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TWENTY-EIGHTH ANNUAL REPORT

OF THE

State Board of Health

OF INDIANA

FOR THE

Fiscal and Board Year ending September 30, 1909
Statistical Year ending December 31, 1909

TO THE GOVERNOR

INDIANAPOLIS :

WM. B. BURFORD, CONTRACTOR FOR STATE PRINTING AND BINDING

1910

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THE STATE OF INDIANA.
EXECUTIVE DEPARTMENT,

November 30, 1909.

Received by the Governor, examined and referred to the Auditor of State for verification of the financial statement.

OFFICE OF AUDITOR OF STATE,

INDIANAPOLIS, December 10, 1909.

The within report, so far as the same relates to moneys drawn from the State Treasury, has been examined and found correct.

JOHN C. BILLHEIMER,

Auditor of State.

December 11, 1909.

Returned by the Auditor of State, with above certificate, and transmitted to Secretary of State for publication, upon the order of the Board of Commissioners of Public Printing and Binding.

MARK THISTLETHWAITE,

Secretary to the Governor.

Filed in the office of the Secretary of State of the State of Indiana. December 28, 1909.

FRED SIMS,
Secretary of State.

Received the within report and delivered to the printer December

28, 1909.

A. E. BUTLER,

Clerk Printing Board.

LETTER OF TRANSMITTAL.

INDIANAPOLIS, November 30, 1909.

HON. THOMAS R. MARSHALL, Governor of Indiana:

Sir I have the honor to present herewith the report of the State Board of Health for the fiscal and Board year, ending September 30, 1909. The law says: "They (State Board of Health) shall annually, on or before the first day of December, make a report to the Governor of their transactions and expenditures for the year ending September 30th next preceding, with such suggestions with regard to legislation as they may deem important in reference to the public health."

The Vital Statistics Law commands: "The State Board of Health shall make an annual report of all vital statistics for each calendar year to the Governor, the same to be published with their report of transactions and expenditures for the fiscal year by the commissioners of the public printing and stationery."

It is obviously impossible to furnish the vital statistics for the calendar year at this time, for the year is not ended. Even when the year is ended, December 31st, it will take at least three months, and very likely four months (with our present office force, which is hardly sufficient to carry on the ordinary daily work of the office), to classify, tabulate and analyze the thousands of deaths and births which have been reported to this office. It will be necessary, therefore, to hold the manuscript herewith submitted, or it may be printed, and the statistical report, when ready, can be printed and bound with it.

We interpret the command of the law, "report of transactions," to mean that we shall give a complete account of the work of the Board, as appears in the minutes, but eliminating from said minutes such proceedings as pertain to mere routine affairs which must occur from month to month.

I am sir, with highest respect,

Very respectfully,

J. N. HURTY,

(4)

Secretary.

THIRTY-EIGHTH ANNUAL REPORT

HON. THOMAS R. MARSHALL, Governor of Indiana:

Sir The Indiana State Board of Health, in accordance with

the law, has the honor to present herewith its Thirty-eighth Annual

Report.

Vital statistics may be called the bookkeeping of humanity, for
they deal with birth and death, the two most important events of all
lives. They constitute the foundation of all public health work,
guiding the sanitarian, measuring his progress and supplying the
latitude and longitude of society from the life standpoint.

It is believed that the vital statistics collected for the calendar
year are more correct than ever before. Our death records are cer-
tainly within one or one and a half per cent. of being perfect, as de-
termined by a system of checking used by the United States Census
Bureau; and the births are within ten per cent. It is to be said
that a more perfect collection of births is impossible under the pres-
ent law, because it gives physicians and midwives twenty days in

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