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SANITARY INSPECTION OF GREENSFORK SCHOOLHOUSE No 17, CLAY TOWNSHIP, WAYNE COUNTY.

Inspection made March 26, 1907.

Site. The present site is satisfactory, although in places a little lower than the street. Area about one-half acre. Soil is quite gravelly and hence very rarely wet. The approach to the schoolhouse is by means of a broad cement walk, leading from another cement walk which lines the main street.

Schoolhouse.-Built in 1877, two-story brick, stone foundation. No basement. Many cracks in walls, down spouts broken on all four corners, thus contributing to the dampness of the walls. Plastering has been washed out from between the bricks where the rainwater has come down the broken spouts. House contains four rooms, two above and two below, and the building faces south. All rooms heated by stoves and ventila tion by windows. Entrance is by vestibule, which is two stories high. Narrow stairway, twenty stairs and one turn, very steep and badly worn, leads to the upper story. This stairway constitutes a plain fire trap. If the building were ever to catch fire, a great many lives would undoubtedly be lost in this narrow stairway and vestibule. The vestibule is unwarmed, the ceiling above is broken, and through the steeple can be seen the sky. This cold, damp vestibule furnishes the cloakroom facilities for the whole school.

Summary. This schoolhouse is very faulty in construction, is improperly warmed, improperly heated and improperly ventilated. Much sickness prevails among the pupils and there is general complaint in the neighborhood concerning the unsanitary features of the building.

Recommendations.-I recommend that this building be condemned on account of its unsanitary conditions, and that said condemnation be dated from May 1st, 1907.

After consideration of the report, the following proclamation was unanimously adopted:

PROCLAMATION.

Whereas, It has been shown to the satisfaction of the Indiana State Board of Health, in regular session at Indianapolis April 10th, 1907, that the Greensfork schoolhouse No. 17, Clay Township, Wayne County, Indiana, is old, dilapidated, insufficiently ventilated, improperly lighted, unevenly warmed and otherwise unsanitary, so as to threaten the health and lives of the pupils, therefore it is

Ordered, That the said schoolhouse is formally condemned for school purposes and shall not be used for said purposes after June 1st, 1907.

Any school trustees, township trustee or school teacher or other person who may use said schoolhouse for school purposes after June 1st, 1907, shall be promptly prosecuted as by the statutes provided.

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SANITARY SURVEY OF FOUR SCHOOLHOUSES SITUATED IN BATH
TOWNSHIP, FRANKLIN COUNTY, APRIL 8, 1907.

SHEWMAN SCHOOL, DISTRICT NO. 5.

Site. This schoolhouse is situated at country cross roads, covers about one-half acre of ground, is high and passably well drained. This is a passably good site.

Building. The building is frame, constructed fifty-one years ago, one room, foundation stone, which is broken and dilapidated in places. Roof and weatherboarding in bad condition, no basement, chimney dilapidated. Outhouses abominable in every particular; dug well, but water is not good and pump broken.

Interior.-Rooms, 30x28x14. Enrollment, 32. This gives ample cubic space for each pupil. Blackboards good, heated by stoves and ventilated by windows, floor is very bad, the plastering is cracked on the walls and on ceiling. The teacher reports prevalence of coughs, colds, headaches and eyeache.

Summary and Recommendation. This is an old, dilapidated and wornout schoolhouse, and very unsanitary. I recommend that it be condemned for school purposes and that the condemnation be dated June 1st.

After consideration of this report, the following proclamation was unanimously adopted:

PROCLAMATION.

Whereas, It has been shown to the satisfaction of the Indiana State Board of Health, in regular session at Indianapolis April 10th, 1907, that the Shewman schoolhouse, District No. 5, Bath Township, Franklin County, Indiana, is old, dilapidated, insufficiently ventilated, improperly lighted, unevenly warmed and otherwise unsanitary, so as to threaten the health and lives of the pupils, therefore it is

Ordered, That the said schoolhouse is formally condemned for school purposes and shall not be used for such purposes after June 1st, 1907.

Any school trustees, township trustee or school teacher or other person who may use said schoolhouse for school purposes after June 1st, 1907, shall be promptly prosecuted as by the statutes provided.

DUBOIS SCHOOLHOUSE, DISTRICT No. 9.

Site. The site is at the cross roads, is very low and damp. Water stands upon the grounds in wet weather, outhouses are old, dilapidated and abominable; no paths leading to them; dug well, water bad and pump broken.

Building.—The building is old, built in 1859, forty-eight years ago; one room, weatherboarding broken in places, roof very bad, sills rotten, the foundation is stone, broken and torn in places; chimney badly broken and dilapidated.

Interior. The room is 32x27x14 feet. Enrollment of pupils is 21, average attendance, 18. Ample space for the pupils. Heated by a wood stove, lighted by six windows, three on each side, with no shades. Black

boards good, floor very bad, ceiling and walls cracked in places, the plastering has fallen from the ceiling and the broken place covered with heavy paper held together by tacks. Coughs, colds and headaches prevail among the students. One student has complained of an eyeache and probably suffers from astigmatism.

Summary and Recommendation.-his is an old building, dilapidated, very unsanitary and unfit for school purposes. I recommend that the same be condemned as unfit for school purposes and that the condemnation be dated June 1st.

After consideration of the report, the following proclamation was unanimously adopted:

PROCLAMATION.

Whereas, It has been shown to the satisfaction of the Indiana State Board of Health, in regular session at Indianapolis April 10th, 1907, that the Dubois schoolhouse, District No. 9, Bath Township, Franklin County, Indiana, is old, dilapidated, insufficiently ventilated, improperly lighted, unevenly warmed and otherwise unsanitary, so as to threaten the health and lives of the pupils, therefore it is

Ordered, That the said schoolhouse is formally condemned for school purposes and shall not be used for such purposes after June 1st, 1907.

Any school trustees, township trustee or school teacher or other person who may use said schoolhouse for school purposes after June 1st, 1907, shall be promptly prosecuted as by the statutes provided.

HETRICK SCHOOL, DISTRICT No. 8.

Site. The site covers about one-half acre of ground lower than the road, is very damp and wet. In rainy weather pools of water stand upon the playgrounds. Outbuildings abominable, with no paths to them; dug well, pump broken, water has offensive taste.

Building.—The building is old, dilapidated frame, about fifty years old; stone foundation, which is broken, and in one place almost entirely removed; sills are rotten, roof is very bad and leaks, weather boarding broken in places, steps to front door broken and dilapidated, chimney badly worn.

Enroll

Interior. The interior is 28x33x44, and is heated by a stove. ment, 10; average attendance, 9; ample space for pupils. Lighted by six windows, three on each side; no window shades; wooden blackboards, floors badly worn, plastering cracked. Coughs, colds and headaches prevail among the pupils.

Summary and Recommendations.-This is an old wornout schoolhouse, and is unfit for school purposes. I recommend that it be condemned for

school purposes and that the condemnation be dated June 1st.

After consideration of the above report, the following proclamation was unanimously adopted:

PROCLAMATION.

Whereas, It has been shown to the satisfaction of the Indiana State Board of Health, in regular session at Indianapolis April 10th, 1907, that

the Hetrick schoolhouse, District No. 8, Bath Township, Franklin County, Indiana, is old, dilapidated, insufficiently ventilated improperly lighted, unevenly warmed and otherwise unsanitary, so as to threaten the health and lives of the pupils; therefore, it is

Ordered, That the said schoolhouse is formally condemned for school purposes and shall not be used for such purposes after June 1st, 1907.

Any school trustees, township trustee or school teacher or other person who may use said schoolhouse for school purposes after June 1st, 1907, shall be promptly prosecuted as by the statutes provided.

MIXERVILLE SCHOOLHOUSE, DISTRICT No. 7.

Site. Site covers about one-eighth of an acre, is high and dry and good in every respect; outbuildings are abominable, no paths leading to them; dug well, pump broken, water has a bad taste and not used.

Building.-The building is a frame, one room; stone foundation, which is broken and torn; weatherboarding broken, roof bad, chimney in passable condition. Building is fifty-one years old and dilapidated, steps old and broken.

Interior. The interior is 27x33x14. Enrollment, 24; average attendance, 22. Floors very bad, patched and broken in places; lighted by seven windows, four of them having shades and three without shades; plastering is cracked and broken in places; blackboards painted on walls, but some are slate. The children have coughs, colds, headaches and eyeache.

Summary and Recommendations.-This is an old, dilapidated schoolhouse, and unfit for school purposes. I recommend that it be condemned for school purposes and that the condemnation be dated June 1st.

After consideration of the above report, the following proclamation was unanimously adopted:

PROCLAMATION.

Whereas, It has been shown to the satisfaction of the Indiana State Board of Health, in regular session at Indianapolis April 10th, 1907, that the Mixerville schoolhouse, District No. 7, Bath Township, Franklin County, Indiana, is old, dilapidated, insufficiently ventilated, improperly lighted, unevenly warmed and otherwise unsanitary, so as to threaten the health and lives of the pupils, therefore it is

Ordered, That the said schoolhouse is formally condemned for school purposes and shall not be used for such purposes after June 1st, 1907.

Any school trustees, township trustee or school teacher or other person who may use said schoolhouse for school purposes after June 1st, 1907, · shall be promptly prosecuted as by the statutes provided.

The following report, by Dr. Knabe, was read and ordered spread of record:

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REPORT OF THE INVESTIGATION OF AN EPIDEMIC AT YOUNG AMERICA, IND.

By Dr. Helene Knabe.

By order of Dr. J. N. Hurty, secretary of the State Board of Health, the undersigned, on February 28th, went to Young America, Indiana, to investigate what was claimed to be a wholesale infection of malaria. There some difference of opinion among the physicians, and Dr. G. D. Marshall had asked for the aid of the State Board of Health in order to clear up the matter.

was

Arriving at Young America, I attempted to consult with the physicians, of whom there are three in the town, but was unable to gain any information as to the situation; instead, was met in one case with discourtesy. As a consequence, my observations were limited to the patients of one physician.

In regard to the beginning of this trouble, I ascertained the following: Cases of malaria were frequently diagnosed by the three physicians during the fall season of last year, though only Dr. Marshall, being in possession of a microscope, tried to confirm this diagnosis by the examination of fresh blood in which he found what he considered to be plasmodium malariae. The cases improved rapidly under antiperiodic treatment, followed by the usual tonics for post-malarial anemia, and nothing further was thought of it.

With the advance of the winter season, there still continued to occur some cases in which the symptoms resembled closely those seen in the fall, and as Dr. Marshall found the conditions in the blood of those patients the same as present in the previous cases, he saw no occasion to change either his diagnosis or treatment. The other two physicians made a diagnosis of la grippe. As far as I was able to judge by an interrogation of patients who were ill during October and November, they had practically the same symptoms as those which developed the disease during my stay at Young America.

Symptoms in severe cases of this kind are as follows: The onset is usually sudden, sometimes preceded by a short period of general malaise; the patient is seized with an attack of vertigo, blindness and nausea. Many cases present history of prolonged vomiting, and those most severe were accompanied by profuse watery diarrhoea and great prostration, bordering on collapse. Pain in the epigastric region is present in all severe cases. A few cases gave a history of bloody stools. Liver and spleen were very tender to pressure; backache pronounced only in such cases where the prominent feature of the disease was neuritis. The temperature was, as a rule, subnormal, very few cases showing fever of 103° to 105° at the beginning. Distinct rigors were rare. Patients complained of chilly sensations, rapidly becoming very weak and showing more or less cyanosis, presenting in a few hours the aspect of a very severe ill

ness.

A peculiar feature in these cases was the extreme bradycardia. The pulse ranged from 52 to 60 per minute, and very few cases did I see with a pulse rate of 110 to 112.

The blood pressure was universally low. The temperature was mostly [6-17549]

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