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and deaths must be carefully made. In every intelligent community there are now those who are studying the laws and conditions of health, and who are availing themselves of the reports and circulars of this Board and of other sources of information. If local Boards fail to recognize of how much service they can be, it will not be the fault of the State, or because of the need of more health laws on the statute books. We ask of all Boards that they be thoroughly alive to the duty and privilege of aiding in the securement of health and the prevention of the avoidable causes of disease. We hope to have for the present year some Special Sanitary District Inspectors who will be sent to aid local Boards and Inspectors when desired. Examine carefully enclosed slips of important laws just passed.

E. M. HUNT,

Secretary.

P. S.-If in any township the Board of Health, as required by the law, has not met, the assessor will, on receipt of this, please send us postal containing name and P. O. address of the members of the township committee.

CIRCULAR LII.

SANITARY INSPECTION OF HOUSE AND PREMISES.

INSTRUCTIONS FOR FILLING OUT RETURN.

Number the Inspection Returns consecutively in the space No......, at head of each blank.

In entry No. 1 describe the location by street and number, or otherwise, so that it cannot be mistaken.

No. 2. Give the full name of the owner or owners, or tenant.

No. 3. Give the aggregate area of all out-houses, sheds, privies, stables, etc., and indicate their positions on the Plan of the Premises. (See back of the blank.)

No. 4. If the site of house is above level of adjoining land, strike out the words "same as" and "below;" if the same, strike out "above" and "below;" if below, strike out the other words. Write in the proper word before the entry "drained before building "-not or tile, as the case may be. State character of soil-gravel, sand, clay, loam, etc.; wet, damp or dry. If made ground, state character of

filling. Also, state whether the site was originally springy, swampy, old water-course, dry ravine, pond, and how roof-water is disposed of.

No. 5. State as to mode of heating and ventilation—painted or papered walls. If school, assembly rooms or tenement, state as to fireescape.

No. 6. State whether yard is paved-drained-clean—amount and kind of garbage, filth, animals, etc.

No. 7. Describe ventilation and lighting of cellar or basement. State whether occupied for living purposes-dry or damp, or at times water in it—for what used-note condition and kind of articles stored, and kind and amount of refuse, filth, etc. Condition of rooms in house. No. 8. Note condition of sinks-odor-leakage-traps-waste-pipes. Of drains-covered-open-foul-clogged-unventilated. Of cesspools-construction-covered-leaky-full-overflowing.

No. 9. As to vault, note construction-leaky-offensive—too full. As to water-closet-state whether pan, plunger, hopper or washout, or other-traps-ventilation of soil-pipe-ventilation of room.

No. 10. State whether water used for drinking and cooking is cistern, well or hydrant-hard or soft-its general character-whether sickness has ever been attributed to it—what probable source of pollution, if any exists.

No. 11. If more than one family of occupants, letter each. Example: (a) James Guire, (b) ; and gives names of

head or on memorandum.

(c)

(d)

No. 12. Note over-crowding-occupancy of inner, unventilated rooms, cellars, etc.

Nos. 14, 15 and 16. Inquire especially concerning the following diseases: Bowel disorders, Typhoid Fever, Scarlet Fever, Small-Por, Diphtheria, Measles, Erysipelas, Consumption, Pneumonia. In No. 14 state how many cases and what diseases are found at date of inspection-adults, children and sexes specified. In No. 15 the same for the past twelve months. In No. 16 specify the causes of any deaths during the past twelve months-giving ages and sexes.

No. 17. Mention any conditions which are Nuisances, either public or private on the premises or adjoining, in street, gutter, sewer. Make suggestions as to the important sanitary defects and their remedy. If more space is needed for remarks, use a memorandum marked same number as Return, with street and house number also. State facts plainly but never exaggerate.

See diagram "Plan of Premises," with explanation.

[blocks in formation]

3.

Size of lot; 25 ft. by 100 ft.; area of lot 2,500 sq. ft.; covered by house 1,250 sq. ft.; by out-houses 200 sq. ft.

4. Site of house: Level same as

adjoining land. Not drained before build

ing. Soil, 2 ft. rubbish and clay. Damp. Part of roof-water runs off by leaders on the ground.

5. Heating and ventilation:

No Fire-escape.

6.

Yard: Plank walks to out-buildings.
near stable and pig.pen.

7.

Often wet.

Garbage and manure heap Animals: 1 horse, 1 cow, 2 pigs, poultry.

Age of house: 20 years; Material: Wood on brick foundation. Basement or Cellar: Both. 2 living rooms. No. of stories: 3. Light and ventilation by 4 windows, front and rear. No drainage. Vegetables in one corner. Air stagnant. Not cemented and very damp.

Cesspool

8.

9.

}

Sink-Drain : Kitchen sink not trapped-connects by unventilated pipe with
covered cesspool, brick laid so as to leak. Cesspool overflows by open drain to
alley. No disconnection by air vent. A drain runs to privy vault.

Privy vault:
Cleaned 2 years since. Too near the well.

} Wooden box-no bottom-very offensive.

40 feet from well.

Too near privy

10. Water-supply: Well-water. Cistern in cellar for laundry use.

[blocks in formation]

12.

}

13.

Adults, 3. White, 9.

occupants: Children, 8. Colored, 2. No. Native, 7. Foreign, 4.

Vaccinal status: Adults vaccinated, 2; not vaccinated, 1; Children vaccinated, 6; not vaccinated, 2; Had small-pox: Adults, 1.

14. Sickness now: 1 Child. Cholera infantum. 2 years old.

15.

16.

Sickness during

past twelve months: 2 Children, dysentery. 1 Adult, typhoid fever. United length of time: 2 months. (Much sickness in same house previous years.)

Deaths during past twelve months:

:}

1 Child, dysentery. 1 Adult, typhoid fever.

17. Nuisances and suggestions. (See Memorandum and Diagram attached as to 4, 5, 6, 7, 8, 9, 10, 11, 13, 15, 17.)

Place

and Date:} Atlas, April 4th, 1885.

Robert Jones, Inspector.

Sample in Accord with Inspection Return No. 1.

EXPLANATION.

The spaces in the diagram represent areas of five feet square, or a total area of 20,000 square feet-the dimensions of the block being 100 feet by 200 feet.

Taking the bottom line for the front of the lot, indicate by a pencil line the size and shape of the lot-leaving a margin on each side if there be room.

Next, outline the size and location of the house and other buildings. Then indicate by letters the location of the well (by W), cistern (by C), privy (by P), cesspool (by Cp), garbage (by G), stable by St), pig-pen (by Pp).

Also the course of drain or pipe from the house by a dotted line with the letter (d) at the waste pipe of dotted middle if it is a Drain to cesspool, or by the letter S if it be to a Sewer.

Strike out the unnecessary points of the compass. Example: if the house fronts North, strike out E. S. W., or if northwest, strike E. and S.

On either side of the outline of the lot indicate location of adjoining buildings, wells, privies, etc., so far as there may be room.

If necessary, the proportions of this Diagram may be increased by estimating the area of each space at ten feet square. If this be done, note the fact.

Part of the Diagram may also be used to show size of rooms, ventilating, heatingetc., if the lettering is explained.

NOTE. Keep all these sheets as permanent records filed for reference.

OUTLINE ON WHICH TO MARK PLAN OF PREMISES.

South Street.

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