Papers ox Medicixe. Pcblic Health axd Saxitatiox 85 



1. It is your duty to stojD careless spitting. Public 

 sentiment against this dirty habit must become so strong 

 that nowhere ^\t.11 it be tolerated. 



2. Do all in your power to keep the place in which 

 you live and work absolutely clean, and especially to 

 prevent dust. 



3. Insist upon fresh air and sunlight at all times and 

 in all places ; become a fanatic on the subject. Fresh-air 

 fanatics are very badly needed. They are especially 

 needed on railroad trains, in dra^Wng rooms, in many 

 ofl&ces, and, alas, not only in many theatres but also in 

 many lodges, clubs and churches. 



4. Xever occupy a new home until it has been thor- 

 oughly cleaned and aired. Prefer places that have expos- 

 ure to sunlight. 



5. It is almost superfluous to add, keep clean in body 

 and mind, be moderate in all things; eat only plam, 

 wholesome food; drink and smoke in moderation or not 

 at all. It is best to abstain entirely. 



6. Last of all, everything that you can do to make life 

 healthier and happier helps to avoid tuberculosis — better 

 wages, better working hours, better food at lower prices, 

 playgrounds for children and adults, better factories, 

 schools, homes and work places. We can do no better 

 than try to live healthy, happy and useful lives, and to 

 assume a strict personal responsibility, as is our civic 

 duty in a republic, to see to it that opportunities for these 

 things are available to all the people, but especially to 

 those less fortunate in life than ourselves. 



A STATISTICAL STUDY OF INFLUENZA IX ILLI- 

 NOIS, FISCAL YEAR, JULY 1, 1918-JUXE 30, 1919 



Hexry Bixby Hemexway. Division of Vital Statistics, 



Speixgfield 



In the year 1918 the death in the L'^nited States was the 

 highest in the experience of the Census Bureau. It was 

 18 per thousand. The preceding year the rate for the 

 comitry was 14.2. A study of the statistics showed that 

 the excess mortality was practically confined to the last 



