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daily calls at the rate of one dollar a visit. Compute the undertaker's bills and funeral expenses at the rate of $50 per death.

Close this lesson with the thought that four-fifths, perhaps, of all this can and ought to be prevented, and will be prevented when all have learned to practice the rules of sanitary science. It would do no harm to turn this lesson into one on social science and enforce the truth that one of the great factors, if not the greatest, which produces poverty and distress in this country is disease, with its loss of productive labor and its great debt which must be paid to the physician and the undertaker.

Lessons 7 to 13, inclusive, may be detailed studies of each of the leading communicable diseases. One disease should be studied at a time, the facts being gathered from the special circulars prepared and sent out by the state board of health. These may be enlarged upon by researches in any authorities which may be accessible. When several have been studied, or during the course of these lessons, constant comparisons should be made of these diseases with each other, noting their likenesses and differences.

These lessons should cover the questions of the specific causes of the disease, part of the body affected, premonitory symptoms, period of incubation, mode of spread, and methods of prevention. In this way consumption, diphtheria, typhoid fever, measles, whooping-cough, and smallpox should be carefully studied.

In connection with the study of typhoid fever the question of water supply may receive attention, especially the relation which the well sustains to the receptacles for infected excreta and the method by which the typhoid germs make their circuitous, but certain way, from the body of the sick to that of the healthy person.

HARVARD COLLEGE LIBRARY

APR 20 1899

TEACHERS' SANITARY BULLETIN.

PUBLISHED MONTHLY BY THE STATE BOARD OF HEALTH, LANSING, MICHIGAN.

[Entered as second-class matter at the postoffice at Lansing, Michigan.]

(THIS BULLETIN SHOULD BE PRESERVED FOR BINDING WITH Other numbers. IF PRESERVED, THE SERIES WILL EVENTUALLY FORM USEFUL BOOKS CONTAINING SANITARY KNOWLEDGE, AND SUPPLYING IMPORTANT AID IN TEACHING HOW THE MOST DANGEROUS DISEASES ARE SPREAD AND HOW THEY MAY BE RESTRICTED.)

[254]

Vol. 1.

AUGUST, 1898.

No. 5.

Notice to Teachers.-The State Board of Health desires to have the name and postoffice address of every teacher in Michigan, to make it possible to send to every teacher the "Data and statements" which the State Board of Health is required to supply in order to enable teachers to comply with act 146, laws of 1895. Information of the name and address of a teacher who does not receive these Bulletins will be thankfully received. If you change your address please give notice to the State Board of Health.

Act 146 laws of 1895 is fulfilled when the teacher has given oral and blackboard instruction using the "Data and Statements" supplied by the State Board of Health in its leaflet entitled "Dangerous Communicable Diseases, How Spread, How Restricted ond l'revented," being leaflet No. [226], issued by the State Board of Health. Until displaced by the State Board of Health, this leaflet must be used in every public school in Michigan, in every

year.

The Teachers' Sanitary Bulletins are sent to teachers in order to supply them with information which will enable many of them to supplement, to a very important extent, the very brief" Data and Statements," required to be taught in every school.

THE STATE BOARD OF HEALTH

AND

A QUARTER CENTURY OF PUBLIC-HEALTH WORK IN

MICHIGAN

BY THEO. R. MACCLURE, CHIEF CLERK STATE BOARD OF

HEALTH OFFICE, LANSING, MICHIGAN.

46

TEACHERS' SANITARY BULLETIN, AUGUST, 1898.

"Hygiene aims at rendering growth more perfect, life more vigorous, decay less rapid, death more remote." Edmund A. Parkes, M. D., F. R. S.

"Every individual shall be taught to become the intelligent custodian of his own health.” Sir James Coxe.

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HENRY B. BAKER, M. D., Secretary and Executive Officer, Lansing.

Preface to this Bulletin.

Having been connected with the office of the State Board of Health for nearly a decade, having observed during that period the unselfish, faithful and philanthropic work of its members, and having noted with interest the advanced stand it has taken on subjects bearing directly and indirectly upon public-health work, in a letter dated Sept. 15, 1896, I respectfully requested that the Board grant me permission to compile a record of the labors and achievements of the Michigan State Board of Health which should include brief sketches of its members from the time of its organization. At a meeting of the Board held January 8, 1897, it was voted that this request be granted. Therefore I have prepared the following pages which are intended to exhibit "A Quarter Century of Public-Health Work in Michigan" and respectfully dedicate them to the president, secretary, members and ex-members of the Michigan State Board of Health.

Lansing, Michigan,

July, 1898.

THEO. R. MACCLURE.

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