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REPORT OF TREASURER OF STATE

INDEX Pagt Cent>ral Stnt<>ment Biennial Period........... . . . . • . . . . . . 7 Stnt{'ment. 1. Gtn€!ral Rt-\•enue Fund-Rteell)tl'l . • . . • . . . . . t Stal('ment J>:o. ,. Trust .•............. •. · ·.•..... H Statement 3. Special . . . . . . . . . . . . . • . . • . . • . . . . . . 15- Statement No. 4. Capitol Crounds Extension Fund . . . . . . . . . . . • . . • . . . 1$

Statement No. S. Primary Jlond Conting-ent Fund . . . . . • • . • . • • • • • . . . 1&

Statement !o:'o. G. f)"'ldterfll' Bonus Fund . . . . . . . . . • . . . . . • • . • • .• . . .. • . 17

No. 7. Soldiers' Bonus Tax Fund ..............• ••..•..•. 17 Stattnu:nt No. 8. Soldiers' Bonus Bonds . . . . . . . . . . • . . . . . . • . . . . 13 Statement ,;o. 9. Vocn.lJonal J·:aucatlon Fund-Federal . . . . . . . . . . . . . . lS Statement 10. Vocational Reha.biiUatlon _Fund-Federal.......... 19

Staurnent .!'Jo. 1 t. and Hygiene or and Infancy

J.'u nd-F'ederal ......••.....•............ •. • ...... • · · • • · • • •. 19

St-atement No. 12. \\'t'lfare and Hyg-Iene ot llaternlty and Infancy

. . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . • . . . . . • . . . . . . . . . . . . . . . 20

Stntement 13. )ten'$ Parole RelteC :Fund . . . . . . . . • • . • • . . . . . . . . . . . 20

Statement No. H. "'omen's Parole ReH.:! Jo---und . • • . . . . . . . . . . . . . . • . . 21

No. 1". College Interest Fund .................•..• ....... , 21

Statement Xo. 1 ti. Endowment Fund Bonds . • • . . • . . • . • . . • . . • . . • . • • . . 22

Statement No. 17. Jo;ndowment Fund Cash . . . . . . • . . . . . • • . • . . . . . . . . . . 22

Sta.tenlent No. 18. ltorrill Endo"\vment Fund .............••. , •. , •• , . 23

Statement No. 19. General Revenue Fund-Collections by County Treasurer ................................................ , . . . . . . . 24 No. 20. SoJOier-s· l)onus Tax f'uml-cvllcctlums (}y CourH¥

•rreasu rers .... , .. , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Statement No. 21. Capitol Grounds ExtenfJion Funa-<:ollectlons by County ... , .. , .................................... , . . . 28 Statement No. 22. Motor Vehicle Lleenso Fees.-c=ollectlons by County

TreaHurers .. , .. , .. , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31)

Statement No. 23 State Sinking Fund tor PubliC Depostts-Jnterest

Collected . . . . . • . . . . . . .. • . . . . . . . . . . . . . . . . . . . .. .. . . . . . . . . .. . • . .. . . . 32

Sln.tement No. !4. General Revenue 1-•und-Recelpts from CounttefJ.. 33

No. 25. Gasoline License and Dl&poeltton 41

Statement No. 26. Reeelors from Countles-6% ot :\lotor Vehtcle

License Fees . . . . . . . . . . . . . . . • . . • . . . . . • • . . . . . . . . . . . . . . . . . . . . . . . . . . 42

Statement No. 27. Gasoline License to Counties H

Statement No. 28. Gaaoltnc Llcenge Fees-Administration Account . . 46 Statement No. 29. Oasollne License Fees-Refunds Approved and Paid 46 Stattment No. 30. Cigar-ette Stamp tax.-c=ompara.tlve Sales. 1921 to

date •....•............... , .•••...•......•..• , , . . • • . . . • • . • . . . . . • • . -t7

St"teenent No. 31. State Slnlcing Fund tor Public DeJ)081LIJ:-ReceJpts and Clalme CertJf\ed tor Payment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . n Statement No. 32. Sinking Fund Cor Public Deposits-Claims Filed and Pntd to June 30. 1926 . . • . .. • .. .. . .. . .. .. .. .. . .. .. . .. .. . . .. .. . f8 Statement No. 33. Slnklnl< Fund Cor Public Deposits-Claim$ Fll•d

and Unpaid on June 30. 1926 .. • .. • .. • • . • . • .. . .. .. . .. . .. .. .. .. .. . 51

3tatemcnt No. 34. lnherltanee Ta.x-Comvnratlve Receipts, 1897 to date 5f

of Jlowa 1926

REPORT OF THE

STATE DEPARTMENT OF HEALTH

FOR THE

RIRNNIAL ENDING JUNE 30, 1926

ALRERT, M. 1),

Publlshe 'l'IIJ;: STATE O'F IOWA

Des Moines

lOW A STATE DEPARTMENT OF HEALTH

STAn; BOARD OF HEALTH

l\IE)!BERS

John Uammtll. (.i()\·ernf'lr

\\". C !WK.. fo-: JohnMn. •or State

\V. r \lcCiun ... Auditor or State f: Thornhur.-. Mf'CTf't;•r) t)f AKrl

APPOIXTIVE

Jl. L Sayler. )J. D .• Prealdent

Hf"nn· Albert. Y. 0 .. Commi!Jdontr

11. ll !luge. :'d. D .• Clinton

Jo! .llarsh Williams. Y. 0.,

c. \\'. Stf'w;trl, ll. D .• \\', 0. Hayf"!C, C. r. Jl .. c~1ty

O&PARTMEXTAL STAFF

llf'nr)' .. \ll)(>rl, )1. S. )1 0 .. t"ommllll elontr

J:iamf!f' \\'allace. AJ 0, (' P H.,

f'hlef Jo;n. alneer

L. A <'hrlsttnllot'n, c· K. A..,.IMtant

M. C. K. Ch&rnlal

H 0. Peters. (". Jo: •• Afllll•tant J unlor

EnS"Ineer

II. \V. Ore!ft, Otvlalon .. -:x.

amlnullon" l.ynn t'ltmenlf, (.'hlt'f Clt"rk U.. 1 •. )lc·l ... arNl, AIIJillfilttlnt fttlrhl· tr&:&r ('orn Jlond8<'h1n, n. ftlriP B("\'(-'U, lh Olrll ( C'rb•pln, Hookkttpflr

J\m) I;SJ"'((k.!ll,

(ia) It Hunttr. Stenop-apher

Ada Koaer, Stenographer

J-;mma Lawll. Stenographer

\'.-ra Stenoc-raph~r \\•m. Baldwin, Clerk

JuliA Clerk

Marie Price. Clerk

Orne\'leve Shea, Clerk

llf'lene \Veavtr, Clerk

Prank Yost. Shipping CJerk

7.{'lma Se.roJOg'l8l

BtlYatt. AsrdatAnt S(lrologll'lt

Btlnder. Ttchnlclan

Cf'Orf[e Hollingsworth, Atten(lant.

DIVISIONS

Administration

c-•ornrnunlcftblf fiunltary nnd IIOUMing l·:xttmlnatlon" IHHI Llc('nl'tfil

OJ rector

EXAMINING BOARDS

\Vm. Jtp-on, M. J'Y.'. t'h-.lrmnn, Slnux City f•'rank M. Jo-..ulltr. M. 0., Nf'Crf"tnry. l.;ftMarh•nna It N. •

OI~STAI.

II AltOIIIJOCh. O. 0. S. C"Mirmnn. Du

bUOoo lololn ..

Huely 1-'. Paol. D. 0. !1.. City

H. 0. Coy. D. D. S .• llamburc

J, J UOtllh. 1). D. S .• llar1c-n

OPTOMETRY

A. J. ('ha1rman. 0.\'f'nport

. .fl:r::•n·. Roekwetl

CH1110PRACTIC

S. 1-;, Julander. D. C .. Chairman, Dt111

Moine•

Myrtlf" .. ::.. Lnng. 0. C .. Secretary, Dt'

)tolne!ll

J. fo'! S1C)('Um, 0. C .. C"ltv

OSTOOPATHY

11. J. Mnnllnll. D. 0 .• Chnlrman ""'

0. lhmnau. 0. 0 .. Secre-tary.

~herman Opp, D. 0 .• CN-ston

J "~ "e A \\'t1't, L. E .• Chairman. Sioa..:

City

F' \\'. Alt-xandtr. L. E .•

Conrad

lltrt zu,·er, L. E., lta.son CIIY

PODIATRY

\\"m. Von U. Gerard, Chairman. Cf'S J.RAf.:!:. Secretar)•, Des Moine•

Paul M. HA'\\'k, Grinnell

S'•YMC Thf' 1\bc.l\t> nrt• rnnklll uf holdlnJ: nt doue nt ro·J)nrt.

LB'J"!'BR 014'

liON. JoliN HAMMILl., Governor of Jowh: SIR: In accordance with the provisions of Scctiou 221 (j IJoliC

Io~vn, 1924, I ha\·e the honor to present the

lucnnwl •:cport of the State Department of Health for the period commencmg July l, 1924, and ending June 30, 1926.

H"NRY A!.ll£RT, M. D., Commissio1rct·.

Des Moines, Octobct· 8, 1926.

TABLE OF (;ONTENTl)

Page

l. Administration ............. · . · · · · · · · · · · · · · · · · · · · · · · 5

2. Financial Report ................. · · · · · · · · · · · · · · · · · · · 15

3.

Public Health Education ............. ················ 21

4. Sanitary and Housing ............ · · · · · · · · 26

5. Vital ................... · · · · · · · · · · · · · · · · · · · 56

6. Antitoxin, Vaccines, etc ....................... · · · · · · · .126

7. Communicable Diseases ................ · .. · ·. · · · · · · · .103

8. !Jaboratory ................. · · · · · · · · · · · · · · · · · · · · · · · .106

10. Examinations and IJicensea .................... · · · · · · · .124

11. Nursing .................... · · · · · · · · · · · · · · · · • · · · · · · .127

REPORT OF STATE DEPARTME!\T OF HEALTH

DIVISION OF AD)IJNISTRATlON

111 till' hit•tmium •h~· thi~ l't'(lort a •

ti~n wth aiTt'!·led by lht• rnat·llnt•nt of •commi~-imu "r,' hill' ;\p,, :!lilt 1tncl :!6:!. which \\rro• drawn hy the eodt• •to

ro••..rih•. rt''t't·tionizt•, anti rt"'haplt'rir-t• all the t't•latitH! II>

11 ublit· health. Bill :!HU "'"' kno\\ n us 'l'it lc \'II, ( 'haptet· 10.;, Colle of lo11 11,

1!1:!-1. prll\iclt•d for tlw cou,olidation of the offirt•s n[ tlw Htntc

lloartl of I h·11lth. t lw State llotl'l Inspector·, the Bo11rd o[ Medical

Podiatry Osteopathic Examiners, Chiro

practit· Examiners, Nurses' Examiners, Dental ExAmincrll and Optometry Examiners into one department to be known as the

State Department of Health.

'l'lwsc bills not only simplified and harmonized a lur!lu number of ronOiet ing unci ovcl'lapping but they ttlso eff<"cted ••through the establishment of 11 system of co.operntion and co.ot•dinAtion in the o( !>imilar govcrnnwntal func tion,. 'fhiH

WitS done b.v centralizing the of the

work of a lltllnlwr of hoards anll diviNions--thus doirt!lllWli.V with •·•·rUtin ovrrhrncl I'XJX'llH's. 1'hc elimination of <'<'I'· lain 'ltlari••tl posit ctft•etl'd 11 M\'ing of o\·er $12.000.00 Jll'l' .n·ur·. l'nrler the reorgani?.ation plan, the position of Secretary of the Stair Board of fiealth was changed to Commi&Sioner of the Statt•

Departnwnt or Hralth.

Dr. Hodm·y P. Pagen, 'ecretary of the old State Bonrd of llt•alth

11a., the fir.t (.'ommi'\Sioncr or Public Health appointed. Jlc servrd

.. comnll .... •from October 2 , 192-t, until July 1. 192:i. Dr. Don G rit.wold <;erved in tbat capacity from J 1, 1!12.), mhl ,June 30, 1926.

THE STATE BOARD OF HEALTH

t'nder Chapter 106 of 'rille VII, Code of Iowa, 192-t, (li'OvtstOJl Wftl> matlr for n State 13oard of Health to he cnm]>osed of thr o£ Public llealth, the mcmbet·:; of the Executivr Council ond flve health officers to be appointed by the governor, •llJ~:NNIAI. IIEI'OHT OF THE

Jll'ior to the 1-c•·ond 'J'ut•Miay in 192."•. to :,cn·c for a pt•ri••l

or two year!!. I' he th·c hralth o0k'Cr» who were appointed ai'C: ll. h l->ayler

D., Dco; E. )la1·sh Williams, l\1. 0., II. It.

Su""· f) .. ('linlon: \\'. D. llayt•s, C. P. II., l'il~. an•l (.', W. ~1. 1>., of Washington. rcceh·c no cotrt tlf'nblltion for tht•ir "1'1'\'i(•(•h. Among other untie» a ... 'l't IIIII in the law, tlw BoarOf:NEHAI.. I'ROORESS Durin!( tlw la•l hit·nnium thr lowu State Dcp111'tnwnt of llruhh has, wr lwlic\'1', not hiddrn tlw talent t•ntntbll'I'INANCIAI.. AID ORTAINED In uddit ion to the appropriation from the legiHlaturc dt•·

1111rtrnent WU!i HHCN!HKf'nl in obtnining aid during the bi!'nnium

from tho Jnh•rnutional Jlculth Board to assi8t in recording and tubulutin:.{ the of the und ulso finuncinl aitl for furthering n1rnl Hllnitntion and general administration. 'l'hiij aid hns mtult> it •to initintc campaigns or prevention and education that we anticipate will have far reaching results.

MOROIDIT\' AND MORTALITY

'l'hc morbidity ancl mortality rates for the two years ha,·e r!'mained about, 01· 11 little under, the a\·erage for the last ten ,\'ellrs. The dis<'&hi'S that now toke the highcst toll are :.omc ol tho."<> not usually 11~ eommnnicablc, but are, neverthefe-.,. in a large meal!ure Jlre\'entable. :\lan)' of the diseases definitt>ly known to be communicable are receding, because of the applica· tion of puhlic heallh nwthod" or prl'\'l'ntion and control. Throur), more llcleVITAL STATISTICS The Dh·ision of Vital Statistics hilS recorded and filed all re· ports of birthb, 11nd divorces forwarded to tbe dcjlart-

IOWA DEPART~tENT OF HEALTH

ment, and f1·om time io time. compiled statistics and mude tubu· lation' for the information of the public. The di\'ision has £or '"arr and finds it

10 haw 1ts age cl'rtifiNI 10 for flifterent purpose<. Wi1h thi<

r rtifil'lltt' lhPrP ha' al..o lx>l'n inchult>d an autboritatiw hook of inforrn11tion on infant care.

SANITARY El\'GINEERINO AND HOCSINO

'l'ht• Di,·ision of Enginl'l'ring hus curried on the rl'gnlnr rontint• work or im·eRtigating and arl\'ising communiti<'s in tht• nutltl'r of iafP watrr rli~po;.al or s('wage. avoidan,·!' 111111 of ventihttion anrl many othe•· fNtlurps of hou,ing rPqniremcnts.

STREAM POLLUTION

In 11cltlition to lhis routine work, this division began durinp: tlw hi••nninm 11 \'ery special pi('('C or work in conneetion with stre111n IXIIIntinn. The r('snlts of the special •on tht' Rlw\1 Ro<'k und l,inh• crN•k strt•ams have been publisht>d l'lscwherc nnd

•·ef•·•·encl' will be mntlt• to them in the report of the l::ionitnry I•: II·

gin••••ring DiviRion, but it be here statPd that it o g•·cnt 'wul ..... prt•nd ••pith•mil•, bnt whl'rrwr nny fli!.('IIJ•I' ill-'llllll'd. mor·,.

1han

11n ordinary •of prevnll'ncl', pfl'orh wc•re moflt• to

tleterminc the 'IOurce of infection and give such informatiou and Alh· llwria toxin·aruito:31EN::-:IAL REPORT OF TilE

DIPHTHERIA

In tbt> fall of 192fl a program of immunization again!>t tliph. thcr·ia wa,; initiated. This program has hecn largely confintd to the but within six months about 20,000 pupils were re. ported all having been immunized. At the closing of the school., for summo:r ''acation in Juuc, 1926, it was estimated that in the n(ty.fh•f' communities where the program bad been taker\ up, \1[1· wards of 40,000 J>Upils had been immunized Diphtherta. In the county of Osceola, for example, ninety-eight 1wr· (·ent or the average attl'nclancc at school for tbc whole county, was im. munizerl during the campaign. Other eounties, while not equa]. ing Osceola in percentage, greatly exceeded it in the actual numbers treated. It has been the policy of this department to eMonragc the usc, by the people, of the local medical services, henct• undoubtedly, great numbcr·s of children haYc been im. munized by the family physicians of whom we have no record. 'fbe depnr·tmcnt fec!H that the small expense i.ocurr·ecl in pro,-id. ing free toxin-antitoxit) for the 6rst two hundred pupils in each eommunity, as was done hy the department, perhaps. grt "al~r rlefu1ite practical returns, than an expenditure of a likt• sum could have brought in any other wRy. Jn addition to the materinl supplied, the fur·nished free literature, an•l in many case» a reprcseutative of the department aided the cam. paign by giving addresses.

SMALLPOX AND RABIES

In comparison with other diseases there has been a dispropor· t ionatc number of cttses of smallpox and rabies. In rcgar·d to the former·, with wtccination so readily available, there is no (•xcn"· for· any person eont racting smallpox. 'l'hp experienet• of tlw stntl' has been that sntisfactory vaccination has given almost com· pl<'tc protection !t-om the disease. With these faet8 so it is not surprising that people advocate doing with ([Uaruntine for 8rnallpox nnd suy "let those who want smullpox havl' it, we prot<'Ct ourselves against it by vaccination." J udgiug from the number of cases of rabies among dOlr.> atul other Animals nnd the .pumber o£ anti-rabic treatments that have to be supplied for people who have been bitten, it would seem either to require dogs to be vaccinated against rahit>S or ha\·c more stringent lttws regarding dogs running at large and unmur.:r.lecl. A method adopted in some places when rabies de· \'PIOils. is to luwe a whole county or township declarcil a "eon·

10\\'A STAT!!: OF

tagiou> area" aud to require all ,Jogs to b,, 1 it•d up, or muzzled.

1~\'ESTICATIO::-:S

The report,; on epidemiological igat ions ;md on

...:n·ice appear under their own sections iu this ro>port. 'rhes<' rep orts indicate that there is a growing rt'cognition on tlw p11rl of the people of the ,·alue of laborato'ry nntl that suclr .e n·icc is indispensable for the proper· canying on of public health work.

VENEREAL DISEASE WORK

The !,;tate Department of Health has not heen nhh' to tlo all it would have liked to do i.o the control of venereal disease, but it has done considerable. 'rhrough lack of funds it was not pos. sible to contitlUC arsenicals free for· the medirntion of l'enercal cases, but the department has made these uvailablc for cllitics a11d hospitals at tbe lowest possible cost. Encouragement has been giwu local clinics, mHI the dt•partnwnt bas endeavored to locate and follow up all of known in· fection, and bas sought to haYe all infected pcr·sons submit them· sell·es to their physicians for treutment.

OfSTRIBUTION SILVER

lu atcordance with the requirements of the Vcnt'ral law, an effort has been put forth to haYe the use made general of silver nitrate in the eyes of the ucwbom for the pre,·ention of blindness. As a means to that end, ampuls of silver nitrat(' arc now distributed free to all physicians and hospituls doing obstetrical wo1·k. Since this free distr·ibution was bcl!'un there has been a great demand for these ampuls. 'PI1c Division of Vital Statistics checks up the numlwr of hit·th ct•rtificatPS flied by each indiviclnnl physiri1111 arHl com part's ; lw numbc1· of certificates filed by him with the •of nitrtrl<• made to him.

PUBLiC HEAIJTH EDUCATION

;\lauy ncldrcsscs ha,·c been giv1•n to medical su ·i!'tit•s and ng!'ncit•i iuterestcd in public health problems. A very great de11l of liler·R· lure for free distribution has been prepared. 'l'he lellflets on dif ferent diseases already existing were revised while many new ones have been added. A Jist of available literature appears in this report. There bas been an increasing demand for literature and h1-

10 TWESTY·SECOSD BIENNIAL REPORT OF THE

fol'mation, and in the first three months of 1926, there \\ere i.,. upwards of 50,000 pieces of literature by this department to person!> living in different parts of the state. The Quarterly Bulletins have been published, and fo•· hOme of the numbel'll we have bad hundreds of requests from stall'S other than Iowa, and many requests for copies have come from foreign countries. A news letter bas also been issued every few \fCeks, dealing briefly with some phase of publie health aetivity. Judging from the communications received in regard to these letters, they have been appreciated and have proven helpful.

SURVE\'S

This depa•tment waK instrumental in bavinjl surveyw mode in t lw or Dt>'l ~~~· Dr. and in a number or oth.·r of thC' Htate hy ;\liHs Amy Tapping. 'l'he l>Urpo•e of tb•· wa~ to makr 1111 •of the local fllcilitil.., for doinq hcnlth work, antl to point out where improvemC'nts might be made.

The reports by these from the American

('hild Health ASI!oeiation have been of assistance to many of tht· municipalitit>K in pointiug out where speciAl <>fforts ,,..quotesdbs_dbs23.pdfusesText_29

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