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1 9 1 7

Report of G

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H E A L T H 5 E R V ICE

1 9 1 7

Urbana. Illinois July 1. 1917

TO the President of the University.

Sir:

I have the honor of presenting to you the

following report concerning the activities of the Health

Servloe for the Aoademic Year 1916-17.

The rapid exteasion of our work has added

inoreased burdens upon the Service. Our efforts have

rapidly passed from the examinati ons of Civil Service

employe.s and giving medioal advice to students until

at present our activities are belng directed along the

following well defiped lines:

1. Medical Advisor for students.

2. Medioal Examiner for Civil Servioe employees.

•

a. Roferee for excuseS based on physioal infirmities.

4. Uedlcal oontrol of faculty, students, and employees

coming in oontaot with food products of the

University.

5. Immunization against typhoid fever of all indi­

viduals handling dairy products or working in

the University cafeteria.

6. Medical supervision of students working in lunch

rooms.

575751

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7. Immunization against typhoid f ever and small

pox of all student. who request it.

B. Control of epidemics.

9. Co-operation with local He,lth Offioers in

enforo i ng quarantine.

10. Consultation with family physician in referenoe

to the health of individual students.

11. Physioal examinations of students entering Federal

service, State Civil Service. Foreign Mia.ions,

Y. U. C. A. work, etc.

12. Investigation.

MEDICAL ATTEnTI ON OF STUDENTS .

B.tween September lB. 1916 and June 1. 1917 .. e had

6561 studentl visits (6826 for the year). wrote 1460 pres­

criptions. applied 946 dressings. and performed 169 minor

operation.. Fifty six students .. ere advised to enter the

hospital. 76 quarantined, and 180 were referred to specialists.

Fifty two urinalyses were made; 26 bloods. 18 sputa. and

33 feces w.re examined . and 518 throat ... abs mad'. 1700

medical histories .. ere written and 300 complete phYsical

examination s were recorded.

CIVIL SERVICE EMPLOYEES

There was a total of 535 visits from Civil Service

employees; 188 had their medioal historie. taken . complete

physioal examinati ons made and recorded; 176 were passed;

three were passed conditionally on type of work to be done .

and eight we re disqualif ied for PhYsical reasons. Twenty

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fiT. employees were giTen first treatment for injuries as

follows:

Nail stab wound ••••• g Cut bl gla •• •••..••• 4 Sliver of wood •••..•.

removed ..... ...•• 1 Burn •• .•.....•.•.. • . 3

Spralns •.•.•••••.•••..•• 5 Fraoture of pat.lla ••••• l Lacerati on of f1ng.r •••• l Laoerat1on of l.g ••• • ••• l

Jlfty seven employees were vaccinated; 27 were

1nooulated against tlPho1d f.ver. There were 17 examinations

mad. of the blood and thr •• ot the feces.

PREVENTI ON Q! DISEASE

Food Handlers

In addition to isolation and quarantine of the

siok usually adopted to control infectious diseases, we have

made special efforts to prevent the appearance of epidemic"

among stUdents. All Itudents wsshing dishes, serving fo od,

or in anl .al co~1ng in contact with the food of oth.r

stUdents , were requested to fl11 out blanks or seen in

epeoial reference to their beIng oarriers of infections.

One hundred f1ft e.n record. wer. obtained which .how that

15 percent of stUdent dish washers and waiters have bad

typhoid fever. Baoteriological examinati on s wa s made in

each cae.. Of the 21 stud.nt. exp.ot1ng to handle f ood

at the Cafeteria. f1v. had had tlpho1d f.yer. Bact.r1-

logioal examination showed t hat one waa a carr ier of

bacillus paratlphosua. Th1 •• tudent could have .ae111

been the Bource of an epidemic among the patrone of the

Cafeteria.

Under the regulations pase.d by the Tru.tees

of the Un1ver s1tl all ~.mber. of the faculty. etudent ••

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and employees who handle University food produot. ara

required to report as to their physical condition, and

to have not only a bacterIological examinat i on if t hey

have had typhoid fever, but to be immunized if they have

not had the disease. This system a8 worked out in con­

neotion with the Dairy Department and the Department of

Household Seience seems to afford maximum protection to

the consumer of University food product ••

I W.IDNI ZATI ON

During the year 30 stndenta and 57 Civil Service

employees were vaccinated against 8mall pox. Employee8

are required by University regulations to show evidence

of successful vacc i nation or to be vaccinated. 26.8 per­

cent of the 675 Freshmen whoae medical histories a re on

file are unvac c i nated. The uppe r classmen show a simila r

percentage .

Typhoid Inocul a tion

Vaccination against typhoid fev er is offered to

any student of the University upon submitting a wri t ten

request. During the year we have adminis~ered 864 doses

of typhoid vaccine thereby immunizing 288 students.

Twenty seven University employees have been immunized.

COMMUN I CABLE DI SEASES

There has been no month during the school year

when we have been entirely free from infectious diseaee.

The only definite epidemic with which we had to deal was

CHART SHOWINCl OCCURRENCE OF RUBELLA 1917

110. KOIITH CASES

6 10 16 20

January 3 ~

~ •

.I'ebruary 1

~

)[arah 9 ~ ~

.. , , .

April 23 ~ ~ ~ ~ ~

)[a7 10 ~ ~

June 2 ~

rubella, or German meaales, which reached ita height in

April (see ohart) and was a p'rt of the pan-epidemic of

Germen measles throughout the United States . Bo student

was seriously sick at any ti~. and all made uncomplicated

recoTery.

We had three cases o~ mump s , two ca ses 01 small

pox, one 01 chicken pox , ODe at whooping cough, and two

of scarlet feTer.

Severel epidemics of diphtheria were averted by

prompt isolation of the patients and by the detection and

treatment of carriers. We had ten cases of di phtheria

./ and no. -, carriers were detected. There was no instances

of subsequent CBses ocourin8 in the eame houee. There

were no dangerously 111 patients as the dis ease was de-

tooted early and anti-toxin promptly administe red. These

results were obtained as the re sult of the routine bacte-

r10logical examination of every exposure and of a ll sus­

picious throats. Fi •• hundred t wenty one swabs were

oxamined with the fo llowing resul t s:

Positive •••.•..••••• 19 Streptococci. • . •• • •• 3 Suspicious ••••••..•• 9

Vinoent angina..... 1 yeasts .... . ........ 1 Nega t ive ••••. . .•••• 4 90

There have been seven cases of tuberculosis

among the students: Cervical adenitis 1; tuberculosis

of the hip 2; of the spine 1. and of the lungs 3. One

caee of pulmonary tuberculosis was active and two appa-

r ently were arrested. We have alBo had n~ne students

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under 'observatlon as " suspicious". These d1d not present

• definite phy s ical signs but were under weight, "run down",

ra~he r nervous, "poor eaters", and usually had had family

or past histories in reference to tuberculosis. With but

one exception these men bave gained in weight and have

shown marked improvement under an anti-tuberculosis hy gienic

r egime. The plan being to treat before the diagnoe1e can

be made; to save before the rapids are reacbed rather than

to att empt to resoue from the preoipice.

VENEREAL DI SEASE

There haTe been twelve cases of gonorrhea,---

two chronic, ten. ' acute .. Three CBses ot syphilis were

seen; two were pr1mary , one genital , and one extra gen ital

(lip); one oaee wa s tertiary (gumma).

EYE. EAR . NOSE . AND THROAT

Defects of the organs of special BeDse have been

very oommon among the students oomlng under our observation.

' In moat CBses these conditions were present on entranoe to

the -Univers1ty. Errore o~ refract1on, nasal ob s tructions,

and chronio infla mmation of the middle ear are well recog­

ni zed factors in retardat10n at sohool . The marked abnor-

mal1tlea discovered 1n some of these atudents have impaired

their ef ficiency for years .

CONSULTATION !ll1!!. FAlIILY PHYSICIANS

Reoognizing the superior knowledge of the consti­

tution and mtdical history of the student possessed by his

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family doctor. we have correaponded with and have had the

advantage of a written con.ultation with the family phyeicians

of 97 etud.nt.. W. have found the advic. of the family

physician of great aid in reaching a conolusion 1n recom­

mending exouse s from University requirements on account of

phy.ical condition of the student in partioular caae.

of illness.

CO- OPERAT ION WI TH FEDERAL AND STATE

GOVERNl!ENTS

There have been numerou. instances where the

Health Service has co-operat.d with the Federal and State

governmente 1n the physical examination of prospeotive

employees 88 may be seen from the list below:

Compl.te Phy.ical Examination.

Reserve Officer's Training Corps........ 37 French Ambulance Service................ 19 Federal CiT11 SerTles.... ........ ...... . 17 Junior State Hi ghway Engineer . ... . ...... 6 Ordnanoe Enlisted Reserve............... 6 Offloer'8 Enlisted Re serve Corps........ 1 Preliminary .xamination for W.at Point. . . 7 Pr.liminary examination for United ••••••

States Naval Academy............... 1 Board of Fore i gn UlesloDs............... 3 Sanitary Engineerin! In.p.ctor.......... 1 Army Y. Y. C. A... •.•••. ••••••• •••••••• 2

DEATHS

Two .tudents s een by the Health Service during

the year have died; one 8S the r •• ult of a self-inflicted

gunshot wound. the other died in the swimming pool of the

Men's Gymnasium.

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MISCELLANEOUS ACTIVIT IES

It haa been the policy of the Health Service

to spread the gospel of health. To this end. at the

request of the Seoretary of the Illinois Academy of

Scienc e, a symposium on public health problems wa 8 organ­

ized and conducted before the Academy at the last meeting.

In this oonnec t1 on a number of paper. were pre.~nted by

health authorities of national and state reputation which

will be published in the proceedings of the Academy.

At the reques t of the President of the University

and in co-operation with the Department of Household

Sciencs, course. were given in Re d Cross work 8 e a contri­

bution to preparedness. All students satisfactor ily

c ompl eting the course s bave been awarded certifioates by

the National Red Cross.

A careful survey of the needs of a student heal th

service was made, and in consultation with Dean s Babo ock

and Clark a report wa s formulated and submitted to the

President of t he University for his conSiderati on.

The need s of a student'a hospital have been

conSidered and a rough, tentative plan submitted for con­

sideration.

In co-operation with the Dean of Men the Univer­

sity Health Offio er gave two illustrated lectures on

venereal diseases to s even eections of the Freshmen olass .

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PUBLICATI ON

During the year a stud, of the aotivities

of student health services of leading universit~es in the

Unit ed States and Canada. and a summary of the study was

published in the "Journal of Sooiologic Uedinine" under

the title . "College Health Services, Their Pur poses and

.lottv1 ties".

---------------

In conclusion we wi sh to acknowledge the generous

assistanae rendered the Health Servioe by the office af the

Dean of Yen and by the Department of Baateriology.

Respeatfully submitted.

STATISTICS OF HEALTH SERVICE 1916-17

GENERAL DISEASES

Small pox ........... . ......... 2 lJu.mps • ••••••••••••••••• • •••• 2 Chicken pox •••••••.• ••• • • .•• 2 Atea eles .. . ..•••.•....•.••••• 2 Rub ell& •.•.••• .• .•..• . ••••. 60 Dlphtherla ••••. . .•••••...• l O Scarle t f e •• r •• .. • •• ••••••• 2 ~larla. • • • • • • . • • • • • . • • • • •• 3 Phage dens • • •••••• • •••••••• , 1 Tuberculosis

Adenitis (cerTical) •••• 1 Spine. • • • . . . . . . . . . . . • .. 1 Hip . . . . . . . . . . . . . . . . . . •. 2 Pulmonary.. . . . . . . . .• ..• 3

Syphilis Primary •••••••.••••••.. 2 Tertia ry (Gumma) ••••••• 1

Gonorrhea ................ . ........... ... 12

DISEASES DUE TO ANIYAL PARASITES

Ascari s Lumbrlood.s .••••.•• 1 Pedicul us Vestimenti ••••••• 1 PhthiriuB pubis ••••• ••••• •• 4 Sarcoptes 8oabiei •••••••••• 14

DI S ASES DUE TO VEGETABLE PARAS I TES

Tenia barbae •• • •.•••• •• .••• 2 Tenia cruris ••••••.•• • •.••• 68 Tenia versicolor ••••••••••. 2

Pood intoxication •..•.•••.• 5 Eff~ ots of presenoe of

foreign bodies ••..•••••• 8 Mechanical injuries .•• • •••• 29 Effeots of heat .•.••.....•• 2 Frost bite .••••••••• . •••••• 16 Effe cts of chemical agents 25 Effects of excessive

exertions ••••••• • •••• 2 Osteo -arthritis •••••••.. . •• 1 Cyst

Muoous. • • • .. • • • • . • • • • • •• 4 Sebaoeous •••.•.•• •• •••• 3

Nonmalignant tumors Flbrom.o............................. 1 Osteoma . .. .. .. . .. .. ..... . .. .. .. . 2 Osteochondroma. ............ 1 Verruca .......... ...... ...... 10

Congential malformations ••. 5

m SEASES OF THE NERVOUS SYSTEM

Tio •.•••••••••• • •••• • •••••• 5 Epilepsy ••••••••••. • ••.•••• 1 V.rtigo •••••••••••••••••••• 1 Headache. • • • • • • • • • . • • • • • • • • 7 Neurasthenia •••.••••••••••• 13 Neuralgia ••••••.••••••••••• 3 Nostal gia ••••••••••••• •• ••• 6 Progressive Muscular

Dystrophy . • • • • • • . • • • • 1 EdelIlL. • • • • • • • • • • • • • • • • . • • • • 2 Somnambulism •••••••••••••••• 1 Psychastheni •.•.••••• • ••••• 4 SlDco·pe.. • . • ••• . • • . . •• • • • •• 12

!.!ENTAL DI SEASES

Exhibitionism •••••••••••••• 2

DI SEASES OF THE EYE

Conjunctivitis (aoute ) ••••• 69 Chroq116 . . • • • • • • • . • .. . • .. 2 Phl yct enular • ••••••••• 1

Kerati tis.. ... ••••••••••• •• 3 Uloeration of cormea ••••••• 1 Color blindnes s •••••••••• .• 2 Anisocoria ••••••••••• •• ••••• 2 Obstruction of nasal duct •• 1 BlepharIti s •••••••••••••••• 2 Hordeolum •••••••••••••••••• 19 Ptosis.... ••• •••••••••••••• I Edema of eye lid ••••••••••• 5 Hypermetropia •••••••• • .•••• 74 Jl.yopia . •••• • • . ..... • • •• • • • •. 16 Astigmatism •••••••••••••••• 47

DISEASES OF THE EAR

Abscess of external meatus ••• 1 Hematoma. .. .. • .. .... .... .. .. .. .......... .. .. .... 7 Accumulation of c e rumen •••••• 6 Otiti S M.dia

Acute ..... .............. ............ 14 Chronic ••••••••••••••• 2

Ob.truction of Eu.tacian tube 3 Deafness ••••••••••.•••••••• • • 2

DISEASES OF THE NOSE

Rhinl tis. ............ ... ........................ :3 Obst ruot ion ••• ••••••• •••••••• 1 Deviations of septum......... 2 Perforations of septum............. 1 Epistaxis ••.••••••••••••••••• 6 Sinusitis •••••••••••••••••••• 6 Adenoids •••••• • •.•••••••••••• 6

DISEASES OF THE CIRCULATORY SYSTEM

Valvular disease ••••••••••••• Mitral (al Organio ••••• • • • ••• 2

(b Functional •••••••• 2 Cardiac hypertrophy •••• •••••• 2 Dilatation of the heart • •• •••• 1 Disorded ao tion of h.art ••••••

Bradycardia ••••.•••• •• 2 Trachyoard ia .•••••.••• 7 Arrhythmla ••••••••••••. 3 Irritability •••••••••• 1

Varioocele •••••••••••••••••••• 5 Varix. .. .. .. ........ ........ .. .. .. .. .. .. .. .. .. .... .... 1

DI SEA SES OF T~ RESPI3!TORY SYSTELI

Pollinosis •• , ••••••••.•••••••• 2 Laryngl t is ••.••....•....•..•.. 15 Coryza .••••••..•••••••••••••• 195 Effects of chemical inhalations

Ch18rlne •••••••••• • • • ••• 4 Hydrogen sulfide •••••••• 1

Hemoptysis .................. .. . 4 Pharyngltls •••.••••••.•••••••• 133 Pl e.rlay •••••••• faoute) ••••••• 4

DI SEASES OF THE DIGESTIVE SYSTEM

stomatitis ••••••••..•••••••••• 1 2 To oth aohe. ....... .. .......... 1 Pyorrhea, alveolarls. ....... .. 8 Laceration of tongue.......... 2

Tonsl111tls ••••••••••••• 10 7 Hypertrophy of tonsils • • 9 Elongated uvul a ......... 2 Pharyng itis .•••••••.•••• 92 Hematemaeis . ............ 1 Indigestion . ••• ••••••••• 11 py.r osis. .. . ... •. . . .. . .. . 2 Duodenal ulcer ••••••••.• 1 Enteritis •••••••• • •.•••• 2 Colitis •••••.•.•.••••••• 3 Hernia ••••••••••••••• •• • 11 Constipation ••••••••• 4 • • 18 Diarrhea. •••• . ... . •. • • •• • 10 Appendioitis •••••••...•• 7 Abdomnal tenderness •• • •• 7 Inflammation of reotum •• 1 Inflammation of anu •.••• 1 Periprootitis •••••••••• 1 Pile s

Exter~al ••••••••••••• 6 Internal ••••••••••• 4

Pruritus ani •. . ••••••••• 1 Jaundioe.... ............ 5

DISEASES OF THE LYllPHAT IC SYSTEM

Hypertrophy of the .pleen 1 Hyp.rtro )hy of lymph gland. 5 Lymphangitis •••••••••• •• 6

DISEASES OF THE THYROID BODY

Goitre •••••••••••••••••. 2 Hyperthyroidism ••••••••• 4

DISEASES OF 'rHE UJ INARY SYSTEM

Aoute nephrItIs •••••• ••• 2 Hydr onepbrltia.......... 1 P'elltis ••••••••••••..•• 1 Prostastitis (aout.l. ... 2 N.phrolithiasis ••••••••• 1 Glucosuria •••••••• •••••• 1 Haematuria... .......... • 2 Albuminuria •••••••• • •••• 3 Nyoturia •••••••••••••••• 1 Dysuria.. ..... ••• ••• • •• • 1 Pollakluria............. 3 Irritability of bladder. 11 Enuresis...................... 4

DISEASES OF THE GENERATIVE SY8TEII

Urethritis Chemical ••••••••• •• •••••••• 2 Specifio.! .......................... 12

Glee t •••••••••••••.••••• • ••••.. a Ulcer of urethra •••••••• ~ •••••• 1 Hemorrhage of urethra.......... 1 Prostotitis ••••••.•••.••••••••• 1 Prostatorrhea ••••••••••••••••• 3 Posthi tis ••••••••••••••••••••••• 1 Phimosis.... ................ ................ ........ 1 Edema of penus ••••••••••••••••• 1 Chordee.. .. . .. .. .. .. .. .. .. .. . .. .. .. .. .. .. .. .. .. • • • 1 Edema of sorotum •••• •••.••••••• 1 Pruri tuB of scrotum •••••••••••• 3 Tumor of the sp.rmatio ohord ••• 1 Acute o~chlt18................. 2 Undesoended t •• tio1 •• •.• •• ••••• 1 Contu.ion of p.rin.tm ••••••• • •• 1

DISEASE S OF THE ORGANS OF LOCOMOT I ON

Osteitis ••••••••••••••••••••••• Perlsotltle ••.••••••••••••••.•• Synovitis ••••••••••••••.•••••••

Aoute ........... .. ............... . Chronio ••••••••••••••••• •

Arthritis (gonnorh.a) •••••••••• Arthritis •••••••••••••••••••••• Fracture of articular.oartl1age

(knee) •••••••••••••••• Deformity of e lbow ••••••••••••• Dis1ooation of joint •• • •••••••• Sooliosis .••••••.•••••••••••••• hiyalgia ••••.••••••••••••••••••• Stiff neck •• ••• ••••••••••••••• Pleurodynia ••••••••• •••• ..••••• Teno-synovitis ••.• •. . •••••••••• Ganglion ••••••••••••••••••••••• Bursitis ••••

Aoute •••••••••••••••••• Chronic •.• .••••.••.•••••

Bunion ••••••••••••••••••••••••• Flat foot •••••••••••••••••••••• Weak arch ••••••••••••••••••••••

DISEASES OF THE SKIN

Uricaria • . . ........ .... . ........ Priokly hea t .••••••..••••.•••• Ecsema ••.. ...................... Impetigo ....................... . Intertrigo •••••••••••.••.•••.•• Pityriasis roaea •••••••••••••••

2 4

8 16 : 1 13

9 1 3 2 12 2 2 4 1

7 1 4

19 7

17 1

16 12

2 1

Psoriasis •••••••••••••••• 4 Aone vulgarla •••••••••••• 25 S100ais vulgaris ••••••••• 1 Herpes soster ••• ••.•..• .•• 5 Seborrhea •••••••••••••••• 1 Iohthyosis ••••••••••••••• 1 Dermatitis v.n.rata •••••• 2 D.rmatitis (m.rouria1 ) ••• 4 Furunole •••• • ••••••••••• 117 Carbuncle •••••••••••••••• 1 Cellulitis ••••.•••••••••• 3 Onyohia. • • • • . • • • • • • . • • • •• 7 Corn ••••••••••••••••.•.•• 11 Kel oid •••. .••• ••••.•••••• 1 Hyperhidrosis ••••••••.••• 9 Pruritus ••••••••••••••••• 3 Bromldrosis •••••••••••••• 18 Cal luB (foot) •• • ••••••••• 18

LOCAL I NJURIES

Rupture of muscle B ••••••• 1 Strain of tendons • ••••• •• 2 Contusion of skin •••••••• 35 Abrasion of skln ••• ~ ••••• 66 Contus ion of scalp ••••••• 3 Fraotur. of nasal cartilage 1 Oontusion of .ye lid ••••• 4 Foreign body in throat ••• 2 Foreign body in foot ••••• 3 Fractur. of ribs ••.••.••• 2 lraoture of metaoarpals •• 1 Contusion of back •••••••• 1 Sprain of baok ••••••• •••• 3 Sprain of leg •••••••••••• 1 Sprain of shou1d.r ••• •••• 3 Sprain of wrist .••.•••••• 4 Sprain of finger ••••••••• 5 Wound of upp er .xtr emities2 ContUSion of lower

extremities •••• •••••• 5 Sprain of htp ••••••••••••. l SpraIn of knee ••••••••••• 6 Sprain of ankle •••••••••• 19 Sprain of f oot ••••••••••• 3 Wound of lower extremiti.s1

111 SCELLAlII OUS

Masturbation ••••••••••••• 4 Nooturnal emission ••••.•• 7 Obe sity ••••••.•.••••••••• 1 Stab wounds •••••••••••••• 14

•

Contu. ion of typhoid cartilage. 1 Inf.ction.

Hand or fingers ••.•••...••• 9 Lower extremiti es •••••••••• 14 From animal bites ••••••.••• 1

Desquamation of Bkin •••..••••.• 4

Def ormed soapula •.•••• 1

MORBIDITY RECORD OF ~75 PRESHMEN PREVIOUS TO

EIITRANClI

Meaelea •.••..•...•.••.•.•..•.• 630 'Mumps ••••••••••••••••••••••••• 378 Whooping CQugh .••••••••••••••• 358 Chicken pox ••••••••••••••••••• 337 Scarlet fever ••••••••••••••••• 128 Typhoid feve r ••••.••••••••••••• 4! Typhoid va ooination •••••••••••• 46 Diphtheria •••••••••••••••••••• 61 Small pox ••••••••••••••••••.•• 11 Unvacclnated •••••••••••••••••• 181 Asthma •••••••••••••••••••••••• Pneumonia •••..•••••••••••••••• Pl eurisy •••••••••••••.•••••.•• RheUlD8.tlsm •••••••••••••••••••• Tuberculosis ••••••••••••••••.•

. 4 91 22 50

3

Amygdalit1s •••••••••••••• 166 Ad.noid.-Ton.ils ••••••••• 98 Chorea .•••••••••••••••••• 17 Inf1uenla •••••••••••••••• 174 Otitis Media ..••••••••••• 28 Malaria ••••••••••.••••••• 49 Gonorrhea................ 5 Constipation ••••••••••••• 69 Dysentery •••••••••••••••• 3 Infantile paraly.i ••••••• 1 ue~gttl~ ...••••••••.•.• 1 Appendicitis ••••• • ••• • ••• 27 Neurasthenia ..••••••.•••• 11 Use glasaes •••••••••••••• 146

SeeoM Almul •

B.por~ of

UIIALfU BIIBVICII

•

- 0 -

1 9 1 B

Report Of

H E A L T H S E R V ICE

1 9 1 8

Urbana . Il~inois July 1. 19181

To the President of the Univer sity .

Sir:

I have the honor t o submit for your cone lder-

ation the following report of the activities of the

Health Service for the academic year 1917- 18 .

The work of the Health Service has extended

very rapidly during the year. In addition to the l arge

increase due to serving 8 much greater percent of each

claa8, it ha s sd'ed medical supervision of the kitchen

employees of both bar racks of the Unitsd States Sohool

of Military Aeronautica, first treatment of all employees

injured while working at the University. and has given

a great deal of time to conference s with students rela-

tivs to military mattera, more particularly the medical

and physical requirements of the Army and Navy. It has

examined and ce r tified the physioal condition of a con-

alderable number of students and members of the faculty

entering the civil branches of Fed eral Service, the Red

Cross and Y. U.C.A.

-2-

K!DICAL ATTENTION OP STUDENTS

By comparison o~ the aervioe rendered student. in

1917 with that given in 1918 it is evident that the roduotion

in registration has oaused no deorease in the work o~ the

Health Servioe. The work o~ the two years is summarized as

~ol1ows:

CHART I

1916-17 1917-18 Peroent Peroent Increase Deorease

'1r "rt.r Student visits "" 6 61 8539 30 . 15

Presoriptions 1460 1469 . 61

Surgical dressings 946 948 . 21

II1nor operations 159 180 13 . 20

Advised to enter hospital 56 119 112. 50

Quarantined 75 147 96 . . Referred to

speoialists 180 196 5.56

Exouses reoommended 335

Urinalysis 52 458 780 . 76 •

Blood examinations 25 6 76 .

Sputa examinations 18 7 61.10

Feces examinations 33 12 63.63

Diphtheria cUltures 518 223 56 . 94

Medical histories written 1700 1294 23 . 88

Compl ete physical examinations 300 429 43 .

- 3-

EJ.!PLOYEES

There was a total or 848 v1~1ta fro~ employees .

One hundred seventeen had their medical histories taken

and the result of their physical examination recorded.

One hundred nine were passed. Three disqualified; five

were reoommended for temporary employment only. Sirty­

t hree employees were seen for injuries as folloW8:

Oontusion of fingers •••••••••••• ••••• ..••••• 12

Infected wounds ••• ••••• ••••..••• ..•.. •••.• .. 9

Laoerated ~OundB •••••••• •••••• •••••••••••••• 9

Nail stab wounde ••••••• ••••• • • • ••• •••• •• •••• 8

Soalp wounds • • •••••••••••••••••••••••••• • ••• •

Sprains. • . . . . . • • . . . . . . . • . . . . . . . • • . . . • . • • . • • • 4:

' ora igo body in ey.s . •• • •• • •• •• •••.• .••••••• 4

Inoised wounds..... ......................... 3

Praoture 01 handa........................... 2

Mashed toe.................................. 1 Abrasions of akin ••••••• • ••• • ••••••.•••••••• 1

Eleotrio burn • • ••..••••••• • ••••••••••••••••• 1

Cerumen ot ear •• .•• ••• ••• •• ••••••••••••••• •• 1

Jor.ign bo4T.r.mov.4 •••••••••• ••• • .•••• • •••• 1

'raoture of wrist ••• ••••••••••• • • • •••••••••• 1

Fraoture ot rib8 • •••• • •••••••••••• ••••• ••••• ~

! otal inJuries ••••••••••• • ••• •••••••• 63

•

-4-

Speoial methods tor the prevention at the spread

at di.ea.e bT oivil servioe emploTees were adopted aa tol­

lowa:

Vaooinated against smallpox ••••••••••••• 44

Inooulated agaInst tTPho14 faT.r •••••.•• 24

Agglutination tests (.idala) •••••••••••• 16

Baoteriologioal examinations at throat •• 10

Dumber quarantin.d •••••••••••••••••••••••

Temporarily i.olated.................... !

Speoial examination. for tuberoulo.i •••• I

lQQll HANDLERS

Aviation Barraoks

.Ith the .atabliahment ot the United Stat ••

School at KilitarT Aeronautios and the provision ot mesa

halls bT the Univ.rsitT. cook •• waiters. di.h-wa.her. and

other tood handlers were placed under the charge at the

H.alth Service to determine their carrier stat.s and to

immuniz. th.m against tTPhoid. pare-tTphoid A and B. and

.mallpox. The work done maT be .ummarized a. tallow.:

Do.e. ot typhoid vacoine admini.t.red •••••••• 19a

Hi.tories ot oommunioabl. di •• a •• reoorded ••• 66

Smallpox vaooinations ••••.••••••••.•••••••••• 36

Agglutinat10n testa '.14ala) ••••••••••••••••• 16

iecal ezaminatlona ••••••••••••••••••••••••••• 7

Total number vi.it. during T.ar •••••••••••••• 33l

- 11-

Smallpox

Smallpox appeared at the Univer s ity at three different

times during the first six months of 1918. Tho first occurrence

(Jan. 11, 15, 16) in which a student avi ator, a membe r of the

faculty, and a student were attacked; the s econd (Feb. 10) in

which one student had the disease. These were sporadic . The

third appearance (Apr. 1. 4. 13. and 15) was epidemic in nature.

It fir st at t acked a member of the library sohoo1 who consulted

her family physician after she had become better of her illness.

As her attack was mild it wa s diagnosed aa "stomach rash . " This

f ree ly circul a ted among the students of the library school and

three who were unvaccinated had smallpox. The fourth patient was

a subsequent unvaccinated hontsct. All four caBes were mi ld .

A Oampaign for prompt vaccination cut short the epidemic .

Tuberculosis

The Health Service has had t wenty students under ob­

s ervat i on 1n reference to tuberculosis:

« ( Bacilli pre sent 1 ( ( Expectorating b1ood(

.. ( Active ( ( Baoilli not found 2 ( ( Definite olinica1 sympt oms. 110

Pulmonary ( ( J xpeotoration of blood 5

Adenitis

(Apparently arrested 1 ( ( Suspicious 8 (

( ( Aotive (discharging) ( ( Old Cica trices (

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-12-

The student with open pulmonary tuberculosis immedi ­

ate l y withdrew f r om the Univer sity on the demonstr ati on of ba­

oilli in the s putum. Thr e e others left to undergo treatment.

Several othere reduced t he i r schedule of work to giv e increa sed

time to i mproving themselves physi cally .

We have oontinued t he policy of putting all suudents

suspic ious of having tube rcul os is on an antl-tu~e rculoB1 B re­

g l me of f r esh air , whol esome f ood , graded exeroise , and decrea sed

sohool wor k . A number of - suoh ca ses immdeia tely r es pond by

improv ement i n wei ght, appetite, and general well be i ng ; others

have not becoIn8 better,-- - all ar e kept under obs ervation.

TyphOid Fever

During the middle of July f our young women, students

in the Summer School , wer e thoroughl y exposed to a case of

typhoid fever by dir ect cont act, at t heir rooming houes, 10 12

West Ore gon atre et , Urbana . The precautions taken to ineur e • .

aga i nst the spread of the di sea s e from t he pat i ent t o other

membere of t he household we re very elementary . In fact they

were help i ng to wait upon the patient and took practically no

pr ecaution to protect themse l ves . They were seen ae Boon ae

the case was reported, and all f our promptly took the thr ee

usual prophyla ctic doses of t yphoid vaocine with t he happy re-

Bult that no one acqUired the disease .

•

•

- 15-

Venereal DisBase

The number of students aoquiring venereal disease

has shown 8 great decrease for the year. Four cases of

gonorrhea were under observation as oompared with ten cases •

laat year . No instance of syphilis has come to our attention .

Last year ther e were three cases . We are inclined to consider

this an aotual deorease, because the number coming to the

attention of the Dean of Men show a similar reduction. We

do not believe the decrease is due to students failing to

report infection, as the exposures reported exceed the oaaee

of the disea •• acquired . The attitude of the student. toward

venereal disease i8 very wholesome , in fact , justifies the COD-

elusion that education in our higher institution of learning

in regard to this peril to the race has a very definite value .

The attempt at the suppression of prost itution in the extra­

cantonment zone of the United State. School of lfil itary Aer o-

nQuticB may have improved vice conditione locally .

Whooping Cough

No caBes of whooping cough occurred during the year

among the student body . One caee was reported by a member of

the faculty.

DEATHS

Three students died during the year; one of pneu­

monia. one of septicaemia. and one from ~racture of the spi ne , . received while playing football . There was one death among

Unive r sity employees due to pneumonia .

- 23-

GElIERAL I1iJURIES

Abras i on of skin ••.•..•••••• 68 Burn or s cald of skin • ... • .• 1 Contusion of skin • • . • • • ••• • • ContuBi on of s ca l p .• • • • •.••• Conous s i on of brain ........ . Dislocation of clavicl ••• ••• Fraoture of f acial bones .... Foreign bodies in eye •..•... Fracture of ribs •• •.... ..•. . Fracture ....... . .. . ... . .... . Fracture of bonee of

fore arm- -

73 I I 2 I 9 I I

Ulna . . . . . . . . . . . . . . . . . . . . 2 Both bones ... . .... .. . . .. 1 5

•

Fracture of carpus , meta-Barpu8 , or phalanges .•. 11

Gunshot wound of lsg •• • •••• 2 I njury of burBa •. .• .•.• . ... 7 Sprains . . . . . . . . . . . . . . . . . . .. 33 Sprain of knee . .. .. .. . . .. . . 5 Sprain of f oot........ .. ... 4 Stab wounde .... . ........... 11 Wound of f ace and mouth •••• I Wound of conjunctiva ••. •• .• 3

ound of .y.ball ••••.•••••• I Vlound of male urethera,

per ineum, sorotum. testee, or penis .... . . . 2

Effects of ch.mical irri­tants and corrosives •• • 21

- 22-

Phthisis--Tubercul ar . . . . . . . . . . . . . . 6

DISEASES OF THE DIGESTIVE SYSTEM

Appendioitis ................ 3 Const i pation .. •.... . .. .. . .. • 35 Diarrhea . . . . . . . . . . . . . . . . . . . . 3 El ongated uvula • • ..• • • . .• • • • 1 Fissure of the anus .... • ...• 1 Hemorrhoids .. .. . .... ... . . .. . 16 Hernia .... .. ... . . . . .. .. .. ... 1 9 Inflammation of intestine s --

Enterit i s . . .. .. . . .. . .... 22 Indi ge stion ......... " . . .... 31 Infl ammat i on of pharynx--

Cat arrhal . ... ... . .. . . . . . 169 Inflammat i on of tonsils--

Follicular •• •..• •• •.••. • 72 I nflammation of gums

and alveoli • • • .••• . .• .. . 6 I nf l ammat ion of the

dental pulp .. . ... • . .. . .. Infl ammati on of the lips .•. • Jaundice ... . ............... . Nausea • •• • . ••• • •• . • • • •• • • ••• Post-pharyngeal abscsss • • • •• Pyro s is . . .... .. . . . ......... . To othache ......... . ........ .

2 1 9 4 1 :3 2

Ulceration of the lip s •••••• 1 Ulcsration of the mouth .. . .. 15 Vomi ting •••... . . . ••• .... . .• .

DI SEASES OF 'i'HE LYUPHAT IO SYSTEU

:3

deni t ie . . . . . . . . . . . . . . . . . . .. 13 Hyper t rophy of lymph gl ands . 11

DI SEASES OF ~HE THY Ol D BODY

Hspertrophy. . . . . . . . . . . . . . . . . 3

DI SEASES OF THE UHI NARY SYSTEM

Al buminuria . . . . . . . . . . . . . . . . . 5 Gl y cosuria.. . . . . . . . . . . . ... . . 1 Haematuria. . . . .. . . . . . . . . . . . . 1 Pollakuria . ... . . . . . . . . . . . .. . 1 Retent i on of urine . . ........ 1

DI SEASES OF THE GENERATIVE SYSTEM

Bal anit i s .................. 2 Hydrocele of t he spermatic

cord ... ... . ... .... .. .. . Hypertrophy of male brsa st . Inflammation of testi cle-­

Acuts orchitis •..•••.•• Nocturna l emissions . . . . . . . . Onani sm .. ..... . ......... .. . Phimo si B ••••• • • • • •••• • • • ••• Prolapse of testicle ...... .

1 1

1 6 1 1 1

Varicocele ......... . . .. . ... 16

DI SEASES OF THE ORGAl1S OF LOCO!lOT 1011

Arthritis .... . .......... . .. 13 Bunion . . . . . . . . . . . . . . . . . . . . . 5 Fl a t foo t ..... . .... .. . . . ... 33 Inflammation of the bone s --

Exostosis. ... .. .. .. .... 1 Periostiti • ••• • • • • •• • •• 2

Infla~mation of Joints--Acute synovitis ••. •• . •• 15

Inflammation of bureae--Acute . . . . . . . . . . . . . . . . . . 8

algia-- -Lumbago . . . . . . . . . . . . . . . . 4 Stiff neck ... . . . ... .. . . 30

DI SEASES OF THE SKI N

Acne . . • . . . . . . . . . . . . . . . . . . .. 18 Boi l .... . . .. ... . . ... . .. . .. • 133 Bromi dros is ................ 1 5 Callus . ... . . .. ...... ... . ... 5 1 Oell ui t i s. . . . . . . . . .. . . . . . . . 1 Corn . . . . . . . . . . . . . . . . . . . . . .. 13 Derme,'ti tis . .. ........ .. . . . . 1 2 Eczema ......... . . .. ...... .. 23 Frostbite ......... .. ...... . 3 Herpes . . . . . .. . . . . . . .. . . .. . . 8 Hyperidrosis •....••... •• •• • 8 I mpetigo • • . .. ••• . . ..•.••..• 27 Onychia . . . . . . . . . . . . . . . . . . . . 5 Pityriasis rosea . ... . . • . . . . 1 Pruritis .. . ..... .. . . . . . .... 1 Psoriasis . " . . . . . .. . . . .. . . . 2 Sycosis . . . . .. . .. . . . . . . . . . . . 1 Ur ticar i a .. ..... . . .. . . . . . .. 22 Verruca . . . . ... . .... ....... . 13

- 21-

STATISTI CS OF HEALTH SERVICE 1915-18

Students

GENERAL DISRASES

Diphtheria •....... . ........ . Gonorrhea . . .........•.....•• Mal ar,ial f ever ............. .

1 4 3

Measle e . . . . . . . . . . . . . . . . . . . .. 10 Hump B ••• ••••••• ••••••••••••• Rubella ... . ...... . . .. . ... . . . Scarlet fever ........ . ..... . Sma.llpox ................... .

DIaBASES DUE TO ANIMAL PARASITES

71 6 ~

2 8

Pediculosis v8etlmentl .•..•. 1 Sar coptes scabiei •••••.•.•.• 5

DI SEASES DUE TO VEGETABLE. PARASI TES

Ti nea cruris ...... . ......... 52

lIEIV GROI'ITH, NON- !.!AL IG NANT

Flbroaa ......... . ..... . ..... 3 Congenital malformations • • .. 2 Cyst:

Sebaceous ....... . • ....• . 9

DI SEASES OF THE llERVOUS SYSTE1!

Epilepsy ...... ... . . .. ...... . Facia l par al ysis •• ••••• • •• .•

2 1

Insomnia .. . ........... . .. ;. . 1 Heada che . . . . . . . . . . . . . . . . . . .. 13 neuralgia . .... ............. . Neurast henia . .... .... .. . .. . . Sc l e ros is . . ........... ... . . .

!.!ENTAL DI S SES

9 5 1

Narcolepsy . . . . . . . . . . . . . . . . . . 2 Psychasth.ni a ... . ••..•. • . • .• 2

DI SEASES OF THE EYE

Ametropia . . . . . . . . . . . . . . . . . . . 3 Astigmatism .. . ... . ... ..... .. 75 Bl ephoriti s . . ..... ... .. ..... 1

Congenital colo r blindness . 1 Conjunct i vitis (acute) ••••• 39 Dysopia ............. ... . .. . Ed.ma of the eyelid •••••••• Hyperopia . . " .......... " . . Ke ratitis •................. Sty ........... . .......... . .

DI SEASES OF THE EAR

1 1

16 1

34

Cs tarrh . . . . . . . . . . . . . . . . . . . . 3 Cerumen in e ar. ....... . .... 30 Deafness.. . . . . .. .. ... . . . . . . 7 Deviat ioDs ................. 9 Epistaxis . . . . . ... . .. . . . .. .. 8 Inflammat i on of t he

accessory sinuses . .. .. . 9 Infl ammati on of the

middle ear . ... ... ...... 30 Ob st ruction of Eust achian

t ube .. ... .. . . . .... .. . .. 1 Perf orat i on of membrana

tympani. . . . . . . . . . . . . . . . 1 Rll i n i tis . . . .. .. . . . . . . . . . . . . 5

DI SEASES OF THE CIRCULATORY SYSTEM

Anemia. . . . . . . . . . . . . . . . . . . . . 1 Aneurysm of arteries ....... 2 Dilatation of h. art ••• ...•• 3 Di s ordered action of heart -

Abnormal slowness ...... 6 Irregularity . '. ' . • • . . . •• 1

Hypertension.. . . .. . . .. .. . . . 1 Infl ammation of muscular

Bubetanc es . . . . . . . . . . . . . 1 Ultral ..................... 3

DISEASES OF ~HE RESP IRATORY SYSTE!.!

Bronchit is--Cat arrhal . acut ••• • • • •• 134

Coryza ... . ...... . ... . ...... 297 Hay fever .. .. . . . . .. . . . ..... 1 Laryngitis .. ... ... . ... . . ... 8 Pl .uri sy--

Aoute . . . . . . . . . . . . . . . . . . 10 Pl eur odynia .... ... .... ... . . 4

-14-

m. EAR. NOSE AIID THROAT

As in previous years the defects of the organs of

epec1al sense have been very common amoDg students coming

under observation. In most C8sse they were present on matri­

culation. In Borne instances theBe abnormalities have im­

paired the soho1astic efficienoy of the student for years

and the eass 'with which a number may have been or might be

correoted is a good commentary on the need of a system of

medical inspeotion of schoo l s in the state .

SPECIAL PHYSICAL EXAUINATI0I1S OF STUDENT S

To meet a special demand the Health Service arranged

to give a physical examination to any male student asking for

it. Four hundred twenty- five requesta were reoeived and 404

were examined on February 28, March 1 and 2.

OUr examinat i ons were speoialized, that 1e, each

student was examined by a dentist , an ooulist , an ear , nose,

and throat specialist , and a c11nician. In addition , his

systolic and diastolic bl ood pressure were recorded , and a

urinalysis made .

In the making of theBe examinations, every actual

or suspected abnormality was noted . The students found to

be abnormal or subnormal were requested to re port to the

Health Officer , for re -examination and advice as to the seek­

ing of corrective and remedial treatment .

On the basiS of these and previous examinations ,

approximately one third of the male student body , we a~e

able to Bay that in gene ral health and development , the s tu-

-15-

dent. of Illinoi. compare most favorabll with tho •• of other

large universities. On the other hand. here . aB in other in­

stitutions of ita Bize. there are & number of students with

abnor mali ties and ph1Bical handioap. that demonstrate the ur­

gent need of a thorough ph1sioal ezamination.

Although we have Just begun a .areful Btudl of the

result of eaoh examination, we 4l.ooTere4 heart leeions where

thel were not known. Rupture. unreoo~i.ed or uncared for

were found. Suspicioue BignB in the lunge were deteoted in

thoBe who thought them.elves to be well. though underweight

and with a hi.tory of familial tuberoulo.is. Th. rather re­

markable thing is the f inding of a number of albumina~ia.

whi.h. while not large. ie greater than expect.d. Each caBe

of albumin in the urine haB had from two to three Bub.equent

anal,ses of spe.imens. whi.h. i n mo.t in.tan •••• have been

.onfirmatorl. They will b. kept under observation indefinite ­

ly_ Several oasee of hypertensi on were di scovered. These stu­

dent. had s blood pre •• ure above or on the upper limit of nor­

mal. We found the u.ual quota of .light curvatur •• of t he apin.

and flat feet.

In the .a.e of almo.t every student who had a heart

leeion , a lbumin, or elevated blood pr,ssurl. there was an ao­

oompanying past hl~tor3 of a serious infect i ous 4188a88,--­

rheumatic fever, pneumonia, soarlet feTer, or diphtheria.

While 1000 examination. of loung adultB are .ertainly not suf­

fi . ient upon whi.h to base any sweeping .on.luaion •• the eviden.e

ia atrong that when we prevent theae .eriou. infection. we are

doing a gocd deal to oombat the ever-increa.ing death rate of

- 16-

moet useful and experienoed individuals between £orty and

s1xtl lears of age.

The men with flat f eet and ourvature of the spine

w111 have a much better opportun1ty to corrsct these t~oubles

now than l ater when the bones are set and the1r deformity is

confirmed.

The dentists remarked on the general satisfac tory

condition of the etudents ' te e th. However , a number of ca ses

of dental cariee wer e noted . So prompt were Borne of the men

in having their teeth cared for, that they were able to re­

port that thei r teeth had been filled two days after being

examined .

As the men came in for conferenoes i n reference to

t he result of their examinations, a number Bsked to be vacci ­

nated agains t smallpox and typhoid fever. A sequel of the

examination was a high percent of students i mmun ized agains t

smallpox and typhoid fever.

COllSULTATI ONS \'11TH SPECIALI ST S AllD FA!.!ILY PHYSICIANS

Recognizing the mutual advantage to be obtained in

the co-operation of the family doctor, we have oorresponded

with thirty- six physicians and specialists of the state dur­

i ng the year relative to the physioal we lfare of students .

We now have in our files 135 l e t ter s concerning the physical

oondition and medioa l history of as many students .

EDUCATIONAL PROPAGANDA

The Health Service has attempted occasionally i n a

smal l way to furthe r its usefulness by call i ng the students

-17-

attention in the Daily I11ini the necessity for certain quar­

antine regulations, the advisabi1lty of smallpox and t yphoid

vaocina tions. advantag e of phys ica l examinations, eto. This

work has been done by Mr . Carl R. Miller, a student in jour­

nalism, under the supervision of the University Health Officer .

The Budden inorease in reque.t. for immunization againet ty­

phoid fever and eme11pox following the appearance of Ur. Miller's

articles would 8eem to demonstrate the value of suoh work.

EXTENSION WORK

During the year the Health Offioer has acoepted in­

vitation. to addro.s the Sooia1ist Stu6y Club, tho Urbana Com­

meroia1 Club. the Red Cross Institute of Springfield. the

Y. M.C.A. of Chanuto AViation Field at Rantoul, and the Peoria

»edioal Society on .ubjeots pertaining to preventive and socio-

10gio medioine. The Health Servioe has been oa11ed upon by

citizens on numerous oc08s10ns to give an opinion a8 to the

advisability of taking Pasteur treatment, the period of oom­

munioabi1ity of infeotiou. diseasee. methods of diBinfeotion,

eta. ~bout one third of these requests were from oitizens out­

side of the Twin Cities.

BOOlCS

With the fund a110.ed by the University and with the

hearty oo-operation of the University Librarian, the Health

Servioe has been able to purohase and to bring together oertain

book. dealing especially with military hygiene. sanitation, and

other medical literature of a medico-military nature .

•

- 18-

FIRST AID CABINETS

The Healt h Service has thirtY- Beven first aid cabi ­

nets located in readily accessible place s throughout the

buildings on t he campus . They have been much used . Replace ­

ment of materials represents an expend iture of $20 . 70 for the

year.

THE ISOLATI ON HOSPITAL

The Health Ser vice has co - operated with the Hospital

Committee in arrang ing for the oare of students at the Universi ­

ty Isolation Hospital . a full report of which will be submi t ted

to the chairman for his oonsidera tion . rec ommendations, and

t ransmiSBal to you .

SPECIAL INVESTIGATIONS

At the request of Professor E. A. White , i n charge

of the Gasoline Engine Laboratory of the Farm Mechani cs Buil d­

ing , a study was made of the extent of t he contamination of the . air by exhaust frorn the eng i nes. A final report was made on

completion of the investigation. At t he request of the Vi ce­

Pr esident of the University and in co - operation with the Sur­

geon of the Uni ted States Schoo l of Military Aer onautics. a

mild attaok of food i ntoxioation among the student aviator s

was investigated .

WAR ACTIVITIES

The Health Service l i ke other Un iversity departments

has considerabl y added to its work aa a result of the war .

•

-19 -

Preliminary Physical Examinations

One hundred twenty students we re given prelimi nary

phys ical examination s 8S required by t he Feder al Government

for the followi ng positions :

Reserve Officers Tr a i ning CamP ••• • •• • •• • 64

Aviation Service •• • • .• • .. •••• • . .... •• .• • 23

Ensign School of the lIavy .... .. .. .. .. .. . 2

West POint Uilitary Academy. ...... ... . .. 1

Ship I B Draftsman.. .. ... .. . . . . . . ... .. . ... 5 \

Chemist in Ordnance Department...... .... 4 j

Army Y. M. C. A. .... ... .. . .. . ... . . ... .. . . . . 4

Nursing Service (Vassar) . .•• •. •• . ..•. . •• 2

Dietitian Ba se Hospital • •• ••••. •••• • •••• 1

UlscellaneOU8 .... . .. . . ... ...... .. . .. . ... 14

Total • ... . ... . .... .. ... ..... . . . 120

Rehabilitat ion of Disabled Soldiers

By appo i ntment of the Vice - President of t he University

the Health Officer had the honor to serve as chairman of a com­

mittee to determine t he facilities of the Un iversity f or rehabil ­

itation and the re-educat lon of disabled sold i ers . The commit­

tee has compl e ted its work and a rep ort has been sent to the

Vice- Pres i dent .

Extra- cantonment Immunization Station

l ith t he approval of the Pr es i dent of t he Univer s ity

the Health Service bas . i n co- op eration with &fie ' otfl ce SurgeQn

General of t he rmy, established an i mmunization stat i on for

- 5-

Of the sixty- six prospective food handlers at the

barracks over fifteen percent had had typhoid fever. The

neoessity for medical supervision of such individuals coming . in contact with food 1s evident .

University Cafeteria

In oontinuing the prot ection of the food supply

distributed by the University lunohroom, thirty- six medical

histories were rec orded; 108 dOBes of typho id vaccine were

adminieterid; six Wldal tests and four feces examinations

were made.

Da iry Department

Eight students enrolled in dairy husbandry which

necessi tated coming in contact with the Unive rsity milk

supply were examined to aecertain whether or no t they gave

a history of having had typhoid fever. All were immunized

a gainst typhoid .

Student Food Handlers

One hundred twenty student hi s tories of oo~~unl ­

oable disease were recorded, nine feoal examinations made, and

about seventy-five vaccinated aga inst typhoid fever.

- 6-

IMMUllIZATION

Typho id Inoculation

Antityphoid vaccination is becoming more popular

with students, faculty and employees. In spite of t he de ­

cresse in numbe r of students the immunizations against ty­

phoid and para- typhoid A and B have increased 23 . 26 percent.

During the past year 1065 doses were administered protec t ing

356 members of the University populat i on . As this is an ex- ·

cellent insurance both for the individual and the commun ity

it is moet gratifying to note the steadily inoreaeing demand

fo r it .

Smallpox Vaccination

During t he year 307 students and eighty employees

were vaocinated agai nst smallpox . Our record s show that

26.67 per cent of the Freshmen and 37.61 peroent of the em­

ployees were unvaccinated . The number of students vaccinated

showed an i no rease of 923 . 33 percent over last y ear. I~ 1s

apparent that nearly one thi rd of t he a dditions to the Uni ­

verSity population whi ch 1s unva ccinat e d 1s a fertil e 80 11

for smallpox and t he s eed .needs but be planted to produce an

epid emic.

•

- 7-

COMMUNICABLE DI SEASES

During the academic year there we re 159 ca ees of

communicable diseases end 1474 instances of known possible

exposures.

CHART II

SUMMARY OF COUlllUllI CABJJl DI SEASES

Treated Not treated Total s in in

hospital ho s pita l

Diphtheria 1 1

Ueaelee 10 7 :3

Mumps 71 55 16

Rubella 67 42 25

Soarlet fever 2 2

Smallpox 8 8

Totals 159 115 44

•

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CHART III

DISTRIBUTION OF EXPOSURES TO INFECTIOUS DISEASE

. Total Soarlet Sma11- Typhoid MONTH by Diph- MeaaleB !.lump. Rubella Month. theria Fever pox Fever

July 4 4 -Aug .

Sept .

Oct . 44 14 30

Nov. 12 12

Dec . 32 28 4

Jan. 466 4 40 105 271 46

Feb . 368 25 115 188 40

Mar . 265 28 224 13

Apr. 152 5 147

May 24 24

June 107 107

TOTAL 1474 4 93 620 490 30 233 4

I .

II

CHART IV

SICK DAYS FRO!! INFECTI OUS DISEASES

Disease CaBes Siok days

Diphtheria 1 13

Measles 10 140

!.lUmps 71 1491

Rubella 67 469

Scarlet fever 2 60

Smallpox • 6 166

Totals 159 2336

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- 8 -

Diphtheria

One aase of diphtheria oc ourred among the students

during the yea r . Thi e was deteoted by bacteriological exam­

ination before definite clinioal symptoms and developed . By

prompt isolation of pat ient and examination of oontacts no

other cases developed . The early diagno Bis gave the patient

an opportunity to reoeive ant l t o.ln qui okly and t o insure an

uneventful reoovery. Two hundred twenty-three swabs from the

throat we r e examined with the following re BultB:

Number of pegatlve cultures ••• • •••• • •• 207

Strept aoe 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Atypical diphther ia bacillus .......... 2

Typical diphtheria bacillus. .. . . .. .... 1

Suspioious .......... . .......... . . ..... 1

Vincent' 8 angina ...................... 4

Total . . . . . • . • . . . • . . . . . • . . . . . . . • .. 223

German lfeaeles

The UniverBity was visited by a mild ep idemic of

German measles which was a part of the wave swe eping over

the oountry and affecting e speoially schools , oampa , and

cantonments. Sixty-seven caBes were reported. Fort y-two

students were oared for at the University Isolation Hospi­

tal represent ing a tot al of 276 Sick days . Twenty-five

oases were treated at home .

•

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• -9-

The remarkable feature of the ep id emic is the fact

that it began explosively on t he week of January 3 when be­

tween January 5 and 10 twelve cases ocourred. This was t he

great e st number reported i~ any week during the year. Twelve

cases were widely distributed among the student body; in but

one instanoe during that week dld two cases oocur 1n the ssme

houee.

I f we con s ider the incubation period of German mea s l es.

the time of Christmas va cation . aqd the geogr aphical distribution

of the disease among the studenta, the following conclus ions

are warranted:

1. The disease was introduoed by students who were exposed

during Christmas vacation.

2. It emphasizes anew the relation of the health condition

of even remote parts of t he country to that of the Uni­

versity district.

Measles

Ten OSBes of measles ocourred i n the University popu­

lation and were distributed as indicated by accompanying ohart.

Seven of t he patients were students and were cared for at t he

University Isolation Hospi tal. Three cases ocourred i n fami­

lie. of faculty members and wers trea ted at home . All of these

oasee were apparently sporad ic and one did not re sult from the

other.

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-10-

Mumps

A mumps epidemic occurred between June 20 and

April 1 . It is rather charateriBtic of the disease to

occur where a number of young adults are brought together .

The epidemic wa s intensified and prolonged by thB improper

observance of quarantine laws by the local health officers .

In each town t he quarantine period wa s reduc ed to two weeks

leBs in spite of the rules and regeuations of the Illinois

State Department of Health which requires that "the patient

should be isolated from all other children, and from adults

,,'ho have not had the di sease , for a period of at least

t wenty- one days. " The modification of state law by non­

legislative bodies was brought to the attention of the Di­

rector of the s t ate Department of Health who has taken up

the matter with the local health authoritieB. Such oontri­

butory negligence i8 to be condemned when it is a factor in

the production of seventy-one cases and 1491 sick days with

the consequent loss of time from school and of money.

Scarlet Fever

Scarlet fever occurred in the UniverBl ty population

twice during the year--in a st udent in October 1917; i n a

faculty member May 1918 . As the llIinimum quarantine period is

t hirty days, it was re spon sible f or sixty days .

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- 20-

the extra-cantonment zone of t he Un ited States School of

l.111i tary Aeronautios. As a first supply, the Army Med ioa1

Sohoo1 has eerit to the Health Service 250 doses of typhoid

and 100 doses of smallpox vaocine. The work of immunization

is in progress and is pr oving a distince advantage to the

University community .

PUBLICATIONS

The foll owi ng a rticles dealing \7 i t h sociologic and

preventive medioine were published during the ¥ear:

Pub1io Health Problems. Transactions Illinois Academy of Science.

Rehabilitation of the Disabled Soldier. Inte r state Medical Journal, URrch 1918 .

In conclUSion we wish to 8Zpres8 our appre ciation

of the generous as s istance render ed by the Dean of Men in

matters of public health administra tion with the students .

Respectfully submitted ,