson, age 8, grandchildren of
Ada Jenkins Robinson, as having typhoid fever. These cases were
children of colored employees on the W. J. Whitehurst Farm at
Archer, Florida. Mr. Whitehurst was then one of the commissioners
of Alachua County. At the request of Dr. DePass and with the con-
sent of Mr. Whitehurst, an investigation was made by Dr. E. F. Hoff-
man and Mrs. L. Tucker, R. N., County nurse of Alachua County.
Typhoid cultures were made on all the immediate contacts and
revealed that Ada Jenkins Robinson, age 60, who gave a history of
having typhoid about 40 years ago, is a typhoid carrier. In as much
as these cases were confined to this one farm, an emergency typhoid
immunization clinic was set up and all the employees and their
families were inoculated against typhoid fever.










34 ANNUAL REPORT, 1943


MORBIDITY INCIDENCE OF SCARLET FEVER FOR FLORIDA
BY COUNTIES-1943.



J ts -- wh....j r natus a.s L O I o A















Each Case Reported to '
I W't wftma "*e \: *

















VnCoi.i A
**0


























Spot Map 5
L~ra~l
C Cot Grrt









EPIDEMIOLOGY


Line Graph 5








36 ANNUAL REPORT, 1943


MORBIDITY INCIDENCE OF TYPHOID FEVER FOR FLORIDA
BY COUNTIES-1943.


* Each Case Reported


Spot Map 6









EPIDEMIOLOGY


Line Graph 6







38 ANNUAL REPORT, 1943


TYPHOID OUTBREAK IN FRANKLIN COUNTY
In August of 1943, Dr. Ruben Rathkind of Carabelle, Florida,
reported three eases of typhoid fever in the persons of Alice Marie
Goff, age 2 and Bette Jean Goff, age 4, and Janette Goff, age 6. In-
vestigation through the Franklin-Gulf-Wakulla Health Department
revealed that Mrs. J. B. (Ollie) Williams, age 50, the grandmother,
who came from Cross City, Florida, to live at the children's home
then at Wewahitchka, Florida, Gulf County, was a carrier and ap-
parently the source of the children's infection. Alice Marie Goff, age
2, later expired at Thomasville, Georgia, on August 20, 1943, from
parotitis bilateral pneumonia and typhoid arthritis of the spine.
It will be noted from Spot Map 6 that typhoid is endemic through-
out the state. The numerous small outbreaks occur largely as a re-
sult of our typhoid residual in typhoid carriers. Typhoid carriers
for the most part in Florida are either the result of typhoid
epidemics of years past in this state; or are elderly individuals
found as typhoid carriers in other states who take up winter resi-
dence here in Florida annually or who have retired in this state.
The finding and keeping under survelliance of these individuals
should help considerably in keeping down the incidence of typhoid
fever.
WHOOPING COUGH
A total of 1,134 cases of whooping cough were reported during
1943 as compared to 828 in 1942 and 747 in 1941. The last 5 years
show a mean of 799 cases. There were 47 deaths reported as being
due to whooping cough. These deaths undoubtably could have been
prevented with the consistent use of pertussis vaccine, in the infant
and preschool child. Efforts are being made for the free distribution
and administration of pertussis vaccine by private and clinic phy-
sicians to children whose parents are unable to buy the prophylatic
treatment.
INTESTINAL PARASITES
HOOKWORM
Hookworm still remains our greatest intestinal parasite problem.
In 1943 there were 6,887 cases reported as compared with 10,745 in
1942 and 7,944 in 1941. A total of 8,231 hookworm treatments were
reported given in Florida during the year. Of this number 8,079
were reported given by organized county health departments and
154 by counties without organized county health department ser-
vices. Several counties did not report. Closer checking of morbidity







EPIDEMIOLOGY 39


reports is now eliminating duplicate reports. Although most of the
cases reported are being treated for their infestation, the war effort
has curtailed the sanitating of the homes of the infested families.

OTHER INFESTATIONS
Other intestinal parasite infestations reported were ascaiiasis
390, oxyuriasis 52, trichuriasis 58 and tapeworm 17..
FISH TAPEWORM
Of the 17 cases of tapeworm reported eight were of the broad fish
tapeworm variety (Diphyllobothruim latune). These were discovered
during a routine survey among negro children in the region of Mon-
ticello, Florida, Jefferson, County. A pet dog of the one of the cases
was also found harboring this parasite. All of these eases are un-
doubtedly of local origin as the result of eating uncooked fish.

GIARDIASIS
A new interest has developed in the intestinal parasitic infesta-
tion known as giardiasis which is caused by an organism known as
giardia lamblia.
Faust states, "Giardiasis is a relatively common infection of
childhood and is especially prevalent in institutionalized homes in
the Southern United States. From two thirds to three fourths of the
patients are spontaneously freed of the organism during adoles-
cence, while the remaining infections tend to persist.
Giardia parasitizes the cuticular surface of the mucosa at the
level of the duodenum and upper half of the jejunum. It is proba-
bly capable of entering the common bile duct and becoming an inhabi-
tant of the lumen of the gallbladder. It is not known to invade the
intestinal mucosa, but in myriad numbers may be conceivable cause
of sufficient irritation of the surface of the duodenum to produce a
chronic catarrhal condition, with colicky pains in the duodenum
and a loose mucous diarrhea.
Until recently no satisfactory treatment has been available, but
since 1937 there has been increasing literature on the high effi-
ciency of atabrine in the elimination of Giardia. THE DRUG IS
ADMINISTERED AS IN MALARIA, O. I. Gm. (1Y2 grains) THREE
TIMES DAILY BEFORE MEALS FOR FIVE DAYS, WITH RE-
DUCED DOSAGE FOR CHILDREN.
While other acridine preparations including acranil have more
recently been advocated and are reported to have specific action, it







40 ANNUAL REPORT, 1943


may be stated that atabrine constitutes at least one efficient giard-
icidal drug."
Sixteen cases of giardiasis were reported in 1943 and it is felt
that more complete reporting of this disease will reveal an even
greater morbidity incidence.

RECOMMENDATIONS FOR THE NEW YEAR
1. A more comprehensive program with better understanding,
more complete reporting, thorough epidemiological study, and follow
up of all cases and an all inclusive immunization program with
contributions to research and the compilation and presentation of
usuable morbidity statistics.
2. The appointment of an assistant collaborating epidemiologist
in every county of the State to be responsible for all local activities
pertaining to the reporting, prevention and control of all report-
able diseases.
3. The introduction of a general State Board of Health Certifi-
cate of Compliance with the Florida State Sanitary Code, acceptable
to the various state boards and commissions requiring health cer-
tification. This certificate to be issued by the Florida State Health
Officer or his local representative, on the basis of a physical check-
up by a qualified physician, to mid-wives, foodhandlers, students,
domestics, teachers, barbers, masseurs, beauty culturists and any
other persons who because of State law or otherwise are required
to present a certificate of health for purposes of travel, attendance
at or visits to institutions or for employment or participation in any
other vocation or avocation.
4. The provision of pertussis vaccine for free distribution and
administration by county health departments or private physicians
to individuals who are unable to purchase this treatment for their
children.
5. The establishment of a year around immunization and hook-
worm treatment with other school health services as a part of a
general maternal and child health service in every county in Florida.
6. The extension of the present University of Florida, General
Extension Course in Public Health, Epidemiology I, now being given
to sanitarians, to all personnel members of health departments with
the assistance of county health directors who are qualified.
7. The employment of a full time filing clerk to be responsible
for the cross checking, and filing of all morbidity statistics and for
the proper reporting and disposition of all laboratory reports.







EPIDEMIOLOGY 41

8. The development and introduction of an I.B.M. morbidity
punch card to facilitate the study and analysis of statistical data.
9. The employment of a full time clerk for distributing insu-
lin, issuing health certificates and filling orders for epidemiological
supplies in general.
10. The employment of a full time assistant to the director to
assist with the epidemiological investigations of unusual outbreaks
or epidemics of reportable diseases and make and submit studies
of the morbidity reports received for the state by the Bureau of
Epidemiology.
















OF COMMUNICABLE DISEASE EPIDEMIOLOGICAL FOLLOW UP BY COUNTIES-1943.


Diphtheria Dysentery Encephalitis Leprosy Meningitis Paratyphoid Poliomyelitis Typhus Scarlet Fever
COUNTY
T 1 2 3 T 1 2 3 T 1 2 3 T1 2 3 T 1 2 3 T 1 2 3 T 1 2 3 T 1 2 3 T 12 3


Alachua............................. .. ........
Baker................... ................ .........
Bay ............................ ..............
Bradford................................
Brevard .................. ..........................
Broward ........................................
Calhoun ................. ....
Charlotte ....................... .............
Citrus................................................... ...
Clay .....................................................
Collier ...............................
Columbia. ...........................................
Dade............- ....................
DeSoto. ......................... .... .......
Dixie... ............................. .
DuvaL...-.....................................
Escambia..........................................
Flagler...................................................
Franklin-_................... .......
Gadsden............................................
Gilchrist. ................. ...........
Glades.....................................
Gulf........... .. ..... .......
Hamilton............... ...........................
Hardee.................... ...... ......
Hendry.~ ................... ............
Hernando........................ .............
Highlands...... ........... ...-...
Hillsborough............. .............
Holmes........................... .....
Indian River..................................
Jackson..............................................
Jefferson._.................. ........
Lafayette.............. ................


1 1 0 01
6 0 0 61151 0 0151 12 0 012


65 0 0 65
33 12 0 21

3 3 0 0
1 0 0 1
3300
1001


2 1 0 1
8 2 0 6
8206


1 0 0 1


10 0


1 1 0 0



5 1 0 4
1100



5104


46 17 0 28
1 1 0 0
1100
39 0 0 39

47 0 0 47
13 8 0 5
8 8 0 0
6 0 0 6






1 1 0 0
25 3 1 21
8800
6006






1100
25 3 121


2 1 0 1

1 0 0 1


6 0 0 6

2 0 0 2






1 0 0 1


1 0 0 1
2101

1001


6006

2002






1001


1001


* T Total; 1 Complete Case Report; 2 Incomplete Case Reports; 3 No Case Reports.


1 0 0 1


0 0 7


1 0 0 1 72 0 72
1 1 0 0 3730 0 7


6 4 0 2


9 7 0 2



2 0 0 2
9702



2002


7 0 0
26 0 21
3 0 2
0 0 2
0 0 1


2 2 0 0 C'
5 4 0 1
2200"o

5401 0
5410


7 3 1 3 '
7313
O
1 0 0 1 W
37 0 0 87

70 0 0 70 m
9 15 014 0
1 0 0 1
2 2 0 0 O


43 7 7 29
1 0 0 1


TABLE 1.-SUMMARY


!>
^
!z!














TABLE 1.-SUMMARY OF COMMUNICABLE DISEASE EPIDEMIOLOGICAL FOLLOW UP BY COUNTIES-1943.-(Cont)


COUNTY

Lake -_............ ......................................

L eon --..................................... .... .....
Levy..................... .......... .....
Liberty.. ............... .........
Madison ......................._ .......
Manatee ..................... .........
Marion...................................
Martin .._......................... .......
Monroe............. .....................
Nassau.....-- .......- .................
Okaloosa.............................
Okeechobee.............................
Orange.... .............. ..................
Osceola. .........................
Palm Beach .......................... ......
Pasco ..................
Pinellas -......................................
Polk .............................................
Putnam .........................................
St. Johns................................. ....
St. Lucie.......... .. ....................
Santa Rosa.......................................
Sarasota..........................................
Seminole.................................
Sumter ....................... .. ....
Suwannee........................
Taylor..... .............................
Union.................-- .........
Volusia................. ......................
Wakulla...............................................
Walton ......_............... ...............
Washington.......................................


Diphtheria


T 1 2 3


4 4 0 0

5 0 0 5
4400

5005


Dysentery Encephalitis Leprosy


Meningitis Paratyphoid Poliomyelitis| Typhus


Scarlet Fever


T12 3 T 123 T 123 T 123 T 1 2 3 T 123 T 12 3 T 123


5 0 05


1 0 0 1


1 0 0
10 0

00 07


1 0 0 1


3 1 0 2


4 1 2 1


4 2 0 2

1 0 0 1
4202

1001


* T- Total; 1 Complete Case Report; 2 Incomplete Case Reports; 3 No Case Reports.


2 0 0 2

1 1 0 0

1 1 0 0
2002

1100

1100


3 3 0 0
20 2 3 15
20 2 315


11 8 2 1
9702





1I-
0

97020


,


-


- 1
















TABLE 1.-SUMMARY OF COMMUNICABLE DISEASE EPIDEMIOLOGICAL FOLLOW UP BY COUNTIES-1943.-(Cont)


Sep. Sore Th. Smallpox Tetanus Trichinosis Tularemia Typhoid Undulant Dengue
COUNTY
T 1 2 3 T12 3 T 1 2 3 T 1 2 3 T 1 2 3 T 1 2 3 T12 3 T 1 2 3
Alachua ..................-..-.... .......... 4 4 0 0
Baker ........... .......................... ........
Bay._............... 2 2 0 0
Bradford ......... ...............
Brevard ---- -------------- -- --- ------ -- 2 0 0 2 1 0 0 1
Broward--........................-...... .- .....--- 4 1 0 3
Calhoun-- ..........................-
Charlotte...--...... ................---
Citrus......... ............... ......... 1 1 0 0
Clay .......-.-.-.--..... ..__. -...-.-.
Collier ........................... ..........
Columbia ....... ..... ............ 2 0 02
Dade. .......... ........ ........................ 21 0 0 21 12 0 012 2 0 0 2 6 0 0 6 1 0 0 1
DeSoto.. --....................
Dixie....................................... 1 1 0 0
DuvaL"" ................ -- .... 10 0 0 10 12 0 0 12 6 0 0 6 4 0 0 4
Escambia.......---.................- 8 7 0 1 2 2 0 0
Flagler.................. ........................... 2 2 0 0
Franklin.......................... .. 3 3 0 0
Gadsden :..........................:............. 3 0 3 0 1 0 0 1 1 0 0 1 6 5 0 1 1 0 0 1
Gilchrist-._..........................
Glades................ .......................
Gulf- ... .....................
Hamilton ....................... ....................
Hamiltondr.....- -...................... .......

Hernando. ..................................
Hendry ...... .
Highlands ..--..-...... ........... .........- 1 0 0 1
Hillsborough ............................ 1 0 0 1 4 3 0 1
Holmes. ---.. ....... 1 0 0 1
Indian River................. ..............
Jackson....__.................---...- ................... 1 1 0 0 1 0 0 1
Jefferson..... ............................. ......
Lafayette....--.........-...........________ -_________ _________ _____ __
T- Total; 1- Complete Case Report; 2 Incomplete Case Reports; 3 No Case Reports.


iti





0
t-d




Pd
0
td













TABLE 1.-SUiMMARY OF COMMUNICABLE DISEASE EPIDEMIOLOGIOAL FOLLOW UP BY COUJTIES-19{3.-(Cont)

Sep. Sore Th. Smallpox Tetanus Trichinosis Tularemia Typhoid Undulant Dengue
COUNTY ------------ --
T 1 2 3 T 1 2 3 T 1 2 3 T 1 2 3 T 1 2 3 T 1 2 3 T 1 2 3 T 1 2 3

Lake.......................... ..... ---....... 1 0 1 0
Lee ..... ... ....................
Leon ..... .................... ... ......... ..
Levy.. ...... .. ..
Liberty -- .-- ----
Maonatee- .---------
2200 211 0

Monroer...y..... ................................ 4 0 0 4
Martinssau............... ...... .... 3 3 0

Okaloosa ......... ..... ............
Okeechobee ... .. .......... .. ..
Orange ......... ................-........... 1 0 0 1 1 0 0 1

asco .... .. ................ 1 0 0 1
PanlmBeac..... ............................. 7 2 0 5 3 0 0 3

Putnam --............... ...... 1..... 01

Santa .......................
Sarasota ----------------------- -1 0 0 1
Seminole----------.---_ t
Sumter-___-__-- __------ N
Suwannee...................................... 110
Taylor .........................
Union- ........... -
Volusio--_ .............................. 311 3201 1001
Walton.......... .......... 100
Wahington.............. ....... ................ ._____ 1 0 0 1 0 0
T- Total; 1- Complete Case Report; 2 Incomplete Case Reports; 3 No Case Reports.










46 ANNUAL REPORT, 1943


TABLE 2.-NUMBER OF CASES OF SCARLET FEVER, WHOOPING COUGH,
DIPHTHERIA AND MEASLES REPORTED IN FLORIDA-
1918-1943 INCLUSIVE

SCARLET WHOOPING DIPHTHERIA MEASLES
FEVER COUGH
1943 365 1,134 243 1,483
1942 281 828 258 4,250
1941 205 747 212 11,261
1940 270 383 223 2,305
1939 398 1,124 277 2,716
1938 352 876 456 9,149
1937 377 504 609 635
1936 299 383 309 307
1935 273 532 426 1,176
1934 190 723 491 8,115
1933 203 508 452 1,048
1932 235 379 735 217
1931 266 254 501 3,799
1930 341 398 491 5,287
1929 351 1,171 580 1,117
1928 376 321 588 1,709
1927 501 654 1,095 2,582
1926 459 748 1,224 1,126
1925 175 493 768 128
1924 156 444 681 3,244
1923 94 410 619 2,896
1922 104 94 886 140
1921 172 333 856 575
1920 164 347 576 369
1919 146 203 510 775
1918 138 557 329 2,187
Total 6,891 14,548 14,395 68,596


TABLE 3.-DEATHS FROM WHOOPING COUGH BY AGE INTERVALS,
FLORIDA-1934193443.


AGE INTERVAL
Year Total
All Ages

-1 1 2 3 4 5-9 10-14 15-19 20-24 25+

1943 69 50 10 7 1 0 1 0 0 0 0
-1942 48 30 11 4 2 0 1 0 0 0 0
1941 38 28 5 2 0 1 2 0 0 0 0
1940 39 29 2 5 1 0 1 0 0 0 1
1939 60 43 12 4 1 0 0 0 0 0 0
1938 68* 45 15 5 0 0 1 0 0 0 1
1937 59 38 10 3 1 2 2 1 1 0 1
1936 25 14 8 0 1 1 1 0 0 0 0
1935 59 38 16 0 0 1 1 2 0 1 0
1934 110 64 22 8 4 5 4 0 0 0 3
Total 575 379 111 38 11 10 14 3 1 1 6

Rate% 65.9 19.3 6.6 1.9 1.8 2.5 0.5 0.2 0.2 1.1

*Age unknown for one death.










EPIDEMIOLOGY 47

TABLE 4.-DEATH RATES (DEATHS PER 100,000) FROM MEASLES, DIPH-
THERIA, WHOOPING COUGH, AND SCARLET FEVER,
UNITED STATES AND FLORIDA-1934-193443.


Measles Diphtheria Wh. Cough Scar. Fever
Year
U.S. Fla. U.S. Fla. U.S. Fla. U.S. Fla.
1943 0.4 1.4 3.6 0.2
1942 1.0 2.9 1.0 1.5 1.9 2.5 0.3 0.2
1941 1.7 0.9 1.0 1.2 2.8 2.0 0.3 0.1
1940 0.5 0.4 1.1 1.5 2.2 2.0 0.5 0.1
1939 0.9 0.8 1.5 1.8 2.3 3.2 0.7 0.3
1938 2.5 1.7 2.0 1.8 3.7 3.8 0.9 0.2
1937 1.2 0.3 2.0 3.2 3.9 3.4 1.4 0.1
1936 1.0 0.4 2.4 3.4 2.1 1.5 1.9 0.1
1935 3.1 2.1 3.1 3.6 3.7 3.6 2.1 0.1
1934 5.5 6.9 3.3 5.3 5.9 6.9 2.0 0.3


TABLE 5.-DEATHS AND DEATH RATES (DEATHS PER 100,000) BY
COLOR FROM MEASLES, DIPHTHERIA, WHOOPING COUGH,
AND SCARLET FEVER. FLORIDA-1934-193443.

Measles Diphtheria
Year Deaths Rates Deaths Rates

T W C T W C T W C T W C
1943 7 6 1 0.4 0.4 0.2 26 21 5 1.4 1.5 1.0
1942 56 33 23 2.9 2.4 4.4 28 21 7 1.5 1.5 1.4
1941 17 15 2 0.9 1.1 0.4 23 18 5 1.2 1.3 1.0
1940 7 5 2 0.4 0.4 0.4 28 20 8 1.5 1.4 1.5
1939 15 9 6 0.8 0.7 1.2 33 25 8 1.8 1.9 1.6
1938 30 22 8 1.7 1.7 1.6 32 22 10 1.8 1.7 2.0
1937 5 4 1 0.3 0.3 0.2 55 42 13 3.2 3.4 2.7
1936 7 5 2 0.4 0.4 0.4 57 47 10 3.4 3.9 2.1
1935 34 31 3 2.1 2.7 0.6 58 53 5 3.6 4.6 1.1
1934 110 84 26 6.9 7.5 5.6 84 69 15 5.3 6.1 3.2



Whooping Cough Scarlet Fever
Year Deaths Rates, Deaths Rates

T W C T W C T W C T W C
1943 69 32 37 3.6 2.3 7.1 4 3 1 .0.2 0.2 0.2
1942 48 25 23 2.5 1.8 4.4 3 2 1 0.2 0.1 0.2
1941 38 19 19 2.0 1.4 3.7 2 1 1 0.1 0.1 0.2
1940 39 23 16 2.0 1.6 3.1 1 1 0 0.1 0.1
1939 60 30 30 3.2 2.2 5.9 6 5 1 0.3 0.4 0.2
1938 68 37 31 3.8 2.9 6.2 4 3 1 0.2 0.2 0.2
1937 59 30 29 3.4 2.4 5.9 2 2 0 0.1 0.2
1936 25 15 10 1.5 1.3 2.1 2 2 0 0.1 0.2
1935 59 31 28 3.6 2.7 6.0 1 1 0 0.1 0.1
1934 110 59 51 6.9 5.2 11.0 5 5 0 0.3 0.4
















TABLE 6.-NUMBER OF CASES OF INFECTIOUS DISEASES AND HOOKWORM REPORTED IN FLORIDA-1918 to 1943.




o I, a 0


1943 ............... 99 252 365 1,134 243 1,220 312 119 33,540 782 1,483 28 314 6,887 M
1942 .................211 25 281 828 258 1,163 73 86 30,104 227 4,324 43 313 10,745 1-
1941 .................... 183 27 205 747 212 981 57 145 21,258 3,832 11,261 263 196 7,944
1940 .................115 7 270 383 223 1,018 44 149 19,889 653 2,305 33 111 9,455 0
1939 ............... 29 20 398 1,124 277 562 59 435 21,092 402 2,716 66 152 5,766 r
1938 ................... 170 61 352 876 456 739 62 471 18,243 112 9,149 32 75 6,081 3
1937 .. ............... 142 168 377 504 609 1,120 53 894 14,532 544 635 35 107 8,321
1936 ..................... 97 120 299 383 309 621 49 869 3,287 587 307 42 55 2,211
1935 ................... 173 19 73 532 426 523 19 813 4,389 662 1,176 16 27 6,739 i-
1934 ----------------- 132 5 190 723 491 603 41 1,106 5,198 65 8,115 16 36 8,984
1933.... ................ 186 10 203 508 452 661 33 1,011 4,833 1,267 1,048 8 54 4,870 I,
1932 .......... .......... 267 8 235 379 735 591 21 318 4,063 335 217 8 42 3,076 m
1931 ...... ............. 186 36 266 254 501 511 16 339 3,965 1,543 3,799 17 31 3,062
1930 .................. 141 18 341 398 491 487 24 576 4,199 104 5,287 11 39 2,054
1929 .................... 181 18 351 1,171 580 762 48 1,535 4,273 3,769 1,117 33 48 1,972
1928 ........................ 338 20 376 321 588 943 75 844 4,307 1,631 1,709 23 49 1,092
1927 ......................... 591 42 501 654 1,095 1,107 81 360 4,955 481 2,582 39 45 1,983
1926 ............. ............652 18 459 748 1,224 1,335 90 400 3,509 1,213 1,126 16 16 784
1925 ....... ............752 16 175 493 768 1,468 88 665 5,736 761 128 59 2 3,467
1924.................... 641 24 156 444 681 1,573 130 1,030 5,066 345 3,244 8 4 4,890
1923.. ... 609 23 94 410 619 1,210 81 1,050 2,090 1,015 2,896 15 0 1,466
1922 ........ 545 8 104 94 886 1,404 117 970 1,762 1,635 140 16 0 3,869
1921 ............ 733 20 172 333 856 1,313 130 979 2,952 643 575 7 1 675
1920................. 525 28 164 347 576 1,248 92 1,865 2,993 10,379 369 6 1 1,055
1919 .................... 539 34 146 203 510 1,009 199 1,895 2,429 2,010 775 6 1 2,057
1918 ..................... 491 75 138 557 329 522 264 931 1,640 11,631 2,187 6 1 173













TABLE 7.---CASES OF REPORTABLE DISEASES BY MONTHS (INFECTIOUS, PARASITIC AND OTHERS ACCORDING TO
THE INTERNATIONAL LIST OF CAUSES OF DEATH) FLORIDA, 1943.


Int. Code
Disease Number
Anthrax ........................... 7
Beberi................................. 68
Botulism .....................--..... 177
Cancer...................... ............. 45-55
Chanerdid............................... 44A
Chickenpox (Varicella).......... 38E
Cholera Asiatic.. ............. 4
Conjunctivitis (Pink Eye)-.. 88
Dengue ....................... 38F
Diarrhea, Infantile.............. 119-120A
Diphtheria.............................. 10
Dysentery, Amebiasis_........ 27B
Bacillary......................... 27A
Other ..... ............. 27C
Encephalitis, Epi............. 37C
Erysipelas..... .......... 11
German Measles... ........ 38D
Glanders ....................... 26B
Gonorrhea. ---.................. 25
Granuloma Inguinale............ 44A
Hookworm.................- 40
Influenza...................... 33
Jaundice, Infectious...._....... 32A
Leprosy................. ----- 23
Lymphopathia Ven............ 44A
Malaria-..-... .......... 28
Measles (Rubeola).__........ 35
M eningitis ...................... 6
Mumps (Parotitis)............. 44C
Mycosis, Actinomycosis ...... 43
Blastomycosis ................ 43
Favus...........-................ 43
Opthalmia Neonatorum ........ 25


Total Jan. Feb. Mar. April May June July Aug. Sept. Oct. Nov. Dec.


429
840
2,469
15
5
42
243
132
180
24
14
32
1,495

16,925

6,887
782
27
1
75
119
1,483
252
2,631


17


26
61
163
0
0
0
27
6
0
0
0
3
13

1,221
731
20
0
0
0
1
40
11
230

... 0
0


63
29
324

0
0
8
20
1
0
0
1
0
182

1,214

946
14
0
0
0
2
93
30
291

.


45
48
606

0
0
4
8
3
3
0
2
5
389

1,083

1,308
31
5
0
0
14
222
32
503

.........


37
52
618

1
0
0
14
2
5
0
0
4
438

1,139

812
61
0
1
0
9
259
30
539


3


38
124
500
1
0
2
12
8
1
0
2
4
329

1,878
244
62
5
0
0
8
393
38
528


1


39
103
59

3
0
6
3
18
2
3
1
0
118

1,457
194
54
2
0
0
17
201
29
190


2


35
86
8

4
3
14
21
2
3
0
6
9

1,426

380
51
9
0
0
18
64
19
91

.........


32
52
8

3
0
7
7
7
2
6
0
2
3

1,473
348
25
2
0
10
15
9
14
30


2


32
61
2

1
5
21
22
1
5
0
4
2

1,469

215
22
1
0
21
9
9
5
27


0


37
88
5

2
0
5
46
13
10
6
0
2
3

1,855
634
38
2
0
10
8
30
11
37

.1


12
43
56

0
0
48
19
3
1
3
2
2

1,124

340
28
0
0
10
5
70
12
66

1


33
93
120

2
0'
2
23
12
151
0
5
0
7

1,586 '
735
376
1 U
0
24
13
93 1-
21 0
99 t

0
0 C
__ "1











0'



TABLE 7.-CASES OF REPORTABLE DISEASES BY MONTHS (INFECTIOUS, PARASITIC AND OTHERS ACCORDING TO
THE INTERNATIONAL LIST OF CAUSES OF DEATH) FLORIDA, 1943.-(Continued)


Int. Code
Disease Number Total Jan. Feb. Mar. April May June July Aug. Sept. Oct. Nov.
Paratyphoid Fever............... 2 31 0 0 0 3 1 5 4 0 1 1 8
Pellagra...... -....-- ...... 69 26 3 1 0 1 11 6 0 1 1 1 0
Plague..... .............. ............ 3
Pneumonia, (all forms)-....... 107-109 1,783 98 143 192 132 155 144 171 133 79 139 125
Poliomyelitis................... 36 28 1 5 4 0 0 3 2 0 8 1 2
Psittacosis .................. 38F.......... .... ..........
Puerperal Infection.............. 147B ........ .
Rabies, Human............... 38B 1 0 0 0 1 0 0 0 .0 0 0
Animal............................... 31 0 0 0 12 6 4 7 0 0 1 1
Rickettsial Diseases....-...... 39
Brills or Typhus............ 39A 314 10 18 24 21 27 31 51 21 30 28 30
Rocky Mtn. Spot. Fever 39C .....
Scarlet Fever (Scarletina).... 8 365 47 48 34 33 30 7 16 12 14 .. 30 43
Septic Sore Throat........... 115B 36 5 5 4 3 1 2 9 1 1 2 2
Smallpox (Variola) ............ 34 2 0 0 0 0 1 0 0 0 0 0 0
Syphilis..... .............. 30 33,540 2,975 3,066 3,065 2,603 3,073 3,236 2,322 3,319 2,619 2,763 2,029
Tetanus....................... ....... 12 29 0 2 1 0 1 4 2 2 5 3 5
Trachoma.................... 88 2 0 0 0 0 .0 0 0 0 0 2 0
Trichinosis....---...............- 42 1 0 1 0 0 0 0 0 0 0 0 0
Tuberculosis, Pulmonary.... 13 1,220 74 98 109 160 95 115 117 94 88 94 100
Other Forms.............--- 14-22
Tularemia..... 26A 2 0 0 0 1 0 0 0 0 0 .. 0 1.
Typhoid Fever..............- 1 68 1 1 8 5 11 10 8 10 3 3 2
Undulant Fever............. 36 0 1 3 4 7 3 9 2 1 2 1
Vincent's Angina.................... 32B 306 10 5 16 5 26 31 25 18 33 55 30
Whooping Cough.................... 9 1,134 70 81 78 102 195 96 94 91 68 110 41
Yellow Fever................--....... 38A
Other Diseases: Giardiasis.... 29 16 0 0 0 0 0 0 0 0 0 0 2
Ascariasis.......................... 390 38 36 63 31 30 23 20 14 3 14 12
Oxyuriasis-............ 52 5 4 9 7 4 1 2 3 0 1 3
Trichuriasis..--.. ...---- 58 1 6 4 4 4 0 6 0 0 10 4
Tapeworm...... .. 17 0 0 2 0 2 1 3 0 0 2 2


Dec.

8
......... t
272
2

0 .... y
1 0

23
. ...... -.
51
1
1 -
2,470 C
4 h-
0 M
0
76
0
6
3
52
108
14
106
13
19
5











EPIDEMIOLOGY


TABLE 8.-CASES OF REPORTABLE DISEASES BY WEEKS (INFEC-
TIOUS, PARASITIC AND OTHER, ACCORDING TO THE INTER-
NATIONAL LIST OF CAUSES OF DEATH) FLORIDA, 1943.

JANUARY FEBRUARY

DISEASE Code Total Week Ending Week Ending
No.
Year T 9 16 23 30 T 6 13 20 27


Anthrax..-.............................
Beriberi............................
Botulism................................
Cancer................................
Chancroid. ............................
Chickenpox. .........................
Cholera, Asi..... .............
Conjunctivitis...................
Dengue......................................
Diarrhea................ ...........
Diphtheria.......................
Dysentery A.-B........................
Encephalitis, EpLi..................
Erysipelis .............................
German Measles..................
Glanders....................................
Gonorrhea........... ................
Hookworm...........................
Influenza................................
Jaundice, Inf........................
Leprosy........ .........
Lympho. Venereum................
Malaria.... ........... .
Measles ..............................
Meningitis,Menin..............
Mumps....... .....................
Mycosis, Actino-,
Blasto-, Favus...................
Opthalmia Neon..-..................
Paratyphoid...... .............
Pellagra............... .
Plague..........................
Pneumonia, (all forms) .........
Poliomyelitis..................
Psittacosis.........................
Puerperal Inf......................
Rabies, Hum..........................
Rickettsial Disease
Brills or Typhus..................
Rky. Mtn. Sp. Fever ............
Others....................................
Scarlet Fever..........................
Septic Sore Throat..................
Smallpox .................................
Syphilis.....................................
Tetanus............. ....................
Trachoma.............................
Trichinosis. ............................
Tuberculosis, Pul...................
Other Forms......................
Tularemia ...............................
Typhoid Fever.....................
Undulant (Bruc.)..................
Vincent's Angina...............
Whooping Cough............
Yellow Fever............................


7
68
177
45-55
44A
38E
4
88
38F
119-120A
10
27A-B
37C
11
38D
26B
25
40
33
32A
23
44
28
35
6
44C
43
25
2
69
3
107-109
36
38F
147C
38B
39A
39C
39B
8
115B
34
30
12
88
42
13
14-22
26A
1
5
32B
9
38A


0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
26 13 0 4 9
61 23 7 20 11
163 47 6 36 74
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
27 9 4 7 7
6 1 0 5 0
0 0 0 0 0
3 1 0 0 2
13 1 1 4 7
0 0 0 0 0
1,221 306 328 317 270
731 551 17 79 84
20 6 5 2 7
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 0 0 1 0
40 8 8 12 12i
11 4 3 3 1
230 29 52 63 86
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3 1 0 0 2
0 0 0 0 0
98 45 18 20 15
1 0 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

10 5 1 2 2
0 0 0 0 0
0 0 0 0 0
47 14 3 19 11
5 5 0 0 0
0 0 0 0 0
2,975 620 917 586 852
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
74 25 6 28 15
0 0 0 0 0
0 0 0 0 0
1 0 0 1 0
0 0 0 0 0
10 1 3 2 4
70 16 11 17 26
0 0 0 0 0
00000
00000
00000
26 13 0 4 9
61 23 7 20 11
163 47 6 36 74
00000
00000
00000
00000
27 9 4 77
61050
00000

00000
1,221306 328 3170270
731551 17 7984
20 6 5 27
00000
00000
00000
10010
40 8 8 1212
11 4 3 31
230 29 52 6386
00000
00000
00000
31002
98 45 18 2015
10001
0'0 0 00


10 5 1 2 2
00000
47 14 3 19 11
00000
2,975 620 917 586 852
00000
00000
74 25 6 28 15
000001
00000

10 1 3 2 41
70 16 11 17 26
00000


0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
63 15 9 20 19
29 5 11 13 0
324 30 89 94 111
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
8 1 1 2 4
20 7 3 1 9
1 0 0 0 1
1 0 0 0 1
0 0 0 0 0
182 5 76 52 49
0 0 0 0 0
1,214 122 411 431 250
946 196 395 114 241
14 3 3 5 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 1 1 0 0
93 12 29 23 29
30 11 4 3 12
291 56 58 62 115
0 0 0 0 0
5 0 1 2 2
0 0 0 0 0
1 0 0 0 1
0 0 0 0 0
143 22 44 39 38
5 3 1 1 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
18 4 9 2 3
0 0 0 0 0
0 0 0 0 0
47 11 10 8 18
5 0 2 3 0
0 0 0 0 0
3,0661,167 694 749 456
2 1 0 0 1
0 0 0 0 0
1 0 1 0 0
98 17 24 29 28
0 0 0 0 0
0 0 0 0 0
1 0 0 1 0
1 0 0 1 0
5 0 1 1 8
81 12 15 29 25
0 0 0 0 0










52 ANNUAL REPORT, 1943


TABLE 8.-CASES OF REPORTABLE DISEASES BY WEEKS (INFEC-
TIOUS, PARASITIC AND OTHER, ACCORDING TO THE INTERNA-
TIONAL LIST OF CAUSES OF DEATH) FLORIDA, 1943.-(Cont)

MARCH APRIL
DISEASE Code Week Ending Week Ending
No.
T 6 13 20 27 T 3 10 17 24


Anthrax........................................
Beriberi............................ ..............
Botulism..........................................
Cancer............................. ...........
Chancroid............. ..........
Chickenpox-................................
Cholera, Asi......................... ......
Conjunctivitis......... ......................
Dengue......................................
Diarrhea............-. .................. --
Diphtheria .................................
Dysentery A.-B ............................
Encephalitis, Epi........-...................
Erysipelis......................................
German Measles........................
Glanders..-.......... ...............
Gonorrhea.................. ....... .....
Hookworm .......................
Influenza........................ .... ....
Jaundice, Inf.............................
Leprosy.........................
Lympho. Venereumr. ...............
Malaria ........................ .................
Measles........................ ..........
Meningitis, Menin.............-.......
Mumps.............................
Mycosis, Actino-,
Blasto-, Favus..........................
Opthalmia Neon ............................
Paratyphoid ....................
Pellagra.......................... ..
Plague. ....... .................
Pneumonia, (all forms)..................
Poliomyelitis-.........................
Psittacosisa...........................
Puerperal Inf..............................
Rabies, Hum...............................
Rickettsial Disease
Brills or Typhus......................
Rky. Mtn. Sp. Fever..........
Others ................................
Scarlet Fever..................................
Septic Sore Throat....................
Smallpox............... .............
Syphilis .................. ........--
Tetanus.......................................
Trachoma ........................................
Trichinosis..................................
Tuberculosis, Pul......................
Other Forms...........................
Tularemia..........................................
Typhoid Fever.............................
Undulant (Bruc.)..........................
Vincent's Angina-............................
Whooping Cough ...... ...............
Yellow Fever............. ...............


7
68
177
45-55
44A
38E
4
88
38F
119-120A
10
27A-B
37C
11
38D
26B
25
40
33
32A
23
44
28
35
6
44C
43
25
2
69
8
3
107-109
36
38F
147C
38B
39A
39C
39B
8
115B
34
30
12
88
42
13
14-22
26A
1
5
32B
9
88A


0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
00000
00000
00000
45 9 15 17 4
48 30 4 13 1
606 100 116 170 220
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
4 2 1 0 1
8 2 1 4 1
6 0 1 1 4
2 0 2 0 0
5 0 3 1 1
00000
00000
42101
82141
60114
20200
50311
389 105 102 70 112
0 0 0 0 0
1,083 246 337 291 209
1,308 459 432 224 193
31 3 3 11 14
5 0 4 1 0
00000
0 0 0 0 0
0 0 0 0 0
00000
14 2 2 4 6
222 47 48 659 68
32 5 8 15 4
503 131 73 147 152
0 0 0 0 0
1 0 0 1 0
0 0 0 0 0
0 0 .0 0 0
00 0 0 0
192 53 56 58 25
4 2 0 1 0
0 42 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
00000

24 2 2 6 14
0 0 0 0 0
0 0 0 0 0
35 15 6 11 4
4 1 0 3 0
0 0 0 0 0
3,065 595 833 985 652
1 0 0 0 1
0 0 0 0 0
0 0 0 0 0
109 28 33 26 22
0 0 0 0 0
0 0 0 0 0
8 0 2 5 11
3 1 0 0 2
16 1 1 14 0
78 18 14 32 14
0 0 0 0 0
00000
00000
35 15 5 114
41030
00000
3.065 595 833 985652
10001
00000
00000
109 28 33 2622
00000
00000
80251
31002
16 1 1 14 0
78 18 14 32 14
00000


0 0
0 0
0 0
37 6
52 12
618 192
0 0
1 1
0 0
0 0
14 2
7 0
0 0
4 2
438 136
0 0
1,139 355
812 283
61 5
0 0
1 0
0 0
9 6
259 61
30 2
539 130
0 0
3 0
3 0
1 0
0 0
132 29
0 0
0 0
0 0
0 0
0 0
21 12
0 0
0 0
33 7
3 0
0 0
2,603 695
0 0
0 0
0 0
160 27
0 0
1 0
5 1
4 0
5 3
102 30
0 0


0 0 0
0 0 0
0 0 0
9 17 5
26 8 6
175 156 95
0 0 0
0 0 0
0 0 0
0 0 0
2 4 6
2 3 2
0 0 0
1 1 0
88 103 111
0 0 0
430 126 228
156 172 201
33 16 7
0 0 0
0 1 0
0 0 0
2 0 1
68 48 82
6 13 9
168 127 114
0 0 0
1 1 1
0 1 2
1 0 0
0 0 0
29 36 38
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
3 3 3
0 0 0
0 0 0
11 8 7
1 1 1
0 0 0
824 542 542
0 0 0
0 0 0
0 0 0
88 68 27
0 0 0
0 0 1
3 0 1
0 3 1
1 1 0
42 17 13
0 0 0
000










EPIDEMIOLOGY 53


TABLE 8.-CASES OF REPORTABLE DISEASES BY WEEKS (INFEC-
TIOUS, PARASITIC AND OTHER, ACCORDING TO THE INTERNA-
TIONAL LIST OF CAUSES OF DEATH) FLORIDA, 1943.-(Cont)

MAY JUNE

DISEASE Code Week Ending Week Ending
No.
T 1 8 15 22 29 T 5 12 19 26


Anthrax ............................
Beriberi..........................
Botulism..... ...................
Cancer..... ............
Chancroid..... .................
Chickenpox-...........................
Cholera, Asi......... ..
Conjunctivitis .. .......
Dengue..... ..... ......
Diarrhea.... ............
Diphtheria..... .........
Dysentery A.-B.. ..........
Encephalitis, Ep................
Erysipelis...............
German Measles.................
Glanders.......................
Gonorrhea .......................
Hookworm...........................
Influenza..........................
Jaundice, Inf.........................
Leprosy..... ...............
Lympho. Venereum .......
Malaria ................................
Measles ............................
Meningitis, Menin..............
Mumps........ ....................
Mycosis, Actino-,
Blasto-, Favus.........
Opthalmia Neon...................
Paratyphoid.............
Pellagra..........................
Plague .... ....................
Pneumonia, (all forms) ....-
Poliomyelitis .................
Psittacosis...... ................
Puerperal Inf......................
Rabies, Hum....................
Rickettsial Disease
Brills or Typhus..............
Rky. Mtn. Sp. Fever......
Others..... ...........
Scarlet Fever...................
Septic Sore Throat..-........
Smallpox.........................
Syphilis......................
Tetanus... ............ .......
Trachoma ......................
Trichinosis................
Tuberculosis, Pul.................
Other Forms.....................
Tularemia..... ................
Typhoid Fever......----.....
Undulant (Bruc.)........
Vincent's Angina......
Whooping Cough -........
Yellow Fever........................


7
68
177
45-55
44A
38E
4
88
38F
119-120A
10
27A-B
37C
11
38D
26B
25
40
33
32A
23
44
28
35
6
44C

43
25
2
69
3
107-109
36
38F
147C
38B

39A
39C
39B
8
115B
34
30
12
88
42
13
14-22
26A
1
5
32B
9
38A


0 0 0 0 0 0

0 0 0 0 0 0
000000
000000
000000
38 7 7 7 10 7
124 34 23 34 12 21
500 117 136 103 68 76
0 0 0 0 0 0
1 0 0 0 1 0
0 0 0 0 0 0
2 0 0 1 1 0
12 3 2 3 3 1
9 1 1 0 7 0
2 0 1 0 1 0
4 2 0 1 1 0
329 46 124 36 73 60
0 0 0 0 0 0
1,878 517 406 332 341 282
244 91 47 35 32 39
62 15 12 10 19 6
5 5 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
8 0 1 1 4 2
393 67 87 139 52 48

528 160 123 87 79 79

0 0 0 0 0 0
1 0 0 0 1 0
1 0 0 0 1 0
11 1 4 0 3 3
0 0 0 0 0 0
155 40 40 27 27 21
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1 0 1 0 0 0

27 2 5 1 13 6
0 0 0 0 0 0
0 0 0 0 0 0
000000















310 11 0010 4 2















1 0 1 0 0 0
000000
200110















1 0 0 0 0 1
3,073 5911051 444 70














1 0 0 0 0 1
0 0 0 0 0 0
0 0 0 0 0 0
201010
420110















329 13 20 36 7314















0 0 0 0 0 0
0 0 0 0 0 0
000000

















1,8785 44 06332 34 28 3
20 0 0 0 0 3
62 15 12 10 19 6
650000
000000
000000
801142
393 67 87139 52 48
38 7 12 6 8 5
528160123 87 79 79

000000
100010
100010
11 1 4 0 3 3
000000
155 40 40 27 27 21
000000
000000
000000
101000

27 2 5 1 13 6
000000
000000
30 10 11 3 4 2

100001
3,073 551 821 551444 706
100001
000000
000000
95 14 13 20 34 14
000000
000000
11 1 3 1 3 3
720212
26 0 4 4 10 8
195 44 52 34 28 3?
000006


0 0
0 0
0 0
4 7
8 46
34 10
0 0
2 0
0 0
1 0
2 0
4 0
1 0
0 0
78 23
0 0
208 516
22 57
36 4
1 0
0 0
0 0
9 3
126 18

20 2
108 27*

0 0
0 1
0 5
0 1
0 0
37 21
3 0
0 0
0 0
0 0

3 5
0 0
0 0
4 1
1 0
0 0
1,311 642
0 2
0 0
0 0
27 21
0 0
0 0
5 2
1 1
13 7
26 21
0 0


0 0
0 0
0 0
6 22
28 21
8 7
0 0
0 1
0 0
3 2
1 0
11 5
0 0
0 0
14 3
0 0
405 328
41 74
8 6
0 1
0 .0
0 0
2 3
24 33
3 4
41 14

0 0
1 0
0 0
0 *5
0 0
30 56
0 0
0 0
0 0
0 0

11 12
0 0
0 0
1 1
0 1
0 0
490 793
2 0
0 0
0 0
29 38
0 0
0 0
1 2
0 1
4 7
26 23
0 0


,










54 ANNUAL REPORT, 1943


TABLE 8.-CASES OF REPORTABLE DISEASES BY WEEKS (INFEC-
TIOTJS, PARASITIC AND OTHER, ACCORDING TO THE INTERNA-
TIONAL LIST OF CAUSES OF DEATH) FLORIDA, 1943.-(Cont)


JULY AUGUST
DISEASE Code Week Ending Week Ending
No.
T 3 10 17 24 31 T 7 14 21 28


Anthrax...............................
Beriberi..........................
Botulism.......................
Cancer.............................
Chancroid.......................
Chickenpox.........................
Cholera, Asi.._......... ............
Conjunctivitis....................
Dengue..........................
Diarrhea..----...................
Diphtheria.... .................
Dysentery A.-B .....................
Encephalitis, Epi....................
Erysipelis..........---... ..............
German Measles...................
Glanders-.....................-..
Gonorrhea..............-..........
Hookworm............................
Influenza..............................
Jaundice, Inf...........................
Leprosy -...................
Lympho. Venereum................
Malaria.........................
Measles.......................
Meningitis, Menin...................
Mumps.................................
Mycosis, Actino-,
Blasto-, Favus.....................
Opthalmia Neon......................
Paratyphoid...........:.................
Pellagra........................
Plague ................................
Pneumonia, (all forms).-.....
Poliomyelitis........................
Psittacosis............................
Puerperal Inf...........................
Rabies, Hum....................
Rickettsial Disease
Brills or Typhus..................
Rky. Mtn. Sp. Fever..........
Others.................................
Scarlet Fever.......................
Septic Sore Throat..................
Smallpox .....--............-..
Syphilis.......................
Tetanus.............. ...........
Trachoma....... .............
Trichinosis..................
Tuberculosis, Pul............
Other Forms.....................
Tularemia....... ..........
Typhoid Fever....................
Undulant (Bru.).............
Vincent's Angina ..........
Whooping Cough ...................
Yellow Fever........................


7
68
177
45-55
44A
38E
4
88
38F
119-120A
10
27A-B
37C
11
38D
26B
25
40
33
32A
23
44
28
35
6
44C

43
25
2
69
3
107-109
36
38F
147C
38B

39A
39C
39B
8
115B
34
30
12
88
42
13
14-22
26A
1
5
32B
9
38A


0 0 0 0 0 0
0 0 0 0 0 0
000000
000000
0 0 0 0 0 0
35 5 3 7 5 15
86 30 18 12 19 7
8 4 0 2 0 2
0 0 0 0 0 0
2 0 2 0 0 0
4 4 0 0 0 0
3 0 1 1 0 1
14 2 2 4 4 2
23 2 8 2 4 7
0 0 0 0 0 0
6 2 1 2 0 1
9 2 2 2 1 2
0 0 0 0 0 0
1,426 288 298 273 361 206
380 171 37 47 47 78
51 8 11 18 9 5
9 2 3 2 1 1
0 0 0 0 0 0
0 0 0 0 0 0
18 2 2 4 4 6
64 11 18 13 10 12
19 3 5 5 1 5
91 30 22 15 12 12

0 0 0 0 0 0
1 0 0 0 0 1
4 0 1 1 1 1
0 0 0 0 0 0
171 40 32 28 21 0
000000
202000
440000
301101










2 0 0 2 0 0










0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
51 9 8 15 8 11
0 0 0 0 0 0
0 0 0 0 0 0
2 2 0 1 4 2














0 0 0 0 0 0
000000
621201













2,322 354 617 467 342 1 2













2 0 0 0 2 0
0 0 0 0 0 0
0 0 0 0 0 0
117 16 21 20 17 43
0 0 0 0 0 0
0 0 0 0 0 0
000000















1,426 288 298 273 361 206
380 171 376 47 4 78
94 38 11 18 12 20
9232110 0 0 0 0 0
000000
000000
18 2 2 4 4 6
64 11 18 13 10 12
19 3 5 5 1 5
91 30 22 15 12 12

000000
100001
401111
000000
000000
171 40 32 28 21 50
200200
000000
000000
51 9 8 15 8 11
000000
000000
16 4 2 5 1 4
920142
000000
2,322 354 617 467 342 542
200020
000000
000000
117 16 21 20 17 43
000000
000000
803122
932121
25 5 6 5 4 5
94 38 11 13 12 20/
0000001


0 0 0 0
0 0 0 0
0 0 0 0
32 6 1 9
52 16 16 5
8 1 1 4
0 0 0 0
3 0 1 1
0 0 0 0
7 0 0 5
7 3 2 1
9 1 2 3
0 0 0 0
2 0 0 2
3 0 0 0
0 0 0 0
1,473 269 331 272
348 75 97 125
25 4 5 5
2 0 1 0
0 0 0 0
10 1 8 1
15 1 4 3
9 3 1 3
14 2 7 4
30 9 5 13

0 0 0 0
2 1 0 0
0 0 0 0
1 0 1 0
0 0 0 0
133 18 29 58
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
21 6 7 5
0 0 0 0
0 0 0 0
12 4 1 2
1 1 0 0
0 0 0 0
3,319 578 640 938
2 0 0 1
0 0 0 0
0 0 0 0
94 19 15 27
0 0 0 0
0 0 0 0
10 2 2 3
2 0 0 2
18 3 3 4
91 11 27 32
0 0 0 0


v










EP]DEMIOLOGY


TABLE 8.-CASES OF REPORTABLE DISEASES BY WEEKS (INFEC-
TIOUS, PARASITIC AND OTHER, ACCORDING TO THE INTERNA-
TIONAL LIST OF CAUSES OF DEATH) FLORIDA, 1943.-(Cont)

SEPTEMBER OCTOBER

DISEASE Code Week Ending Week Ending
No.
T 4 11 18 25 T 2 9 16 23 30


Anthrax ................ .................
Beriberi ......................................
Botulism....................................
Cancer.......................................
Chancroid ..............................
Chickenpox..............................
Cholera, Asi.... ......................
Conjunctivitis .....................
Dengue...................
Diarrhea....... ..............
Diphtheria..........................
Dysentery A.-B ..... ............
Encephalitis, Epi........
Erysipelis...... .............
German Measles.................
Glanders.........................
Gonorrhea .....................
Hookworm..........................
Influenza..........................
Jaundice, Inf......................
Leprosy.............................. ....
Lympho. Venereum..................
Malaria...................... .......
Measles ........................... ........
Meningitis, Menin..............
Mumps.............................
Mycosis, Actino-,
Blasto-, Favus.-..............
Opthalmia Neon .....................
Paratyphoid........................
Pellagra..................................
Plague............................
Pneumonia, (all forms).........
Poliomyelitis...........................
Psittacosis.- .... .................
Puerperal Inf.........................
Rabies, Hum..........................
Rickettsial Disease
Brills or Typhus............
Rky. Mtn. Sp. Fever..........
Others...........................
Scarlet Fever.....................
Septic Sore Throat..................
Smallpox...... ..............
Syphilis........... .. .........
Tetanus ................................
Trachoma.................................
Trichinosis.....................
Tuberculosis, Pul...................
Other Forms.....-.........
Tularemia..-..............................
Typhoid Fever..... ................
Undulant (Bruc.) ...............
Vincent's Angina...................
Whooping Cough..................
Yellow Fever...............


7
68
177
45-55
44A
38E
4
88
38F
119-120A
10
27A-B
37C
11
38D
26B
25
40
33
32A
23
44
28
35
6
44C

43
25
2
69
3
107-109
36
38F
147C
38B

39A
39C
39B
8
115B
34
30
12
88
42
13
14-22
26A
1
5
32B
9
88A


0 0 0 0
0 0 0 0
0 0 0 0
32 7 11 3
61 16 14 13
2 0 1 0
0 0 0 0
1 0 0 0
1 0 0 1
5 0 3 1
21 6 6 3
23 5 13 3
0 0 0 0
4 2 1 1
2 1 0 0
0 0 0 0
1,469 421 319 257
215 29 59 75
22 11 2 5
1 1 0 0
0 0 0 0
21 5 10 6
9 4 2 0
9 0 4 3
5 3 0 2
27 6 9 4
0 0 0 0
0 0 0 0
1 0 1 0
1 0 0 1
0 0 0 0
79 10 12 22
8 0 0 6
0 0 0 0
0 0 0 0
0 0 0 0

30 9 8 7
0 0 0 0
0 0 0 0
14 1 2 7
1 0 0 0
0 0 0 0
2,619 599 632 749
5 1 4 0
0 0 0 0
0 0 0 0
88 17 15 21
0 0 0 0
0 0 0 0
3 0 1 1
1 0 0 0
33 12 3 11
68 19 21 12
0 0 0 0
0000
0000
0000
32 7 11 3
61 16 14 13
2010

1000
1001
5031
21 6 6 3
23 5 13 3
0000

2100
0000
1,469 421 319 257
215 29 59 75
22 11 2 5

0000
21 5 10 6
9420
9043
5302
27 6 9 4

0000
0000

0000
79 10 12 22
0000
0000
0000
30 9 8 7
0000

14 1 2 7
1000
0000
2;619 599 632 749
5140
0000
0000
88 17 15 21
0000

3011
1000
53 12 3 11
68 19 21 12
0000


0 0
0 0
0 0
37 6
88 20
5 0
0 0
2 0
0 0
5 0
46 5
23 3
0 0
2 1
3 1
0 0
1,855 388
634 38
38 4
2 0
0 0
10 1
8 0
30 1'
11 4
37 6
0 0
1 1
1 0
1 0
0 0
139 28
1 0
0 0
0 0
0 0

28 3
0 0
0 0
30 5
2 0
0 0
2,763 320
3 0
2 0
0 0
94 27
0 0
0 0
3 1
2 0
55 23
110 21
0 0


0 0 0 0
0 0 0 0
0 0 0 0
8 4 5 14
12 22 11 23
0 1 2 2
0 0 0 0
0 2 0 0
0 0 0 0
1 2 1 1
5 8 7 21
1 6 8 5
0 0 0 0
0 1 0 0
0 1 1 0
0 0 0 0
324 464 340 339
155 59 243 139
12 11 10 1
1 0 0 1
0 0 0 0
1 1 2 5
1 2 4 1
5 6 4 14
2 3 0 2
4 9 9 9

0 0 0 0
0 0 0 0
0 1 0 0
0 0 0 1
0 0 0 0
23 24 39 25
0 0 1 0
0 0 0 0
0 0 0 0
0 0 0 0

8 6 3 8
0 0 0 0
0 0 0 0
4 9 1 11
1 0 0 1
0 0 0 0
634 655 506 648
0 1 1 1
1 1 0 0
0 0 0 0
22 13 15 17
0 0 0 0
0 0 0 0
1 0 1 0
2 0 0 0
9 14 3 6
31 23 16 19
0 0 0 0
0000










56 ANNUAL REPORT, 1943


TABLE 8.-CASES OF REPORTABLE DISEASES BY WEEKS (INFEC-
TIOUS, PARASITIC AND OTHER, ACCORDING TO THE INTERNA-
TIONAL LIST OF CAUSES OF DEATH) FLORIDA, 1943.-(Cont)


NOVEMBER DECEMBER

DISEASE Code Week Ending Week Ending
No.
T 6 13 20 27 T 4 11 18 25 31

Anthrax.................................. 7 0 0 0 0 0 0 0 0 0 0 0
Beriberi.................................... 68 0 0 0 0 0 0 0 0 0 0 0
Botulism................................... 177 0 0 0 0 0 0 0 0 0 0 0
Cancer.................................. ,45-55 12 8 0 2 2 33 8 9 1 6 10
Chancroid................................. 44A 43 7 13 6 17 93 7 29 1 33 23
Chickenpox_............................. 38E 56 7 7 32 10 120 37 31 29 11 12
Cholera, Asi......................... 4 0 0 0 0 0 0 0 0 0 0 0
Conjunctivitis......................... 88 0 0 0 0 0 2 0 1 0 0 1
Dengue........................ ..... 38F 0 0 0 0 0 0 0 0 0 0 0
Diarrhea................................. 119-120A 0 0 0 0 0 2 0 1 1 0 0
Diphtheria................................ 10 48 8 12 20 8 23 4 4 2 8 5
Dysentery A.-B..................... 27A-B 22 7 11 1 3 163 5 1 2 5 150
Encephalitis, Epi..................... 37C 3 2 1 0 0 5 0 1 0 0 4
Erysipelis.............................. 11 2 1 1 0 0 0 0 0 0 0 0
German Measles...................... 38D 2 1 0 1 0 7 3 2 1 1 0
Glanders.................................. 26B 0 0 0 0 0 0 0 0 0 0 0
Gonorrhea .............................. 25 1,124 144 331 309 340 1,586 59 387 355 452 333
Hookworm.............................. 40 340 66 106 84 84 735 49 197 115 129 245
Influenza.............................. 33 28 3 11 7 7 376 6 16 102 112 140
Jaundice, Inf........................ 32A 0 0 0 0 0 1 0 0 0 0 1
Leprosy................................... 23 0 0 0 0 0 0 0 0 0 0 0
Lympho. Venereum. ............. 44 10 3 3 4 0 24 4 8 1 7 4
Malaria................................... 28 5 2 0 2 1 13 3 1 2 5 2
Measles............................. 35 70 24 5 24 17 93 16 23 19 9 26
Meningitis, Minin..............-... 6 12 2 4 4 2 21 7 2 1 4 7
Mumps-............................... 44C 66 18 13 13 22 99 19 26 28 14 12
Mycosis, Actino-,
Blasto-, Favus.................... 43 0 0 0 0 0 0 0 0 0 0 0
Opthalmia Neon...................... 25 1 0 0 0 1 0 0 0 0 0 0
Paratyphoid............................. 2 8 6 0 2 0 8 1 1 2 2 2
Pellagra.............-................... 69 0 0 0 0 0 1 0 1 0 0 0
Plague.................................... 3 0 0 0 0 0 0 0 0 0 0 0
Pneumonia, (all forms).......... 107-109 125 36 22 43 24 272 51 30 58 59 74
Poliomyelitis........................ 36 2 2 0 0 0 2 0 1 1 0 0
Psittacosis ... .......................... 38F 0 0 0 0 0 0 0 0 0 0 0
Puerperal Inf ............................ 147C 0 0 0 0 0 0 0 0 0 0 0
Rabies, Hum........................ 38B 0 0 0 0 0 0 0 0 0 0 0
Rickettsial Disease
Brills or Typhus................ 39A 30 7 7 7 9 23 3 2 2 9 7
Rky. Mtn. Sp. Fever.......... 39C 0 0 0 0 0 0 0 0 0 0 0
Others..........................--- 39B 0 0 0 0 0 0 0 0 0 0 0
Scarlet Fever........................... 8 43 12 12 10 9 51 6 23 7 6 9
Septic Sore Throat................. 115B 2 1 0 1 0 1 0 0 0 1 0
Smallpox....................... ...... 34 0 0 0 0 0 1 0 0 0 1 0
Syphilis.......................... 30 2,029 427 507 750 345 2,470 593 489 190 431 767
Tetanus................................ 12 5 2 1 1 1 4 0 3 0 0 1
Trachoma................................. 88 0 0 0 0 0 0 0 0 0 0 '0
Trichinosis....... ................... 42 0 0 0 0 0 0 0 0 0 0 0
Tuberculosis, Pul................... 13 100 31 23 17 29 76 12 17 17 9 21
Other Forms......................... 14-22 0 0 0 0 0 0 0 0 0 0 0
Tularemia.................................. 26A 1 1 0 0 0 0 0 0 0 0 0
Typhoid Fever.................... 1 2 0 0 2 0 6 1 1 0 2 2
Undulant (Bruc.).............. 5 1 0 0 1 0 3 0 0 2 1 0
Vincent's Angina..................... 32B 30 8 8 7 7 52 6 7 13 0 16
Whooping Cough ............... 9 41 26 4 7 4 108 11 32 22 24 19
Yellow Fever....................... 38A 0 0 0 0 0 0 0 0 0 0 0











EPIDEMIOLOGY


TABLE 9.-MORBIDITY REPORT OF REPORTABLE DISEASES BY
COUNTIES FOR YEAR ENDING DECEMBER 31, 1943.


DISEASE Code No.


Anthrax. ..........................
Beriberi..... ..................
Botulism..............................
Cancer................................
Chancroid.............................
Chickenpox (Varicella)........
Cholera, Asiatic....................
Conjunctivitis (Pink Eye)..
Dengue..........................
Diarrhea, Infantile .._.........
Diphtheria.......................
Dysentery; Amebiasis..........
Bacillary........
Other.................
Encephalitis, Epi .................
Erysipelas.............................
German Measles..................
Glanders.......................-.......
Gonorrhea .......................
Granuloma Inguinale........
Hookworm.......................
Influenza .........................
Jaundice, Infectious............
Leprosy................................
Lymphopathia Ven.............
Malaria......... ..............
Measles (Rubeola) ...............
Meningitis ......................
Mumps (Parotitis)..............
Mycosis, Actinomycosis......
S Blastomycosis......
Favus...............
Opthalmia Neonatorum...
Paratyphoid Fever.........
Pellagra...... .................
Plague...............................
Pneumonia, Broncho...........
Lobar...............
Other....-...........
Poliomyelitis...................
Psittacosis............................
Puerperal Infection.............
Rabies, Human....................
Animal....................
Rickettsial Diseases...........
Brills or Typhus................
Rocky Mtn. Spot. Fev.........
Scarlet Fev. (Scarletina)......
Septic Sore Throat..............
Smallpox (Variola)...........
Syphilis.................................
Tetanus.............................
Trachoma.... ...................
Trichinosis. ......................-
Tuberculosis, Pulmonary....
Other Forms..
Tularemia..............................
Typhoid Fever.... ............
Undulant Fever...............
Vincent's Angina..................
Whooping Cough..................
Yellow Fever................
Other Diseases: Giardiasis..
Ascariasis.... .....................
Oxyuriasis.............................
Trichuriasis. .....................
Tapewornm.....................
Catarrhal Fever..........-------..


7
68
177
45-55
44A
38E
4
88
38F
119-120A
10
27B
27A
27C
37C
11
38D
26B
25
44A
40
33
32A
23
44A
28
35
6
44C
43A
43B
43F
25
2
69
3
107
108
109
36
38F
147B
38B
38B
39
39A
39C
8
115B
34
30
12
88
42
13
14-22
26A
1
5
32B
9
38A
29


STATE

1938-421 1941 1942 1943

Population: 2,080,003

5-Yr. Total Total Total
Mean For For This
Year Year Year
0 1 0 0
0 0 0 0
0 0 0 0
344 351 384 429
161 152 452 840
1,377 908 1,388 2,469
0 0 0 0
0 0 0 15
9 6 1 5
1 7 0 42
290 212 258 243
34 32 25 132
19 18 47 180
6 7 1 24
7 6 1 14
0 0 0 32
361 1,474 143 1,495
0 0 0 0
3,759 3,065 10,165 16,925
0 70 127 251
7,998 7,944 10,745 6,887
1,045 3,832 227 782
0 0 0 27
2 2 0 1
0 46 124 254
255 145 86 119
5,951 11,261 4,324 1,483
28 27 25 252
792 650 1,789 2,631
0 0 0 0
0 0 0 0
0 0 0 0
14 14 19 23
12 17 15 31
113 9 74 26
0 0 0 0
*894 *1,125 *841 1,238
0 0 0 198
0 0 0 347
87 263 43 28
0 0 0 0
0 0 0 0
1 0 0 1
15 0 0 31
0 0 0 0
179 196 313 314
0 0 1 0
301 205 281 365
44 38 35 36
5 0 1 2
22,117 21,258 30,104 33,540
13 12 19 29
7 9 1 2
1 2 1 1
1,051 981 1,163 1,220
0 0 0 0
11 3 7 2
152 166 196 68
40 21 37 36
168 71 145 306
799 747 828 1,134
0 0 0 0
0 0 0 16
0 0 0 390
0 0 0 52
0 0 0 58
0 0 0 17
0 0 0 44


COUNTIES

Alachua Baker

38,218 5,862

Total Total Total Total
Last This Last This
Year Year Year Year
0 0 0 0
0 0 0 0
0 0 0 0
0 0 1 0
0 5 0 0
4 2 3 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 1

5 3 5 4
0 1 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
197 118 21 10
0 0 0 0
0 2 420 652
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 1 0
88 1 10 0
0 1 0 0
11 1 9 0
0 0 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 1 0 0
0 0 0 0
1 1 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 2 2 0
0 0 0 0
0 0 0 2
0 0 0 0
0 0 0 0
961 783 76 45
0 0 0 0
0 0 0 0
0 0 0 0
4 39 10 1
0 0 0 0
1 0 0 0
0 4 1 0
0 0 0 0
0 0 0 1
0 2 9 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










58 ANNUAL REPORT, 1943


TABLE 9.-MORBIDITY REPORT OF REPORTABLE DISEASES BY
COUNTIES FOR YEAR ENDING DECEMBER 31, 1943.-(Cont.)

Counties
Bay Bradford Brevard Broward
36,210 12,724 18,069 51,530
Total Total Total Total Total Total Total Total
Last This Last This Last This Last This
DISEASE Code No. Year Year Year Year Year Year Year Year
Anthrax......................... 7 0 0 0 0 0 0 0 0
Beriberi.......... .................. 68 0 0 0 0 0 0 0 0
Botulism...................... 177 0 0 0 0 0 0 0 0
Cancer........................... 45-55 0 0 0 0 0 0 0 0
Chancroid........................ 44A 10 5 3 3 0 1 3 2
Chickenpox (Varicella)........ 38E 0 1 1 0 0 0 38 120
Cholera, Asiatic............. 4 0 0 0 0 0 0 0 0
Conjunctivitis (Pink Eye).. 88 0 0 0 0 0 0 0 2
Dengue...................... ..... 38F 0 0 0 0 0 0 0 0
Diarrhea, Infantile.. .... 119-120A 0 0 0 1 0 0 0 0
Diphtheria............................ 10 6 2 1 2 0 0 7 3
Dysentery, Amebiasis.......... 27B 0 0 0 0 0 0 0 1
Bacillary........... 27A 0 4 0 0 0 1 0 0
Other ......... 27C 0 0 0 0 0 0 0 0
Encephalitis, Epi............ 37C 0 0 0 0 0 0 0 0
Erysipelas....... ................. 11 0 0 0 0 0 0 0 1
German Measles.............. 38D 0 0 0 0 0 10 0 21
Glanders.......................... 26B 0 0 0 0 0 0 0 0
Gonorrhea ....................... 25 25 422 97 86 12 91 100 231
Granuloma Inguinale..._.. 44A 0 0 0 0 0 0 0 0
Hookworm............................ 40 637 658 97 193 0 0 39 15
Influenza........................... 33 0 1 0 0 0 0 0 0
Jaundice, Infectious............ 32A 0 0 0 0 0 0 0 1
Leprosy................................. 23 0 0 0 0 0 0 0 0
Lymphopathia Ven..... ...- 44A 0 0 0 1 0 0 0 1
Malaria...................... 28 0 0 0 0 0 1 0 2
Measles (Rubeola) _.......... 35 2 5 3 1 0 5 95 38
Meningitis........................ 6 0 0 0 0 1 0 1 5
Mumps (Parotitis) ........- 44C 0 3 0 8 0 9 32 17
Mycosis, Actinomycosis..... 43A 0 0 0 0 0 0 0 0
Blastomycosis...... 43B 0 0 0 0 0 0 0 0
Favus............-..... 4 43F 0 0 0 0 0 0 0 0
Opthalmia Neonatorum...... 25 0 0 0 0 0 0 0 0
Paratyphoid Fever.............. 2 0 0 0 0 0 0 0 2
Pellagra........................... 69 0 0 0 0 0 0 0 0
Plague................................. 3 0 0 0 0 0 0 0 0
Pneumonia, Broncho.......... 107 0 0 1 3 0 0 7 6
Lobar............... 108 0 0 0 4 0 0 0 0
Other................ 109 0 0 0 0 0 1 0 3
Poliomyelitis .............. 36, 0 0 0 0 0 0 1 0
Psittacosis.......... ................F 0 0 0 0 0 0 0 0
Puerperal Infection.............. 147B 0 0 0 0 0 0 0 0
Rabies, Human.............. 38B 0 0 0 0 0 0 0 0
Animal........-.......... 38B 0 0 0 26 0 0 0 0
Rickettsial Diseases...... 39 0 0 0 0 0 0 0 0
Brills or Typhus.................. 39A 0 1 2 1 0 1 1 5
Rocky Mtn. Spot. Fev.._-. 39C 0 0 0 0 0 0 0 0
Scarlet Fev. (Scarletina)_... 8 21 5 0 0 0 0 3 5
Septic Sore Throat...._........ 115B 0 0 0 0 0 0 0 0
Smallpox (Variola) ............ 34 1 0 0 0 0 0 0 0
Syphilis............................. 30 412 553 183 199 168 419 773 742
Tetanus...... ...................... 12 0 0 0 0 0 0 0 0
Trachoma---...................- 88 0 0 0 0 0 0 0 0
Trichinosis....-.....................- 42 0 0 0 0 0 0 0 0
Tuberculosis, Pulmonary.... 13 12 8 2 1 0 0 26 39
Other Forms.. 14-22 0 0 0 0 0 0 0 0
Tularemia......................... 26A 0 0 0 0 0 0 1 0
Typhoid Fever ..................... 1 0 2 0 0 0 2 1 0
Undulant Fever................. 5 0 0 1 0 0 1 2 4
Vincent's Angina.................. 32B 0 0 0 0 0 4 0 16
Whooping Cough............... 9 0 30 2 4 0 0 40 13
Yellow Fever.................. 38A 0 0 0 0 0 0 0 0
Other Diseases: Giardiasis.. 29 0 0 0 0 0 0 0 0
Ascariasis....................... ............. 0 0 0 0 0 0 0
Oxyuriasis------............ .................. 0 0 0 0 0 0 0 0
Trichuriasis. ....................... ... 0 0 0 0 0 0 0 0
Tapeworm............................... .......... .. 0 0 0 0 0 0 0 0
Catarrhal Fever...... ........................... .. 0 0 0 0 0 0 0 0











EPIDEMIOLOGY 59


TABLE 9.-MORBIDITY REPORT OF REPORTABLE DISEASES BY
COUNTIES FOR YEAR ENDING DECEMBER 31, 1943.-(Cont.)

Counties

Calhoun Charlotte Citrus Clay
7,320 3,586 4,950 8,195
Total Total Total Total Total Total Total Total
Last This Last This Last This Last This
DISEASE Code No. Year Year Year Year Year Year Year Year

Anthrax................................ 7 0 0 0 0 0 0 0 0
Beriberi ............................68 0 0 0 0 0 0 0 0
Botulism............................... 177 0 0 0 0 0 0 0
Cancer ..................... 45-55 0 0 0 0 0 0 0 0
Chancroid......................... 44A 0 0 1 3 0 1 2 198
Chickenpox (Varicella)...... 38E 0 0 0 0 0 0 7 22
Cholera, Asiatic................... 4 0 0 0 0 0 0 0 0
Conjunctivitis (Pink Eye). 88 0 0 0 0 0 0 0 0
Dengue....... .............. 38F 0 0 0 0 0 0 0 0
Diarrhea, Infantile.......... 119-120A 0 0 0 0 0 0 0 0
Diphtheria...................... 10 0 0 0 0 1 0 25 0
Dysentery, Amebiasis...... 27B 0 0 0 0 0 0 1 0
Bacillary....... 27A 0 0 0 0 0 ,0 0 0
Other........... 27C 0 0 0 0 0 0 0 0
Encephalitis, Epi................ 37C 0 0 0 0 0 0 0 0
Erysipelas.. ................... 11 0 0 0 0 0 0 0 7
German Measles................. 38D 0 0 0 0 0 0 1 701
Glanders........... .................... 26B 0 0 0 0 0 0 0 0
Gonorrhea.......................... 25 2 5 8 33 0 11 1,539 1,923
Granuloma Inguinale.......... 44A 0 0 0 0. 0 0 0 0
Hookworm..................... 40 0 0 0 0 0 0 0 248
Influenza............. ............. 33 0 0 0 0 0 0 0 32
Jaundice, Infectious............ 32A 0 0 0 0 0 0 0 9
Leprosy........................... 23 0 0 0 0 0 0 0 1
Lymphopathia Ven.......... 44A 0 0 0 0 0 0 0 5
Malaria...........-- ............ 28 0 0 0 0 0 0 2 8
Measles (Rubeola) ........... 35 0 0 0 0 0 0 13 100
Meningitis...................... 6 0 0 0 0 0 0 0 46
Mumps (Parotitis)........... 44C 0 0 0 0 0 0 10 174
Mycosis, Actinomycosis.... 43A 0 0 0 0 0 0 0 0
Blastomycosis.... 43B 0 0 0 0 0 0 0 0
Favus.................... 43F 0 0 0 0 0 0 0 0
Opthalmia Neonatorum..... 25 0 0 0 0 0 0 0 0
Paratyphoid Fever............. 2 0 0 0 0 0 1 0 0
Pellagra........................... 69 0 0 0 0 0 0 0 0
Plague....... .......... ..... 3 0 0 0 0 0 0 0 0
Pneumonia, Broncho:....... 107 0 0 0 0 0 0 0 207
Lobar............. 108 0 0 0 0 0 0 0 89
Other................ 109 0 0 0 0 0 0 0 39
Poliomyelitis........................ 36 0 0 0 0 1 0 0 0
Psittacosis............................. 38F 0 0 0 0 0 0 0 0
Puerperal Infection............ 147B 0 0 0 0 0 0 0 0
Rabies, Human.................. 38B 0 0 0 0 0 0 0 0
S Animal.................. 38B 0 0 0 0 0 0 0 4
.Rickettsial Diseases............ 39 0 0 0 0 0 0 0 0
Brills or Typhus.............. 39A 0 0 0 0 5 0 3 4
Rocky Mtn. Spot. Fev..... 39C 0 0 0 0 0 0 0 0
Scarlet Fev. (Scarletina).... 8 0 0 0 0 0 0 5 7
Septic Sore Throat.............. 115B 0 0 0 0 0 0 0 0
Smallpox (Variola) .............. 34 0 0 0 0 0 0 0 0
Syphilis................................ 30 27 48 169 65 17 170 391 424
Tetanus................................ 12 0 0 0 0 0 0 0 0
Trachoma .......... 88 0 0 0 0 0 0 0 0
Trichinosis.. ..................... 42 0 0 0 0 0 0 0 0
Tuberculosis, Pulmonary.... 13 2 0 1 0 0 0 2 45
Other Forms.... 14-22 0 0 0 0 0 0 0 0
Tularemia ................. ... 26A 0 0 0 0 0 0 0 0
Typhoid Fever................... 1 0 0 0 0 1 1 1 0
Undulant Fever.................... 5 0 0 0 0 0 0 0 0
Vincent's Angina.................. 32B 0 0 0 0 2 0 0 24
Whooping Cough.................. 9 0 0 0 0 0 0 3 23
Yellow Fever................... 38A 0 0 0 0 0 0 0 0
Other Diseases: Giardiasis.. 29 0 0 0 0 0 0 0 0
Ascariasis...-............................ 0 0 0 0 0 0 0 0
Oxyuriasis............... ................ 0 0 0 0 0 0 0 0
Trichuriasis ............ .................. 0 0 0 0 0 0 0 0
Tapeworm...... ... ......................... 0 0 0 0 0 0 0
Catarrhal Fever.................... ........................ 0 0 0 0 0 0 01 0










60 ANNUAL REPORT, 1943


TABLE 9.-MORBIDITY REPORT OF REPORTABLE DISEASES BY
COUNTIES FOR YEAR ENDING DECEMBER 31, 1943.-(Cont.)

Counties
Collier Columbia Dade DeSoto
4,271 15,266 301,144 8,299
Total Total Total Total Total Total Total Total
Last This Last This Last This Last This
DISEASE Code No. Year Year Year Year Year Year Year Year
Anthrax............................... 7 0 0 0 0 0 0 0 0
Beriberi.......- .................. 68 0 0 0 0 0 0 0 0
Botulism............................... 177 0 0 0 0 0 0 0 0
Cancer............................. 45-55 0 1 37 27 319 387 0 0
Chancroid....................... 44A 59 0 0 0 51 95 1 1
Chickenpox (Varicella)....... 38E 0 0 4 0 337 553 0 0
Cholera, Asiatic ................ 4 0 0 0 0 0 0 0 0
Conjunctivitis (Pink Eye).. 88 0 0 0 0 0 4 0 0
Dengue ... .... .......... 38F 0 0 0 0 0 -1 0 0
Diarrhea, Infantile .-..... 119-120A 0 0 0 0 0 16 0 0
Diphtheria................... 10 0 0 10 1 16 6 0 0
Dysentery, Amebiasis .....- 27B 0 0 0 0 3 6 0 0
Bacillary._....... 27A 0 0 0 0 4 145 0 0
Other........ 27C 0 0 0 0 0 0 0 0
Encephalitis, Epi..... ........ 7C 0 0 0 0 0 12 0 0
Erysipelas .................... 11 0 0 0 0 0 3 0 0
German Measles................ 38D 0 0 0 2 18 316 0 1
Glanders................................ 26B 0 0 0 0 0 0 0 0
Gonorrhea............................ 25 1 14 8 26 522 1,349 14 47
Granuloma Inguinale ...... 44A 0 0 0 0 0 0 0 0
Hookworm ................. 40 1 5 229 10 101 16 0 0
Influenza .......................... 33 0 1 6 1 74 96 0 0
Jaundice, Infectious............ 32A 0 0 0 0 0 0 0 0
Leprosy.............................. 23 0 0 0 0 0 0 0 0
LymphopAthia Ven.......... 44A 0 0 0 0 0 9 0 0
Malaria................... 28 0 0 1 0 7 15 1 0
Measles (Rubeola) ..... 35 0 0 2 0 898 457 0 0
Meningitis....................... 6 0 0 0 1 2 39 0 0
Mumps (Parotitis).. .... 44C 0 0 4 0 297 720 0 0
Mycosis, Actinomycosis 43A 0 0 0 0 0 0 0 0
Blastomycosis- 43B 0 0 0 0 0 0 0 0
Favus.................. 43F 0 0 0 0 0 0 0 0
Opthalmia Neonatorum 25 0 0 0 0 4 9 0 0
Paratyphoid Fever........... 2 0 0 1 0 7 6 0 0
Pellagra.................. 69 0 0 9 0 4 4 0 0
Plague..... 3 0 0 0 0 0 0 0 0
Pneumonia, Broncho ....... 107 0 1 0 7 471 576 0 0
Lobar.. 108 0 0 0 3 0 23 0 0
Other ............... 109 0 0 0 0 0 83 0 0
Poliomyelitis ..--...........- 36 0 0 1 0 8 7 0 0
Psittacosis................ 38F 0 0 0 0 0 0 0 0
Puerperal Infection.............. 147B 0 0 0 0 0 0 0 0
Rabies, Human.............. 8B 0 0 0 0 0 0 0 0
SAnimal .................. 38B 0 0 0 0 0 0 0 0
Rickettsial Diseases......... 39 0 0 0 0 0 0 0 0
Brills or Typhus ................. 39A 1 0 10 6 37 18 1 0
Rocky Mtn. Spot. Fev...... 9C 0 0 0 0 0 0 0 0
Scarlet Fev. (Scarletina)._... 8 0 0 3 1 47 87 0 0
Septic Sore Throat....... 115B 0 0 0 0 28 21 0 0
Smallpox (Variola) ......... 34 0 0 0 0 0 0 0 0
Syphilis......................... 30 190 34 59 781 4,229 4,458 264 166
Tetanus................................ 12 0 0 0 0 11 12 0 0
Trachoma... --.................- 88 0 0 0 0 1 0 0 0
Trichinosis ... ............ 42 0 0 0 0 0 0 0 0
Tuberculosis, Pulmonary.. 13 0 0 84 35 393 407 3 1
S Other Forms. 14-22 0 0 0 0 0 0 0 0
Tularemia ....................... 26A 0 0 0 0 0 0 0 0
Typhoid Fever................. 1 0 0 2 2 11 2 0 0
Undulant Fever ............. 5 0 0 1 0 7 6 0 0
Vincent's Angina.................. 32B 0 0 0 0 26 54 0 0
Whooping Cough............... 9 0 0 0 0 279 317 0 0
Yellow Fever .............. .. 38A 0 0 0 0 0 0 0 0
Other Diseases: Giardiasis-. 29 0 0 0 0 0 0 0 0
Ascariasis...................... ......... 0 0 0 0 0 0 0 0
Oxyuriasis................ -........ 0 0 0 0 0 0 0 0 0
Trichuriasis....................- 0 0 0 0 0 0 0 0
Tapeworm... ................. 0 0 0 0 0 0
Catarrhal Fever.............. ... 0 0 0 0 0 00










EPIDEMIOLOGY 61

TABLE 9.-MORBIDITY REPORT OF REPORTABLE DISEASES BY
COUNTIES FOR YEAR ENDING DECEMBER 31, 1943.-'(Cont.)

Counties
Dixie Duval Escambia Flagler
6,244 258,381 87,946 2,394
Total Total Total Total Total Total Total Total
Last This Last This Last This Last This
DISEASE Code No. Year Year Year Year Year Year Year Year
Anthrax.............................. 7 0 0 0 0 0 0 0 0
Beriberi................................ 68 0 0 0 0 0 0 0 0
Botulism................................ 177 0 0 0 0 0 0 0 0
Cancer .............................. 45-55 0 0 6 0 0 0 0 0
Chancroid........................ 44A 0 0 54 192 34 13 0 0
Chickenpox (Varicella) ... 38E 0 0 554 545 34 17 0 1
Cholera, Asiatie...... ........... 4 0 0 0 0 0 0 0 0
Conjunctivitis (Pink Eye).. 88 0 0 0 0 0 0 0 0
Dengue............................ -38F 0 0 0 0 0 0 0 0
Diarrhea, Infantile............ 119-120A 0 0 0 12 0 0 0 0
Diphtheria..................... 10 0 0 46 65 7 33 0 0
Dysentery, Amebiais..... 27B 0 0 4 3 0 1 0 0
Bacillary....... 27A 0 0 11 6 0 0 0 0
Other.......... 27C 0 0 0 0 0 0 0 0
Encephalitis, Epi...... 837C 0 0 0 1 0 0 0 0
Erysipelas.............................. 11 0 0 0 14 0 0 0 0
German Measles.............. 38D 0 0 55 48 27 5 0 0
Glanders...................... 26B 0 0 0 0 0 0 0 0
Gonorrhea ....................... 25 1 0 2,543 3,535 514 1,127 11 8
Granuloma Inguinale.......... 44A 0 0 0 0 0 0 0 0
Hookworm............................ 40 0 0 631 278 179 103 14 0
Influenza.......................... 33 0 0 11 15 23 4 0 0
Jaundice, Infectious............ 32A 0 0 0 0 0 1 0 0
Leprosy..... .............. 23 0 0 0 0 0 0 0 0
Lymphopathia Ven............. 44A 0 0 0 3 0 3 0 0
Malaria..... .................. 28 0 0 5 14 5 1 1 0
Measles (Rubeola) ......... 35 0 0 1,368 104 78 24 5 0
Meningitis ... ............ 6 0 0 1 47 5 13 0 0
Mumps (Parotitis)......... 44C 0 0 734 848 881 13 13 0
Mycosis, Actinomycosis_.... 43A 0 0 0 0 0 0 0 0
SBlastomycosis.... 43B 0 0 0 0 0 0 0 0
Favus................. 43F 0 0 0 0 0 0 0 0
Opthalmia Neonatorum..... 25 0 0 2 4 3 0 0 0
Paratyphoid Fever.. ......... 2 1 0 1 2 0 0 0 0
Pellagra....... .......... 69 0 0 0 0 0 0 0 0
Plague ................... 3 0 0 0 0 0 0 0 0
Pneumonia, Broncho....... 107 0 0 67 45 13 0 0 0
Lobar ......... 108 0 0 0 11 0 0 0 0
Other.......... 109 0 0 0 35 0 0 0 0
Poliomyelitis..................... 36 1 0 9 1 2 1 0 0
Psittacosis-......------ 38F 0 0 0 0 0 0 0 0
Puerperal Infection.............. 147B 0 0 0 0 0 0 0 0
Rabies, Human............ 38B 0 0 0 0 0 0 0 0
SAnimal ............ 38B 0 0 0 0 0 0 0 0
Rickettsial Diseases......... 39 0 0 0 0 0 0 0 0
Brills or Typhus............ 39A 0 0 65 72 18 37 0 0
Rocky Mtn. Spot. Fev....... 39C 0 0 0 0 0 0 0 0
Scarlet Fev. (Scarletina)..... 8 0 0 35 70 26 29 0 1
Septic Sore Throat.......... 115B 0 0 5 10 0 0 0 0
Smallpox (Variola)...... 34 0 0 0 0 0 0 0 0
Syphilis....... ................ 30 74 215 3,547 6,255 660 793 79 94
Tetanus ................... 12 0 0 2 12 0 0 0 0
Trachoma..-...------- .88 0 0 0 0 0 0 0 0
Trichinosis ...-.. 42 0 0 0 0 0 0 0 0
Tuberculosis, Pulmonary... 13 2 0 163 148 30 22 1 0
Other Forms- 14-22 0 0 0 0 0 0 0 0
Tularemia..... ........... 26A 0 0 1 0 0 0 0 0
Typhoid Fever...... 1 0 1 23 6 11 8 0 0
Undulant Fever....... ...... 5 0 0 3 4 2 2 0 2
Vincent's Angina.............. 32B 0 0 6 57 3 4 0 0
Whooping Cough ..... 9 0 0 116 281 18 13 0 0
Yellow Fever ........... .... 38A 0 0 0 0 0 0 0 0
Other Diseases: Giardiasis. 29 0 0 0 0 0 0 0 0
Ascariasis-........ -. .................... 0 0 0 0 0 0 0 0
Oxyuriasis---- ..-...... .-- 0........ 0 0 0 0 0 0 0
Trichuriasis-.............................. 0 0 0 0 0 0 0 0
Tapeworm-........................ .. 0 0 0 0 0 0 0 0
Catarrhal Fever............ ........ 0 0 0 0 0 0 0 0











62 ANNUAL REPORT, 1943


TABLE 9.-MORBIDITY REPORT OF REPORTABLE DISEASES BY
COUNTIES FOR YEAR ENDING DECEMBER 31, 1943.-(Cont.)

Counties
Franklin Gadsden Gilchrist Glades
10,376 30,029 3,399 1,992
Total Total Total Total Total Total Total Total
Last This Last This Last This Last This
DISEASE Code No. Year Year Year Year Year Year Year Year
Anthrax_ .................... .. 7 0 0 0 0 0 0 0 0
Beriberi............................ 68 0 0 0 0 0 0 0 0
Botulism ....................... 177 0 0 0 0 0 0 0 0
Cancer ................... 45-55 0 0 5 8 0 0 0 0
Chancroid...................... 44A 0 2 0 1 0 0 0 0
Chickenpox (Varicella)... 38E 7 5 9 18 0 0 0 0
Cholera, Asiatic.............. 4 0 0 0 0 0 0 0 0
Conjunctivitis (Pink Eye).. 88 0 0 0 2 0 0 0 0
Dengue......................... 38F 0 0 0 0 0 0 0 -0
Diarrhea, Infantile............ 119-120A 0 0 0 0 0 0 0 0
Diphtheria ....-................... 10 3 0 12 3 0 0 0 1
Dysentery, Amebiasis.......... 27B 0 1 15 99 0 0 1 0
Bacillary....... 27A 0 0 0 1 0 0 0 0
Other .............. 27C 0 0 0 0 0 0 0 0
Encephalitis, Epi................ 37C 0 0 0 0 0 0 0 0
Erysipelas.......................... 11 0 0 0 6 0 0 0 0
German Measles............ 38D 0 11 0 1 0 0 0 0
Glanders.............................. 26B 0 0 0 0 0 0 0 0
Gonorrhea ......................... 25 30 158 56 41 0 1 7 8
Granuloma Inguinale.......... 44A 0 0 0 0 0 0 0 0
Hookworm........................ 40 13 38 238 484 36 1 13 34
Influenza............................ 33 0 32 45 40 0 0 0 0
Jaundice, Infectious........... 32A 0 0 0 0 0 0 0 0
Leprosy...........----.--....... 23 0 0 0 0 0 0 0 0
Lymphopathia Ven............. 44A 0 1 0 0 0 0 0 0
Malaria..-...........- 28 3 4 19 5 0 0 0 0
Measles (Rubeola)........... 35 39 25 57 6 0 0 0 0
Meningitis. ..- ----- ..6 0 8 0 0 0 0 0 0
Mumps (Parotitis).... -44C 3 53 18 23 0 0 0 0
Mycosis, Actinomycosis..... 43A 0 0 0 0 0 0 0 0
Blastomycosis...... 43B 0 0 0 0 0 0 0 0
Favus............. 43F 0 0 0 0 0 0 0 0
Opthalmia Neonatorum..... 25 1 0 0 0 0 0 0 0
Paratyphoid Fever.............. 2 0 0 0 0 0 0 0 0
Pellagra...........-- ....-.... 69 0 0 2 5 0 0 0 0
Plague .....-......... -----.. 3 0 0. 0 0 0 0 0 0
Pneumonia, Broncho.......... 107 6 54 91 76 0 0 0 1
Lobar ......... 108 0 6 0 28 0 0 0 0
Other................ 109 0 1 0 3 0 0 0 0
Poliomyelitis .........-.......-. 36 0 0 1 0 0 0 0 0
Psittacosis ...................... 38F 0 0 0 0 0 0 0 0
Puerperal Infection ......... 147B 0. 0 0 0 0 0 0 0
Rabies, Human............ 38B 0 0 0 0 0 0 0 0
Animal.................... 38B 0 0 0 0 0 0 0 0
Rickettsial Diseases............ 39 0 0 0 0 0 0 0 0
Brills or Typhus......-......... 39A 2 0 2 9 0 0 0 0
Rocky Mtn. Spot. Fev..__.- 39C 0 0 0 0 0 0 0 0
Scarlet Fev. (Scarletina)...... 8 0 2 3 4 1 0 0 2
Septic Sore Throat.............. 115B 0 0 0 3 0 0 0 0
Smallpox (Variola).............. 34 0 0 0 0 0 0 0 0
Syphilis.......................... 30 96 117 371 482 42 4 110 18
Tetanus..................-...... 12 0 0 0 .0 0 0 0 0
Trachoma.....................- 88 0 0 0 0 0 0 0 0
Trichinosis..................... 42 0 0 0 0 0 0 0 0
Tuberculosis, Pulmonary.... 13 3 6 36 41 2 1 0 1
Other Forms.. 14-22 0 0 0 0 0 0 0 0
Tularemia.......................... 26A 0 0 0 1 0 0 0 0
Typhoid Fever................. 1 1 3 12 6 0 0 0 0
Undulant Fever............ 5 1 0 0 1 1 0 0 0
Vincent's Angina......... 32B 0 0 0 0 0 0 0 0
Whooping Cough................. 9 0 0 1 1 0 0 0 0
Yellow Fever.....-..........- 38A 0 0 0 0 0 0 0 0
Other Diseases: Giardiasis.. 29 0 0 0 0 0 0 0 0
Ascariasis .. .... ................. .......... 0 0 0 0 0 0 0 0
Oxyuriasis .................... ... ..................... 0 0 0 0 0 0 0 0
Trichuriasis ..-- -............... 0 0 0 0 0 0 0 0
Tapewor.. ...................... 0 0 0 0 0 0 0 0
Catarrhal Fever .. ....- ...... ....... 0 0 0 0 0 0 0 0










EPIDEMIOLOGY 63


TABLE 9.-MORBIDITY REPORT OF REPORTABLE DISEASES BY
COUNTIES FOR YEAR ENDING DECEMBER 31, 1943.-(Cont.)

Counties
Gulf Hamilton Hardee Hendry Hernando
7,474 8,756 8,468 5,047 5,132
Total Total Total Total Total Total Total Total Total Total
Last This Last This Last This Last This Last This
DISEASE Code No. Year Year Year Year Year Year Year Year Year Year

Anthrax ........................... 7 0 0 0 0 0 0 0 0 0 0
Beriberi.............................. 68 0 0 0 0 0 0 0 0 0 0
Botulism........................ 177 0 0 0 0 0 0 0 0 0 0
Cancer............................... 45-55 0 0 0 0 0 0 0 0 0 0
Chancroid............................ 44A 0 1 5 0 0 0 0 1 0 0
Chickenpox (Varicella)........ 38E 3 0 5 0 0 0 0 72 0 0
Cholera, Asiatic.................. 4 0 0 0 0 0 0 0 0 0 0
Conjunctivitis (Pink Eye).. 88 0 0 0 0 0 0 0 0 0 0
Dengue........................... 38F 0 0 0 0 0 0 0 .0 0 0
Diarrhea, Infantile._............. 119-120A 0 0 0 0 0 0 0 0 0 0
Diphtheria............................ 10 0 0 4 0 1 0 1 0 0 0
Dysentery, Amebiasis......... 27B 0 0 0 0 0 0 0 0 0 0
Bacillary........... 27A 0 0 0 0 0 0 0 0 0 0
Other.................. 27C 0 0 0 0 0 0 0 0 0 0
Encephalitis, Epi..... 37C 0 0 0 0 0 0 0 0 0 0
neep ----------- 1
Erysipelas ..................-...- 11 0 0 0 0 0 0 0 0 0 0
German Measles.................. 38D 0 0 1 0 0 0 0 0 0 0
Glanders........................... 26B 0 0 0 0 0 0 0 0 0 0
Gonorrhea......................... 25 16 13 50 0 17 5 6 57 0 2
Granuloma Inguinale.......... 44A 0 0 0 0 0 0 0 0 0 0
Hookworm................... 40 13 3 311 0 0 0 1 25 0 1
Influenza........................... 33 0 0 4 0 0 0 0 0 0 0
Jaundice, Infectious............ 32A 0 0 0 0 0 0 0 0 0 0
Leprosy....................... 23 0 0 0 0 0 0 0 0 0 0
Lymphopathia Ven............. 44A 0 0 0 0 0 0 0 0 0 0
Malaria............................ 28 0 0 5 0 0 0 0 0 0 0
Measles (Rubeola) ................ 35 34 0 32 0 2 0 5 0 0 0
Meningitis................. ... 6 0 0 2 0 0 0 0 0 0 0
Mumps (Parotitis) ......... 44C 3 0 5 0 0 0 0 0 0 0
Mycosis, Actinomycosis..... 43A 0 0 0 0 0 0 0 0 0 0
Blastomycosis...... 43B 0 0 0 0 0 0 0 0 0 0
Favus................... 43F 0 0 0 0 0 0 0 0 0 0
Opthalmia Neonatorum...... 25 0 0 0 0 0 0 0 0 0 0
Paratyphoid Fever.............. 2 0 0 0 1 0 0 0 0 0 0
Pellagra........................ 69 0 0 0 0 0. 0 0 0 0 0
Plague................................... 3 0 0 0 0 0 0 0 0 0 0
Pneumonia, Broncho............ 107 1 0 3 0 0 0 0 1 0 0
Lobar................ 108 0 0 0 0 0 0 0 0 0 0
Other.......... 109 0 0 0 0 0 0 0 0 0 0
Poliomyelitis. ..................... 36 0 0 0 0 0 0 0 0 0 0
Psittacosis...................... 38F 0 0 0 0 0 0 0 0 0 0
Puerperal Infection.............. 147B 0 0 0 0 0 0 0 0 0 0
Rabies, Human................ 38B 0 0 0 0 0 0 0 0 0 0
SAnimal................ 38B 0 0 0 0 0 0 0 0 0 0
Rickettsial Diseases.......... 39 0 0 0 0 0 0 0 0 0 0
Brills or Typhus............... 39A 0 0 6 0 3 2 1 0 0 0
Rocky Mtn. Spot. Fev......... 39C 0 0 0 0 0 0 0 0 0 0
Scarlet Fev. (Scarletina)...... 8 0 1 4 0 0 0 0 0 0 0
Septic Sore Throat........... 115B 0 0 0 0 0 0 0 0 0 0
Smallpox (Variola) ............. 34 0 0 0 0 0 0 0 0 0 0
Syphilis ................. ...... 30 148 143 77 4 95 36 205 181 53 141
Tetanus............................. 12 0 0 0 0 0 0 0 0 0 0
Trachoma............................ 88 0 0 0 0 0 0 0 0 0 0
Trichinosis........................ 42 0 0 0 0 0 0 0 0 0 0
Tuberculosis, Pulmonary... 13 1 0 1 1 0 0 0 1 1 0
Other Forms.. 14-22 0 0 0 0 0 0 0 0 0 0
Tularemia............................. 26A 0 0 0 0 0 0 0 0 0 0
Typhoid Fever.................... 1 1 0 3 0 4 0 0 0 1 0
Undulant Fever.................... 5 0 0 0 0 0 0 0 0 0 0
Vincent's Angina................ 32B 0 0 0 0 0 0 0 0 0 0
Whooping Cough............. 9 0 0 13 0 0 0 0 0 0 0
Yellow Fever ....................... 38A 0 0 0 0 0 0 0 0 0 0
Other Diseases: Giardiasis. 29 0 0 0 0 0 0 0 0 0 0
Ascariasis....................... ......... 0 0 0 0 0 0 0 0 0 0
Oxyuriasis............................. ...... .. 0 0 0 0 0 0 0 0 0 0
Trichuriasis...... ......... ................... 0 0 0 0 0 0 0 0 0 0
Tapeworm... ............................. 0 0 0 0 0 0 0 0 0 0
Catarrhal Fever....... ... .............. 0 0 0 0 0 0 0 0 0 0










64 ANNUAL REPORT, 1943


TABLE 9.-MORBIDITY REPORT OF REPORTABLE DISEASES BY
COUNTIES FOR YEAR ENDING DECEMBER 31, 1943.-(Cont.)


DISEASE Code No.

Anthrax._............................... 7
Beriberi................................ 68
Botulism........................-. 177
Cancer............................. 45-55
Chancroid ............................ 44A
Chickenpox (Varicella)........ 38E
Cholera, Asiatic........... 4
Conjunctivitis (Pink Eye).. 88
Dengue......................... 38F
Diarrhea, Infantile............. 119-120A
Diphtheria................-- 10
Dysentery, Amebiasis ... 27B
Bacillary ......... 27A
Other......... 27C
Encephalitis, Epi............ 37C
Erysipelas ... ............ 11
German Measles............. 38D
Glanders--... .... -........- 26B
Gonorrhea ................. 25
Granuloma Inguinale.......... 44A
Hookworm ............ 40
Influenza ---- .........--..-. 33
Jaundice, Infectious .... 32A
Leprosy.... -....... 23
Lymphopathia Ven........- 44A
Malaria..---.....................-- ---- 28
Measles (Rubeola).... 35
Meningitis .............----- 6
Mumps (Parotitis)....... 44C
Mycosis, Actinomycosis 43A
S Blastomycosis...... 43B
Favus................... 43F
Opthalmia Neonatorum.... 25
Paratyphoid Fever ............. 2
Pellagra---......- ----- ............ 69
Plague.......... ............ 3
Pneumonia, Broncho........... 107
Lobar................ 108
Other .......... 109
Poliomyelitis ..................- 36
Psittacosis ...... ....---- 38F
Puerperal Infection ........ 147B
Rabies, Human..........--- 38B
Animal.................... 38B
Rickettsial Diseases............ 39
Brills or Typhus......... 39A
Rocky Mtn. Spot. Fev...... 39C
Scarlet Fev. (Scarletina)... 8
Septic Sore Throat...... 115B
Smallpox (Variola).... 34
Syphilis ......... --------- 30
Tetanus ................--.....--- 12
Trachoma ........... ---------- 83
Trichinosis-..........----- 42
Tuberculosis, Pulmonary 13
Other Forms. 14-22
Tularemia..-............... 26A
Typhoid Fever.. ---- 1
Undulant Fever.... 5
Vincent's Angina...... 32B
Whooping Cough.... 9
Yellow Fever..... 38A
Other Diseases: Giardiasis.. 29
Ascariasis ----------..........................
Oxyuriasis..........
Trichuriasis ......................
Tapeworm ............-- ....----
Catarrhal Fever................... ......


Counties

Highlands Hillsboro Holmes Ind. River


14,047

Total Total
Last This
Year Year


197,419

Total Total
Last This
Year Year


0 0 0 0
0 0 0 0
0 0 0 0
0 0 1 0
0 20 38 84
1 2 67 84
0 0 0 0
0 0 0 2
0 0 0 0
0 0 0 0
7 8 18 29
0 1 0 0
0 1 0 8
0 0 0 0
0 0 0 0
0 1 0 0
0 14 0 111
0 0 0 0
35 260 803 1,430
0 0 0 0
56 165 47 160
0 8 19 206
0 0 0 6
0 0 0 0
0 9 0 3
2 0 3 19
7 8 451 93
0 1 3 25
0 17 61 145
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 1 2 0
0 0 1 1
0 0 0 0
0 3 104 127
0 0 0 17
0 6 0 118
0 0 2 6
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
1 7 34 47
0 0 0 0
2 0 29 43
0 0 0 1
0 0 0 0
344 299 2,437 2,921
0 0 2 0
0 0 0 2
0 0 0 0
1 2 108 102
0 0 0 0
0 1 0 0
5 0 30 4
0 0 2 0
0 0 101 45
2 3 75 40
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


13,629

Total Total
Last This
Year Year


9,329

Total Total
Last This
Year Year

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 2
0 0
0 0
0 0
0 0
0 0
0 0
0 0
11 16
0 0
1 0
0 0
0 0
0 0
0 0
0 0
4 3
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
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
210 279
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
0 0
0 0










EPIDEMIOLOGY 65


TABLE 9.-MORBIDITY REPORT OF REPORTABLE DISEASES BY
COUNTIES FOR YEAR ENDING DECEMBER 31, 1943.-(Cont.)

Counties

Jackson Jefferson Lafayette Lake

31,053 11,007 3,505 28,196
Total Total Total Total Total Total Total Total
Last This Last This Last This Last This
DISEASE Code No. Year Year Year Year Year Year Year Year
Anthrax........ .................... 7 0 0 0 0 0 0 0 0
Beriberi.......................... 68 0 0 0 0 0 0 0 0
Botulism .................. ......... 177 0 0 0 0 0 0 0 0
Cancer................................. 45-55 0 0 0 0 0 0 0 0
Chancroid ....................... 44A 0 0 1 0 0 0 1 2
Chickenpox (Varicella).... 38E 0 0 8 3 1 0 41 23
Cholera, Asiatic................... 4 0 0 0 0 0 0 0 0
Conjunctivitis (Pink Eye).. 88 0 0 0 0 0 0 0 0
Dengue .................... 38F 0 0 0 0 0 0 0 0
Diarrhea, Infantile...... 119-120A 0 0 0 0 0 0 0 0
Diphtheria.. ... ..... 10 1 0 4 2 0 0 3 4
Dysentery, Amebiasis...... 27B 0 0 0 0 0 0 0 1
Bacillary ........... 27A 0 0 0 0 0 0 1 4
Other...... 27C 0 0 0 0 0 0 0 0
Encephalitis, Epi............ 37C 0 0 0 0 0 0 0 0
Erysipelas......... .......... 11 0 0 0 0 0 0 0 0
German Measles ................. 38D 0 0 3 0 0 0 0 0
Glanders............ .............. 26B 0 0 0 0 0 0 0 0
Gonorrhea ............. ............ 25 109 133 42 64 4 0 95 95
Granuloma Inguinale........ 44A 0 0 0 0 0 0 0 0
Hookworm..................... 40 227 64 1,265 610 0 0 158 182
Influenza............................ 33 0 2 0 0 0 0 0 0
Jaundice, Infectious............ 32A 0 0 0 0 0 0 0 0
Leprosy ..................... 23 0 0 0 0 0 0 0 0
Lymphopathia Ven............. 44A 0 0 0 0 0 0 0 0
Malaria................28 0 0 3 0 0 0 1 0
Measles (Rubeola)................ 35 0 0 20 1 0 0 41 15
Meningitis................... 6 0 0 2 0 0 0 0 0
SMumps (Parotitis) ............ 44C 0 1 14 4 0 0 15 26
Mycosis, Actinomycosis. 43A 0 0 0 0 0 0 0 0
Blastomycosis..... 43B 0 0 0 0 0 0 0 0
SFavus........ 43F 0 0 0 0 0 0 0 0
Opthalmia Neonatorum...... 25 0 0 0 0 0 0 0 0
Paratyphoid Fever.......... 2 0 0 0 0 0 0 2 4
Pellagra....................... 69 0 0 0 0 0 0 0 1
Plague .............................. 3 0 0 0 0 0 0 0 0
Pneumonia, Broncho............ 107 0 0 0 0 0 0 0 0
Lobar ............. 108 0 0 0 0 0 0 0 0
Other......... ....- 109 0 0 0 0 0 0 0 0
Poliomyelitis........................ 36 0 0 0 0 0 0 1 0
Psittacosis............................. 38F 0 0 0 0 0 0 0 0
Puerperal Infection............. 147B 0 0 0 0 0 0 0 0
Rabies, Human................... 38B 0 0 0 0 0 0 0 0
Animal.................... 38B 0 0 0 0 0 0 0 0
Rickettsial Diseases............ 39 0 0 0 0 0 0 0 0
Brills or Typhus............. 39A 3 2 4 0 0 1 4 6
Rocky Mtn. Spot. Fev..... 39C 0 0 0 0 0 0 0 0
Scarlet Fev. (Scarletina)..... 8 0 0 0 0 0 0 16 3
Septic Sore Throat.............. 115B 0 0 0 0 0 0 0 0
Smallpox (Variola) .............. 34 0 0 0 0 0 0 0 0
Syphilis......... .......... 30 258 211 411 201 14 14 604 380
Tetanus........................ 12 0 0 0 0 0 0 0 0
Trachoma............................ 88 0 0 0 0 0 0 0 0
Trichinosis.........................-- 42 0 0 0 0 0 0 0 0
Tuberculosis, Pulmonary.... 13 11 4 7 6 1 1 9 16
Other Forms.. 14-22 0 0 0 0 0 0 0 0
Tularemia........................ 26A 0 0 0 0 0 0 0 0
Typhoid Fever...................... 1 0 1 1 0 0 0 1 1
Undulant Fever.................... 5 0 1 0 0 0 0 0 0
Vincent's Angina .................. 32B 3 0 0 0 0 0 1 0
Whooping Cough.................. 9 0 0 1 3 0 0 21 1
Yellow Fever..................... 38A 0 0 0 0 0 0 0 0
Other Diseases: Giardiasis.. 29 0 0 0 0 0 0 0 0
Ascariasis....................... ... 0 0 0 0 0 0 0 0
Oxyuriasis... ............................ 0 0 0 0 0 0 0 0
Trichuriasis.... ...................... ................. ... 0 0 0 0 0 0 0 0
Tapeworm ................ ..... 0 0 0 0 0 0 0 0
Catarrhal Fever..................................0 0 0 0 0 0 0 0










66 ANNUAL REPORT, 1943


TABLE 9.-MORBIDITY REPORT OF REPORTABLE DISEASES BY
COUNTIES FOR YEAR ENDING DECEMBER 31,,1943.-(Cont.)

Counties
Lee Leon Levy Liberty
21,598 35,674 11,611 2,902
Total Total Total Total Total Total Total Total
Last This Last This Last This Last This
DISEASE Code No. Year Year Year Year Year Year Year Year
Anthrax. ......................... 7 0 0 0 0 0 0 0 0
Beriberi -..-...................--- 68 0 0 0 0 0 0 0 0
Botulism.................. .....- 177 0 0 0 0 0 0 0 0
Cancer........................... 45-55 0 0 1 0 0 0 0 0
Chancroid..........................- 44A 0 1 8 17 0 2 0 0
Chickenpox (Varicella)........ 38E 1 4 3 4 5 0 0 0
Cholera, Asiatic..... .4 0 0 0 0 0 0 0 0
Conjunctivitis (Pink Eye).. 88 0 0 0 0 0 0 0 0
Dengue......................------ 38F 0 0 0 0 0 0 0 0
Diarrhea, Infantile .....- 119-120A 0 0 0 0 0 0 0 0
Diphtheria...... ...............- 10 4 0 6 5 0 0 0 0
Dysentery, Amebiasis.......... 27B 0 0 0 0 0 0 0 0
Bacillary ......... 27A 0 0 18 0 0 0 0 0
Other ............. 27C 0 0 0 0 0 0 0 0
Encephalitis, Epi..............- 37C 0 0 0 0 0 0 0 0
Erysipelas ... .............. 11 0 0 0 0 0 0 0 0
German Measles.......... ..- 38D 1 1 1 3 0 0 0 0
Glanders ......................... 26B 0 0 0 0 0 0 0 0
Gonorrhea ...................... 25 108 39 1,111 687 16 62 0 1
Granuloma Inguinale.......... 44A 0 0 0 0 0 0 0 0
Hookworm..........- ........- 40 4 17 236 142 59 61 0 0
Influenza.........................- 33 0 0 0 0 0 0 0 0
Jaundice, Infectious............ 32A 0 0 0 1 0 0 0 0
Leprosy......---...... 23 0 0 0 0 0 0 0 0
Lymphopathia Ven............. 44A 0 0 0 1 0 0 0 0
Malaria..... ... ........... 28 0 9 7 2 0 0 0 0
Measles (Rubeola)._............. 35 28 18 13 21 0 0 0 0
Meningitis ........................ 6 0 0 3 3 0 0 0 0
Mumps (Parotitis)............ 44C 4 7 0 10 1 3 0 0
Mycosis, Actinomycosis 43A 0 0 0 0 0 0 0 0
Blastomycosis...... 43B 0 0 0 0 0 0 0 0
Favus.............. 43F 0 0 0 0 0 0 0 0
Opthalmia Neonatorum.... 25 0 0 0 0 0 0 0 0
Paratyphoid Fever............. 2 0 0 0 0 0 0 0 0
Pellagra............................ 69 0 0 0 0 0 0 0 0
Plague -.............. 3 0 0 0 0 0 0 0 0
Pneumonia, Broncho.......... 107 3 0 0 22 0 0 1 0
Lobar. ............. 108 0 0 0 0 0 0 0 0
Other............... 109 0 0 0 2 0 0 0 0
Poliomyelitis.................. 36 0 0 0 0 0 0 0 0
Psittacosis ................... 38F 0 0 0 0 0 0 0 0
Puerperal Infection.............. 147B 0 0 0 0 0 0 0 0
Rabies, Human............. 38B 0 0 0 0 0 0 0 0
Animal............... 38B 0 0 0 0 0 0 0 0
Rickettsial Diseases............ 39 0 0 0 0 0 0 0 0
Brills or Typhus.... .. 39A 3 2 4 7 1 3 0 0
Rocky Mtn. Spot. Fev ... 39C 0 0 0 0 0 0 0 0
Scarlet Fev. (Scarletina).-... 8 0 0 16 20 0 0 0 1
Septic Sore Throat.............. 115B 0 0 0 0 0 0 0 0
Smallpox (Variola) ......... 34 0 0 0 0 0 0 0 0
Syphilis.............. .... 30. 650 286 659 450 301 152 4 7
Tetanus..... ..................... 12 0 0 0 0 0 0 0 0
Trachoma... ..................... 88 0 0 0 0 0 0 0 0
Trichinosis.... ................ 42 0 0 0 0 0 0 0 0
Tuberculosis, Pulmonary... 13 1 1 20 16 2 0 1 0
Other Forms .... 14-22 0 0 0 0 0 0 0 0
Tularemia ................... 26A 0 0 0 0 0 0 0 0
Typhoid Fever.................... 1 0 0 0 0 0 0 7 0
Undulant Fever.... 5 0 0 0 0 0 0 0 0
Vincent's Angina.................. 32B 0 0 9 2 0 0 0 0
Whooping Cough.. 9 0 1 2 0 0 0 0 0
Yellow Fever.................. 38A 0 0 0 0 0 0 0 0
Other Diseases: Giardiasis.. 29 0 0 0 0 0 0 0 0
Ascariasis................................................. 0 0 0 0 0 0 0 0
Oxyuriasis ...................... ... ............ 0 0 0 0 0 0 0 0
Trichuriasis..-..........-- .. ... .............. 0 0 0 0 0 0 0 0
Tapeworm. ................................... 0 0 0 0 0 0 0 0
Catarrhal Fever....................................... 0 0 0 0 0 0 0 0










EPIDEMIOLOGY 67


TABLE 9.-MORBIDITY REPORT OF REPORTABLE DISEASES BY
COUNTIES FOR YEAR ENDING DECEMBER 31, 1943.-(Cont.)

Counties
Madison Manatee Marion Martin
15,067 24,725 30,343 6,481
Total Total Total Total Total Total Total Total
Last This Last This Last This Last This
DISEASE Code No. Year Year Year Year Year Year Year Year
Anthrax............................ 7 0 0 0 0 0 0 0 0
Beriberi........................... 68 0 0 0 0 0 0 0 0
Botulism........................ 177 0 0 0 0 0 0 0 0
Cancer.................................... 45-55 0 0 0 0 0 0 0 0
Chancroid........................ 44A 0 0 5 5 0 0 0 0
Chickenpox (Varicella)........ 38E 4 7 0 0 0 2 0 0
Cholera, Asiatic ............ 4 0 0 0 0 0 0 0 0
Conjunctivitis (Pink Eye).. 88 0 0 0 0 0 0 0 0
Dengue ....... .......... 38F 0 0 0 0 0 0 0 0
Diarrhea, Infantile.-......._ 119-120A 0 0 0 0 0 0 0 4
Diphtheria ....................... 10 0 0 1 1 1 1 0 0
Dysentery, Amebiasis ......... 27B 0 0 0 0 0 0 0 1
Bacillary....... 27A 0 0 0 0 0 0 0 0
Other ........... 27C 0 0 0 0 0 0 0 0
Encephalitis, Epi.......... 37C 0 0 0 0 0 0 0 0
Erysipelas...................... 11 0 0 0 0 0 0 0 0
German Measles............... 8D 0 0 0 0 0 0 0 6
Glanders.....- .......... ........ 26B 0 0 0 0 0 0 0
Gonorrhea........................ 25 13 38 35 187 27 77 2 8
Granuloma Inguinale.......... 44A 0 0 0 0 0 0 0 0
Hookworm....................... 40 0 556 0 0 0 0 1 0
Influenza........................... 33 0 0 0 0 0 0 0 2
Jaundice, Infectious............ 32A 0 0 0 0 0 0 0 0
Leprosy ....................... 23 0 0 0 0 0 0 0 0
Lymphopathia Ven.......... 44A 0 0 0 0 0 0 0 0
Malaria............................. 28 1 0 0 0 0 0 0 0
Measles (Rubeola) ...........-- 35 0 1 0 0 3 1 0 4
Meningitis ............... 6 0 0 0 0 1 0 0 3
Mumps (Parotitis) --.. 44C 0 0 1 0 0 5 0 8
Mycosis, Actinomycosis. 43A 0 0 0 0 0 0 0 0
Blastomycosis. 43B 0 0 0 0 0 0 0 0
Favus ................ 43F 0 0 0 0 0 0 0 0
Opthalmia Neonatorum...... 25 0 0 0 0 0 0 0 0
Paratyphoid Fever.......... 2 0 0 0 0 0 0 0 0
Pellagra............... ... 69 0 0 0 0 0 0 0 0
Plague........................... 3 0 0 0 0 0 0 0 0
Pneumonia, Broncho........ 107 0 0 0 1 0 0 0 6
Lobar ............ 108 0 0 0 0 0 0 0 0
Other............... 109 0 0 0 0 0 0 0 1
Poliomyelitis ................ 36 0 0 0 0 1 4 0 2
Psittacosis ................. 38F 0 0 0 0 0 0 0 0
Puerperal Infection ... 147B 0 0 0 0 0 0 0 0
Rabies, Human .................. 38B 0 0 0 0 0 0 0 0
S Animal................. 38B 0 0 0 0 0 0 0 0
Rickettsial Diseases.......... 39 0 0 0 0 0 0 0 0
Brills or Typhus............ 39A 6 2 3 0 1 9 0 0
Rocky Mtn. Spot. Fev. .. 39C 0 0 0 0 0 0 0 0
Scarlet Fev. (Scarletina)... 8 0 0 2 0 0 3 0 0
Septic Sore Throat.... ......... 115B 0 0 0 0 0 0 0 0
Smallpox (Variola)..-..----_- 34 0 0 0 0 0 0 0 0
Syphilis .... ............ 30 235 476 563 218 359 1,026 66 95
Tetanus....................... 12 0 0 0 0 0 0 0 0
Trachoma..................... .. 88 0 0 0 0 0 0 0 0
Trichinosis....................... 42 0 0 0 0 0 0 0 0
Tuberculosis, Pulmonary.... 13 1 0 4 -5 1 4 0 1
Other Forms. 14-22 0 0 0 0 0 0 0 0
Tularemia .............................. 26A 1 0 0 0 0 0 0 0
Typhoid Fever............... 1 0 0 0 0 5 2 0 0
Undulant Fever................... 5 0 0 0 0 0 2 0 0
Vincent's Angina ............... 32B 0 0 0 0 0 0 0 6
SWhooping Cough...... 9 0 8 0 0 0 2 0 0
Yellow Fever ... ..... 38A 0 0 0 0 0 0 0 0
Other Diseases: Giardiasis. 29 0 0 0 0 0 0 0 0
Ascariasis ............... .......... ---..-- ...---------.. 0 0 0 0 0 0 0 0
Oxyuriasis -....------... ........... 0 0 0 0 0 0 0 0
Trichuriasis.... ............. .. ......- ... 0 0 0 0 0 0 0 0
Tapeworm ................. .............. 0 0 0 0 0 0 0 0
Catarrhal Fever....................... 0 0 0 0 0 0 0










68 ANNUAL REPORT, 1943


TABLE 9.-MORBIDITY REPORT OF REPORTABLE DISEASES BY
COUNTIES FOR YEAR ENDING DECEMBER 31, 1943.-(Cont.)

Counties
Monroe Nassau Okaloosa Okeechobee

20,072 10,775 15,591 2,929

Total Total Total Total Total Total Total Total
Last This Last This Last This Last This
DISEASE Code No. Year Year Year Year Year Year Year Year

Anthrax................................. 7 0 0 0 0 0 0 0 0
Beriberi........................... 68 0 0 0 0 0 0 0 0
Botulism............................. 177 0 0 0 0 0 0 0 0
Cancer.............................. 45-55 3 1 1 4 0 0 0 0
Chancroid............................ 44A 1 5 6 6 0 7 0 0
Chickenpox (Varicella) .... 38E 4 4 4 39 0 7 0 0
Cholera, Asiatic_.:............. 4 0 0 0 0 0 0 0 0
Conjunctivitis (Pink Eye) 88 0 0 0 0 0 0 0 0
Dengue............. ............. 38F 0 4 0 0 0 0 0 0
Diarrhea, Infantile............. 119-120A 0 0 0 0 0 3 0 0
Diphtheria...................... "10 6 3 0 2 2 9 0 0
Dysentery, Amebiasis......... 27B 0 0 0 0 0 1 0 0
Bacillary........... 27A 0 0 9 2 0 2 0 0
Other............. 27C 0 0 0 0 0 0 0 0
Encephalitis, Epi ............... 37 0 0 0 0 0 0 0 0
Erysipelas............................ 11 0 0 0 0 0 0 0 0
German Measles............... 38D 0 8 0 0 0 0 0 0
Glanders....................... 26B 0 0 0 0 0 0 0 0
Gonorrhea...................... 25 80 171 59 126 24 248 2 0
Granuloma Inguinale......... 44A 0 0 0 0 0 0 0 0
Hookworm.......................... 40 0 0 260 138 740 105 0 0
Influenza............................... 33 0 0 3 18 0 48 0 0
Jaundice, Infectious ...... 32A 0 0 0 0 0 1 0 0
Leprosy.... --................ 23 0 0 0 0 0 0 0 0
Lymphopathia Ven.......... 44A 0 0 0 0 0 1 0 0
Malaria............................ 28 1 0 0 1 0 3 0 0
Measles (Rubeola) ............... 35 47 16 27 0 0 1 0 0
Meningitis..................... 6 0 1 0 0 0 4 0 0
Mumps (Parotitis)............. 44C 12 24 13 23 12 17 0 0
Mycosis, Actinomycosis..... 43A 0 0 0 0 0 0 0 0
Blastomycosis...... 43B 0 0 0 0 0 0 0 0
Favus.................. 43F 0 0 0 0 0 0 0 0
Opthalmia Neonatorum..... 25 0 0 0 0 0 0 "0 0
Paratyphoid Fever......... 2 0 0 3 4 0 1 0 0
Pellagra............................... 69 0 0 10 13 0 0 0 0
Plague...... ...................... 3 0 0 0 0 0 0 0 0
Pneumonia, Broncho.......... 107 2 1 1 0 1 16 0 0
S Lobar............... 108 0 0 0 0 0 5 0 0
Other............... 109 0 0 0 0 14 0 0 0
Poliomyelitis....................3... 36 1 0 2 1 0 1 0 0
Psittacosis ...................... 38F 0 0 0 0 0 0 0 0
Puerperal Infection ............ 147B 0 0 0 0 0 0 0 0
Rabies, Human.................. 38B 0 0 0 0 0 0 0 0
Animal................ 38B 0 0 0 0 0 0 0 0
Rickettsial Diseases............ 39 0 0 0 0 0 0 0 0
Brills or Typhus............... 39A 0 1 3 5 1. 0 0 0
Rocky Mtn. Spot. Fev........ 39C 0 0 0 0 0 0 0 0
Scarlet Fev. (Scarletina).... 8 4 6 0 1 0 2 0 0
Septic Sore Throat............. 115B 0 0 0 0 0 0 0 0
Smallpox (Variola) ............. 34 0 0 0 0 0 0 0 0
Syphilis........................... 30 147 308 309 202 141 171 2 72
Tetanus.............................. 12 0 0 0 0 0 0 0 0
Trachoma ........................ 88 0 0 0 0 0 0 0 0
Trichinosis......................... 42 0 0 0 0 0 0 0 0
Tuberculosis, Pulmonary.. 13 3 8 24 22 2 3 0 0
Other Forms.. 14-22 0 0 0 0 0 0 0 0
Tularemia............................. 26A 0 0 0 0 0 0 0 0
Typhoid Fever..................... 1 2 0 1 3 0 0 0 0
Undulant Fever................... 5 0 0 0 0 0 0 0 0
Vincent's Angina................. 32B 0 0 0 3 0 2 0 0
Whooping Cough................. 9 0 10 28 51 0 25 0 0
Yellow Fever................... 38A 0 0 0 0 0 0 0 0
Other Diseases: Giardiasis 29 0 0 0 0 0 0 0 0
Ascariasis........ ........................ 0 0 0 0 0 0 0 0
Oxyuriasis..... .................... ........... 0 0 0 0 0 0 0 0
Trichuriasis... ......................... 0 0 0 0 0 0 0 0
Tapeworm.................... ....... .. 0 0 0 0 0 0 0 0
Catarrhal Fever................... ........ 0 0 0 0 0 0 0 0










EPIDEMIOLOGY 69


TABLE 9.-MORBIDITY REPORT OF REPORTABLE DISEASES BY
COUNTIES FOR YEAR ENDING DECEMBER 31, 1943.-(Cont.)

Counties

Orange Osceola Palm Beach Pasco

79,448 9,687 88,356 13,322
Total Total Total Total Total Total Total Total
Last This Last This Last This Last This
DISEASE Code No. Year Year Year Year Year Year Year Year
Anthrax.-.......... .............. .... 7 0 0 0 0 0 0 0 0
Beriberi.............................. 68 0 0 0 0 0 0 0 0 0
Botulism ........................... 177 0 0 0 0 0 0 0 0
Cancer................................. 45-55 0 0 0 0 0 0 0 0
Chancroid........................ 44A 24 69 2 0 16 24 2 0
Chickenpox (Varicella)....... 38E 77 441 0 0 31 167 0 2
Cholera, Asiatic..-.. -.. .... 4 0 0 0 0 0 0 0 0
Conjunctivitis (Pink Eye).. 88 0 0 0 0 0 3 0 0
Dengue........................... 38F 0 0 0 0 0 0 0
Diarrhea, Infantile............... 119-120A 0 0 0 0 0 3 0 0
Diphtheria......................... 10 2 6 0 2 4 0 6 2
Dysentery, Amebiasis 27B 1 5 0 0 0 0 0 0
Bacillary.... 27A 0 1 0 0 1 3 0 0
Other................ 27C 0 0 0 0 0 0 0 0
Encephalitis, Epi............... 37C 0 0 0 0 0 1 0 0
Erysipelas.................... 11 0 0 0 0 0 0 0 0
German Measles ............... 38D 1 112 0 0 5 13 15 1
Glanders........................... 26B 0 0 0 0 0 0 0 0
Gonorrhea.......................... 25 629 847 3 9 258 335 2 4
Granuloma Inguinale......... 44A 0 0 0 0 0 0 0 0
Hookworm....................... 40 273 184 0 0 5 1 0 5
Influenza .................... 33 1 31 0 0 4 87 2 3
Jaundice, Infectious........... 32A 0 0 0 0 0 6 0 0
Leprosy.............................. 23 0 0 0 0 0 0 0 0
Lymphopathia Ven............ 44A 0 17 0 0 0 8 0 0
Malaria.. ---.................... 28 1 6 0 0 1 13 2 0
Measles (Rubeola) .............. 35 135 101 13 0 150 47 2 1
Meningitis....................... 6 1 11 0 0 0 11 0 2
Mumps (Parotitis)_...... .. 44C 206 195 0 0 91 40 0 16
Mycosis, Actinomycosis..... 43A 0 0 0 0 0 0 0 0
S Blastomycosis. 43B 0 0 0 0 0 0 0 0
Favus............. 43F 0 0 0 0 0 0 0 0
Opthalmia Neonatorum..... 25 0 1 0 0 0 0 0 0
Paratyphoid Fever........... 2 0 4 0 0 0 0 0 0
Pellagra............................ 69 0 1 0 0 0 0 0 0
Plague.................................. 3 0 0 0 0 0 0 0 0
Pneumonia, Broncho ...... 107 2 17 0 0 1 25 0 0
Lobar ............. 108 0 0 0 0 0 7 0 0
Other ......... 109 0 10 0 0 0 12 0 0
Poliomyelitis..................... 36 2 0 "0 0 1 2 0 0
Psittacosis....................... 38F 0 0 0 0 0 0 0 0
Puerperal Infection............. 147B 0 0 0 0 0 0 0 0
Rabies, Human................... 38B 0 0 0 0 0 0 0 0
Animal................. 38B 0 0 0 0 0 0 0 0
Rickettsial Diseases.......:.... 39 0 0 0 0 0 0 0 0
Brills or Typhus................. 39A 14 17 2 0 1 1 1 1
Rocky Mtn. Spot. Fev....... 39C 0 0 0 0 0 0 0 0
Scarlet Fev. (Scarletina).... 8 11 25 1 2 3 4 0 0
Septic Sore Throat............. 115B 0 0 0 0 0 0 0 0
Smallpox (Variola)............ 34 0 1 0 0 0 0 0 0
Syphilis............. ........ 30 1,023 852 131 113 1,245 1,274 114 174
Tetanus.............................. 12 0 0 0 0 1 0 0 0
Trachoma........................ 88 0 0 0 0 0 0 0 0
Trichinosis......................... 42 0 0 0 0 0 0 0 0
Tuberculosis, Pulmonary.... 13 11 41 0 1 12 24 0 1
Other Forms.. 14-22 0 0 0 0 0 0 0 0
Tularemia................. 26A 1 0 0 0 0 0 0 0
Typhoid Fever.................... 1 1 1 1 1 4 7 7 0
Undulant Fever................... 5 3 0 1 0 0 3 0 0
Vincent's Angina................ 32B 1 1 0 0 0 55 0 0
Whooping Cough................. 9 51 129 4 0 22 71 7 0
Yellow Fever..................... 38A 0 0 0 0 0 0 0 0
Other Diseases: Giardiasis.. 29 0 0 0 0 0 0 0 0
Ascariasis............ .... .. ............. ...... 0 0 0 0 0 0 0 0
Oxyuriasis........ ......... ............. 0 0 0 0 0 0 0
Trichuriasis................. .... ......... .. ... 0 0 0 0 0 0 0 0
Tapeworm ..................... .............. ........ 0.. 0 0 0 0 0 0 0
Catarrhal Fever............................. 0 0 0 0 0 0 0 0










70 ANNUAL REPORT, 1943


TABLE 9.-MORBIDITY REPORT OF REPORTABLE DISEASES BY
COUNTIES FOR YEAR ENDING DECEMBER 31, 1943.-(Cont.)

Counties
Pinellas Polk Putnam St. Johns
110,663 90,356 17,806 20,182
Total Total Total Total Total Total Total Total
Last This Last This Last This Last This
DISEASE Code No. Year Year Year Year Year Year Year Year
Anthrax_.......................... 7 0 0 0 0 0 0 0 0
Beriberi................... 68 0 0 0 0 0 0 0 0
Botulism...... ............... 177 0 0 0 0 0 0 0 0
Cancer .............................. 45-55 0 0 0 0 0 0 0 0
Chanroid....................... 44A 10 8 5 12 0 0 0 2
Chickenpox (Varicella)........ 38E 46 222 0 3 0 1 0 0
Cholera, Asiatic............... 4 0 0 0 0 0 0 0 0
Conjunctivitis (Pink Eye). 88 0 0 0 0 0 0 .0 2
Dengue.... ......... 38F 1 0 0 0 0 0 0 0
Diarrhea, Infantile .. .. 119-120A 0 1 0 1 0 0 0 0
Diphtheria............ 10 5 9 20 8 0 0 0 '2
Dysentery, Amebiasis.. 27B 0 0 0 1 0 0 0 0
Bacillary........... 27A 1 0 0 0 0 0 0 0
Other... ..... 27C 0 0 0 0 0 0 0 0
Encephalitis, Epi............. 37C 1 0 0 0 0 0 0 0
Erysipelas.............................. 11 0 0 0 0 0 0 0 0
German Measles................. 38D 2 96 0 6 1 0 0 1
Glanders.......................... 26B 0 0 0 0 0 0 0 0
Gonorrhea........................... 25 277 596 34 245 7 39 9 36
Granuloma Inguinale......... 44A 0 0 0 0 0 0 0 0
Hookworm........................ 40 183 106 2 42 0 0 0 3
Influenza ---..- 33 3 77 0 64 0 0 0 0
Jaundice, Infectious.......... 32A 0 1 0 1 0 0 0 0
Leprosy.. ........................................ 23 0 0 0 0 0 0 0
Lymphopathia Ven............. 44A 0 0 0 0 0 0 0 0
M alaria........................... .. 28 0 2 1 5 2 1 0 1
Measles (Rubeola)............... 35 76 332 72 10 5 0 0 0
Meningitis..... ... 6 2 16 1 2 0 0 0 4
Mumps (Parotitis)................ 44C 17 71 0 5 0 3 0 2
Mycosis, Actinomycosis...... 43A 0 0 0 0 0 0 0 0
Blastomycosis...... 43B 0 0 0 0 0 0 0 0
Favus.................. 43F 0 0 0 0 0 0 0 0
Opthalmia Neonatorum...... 25 0 0 0 0 0 0 0 0
Paratyphoid Fever............. 2 1 0 0 0 0 0 0 0
Pellagra.............................. 69 0 0 0 0 0 0 0 0
Plague............................... 3 0 0 0 0 0 0 0 0
Pneumonia, Broncho............ 107 10 20 0 14 0 0 0 0
Lobar............ 108 0 2 0 1 0 0 0 0
Other................ 109 0 2 0 16 0 0 0 0
Poliomyelitis....................... 36 1 1 1 0 1 0 0 1
Psittacosis..................... 38F 0 0 0 0 0 0 0 0
Puerperal Infection.............. 147B 0 0 0 0 0 0 0 0
Rabies, Human.................. 38B 0 0 0 0 0 0 0 0
S Animal................... 38B 0 0 0 0 0 .0 0 0
Rickettsial Diseases .......... 39 0 0 0 0 0 0 0 0
Brills or Typhus.................. 39A 7 8 1 1 17 0 1 2
Rocky Mtn. Spot. Fev...... 39C 1 0 0 0 0 0 0 0
Scarlet Fev. (Scarletina)..... 8 14 11 6 9 0 0 -0 0
Septic Sore Throat.............. 115B 0 0 0 0 0 1 0 0
Smallpox (Variola).... ......... 34 0 0 0 0 0 0 0 0
Syphilis..-..- ....-........ 30 1,111 926 690 1,135 402 320. 264 212
Tetanus.-......................... 12 0 0 0 0 1 0 0 0
Trachoma............................. 88 0 0 0 0 0 0 0 0
Trichinosis..-.................... 42 0 1 0 0 0 0 0 0
Tuberculosis, Pulmonary.... 13 27 83 1 6 1 1 0 1
S Other Forms.. 14-22 0 0 0 0 0 0 0 0
Tularemia........................... 26A 0 0 1 0 0 0 1 0
Typhoid Fever ................... 1 36 1 3 3 2 0 2 1
Undulant Fever.................... 5 2 8 0 0 0 0 0 0
Vincent's Angina.................. 32B 1 2 0 8 0 0 0 5
Whooping Cough................ 9 89 33 0 0 2 0 0 0
Yellow Fever.................. 38A 0 0 0 0 0 0 0 0
Other Diseases: Giardiasis.. 29 0 0 0 0 0 0 0 0
Ascariasis................... ............ ----........... 0 0 0 0 0 0 0 0
Oxyuriasis.............................. .................. 0 0 0 0 0 0 0 0
richuriasis.................................. ........... 0 0 0 0 0 0 0 0
Tapeworm..................................... 0 0 0 0 0 0 0 0
Catarrhal Fever...................... .................... 0 0 0 0 0 0 0 0










EPIDEMIOLOGY 71


TABLE 9.-MORBIDITY REPORT OF REPORTABLE DISEASES BY
COUNTIES FOR YEAR ENDING DECEMBER 31, 1943.-(Cont.)

Counties
St. Lucie Santa Rosa Sarasota Seminole
13,084 13,799 19,514 21,080
Total Total Total Total Total Total Total Total
Last This Last This Last This Last This
DISEASE Code No. Year Year Year Year Year Year Year Year
Anthrax ........................... .. 7 0 0 0 0 0 0 0 0
Beriberi............. ............... 68 0 0 0 0 0 0 0 0
Botulism......................... 177 0 0 0 0 0 0 0 0
Cancer................................ 45-55 0 0 0 0 0 1 0 0
Chancroid............ ............ 44A 0 0 0 0 3 1 1 0
Chickenpox (Varicella)........ 38E 0 0 1 0 7 0 20 21
Cholera, Asiatic.................... 4 0 0 0 0 0 0 0 0
Conjunctivitis (Pink Eye).. 88 0 0 0 0 0 0 0 0
Dengue............................... 38F 0 0 0 0 0 0 0 0
Diarrhea, Infantile ........ 119-120A 0 0 0 0 0 0 0 0
Diphtheria.................. 10 0 0 7 5 6 0 2 2
Dysentery, Amebiasis..... 27B 0 0 0 0 0 0 0 0
S Bacillary............ 27A 0 0 0 0 0 0 0 0
Other................ 27C 0 0 0 0 0 0 0 0
Encephalitis, Epi................. 37C 0 0 0 0 0 0 0 0
Erysipelas.................... 11 0 0 0 0 0 0 0 0
German Measles............. 88D 0 0 0 0 0 1 0 4
Glanders.......................... 26B 0 0 0 0 0 0 0 0
Gonorrhea ....................... 25 14 105 27 18 94 46 93 210
Granuloma Inguinale ......... 44A 0 0 0 0 0 0 0 0
Hookworm............................ 40 2 0 1,594 351 0 0 318 175
Influenza............................. 33 0 0 0 0 0 0 0 0
Jaundice, Infectious .......... 32A 0 0 0 0 0 0 0 0
Leprosy............................ 23 0 0 0 0 0 0 0 0
Lymphopathia Ven............. 44A 0 0 0 0 0 0 0 0
Malaria.................................. 28 0 0 2 0 0 0 0 0
Measles (Rubeola).............. 35 0 0 11 0 234 4 2 15
Meningitis. ......................... 6 0 1 1 2 0 0 0 1
Mumps (Parotitis) --......... 44C 0 0 0 0 8 1 47 18
Mycosis, Actinomycosis...... 43A 0 0 0 0 0 0 0 0
Blastomycosis...... 43B 0 0 0 0 0 0 0 0
Favus.................. 43F 0 0 0 0 0 0 0 0
Opthalmia Neonatorum..... 25 0 0 0 0 0 0 1 0
Paratyphoid Fever............. 2 0 0 0 0 0 0 0 0
Pellagra................................ 69 0 0 42 0 0 0 1 0
Plague................................ 3 0 0 0 0 0 0 0 0
Pneumonia, Broncho............ 107 0 0 1 0 0 1 0 1
Lobar............. 108 0 0 0 0 0 0 0 0
Other.............. 109 0 0 0 0 0 0 0 0
Poliomyelitis ......-............ 36 0 0 2 0 0 0 0 0
Psittacosis....................... 38F 0 0 0 0 0 0 0 0
Puerperal Infection ............. 147B 0 0 0 0 0 0 0 0
Rabies, Human............ 38B 0 0 0 0 0 0 0 0
SAnimal................. 38B 0 0 0 0 0 0 0 0
Rickettsial Diseases............ 39 0 0 0 0 0 0 0 0
Brills or Typhus.................. 39A 0 0 1 7 2 0 0 2
Rocky Mtn. Spot. Fev....... 39C 0 0 0 0 0 0 0 0
Scarlet Fev. (Scarletina).... 8 0 1 2 8 0 0 1 2
Septic Sore Throat............. 115B 0 0 0 0 0 0 0 0
Smallpox (Variola) .............. 34 0 0 0 0 0 0 0 0
Syphilis..... ................. 30 127 339 58 55 570 181 1,169 589
Tetanus .......................... 12 0 0 0 0 0 0 0 0
Trachoma........................ 88 0 0 0 0 0 0 0 0
Trichinosis....................... 42 0 0 0 0 0 0 0 0
Tuberculosis, Pulmonary.... 13 0 0 5 2 2 2 20 8
S Other Forms.. 14-22 0 0 0 0 0 0 0 0
Tularemia.............................. 26A 0 0 0 0 0 0 0 0
Typhoid Fever.................... 1 0 0 0 0 0 1 2 0
Undulant Fever.................... 5 0 0 0 0 1 0 1 0
Vincent's Angina.................. 32B 0 0 1 0 1 0 0 5
Whooping Cough................ 9 0 0 1 0 4 0 6 34
Yellow Fever.................... 38A 0 0 0 0 0 0 0 0
Other Diseases: Giardiasis.. 29 0 0 0 0 0 0 0 0
Ascariasis............................. .. ..... ....0 0 0 0 0 0 0
Oxyuriasis ................. ... ............... 0 0 0 0 0 0 0 0
Trichuriasis. ........ ....................... 0 0 0 0 0 0 0 0
Tapeworm ...................... .... .......... 0 0 0 0 0 0 0 0
Catarrhal Fever................................ ....... 0 0 0 0 0 0 0 0










72 ANNUAL REPORT, 1943


TABLE 9.-MORBIDITY REPORT OF REPORTABLE DISEASES BY
COUNTIES FOR YEAR ENDING DECEMBER 31, 1943.-(Cont.)

Counties

Sumter Suwannee Taylor Union

9,532 16,029 9,682 7,228
Total Total Total Total Total Total Total Total
Last This Last This Last This Last This
DISEASE Code No. Year Year Year Year Year Year Year Year
Anthrax.................................. 7 0 0 0 0 0 0 0 0
Beriberi................................. 68 0 0 0 0 0 0 0 0
Botulism ................ ...... 177 0 0 0 0 0 0 0 0
Cancer ....................... ..... 45-55 0 0 0 0 0 0 0 0
Chancroid.............................. 44A 3 0 0 0 0 0 0 0
Chickenpox (Varicella)........ 38E 0 0 8 0 1 15 0 0
Cholera, Asiatic..................... 4 0 0 0 0 0 0 0 0
Conjunctivitis (Pink Eye).. 88 0 0 0 0 0 0 0 0
Dengue.......................... 38F 0 0 0 0 0 0 0 0
Diarrhea, Infantile............. 119-120A 0 0 0 0 0 0 0 0
Diphtheria....................... 10 0 0 0 1 5 1 4 0
Dysentery, Amebiasis.......... 27B 0 0 0 0 0 0 0 0
S Bacillary........... 27A 0 0 0 0 0 0 0 1
Other............. 27C 0 0 0 0 0 0 0 0
Encephalitis, Epi.............. 37C 0 0 0 0 0 0 0 0
Erysipelas....................... 11 0 0 0 0 0 0 0 0
German Measles................ 38D 0 0 0 0 0 0 0 0
Glanders............................. 26B 0 0 0 0 0 0 0 0
Gonorrhea............................. 25 14 165 9 10 75 58 1 6
Granuloma Inguinale.......... 44A 0 0 0 0 0 0 0 0
SHookworm..................... 40 0 0 0 0 454 282 0 1
Influenza............................... 33 0 0 0 0 0 0 0 0
Jaundice, Infectious ......... 32A 0 0 0 0 0 0 0 0
Leprosy ................ ..- 23 0 0 0 0 0 0 0 0
Lymphopathia Ven............. 44A 0 0 0 0 0 0 0 0
Malaria............................ 28 0 0 0 0 5 0 0 0
Measles (Rubeola).-...... 35 0 0 0 0 7 11 0 0
Meningitis........ ............ 6 0 0 2 2 0 0 0 1
Mumps (Parotitis) ......... 44C 0 0 0 0 13 19 0 0
Mycosis, Actinomycosis... 43A 0 0 0 0 0 0 0 0
Blastomycosis..... 43B 0 0 0 0 0 0 0 0
Favus.............. 43F 0 0 0 0 0 0 0 0
Opthalmia Neonatorum...... 25 0 0 0 0 0 0 0 0
Paratyphoid Fever ... .. 2 0 0 0 0 0 0 0 0
Pellagra............................ 69 0 0 0 0 0 0 0 0
Plague --_------ 3 0 0 0 0 0 0 0 0
Pneumonia, Broncho .......... 107 0 0 0 0 1 2 0 1
Lobar._..... 108 0 0 0 0 0 0 0 0
Other............... 109 0 0 0 0 0 0 0 0
Poliomyelitis................. 36 0 0 1 0 1 0 0 0
Psittacosis _........--...... 38F .0 0 0 0 0 0 0 0
Puerperal Infection ........ 147B 0 0 0 0 0 0 0 0
Rabies, Human.............. 38B 0 0 0 0 0 1 0 0
Animal............... 38B 0 0 0 0 0 0 0 0
Rickettsial Diseases........... 39 0 0 0 0 0 0 0 0
Brills or Typhus.................. 39A 1 1 4 1 2 4 0 0
Rocky Mtn. Spot. Fev......... 39C 0 0 0 0 0 0 0 0
Scarlet Fev. (Scarletina)._. 8 1 0 1 0 1 0 0 0
Septic Sore Throat.............. 115B 0 0 0 0 0 0 0 0
Smallpox (Variola) ............. 34 0 0 0 0 0 0 0 0
Syphilis........................ 30 227 190 259 377 301 127 24 258
Tetanus .......... 12 0 0 0 0 0 0 0 0
Trachoma...... ........ 88 0 0 0 0 0 0 0 0
Trichinosis.......................... 42 0 0 0 0 0 0 0 0
Tuberculosis, Pulmonary.. 13 0 0 0 1 13 14 0 11
S Other Forms._ 14-22 0 0 0 0 0 0 0 0
Tularemia ................ 26A 0 0 0 0 0 0 0 0
Typhoid Fever..................... 1 0 0 1 1 1 0 0 0
Undulant Fever.. 5 0 0 1 0 0 0 0 0
Vincent's Angina................. 32B 0 0 0 0 0 0 0 0
Whooping Cough...... 9 0 0 0 0 5 0 0 1
Yellow Fever .... 38A 0 0 0 0 0 0 0 0
Other Diseases: Giardiasis_ 29 0 0 0 0 0 0 0 0
Ascariasis.................... 0 0 0 0 0 0 0 0
Oxyuriasis............ ....... .. 0 0 0 0 0 0 0 0
Trichuriasis..................... ........- .... 0 0 0 0 0 0 0 0
Tapeworm ..... ........................... 0 0 0 0 0 0 0 0
Catarrhal Fever...... .............................. 0 0 0 0 0 0 0 0










EPIDEMIOLOGY 73


TABLE 9.-MORBIDITY REPORT OF REPORTABLE DISEASES BY
COUNTIES FOR YEAR ENDING DECEMBER 31, 1943.-(Cont.)

Counties

Volusia Wakulla Walton Washington

53,099 5,717 13,284 10,900
Total Total Total Total Total Total Total Total
Last This Last This Last This Last This
DISEASE Code No. Year Year Year Year Year Year Year Year

Anthrax................................. 7 0 0 0 0 0 0 0 0
Beriberi.............................. 68 0 0 0 0 0 0 0 0
Botulism ......................... .. 177 0 0 0 0 0 0 0 0
Cancer ................... 45-55 8 0 0 0 0 0 0 0
Chancroid.............................. 44A 3 1 0 22 0 0 0 0
Chickenpox (Varicella)........ 38E 21 53 0 8 0 1 0 0
Cholera, Asiatic .................... 4 0 0 0 0 0 0 0 0
Conjunctivitis (Pink Eye).. 88 0 0 0 0 0 0 0 0
Dengue -......................... 38F 0 0 0 0 0 0 0 0
Diarrhea, Infantile. .......... 119-120A 0 0 0 0 0 0 0 0
Diphtheria..................... 10 14 12 0 0 5 4 0 0
Dysentery, Amebiasis.......... 27B 0 3 0 0 0 6 0 0
Bacillary ......... 27A 0 1 0 0 0 1 0 0
Other. ............ 27C 0 0 0 0 0 0 0 0
Encephalitis, Epi............... 37C 0 0 0 0 0 0 0 0
Erysipelas........................... 11 0 0 0 0 0 0 0 0
German Measles................ 38D 1 1 0 1 0 0 0 0
Glanders................ ....... 26B 0 0 0 0 0 0 0 0
Gonorrhea ...................... 25 83 260 15 290 12 45 0 22
Granuloma Inguinale......... 44A 0 0 0 0 0 0 0 0
Hookworm............................ 40 10 96 234 32 1,608 385 10 256
Influenza...... ............... 33 2 1 0 13 0 0 0 0
Jaundice, Infectious........... 32A 0 0 0 0 0 0 0 0
Leprosy.........................-.. 23 0 0 0 0 0 0 0 0
Lymphopathia Ven............. 44A 0 0 0 0 0 0 0 0
Malaria... ..................... 28 1 6 1 0 1 0 0 1
Measles (Rubeola). ........... 35 179 13 6 1 24 0 0 0
M eningitis ........................... 6 0 1 1 1 4 0 0 0
Mumps (Parotitis)............... 44C 14 71 0 30 0 1 0 0
Mycosis, Actinomycosis...... 43A 0 0 0 0 0 0 0 0
Blastomycosis...... 43B 0 0 0 0 0 0 0 0
Favus.................... 43F 0 0 0 0 0 0 0 0
Opthalmia Neonatorum...... 25 0 2 1 0 0 0 0 0
Paratyphoid Fever.............. 2 0 4 0 0 0 1 0 0
Pellagra................................. 69 0 0 0 0 1 0 0 0
Plague.....--.......................-.... 3 0 0 0 0 0 0 0 0
Pneumonia, Broncho ........... 107 2 1 0 0 0 0 0 1
Lobar ............... 108 0 0 0 0 0 0 0 0
Other................ 109 0 0 0 0 0 0 0 0
Poliomyelitis...................... 36 0 0 0 0 0 0 0 0
Psittacosis... ............... 38F 0 0 0 0 0 0 0 0
Puerperal Infection............ 147B 0 0 0 0 0 0 0 0
Rabies, Human.................. 38B 0 0 0 0 0 0 0 0
SAnimal.................. 38B 0 0 0 0 0 1 0 0
Rickettsial Diseases............ 39 0 0 0 0 0 0 0 0
Brills or Typhus ................. 39A 26 8 1 0 1 2 0 4
Rocky Mtn. Spot. Fev......... 39C 0 0 0 0 0 0 0 0
Scarlet Fev. (Scarletina)..... 8 3 9 4 0 0 0 0 0
Septic Sore Throat......... 115B 0 0 0 0 0 0 0 0
Smallpox (Variola)............ 34 0 0 0 0 0 0 0 0
Syphilis............................... 30 943 660 85 111 164 46 45 141
Tetanus...... ....................... 12 0 5 0 0 0 0 0 0
Trachoma.............................. 88 0 0 0 0 0 0 0 0
Trichinosis........ ............ 42 1 0 0 0 0 0 0 0
Tuberculosis, Pulmonary... 13 18 24 3 1 10 7 3 2
Other Forms.. 14-22 0 0 0 0 0 0 0 0
Tularemia.......................... 26A 0 0 0 0 0 0 0 0
Typhoid Fever...................... 1 8 3 0 0 0 1 0 0
Undulant Fever.................... 5 3 1 0 0 0 0 0 1
Vincent's Angina.................. 32B 0 12 0 0 0 0 0 0
Whooping Cough .................. 9 11 8 0 29 1 1 0 0
Yellow Fever.................... 38A 0 0 0 0 0 0 0 0
Other Diseases: Giardiasis.. 29 0 0 0 0 0 0 0 0
Ascariasis............................... 0 0 0 0 0 0 0 0
Oxyuriasis............................. ........................ 0 0 0 0 0 0 0 0
Trichuriasis.......................... ........................ 0 0 0 0 0 0 0 0
Tapeworm.................................... ....... 0 0 0 0 0 0 0 0
Catarrhal Fever.................. ..... ..... 0 0 0 0 0 0 0 0










74 ANNUAL REPORT, 1943


TABLE. 10.-CASES OF SMALLPOX REPORTED BY COUNTIES BY YEARS
1930-1943, FLORIDA

County 1930 1931 1932 1933 193194 93 1936 1937 1938 1939 1940 1941 1942 1943
Alachua- ...... ............... 0 0 0 0 0 0 0 2 0 0 0 0 0 0
Baker............. ....... .... 0 0 4 0 0 0 0 0 0 0 0 0 0 0
Bay......................... ...... 0 1 0 0 0 0 0 0 0 0 0 0 1 0
Bradford .............................. 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Brevard................................ 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Broward .... -........ 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Calhoun ........................ 0 2 0 0 0 0 0 0 0 0 0 0 0 0
Charlotte .................... 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Citrus ......... ..............0 0 0 0 0 1 0 1 2 0 0 0 0 0
Clay ...................... 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Collier.. ..................... 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Columbia......... 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Dade--. ...................... 0 2 0 0 0 0 0 0 0 0 0 0 0 0
DeSoto ......................... 0 0 0 0 0 0 0 0 0 9 0 0 0 0
Dixie ........................... 1 0 0 0 0 0 0 0 2 0 1 0 0 0
Duval ................... 0 0 1 0 0 0 0 0 0 0 0 0 0
Escambia ...................- 0 1 0 0 0 0 0 0 2 0 0 0 0 0
Flagler.................. -- 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Franklin......................... 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Gadsden ................ .... 0 3 0 0 0 0 0 0 0 0 1 0 0 0
Gilchrist ....................... 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Glades.............-- ..- 0 0 0 0 0 0 0 0 0 0 1 0 0 0
Gulf....................... 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hamilton .................... 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hardee..... ........................ 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hendry.......................... 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hernando.........................0 0 0 0 0 0 0 0 0 0 0 0 0 0
Highlands....................... 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hillsboro...................... 1 0 0 0 0 0 0 0 1 1 0 0 0 0
Holmes......................... 2 0 0 0 0 0 0 0 0 0 0 0 0 1
Indian River ... ................ 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jackson............... ...... 0 0 13 0 0 0 0 0 1 0 0 0 0 0
Jefferson .............................. 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lafayette............... .. .... 0 1 1 0 0 0 0 0 0 0 0 0 0 0
Lake........ ................ 3 0 0 0 0 0 0 0 0 0 1 0 0 0
Lee...................... 0 0 0 0 0 0 0 0 0 1 0 0 0 0
Leon........... ........... 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Levy.................................. 0 0 0 0 0 13 0 0 0 0 0 0 0 0
Liberty ...... ......... .... 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Madison......................... 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Manatee...................-..- 6 0 0 0 0 0' 0 0 0 0 0 0 0 0
Mario .................................. 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Martin....... ..................... 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Monroe ................................. 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Nassau......................... 0 1 0 0 0 0 0 0 0 0 0 0 0 0
Okaloosa......................... 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Okeechobee........................ 0 0 0 0 0 0 0 0 0 1 0 0 0 0
Orange .............................. 5 0 0 0 0 0 0 0 0 1 .1 0 0 1
Osceola......................... 0 7 0 0 0 0 0 0 0 0 0 0 0 0
Palm Beach.................. 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pasco ........................ 0 0 0 0 0 0 0 0 0 0 0 0 0 .0
Pinellas.............. .................. 2 0 1 0 0 0 0 0 0 0 0 0 0 0
Polk.. ........ ........ ........... 4 1 2 0 0 0 0 0 0 0 0 0 0 0
Putnam........................... 1 1 0 0 0 0 0 0 0 0 0 0 0 0
St.Johns .................... 0 2 0 0 2 0 0 0 0 0 0 0 0 0
St. Lucie.......... ....................... 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Santa Rosa.....-----..---...... 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sarasota..................... 0 3 0 0 0 0 0 0 0 0 0 0 0 0
Seminole......................... 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sumter ........................... 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Suwannee .................... 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Taylor................................. 0 0 0 0 0 0 0 0 0 0 0 0 0
Union........... .............. ........ 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Volusia...... .............. .1 1 2 0 0 0 0 5 7 0 2 0 0 0
W akulla................................. 1 0 0 0 0 0 0 0 0 0 0 0 0 0
Walton ...................... 0 0 9 0 1 0 0 0 0 0 0 0 0 0
Washington ...... ........ .0 1 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL....... ..... ............. 27 27 32 1 3 14 0 8 15 4 7 0 1 2











EPIDEMIOLOGY


TABLE 11.-CASES OF DIPHTHERIA REPORTED BY COUNTIES BY
YEARS 1930-1943, FLORIDA.


County

Alachua..........
Bakerlc ........................
Baker ....................................
Bay ....................................-----
Bradford................------
Brevard..........................
Broward............................
Calhoun.......................
Charlotte.....................
Citrus...........................
Clay..... .......................
Collier............................
Columbia...................
D ade...... .............................
DeSoto................. ........
Dixie...............................
DuvaL..... --...... .......
Escambia.......... ............
Flagler ........... .............
Franklin............................
Gadsden...........................
Gilchrist........ ..................
Glades..........................
Gulf................................
Hamilton.......................
Hardee........ .........
Hendry............................
Hernando........................
Highlands..... ......
Hillsboro.........................
Holmes........ ..........
Indian River.....................
Jackson .... ..........
Jefferson ................
Lafayette.-.....................
Lake........................
Lee............. ............ ...
Leon .................. .....
Levy .......................................
Liberty .................................
Madison..........................
Manatee..........................
Martin.........................
Marion .............................
Monroe....... ....................
Nassau.............. ..............
Okaloosa..........................
Okeechobee.........................
Orange...............................
Osceola .....................
Palm Beach.. ...............
Pasco...............................
Pinellas......................
Polk........... ..... ............
Putnam........... ..........
St. Johns.............................
St. Lucie ......................
Santa Rosa .............
Sarasota.......................
Seminole........... ................
Sum ter.. ........................
Suwannee .........................
Taylor.............. ..............
U nion....................... .......
Volusia........ ..................
Wakulla.............. ........
Walton........................
Washington......................


193011931119321193311934 1935


1936 1937 193811939 194011941 1942


1943


TOTAL.................................... 492 483 735 452 491 425 309 615 490 299 223 212 258 243


-1-1-1-1-1-1-1-1-











76 ANNUAL REPORT, 1943


TABLE 12.-CASES OF TYPHOID FEVER REPORTED BY COUNTIES BY
YEARS 1930-1943, FLORIDA.


County 11930 1931 1932 1983 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943
Alachua ................................. 1 0 1 0 0 4 0 3 3 0 0 1 0 4
Baker.. .............. ........ 0 0 2 0 0 0 0 1 1 0 1 3 1 0
Bay.................................. 1 0 7 2 0 1 0 4 0 0 0 0 0 2
Bradford....................... 0 0 2 0 1 1 0 0 1 0 0 0 0 0
Brevard................................ 0 0 2 2 0 0 0 0 0 0 0 0 2
Broward........................ 3 6 3 5 2 0 1 1 6 2 6 1 1 0
Calhoun._...... -................ 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Charlotte ......------- .. 0 0 0 0 0 0 0 0 0 0 0 0 0
Citrus.. ........ ........ 0 0 2 0 7 0 0 1 3 4 0 0 1 1
Clay ................ ......... 0 0 2 00 0 0 0 0 0 6 1 0
Collier........................... 0 0 0 0 0 0 0 0 0 0 0 0 0
Columbia...... ............ 0 1 6 0 0 1 0 1 0 2 1 1 2 2
Dade ....................... 14 10 15 26 23 13 18 25 19 18 43 20 11 2
DeSoto ......... ........... 0 1 0 0 0 0 0 1 0 0 0 0 0 0
Dixie...................................... 0 0 0 0 0 0 0 0 0 0 0 0 0 1
DuvaL............................. 13 11 21 14 11 8 8 16 49 13 8 36 23 6
Esambia .............. 7 31 68 21 7 16 3 10 21 11 4 6 11 8
Flagler ..................... 0 0 0 0 0 0 3 2 0 0 0 0 0 0
Franklin..................... 0 2 0 0 1 1 0 0 1 0 0 0 1 3
Gadsden.......................... 1 11 8 3 2 0 0 1 3 6 2 16 12 6
Gilchrist.................. ... .. 0 0 0 0 0 0 0 0 0 0 0 0 0
Glades .... ........................ 1 0 1 0 0 0 0 0 0 0 0 0 0
Gulf .................................. 0 0 0 0 0 0 0 0 0 0 0 0 1 0
Hamilton ... ................... 0 0 1 0 3 0 0 0 0 0 0 0 3 0
Hardee .......... ............ 0 0 1 0 0 0 1 0 0 0 0 1 4 0
Hendry .... .......... 3 0 0 0 0 0 0 0 0 0 0 1 0 0
Hernando......................... 0 1 0 1 1 2 0 3 0 0 0 0 0 1 0
Highlands ..................... 0 2 7 0 0 3 1 0 0 5 1 1 5 0
Hillsboro ..... -.45 37 28 20 18 54 23 19 12 17 8 9 30 4
Holmes .. .................. 3 7 4 7 3 0 0 1 0 00 0 0 0 0
Indian River................. 2 0 3 1 0 0 0 2 0 0 1 10 0 0
Jackson....... ............... 0 3 3 1 1 0 0 2 4 0 0 1 0 1
Jefferson ...... ------ 3 2 5 4 0 0 0 0 0 0 0 5 1 0
Lafayette.. .... 0 0 0 0 0 0 0 0 0 0 0 0 0
Lake.... .................. 1 0 2 3 11 1 0 2 5 2 5 0 1 1
Lee..... ........... ........... 0 10 1 0 0 1 0 2 0 0 1 0 0 0
Leon ................................ 4 8 10 6 7 3 1 0 0 0 2 2 0 0
Levy.... ....... 0 0 0 0 2 0 1 0 0 0 0 0 0 0
Liberty..... ................. 1 0 0 1 0 1 0 0 0 0 0 7 0
Madison.......................... 0 1 1 2 6 2 00 0 1 0 2 0 0
Manatee........................... 0 0 3 0 4 0 0 0 1 0 0 0 0 0
M arion................................. 2 1 5 2 2 2 1 1 0 4 0 1 5 2
M artin............................. .... 0 0 0 0 0 0 1 0 1 1 0 0 0 0
Monroe..... ............. 0 0 0 1 0 0 0 0 0 0 0 2 0
Nassau. .................... .. 1 0 5 0 0 0 1 1 2 4 0 1 1 3
Okaloosa.............................. 0 1 0 0 0 0 0 0 0 0 0
Okeechobee................... 0 0 0 0 0 0 0 0 2 0 0 0 0 0
Orange ........................ 1 .3 7 1 1 2 8 7 8 2 4 9 1 1
Osceola.............................. 3 0 2 0 0 4 0 1 0 0 0 0 1 1
Palm Beach.................. 2 1 4 22 1 8 1 4 0 4 1 3 4 7
Pasco ............ ........... 1 0 1 6 0 0 1 0 2 1 1 0 7 0
Pinellas ........................... 2 3 2 2 1 8 7 7 6 21 7 8 36 1
Polk ................... ............ 6 21 12 2 4 19 5 1 2 1 4 0 3 3
Putnam .............................. 0 1 2 0 0 0 0 2 2 0 0 0 2 0
St.Johns................ 3 0 4 1 0 0 1 0 0 0 2 2 1
St. Lucie..................... 0 0 0 0 1 0 0 0 0 0 5 0 0
Santa Rosa........................ 0 0 1 0 0 0 0 1 0 0 0 0 0 0
Sarasota ...................... 0 2 1 3 3 4 2 2 0 0 0 0 1
Seminole.. ...................... 4 1 2 2 0 0 0 0 0 2 0 3 2 0
Sumter ............ ... 0 0 1 0 0 0 0 0 0 0 0 0 0 0
Suwannee..... ............... 0 0 2 0 0 2 0 0 1 1 0 1 0 1 1
Taylor................... 2 0 0 1 1 0 1 2 1 2 1 1 1 0
Union... ................... 4 3 1 0 1 1 1 0 0 0 0 0 0 0
Volusia ... .................... 5 2 5 19 3 3 1 3 3 5 7 11 8 3
Wakulla .... .................. 1 1 0 1 0 4 0 0 1 0 0 0 0 0
Walton ................... 1 0 0 0 0 0 0 0 0 0 0 0 0 1
Washington -...------ ........ 1 0 0 0 1 1 0 0 0 0 0 0 0 0
TOTAL ................ .......... 141 184 266 183 129 169 94 127 160 128 109 166 196 68









EPIDEMIOLOGY


DEATHS AND DEATH RATES* OF INFECTIOUS AND PARASITIC
DISEASES (INT. LIST OF CAUSES OF DEATH 1-44) BY CAUSE,
COLOR, AND SEX, FLORIDA, (RECORDED) 1917-1943
(Rates are Given for the More Prevalent Diseases Only)


II 1943 I 1942 1 1941 1940 1 1939 11938 11987 I 1936 I 1935 I 1934

1. Typhoid Fever

Deaths: Total 17 26 26 23 27 46 45 39 58 46
White Male 4 15 8 7 11 17 18 9 19 13
Female 2 3 3 9 3 9 9 5 7 8
Colored Male 4 5 8 3 5 10 11 14 12 13
Female 7 3 7 4 8 10 7 11 20 12
Rates: Total 0.9 1.4 1.4 1.2 1.5 2.6 2.6 2.3 3.6 2.9
White 0.4 1.3 0.8 1.1 1.0 2.0 2.2 1.2 2.3 1.9
Colored 2.1 1.5 2.9 1.4 2.6 4.0 3.7 5.2 6.8 5.4
Paratyphoid Fever 1917-1920 included in Typhoid Fever figures No. 1 (above)
2. Paratyphoid Fever

Deaths: Total 3 2 3 2 1 1 3 0 2 1
White Male 1 1 0 0 1 1 2 0 2 1
Female 1 0 2 1 0 0 1 0 0 0
Colored Male 1 0 1 1 0 0 0 0 0 0
Female 0 1 0 0 0 0 0 0 0 0
Rates: Total
White
Colored
*Deaths per 100,000 Population Florida State Board of Health
Bureau of Vital Statistics





DEATHS AND DEATH RATES* OF INFECTIOUS AND PARASITIC
DISEASES (INT. LIST OF CAUSES OF DEATH 1-44) BY CAUSE,
COLOR, AND SEX, FLORIDA, (RECORDED) 1917-1943
(Rates are Given for the More Prevalent Diseases Only)

I 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934

3. Bubonic Plague

Deaths: Total 0 0 0 0 0 0 0 0 0 0
White Male
Female
Colored Male
Female
Rates: Total
White
Colored

5. Undulant Fever

Deaths: Total 1 1 2 3 5 3 3 2 3 1
White Male 1 1 1 3 4 0 2 2 2 1
Female 0 0 1 0 1 2 0 0 1 0
Colored Male 0 0 0 0 0 1 1 0 0 0
Female 0 0 0 0 0 0 0 0 0 0
Rates: Total
White
Colored
*Deaths per 100,000 Population Florida State Board of Health
Bureau of Vital Statistics










78 ANNUAL REPORT, 1943

DEATHS AND DEATH RATES* OF INFECTIOUS AND PARASITIC
DISEASES (INT. LIST OF CAUSES OF DEATH 1-44) BY CAUSE,
COLOR, AND SEX, FLORIDA, (RECORDED) 1917-1943
(Rates are Given for the More Prevalent Diseases Only)

11 1943 1942 1941 1 1940 11939 1938 1937 1936 I 1935 1 1934

6. Cerebrospinal Meningitis

Deaths: Total 43 13 16 8 12 18 66 58 13 8
White Male 23 6 3 5 5 5 17 20 6 6
Female 15 3 7 0 3 5 12 10 3 0
Colored Male 3 1 4 3 4 5 25 18 4 2
Female 2 4 2 0 0 9 12 10 0 0
Rates: Total 2.2 0.7 0.8 0.4 0.6 1.0 3.8 3.5 0.8 0.5
White 2.7 0.6 0.7 0.4 0.6 0.8 2.3 2.5 0.8 0.5
Colored 1.0 1.0 1.2 0.6 0.8 1.6 7.6 5.8 0.9 0.4

7. Anthrax

Deaths: Total 0 0 0 0 0 0 0 1 0 0
White Male 0.
Female 0
Colored Male 1
Female 0
Rates: Total
White
Colored
*Deaths per 100,000 Population Florida State Board of Health
Bureau of Vital Statistics


DEATHS AND DEATH RATES* OF INFECTIOUS AND PARASITIC
DISEASES (INT. LIST OF CAUSES OF DEATH 1-44) BY CAUSE,
COLOR, AND SEX, FLORIDA, (RECORDED) 1917-1943
(Rates are Given for the More Prevalent Diseases Only)

S1943 1942 1941 1940 1939 1938 1937 1936 1935 1934

8.' Scarlet Fever

Deaths: Total 4 3 2 1 6 4 2 2 1
White Male 1 1 1 0 0 2 0 1 1 1
Female 2 1 0 1 5 1 2 1 0 4
Colored Male 0 1 0 0 1 1 0 0 0 0
Female 1 0 1 0 0 0 0 0 0 0
Rates: Total
White
Colored

9. Whooping Cough

Deaths: Total 69 48 38 39 60 68 59 25 59 110
White Male 20 16 9 12 13 18 13 8 18 33
Female 12 9 10 11 17 19 17 7 13 26
Colored Male 29 13 4 8 13 12 6 5 13 29
Female 8 10 15 8 17 19 23 5 15 22
Rates: Total 3.6 2.5 2.0 2.0 3.2 3.8 3.4 1.5 3.6 6.9
White 2.3 1.8 1.4 1.6 2.2 2.9 2.4 1.3 2.7 5.2
Colored 7.1 4.4 3.7 3.1 5.9 6.2 5.9 2.1 6.0 11.0
*Deaths per 100,000 Population Florida State Board of Health
Bureau of Vital Statistics










EPIDEMIOLOGY 79


DEATHS AND DEATH RATES* OF INFECTIOUS AND PARASITIC
DISEASES (INT. LIST OF CAUSES OF DEATH 1-44) BY CAUSE,
COLOR, AND SEX, FLORIDA, (RECORDED) 1917-1943
(Rates are Given for the More Prevalent Diseases Only)


I 1943 1942 1941 1940 1039 1938 1937 1936 11935 1934

10. Diphtheria

Deaths: Total 26 28 23 28 33 32 55 57 58 84
White Male 13 13 8 6 16 14 25 24 28 42
Female 8 8 10 14 9 8 17 23 25 27
Colored Male 4 4 2 7 5 9 5 5 3 8
Female 1 3 3 1 3 1 8 5 2 7
Rates: Total 1.4 1.5 1.2 1.5 1.8 1.8 3.2 3.4 3.6 5.3
White 1.5 1.5 1.3 1.4 1.9 1.7 3.4 3.9 4.6 6.1
Colored 1.0 1.4 1.0 1.5 1.6 2.0 2.7 2.1 1.1 3.2

11. Erysipelas

Deaths: Total 9 3 4 8 13 16 10 27 17 18
White Male 7 2 1 2 4 10 3 17 7 5
SFemale 2 1 2 5 8 3 5 9 8 11
Colored Male 0 0 0 1 1 2 1 0 1 1
Female 0 0 1 0 0 1 1 1 1 1
Rates: Total
White
Colored
*Deaths per 100,000 Population Florida State Board of Health
Bureau of Vital Statistics


DEATHS AND DEATH RATES* OF INFECTIOUS AND PARASITIC
DISEASES (INT. LIST OF CAUSES OF DEATH 1-44) BY CAUSE,
COLOR, AND SEX, FLORIDA, (RECORDED) 1917-1943
(Rates are Given for the More Prevalent Diseases Only)

11 1943 1942 1941 1940 1939 11938 1937 1936 1935 11934

12. Tetanus

Deaths: Total 50 28 31 59 37 57 51 45 51 55
White Male 11 8 8 13 5 13 10 12 8 10
Female 7 2 4 0 '3 15 6 5 4 11
Colored Male 15 16 12 29 19 16 17 21 27 24
Female 17 2 7 17 10 13 18 7 12 10
Rates: Total 2.6 1.5 1.6 3.1 2.0 3.2 2.9 2.7 3.1 3.5
White 1.3 0.7 0.9 0.9 0.6 2.2 1.3 1.4 1.0 1.9
Colored 6.2 3.5 3.7 8.9 5.7 5.8 7.2 5.8 8.3 7.4

13-22. Tuberculosis (All Forms)

Deaths: Total 834 859 916 961 921 987 966 905 903 953
White Male 237 244 239 275 241 243 248 254 250 233
Female 126 116 123 104 135 164 152 133 147 148
Colored Male 241 257 296 311 277 299 313 283 261 289
Female 230 242 258 271 268 281 253 235 245 283
Rates: Total 43.6 44.9 47.9 50.3 49.7 55.0 55.6 53.9 55.7 60.1
White 26.0 25.8 26.0 27.2 27.9 31.4 32.0 32.3 34.5 33.9
Colored 91.0 96.4 107.0 112.4 107.3 116.4 115.8 108.2 107.9 123.9
*Deaths per 100,000 Population Florida State Board of Health
Bureau of Vital Statistics










80 ANNUAL REPORT, 1943

DEATHS AND DEATH RATES* OF INFECTIOUS AND PARASITIC
DISEASES (INT. LIST OF CAUSES OF DEATH 1-44) BY CAUSE,
COLOR, AND SEX, FLORIDA, (RECORDED) 1917-1943
(Rates are Given for the More Prevalent Diseases Only)


i 1943 1942 11941 1940 I1939 1938 1937 I1936 19 19 I 1934

23. Leprosy

Deaths: Total 0 0 0 0 0 0 3 0 0 0
White Male 2
Female 1
Colored Male 0
Female 0
Rates: Total
White
Colored

24. Septicemia

Deaths: Total 30 40 27 32 31 27 37 25 37 33
White Male 11 8 7 8 14 7 12 11 9 12
Female 9 11 8 10 11 8 12 8 14 9
Colored Male 4 7 3 7 3 6 5 2 3 5
Female 6 14 9 7 3 7 8 4 11 7
Rates: Total 1.6 2.1 1.4 1.7 1.7 1.5 2.1 1.5 2.3 2.1
White 1.4 1.4 1.1 1.3 1.9 1.2 1.9 1.6 2.0 1.9
Colored 1.9 4.1 2.3 2.7 1.2 2.4 2.7 1.3 3.0 2.6
*Deaths per 100,000 Population Florida State Board of Health
Bureau of Vital Statistics






DEATHS AND DEATH RATES* OF INFECTIOUS AND PARASITIC
DISEASES (INT. LIST OF CAUSES OF DEATH 1-44) BY CAUSE,
COLOR, AND SEX, FLORIDA, (RECORDED) 1917-1943
(Rates are Given for the More Prevalent Diseases Only)

1 1943 1942 1941 1940 1938 1939 1937 1936 1935 1934

25. Gonococcus Infection

Deaths: Total 15 18 9 17 12 19 11 22 31 33
White Male 2 1 0 0 0 0 3 3 1 2
Female 2 0 3 3 2 1 1 6 10 5
Colored Male 3 3 0 2 2 3 2 3 8 8
Female 8 14 6 12 8 15 5 10 12 18
Rates: Total
*White
Colored

26. Other Diseases Due to Bacteria Does not include Tularemia prior to 1941

Deaths: Total 0 0 0 0 0 0 0 0 0 0
White Male
Female
Colored Male
Female
Rates: Total
White
Colored
*Deaths per 100,000 Population Florida State Board of Health
Bureau of Vital Statistics









EPIDEMIOLOGY


DEATHS AND DEATH RATES* OF INFECTIOUS AND PARASITIC
DISEASES (INT. LIST OF CAUSES OF DEATH 1-44) BY CAUSE,
COLOR, AND SEX, FLORIDA, (RECORDED) 1917-1943
(Rates are Given for the More Prevalent Diseases Only)

1I 1943 1942 1941 1940 1 1939 1938 1 1937 1936 1935 1934

27. Dysentery (All Forms)

Deaths: Total 38 37 34 29 41 44 30 46 48 33
White Male 12 7 9 6 13 11 10 12 14 12
Female 10 7 6 6 10 7 5 10 8 8
Colored Male 8 10 13 9 7 12 4 13 12 7
Female 8 13 6 8 11 14 11 11 14 6
Rates: Total 2.0 1.9 1.8 1.5 2.2 2.5 1.7 2.7 3.0 2.1
White 1.6 1.0 1.1 0.9 1.7 1.4 1.2 1.8 1.9 1.8
Colored 3.1 4.4 3.7 3.3 3.5 5.2 3.1 6.0 6.5 2.8

28. Malaria

Deaths: Total 41 48 85 99 112 166 205 349 331 445
White Male 4 11 16 23 26 38 69 96 107 128
Female 7 6 14 17 24 34 41 62 89 107
Colored Male 12 11 27 26 25 42 61 106 75 110
Female 18 20 28 33 37 62 44 85 60 100
Rates: Total 2.1 2.5 4.4 5.2 6.0 9.2 11.8 20.8 20.4 28.1
White 0.8 1.2 2.2 2.9 3.7 5.6 8.0 13.2 17.0 20.9
Colored 5.8 6.0 10.6 11.4 12.2 18.9 21.5 39.9 28.8 45.5
*Deaths per 100,000 Population Florida State Board of Health
Bureau of Vital Statistics


DEATHS AND DEATH RATES* OF INFECTIOUS AND PARASITIC
DISEASES (INT. LIST OF CAUSES OF DEATH 1-44) BY CAUSE,
COLOR, AND SEX, FLORIDA, (RECORDED) 1917-1943
(Rates are Given for the More Prevalent Diseases Only)

1 1943 1942 1941 1 1940 I 1939 I 1938 1 1937 1936 1935 1934

29. Other Parasitic Diseases Includes No. 32 Prior to 1941

Deaths: Total 0 0 1 1 0 0 1 4 0 0
White Male 0 0 1 1
Female 1 1 0 3
Colored Male 0 0 0 0
Female 0 0 0 0
Rates: Total
White
Colored

30. Syphilis

Deaths: Total 401 379 508 445 447 440 464 391 425 485
White Male 93 92 104 76 72 71 85 61 85 73
Female 17 27 35 34 19 30 34 28 23 21
Colored Male 207 177 248 216 238 222 207 214 212 273
Female 84 83 121 119 118 117 138 88 105 118
Rates: Total 21.0 19.8 26.6 23.3 24.1 24.5 26.7 23.3 26.2 30.6
White 7.9 8.5 10.0 7.9 6.8 7.8 9.5 7.4 9.4 8.4
Colored 56.2 50.2 71.3 64.7 70.1 68.0 70.6 63.1 67.6 84.7
*Deaths per 100,000 Population Florida State Board of Health
Bureau of Vital Statistics









82 ANNUAL REPORT, 1943


DEATHS AND DEATH RATES* OF INFECTIOUS AND PARASITIC
DISEASES (INT. LIST OF CAUSES OF DEATH 1-44) BY CAUSE,
COLOR, AND SEX, FLORIDA, (RECORDED) 1917-1943
(Rates are Given for the More Prevalent Diseases Only)

1 1943 I 1942 11941 1940 11039 11938 1937 1936 I 1935 1934

31. Relapsing Fever

Deaths: Total 0 0 0 0 0 0 0 1 0 0
White Male i
Female 0
Colored Male .
Female 0
Rates: Total
White
Colored

32. Other Diseases Due to Spirochetes (Included in No. 29 prior to 1941)

Deaths: Total 7 7 5
White Male 2 4 2
Female 0 2 1
Colored Male 2 0 1
Female 3 1 1
Rates: Total
White
Colored
*Deaths per 100,000 Population Florida State Board of Health
Bureau of Vital Statistics


DEATHS AND DEATH RATES* OF INFECTIOUS AND PARASITIC
DISEASES (INT. LIST OF CAUSES OF DEATH 1-44) BY CAUSE,
COLOR, AND SEX, FLORIDA, (RECORDED) 1917-1943
(Rates are Given for the More Prevalent Diseases Only)

II 1943 1942 11941 1940 1939 1 1938 1 1937 1936 1 1935 1 193

33. Influenza

Deaths: Total 466 293 543 569 529 393 658 880 624 394
White Male 141 51 153 151 144 111 181 280 168 99
Female 99 66 134 143 103 75 142 213 158 98
Colored Male 111 92 149 135 144 106 184 228 155 116
Female 115 84 107 140 138 101 151 159 143 81
Rates: Total 24.4 15:3 28.4 29.8 28.5 21.9 37.9 52.4 38.5 24.8
White 17.2 8.4 20.6 21.1 18.4 14.3 25.9 41.1 28.3 17.5
Colored 43.6 34.0 49.4 53.1 55.5 41.5 68.6 80.8 63.5 42.7

34. Smallpox

Deaths: Total 1 0 0 1 0 0 0 0 0 0
White Male 1 0
Female 0 1
Colored Male 0 0
Female 0 0
Rates: Total
White
Colored
*Deaths per 100,000 Population Florida State Board of Health
Bureau of Vital Statistics









EPIDEMIOLOGY 83


DEATHS AND DEATH RATES* OF INFECTIOUS AND PARASITIC
DISEASES (INT. LIST OF CAUSES OF DEATH 1-44) BY CAUSE,
COLOR, AND SEX, FLORIDA, (RECORDED) 1917-1943
(Rates are Given for the More Prevalent Diseases Only)

11 1943 1942 1 1941 1940 1939 I 1938 I 1937 1936 1935 I 1934

35. Measles

Deaths: Total 7 56 17 7 15 30 5 7 34 110
White Male 2 16 5 2 6 11 2 1 14 50
Female 4 17 10 3 3 11 2 4 17 34
Colored Male 1 10 1 2 2 6 1 1 1 11
Female 0 13 1 0 4 2 0 1 2 15
Rates: Total 0.4 2.9 0.9 0,4 0.8 1.7 0.3 0.4 2.1 6.9
White 0.4 2.4 1.1 0.4 0.7 1.7 0.3 0.4 2.7 7.5
Colored 0.2 2.4 0.4 0.4 1.2 1.6 0.2 0.4 0.6 5.6

36. Acute Poliomyelitis & Acute Polioencephalitis

Deaths: Total 5 4 34 7 7 8 6 8 7 5
White Male 3 0 19 4 3 3 2 2 5 4
Female 0 2 11 2 1 4 1 3 0 0
Colored Male 1 0 2 0 2 1 3 2 1 0
Female 1 2 2 1 1 0 0 1 1 1
Rates: Total
White
Colored
*Deaths per 100,000 Population Florida State Board of Health
Bureau of Vital Statistics


DEATHS AND DEATH RATES* OF INFECTIOUS AND PARASITIC
DISEASES (INT. LIST OF CAUSES OF DEATH 1-44) BY CAUSE,
COLOR, AND SEX, FLORIDA, (RECORDED) 1917-1943
(Rates are Given for the More Prevalent Diseases Only)

S1943 1942 1941 1940 1939 1938 1937 1936 1935 1934

37. Acute Infectious Encephalitis

Deaths: Total 10 2 8 5 9 10 5 9 1 5
White Male 6 2 6 5 6 2 4 2 0 2
Female 3 0 1 0 3 3 1 5 1 3
Colored Male 0 0 0 0 0 3 0 1 0 0
Female 1 0 1 0 0 2 0 1 0 0
Rates: Total
White
Colored

38. Other Diseases Due to Filtrable Viruses Prior to 1941 Does Not Include Herpes Zoster

Deaths: Total 8 2 3 3 1 6 3 5 0. 4
White Male 3 0 2 1 0 3 1 3 0 2
Female 1 0 1 1 0 1 1 0 0 0
Colored Male 2 1 0 0 1 2 0 1 0 1
Female 2 1 0 1 0 0 1 1 0 1
Rates: Total
White
Colored
*Deaths per 100,000 Population Florida State Board of Health
Bureau of Vital Statistics









84 ANNUAL REPORT, 1943


DEATHS AND DEATH RATES* OF INFECTIOUS AND PARASITIC
DISEASES (INT. LIST OF CAUSES OF DEATH 1-44) BY CAUSE,
COLOR, AND SEX, FLORIDA, (RECORDED) 1917-1943
(Rates are Given for the More Prevalent Diseases Only)

| 1943 1942 1941 1940 1939 1938 | 1937 1936 | 1935 1934

39. Typhus Fever

Deaths: Total 21 23 13 15 7 10 12 9 5 8
White Male 10 10 8 5 4 5 8 5 3 4
Female 6 6 4 4 2 3 3 4 2 2
Colored Male 4 5 0 4 0 0 0 0 0 1
Female 1 2 1 2 1 2 1 0 0 1
Rates: Total
White
Colored

40. Ankylostomiasis

Deaths: Total 5 2 2 10 6 2 3 1 4 5
White Male 0 1 1 1 3 1 0 1 2 3
Female 1 1 1 7 1 1 0 0 1 0
Colored Male 1 0 1 0 0 0 0 0 1
Female 3 0 0 1 2 0 3 0 1 1
Rates: Total
White
Colored
*Deaths per 100,000 Population Florida State Board of Health
Bureau of Vital Statistics


DEATHS AND DEATH RATES* OF INFECTIOUS AND PARASITIC
DISEASES (INT. LIST OF CAUSES OF DEATH 1-44) BY CAUSE,
COLOR, AND SEX, FLORIDA, (RECORDED) 1917-1943
(Rates are Given for the More Prevalent Diseases Only)


11 1943 1942 1941 1940 1939 1938 1937 1 1936 1935 1934

41. Hydatid Disease

Deaths: Total 0 0 0 0 0 1 0 2 0
White Male 0 0
Female 1 1
Colored Male 0 1
Female 0 0
Rates: Total
White
Colored

42. Other Diseases Caused By Helminths

Deaths: Total 5 5 4 1 4 5 7 12 9 12
White Male 1 2 1 1 0 0 2 1 3 2
Female 2 0 1 0 0 1 1 0 0 1
Colored Male 1 2 1 0 2 4 2 7 2 3
Female 1 1 1 0 2 0 2 4 4 6
Rates: Total,
White
Colored
*Deaths per 100,000 Population Florida State Board of Health
Bureau of Vital Statistics










EPIDEMIOLOGY 85


DEATHS AND DEATH RATES* OF INFECTIOUS AND PARASITIC
DISEASES (INT. LIST OF CAUSES OF DEATH 1-44) BY CAUSE,
COLOR, AND SEX, FLORIDA, (RECORDED) 1917-1943
(Rates are Given for the More Prevalent Diseases Only)


1 1943 1942 1 1941 1940 11939 1 1938 1937 1 1936 1935 1 1934

43 Mycoses

Deaths: Total 6 5 3 4 33 5 5 2 1 3
White Male 5 4 1 3 3 2 4 1 0 2
Female 0 0 0 0 0 1 0 1 0 0
Colored Male 1 1 1 1 0 2 0 0 0 0
Female 0 0 1 0 0 0 1 0 1 1
Rates: Total
White
Colored

44. Other Infectious and Parasitic Diseases Includes Tularemia prior to 1941

Deaths: Total 36 37 34 24 25 21 16 16 11 12
White Male 13 21 21 10 16 8 8 9 5 7
Female 9 5 1 10 3 6 5 5 3 2
Colored Male 10 8 5 2 5 .5 3 1 2 1
female 4 3 7 2 1 2 0 1 1 1
Rates: Total
White
Colored
*Deaths per 100,000 Population Florida State Board of Health
Bureau of Vital Statistics











DENTAL HEALTH
DREW H. TURNER, D.D.S. Acting Director
Effective June 1, 1943, Lloyd N. Harlow, D.D.S., director of the
Bureau since 1938, resigned and from that date the assistant director
has served not only as field dentist but also as director of the Bureau.
The program for 1943, as for 1942, was predominantly educational
and remedial and in spite of reduced personnel and other difficulties,
appreciable results were attained.
To the Florida State Dental Society and its components, sincere
appreciation is extended for their active cooperation in the Bureau's
plan for promoting dental health and dental health education.
Appreciation is also expressed to the various departments of the
State Board of Health which have assisted in the operation of the
Bureau's program. In this connection, special mention should be
made of the Bureau of Health Education.
DENTAL HEALTH EDUCATION
Lack of personnel caused curtailment of dental health education
activities rather than an extension of this service as planned. The
principal medium used for reaching a large number of persons was
the distribution of dental health literature. Special effort was made
to bring to the attention of teachers, public health nurses, parents,
and high school students a pamphlet entitled "Your Child's Teeth."
This pamphlet is published by the American Dental Association
and it is considered one of the best sources of dental health facts
available at this time. For primary children, a new illustrated pam-
phlet was prepared by this Bureau and the Bureau of Health Educa-
tion. Dental health information is given in rhyme. The idea is that in
coloring the pictures and reading the lines, the important truths
regarding dental care will be impressed upon the minds of the chil-
dren. Whenever time permitted, the dental motion picture-in
sound and color-"Billy's Trip to Health Land," was presented to
elementary school children during a visit of the dental trailer
clinic. In connection with corrective work done in the dental trailer
clinic, emphasis on home dental care and correct toothbrushing
technique was a continuous part of the program.
DENTAL CORRECTIONS
Operation of the dental trailer was continued and dental correc-
tive service made available to indigents among the preschool and








DENTAL HEALTH 87


school children through the elementary grades, indigent prenatal
and postpartum cases, and to emergency cases. The eligibility of a
patient was determined by a public health nurse, welfare worker, or
local dentist. In order to help as many persons as possible, only the
most immediate and necessary service was rendered to each case. The
total number of persons receiving dental care through the facilities
of the dental trailer clinic was larger than in 1942. Two factors ac-
count for this. First a dental hygienist worked with the Bureau for
four months; second, a larger and better equipped trailer was ac-
quired. The hygienist being available to chart the mouths of the
patients and do prophylaxis, and record the services rendered left
more time to the operating dentist for actual corrections. The
roomier trailer-office allowed for more convenient arrangement of
equipment and ease of performance-thus eliminating confusion.
A helper or an assistant was employed in the fall who helps with
the driving and unkeep of the trailer, as well as keeping records
and assisting at the chair. The following summary indicates the ser-
vices rendered in 1943 through the dental trailer clinic:

Mater- Pre- School Totals
nal school White Col. Total White Col. Total
Patients, new ---. 34 80 1999 4 2003 2113 4 2117
Patients, old ....... 10 12 716 2 718 738 2 740
Extractions -- 29 30 1508 2 1510 1567 2 1569
Fillings, all kinds.... 27 22 1545 0 1545 1594 0 1594
Treatments .. ...---- 21 128 686 0 686 835 0 835
Prophylaxis --..... 12 40 658 0 658 710 0 710
Miscellaneous .. 1 231 0 231 232 0 232
Of the eight counties receiving dental trailer clinic service, one
(Lafayette) was given special consideration and visited twice. For
a little more than three years, the University of Florida through its
Agricultural Experiment Station has been sponsoring a nutritional
program in one of the rural schools of this county. The school select-
ed showed that 97 per cent of the children had one or more nutri-
tional deficiencies and the community ranked low in income. The
program as carried on by the University of Florida consists in
providing a low-cost, balanced school lunch to the children (grades
one through ten), ivith special food, vitamin, and iron concentrates,
and making medical care available for those children needing special
attention. The Dried Milk Institute supplies milk for the experi-
ment and each child's lunch must contain milk, either as a drink
or in the food. The Bureau of Dental Health was asked to assist by
giving dental corrective service and dental health education to the
school. Another school with a similar group of children is used as a
control. Because of the better diet, obvious improvement in both
general and dental health has been shown. On the second visit, a








88 ANNUAL REPORT, 1943


great improvement in the home care of the children's teeth was
noted.
Through the Children's Bureau, maternal and child health funds
were provided for fourteen county health units for the purpose of
conducting dental corrective programs for the indigent preschool
children, primary children, and indigent prenatal and postpartum
patients. However, because of the shortage of dentists, only twelve
counties were able to participate. One of the twelve counties operat-
ed throughout the year, one for eleven months, one for nine, one for
six, one for five, four for four months, one for two, and two for only
two months. Also, the number of dentists participating was greatly
reduced. A county by county summary of the program is given
below:






Bay 4 4 2 175 181 00 218 52 00 54 $189.00
Gadsden 1 0 00 26 26 00 40 125 00 33 115.50
Counties and No. .0: o. d .-. C
Dentists cd= AA 5
Participating 4 o_ Fa M F- B i. u
Bay .-.-.-- ----.-- .-- 4 4 2 175 181 00 218 52 00 54 $189.00
Gadsden .- 1 0 00 26 26 00 40 125 00 33 115.50
Hillsborough -..------- 1 22 78 17 117 60 82 54 4 84 294.00
Lake -.--- ---- ----.... 4 3 00 164 167 6 109 224 29 68 238.00
Leon ..... 1 43 00 2 45 22 7 77 3 41 143.50
Nassau ...- 1 22 2 11 35 7 32 9 11 21 73.50
Orange .--..... 1 00 00 126 126 28 28 90 37 211'. 103.25
*Okaloosa ---- 1 00 00 33 33 00 40 132 4 ". 183.75
Pinellas ----... 1 139 00 00 139 189 58 417 34 1"". 350.00
Seminole -..--- 1 20 5 149 174 21 85 50 150 56 196.00
Volusia .- 1 00 27 94 121 3 53 213 00 75 262.50
*Walton 1 00 4 27 31 11 15 36 8 11 38.50
*-Walton and Okaloosa form one county health unit.

Of the three corrective clinics operating in conjunction with
county health units for the benefit of school children, Pinellas alone
continued throughout the year uninterrupted. Hillsborough was
without a clinic dentist for three months and in Dade County the
year was in its fourth quarter before a permanent dentist was locat-
ed. All three units are to be commended for the splendid service
they have rendered.

OTHER ACTIVITIES

Winter and summer meetings of the district dental societies and
the annual meeting of the Florida State Dental Society were attend-
ed by the director and the assistant director. Also, the Annual Mid-
Winter meeting of the 5th Dental District, which was held in
Atlanta. This meeting compares in scope and interest throughout
the southern states to the Mid-Winter Clinic held in Chicago every
February. The acting director appeared on the program of the meet-







DENTAL HEALTH


ings of Dental Health Personnel of the Southeastern States, held in
Atlanta.
From time to time, conferences were held with the county
health unit directors and public health nurses in regard to their Ma-
ternal and Child Health dental corrective programs, or arrangements
made for visits by the dental trailer clinic. In each instance, the
local dentists were contacted and their cooperation and approval
of the dental programs obtained. Special visits were made to the
dental clinics in Manatee, Hillsborough, and Okaloosa Counties.
The clinics in Manatee and Okaloosa are independently operated.
The experimental dental clinic set up at Valparaiso in 1942,
through the cooperation of the United States Public Health Service
and the State Board of Health, continued to operate throughout the
year with a change of dental officers by the United States Public
Health Service in the early spring. Both old and new residents of
the community are very grateful and appreciative of the service the
clinic affords. This experimental clinic, although not considered a
financial success, has been worthwhile in many ways and has surely
answered a great war-time need.
One of the most important activities of this Bureau for 1943, was
the inauguration of the Victory Corps-Physical Fitness Dental
Program in the high schools of the state. The Victory Corps-Physi-
cal Fitness Dental Program, the first dental program for high
school students ever to be presented on a national scale, is correlated
with the correction of physical defect phases of the Victory Corps
Physical Fitness programs in high schools throughout the nation.
It is the result of the combined efforts of the American Dental
Association, the United States Public Health Service, and the United
States Office of Education to aid the all-out war goal by making
dentally fit high school students who are near military age and who
will, in all likelihood, be called into active service or into vital war
industries upon graduation or shortly, thereafter.
On the state level, the Florida State Dental Society, the State
Board of Health (through the Bureau of Dental Health), and the
State Department of Educaation gave active support to the move-
ment. The dentists were urged both by letter and personal contact
to participate by giving priority of appointment to high school
students, especially to those in the upper grades. A recent survey
on this phase indicated that the dentists had responded wholeheart-
edly and revealed that many of them had been carrying out the
idea in actual practice before it was presented to them as an organ-
ized war effort. Each county school superintendent and high school







90 ANNUAL REPORT, 1943


principal was requested by the State Superintendent of Public In-
struction to cooperate insofar as possible. Letters from this Bureau
were sent to the county superintendents and high school principals
explaining the movement and its main objective, together with
samples of dental health literature available for distribution to
teachers and high school students. Suggestions were given on ways
and means of promoting the program. Also, each county health unit
director in the state was contacted by letter and asked to give active
support by supplying speakers and dental health literature to the
schools.
CONCLUSION
There can be little increase in the Bureau's activities until ad-
ditional personnel-dentists and/or dental hygienists-are ob-
tained. In order that the director may spend some time at head-
quarters, it is planned to conduct the dental trailer clinic in two-
week periods only, thus allowing him a week for office supervision and
necessary travel over the state in interest of the program. Funds
from the Children's Bureau will be requested as usual and an
attempt made to keep as many of the Maternal and Child Health
dental corrective programs operating as possible. Also, the distri-
bution of dental health literature will be continued and new pamph-
lets prepared to fill various needs. Dental health films will be pre-
sented to schools and civic groups upon request if time will permit.
Should a dental hygienist be secured, the educational phase of the
program can be expanded through the medium of lectures and talks,
presentation of dental health films, preparation of articles and
booklets suitable for the different school ages. With the addition
of a dentist to the staff, the dental trailer clinic would be able to
visit more communities, and the time spent on clinic visits could be
extended when necessary. An additional dentist could help the direc-
tor in the organization of other dental corrective clinics over the
state, as well as assist with the dental health education program in
the schools and with community dental health education.













NARCOTICS

M. H. DOSS, Director

The Bureau of Narcotics is charged with the enforcement of (1)
Uniform Narcotic Drug Act, (2) State Drug and Sign Act, (3)
Medical Practice Act, (4) Physicians Registration Act, (5) guard-
ing of the buildings and grounds of the State Board of Health at
Jacksonville.
The personnel of the Bureau of Narcotics consists of five narco-
tic inspectors, three armed guards, one secretary, one office clerk
and one police officer assigned to this office by the City of Jackson-
ville. Narcotic inspectors are stationed in the following cities with
respective districts to work, Jacksonville, Tampa, Pensacola and
Miami. Total number of paid employees are nine:

Total number of investigations .. --------...--..-....-- 764
Total number of violations corrected where no
legal action was taken -...--------------------. 116
Total number of arrests ...--------- .- -------------.. 78
Total number of criminal prosecutions .....-----------..... ---- -----. 75
Aggregate sentences imposed by the Courts,
56 years, 4 months, 1 day
Aggregate fines imposed by the Courts --. ------........... --- $ 643.08
Total number defendants receiving a deferred or
suspended sentence -------........ ... --..------------..- 16
Total number defendants placed on probation by the Courts....... 5
Total number defendants (Narcotic Addicts) sentenced to
Lexington Narcotic Farm --...-- ...-----. -..--------2---......---- 2
Total number criminal cases dismissed or nolle prosequi
by the Courts --------------- 2
Total number of miles driven by four Inspectors -........- ---.... 98,020
UNIFORM NARCOTIC DRUG ACT
Number of arrests ---.....-.......----... -----------------..------..... --------.. 61
Aggregate sentences imposed by the Criminal Courts,
48 years, 4 months, 1 day
Aggregate fines imposed by the Criminal Courts --- ----.-------------.$ 350.00
Number of persons receiving a jail or penitentiary sentence......- 23
Number defendants receiving a deferred, withheld or
suspended sentence ------...- ------- 14
Number defendants placed on probation by the Criminal Courts.- 4
Number criminal cases discharged or nolle prosequi
by the Courts ----...-............ ----- --- ........ ------------ 4
MEDICAL PRACTICE ACT
Number of arrests.............. .--------- --------....---------- --- 11
Aggregate sentences imposed by the Courts,
7 years, 9 months
Aggregate fines imposed by the Courts ...-- -------------- --$ 293.08
Number of criminal eases pending in Criminal Courts -------.. 2
Number defendants receiving a deferred or suspended sentence-. 2
Number defendants placed on probation by the Courts.......-----... 3
Number violations corrected where no legal action was taken.... 56








92 ANNUAL REPORT, 1943
STATE DRUG AND SIGN ACT (Pharmacy)
Number of arrests and prosecutions----..........---------..........---- 3
Aggregate sentences imposed by the Criminal Courts,
3 months
Aggregate fines imposed by the Courts .--...---... ................... $ 20.00
Number Pharmacists reported to State Board of Pharmacy
for illegal and unprofessional acts .........----- ---........... -... 5
Number drug stores registered for fiscal year 1943-1944--.........-- 732
PHYSICIANS REGISTRATION ACT
Number of Medical Doctors (M.D.) registered-...-..-..........-.--- ---- 2,134
Number of Osteopathic Physicians (D.. 0.) registered------.....-. 445
Total number of practitioners of the healing arts
registered according to State Law --_- -----.------...--.. .... ----. 2,579
The Physicians Registration Act, same being Chapter 12005,
Laws of 1927, was not brought forward when the General Laws of
Florida were revised by the Attorney General in 1941. Since such
time the Naturopathic Physicians have amended their Act, requir-
ing such practitioners to register on or before January 1st of each
and every year. Chiropractic Physicians are not required to register.
We are required to register and issue a Certificate to Chiropodists
and Masseurs but are not authorized to accept the one dollar fee.

GUARD SERVICE
The Bureau of Narcotics is also charged with the guarding of
the buildings of the State Board of Health at Jacksonville. Three
armed, uniformed guards maintain a constant patrol of the building
and grounds at all hours the offices are closed.
A register of all employees is kept at the guard house so that
it is possible, through the guards, for anyone to locate an employee
of the State Board of Health at any time of the night or when they
are not in their respective offices. A register is also kept by the
guards showing the date and time any employee enters and leaves
the building during closed hours.
There are many services rendered physicians and the general
public by these guards during hours the State Board of Health is
closed. In addition to the above described duties, the Director of the
Bureau of Narcotics, is serving as Acting Building Superintendent
during the absence of Mr. Whiddon, who is serving in the Armed
Forces.












VITAL STATISTICS
EDWARD M. L'ENGLE, M.D., Director
As is customary, the detailed report of this Bureau will be pub-
lished separately. This report, therefore, will be a summary and will
contain mention of only a few of the more important matters with.
which the Bureau was concerned and will refer to certain trends
which are apparent.
Requests for birth information and for the filing of delayed
birth certificates decreased somewhat in number from the high point
reached in the previous year. However, births, deaths, marriages,
and divorces increased; births by 7,184 over the previous year;
deaths by 1,914; marriages reached an all-time high of 53,912, an
increase of 5,384 over the previous year; divorces increased 3,487,
reaching a total of 16,046.
The birth rate was 25.1, the highest since 1927. The death rate
was 12.7. The increase in the birth rate probably does not presage
a permanent increase to the rate prevailing in 1927, but is the result
of influences arising from the war and from the high decree of in-
dividual economic prosperity induced by the war. That there was no
marked increase in the death rate, in spite of war conditions, is
worth noting. There has even been a decrease in deaths from tuber-
culosis.
The legislature in 1943 passed an act permitting the various
County Judges to issue delayed birth certificates. This act provided
that no person could establish more than one certificate. This re-
quired a search of the files in every case. There have been received
from the County Judges up to December 31, 1943, 2,879 certificates,
of which 153 were found on file and 31 were certificates for persons
born elsewhere than in Florida, making a total of 184 which were
returned to the County Judges. While it should be understood that
a birth certificate must record the name at birth, the act should be
amended to make this plain. Certificates were received made out in
the name of married women. This is not a correct practice and does
not sufficiently identify the person whose certificate is sought to be
filed. As long as it is considered desirable and important to distin-
guish between legitimacy and illegitimacy, there should be proof
on such certificate that a person whose birth is recorded by a County
Judge is rightfully the possessor of one certain name rather than
another.








94, ANNUAL REPORT, 1943


Searching the records for certificates presented by the County
Judges involves a large amount of work. Clerks must be paid for
this work. The act should be further amended by adding 50c to the
statutory fee, which should be paid to the Bureau of Vital Statistics
to reimburse it for the expenses of the search.
No satisfactory substitute for a census count in estimating popula-
tion has been devised. The Census Bureau has arrived at a method.
of estimating population by counting the number of ration cards
issued by the various counties. This method is not suitable for use
in determining rates of births and deaths, so that in spite of the
changes of population brought about by the unusual amount of
migration, we are still using the 1940 census of population as a
means of estimating rates. These estimates should, however, be
accepted with caution. Some counties have decreased in population;
others have increased. It is probable that the State as a whole has
slightly increased but nothing less than a complete census will give
figures that are accurate enough to use.
Shortages of materials and personnel caused hardships and in-
conveniences which are to be expected in war time. The office force
has adopted the attitude of good soldiers who are cheerfully doing
their part.











TUBERCULOSIS
E. J. TEAGARDEN, M.D., Director
Dr. Lynne E. Baker, former director of the Division of Tubercu-
losis, resigned on June 15, 1943, to enter private practice in Dayton,
Ohio. He was succeeded on September 1, 1943, by Dr. E. J. Teagar-
den of Decatur, Alabama.
On July 1, 1943, Mrs. J. W. Morehouse was appointed assistant
to Mr. J. W. Morehouse, x-ray technician. This addition has resulted
in smoother and more efficient operation of the Mobile X-ray Unit
by relieving Mr. Morehouse of many routine duties, and permitting
him to concentrate more exclusively on the actual making of minia-
ture x-rays.
During 1943, the Mobile X-ray Unit completed surveys in forty-
six counties,'making a total of 42,159 miniature films, of which 98.7
percent were technically satisfactory. In two percent of the satis-
factory films there was some reason to suspect pulmonary tubercu-
losis, and in 1.2 percent some other pathology was noted. Among the
non-tuberculous .chest conditions were enlarged heart or aorta;
healed pleurisy; scoliosis; various rib deformities; unresolved
pneumonia; bronchiectasis; tumor; dextrocardia; situs inversus;
and various foreign objects, principally bullets and birdshot. Some
of these conditions are of little or no importance to the individual.
On the other hand, demonstration by means of the miniature film
not infrequently leads to diagnosis and treatment of a serious con-
dition. Thus, the recognition of non-tuberculous chest conditions
is a valuable by-product of the tuberculosis control program.
The table appended summarizes the survey by counties.
It is too-early to gauge the effectiveness of the follow-up of cases
of suspected tuberculosis revealed by the survey. As usual, some
counties cover the field promptly and effectively, while others are
inclined to be dilatory. Concession must be made to the pressure
of work and to diminished personnel. Nevertheless, every possible
effort should be put into the follow-up, since otherwise the survey
has little actual value.
A first-class source of new cases of tuberculosis has been the
Selective Service System. Approximately, 1,500 cases were reported
to us in 1943 from State Selective Service Headquarters, St. Augus-
tine, and from the Induction Center at Camp Blanding. Not all of
these are active cases requiring treatment, and many had been
previously reported through other channels. At least one-third, how-




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