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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 ,