The best guarantee against such loss, the best protection of health, and the most essential element of vital statistics is prompt, complete record of cases of sickness. Statistics of sickness are confined to sickness from transmissible diseases, because we have not yet arrived at the point where we recognize the state's right to require information, except when the sick person is a menace to the health of other persons.

The annual report of a board of health should give as clear a picture of a community's health during the past week or past quarter as the ergograph gives of the pupils mentioned on page 126. As ragged, rapidly shortening lines show nervousness and depleted vitality, so charts and diagrams can be made to show the needless waste of infant life during the summer months, the price paid for bad ventilation in winter time, when closed windows cause the sickness-and-death line from diphtheria and scarlet fever to shoot up from the summer level. In cities it is now customary for health boards to report weekly the number of deaths from transmissible diseases. Health officers will gladly furnish facts as to cases of sickness, if citizens request them. Newspapers will gladly publish such information if any one will take the pains to supply it. Wherever newspapers have published this information, it quickly takes its place with the weather reports among the news necessities. Marked changes are commented on editorially. Children can easily be interested, as can adults, in filling out week by week a table that will show increases and decreases in preventable sickness due to transmissible diseases.

Table X

Cases of Infectious and Contagious Diseases Reported

  WEEK ENDING
Oct. 26 Nov. 2 Nov. 9 Nov. 16 Nov. 23 Nov. 30 Dec. 7 Dec. 14 Dec. 21 Dec. 28 Jan. 4 Jan. 11 Jan. 18
Tuberculosis pulmonalis 350 350 317 364 345 337 422 360 354 308 344 432 402
Diphtheria and croup 313 264 283 331 282 343 326 369 338 347 308 370 406
Measles 142 212 203 261 293 323 472 471 517 346 581 691 803
Scarlet fever 208 228 231 252 278 323 372 397 417 426 478 562 585
Smallpox 1 1 2 4 3 2 2
Varicella 40 83 91 162 136 115 167 160 198 123 98 199 169
Typhoid fever 106 105 107 123 86 77 71 62 35 42 37 55 36
Whooping cough 6 13 15 14 27 9 8 12 19 3 25 24 14
Cerebro-spinal meningitis 6 11 3 4 4 8 15 13 7 6 11 16 13
Total 1171 1267 1250 1512 1451 1535 1855 1844 1888 1603 1882 2351 2428