Annual report of the Georgia State Board of Health for 1922 [1923]

ANNUAL REPORT
OF THE
GEORGIA STATE BOARD OF HEALTH
FOR 1922 ATLANTA, GA.
BYRD PRINTING CO., ATLA.l'iTA, CA. 1923

ANNUAL REPORT
OF THE
GEORGIA .STATE- BOARD OF HEALTH
FOR 1922 ATLANTA, GA.
BYRD PRINTING CO., ATLANTA, GA. 1923

STATE BOARD OF HEALTH
W. H. Doughty, Jr., M.D., President ................ Augusta James H. McDuffie, M.D., Vice-President ........... Columbus Chas. H. Richardson, Jr., M.D........................ Macon Arthur D. Little, M.D .......................... Thomasville John W. Daniel, M.D............................. Savannah W. I. Hailey, M.D ................................. Hartwell Fred D. Patterson, M.D........................... Cuthbert Robert F. Maddox ................................. Atlanta A. C. Shamblin, M.D ................................. Rome J. L. Walker, M.D................................ Waycross M. S. Brown, M.D.............................. Fort Valley J. C. Verner, M.D............................... Commerce :M. M. Parks, State Superintendent of Schools, ex-
officio ........................................ Atlanta Peter F. Bahnsen, State Veterinarian, ex-officio ...... Atlanta T. F. Abercrombie, M.D., Secretary, ex-officio ......... Atlanta

STATE HEALTH DEPARTMENT '1'. :F'. Abercrombie, M.D., Commissioner of Health Joe P. Bowdoin, M.D., Deputy Commissioner of Health, and
Director, Division of Venereal Disease Control T. F. Sellers, Director, Division of Laboratories H. C. W oodfall, Director, Division of Sanitary Engineering
and Water Analysis W. A. Davis, M.D., Director, Bureau of Vital Statistics Alice Moses, M.D., Director, Division of Child Hygiene C. E. Waller, M.D., Director, Division of County Health Work Edson W. Glidden, M.D., Superintendent, State Tuberculosis
Sanatorium Geo. H. Preston, M.D., Superintendent, Georgia Training
School for Mental Defectives
3

Letter of Transmittal
Atlanta, Georgia, January 24, 1923. To His Excellency,
The Governor of Georgia. Dear Sir:
I have the honor to transmit, through you, to the General Assembly, the nineteenth annual report of the State Board of Health for the year ending December 31, 1922.
The reports of the State Tuberculosis Sanatorium, at Alto, and the Georgia Training School for Mental Defectives, ~t Gracewood, will be transmitted separately.
Very respectfully; T. F. ABERCROMBIE,
Secretary.
4

DIVISION OF LABORATORIES

The following table gives a summary of the examinations

made in the laboratory during the year ending December 31,

1922:

Positive Negative

Total

BACTERIOLOGICAL LABORATORY

Sputum examinations for tuberculosis .. 471 1,896

2,367

Throat swabs for diphtheria . . . . . . . . . . . 722 2,163

2,885

Widal tests for typhoid. . . . . . . . . . . . . . . . 298

7 40

1,038

Blood cultures for typhoid and para-

typhoid . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

61

80

Stools and urine cultures for typhoid

dysentery group . . . . . . . . . . . . . . . . . . . . . 4

32

36

Pus smears for gonococci . . . . . . . . . . . . . . 200

379

579

Blood smears for malaria............... 98 1,365

1,463

Feces for intestinal parasites ........... 1,033 1,731

2,764

Animal brains for rabies. . . . . . . . . . . . . . . 487

659

78* 1,224

Miscellaneous examinations .......... .

199

199

Total examinations made in Bacteriological Laboratory ........................ 3,332

9,026

277 12~635

SEROLOGICAL LABORATORY Blood specimens for Wassermann test .... 3,147 11,574

26t 57:j: 14,804

WATER ANALYSIS LABORATORY
Water samples for: Bacteriological Analysis ........... . Chemical Analysis ................. .

3,106 134

3,240

Total Laboratory Examinations ........ 6,479 20,600 3,600 30,679

*Too decomposed for examination. tDoubtful. :!:Anticomplementary.

The following table compares the growth of our laboratory

work during the past five years:

1918 Bacteriological examinations ....................5,050 Wassermann tests 0 789 Water analyses 0 346

1919
11,469 6,307
537

1920
ll,862 9,541 1,017

1921
13,767 12,931
2,834

1922
12,635 14,804
3,2_40

6,185 18,313 22,420 29,532 30,679

5

Diphtheria

While diphtheria 'during 1922 has been prevalent as usual, there were no severe outbreaks. Of the 2,885 cultures examined, 1,228 were for diagnosis (372 positive), 643 for release from quarantine, 1,007 for detection of carriers, and 7 for virulence test.
Intestinal Parasites Of the 2,764 specimens examined for intestinal parasites, 947 were positive for hookworm, Taenia nana 67, Oxyuris incognita 3, Ascaris lumbricoides 10, Taenia saginata 4, Trichuris trichiura 3, Oxyuris vermicularis 10, Taenia diminuta 2. Double Infection. Taenia nana and hookworm 17, Oxyuris incognita and hookworm 2, Ascaris and hookworm 4, Oxyuris vermicularis and hookworm 3, Trichuris and hookworm 2, Oxyuris vermicularis and Taenia nana 1. Triple Infection. Hookworm, Ascaris and Trichuris 1. Taenia diminuta. The ova of this very rare tapeworm were found in two cases, and in one of these cases the physician Sll<'ceeded in recovering the adult worm.

Miscellaneous Examinations

Cultures 43; urines 49; virulence test for diphtheria 3; pus

28; Vincent's angina 11; animal inoculations 2; dark fields 5;

meningitis 7; counts 15; organisms 17; unclassified 19; total

199.

Rabies

1918 Number of heads examined ......... 472 Number positive for rabies .......... 260 Percentage positive ............... 55.1

1919 485 222 45.8

1920 565 289. 51.1

1921 76i 403 52.5

HI:!:! 1:.!24*
4Ri 42.5

*78 too decomposed for examination.
A comparison with 1921 shows a large increase in the number of dog heads submitted. The number of positive findings increased also, but not to such a great extent. The total increase is probably due to an epidemic among dogs; the case symptoms of which simulated rabies somewhat, at least from the layman's viewpoint; a study of hundreds of heads from such cases, however, failed to show any evidence of rabies. Following IS a classification of rabies examinations according to animals:

6

Positive

Dog heads .............. 451

Cat heads 0

21

Cow heads

0

ll

Mule heads ............. 2

Hog heads 0 0

Rabbit heads 0

0

Goat heads .............. 0

Rat heads 0

0

Squirrel heads ........... 0

Horse heads ............. 0

Deer heads .............. 1

Total

0

487

'foo drcompoEed Negative for examination

558

7l

67

5

21

1

3

0

5

1

1

0

0

1

0

1

0

1

0

0

0

Iota I
1080 93 33 5 7 1 1 1 1 1 1

659

78

1224

Rabies among dogs is still increasing, and it is imperative

that some control measures ue consistently put into operation.

Experience has proved that muzzling 1s impractical and inef-

fective, except where it is enforced extensively in munici-

palities. However, muzzling ordinances have been instituted in

Savannah, Macon, Atlanta, Columbus, and other Georgia cities

and towns with wry uncrrtain results.

The. use of P"cJphylactic vaccination seems to offer a possible solution to the prot\] em. Several s~ ates have recently begun to
employ it, bul c;;uHicient time has not elapsed to determine its effectiveness. The vaccine is inexpensive and easily administered, one injection being sufficient to protect an animal for at least one y0ar, prohabl l two. If it were possible to vaccinate
every dog in Grorgia. tr' existing infection would die out for
lack oi susceptible material, and we would be troubled only with
sporadic cases imported from other states.

Pasteur treatment was furnished for 2,476 human patients during 1922, and only one case of rabies developed, as compared with five deaths after treatment in 1921, and three in 1920. During 1922 two cases of rabies were reported in which Pasteur treatment was not adminis~ered. The following table shows the distribution of Pasteur treatment during the past

four years:

Human

Year

Patients

1919 ................. 1,399

1920 ................. 1,461

1921 ........... 2,147

1922 ................ 2,476

.Animals 407 501 675 296

Total 1,806 1,952 2,822 2,772

Human dea~hs after treatment
0 3 5

Typhoid Vaccine
Number c. c. plain typhoid vaccine distributed . . . . . . . . . . . . . . . . . . 157,007 Number c. c. mixed typhoid vaccine distributed.................. 37,562

Total for 1922 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 194,569
The demand for typhoid vaccine was not as great in 1922 as in 1921. In accounting for this decrease there are two factors to be consi~ered, first, the incidence of typhoid in 1922 was approximately ten per cent less than in 1921, the demand for vaccine being directly influenced by the relative number of cases, and, second, economic conditions did not permit as much typhoid propaganda work by health officers and physicians as was done in 1921. The distribution of typhoid vaccine during the past five years has been as follows: 1918, 120,000 c.c; 1919, 181,000 c.c.; 1920, 109,335 c.c.; 1921, 271,035 c.c.; 1922, 194,569 c.c.
Diphtheria Antitoxin
Number of units distributed during year 1922 . . . . . . . . . . . . . . . . 45,948,000 Number of units distributed during year 1921 ................ 45,304,000 Number of units distributed during year 1920 ................ 28,960,000 Number of units distributed during year 1919 ................ 28,908,000
The demand for diphtheria antitoxin in 1922 was approximately the s~e as in 1921. This service is becoming more popular each year. The peak of demand was reached in September.
TQX.in-Antitoxin
Toxin-antitoxin is also increasing in popularity, but much educational propaganda must be done before appreciable results will be obtained. The new formula, which is only onethirtieth as toxic as the old, produces very much less reaction on the patient, and this fact should remove one rather serious handicap in instituting its use.

8

Schick Test
Owing to the difficulty in carrying out a preliminary Schick test for determining diphtheria susceptibles, we have adopted the policy of advising toxin-antitoxin without the Schick for all children under eight years of age. The majority of children between six months and six or eight years are susceptible, and by advising toxin-antitoxin for all between these ages, much time and labor can be saved. The percentage of susceptibles among those above eight years is small enough to warrant a Schick test.
To illustrate: Out of 93 children between the ages of eight and eighteen Schicked at Crawfordville, 22, or 23.6 per cent, were positive. This means that the remaining 71 are not susceptible to diphtheria and do not need immunization.
DIVISION OF COUNTY HEALTH WORK The activities of this d,ivision during the year 1922 consisted largely in the supervision of work carried on in the several counties having full-time health departments, organized under the provisions of the Ellis Health Law, and in promoting the extension of full-time health service to other counties. As in the previous year, material assistance was given to the State Board of Health in the maintenance of the division by the International Health Board, Rockefeller Foundation, which contributed fifty per cent of the amount required for central administration. While not as much progress was made as was hoped for in the extension of the work during the year, it is significant that, in face of the unusual economic conditions which existed throughout the State, no loss was sustained in the number of counties operating full-time health departments under the Ellis Health Law. Two counties-Brooks and Worth-suspended operation, but this loss was made up through the organization of two new counties-Mitchell and Richmond. Though the budgets in the majority of counties were small, the personnel being limited to one or two workers in most instances, the results, taken as a whole, were very gratifying, and indicate what might be accomplished with more adequate financial support and larger working forces.
9

The following table gives a comparison of the work done in the counties which were operating under the direction of fulltime health officers at the close of the year, with the exception ~~ RichmotJ.d County, in which the organization had not been completed. The table also shows the cost of the work in each county, and summarizes the results accomplished in comparison with the total cost in the 17 counties which were operating on December 31, 1922.
It is believed that in the organization of local health work on a full-time basis lies the only effective means of affording actual health protection for the individual. Under present conditions the unincorporated sections of counties in the State not operating under the Ellis Health Law are virtually without any health protection whatever, except such as may be afforded by the State Board of Health. Within these counties is situated approximately eighty per cent of the rurltl population of the entire State. If our losses from preventable diseases, amounting to thousands of lives and hundreds of thousands of dollars a year, are to be curtailed, something must be done to further the extension of intensive health work to the counties of the State now without provision for the protection of the public halth and conservation of human life.
It is believed that success in extending the present program to a larger number of counties depends largely upon the securing of a State subsidy, to be used for the purpose of aiding local communities in the organization of the necessary machinery for the operation of full-time health service, and it is hoped thnt necessary provision will be made for such aid during the current year.
10

SUMMARY OF COUNTY HEALTH WORK.
January 1st to December 31st, 1922. General Activities.

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Baldwin ______ lli 3,600.00 12 5C 42 17 2,338 442 556 2,192 744 37 19 67 1,343 1,369 40

Bartow _______ . 4,000.00 12 227 2,353 21 3,097 176 56 10,683 224 0 10:' 22E 4,860 5,413 45

..............

Clarke ________ . Cobb __________ _

8,700.00 12 147 182 25 21,936 388 601 4,620 1,285 0 604 5, 723 2,178 2,487 500 4,800.00 12 69 806 35 2,265 1,373 85 6,390 1,869 0 15 1E 2,302 2,942 428

Decatur ______ _ Dougherty ___ _

5,500.00 12 98 691 57 6,660 485 2,921 6,352 349 2771 E 10,944 2,319 1,995 236
9,300.00 12 5f 1,060 62 5,172 770 22 819 1,304 c 281 2,588 3,786 1,511 818

Floyd _________ _ 7,372.00 12 6' 1 ,,()12 32 7,210 493 200 2,556 746 12 48 1, 699 3,9i:O 1,452 991

Fulton ________ _ 9,434.59 12 f4

00

0

0

1 60 1,054 0 126 3,872 1,020 1,500 48

Glynn _______ _ HalL ________ _

17,860.00 12 3f 3,514 14,' 996 225 946 226 996 101 1 1, 779 1,624 871 476 4,150.00 12 171 1,295 31 3,87lS 608 516 4,952 4,026 88 111 5,910 2,914 3,856 606

Laurens ______ _ 4,200.00 12 224 4,25C 174 6,29C 472 764 3,108 1,310 600 157 546 3,398 1,885 324

Lowndes ______ _ 6,300.00 12 1:? 1,85( 19 10,04C 430 214 3,005 1,201 477 (' 9,892 2,202 3,068 353

Mitchell _______ _ 4,200.00 12 34 1,017 22 11,701 48C 60E 9,352 123 310 9( 282 2,054 448 310

Richmond _____ ,___________ ,___ ,__

221,000 60,000 35,000 920,000
235,000 87,000 788,000
0 150,000 444,000 39,000 807,000
0

Sumter _______ _ Thomas _______ _ Troup ________ _ VValker ________ _

1,800.0C 4,000.0C 8,550.0( 6,740.0C

11221 76f 11,,05808011124 12 14" 1,232 3r 12 1~7 1,333 29

3, 7211 685 51 214
18,252 1,314 673 6('

11261 2,364615

3298431 021

651

2,336813

3,645 1,466

1,2201247 2,344 139

532 17,322 1, 734 687 15f 331 4,313 2,836 711

104 2,951 39 C 17C 2, 106 2, 788 2, 389 0

20,000 30,000 660,000 322,000

Totals ______ l!!i 110,506 .591204I16E9I23,227I595I1o4,3391--8.61818.154177~5wll7 ,mnl5o85ilf!02148, 729149.162137,586162721 4,818,000

TRACHOMA CLINIC, MITCHELL COUNTY, GEORGIA, NOVEMBER 14, 1921-APRIL 1, 1922
By Surgeon John McMullen, U. S. P. H. S.
At the request of the State Health Officer of Georgia, an investigation of trachoma was instituted in Mitchell County, South Georgia, in September 1921.
Dr. Irwin, of Albany, had for some time past been receiving from Mitchell County, patients that he believed to be suffering from true trachoma. Since the patients lived at some distance and did not co-operate with the doctor, the treatment was more or less unsatisfactory. He reported this to the local health authorities and suggested that the Public Health Service be requested to determine the real nature of these cases. The result was the request from the State Health Officer, Dr. T. F. Abercrombie, for an investigation.
In September 1921, therefore, I arrived in Camilla, the county seat of Mitchell. The county school superintendent furnished transportation, and one of the trachoma cases, an ex-soldier, acted as guide for my visit in the rural districts.
The infection was thought to be most general in the southwestern portion of the county, and the investigation was accordingly commenced there. The actual survey in the county occupied only one day, September 15, 1921. On this day, two schools were examined and a number of homes in that section of the county were visited. One of the schools. was very small and only a few suspicious cases were found. The other school, however, had about 130 pupils and was found to be heavily infected with trachoma. Of the homes visited, one consisted of the parents and six children-the parents about forty years of age, and the ages of the children ranging from two to eighteen years-all suffering from positive trachoma. The. mother had lost the right eye as a result of trachoma and vision in the left was reduced to counting fingers at a few feet. Practically all of the sequelae were present and the entropion and trichiasis were very marked. Another family visited consisted of :five members-all suffering from positive trachoma, with the exception of the father. The mother aged twenty-five, had had trachoma for years and was unable to care for her little
12

children on account of her eyes. Her three children suffered from well marked cases of this disease. Another family visited showed the father, aged fifty-five, to be affected with trachoma of the papillary type. The conjunctiva was markedly :P.ypertrophied; presenting the strawberry like apperance-there were P.annus, marked photophobia, and the reddened angry looking skin of the eyelids. The family of this man consisted of some six or eight children, only three of whom were at home at the time of the examination. These three were found to have positive trachoma. Other cases of trachoma were found in the various neighborhoods-a total of thirty cases being found and examined during the day. These cases left no room for doubt as to diagnosis, since the majority of them already had the sequelae of the disease, including cicatricial contraction of the conjunctiva, pannus, photophobia, etc. A subsequent examination some months later showed many more t:r:achoma cases, some of whom had lost both eyes from trachoma-others had been blinded in one eye, and a considerable number of others had had their vision greatly reduced as a result of this disease. Many of these showed the cicatricial contraction of the conjunctiva, leukoma, and other undoubted results of trachoma.
Further primary survey was deemed useless, as the first day of the investigation showed an extremely serious condition in Mitchell County, and one which demanded immediate and drastic action on the part of the local authorities. The County Commssioners and those locally interested were informed of findings of the survey. A report was made, also, both personally and in writing to Dr. ~bercrombie, in Atlanta. He was advised of the seriousness of the situation and urged to see that some action be taken by the County Commissioners without delay. There was no County Health Officer in Mitchell County at this time. In undertaking this public health work, it was believed to be most essential that the County have a full time health officer to co-operate, and this was brought to the attention of Dr. Abercrombie.
The plan outlined for the relief of the situation was a trachoma clinic-the Service to furnish a Medical Officer and two nurses, experienced in trachoma work, and the County
13

Commissioners to supply the hospital building and pay all expenses incident to the clinic. While it was impossible to give in advance any accurate estimate of the amount needed, it was suggested that the County secure the use of a building and appropriate $1000.00 as a start.
A board of local physicians was appointed by th& County Commissioners to look after the details of the dinic-Drs. Lewis and Spence, of Camilla, and Dr. Roy Hill, of Pelham.
In Pelham, Georgia, which is in Mitchell County and very near the county seat, a small modern hospital was found to be available. This hospital and a connecting residence had been built very recently by a private physician. Like the majority of the small private hospitals, however, it had proved a financial failure and the County was thus able to secure both buildings for the trachoma work.
The clinic was opened for the reception of patients on November 14, 1921, after having been advertised a few days in advance. The opening was attended by Health Officers and medical men from many sections of Georgia, the County Commissioners, and other interested citizens.
While the hospital and clinic were established for the purpose of preventing the spread of trachoma and eradicating the existing cases the State Department of Health, local physicians, including some of the eye specialists, the County Commissioners, and others, requested that all other conditions affecting the eye, ear, nose, and throat, be treated where they occurred in indigent patients. None of the medical men in this county practices these specialties, and under the conditions the request was therefore acceded to.
The staff of the hospital consisted of Passed Assistant Surgeon J. L. Goodwin (R) and nurses, Nora Tonnemacher and Anna M. Nimmo. Dr. Goodwin is an eye specialist with years of trachoma experience and the nurses have been on duty for several years in the Service Trachoma Hospitals. Attendants were supplied by the County. The capacity of the hospital was about twenty-five beds. All patients were furnished not only free treatment, but free bed and board at the expense of the County for the time they remained in the hospital.
14

Immediately the clinic was started, the large number of patients applying overran the hospital, and it was necessary to keep a waiting list and notify them when they could be admitted for treatment. The response was immediate and most unusual, insofar as the patients came in when told and co-operatetl in every way for the successful handling of so large a clinic. From start to finish the clinic proved to be an exc(,edingly busy one, and the doctor and nurses were on duty practically all of the time, as it was not unusual to have more than 100 dispensary cases during the day, in addition to the operative work which was usually done in the early afternoon.
In order, therefore, to visit the rural schools, it was necessaryto arrange in advance so that as few patients as possible would apply for treatment on those days when the Medical Officer in charge was visiting the county schools. Every school in the county-thirty-two in number with 1948 pupilswas examined. This work was done in co-operation with the County Health Officer.
While previous to the establishment of the trachoma clinic there had been some action taken looking toward the appointment of a County Health Officer some opposition apparently had developed and this had not been done. Very soon after the commencement of this public health work, Dr. Akridge was appointed Health Officer and rendered valuable assistance to our Medical Officer in the district work.
In this district work and examination for trachoma, the cases ranged from those of well marked, long-standing, positive trachoma with the sequelae including total blindness in a number, to the lighter forms of lid trouble and simple conjunctivitis: While in some of these cases it was impossible to at once determine the true diagnosis, they were all cured in the interest of public health.
The clinic was in operation November 14, 1921 to April 1, 1922 inclusive-a period of four and one-half months; during this time 381 operations were performed, 90 under general and 281 under local anesthesia, for various conditions of eye, nose and throat.
15

Aside from the public health aspect of this question, many of the cases admitted to the hospital presented that pathetic appearance which is so commonly met with in the trachoma clinics, and which appeals to the humanitarian side and stimulates the workers to the highest possible effort to retain the flickering light all but lost as a result of this mutil.ating disease. It can be said, therefore, that the sight of many of these children has been saved, and not a few relieved of their trachoma in time to prevent total destruction of the eye. Mothers have been restored to their places in their families, fathers have resumed their work as bread-winners, and' children have been returned to school, as a result of this public health endeavor by the Service, the State of Georgia, and the local authorities.
The doctor and nurses were instructed to conduct this trachoma clinic in exactly the same manner as is used at the Service Trachoma Hospitals. The housekeeping was under supervision of the nurses. During the four and one-half months that the clinic was in operation there were admitted to the hospitals 224 individuals-the total number of admissions was 302, some of these being re-admitted after being discharged to their homes for various reasons. The total cost to the County, not including fuel, light, water and telephone, was $1874.73. The subsistence cost for the four and one-half months (nurses, attendants and patients) was $944.42-the number of meals furnished was 7153-the average cost per meal 13 cents plus, which is believed to be about as economical as is consistent with a balanced ration. The hospital was not completely furnished and about one-fourth of the total cost was spent for cots, blankets, etc., which remained on hand after the close of the clinic and were available for other purposes.
The origin of the trachoma in Mitchell County dates back at least several generations, and apparently is found in the ancestors of the first family visited in the initial survey. Mrs. S., aged 70 years, two sons-one of whom is blind-and their families, all have trachoma. Mrs. S's sister, Mrs. F., aged 67, is totally blind from trachoma. These are sturdy honest farmer people of true American stock, whose ancestors settled this country, and their physical condition is excellent but for this
16

terrible handicap. The history is obtained from Mrs. S. and

Mrs. F. that their mother, a Mrs. S., had "chronic sore eyes."

Mrs. S. apparently had lived in Mitchell County most of her

life but some of her younger days were spent in Florida. I

history is to help in tracing the genuine cases of trachoma, I

believe we can go back to this Mrs. S., but there the chain is

lost in the fourth generation.

Hospital Report

Dispensary Relief:

Total attendance

3111

Average daily attendance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Treatments given out .patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3118

Treatments given house patients ........ : . . . . . . . . . . . . . . . . . . 8208

Total treatments given .................................... 11,326 Cases trachoma cured . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200
Hospital Relief: Patients admitted to hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . 302 Days relief furnished . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2052 Meals furnished ............................ .'............... 7153 Rations furnished . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2694
Rural Examinations: Number examinations held . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1!) Children examined . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 243 Adults examined . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231 Trachoma cases found. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Suspicious cases found . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Conjunctivitis and follicular . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Operations performed: Grattage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 336 Entropion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Tarsectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I Canthotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Iridectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Cataract extraction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Pterygium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Conjunctival adhesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Removal foreign body . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Chalazion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Tonsillectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Adenoidectomy ... :. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Total operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 381 General anesthesia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Local anesthesia ................................... 281

17

Financial statement:
Groceries, etc. . ........................................ $ 679.97 Meats ........... ~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116.90 ~lilk and butter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148.55 Drugs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 184.75 :\IiS<?ellaneous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 405.56 Salaries attendants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 340.00

Total .................................................. $1,874.73

The cases treated have practically all been cured, and it is believed that almost all trachoma cases in Mitchell County have been treated. Several cases, not more than five or six, of the old chronic type of trachoma, which showed a disposition to relapse, were probably not entirely cured. These cases have been turned over to Dr. Akridge, the County Health Officer, for further treatment. The proper procedure and treatment in dealing with these cases was learned by Dr. Akridge acting as understudy to the Medical Officer in charge for sofne weeks.

I wish to acknowledge the splendid work done by the Medical Officer in charge and the two nurses assisting him. Although on duty practically all the time during the four and one-half months, they were tireless in their efforts and unfailing in their interest and enthusiasm throughout the entire. time. They deserve special mention in this connection for faithful, conscientious and loyal service. It is a pleasure to say that the citizens of the community appreciate their ability and the help given in this piece of public health work.

With appreciation, I desire to acknowledge the thorough co-operation of Dr. Abercrombie, the State Board of Health, Chairman G. B. Baggs, and the County Commissioners of Mitchell County, the committee in charge of the clinic, Drs. Lewis, Spence, and Hill, the local physicians and interested citizens, which made the work possible and assured its success.
JOHN McMULLEN

May 4, 1922.

Surgeon, U.S. P. H. S.

18


DIVISION QF..OHILD HYGIENE The activities of the Division of Child Hygiene during the year 1922 were centered largely upon two main objectiveseducation of the public, on a broad scale, in matters relating to child health, including the hygiene of maternity and infancy; and the development, through actual demonstrations carried on in the field, of local interest in the need for intensive effort directed toward the conservation of maternal and child health and the provision, on a permanent basis, of proper facilties for carrying on such work. The general plan followed included the distribution of educational literature, public lectures and conferences, and the holding of demonstration clinics in many localities throughout the State,' at whicr1 infants, children of pre-school age, and school children were examined, consultations were held with mothers and expectant mothers, and the organization of local child hygiene work was discussed with interested citizens. The conducting of the demonstration projects was greatly facilitated through the use of a traveling clinic-the "Healthmobile"-which was presented to the State Board of Health by Phi Mu Sorority and put into the field, under the direction of a physician, assisted by a nurse, on June 1, 1922. The literature distributed, as a part of the general educational program, comprised a total of over 133,000 pieces and sets, including pamphlets, posters, cards, and forms. Practically all of thi'S material, including several new posters and forms devised during the year, was prepared by the State Board of Health of Georgia. One of the most important steps taken toward the standardization of medical inspection of school children consisted in the preparation and distribution of a new standard card for recording the results of physical examinations. A new set of posters dealing with contagious diseases proved very popular and met with a strong demand, especially in the schools. In addition to the demonstration clinics conducted by the staff on the '' Healthmobile,'' visits were made by a representative of the division to fifty-one cities and towns within the State during which a total of thirty-six lectures were given and 174 group conferences held.
19

Between June 1 and December 31, the "Healthmobile" visited thirty-five counties. The staff met with excellent cooperation in every county in which demonstrations were given, and the results were most gratifying. The following summary shmn the activities carried on by this unit during the few months of the year that it was in operation:
Conferences (Mothers, expectant mothers, etc.} ................. . 1,788 Aggregate attendance at these conferences ..................... . 15,052 Attendance at health moving pictures ......................... . 10,377 Pre-school children examined (since June 1st} ................... . 3,147 School children examined (since June Jst} ..................... . 4,575 Consultations (prenatal) ..................................... . 480
DIVISION OF cmLD I!YGIENE
IITI1T11T Ooanties visited by lllillill Healtbmobile, 'llllll1l CoanUes in lllhlch ChU'UJ/IJJJ 4ren a Olinios were hsl4,
20

During the first half of the year, prior to the acquisition of "Healthmobile," representatives of the division inaugurated and supervised clinics for the correction of defects in sixteen cities and towns, at which a total of 216 cases were handled.
As an indication of the educational value of such work as is being carried on in conformity with the general program outlined above, and of the results which may be expected from demonstrations along this line, it is interesting to note that local child health centers had been organized in twenty-one counties over the State, at the close of the year.
The following table summarizes the results of child hygiene work carried on by the State Board of Health and by the Commissieners of Health in counties with full-time health departments, during 1922:
Number prenatal examinations and consultations . . . . . . . . . . . . . . . . 480 Number examinations infants and pre-school children............ 3,147 Number examinations school children (white) ................... 24,937 Number examinations school children (colored) . . . . . . . . . . . . . . . . 3,150
(Of this number 4,575 were examined by this office during the last six months) .
Total number of defects found in group of 28,087 school children ... 36,381 Total number of corrections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,740 Number cases hookworm found . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,932 Number cases hookworm treated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,413 Number children vaccinated for smallpox........................ 4,255 Number children inoculated for typhoid . . . . . . . . . . . . . . . . . . . . . . . . 5,091 Number nutrition classes formed .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Number meetings of nutrition classes . . . . . . . . . . . . . . . . . . . . . . . . . 78 Number school children having milk furnished them.............. 763
21

-------------------~~--~------

DEFECTS FOUND AND CORRECTED IN 28.037 SCHOOL CHLD"R.'\i!lll'.

-

-

Found ___ _ Corrected_
~
t-:l

.s1=1
...., ...-..:,:
z;:l

1=1
..0....
;";;'

.sbJJ
....
al
Cl)
p::

..!.:.1,
Cl) Cl)
f:-4

..0....

"'Cl)
>, f"l

"...'.
al
f"l

...,
al
.0...
.!:1 f:-4

Cl)
z"0'

"bJ'J
1=1 ;:l
H

...,
....
al
Cl)
p::

'"0'

"'Cl)

1=1
aal

.>...
zCl)

'0
Cl)
A 0
...!..:...1,.
0

1

5,93t/1,96rl 26:C 2'c

4771 R6

134,,6973~111,1388711

32917,696/1,1201 2'" 746, llP

851j 1201 5561 1341 1891

.6 29 10 15

2

."0."...''.

asl

'S
0

Cl)
1=1

1=1
;E;1

:cl
Cl)

<1'.1

U1

p.,

1,2221 5581 241 230 319 Hl4

DIVISION OF VENEREAL DISEASE CONTROL
The reduction in the money appropriated for venereal disease control has of necessity had its effect on the extent of OUJ' activities. This is especially true in the educational line. 'Ve have not had the individual worker in the field, and consequently have not been able to carry our message to the various groups that we reached last year. vVe talked public health and venereal diseases to 14,770 people; our film on venereal diseases was seen by 1,225 people and the card exhibit by 32,736, giving a total of 48,731 people reached by lectures and visual methods. We have distributed by request 8,161 pamphlets on venereal diseases, and have prepared and sent out to 100 papers in the State 2,500 columns of plate matter. We are under lasting obligations to the editors of our State for the space they have given this and all other matter submitted to them. Estimating that each of the papers has 2,000 circulation, which is a very conservative estimate, and each paper is read by five people, gives us one million readers.
The Institute-Clinic held in Atlanta June 5-10, 1922 in cooperation with Emory University Medical Department was one of the best and most constructive meetings of our physicians ever held. Over five hundred physicians were in attendance, and the instruction given and the entertainment offered were of the very highest type.
The seven clinics originally established at Atlanta, Augusta, Brunswick, Columbus, Macon, Rome and Savannah, the one opened at Milledgeville last year and at Valdosta this year, are doing excellent work. Hall County has also done a splendid piece of work in venereal disease control.
The reporting of cases has not been what it should be; physicians do not make reports fully and promptly. We believe that about the same number and same conscientious group of men are reporting this year as last. This, of course, we cannot be certain about, yet it is reasonable to suppose that they are, and on this supposition we are happy to state that there has been a decided reduction in venereal disease. Last year we had reported 5,706 new cases of Syphilis; this year 4,837. Last year, 5;428 cases of Gonorrhea; this year, 3,782, or a total
23

reduction in the two diseases of 2,515 new cases. Last, year we supplied 24,603 doses of Arsphenamine; this year, 18,218, which still further proves a decided reduction in Syphilis. In this connection it should be borne in mind that naturally we would expect this demand to be increased, owing to the stringency of the times, as it is furnished to all clinics and 130 of our county unit men free for charity cases. A comparative statement as to Wassermann tests made shows last year, 21,648; this year, 21,175. Thirty-four thousand, five hundred and ninety visits were made to the seven clinics the past year, and 29,939 treatments were given. The seven cities give us the following :

New Cases

Atlanta ................ 1,352

Augusta

0

225

Brunswick 0

92

Columbus 0

309

Macon

0

616

Rome .................. 114

Savannah .............. 241

Visits 11,829 6,454 1,335 5,048 7,963
1,878

Treatments 9,775 6,007 497 3,937 7,293 775 1,655

Arsphe namine
4,399 974 337 935
2,632 558
1,427

The Atlanta cases are only those handled at the J. J. Gray

Clinic, and do not include the whites handled at Grady Hos-

pital. Also a word of explanation in regard to the Savannah

Clinic_ is necessary. The figures here shown include only nine

months, as this clinic had been closed from the time the Gov-

ernment discontinued the treatments at the Marine Hospital

until Col. Koerper opened the city clinic in April. This clinic

is growing rapidly and doing splendid work.

Wassennann Laboratory
During 1922 we made 14,804 Wassermann tests, as compared to 12,931 in 1921, an increase of 1,873, or 14.5 per cent over the preceding year. The average number of tests made per month was 1,234 compared to 1,078 in 1921, an increase of 156.
Of the tests made this year ~1.3 per cent gave positive reac-
tions, as compared to 21.8 per cent in 1921.
The Laboratory furnished 17,974 Keidel tubes to physicians.

24

CONSOLIDATED VENEREAL DISEASE REPORT FOR THE YEAR ENDING DECEMBER 31. 1922

1922 MONTH

I I Syphilis Gonorrhea Ch~~;ncr01d M. F. M. F. M. F.

Arsphenamine

Wassermanns

DetenSmears -ti-on-
M. F.

Pamphlets

Audiences Lect. Films Cards

Total Attend-
ance

----- - -

Jan. _________ Feb. __________

207 237

127 117

263 59 10 284 98 27

1 4

March________ 269 130 237 58 35 5

~priL ________ May__________

184 216

118 142

241 56 37 299 59 23

3 1

June__________ 450 167 389 108 38 4

July__________ 218 125 191 25 33 3

Aug. __________

t.:l Cll

Sept. _______ ---

271 298

195 224

186 255

78 52

23 39

----3

Oct. ___ ------_ 212 133 249 51 31 4

Nov. __________ 250 134 199 53 27 1

Dec. __________ 239 174 216 76 57 5

----- -

TotaL ______ 3,051 1.786 3,009 773 380 34

1,134 1,756 1,368 1,726 1,497 1,603 1,773 1,235 1,830 1,520 1,446 1,330 18,218

1,367 1,881 1,824 1,576 1,924 1,988 1,694 1.787 l.994 1,910 1,739 1,491
21,175

73 29 20 236 1 147 346 41 80 443 20 64 872 29 40 152 24 35 111 22 44 69 17 25 142 38 23 212 32 17 111 38 29 58 34 24 2,825 325 548

-------

780 796 200 1,618 2,614

806 1,267 ------ 31 1,298

835 941 175 -----656 1,649 300 100

1,116 2,049

767 3,374 ------ ------
156 690 ------ 145
601 1,488 450 758

3,374 835
2,696

560 1,633
747

2,650 1,915
------

-----------
------

1,284 11,175 16,750

526 ------ 100 875

2,934 13,090 16,750
975

94

------

-------

------

----------

8,16114,770 1,22532,736 48,731

SYPHILIS 4,837

GONORRHEA 3,782

CHANCROID 414.

TOTAL V. D. FOR THE YEAR 1922-9033.

WA-S-S-- E-R-MANN - L-A-B-O- R--A--T- O--RY S- U--MMARY-1-9-2--2-.

REACTION

Total Per Jan. Feb Mch. Apr. May June July Aug. Sept. Oct. Nov. Dec.

Cent

- --

--

----

Strongly Positive __________ 2.5SG 17.5 15: lf"O 215 215 242

285

229

301

214 179 201 192

---

--

----

Positive __________________

227 1.5 24 28 14 14 20

22

12

17

22 21 21 12

Weakly Positive ___________

33-4

1

-----z.-3

-

27

36 26

24

17

22

32

29

-----36 45 21 19

-----

--

----

Total Positive _____________ 3,147 21.3 204 224 255 253 279

329

273

347

272 245 243 223

--

--

----

Ne~t tive _____________ --.- _ 11.574 78.1 8~2 854 995 990 1,094 1.089

986 1.071

996 973 944 740

- - --- ------- - - -

----

t-.:) DoubtfuL _______________

2~

2

1

0 -3

1

4

4

3

2

1241

0:>

-----------

----

Anti-Complementary ______

57 4 3 1 2 2 2

4

6

7

5 13 11 1

-- ---- ----

----

TotaL _________________ 14,804 100.0 1,050 1,0791 ,255 1,246 1.379 1,426 1.268 1.427 1,274 1.233 1.202 .. 965

.-- ,_.~

.. -

COMMUNICABLE DISEAS REPORTED DURING THE YEAR 1922

I I I Total Jan Fob. Mar. Apr. May June July Aug. Sept. Oct. Nov. Dec.

-----------

- - - - - ~- ~--

Actinomycosis_________

2

c

o' c

(1

c

c

0

0

0

(

(1

2

Ac. Inf. Conj. ________

13

0

2

4

2

(1

0

0

c1z2 0

Hookworm __________ -c _

852

194

63

54

22

48

62

36

56 97 84 54 82

Anthrax_ _____ ________

1

(1

0

0

0

0

0

0

1

0

('

('

0

Meningitis _____________

29

5

3

1

1

4

3

1

0

0

2

5

4

Chicken Pox ___________

619

110

92 163

90

37

38

7

F

8

6 lf 44

Dengue_______________ . 5,148

('

0

0

1

0

0

0 124 1,599 3,054 23!1 131

Diptheria _____________ 1,812

1or

59

48

26

32

53

62

273 325 455 27E 104

Dysentery_________ __

182

13

6

2

13

50

45

13

12

4

6 14

5

German Measles_ __ _

g

2

2

0

1

1

0

(1

cc2(

1

Gonorrhea _____

1,34r

136

111

117

94

106

161

129

96 103 91 lf'2 94

Influenza __

--

6,612

179

508 1,243

789

89

20

34

8R 155 8< 312 3,114

1:\:)
-'1

Malaria____ _____ Measles _________

---

1,88F 17<

33 5

37 41

48 26

58

106

150

299

4lf 395 16f 12Z 53

12

11

lC

2

2 25

1

6 29

Mumps __________

142

5

16

26

35

16

8

9

c 3 1 6 17

Paratyphoid Fever__ Pellagra___ __ _ ___

36 3C

2
('

3 3

3-

1

c

3

1 4

4 1

6 7

E 4

1 1

<z

1 E

3 0

Pneumonia_____ ___

743

115

15C'

115

85

29

11

17

21 14 1' 4f 125

Poliomyelitis _____ Rabies ________ _______

16 1

1
('

1
(

(
c

1
c

1
('

2
c

4 0

1

1

(

13

0 ccr 1

Scarlet Fever ________

644

87

77

69

26

2E

20

26

48 82 5f 74 48

Septic Sore 'I hroaL __

115

3

26

7

10

7

7

12

13

f;

4

6 10

Smallpox ________

756

99 252

99

88

97

60

15 .

7

3 1:" lZ 12

Syphilis ______________ 1,570

125

69

13E

134

122

162

150

179 157 13~ 121 76

Tetanus. _____________

24

7

3

3

2

2

1

0

c

2

2

1

0

Trachoma ____________

11

4

0

3

0

0

1

0

0

1

(

c2

T. B. (Pul.) ___________

569

46

64

24

45

44

28

62

33 36 27 42 117

T. B. (Other) .. ______

30

2

5

0

1

4

3

5

1

('

1

f

5

Typhoid Fever ________

990

28

28

22

28

61

132

254

216 114 ::!9 36 32

Typhus Fever _________

1!5

8

2

0

0

0

0

1

r

1

1

2

0

Whooping Cough _____

629

14

19

51

29

2081

84

72

69 4 2<

c 11

- - - - - --~-

-~-

'T'ntl

24 !l9!l 1.ll2R 1.1142 2.2flfl Ln!l7 LlOR LOflfl 1.224 Lfl7fl 3.1"7 4.2'79 Lf\Ofl 4.12'i

BUREAU OF VITAL STATISTICS During the year 1922 there were filed with the State Bureau of Vital Statistics 35,006 death certificates, 69,619 birth certificates, a total of 104,625 records, as compared with 52,129 records in 1919, 98,954 in 1920 and 105,797 in 1921. An examination of our death records was made by the Bureau of the Census in March and April, which resulted in Georgia being admitted to the registration area for deaths. Each inc<>rporated city or town and each militia district constitutes a registration district. There are 1,621 militia districts and 506 incorporated towns, making a total of 2,127 registration districts. In the majority <>f cases the incorporated town and the surrounding militia districts have been combined. In Fulton County, where there is a County Health Officer whose whole time is devoted to that portion of the county <>utside of the city of Atlanta, the militia districts have been combined into one registration district. In Chat ham County, by legislative action, the office of Justice of the Peace has been abolished, resulting in there being no registrars of births and deaths outside the city of Savannah. With the proper deductions there remain 1,605 primary registration districts. The officials in 486 have refused t<> act, making .it ~necessary to combine the vacant districts and place them under the nearest acting local registrar. During the year there were 1,119 active registrars. During the year 1,743 midwives and 585 coffin dealers were registered. These figures include the undertakers who, under certain conditions, sell coffins as well as act as undertakers. The 1,743 midwives probably represent seventy per cent of the total. The list carries no registrations from a number of counties. The State statutes require the City Clerks or the Justices of the Peace to secure the birth and death records of their districts, and those acting as registrars to enforce the law requiring the registration of physicians, midwives, coffin dealers and undertakers, as well as each birth and death. Until these statutes are strictly enforced there is little hope that registration of births and deaths may reach 100 per cent of the actual number.
28

Death Records, 1922 In 1922 there were 35,006 death certificates filed with the State Bureau of Vital Statistics. Of this number nine per cent were stillborn. With the stillborn excluded the gross death rate for that year was 10.9 per 1,000 population. Among the whites the death rate was 9.8, among the negro the rate was 12.6 per 1,000 population; or among the negroes 28.5 per cent more deaths per 1,000 population than among the whites. The death rate varies as to sex. Atnong the white population the males showed a rate of 10.2 and the females 9.4; among the negroes, the males a rate of 12.7 and the females 12.4 per thousand population. It is noticeable that among the whites the death rate was highest among the males while the same is true among the negroes, the difference being greater in the white race.
O.EATH RATE PER I ,000 POPULATION I 922
TOTAL POPULATION lv.~
WHITE POPULATION 9.8
~HITE WALES 10.2
WHITE FEMALE$ 9.4

NEGRO POPULATION 12.~ NEGRO MALES 12.7 NEGRO FE1o14t.ES J:t.4

Population Total Deaths

Total for State . . . . . . . . . . . . . . . . . . 2,895,832* 31,850

Total White ............... .'. . . . 1,689,114 16,592

Male White . . . . . . . . . . . . . . . . . . . . . 854,109

8,737

Female White . . . . . . . . . . . . . . . . . . . 835,005

7,851

Total Negro . . . . . . . . . . . . . . . . . . . . 1,206,365 15,219

Death Rate 10.9 9.8 10.2 9.4 12.6

29

l'llale Negro . . . . . . . . . . . . . . . . . . . . . . 590,-443

7,535

12.7

Female Negro . . . . . . . . . . . . . . . . . . . 615,922

7,676

12.4

*Induding 353 Chinese, Japanese, etc.
The stillborn for the total population shows a rate of 1.08; among the whites, 0.83, and among the negroes, 1.45 per 1,000 population.
Of the total, 1,501 were ascribed to sudden death, were ill defined or no cause of death was stated. Of that number 632 were for white deaths and 862 for negroes. There were 65 .records "vhich did not show the race or color. These deficient records were included in the totals but of necessity cannot be included in the classification.
Deaths By Months, 1922. During the year 1922 there were on an average of 96 deaths per day, four deaths per hour or one death every 15 minutes. While the death rate for the year was 10.9 per 1,000 population, the death rate varies by months from 9.9 to 13.2 with a rate of 9.9 in February and 13.2 in December. The high rate in December was due to a return of the Influenza epidemic. The number of deaths by month for male and female, black and white, is shown in the following table.

MORTALITY REDORT--1922

<V

DEATH RATE PER I ,000 POPULATION
(EXCLUSIVE OF STILLBORN)

I

,..,

BY ll'fONTHS ANNUAL RATE 10,9

v

<L

I

7 J "rv \

~I

l11.,
IV

/ '"-

r I-'-

11

v

_l_lL

JAN J0.9

FEB
9.9

MAR APL MAY 11,3 10.0 10,-5

JUN JUL AUG j[p I I,5 11,0 10,5 I I ,3

OCT NOV DEC I I , I 11.0 13,2

30

The number of white deaths was in excess of the negr') deaths in approximately the same proportion as the population, except for the month of July, when the total negro deaths was 1,295 and the white total 1,280, a difference of 15.

'"@
-+0"
H
Total (Ecx. Still-

births) ......... 31.850*

January .......... 2,637*

February 0 0 2,413*
March ............ 2,738*

April .............. 2,433"

May .............. 2,550*

June

0 0

2,667

July .............. 2,576*

August ............ 2,553*

September ........ 2,729*

October 2,682* 0

November 0 2,674*
December .......... 3,198*

*Totals include all deaths

"'-+"
~
El:
16,592 1,404 1,280 1,455 1,271 1,282 1,383 1,280 1,320 1,389 1,336 1,474 1,718

O"l'
~
8,737 731 702 787 640 673 702 682 702 747 708 793 870

'""@' s ~"'
7,851 673 577 o67 631 609 681 598 618 642 628 680 847

0
"~" n
z"'
15,219 1,230 1,130 1,280 1,160 1,267 1,284 1,295 1,230 1,338 1,341 1,195 1,469

O"l'
~
7,535 604 533 653 577 634 634 624 603 641 661 620 751

~s"' ~"'
7,676 626 597 626 582 632 650 671 626 697 678 ;)/3 718

Deaths By Ages, 1922 When a record is incomplete a correction is sent to the physician or midwife in attendance at the birth or death and tht) medical attendant is asked to complete the omitted items. Although these corrections are sent in every instance there were in the final tabulation, 1,022 death records which did not state the age of the deceased. Including the stillborn there were 10,968 deaths prior to th,) end of the lOth year of life; 1,808 from 10 to 19. Between 20 and 29 there were 3,101 with the number in the ten year age periods varying slightly until the 80th year, when from 80 to 89 there were ~'734 and from 90 to 99 there were 443 with 40 at 100 years or over. It is noticeable that thirty-two per cent of all deaths in Georgia occurred prior to the end of the lOth year of life eompared with five per cent during the period from 10 to 19, while during the next 6 ten year periods the percentage varies within the limits of 8.7 per cent to 10.2 per cent and after the 80th year 6.5 per cent.

31

MORTALITY RECORDS 1922 BEATHS BY 10 YEAR AGE PERIODS UNDER IO.YRS.

Deaths By Ages

Totals

0

Stillborn ....................

From 1 to 9 ............

10 to 19 ...............

20 to 29 ...............

30 to 39 ...............

40 to 49 . . . . . . . . . . . . . .

35,006* 3,156 7,812 1,808 3,101 2,987 .3,080

32

50 to 59 60 to 69 70 to 79 80 to 89 90 to 99 100 years and over Not Stated

3,033 3,491 3,366 1,734
443 40 1,022

The Ten Chief Causes of Death, 1922
0 the total deaths, 18,348 or 60 per cent were ascribed to 10 causes, as follows : 1,014 to Influenza, 1,186 to Diarrhea and Dysentery in those under 2 years of age, 1,208 to Cancer, 1,473 to accidents, 1,563 to Apoplexy, 1,704 to Organic Heart disease, 1,773 to Pneumonia, 2,683 to Tuberculosis, 2,842 to diseases of infancy and 2,905 to Brights disease. Of these 18,348 deaths, 7,905 were ascribed to 4 diseases: Brights disease, Organic Heart disease, Pneumonia and Apoplexy which constitutes 26 per cent of all deaths from all causes and to which, in public health work, little attention is given. To this number might be added the 2,842 deaths classified as due to diseases of infancy which includes Atrophy, Marasmus, Inanition and the Premature, since little is done to prevent these deaths. This addition would bring the total up to 35 per cent of all deaths or 58 per cent of the deaths due to the 10 principle causes.

THE TEN PRINCIPLE CAUSES Of DEATH 1922 :wHITE Ei II I.NfiLilliill 398 NEGRO
690 DIARRHEA UNDER 2 YEARS 496

780

CANCER

427

829

ACCIDENTS

642

885

APOPLEXY

676

866 ORGANIC HEART DISEASE 836

906

PNEUMONIA

867

991

TUBERCULOSIS I 692

e:""' r :rare mt 1.501
I ,59;

BBIGHTS DISEASE II 313
2

WHrrE 5~
----

POPULAT!ON

42% NEGRO

---~--

---

33

The chief cause of death among the white race was Brights disease, with a rate of 94 per 100,000 population. Among the negro race Tuberculosis was the chie.f cause with a rate of 140 per 100,000. Among the negroes Tuberculosis kills 46 pel 100,000 more than does Brights disease among the whites.

For Diseases As Stated

Grand Total Brights Disease ..... 2905 Dis. of Infancy ...... 2842 Tuberculosis ........ 2683 Pneumonia 0 1773 Organic Heart Disease .......... 1704 .Apoplexy ........... 1563 .Accidents .......... 1473 Cancer ............. 1208 Diarrhea and Dysentery, -2 yrs ............ 1186 Influenza ........... 1014

Total 1592 1501
991 906
866 885 829 780
690 613

White

Negro

Male Female Total Male Female

889 703 1313 708 605

866 633 1334 742 591

447 544 1692 704 988

488 417

867 486 381

486 380 483 402 543 286 304 476

836 398 438

676 342 334

643 430 212

427

89 ~338

396 294 286 327

496 274 222 399 188 211

Deaths Due to Preventable Diseases, 1922
The percentage of preventable deaths has been variously estimated at from forty per cen~ to seventy per cent, resulting in there being no fixed list of preventable causes of death. The activities of Health Departments are, in the main, restricted to the prevention of those deaths which, with the exception of Tuberculosis, Cancer and Diarrhea under two years, do not appear in the list of the ten leading causes. Some propaganda purposing to reduce the number of deaths from Pneumonia, Influenza, accidents and diseases of early infancy is distributed, but the chief work done in the prevention of disease and death is directed against Typhoid Fever, Malaria, Small Pox and other epidemic communicable diseases, which in the general tabulation, show a lesser number of deaths. In 1922 one death in 47 was due to Typhoid Fever, one in 58 to Malaria, one in 1,416 to Scarlet Fever, one in 260 to Whooping Cough, one in 82 to Diphtheria and one in 1,614 was due to Small Pox.

34

0 I ?HTHEk I A
119292 21:::::
PELLAGRA
1922I: : : : : : .
DYSENTERY OVER 2 YRS-
11992212 ::::..

1921 1922. ~OkTALITY REPORT

AND

THE INGRE,SE AND DECREASE IN THE NUMBER OF DEATHS DURING THE T~O YEARS AND
THE RELATIVE IMPORTANCE OF THE DISEASE FROM A MORTALITY STANDPOINT.

MALARIA
119(222 1:::::::::~.

TYPHOID FEVER
19212 :::::::::::::~

DIARRHEA uNDER 2 YRS,
1lg92212 :::::::::::::::::::::::~

CANCER
11929221:::::::::::::::::::::::::

TUBERCULOSIS
11929221::::::::::::::::::::::::::::::::::::::::::::::::::..

In the following classifications will be found a comparison of the records of 1922 with the 1921 and 1920, showing, in a way, the leading communicable diseases with the ten chief causes. The 132 deaths from Dengue are not shown as no deaths were reported from this cause during the years 1921 and 1920. The eight deaths from Rabies, 2 from Glanders and Anthrax were not included since in a brief classification those causes showing the lowest number were omitted.

35

Mortality Records For 1919, 1920, 1921, And 1922

Grand

Year

Total

Typhoid Fever: 1919 ... 477 1920 .. 549 1921 ... 797 1922 .... 715

Total
228 274 351 326

WHITE

NEGRO

Male Female Total Male Female

129

99

249

129

120

144

130

275

131

144

183

168

446

222

224

171

155

ass

191

197

Malaria:

. 1919 .... 381

133

71

82

228

105

123

1920 .... 559

242

120

122

317

145

172

1921 .... 468

195

92

103

273

125

148

1922 .... 585

257

131

126

326

151

175

Small Pox:

1919

4

3

2

1

1

1

0

1920

3

2

1

1

1

0

1

1921

19

8

5

3

.11

7

4

1922

21

10

6

4

11

.5

6

Measles:

1919

34

28

12

16

6

2

4

1920

60

40

14

26

20

6

14

1921

93

66

31

35

27

12

15

1922

5

2

2

0

3

2

1

Scarlet Fever:

1919 .... 18

18

5

13

0

0

0

1920 .. 32

31

13

18

1

0

1

1921 .. 28

25

10

15

3

1

2

1922 ... 24

20

6

14

4

1

3

Whooping Cough:

1919 ... 119

64

26

38

55

28

27

1920 .... 373

240

112

128

133

56

77

1921 .... 183

93

46

47

90

44

46

1922 .... 130

51

24

27

78

34

44

Diphtheria and Croup:

1919 .... 241

199

103

96

42

18

24

1920 .. .400

282

148

134

118

58

60

1921 .... 415

294

143

151

121

58

63

1922 ... .411

277

151

126

134

67

67

36

Grand Pellagra:

1919 .... 309

182

1920 .... 432

210

1921 .... 512

234

1922 .... 527

249

Tuberculosis of Lungs :

1919 ... 1431

559

1920 ... 2175

796

1921 ... 2315

811

1922 ... 2498

923

WHITE

53

129

60

150

79

55

77

172

234

305

350

446

370

441

409

514

NEGRO

127

28

222

55

277

56

278

67

872

359

1379

591

1502

619

1575

643

T. B. All Forms:

1919 ... 1520

601

283

318

919

382

1920 ... 2362

882

391

491 1478

638

1921 ... 2531

892

413

479 1637

686

1922 ... 2683

991

447

544 1692

704

Cancer:

1919 640

457

176

281

183

33

1920 .. 1123

765

299

466 . 358

88

1921 ... 1210

802

305

497

407

92

1922 ... 1208

780

304

476

427

89

Dysentery and

Diarrhea (-2 yrs.)

1919 ... 781

485

273

212

296

167

1920 ... 1250

757

393

364

493

262

1921 ... 1220

714

403

309

508

287

1922 ... 1174

685

394

291

489

269

Dysentery and Diar-

rhea (over 2 yrs.) :

1919 ... 319

191

82

109

128

60

1920 ... 303

166

88

78

137

52

1921 .... 310

190

89

101

120

51

1922 ... 400

226

97

129

174

77

Total Deaths:
1919- 21,722-59% of actual occurrence. 1920- 35,575-75% of actual occurrence. 1921- 32,923-90% of actual occurrence. 1922- 35,006-90% of actual occurrence.

37

99 167 221 211
513 788 882 932
537 840 951 988
150 270 315 338
129 231 220 220
68 85 65 97

The relative importance of these diseases from a mortality standpoint and the increase or decrease during the year 1922 as compared with 1921 is shown on the graph, excepting Small Pox, Measles, Scarlet Fever, and Whooping Cough. The number of deaths was so small and the increase or decrease could not be shown on the scale with Tuberculosis. The 1919 and the 1920 figures are not included for the reason that in 1919 the report represented only :fifty-nine per cent and in 1920 only seventy-five per cent of the actual number of deaths.
Deaths By Counties, 1922
It is not fair to publish the tabulation of deaths by counties, since in those progressive counties where the greatest interest is shown in the prevention of disease, death registration is more nearly complete, and in some of the counties where nothing is done to prevent disease and death, the death records are not complete and the number of deaths reported do not represent the total number that have occurred.
For example, in Atkinson County only nine deaths were reported in 1922. This county has a population of 7,656 and a death rate based on this incomplete report would not represent the actual conditions. In Bacon County, with 6,460 people, where the Justices of the Peace have obeyed the State Statute requiring them to secure the birth and death records of their districts, 71 deaths were reported. It would be manifestly unjust to Bacon County to state that the death rate of that county was more than 10 times that of Atkinson County.
Where these discrepancies are found they may be accounted for by the fact that the local officials have failed to enforce the plainly written statutes.
The following table is of value in that it represents the deaths that have been reported, which number has occurred during the year 1922, but does not, in every county, represent the total. Taking the State as a whole, the total deaths registered was slightly over 90 per cent of the actual occurrence on account of certain counties falling short.
38

Statistical Reports

DEATHS BY COUNTIES FROM DISEASES SHOWN ABOVE EACH COLUMN.

I



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TotaL _________________ 31,850* 714* 584*

411 1,014*

400

527 2,683 1,212* 2,664 1,175 658* 2,842

H>o-

0 Appling ________________ Atkinson ______________
B a c o n _________________ B a k e r __________________ Baldwin _______________ Banks __________________ Barrow_________________ Bartow_________________

68 9 71
77 517
85 128 305*

Ben HilL__ -- __________ Berrien ________________

115 119

Bibb________ ---- ___ - ___ Blackley _______________ Brantley _______________
Brooks_________________ Bryan __________________ Bulloch ______ ~ _________

1,102 134
72 265
63 254*

Burke __________________ 307*

2 0
0 4
2 1 3
15
3 2 21 1
3 6 1 12*
4

0 0 0
6 0 0
0
0
6 2 17 8
4 8 0
2 34

------

1

7

0

1

4

2 12 4 2 8

0

0

0

0

1

00002

0

2

1

0

5

1 6 5 1 11

1

3

0

0

12

16229

0

7

20

29

69

24 46

3 4

4

1

3

1

1

18

2 7 4 0 16

2

4

1

2

13

4 14 13 4 9

5

12

2

4

35

10 36

9

4 34 *

0

2

2

2

5

77 195

0

5

1

0

7

7 12 7 3 13

9

14

7

14

94

44 76 33 12 67

1

5

1

0

5

2 17 5 0 14

0

1

0

1

3

2 5 4 1 14

2

15

3

1

17

7 24 16 9 29

1

0

1

2

1

0 4 1 1 10

2

8

1

1

11

11 23 8 11 16

4

12

3

1

26

7 32 5 6 9

-~_.__._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _lllil...._ _ _ _ __

JButts __________________
C a l h o u n _______________ Camden ________________ CampbelL _____________ Candler________________ CarrolL ________________ C a t o o s a ________________ Charlton _______________ Chatham_______________

127 50 89 88* 83 299*
78 60 1,867

2 0 1 3 7 9 1 2 13

Chattahoochee ________ Chattooga _____________ Cherokee ______________ C l a r k e _________________
Clay____________________ ClaytoiL _______________ Clinch _________________ Cobb ___________________ Coffee _________________
~ Colquitt _______________
Columbia ______________ Cook ___________________
C o w e t a ________________

54*
116 175 406 77 108 37 372 85 269 86 85 301

2 2
5 6 0 4
6 6
5 10
2 4 13

C r a w f o r d ______________ Crisp ___________________
Dade________________ -"_ Dawson ________________ Decatur ________________ D e l ( a l b ________________
Dodge __________________ D o o l y __________________

77 217 32 26 303 429
147 186

2 6 1 2 8 7 1 6

Dougherty _____________ Douglas ________________ Early ___________________

177 91 217*

2 6 11

Echols _________________ E f f i n g h a m _____________

11 111

0 3

Elbert _______ --- -- 191

5

2 5 7 0 0 0 1 1 29 0 2 0 1 4 0 1 1 4 11 5 0 1 0
8 0 0 12 2 6 7 7 0 14 1 3 0

0

4

0

4

0

1

0

2

2

2

4

6

4

0

1

1

12

28

0

0

2

2

1

2

16

9

0

1

3

2

0

1

8

13

0

0

3

5

0

6

0

0

3

11

1

2

3

10

1

1

0. 0

1

10

3

20

3

1

1

11

2

4

1

3

0

23

0

1

2

2

5

3

1 0 1 1 2 7 1 0 28 0 1 4 3 1 2 0 7 0
7 0 0
9 0 1 2 0 3 9 1 2 4 5 3 0 0 1

3

16

0

0

2

5

4

8

0

1

5

27

0

9

0

5

27

188

1

6

1

16

1

10

5

30

0

5

8

8

1

0

6

29

1

5

2

11

2

7

0

4

9

33

1

10

3

21

0

4

2

2

3

20

7

37

1

5

2

17

2

13

2

7

4

12

1

0

1

5

3

18

3 14

5

0

7

4

3

4

0

1

1

4

5

1

6

4

4

5

1

4

2 10

1

1

9

11 28 11

5 35

4

8

6

1

6

3

2

3

1

7

78 148 68 37 129

2

2

2

0

3

4 16

8

2

6

11 20

4

1 22

21 44

7

5 26

3

8

2

1

9

4 11

4

1 13

0

1

1

2

2

13 40 12

3 32

3 11

6

0

4

6 23 13 16 31

3

5

2

1

4

2

8

2

4

4

9 26 16

6 38

7 10

0

2

4

7 15

7

3 18

3

1

1

1

4

0

2

3

1

1

9 21 23 10 20

19 39 16 11 55

5 10

4

5 11

2 11

6

7 21

15 10

8

1

7

0 12

2

1 11

7 15

7

4 32

2

1

1

0

1*

3

3

4

0 17

7 17

7

2 19

-

DEATHS BY COUNTIES FROM DISEASES SHOWN ABOVE EACH COLUMN.-Continued

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EmanueL______________ 178'

7

Evans __________________

~

Fannin_________________ Fayette________________

Floyd __________________

Forsyth________________

51* 82 71 512 108'

0 7 0 4 3

Franklin _______________ Fulton _________________ (}ilmer _________________

170 4,050*
76'

6 32
0

(}lascock _______________ (}lynn __________________ (Jordon ________________ (}rady __________________

49 242 179* 193

0 6 1 6

(}reene ________________ - 165

3

(}winnett ______________ 317

9

IH!aablle_r_s_h_a_m__________________________

127' 324

7 6

I!ancock _______________

95

4

I!aralson _______________ 110

6

Harris__________________

84

3

I

6

1

9

3

0

0

3*

0

0

2

0

1

0

0

0

2

2

10

16

6

0

4

6

2

1

5

5

4

9

68

140

50

0

0

2

0

5

2

0

0

5

2

3

9

2

1

8

4

7

0

15

2

0

2

2

2

1

8

23

2

0

4

4

2

1

3

17

3

1

1

4

0

0

3

7

0

1

0

4

0

0

13

8 20

7

8 21*

0

3

0

4

3

0

9

0

5

2

8

1

0 15

3

4

2

9

4

4

6

22

52

21 54 13

8 45

0

6

2

9 10

0 13*

2

14

6 21

4

2 18

61

372

206 310 134 84 301

4

4

2

9

2

4* 6

0

6

3

3

1

1

7

3

25

11 11

9

6 15

0

18

7 21 12

3 25

1

14

7 15 11

4 19

7

21

9 16

6

4

9

11

14

15 30 18

7 32

2

8

5 15

2

3 10*

6

19

17 24 14

2 30

0

7

2

6

3

3

4

5

5

4

6

3

1

3

1

13

4

5

1

2

3

Irart ___________________ 169

1

0

4

6

3

2

12

5 15

4

4 22

Ireard __________________ 1r4

3

0

4

0

3

2

7

7

9

5

2 14

Irenry _________________

153

3

0

4

3

5

4

18

8

6

2

2 11

Irouston ______________

20,__'_";.:'_-, *

4

Irwin _________________ r9

4

7*

0

1

0

7*

3

3

0

1

20

2

6

6 20 11

4 10

7

4 29

2

g

Jackson ________________ ?.23*

8

2

6

6

2

1

16

12 28

9

3 19 *

Jasper _________________

E7

2

0

1

4

0

1

6

3

9

3

2

9

J. Davis ________________

6:0

2

0

0

1

1

1

3

2

3

3

5

7

Jefferson ________

1'l3*

4

9

0

1

0

1

18

4 15

5

4 14

Jenkins _________

L39

4

9

3

1

1

1

3

4 15

3

2 24

Johnson ______________

145

8

3

1

3

3

0

11

6 13 11

6 11

Jones __________________ 127 Lamar_ ________________ 143

4 3

2 1

1 3

3 9

1 1

2

19

5 11

6

7 12

1

12

10

7

9

3

g

Lanier _________________

42

1

1

0

4

0

0

1

0

2

1

1

5

Laurens________________ :285

5

21

3

7

2

1

20

11 36

6 14 32

Lee _____________________

81*

2

13

0

2

1

0

4

0

7

3

1

5

Liberty ________________

66

0

2

0

1

1

0

6

3

3

2

1

1~

Lincoln ________________
~ Long_______________ .. ___

50 27

3 0

1 2

0 2

1 2

0 0

1 0

6 0

2

1

1

0

4

0

0

2

0

2

Lowndes ____ .. __________ 230

10

7

l

9

1

2

24

3 17 14

8 13

Lumpkin _______________

14

0

0

1

0

0

1

0

1

0

0

0

2

Macon ________________ . 220

6

7

2

13

3

4

8

10 14 10

6 27

Madison________________ 142

2

1

r.

2

0

3

16

1 10

5

1 1E

Marion___________ "_____

76

2

3

2

5

1

0

6

2

6

2

1

~

McDuffie _______________ 1c"."v Mcintosh ______________ 1)6

3 2

0 5

0 1

6 0

2 0

2

13

0

10

3

5

7

4

E

1

7

1

4

7

Meriwether ____________ 227*

5

0

1

4

1

6

24

9 18

8

3 16

Miller __________________

55

0

5

0

6

0

1

3

2 10

2

1

3

Milton _________________

54

3

0

0

4

2

0

4

1

5

0

0

6

MitchelL ______________ 280

12

14

4

7

5

2

20

14 20

8

6

42

Monroe ________________ 192*

10

1

4

4

1

5

10

6 10

2

1

24

Montgomery ___________

73

Morgan _____________ .___ 178

Murray ________________

!'1

Muscogee ______________ 638

Newton ________________ 224

2 1 2 3 0

3 1 0 2 1

0

8

0

1

6

1

2

3

1 10

r

3

0

6

31

8 19

6

1 17

1

3

0

2

7

0 11

4

2 11

5

17

10

19

47

32 52 18

9 50

4

17

2

8

23

5 25

5

6 37

DEATHS BY COUNTIES FROM DISEASES SHOWN ABOVE EACH COLUMN.-Continued

p,

0

s
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~ Q)

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~ 1':1

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f-1

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~

aS
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~
1-4

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~

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8

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oo

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p,
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0
Ill Q:>Q)

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~
0

0

S~'<~
g~
l=l
~

,t::'d Ill+> ~l=l alaS
~z 3Stn
AA

gj
Q) Ill
A

Oconee________ ------ __ _

I 99*

4

~ POaguleldthinogrp__e_____-_-_-_-_-_--_-_-___

170 114

3 0

Pickens ________ --------

87

1

PPiiekrec_e__________-_-_____-_-_-_-_-_-_-_--_ Poll(__________________ _
Pulaski_______________ _ Putnam_______________ _

99 114* 235 60* 136

4
6 11
1 5

Quitman _________ - ____ -

44

4

Rabun _______________ --

33*

0

Randolph_ ____________ _ 215*

6

Richmond ___________ -_ 1,068

17

Rockdale__________ ----Schley________________ _ Screven_______________ _

81 75*
190

3
6 4

Seminole ___ ------------ . 70

0

Spalding _____ ---------- 363* 19

SStteevpvhaernt _s____________-_________-_-_--_
1

85 126

0 3

0 1 0
0 5 0
0
6*
0 3 0
6 20
1 0 12 8 0 0 2

3 6 6 2 1
2 5 0 1
0 1
1 4 1 1 2 1
5
0 0

4
2 4
2
7
6 6 3 7
4
3 6 15 5 5 5 1 13 2 4

0 2 0
3 2 0 4 1 0
0 0 4 15 0 2 2 1
2 0 4

3 3 4 1
0 1
6 0 5 0 0 4 17 1 1 0 0
8 3
2

5 17 12 5 5 8 43
3
8 1
3
10 99
5 5 12 3 31 12
10

2

8

1

2 14

12 11

5

4 15

5 15

3

3 10

1

8

1

3 17

3

7

4

3

9

6* 8

4

7 21 10

2 3

11
2o

2 7

0 9

0 4

3

6

5 15

2

1

2

0

4

0

0

7 12

38 111

1 7 63

1
2 19

6
20 70

6 11

2

5

6 14

1

0

4

1

1

9*

9 11 26

1 20

11 32

4 27

4 10

7
26

6

7

4 12

2 0

4 10 1 13

Sumter---- _____________ 438

7

11

4

16

Talbot _________________

92

1

2

2

2

Tallferro_______________

79

0

2

2

1

TattnalL ______________ 130

6

5

1

6

Taylor _________________

76

4

0

0

4

Telfair _________________ 102

0

6

1

2

Terrell _________________ 223

3

11

2

15

~ornas ________________ ~t ____________________

383 72*

9 4

7 5

6

15

0

1

Toombs ________________ 144

4

1

1

8

TTor~eSu-t-l-e-n-_-_-_-_-_-__-_-_-_-_-_-_-_

29 58

6 2

0 1

0 1

0 4

Troup _______________ --- 423

7

5

2

6

Turner _________________

86

2

4

2

1

Twiggs _____________ ---_ 115

3

1

2

3

Union __________________

45

0

0

0

1

~ W l1PalSkOerI_L_-_-_-_-_-_-_-_-_--_-_-_-_-_-_-_-

166 233

10 4

0 2

2

4

5

10

WaltoiL ________________ 291*

4

2

2

10

Ware ___________________ 321

16

3

1

1

Warren _________________ 136

4

1

3

3

Washington ____________ 247*

15

12

3

3

Wayne _________________ 118

6

3

2

9

Webster ________________

60

1

'4

3

6

vr.heeler ________________ VVbite __________________

70* 66

3 2

2 0

1 8

2 4

Whitfield _______________ 233

3

0

10

10

Wilcox __________________ 142

1

17

0

9

Wilkes __________ -_------ 109

0

4

2

6

Wilkinson ______________

94

7

3

0

3

Worth __________________ 2J'l."i

6

19

0

14

*-Total includes unclassified deaths.

2

5

38

13 52

7

6

7

2

1

11

5

5

6

1

0

1

2

9

0

6

0

3

5

0

1

3

4

4

5

1

8

1

1

2

4

5

2

2

0

0

1

7

1

8

0

5

4

1

6

24

10

8

5

5 20

3

10

22

11 34 17

8

9

0

0

5

1

3

6

0

7

4

1

4

6 10

5

5

9

0

1

2

1

0

0

2

3

0

1

2

1

2

4

2

9

6

16

44

11 35 12 11 53

1

0

5

6

4

1

4

0

0

5

0

7

5

6

0

1

5

1

1

1

1

6

3

3

10

4 14

9

2

5

6

38

4 17

5

3

6

4

21

11 20 15

7

4

2

23

5 17 16

6

3

4

21

3

3

9

2

6

1 0

2 0

21 4

13

9

6

5

2 12

8

4

*

2

0

4

0

2

1

1

0

0

5

3

5

2

1

1

0

5

0 10

0

1

9

14

34

4 24 19

3

0

0

8

2 11

4

3

1

3

4

6

7

4

2

0

1

3

8

9

2

3

5

2

14

2 20

8

3

Birth Report, 1922
The records of 1922. included 69,616 birth certificates, indicating a gross birth rate of 24.04 births per 1,000 population, taking the 1920 census as a basis. No other birth rates will be computed or published, for the state, as a whole, has not reached the necessary 90 per cent to be admitted to the Registration Area, according to the standards demanded by the Census Bureau.
The State Bureau has attempted to correct and complete every birth certificate filed. In spite of the Statute requiring complete and correct records, in many cases the Medical attendant failed or refused to furnish the necessary information and many of the records remain incomplete. It is necessary, therefore, to include in the totals records that cannot be otherwise classified.
Of the total birth records 44,535 were for white children, 25,043 for negroes and 4 Indians and 3 Chinese. There were 35,641 males and 33,815 females or 1,058 boys to 1,000 gir];;.
The stillbirths composed 5.8 per cent of the total record.
The 3,862 stillbirths included 1,715 whites and 2,144 negroes.
There were 4;024 illegitimate children born in 1922, which was 5.9 per cent of all births recorded. The total among the negro race was 3,479, among the whites, 538, or 1.2 per cent of the white births and 13.8 of the negro births were illegitimate.
The 1,833 plural births included 903 sets of twins and 9 sets of triplets. Of the twins 533 were for white and 369 sets for negro children; of the 9 sets of triplets 3 sets were white and 6 negroeR.
46

STATE BUREAU OF VITAL STATISTICS Birth Record, 19.22

Grand

White

Negro

Total Total Male Female Total

Total Births

Registered .... 69,616* 44,535* 22,867 21,610 25,043*"

Live Births ... 65,754* 42,820* 21,864 20,910 22,899*

Stillbirths .... 3,862* 1,715* 1,003 700 2,144*

Illegitimate ... 4,024* 538* 284 254 3,479*

Single Birth .. 67,783* 43,460* 22,311 21,092 24,287*

Plural Births . . . 1,833 1,075 556 518 756

Twins 0 0

903t

533t

553

512

369t

Triplets ...... 9t

3t

3

6

6t

Male Female

12,774 11,584
1,190 1,737 22,390
384 377
7

12,205 11,264
941 1,729 11,836
369 358
11

*Total includes 4 Indians and 3 Chinese and births not otherwise classified.
tSets.
Births By Months, 1922
(Exclusive of Stillborn)
The greatest number of births was filed for the month of September, a total of 6,242 of which 4,079 were white and 2,159 negroes. It is believed that the birth rate among the negroes is much lower than among the whites. Whether this be true or not, it is very evident that the number of negro births recorded in Georgia for the year 1922 fell far short of the number indicated by that portion of the population.
The following graph indicates the number of births by months for both whites and negroes. Since the Census of 1920 was enumerated observers differ as to the number of negroe'l that have left the state, placing the number from 50,000 to 100,000. The apparent shortage of negro births, when compared with the white, could not be due to the exodus of 100,000 out of the total of 1,206,365 negro population and must be ascribed to either a lower birth rate or a failure on the part of the local registrars to secure a registration of the negro births.

47

WHITE 3,574 5 019 !) 545 ~ 3?1 5 303 4 668 5 26S 5 844 242 6,lt44 5 484 5 554

.JAN. I'E B MAR APL MAY .JUN .JUL AUC SEP OCT NOV DEC

NEGRO I ,814 1,739 2,009 2,011 I ,812 1,669 I ,826 2,044 2; 159 2,030 1,823 1,962

BIRTHS REPORTED 1922

Live Births For 1922

Grand

Month

Total

Total .... 65,754*

January ... 5,389

February . . . . . 5,019*

March ...... 5,545*

April ........ 5,391*

May ... 5,303*

June ........ 4,668

July .. 5,268*

August ..... 5,844

September .... 6,242*

Total 42,820*
3,574* 3,277* 3,531 * 3,375* 3,489* 2,998* 3,440* 3,800* 4,079*

White Male Female 21,864 20,910 1,767 1,803 1,681 1,593 1,834 1,693 1,695 1,677 1,792 1,694 1,526 1,468 1,767 1,671 1,978 1,817 2,061 2,007

Negro Total Male Female 22,899* 11,584 11,264 1,814* 913 899 1,739* 869 865 2,009* 1,013 990 2,011 1,052 959 1,812* 927 882 1,669* 834 830 1,826* 931 887 2,044* 1,013 1,027 2,159* 1,106 1,046

48

Live Births For 1922-Continued
October ....... 6,044* 4,011* 2,085 1,924 2,030* November ... 5,484* 3,656* 1,860 1,794 1,823* December ..... 5,554* 3,589* 1,818 1,768 1,962*

996 1,033 944 874 986 971

*Total includes 4 Indians and 3 Chinese and births not otherwise classified.
Births By Counties, 1922
(Exclusive of Stillborn)
In the following table will be found the live births reported for 1922, by counties showing the male and female, white and negro. No rates are computed for the .counties for the reason that there are counties showing a birth rate of approximately 40 per 1,000 population while the surrounding counties fall as low as 20.

County Total Appling Atkinson Bacon Baker Baldwin Banks Barrow Bartow Ben Hill Berrien Bibb Bleck ley Brantley Brooks Bryan Bulloch Burke Butts Calhoun Camden Campbell Candler Carroll Catoosa

Births For 1922 By Counties

(Excl:usive of Stillborn)

Grand

White

Negro

Total Total Male Female Total Male Female

65,754* 42,820* 21,864 20,910 22,899* 11,584 11,264

331 263* 126 136

68

27

41

163* 140

64

76

22

12

10

187* 171

78

93

15

9

6

194* 74

33

41 119

58

61

269 108

53

55 161

78

83

320 275 131 144

45

21

24

360 290 145 145

70

35

35

665 554 274 280 111

53

58

288* 198

94 104

89

52

37

432 377 198 179

55

29

26

1,391 873 440 433 518* 266 250

350 196 100

96 154

79

75

213 200

96 104

13

9

4

616* 261* 132 128 352 164 188

143

82

38

44

61

27

34

572* 445 212 233 126* 58

66

357 109

52

57 248 120 128

178 118

66

52

60

36

24

88

39

18

21

49

25

24

168

65

43

22 103

59

44.

270 187* 104

82

83

42

41

229 148

78

70

81

38

43

823 706* 348 357 117

65

52

210 203* 106

96

7

1

6

49

Births For 1922 By Counties-Continued

Charlton

134 102

52

50

32

13

Chatham

1,926 1,109

581

528

817

430

Chattahoochee

90

74

46

28

16

6

Chattooga

356

308

172

136

48

25

Cherokee

640 614 318 296

26

8

Clarke

544

378

183

195

166*

80

Clay

163

49

24

25 114

65

Clayton

268 152

85

67

116*

57

Clinch

105

67

41

26

38

20

Cobb

695

560

296

264

135

75

Coffee

309 260 130 130

49

24

Colquitt

739

602

289

313

137

73

Columbia

195

65

31

34 130* 58

Cook

176 133

59

74

43

18

Coweta

627* 322

178

144

304

150

Crawford

253* 87

40

47 165* 84

Crisp

441

251

136

115

189

91

Dade

132 121

47

74

11

6

Dawson

83

83

36

47

Decatur

600

320

161

159

280

141

DeKalb

921

713* 352

360 208

102

Dodge

520 386

191

195

134

74

Dooly

465

191*

99

91 274* 133

Dougherty

374 193 102

91 181

89

Douglas

277

215

101

114

62

33

Early

466

217

106

111

249* 124

Echols

41

27* 10

16

14

8

Effingham Elbert

275 164

79

85

lll*

51

581

320* 168

151

261

130

Emanuel Evans

479* 329

172

157

149*

73

156* 113

53

60

41*

20

Fannin

421* 418

208

210

2

1

Fayette

148 108* 56

50

40* 20

Floyd Forsyth

928

779* 412

366

149

87

336 334* 169 163

2

1

Franklin

534

423* 217

205

111

52

Fulton

5,617 3,981 * 2,023 1,957 1,636* 855

Gilmer

268

267

138

129

1

1

Glascock

114

79

35

44

35* 20

Glynn

313 174

93

81

139

73

Gordon

508

471

245

226

37* 17

Grady

577

344* 170

173

233* 100

Greene

295 126

65

61

169*

80

Gwinnett

833

721* 358

361

112

64

Habersham

404

382

202

180

22

14

Hall

812

740* 403

336

72

31

50

19 387
10 23 18 85 49 57 18 60 25 64 71 25 154 80 98 5
139 106 60 140 92 29 124
6 58 131 74 20 1 19 62
59 780
14 66 19 132 88 48 8 41

Births For 1922 By Counties-Continued

Hancock

196

48

30

18 148* 70

77

Haralson

412

377

209

168

35

19

16

Harris

209

60

40

20 149

88

61

Hart

518* 385

204

181

132

68

64

Heard

338

223

120

103

115

58

57

Henry

384

199

91 108 185

94

91

Houston

413

151

74

77

262* 147

114

Irwin

226

146*

72

73

80

42

38

Jackson

601* 481* 234

245

119

56

63

Jasper

331

63

31

32

268

135

133

Jeff Davis

195

157*

79

77

38

20

18

Jefferson

438

190

101

89

248

120

128

Jenkins

262

149*

93

55

113*

57

55

Johnson

337

204* 103

100

133

60

64

Jones

387

86

46

40 ,301

145

156

Lamar

275 llS

59

59

157*

78

78

Lanier

115

87

49

38

28*

18

9

Laurens

807* 529

263

266

277

143

134

Lee

154

30

20

10 124

59

65

Liberty

127

64

35

29

63*

31

31

Lincoln

245

127

67

60

118

51

67

Long

110

63

23

40

47* 30

16

Lowndes

400

274

120

154

126*

60

65

Lumpkin

88

84

37

47

4

2

2

Macon

390 138* 67

70

252

135

117

Madison

510

401

204

1il7

100

56

53

Marion

237

115

62

53

122

53

69

McDuffie

210 110

58

52 109

54

55

Mcintosh

121

20

9

11 101

44

57

Meriwether

556

201

135

156

265* 151

112

Miller

190 124

64

60

75

35

40

Milton

176 165

80

85

11

7

4

Mitchell

829

336

198

138

493

246

247

Monroe

419* 136

71

65 282* 134 146

Montgomery

259

134

65

69

125*

64

60

Morgan

447 139

60

79

308

158

150

Murray

288* 275

133

142

12

4

8

Muscogee

1,033* 629

322

307

403* 202

200

Newton

499

308

158

150

191

104

87

Oconee

212

131*

66

63

81

38

43

Oglethorpe

470 212* 115

06

258* 120

137

Paulding

330 302* 145 156

28

13

15

Pickens

313

299

151

148

14

9

5

Pierce

275

225

116

109

50

25

25

Pike

314* 142

69

73 171

92

79

Polk

606 513 258 255

93

55

38

51

Births For 1922 By Counties-Continued

Pulaski

107* 41

20

21

65

31

34

Putnam

353 119

55

64 234* 121 112

Quitman

119

24

11

13

95

46

49

Rabun

124 124

73

51

Randolph

369 121

55

66 248* 124 122

Richmond

1,164* 744* 406

337

416

221

195

Rockdale

190 133* 69

63

57* 26

29

Schley

148

49

23

26

99

44

55

Screven

464 202* 116

84 262* 130 131

Seminole

215 147

73

74

68

34

34

Spalding

443

301* 154

146

142

68

74

Stephens

266 225 116 109

41

17

24

Stewart

272* 58

32

26 213* 109 103

Sumter

474

201

108

93 273* 138 134

Talbot Taliaferro

243
us

63 48

36 29

27 180

19

70

93 29

87 41

Tattnall

399 312 152 160

87

38

4.9

Taylor

196

Ill

56

55

85

45

40

Telfair

333 235 123 ll2

98

38

60

Terrell

453* 115

60

55 337 180 157

Thomas

738

399

219

180

339* 161

177

Tift Toombs Towns

318 241* 122 117

77

39

38

393

289

153

136

103

56

47

142 142

69

73

Treutlen

174 102* 53

48

72

31

41

Troup

736* 486

272

214

249

134

115

Turner

327 214

97 117 113

64

49

Twigg!!

313

88

44

44 225* 113 111

Union

189 189* 104

84

Upson

384* 202 117

85 181

86

95

Walker

636 579* 293 284

57

25

32

Walton

699* 416

201

215

282

141

141

Ware

627* 469* 235

231

157*

81 - 73

Warren Washington Wayne Webster Wheeler White Whitfield Wilcox Wilkes Wilkinson Worth

272

95

50

45 177

88

89

376* 176 100

76 199* 121

77

317 265 131 134

52

22

30

108

60

27

33

48

23

25

252 158

64

94

94

39

55

194 184* 98

85

10

6

4

529 487 260 227

42

18

24

372

224

117

107

148

81

67

137 106

52

54

31

18

13

245 134

73

61 111

59

52

600

348

179

169

252

147

105

Total includes 4 Indians, 3 male and 1 female; and 3 Chinese, all male.

*Total includes births not otherwise classified.

52

Stillbirths By Counties, 1922

While the law requires that a stillbirth be reported both as a birth and a death the death records carry a report of 3,165 stillborn, the birth report a record of 3,862, indicating that the local registrars have overlooked 697.
According to the 1922 records 1 birth in 18 was a stillbirth. In the white race 1 birth in 26 and in the negro race 1 in 11 was a stillbirth. In the state there were 55.4 stillborn per 1,000 births. In the white race the stillbirth rate was 39.3 per 1,000 births, in the negro race, 85.6.

STILLBORN BIRTHS FOR 1922 BY COUNTIES

Grand

White

Negro

County

Total Total Male Female Total Male Female

Total

3,86'?~ 1,715* 1,003

700 2,144* 1,190

941

Appling

15

9

4

5

6

4

2

Atkinson

10

8

6

2

2

1

1

Bacon

7

7*

2

4

Baker

8

1

1

7

5

2

Baldwin

14

2

1

1

12

6

6

Banks

15

12

7

5

3

3

Barrow

16

10

6

4

6

3

3

Bartow

26

19

12

7

7

3

4

Ben Hill

12

10

7

3

2

2

Berrien

20

15

10

5

5

4

1

Bibb

96

40

21

19

56

28

28

Bleckley

11

2

2

9

7

2

Brantley

7

6

4

2

l

1

Brooks

48

9

6

3

39

24

15

Bryan

5

2

2

3

2

1

Bulloch

26

13

9

4

13

8

5

Burke

25

6

4

2

19

9

10

Butts

4

4

3

1

Calhoun

7

3

3

4

2

2

Camden

13

4

3

1

9

5

4

Campbell

11

7

3

4

4

1

3

Candler

10

7

5

2

3

2

1

Carroll

36

26

12

14

10

5

5

Catoosa

7

7

5

2

Charlton

7

7

4

3

Chatham

218

48

28

20

170

95

75

Chattahoochee

2

2

1

1

Chattooga

8

5

1

4

3

3

Cherokee

14

13

5

8

1

1

53

Stillborn Births For 1922 By Counties--Continued.

Clarke Clay Clayton Clinch Cobb Coffee Colquitt Columbia Cook Coweta Crawford Crisp Dade Dawson Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Effingham Elbert Emanuel Evans Fannin Fayette Floyd Forsyth Franklin Fulton Gilmer Glascock Glynn Gordon Grady Greene Gwinnett Habersham Hall Hancock Haralson Harris Hart

38

18

10

8

20

13

7

25

7

6

18

11

7

9

3

3

6

3

3

10

7

6

3

2

43

29

20

9

14*

4

9

20

14

8

6

6

5

31

22

15

7

9

4

5

10

2

2

8

5

3

12

8

7

4

2

2

40

14

9

5

26

17

9

9

2

2

7

6

l

33

15

8

7

18

12

6

6

6

4

2

3

3

3

29

9

7

2

20

ll

9

55

32

22

10

23

16

7

20

ll

5

6

9

6

3

30

9*

5

3

21

12

9

15

5

5

10

4

6

11

8

5

3

3

3

21

5

2

3

16

9

7

3

;{

3

ll

4

2

2

7*

4

2

36

17*

7

9

19

10

9

37

22

12

10

15

9

6

10

6

2

4

4*

2

12

12

8

4

6

2

l

1

4*

1

2

51

33

18

15

18

11

7

4

4

2

2

24

19

13

6

5

r

2

3

394

196

110

86

198

113

85

12

12

8

4

8

7

4

3

1

36

9

7

2

27

ll

16

13

ll

7

4

2

2

46

21

11

10

25

13

12

14

7

2

5

7

4

3

37

28

19

9

9

6

3

21

21

13

8

30

21

10

ll

9

5

4

5

5

4

1

14

13

9

4

1

l

15

5

3

2

10

8

2

19

ll*

6

4

8

3

5

54

Stillborn Births For 1922 By Oountie~Oontinued.

Heard Henry Houston Irwin Jackson Jasper Jeff Davis Jefferson Jenkins Johnson Jones Lamar Lanier Laurens Lee
Liberty Lincoln Long Lowndes Lumpkin Macon Madison Marion McDuffie Mcintosh Meriwether Miller Milton Mitchell Monroe Montgomery Morgan
Murray Muscogee Newton Oconee Oglethorpe Paulding Pickens Pierce Pike Polk Pulaski Putnam Quitman

13 20 32 13 25 24
7 24 16 19 22 10
6 45
9 2 12 7 33 3 36 29 16 24 6 23 5 9 77 25 18 20 16 92 36
5 29 13 14 21 20 28
6 30 11

5 10
7 5 16* 5* 4 11 4* 9 3 3 5 15
1 6 3 16 3 7 18 5 11 1 6 2 7 14* 9
4 2 14 38 14 2 8 11 13 17* 8* 21 3 5

3 8 5 3 7 3 3 6 2 5 2 2 3 11
1 2 3 9 2 4 12 4 9 1 5 2 3
7 5
1 4 22 12 2 7 4 6 9 ~ 12 3 3

2 2 2 2 8 1 1 5 1 4 1
2 4
4
7 1 3 6 1 2
1
4 6 4 4 1 10 16 2
1 7 7 7 2 9
2

8 10 25
8 9 19 3 13 12 10 19 7 1 30 9
1 6 3 17
29 11 11 13
5 17
3 2 63 16 14 18 2 54 22 3 21 2 1 4 12
7 3 25 11

5 4 11 3 4 13 2 7 9 5 8 4
18 5
5 1 9
19 4 9 5 4 9 2 2 34 11 3 13
31 10 2 12 2
2 6 3 2 16 6

3 6 14 5 5 6 1 6
3
5 ll
3 1 12 4 1 1 2 8
10 7 2 8 1 8 1
29 5 11 5 2 23 12 1 9
1 2 6 4 1 9 5

55

Stillborn Births For 1922 By Counties-Continued.

Rabun

4

4

4

Randolph Richmond Rockdale Schley Screven Seminole Spalding Stephens Stewart Sumter Talbot Taliaferro Tattnall

30

3

2

1

27

14

13

99

31

17

14

68

34

34

5

1

1

4

2

2

13

3

2

1

10

5

5

48

9

4

5

39*

23

15

14

3

2

1

11

1

10

38

16

12

4

22

11

11

7

4

4

3

1

2

15

1

1

14

3

11

43*

8

2

6

34*

20

12

14

1

1

13

8

5

8

2

1

1

6

4

2

21*

14

4

10

6

6

Taylor
Telfair
Terrell Thomas Tift Toombs Towns

5

2

2

3

1

2

15

9

8

1

6

4

2

34

6

3

3

28*

13

14

60

20

Hl

10

40

21

19

8

5

3

2

3*

2

25

I4

5

9

11

7

4

2

2

2

Treutlen Troup Turner Twiggs Union

8

3

40

22

14

14

5

5

30

2

8

7

3

3

5

3

2

8

18

13

5

9*

7

1

2

28

14

14

4

1

1

Upson Walker

15

6

3

3

9

6

3

26

25

14

11

1

1

Walton Ware Warren Washington Wayne Webster Wheeler

39

22

9

13

17*

7

9

41

19

14

5

22*

12

9

20

5

3

2

15

4

11

26

6

4

2

20

12

8

18

10*

4

5

8

4

4

3

3

1

2

9

9

7

2

White

4

4

2

2

Whitfield Wilcox Wilkes Wilkinson Worth

15

12

7

13

6

3

5

2

1

9

5

4

34

6*

3

5

3

1

2

3

7

6

1

1

3

1

2

1

4

4

2

28

17

11

*Total includes births not otherwise classified.

I
56

DIVISION OF SANITARY ENGINEERING AND
WATER ANALYSIS
The powers of this Division are, briefly: the control over water and ice supplies, sewage, trade waste and refuse disposal, supervision of maintenance, alteration, extension, construction and operation of systems and works relating thereto, as provided in regulations setting forth the powers of this Division.
Work in the Water Laboratory
Work in the water laboratory for the year 1922 has shown an increase of 406 analyses over the year 1921. The number of sample cases owned by cities who have monthly analyses made has shown an increase. At present 113 cities own cases and 5 cities near Atlanta come in at regular periods for bottles.
During the year 1922, 3240 analyses were made, 3106 of which were bacteriological and 134 chemical. In the appendix will be found data in Table V showing the relation of this year's work with that of previous years.
Chemical analyses were continued of certain of the rivers in Georgia to obtain data relative to the degree of pollution in these river waters.
In the appendix will be found tables giving the average results of all analyses made during the year.
Private water supplies could not be analyzed during 1922, due to the lack of appropriation by the Legislature. Under rules and regulations passed by the State Board of Health in January 1922, twenty-three private supplies have been analyzed at five dollars each.
Sandta.ry Engineering
Personnel for field work is lacking, and only a small part of the work which comes, under the Division of Sanitary Engineering can be attempted. In the first annual report a statement was made setting forth in detail the duties of a. Division of Sanitary Engineering. Certain parts of this work are being carried out, while other parts cannot be attempted until additional personnel can be secured.
57

During the year 1922, 255 surveys were made, which was an increase of 31 over those made in 1921. Following will be found a list of surveys made during the year:
136 VVater VVorks 8 Sewage Systems, Sewage disposal and sanitary Privies 62 Swimming Pools 9 Bottled VVaters
23 Malaria and Drainage 3 Ice Plants 14 General Malaria Control
During the year 1922, supervision of malaria work was furnished by the U. S. Public Health Service and the State Board of Health to cities carrying on actual malaria campaigns.
An intensive educational program was undertaken during the year; talks were given in a large number of the schools throughout the State; sixty-seven lectures were delivered; thirty-two articles published; and 220 visits made to counties to promote anti-malaria work.
The Standard Eight VVeeks Quinine Treatment was established in many of the drug stores throughout the State.
Some experimental work was done, such as trying Paris Green in preventing the breeding of Anopheles mosquitoes. The creosote spraying of houses in mill, turpentine, and farming districts will be tried during the coming year.
Tables showing the expenditures made by cities on malaria control during the year will be found at the end of this report.
WORK DURING 1922 AS SHOWN IN TABLES
TABLE I-This table shows the number and types of surveys made by cities for the year 1922. Detailed work was done on the following plants:
Boston: To. determine the point where pollution was entering the system. It was found that the gravity line from the well to the reservoir had leaks in it which admitted surface water. This condition was corrected.
58

Brookhaven Country Club, Atlanta: To determine the degree of pollution introduced into the branch supplying water to the pond at the Brookhaven Country Club by Oglethorpe University and the U. S. Public Service Hospital. This work was done in cooperation with Mr. H. H. Wagenhals, of the U. S. Public Health Service.
Benscott Spring, Austell: To determine the source of pollution found in the Benscott Spring water. It was found that pollution was entering through the salt spring. This condition was corrected by chlorinating all water before bottling.
Cloudland: A survey to determine the feasibility of locating a girls summer camp at this point. Recommendations were made.
Decatur: The installation of a new alum and lime feed apparatus and general supervision over operation.
Dahlonega : A survey to determine the best means for sewage disposal for the College. Recommendations made.
Greensboro: To determine the cause of tastes and odors in the water. Recommendations made.
Macon: To determine the best location for Wesleyan College from a sanitary standpoint. An investigation of an epidemic at the Methodist Orphap.age. Cause found to be a carrier infecting raw foods.
Quitman: Cause of pollution in the water supply. Chlorination recommended.
Detailed surveys were made of all swimming pools in the state. It was found that a very large majority were in a very unsanitary condition and dangerous to be used for bathing purposes. No further work can be done on swimming pools until additional personnel can be secured.
TABLE II-This table shows the average bacteriological results of water supplies for the year 1922. In this table will be found the source of supply, the average bacteria per c.c. at thirty-seven degrees C and the per cent of samples containing B. coli.
59

TABLE III-This table shows the average physical and chemical analyses of water supplies for the year 1922. Also chemical analyses of sewage and sewage sludge at LaGrange, and filter alum at Macon.
TABLE IV-This table shows the average chemical results of certain river waters in this state for the year 1922.
TABLE V-This table shows the number of bacteriological and chemical analyses and the total analyses by years since June 1, 1910. From this table will be noted the marked increase .in the number of analyses since 1919. This increase is due to requiring every city wishing to have analyses' made to provide itself with an approved sample case and to have an analysis made each month.
TABLE VI-This table shows the number of liquid chlorine installations made during 1922.
TABLE VII-This table shows the total number of liquid chlorine installations in the state by cities.
TABLE VIII-This table shows the per capita water consumption by cities for the year 1922. A very marked range will be noticed from Allenhurst with 400 gallons per capita to Milltown with a per capita consumption of 9 gallons. In the first case, Allenhurst is a lumber mill village using a large amount of water in the mill, while at Milltown there is occasion for the use of only small amounts of water.
TABLE IX-This table shows the approximate amount spent on malaria and mosquito work by cities, the population protected, and the approximate area under control in square miles. From this table it will be noted that about thirteen per cent of the people of Georgia are now being protected from malaria, and also that only one-tenth of one per cent of the area of the State is under malaria control.
60

TABLE X-This table shows the amounts spent on malaria control work for the years 1920, 1921 and 1922. It will be noticed that 1922 showed a marked increase over either of the other two years.
TABLE XI-This table shows the water supplies of the state by cities and counties, with population, source of supply, quality, range of depths of wells, height of water in casing, type of treatment and date of installation.
TABLE XU-This table shows the number of people using water .from municipal supplies, by types, chlorination, protection by analysis, etc. From this table it will be noticed that thirty per cent of the people of Georgia are drinking water from municipal supplies; seventeen: per cent from chlorinated supplies; that the large majority of all surface water is now being chlorinated; that over fifty per cent of the spring water is being chlorinated and only a very small amount of the deep well water needs chlorination.
TABLE XIII-This table shows the cooperation given to the State Board of Health by cities during 1922 in relation to having monthly analyses made of water supplies.
TABLE XIV-This table shows the sanitary condition of water supplies by cities for the year 1922.
Certification of water supplies used for drinking and culinary purposes in Interstate Traffic has been carried out during the year. Certificates were issued for railroads as shown in table of the 1921 final report page 42.
General Remarks
The superintendents of many of the water works are changed at frequent intervals resulting in the employment of a new superintendent who may have had no previous experience in the handling and purification of water.
61

In many of the smaller towns and even in some of the larger cities the population has so increased as to over-tax the capacity of the water system to such an extent as to endanger the standard of the water for drinking purposes.
Work of this Division is increasing very rapidly and unless the State Legislature makes additional appropriations to meet the demands of the people no new work can be attempted. There are still many new and important problems confronting this Division which are of great sanitary significance but which cannot be handled until the personnel is increased.
62

TABLE NO. I INSPECTIONS MADE BY CITIES AND TOWNS
1922

CITY

~

Cl)

~",_'.

..CE.3l,) " '

.."C,:._;.l':.).
p.,

rn ......

0"'
0
p.,

s,0_:. ..C.l,) sa:l

Cl)o:!l-<
,. .ablJol".'.a.,l ~-s
C~D~.,..r. naS
rn

bJ)
!::::
~
r~n

."C.,_.l',). sa:l
'C
.2.....,,
0
1!1

bJ)
al
..!.::.:.: ,a_l.
~ ~
al ~ al
Ol
~

."..',
1=1
pa:l;
Cll
..0...

O,_l.
Cll
!::::
Cl)
0

Abbeville _______________ A c w o r t h _______________ AdeL __________________ Albany_________________
A m e r i c u s _______________ A s h b u r n _______________ Athens _________________ A t l a n t a ________________ Augusta _______________ Austell _________________

1
1 2 3 1 1 1 2 1

B a i n b r i d g e _____________

Barwick ________________

B a x l e y _________________

B l a c k s h e a r ____________

B l a k e l y ________________

Boston _________________

B o w d o n ________________

Bronwood______________ B r o o k l e t _______________

Brunswick_____________

BBuuetlnear

Vista ___________ _________________

Baconton ______________

1 1 1 2 1 1 1 1 1 1 1 1

Barnesville _____________

Blue Ridge_____________ Bowersville ____________

B r e m e n ________________

BCaromoikllhaa__v_e_n__C__lu__b____________ Canton ________________ Carrollton _____________ CCalavyetSopn_ri_n__g________________________

1 1 1 1 1

CCooolulimdgbeu_s______________ Cordele ________________ C o r n e l i a _______________ Cuthbert ______________ Cumming ______________

1 1 1 2 1

Cairo_. ____________ ~ ____

Canon _________________

Cascade Spring________ Cedartown_____________

Chauncey ______________

1 1 1

1

2

1

2 1 1

1

1

1

1

1

1

2

1

4
1
1 1
1 1
1 1 1

63

TABLE NO. I-Continued. INSPECTIONS MADE BY CITIES AND TOWNS
1922

CITY

~

<I)

<Jl
,!,<_1.
:,0:_:.
.<..I,)
:a::l

s.<..I,)
><Jl.

<Jl
-<I)
,_~.
p..,

r</1!)-all-<

bl)<llal

<Jl
0
p0..,
bD >=I

,a_.loP.<.".S, ~

<~i!:)Salrani
<I)

~

r/1

r/1

<,_J.l
..<.I,)
:a::l
'd
..~....,,
0
Ill

bD al >=I
:,:_a. A
~
al ')::1 al
ai
~

..<.J,l
>=I
pa:l;
<I)
..0...

a,_i.
<I)
>=I
<I)
0

C l o u d l a n d _____________

1

DCoavriienng_t_o_n________-_--_-_-_-_-_-_-___ Dawson________________ Decatur________________ DDoouvgerla__s_v_i_ll_e________________________
Dublin_________________ Dahlonega_____________

1 1 3 2 3
3

Davisboro ______________

1 1
1 1

Donalsonville __________

Douglas ________________

E d i s o n _________________ EgYJPt __________________
Ellaville ________________ Eastman_______________

1 1 1

Eatonton ______________ Experiment ____________

2 1
1 1

Fairburn_______________ Folkston_______________ Forsyth________________ F i t z g e r a l d _____________

1 1 1

1

1

2

1 1

GFoairnteVsvailllleey____-_-_-_-_-_-_-_-_-_-_- 1

1 1

GGlreenennvsibloler_o__-_-_-_-_-_-_-__-_-_-_G r i f f i n _________________ G u y t o n ________________

1 4
1 1

1

HHaawmkpitnosnv_il-le--_-_-_-_-_-_-_-_______

1 1

HHHeeablzealnerahd_us_vr_is_lt_le____-__-__-__-__-__-__-__-__-__-__Homerville _____________ Helen__________________

2 1 1
1

1

HJaicgkhsloann_d___-_-_-_-_-_-_-_-__-_-______ Jefferson ______________

1 1

1

1

1

1

1

JJeefsfueprs_o__n_v_i_l_le_____________________ LaGrange______________
Lavonia________________

1 3 1 1

1

2

1

Leary------------------ 1

Leesburg_____ ----------

1

64

TABLE NO. !-Continued. INSPECTIONS MADE BY CITIES AND TOWNS
1922

~

CD

.~....
0

a "CD'

.!."<..':
0
t.:.:.
CD
~
to:::l

"'CD
~
p,

~ '~=: Po.

rClJD~

p,
1-<

P,s "bl'l"o'o~:l
1i;<ll !C>D :A''"'mo:l

rlJ

$
0 0
Po.
t>O ;::l
~
'[t
rlJ

"...'
CD
~
o:l
t::
'0 ~
~ ~
0 I=Q

t>O oS
.;a:.:.l
A
~
...~.
..o..S.
o:l
::.1

~"'
po:S;
CD
..0...

~...
CD
;::l CD
0

JLouisville_____________ _ lLumber City__________ _ ]Lawrenceville_________ _

1 1

JLindale _______________ _

lLithia Springs________ _

lLocust Grove_________ _

llcltae ________________ _
Macon ________________ _ lladison ______________ _ Marshallville__________ _ lleigs _________________ _ Midville_______________ _
llilledgeville ___ : ______ _ Millen_________________ _
Monticello____________ _ llanchester___________ _

1
1 1 1 1 2 1 1 1

ldontezuma___________ _

Moultrie ______________ _

Nashville______________ _ New Holland__________ _

1

Newnan_______________ _

Ocilla_________________ _
Oglethorpe ___________ _ Pavo__________________ _ Pearson_______________ _

1 1 1
1

PPilnaeinhusr_s_t__~_-_-_-_-_-_-_-___________ __ -Pelham________________ _

1 1

Perry_________________ _

Pitts________ ~---------Porterdale____________ _

Quitman______________ _ Eteynolds______________ _ ruchland______________ _ !tome_________________ _
Etoyston______________ _ Etay City______________ _

2 1 1 1
1

Etebecca_______________ _

Sandersville___________ _ Savannah_____________ _ Shellman______________ _ Smithville_____________ _
Social Circle __________ _ Sparks______________ _

1 2 1
1 1
1

1

1

6

1

1

6

a

1

1 1
1 1 1 1
1 1

1 1
1 1 1
1 1
1
2

65

TABLE NO. !-Continued. INSPECTIONS IIIIADE BY CITIES AND~TOWNS
1922

OITY

~

G)

rll ~
'0"'
t:::
'"'G)
+>
al
t:::

s rll G)

G)
+> prll,
oo_

;~:::
P:>-t .

-rll
0 0
P-t

q>alJ.t

bD

bl)rtlal
'a"s'oO.+-a>
~G)A!:o! oal

I

Cll

Cll

rtl
G'")'
+>
~
-'d
G)
++>> 0 Ill

bD al
~
A'"'
~
;:a:j:
aa;l
)I

rtl
~
pa::l
G) C) 1-4

(ij
G'")'
s:l
G)
0

SSttuantiensebrvofrUo_e________________________ Swainsboro____________ Sylvarda _______________
Sylvester----- _________ S m y r n a ________________

2
1 1
1 1

Tennille_______________ Thomasvrue ____________

2 1

1 1
11

Toccoa.. -------------- 1 Trion.----------------. 1

.

1Tlafltboont_t_o_n__.___._-_-_-_-_-_-_-_-_-_-

1

Toomsboro_____________ 1

3 1

VUnaladdoilsltaa____-_-_-__-_-_-_-_-_-_-_-_-_Vidalia_________________ Vienna_________________ VVadley _________________

1 1 2 1

VVaycross _______________ VVaynesboro ____________ VVillacoochee ___________

1
1 1 2

1

1

1

1

VVVVirnigdhetrs_v_ f-U- -e-_-_-_-_-_-_-_-__-_-_-__ VVashington ____________

1 1

VVest Point_____________

1
1 1

VVhite Sulphur Springs

1

66

TABLE NO. II.AVERAGE BACTERIAL ANALYSIS OF WATER SUPPLIES.
1922

CITY

Source of
Supply

I Av. Bact. per c. c. 37 c I Raw Tap

Per cent of Samples Containing R coli

.001

~-~ 0.1

I 1.0

I

10.0

I I Raw Tap Raw Tap IRaw I Tap IRaw I Tap I Raw I Tap

--------1------ ------l--1--1--1--l--l--l--1--l

1---

Abbeville______________ _ D. WelL _____________ _ 17

Adairsville ____________ _ Spring________ AdeL _________________ _ D. WelL______

8.0 106

16 168

gg

Albany________________ _ D. WelL______ 33 Allenhurst____________ _ D. WelL _____________ _

45 23

0

0

0

0

0

0

0

0

Americus_____________ { Spring ______ } 64

0

1

D. WelL ___ _

Ashburn______________ _ D. Well________ 13 Atlanta_______________ _ River_________________ _

84 14

0

0

Augusta_

River__________ 7,010

7

0

20

80

90

Baconton_____________ _ D. Well________ 119

75

BainbridgE;J____________ _ D. Well________ 57

55

0

10

0

Barnesville___________ { D. Well______ } 92

60

Spring _____ _

0

0

Blackshear___ _

D. Well________ 10

Blakely_______________ _ D. Well________

8

Blue Ridge____________ _ Creek_________ 600

Boston_____ _

D. Well________ 137

Bronwood_____________ _ D. Well_______________ _

Brunswick____________ _ D. Well_______________ _

Buena Vista __________ _ D. Well_______ " _______ _

Buford_________ ~ ______ _ Spring________ 58

210

0

760

0

27

0

20

se

100

117

0

0

123

10

83

21 ----- _,_----- ,_ ---- _,_---- _,_----- ,_ -----1 0

0

0

0

26.5 15.7

0

0

31.4

0

23

8

0 ------ 0

---

15.7 --------

7.1

2.2 38.5

0

6.5

0 100

0

0

43.3 23.8

0

8.5 14.0

0

60

8.1

0

0

0

0

0

100

33.3

4.0

66.6 --------

0 --

0 ------

0

3.3

14.0 39.0 12.9 46.6 55.5 0 0
8.7

. ;. ~

Cairo___________________ D. Well________ 12

Calhoun _______________ Spring ________ 45

Camilla________________ D. Well________ 23

Canon_~ _______________ Springe _______

21

Canton ________________ River__________ 1,830

20 ------ ------ ------ ------

13 ------ ------ ------ ------

30 ------ ------ ------ ------

--------

------ ------ ------

6 20 ------ 30 ------

0 -----0 00 0 -----72.7

0

9.1

33.3 0

0 25

0 ------

91

0

7.3 66.6 53.8
0 100

21.8 28 34.3
2.5

Carrollton _____________ Cartersville ____________

River_ _____ ---R i v e r __________

1,473 9,540

37 18.1 ------ 45.4 ------ 83.3 ------ 91.7 0

22 16.6 ------ 16.6 ------ 50 ------ 100

0

91.7 23.3

100

8.8

Cave Spring

(School for Deaf) ___ Spring ________ 512

Cedartown_____________ Spring ________ 33

Chatsworth____________ Spring ________ 45

Chipley ________________ Spring ________ 14

Claxton________________ D. Well________ 550

Commerce _____________ River_ _________ 1,340

Conyers________________ D. Well________

7

Cornelia_______________ Spring________ 46

Covington _____________ Creek_________ 460

Cuthbert_ _____________ D. Well________ 14

~ ~

Decatur________________ Creek_________ 1,200

Donalsonville__________ D. Well________ 127

Douglas ________________ D. Well________ 500

Douglasville____________ Creek_________ 315

Dublin_________________ Eastm~;tn _______________

D. D.

Well ________ Well ________

--------
2

East Point _____________ D. Well________ 34

Eatonton ______________ River__________ 605

Edison_________________ D. Well________ , 4

Elberton_______________ ]Jlaville ________________

C r e e k _________ D. Well________

1,920 22

Fairburn_______________ Creek_________ 515

Fitzgerald _____________ D. Well________

4

Forsyth________________ D. Well________

5

Fort Gaines __, _________ D. Well________

4

Fort Valley ____________ Glennville ____ --- ___ - __

D. D.

Well________ Well ________

-------140

Greensboro____________ Creek_________ 2, 920

8 ------ ------ ------ ------ 0 ------ 8.3 0

27.7

0

21 ------ ------ ------ ------ 0 ------ 10

0

76.0 0

16 ------ ------ ------ ------ ------ ------ 0

0

50

8.8

------ ------ ------ ------ ------ ------ ------ 0 --------

2.1

568 ------ ------

------

------ 0 0

0

26.6

9 0 ------ 23.0

92.3

100

0

100

16.0

7 ------ ------ ------ ------ 0 ------ 0

0

7.4

0

55 ------ ------ ------ ------ 20 ------ 10 33.3 32

80

7

0

0 ------ 40 ------ 90

0

97

12.7

10 ------ ------ ------ ------

0

0

0

4

19 ------ ------ ------ ------ 50

0 100

0

100 -----

33 ------ ------ ------ ------ 0 ------ 0

0

20

56

38 ------ ------ ------ ------ ------ ------ 0 0

0

5.5

10 0 ------ 0 ------ 25.0

75.0 0

87.4

0

7 ------ ------ ------ ------ ------

------ 0 -------- 13.9

23 ------ ------ ------ ------ 0

0

0

0

0

0

98

------

------

------ 0

0

55.5 0

39

0 ------ 0 ------ 60

100 83

100

15.8

53 ------ ------

------

------ 0

0

0

26.6

32 0 ------ 17.0

75.0

83.3 0

91.7

3.6

13 ------ ------ ------ ------ 0 0 0 0

0

0

54

0 ------ 0

100 ------ 100 80

100

100

57 ------ ------ ------ ------ ------ ------ 0

0

0

0

16 ------ ------ ------ ------ ------ 0 0 12.3 0

27.7

23 ------ ------ ------ ------ ------ ------ 0

0

0

87 ------ ------ ------ ------

80

------ ------ ------

0.

------ -----0 10

0 25

,----45:6

11 10 ------ 30 ------ 70 ------ 100

0

100

25 15.4
44.4 2.6'

TABLE NO. 11.-Continued. AVERAGE BACTERIAL ANALYSIS OF WATER SUPPLIES.
1922

Per cent of Samples Containing B. coli

Av. Bact. per

Source

c. c. 37 0

CITY

of

.001

.01

0.1

1.0

10.0

Supply

cg

Ita~

CJreenviUe ____________ _ CJriffin______________ - _IIart~ell ______________ _
IIa~kinsviUe________ - -Hazlehurst ___________ _

Oreek_________ D. Well________
Oreek_________ D. Well________ D. Well________

1,925 24 660
--------
100

Hebardsville__________ _ D. Well________ llelena________________ _ D. Well________ Jackson_____________ --- Oreek_________

700' 5
1,300

Jefferson ___________ --- Oreek_________ 1,300

Jonesboro ____________ _ D. Well________

LaFayette.

S p r i n g ________

87 141

LaCJrange__________ - __ La~renceviUe _________ _ LouisviUe _____________ _ Lumpkin______________ _

Oreek_________ D. Well________ D. Well________
D. Well ________

-------145 89 9

McDonough__________ { Spring______ } D. Well ______

8

- - Tap Ita~ 'f'ai>- Ita~ Tap Ita~ Tap Ita~ Tap Ita~
--------

Tap

243

0 ------ 0 ------ 50

0 100 35.7 100

50

6

------ ------ ------ 0 ------ 25 0

69.6 2.4

22 9.0

18.1

72.7 ------ 90.9 0 100

0

29 ------ ------ ------ ------ ------ ------ ------ 0

20

66 ------ ------ ------ ------ ------ ------ 0 0

30

0

850 ------ ------ ------ ------ ------ ------ 0 0

0

5

139 4

------ ------
10 ------

30

------------

80

0 0 90

0 0

0 100

33.3 0

4 41 57

0 ------ 20 ------
------ ------ ------ ----------- ------ ------ ------

70 0 25

------ 100 0 8.3
------ 72.7

0 9.1 16.6

100 5.5 18.8

0 18.1 38.8

17 13 98

------
------
------

------
------
------

------------
------

------------
------

-----0 0

------------

-----0
166

7.0 --------

0

0

4.3 16.6

8.5 73.3 20.2

16 12

------ ------ ------ ----------- ------ ------ ------

0 0

0

0 0

0 0

0

3.2

3.3 12.1

Mcltae ________________ _ MMaadnicshoens.ter___________ _ MidviUe _______________ _

D. Well ________ Oreek_________ Oreek_________ D. Well________

1 430
-------9

MMiilllleedng_e_v__iU__e____________ _

Oreek_________ D. Well________

2,360 1

MM oonntriocee_l_l o-_- _- _______-_-_-_-_-_-_-_-

I

Oreek_________ Oreek_________

644 163

7 50

------ ------
0 ------

------ 0 ------ 0

0

10

50

0 0

0 90

100 94 77

------ 0 ------ 0 ------

------ ------ ------ ------

10 ------ 7.7

81.7

18.1 -----0
0 100

20 0 0

-------18.2 100

21 ------ ------

------

------ 0 0

0

30 76

0 -----0 ------

0 ------ 28.5

71.4 0

0 ------ 25 ------ 50 21.0

85.5 80

0 11.1 41.5 0 8.2 27.2 16.2 24.5

~oultrie _______________ D. wen________

7

12

NNaeswhnvailnle___________ -----_-_-______-_-_-

D. WelL ______ Creek_________

Clcilla__________________ D. wen________

190 470 79

100 15 5

Pearson_______ -- _______ Pembroke______________ P e r r y __________________ Platns __________________

D. D. D. D.

w e n ________ Well ________ wen________ wen________

-------3,200
13 2

70 3,120
58 6

Porterdale_____________ River__________ 2,150

3

------
0
-----------

----------------
------
------

------
20 ------
------

------
-----------
-----------

0
--5o--
0
100

------
----------------
0

0 0 90 0
100

------
11.1

------
------

------
22.2

------------

0 ------ 0

0

0

77.7 0 100

0 0 0 0 0 100 0 0 0

0 8 100 0
100 0
23
100

0 0 6 0 0 100 0 4 0

-=! 1-'

Quitman_______________ D. wen________ 350

Richland____ -- _____ ---- D. wen________ 26

RRoomckem__a_r_t_______-_-_-_-_-_-_-_-_-_-_-

S p r i n g ________ River __________

21 3,340

Royston _____ -- _____ --- Spring________ 5

Sandersville ____________ Shellman____ ---_------Social Circle ___________

D. D. D.

w e n ________ wen________ wen________

18 --------
100

St. ~arys ______________ S t a t e s b o r o _____________

D. D.

wen________ Well ________

-------170

Stone ~ountain _______ Spring ________ 66

Summerville____________ Spring________ 230

SSywlaviannsibao__ro____________-_-_-_-_-_-_-

D. Well________ D. wen________

~ennllle _______________ D. wen________

9
475 6

~homaston____________ Creek_________ 1,560

~homasville_________ -- _ D. wen________ ~homson__ ------- _____ Clreek_________

40 910

V~oaclc dooast_a___________-_-_-__-_-_-_-_-_-_-

Creek_________ D. wen________

630 9

Vidalia_______ - ____ ----_ D; wen________ 190

Vienna____________ -- ___ D. wen________ 8

Wadley______ -------- ___ D. wen________ 9

Washington____________ Creek_________ 600

Waycross_______________ D. wen________ 12

Waynesboro____________ D. wen________ 13

West Point_____________ Creek___ ; _____ 1,720

Winder_________________ Creek_________ 825

135 125
6 36 66 100 14
30 24 3 15 6 437 48 97 83 5 63 55 220 11 34 60 18 18 43

------
------
10 --------------------------
0

------
----------------------
---------------------
------
------

...... , ......... ------
20
--------------------------------
0

------
------
-----------
------
----------------
------
------
------

50
0 80 ------
------
0
------
0

------------------------------------
------
-----------

------
-----------

------
------
-----------

------
------
------

-----------
-----------

50 0 0 0

------
------
-----------

80 0 10 100 0 0
0
0 100 88.8
0 0 0

0
0 0
----------------
0
------
11.1

------
----------------
-----------
------------
----------------

0
0 10 ------
-----------
0 ------
44.4

------
------
---------------------------------------
------
------

14.3 0 0 30 0
0
40
------
77.7

-----------------------------------
0
------------

50 0
33.3
80 0 0 0 0 70 0 0 88.8

87.5 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

39 10 ------ 10 ------ 60 ------ 90 0

91.6 0 40 100 0 0
0
20 100 96.2
0 0 0 100 2.8 66.6 90 0 6.6 0 0 100 0 0 100 100

94. 4 41. 6 6 0 0 0 0
0 10 0 0 0 12.5 2.8 0 5.
a0 .
6. 0 16.
20
12 11 12 4. 12

TABLE NO. III PHYSICAL AND CHEMICAL ANALYSES O:r CITY WATBB SUPPLIES. 1922

Alkalinity

OITY

G)
0
:":"I
0 00.

.m!G->e
p.~
~-~
OOM
zc)fo:l

1>.
::+aa>
~""

"0 "
'0 0

j
G) G)
r":"t

j
<.ri

rJl G)
+>
'i::
z+>

rJl G)
+<>
z.+>""

rJl

~
G)

;.b..i.l 0

,....;
0

.Cl P-I

::;i

..,; -.:::
fo:1

rJl G)
~
'd
I"<l"l

~ 0
""1-t

l Albany_________________ VVell *4___________ ,
Albany_________________ Tap______________ Atlanta_______________ -_ Tap______________ Bam.,vlllo___________ D. won____ , ____ )

1 ---- ----

1 ---- ----

1

----

1 25

.008 .054 .016 .096

.002 0 .004 .006 .046 0 .024 Trace

.56
.50 .026 .030

5.5 0 156.0 154.0 175.5------

5.5 0 232.0 232.0 88.6 ------

3.0 0 8 18

4.8 ------

1.0 0 44.4 48.0 36.4 0.1

Barnesville___________ ~c~P~~~~~-===== Ice Plant _____

1 25 ---- .280 .014 Trace .120

1.5 0 38.6 32.0 37.7 O.Q7

-:)
t.:l

B a r n e s v i l l e _____________ Decatur________________

Oity Tap_________ Oreek____________

Decatur________________ Oreek____________

Donalsonville___________ S. VVell ___________

Donalsonville___________ D. VVelL_ _________

Donalsonville___________ Tap______________ Fitzgerald______________ VVell *L __________

Fitzgerald ______________ VVell *2 ___________

Griffin _________________ VVell *6 ___________

Griffin__________________ VVell *7___________

Greensboro_____________ Tap______________

Iiart~ell ________________ Oreek____________

IIart~ell________________ 0. VV. B. __________

IIebardsville____________ D. VVell___________

Perry___________________ Oreek____________

Perry ___________________ D. VVell___________

Perry___________________ D. vven_________ }

Perry___________________ 0. VV. B. ________

Perry ___________________ Tank__________

1 25 ---- .004 .064 Trace .070

2.0 0 16.0 15.0 19.5 0.06

58 ---- ----
2 ---- ---- .049 .096 Trace .051 1 ---- ---- .156 .270 Trace .100 1 ---- ---- .020 .060 Trace .080 1 ---- ---- .040 .144 Trace .080

2.0 ---- ------
2.0 0 17.0

21.2 ------ -----28.0 20.8 ------

7.5 0 24.0 26.0 19.5 .6

2.6 0 132.0 136.0 150.0 Trace

2.6 0 128.0 130.0 150.0 0.1

1

---- .020 .090 0

1 ---- ---- .053 .064 0

.04 .04

4.0 0 114.0 112.0 117.0 -----4.0 0 104.0 102.0 114.0 ------

1 120 ---1 70 ---3 ---- ---1 ---- ---1 ---- ---1 ---- ---1 ---- ---1 ---- ----

.030 .236 Trace .080 ------ 0

.196 .288 Trace .300

9.0 0

.004 .008 .001 .200

6.0 0

.034 .076 0

.05

3.0 0

.036 .058 0

.045

3.0 0

.08 .09 0

3.84

12.0 0

.02 .114 Trace .04

5.0 0

.03 .002 Trace .035

7.0 0

12.0 6.0 500 17.6 48.0 50.0 71.4 4.6 3.0 2.0 31.2 1.45 10.0 9.0 11.1 -----4.0 2.8 16.9 -----14.4 ------ 150.0 -----4.0 4.0 6.3 2.2 12.0 12.0 60.0 3.2

1 Aft er i ron r emov alplant had be en in stal led '

f03.1.04

0.38

Smithville ______________ Tap______________ Thomasville. ___________ Tap (B.S.) ______ Thomasville_ -----------~ap (A. S.) ______ Tybee___________________ . vven ___________

1 ---- ---1 ---- ----
1 ---- ----
1 ---- ----

.024 .07 0 .006 .060 0 .030 .120 0 .056 .042 .005

.08 .07
.06 .060

6.0 0 122.0 116.0 92.0 3.4 0 134.0 136.0 185.0 1.0 16.4 0 138.0 136.01 3.2 1.8 18.5 0 138.0 136.0 91.4 ------

TABLE III (Continued.)

ANALYSIS OF SEWAGE, SLUDGE, AND ALUM.

l:.aGRANGE-ANALYSIS OF SEWAGE

-

-
Effluent

Influent

Sewage at

from

at screen

Nozzles

Trickling

Filter

Free Ammonia_____________ Alb. Ammonia______________
Total Organic Nitrogen____ Ether Soluble Matter(Fats) Oxygen absorbed__________ Chlorides __________________ Solids {(Fixed) ____________
(Volatile) _________ Iron________________________

12.04 5.92 17.46 138.5 45.5 22.0 190.0 350.0 2.8

11.2 3.74 13.8 132.5 2.0 15.0 105.0 160.0 2.8
1

8.0 3.96 10.0
72.5 2.0 15.0
103.0 130.0
2.0

LaGRANGE-ANALYSIS OF SLUDGE

Wet Sludge

Total Organic Nitrogen __________________ _ Fats ______________________________________ _
Specific Gravity __________________________ _ Moisture __________________________________ _ Solids { (Fixed) ___________________________ _
(Volatile) ________________________ _

1.65% 11.75% 1.06
72.0%
44.4% 55.6%

Dry Sludge
1.43% 10.83% 1.1 25.33% 1.1% 54.7%

MACON

(Samples of Filter AlUm, 10 bbls. mixed)

Insoluble _______________________________ _ Fe2<1a ___________________________________ _
Combined Al. ___________________________ _ Basicity_________________________________ _ Total Al. ________________________________ _
Total Coagulent ________________________ _

#1
.28 1.24 19.38
.47 19.85 21.09

#2 Average
.29 .28 (5) 1.24 1.24 19.30 19.34
.45 .46 19.75 19.80 20.99 21.04

1TABLE NO. IV.
y.,,
RIVER WATERS OP GEORGIA.

Alkalinity

OITY

Source

C"D'

l5l
~~-
oas
zoS

;:.,
-:~ a
.c
~
~

!

~

0

CD

'0
0

CD
~
f:t

!
<.ci

z1.~ "C.:D,:'

"CD'

t>iJ

""Q'')

~ as
~
z~

~
CD

-~
0

.....; 0

.t:l
~

~

.

Iui
1::
foil

a~ s Ill

~
..0~..

;-J Atlanta.. ______________ Chattahoochee River __ 1 520 ---- .030 .340 .003 .05 4.0 0 14

SGarvifafninna--h-_-_-_-_-_-__-_-_-_---.-__- OFlgienetcRhieveeRr.iv--e-r-_-_-_-_-__-_-_-_-

3 5

390 Less th

an

----

.041

.349

.004

.103

4.0 0 25

Savannah______________ Savannah River.. ------ 6

25 140

. 114 .038 .280 0 .071 4.5 0 20
---- .040 .319 Trace .057 3.4 0 17

12 22.5

12.7 17.3

----
1.8

18 18

21.6 ---15.3 ----

--



"T' >(l:.,.:~;.;y;,;-

TABLE NO. V
COMPARISON OF LABORATORY WORK BY Y.IAB.S June 1, 1920-Dec. 31, 1922

Year

Bacteriological Chemical

Analyses

Analyses

Total Analyses

1910 __________________

152

191(1J_u_n_e__1__t_o__D__e_c_._3_1_)_ 1912 __________________ 1913 __________________ 1914 __________________ 1915 __________________ 1916 __________________ 1917 __________________ 1918 __________________
1919 __________________ 1920 __________________

272 276 278 116 398 371 250 322 487 970

1199222L_-_-_-_-__ _-_-_-_- _________-_-_-_-

2780 3106

106

258

251

523

236

512

252

530

76

192

97

495

41

412

13

263

36

358

68

555

47

1017

54

2834

134

3240

TABLE NO. VI
LIQUID CHLORINE INSTALLATIONS MADE IN GEORGIA 1922

CITY

Approximate

Type

Date of

Apparatus Installation

Remarks

-Milledgeville _____________
Stone Mountain_________ Cave Spring______________
(School for Deaf) ~uitman _________________
Thomaston Cotton Mills. Clartersville ______________
AuSgwuimstma iYn.gMp.oCo.LA_.______

MSAM MSAM MSAM
MSAM MSAM MSAM
MSAM

June Aug. Sept.
Sept. Sept. Oct.
Oct.

New Installation
New Installation
New Installation
New InstaUation
New Installation
Duplicate
New

75

TABLE NO. VII Total Liquid Chlorine Installations in Georgia to
December 31, 1922.

Albany

CITY

Athens

Atlanta

Augusta

Augusta Y. M. C. A. swimming pool

Barnesville

Blackshear

Blue Ridge

Calhoun

Canton

Cartersville

Cave Springs (School for Deaf)

Columbus

Columbus, Camp Benning

Commerce

Covington

Dalton

Dalton, Crown Cotton ills

Decatur

Douglasville

Elberton

Fort Screvens

Gainesville

Greensboro

Griffin

Hebard Cypress Company

CITY
Jackson Jefferson LaFayette LaGrange Lithia Springs Macon Madison Manchester Milledgeville Milledgeville (State Sanitarium) Milledgeville (Allen's Sanitarium) Monroe Monticello Newnan Quitman Rockmart Rome Savannah Stone Mountain Summerville Thomaston Cotton Mills Thomson Trion Washington West Point Winder

76

TABLE NO. VIII. Daily Per Capita Consumption of Water by Cities and Towns,
1922.

City

Total Daily Consumption

Population Per Capita July 1920 Consumption

Abbeville . . . . . . . . . . . . . . . . . 50,000

1,119

45

Adel . . . . . . . . . . . . . . . . . . . . . 50,000

1,720

29

Alamo . . . . . . . . . . . . . . . . . . . 10,000

563

8

Albany ................... 1,000,000

11,555

87

Allenhurst . . . . . . . . . . . . . . . . 60,000

150

400

Americus . . . . . . . . . . . . . . . . . . 600,000

9,010

66

Arlington . . . . . . . . . . . . . . . . 85,000

1,33,1

64

Ashburn . . . . . . . . . . . . . . . . . . 250,000

2,ll6

114

Athens . . . . . . . . . . . . . . . . . . . 1,500,000

16,748

90

Atlanta .................. 25,000,000

200,616

124

Augusta . . . . . . . . . . . . . . . . . . 7,000,000

52,548

133

Bainbridge . . . . . . . . . . . . . . . . 600,000

4,792

12

Barnesville . . . . . . . . . . . . . . . . 150,000

3,059

19

Blue Ridge . . . . . . . . . . . . . . . . 55,000

904

60

Boston . . . . . . . . . . . . . . . . . . . 75,000

1,640

46

Brunswick . . . . . . . . . . . . . . . . 2,000,000

14,413

138

Cairo . . . . . . . . . . . . . . . . . . . . 65,000

1,908

34

Camilla . . . . . . . . . . . . . . . . . . . l50,000

2,136

70

Canton .. , . . . . . . . . . . . . . . . . 200,000

2,679

75

Carrollton . . . . . . . . . . . . . . . . 250,000

4,363

57

Cartersville . . . . . . . . . . . . . . 500;000

4,350

.p5

Cedartown ................ 1,000,000

4,053

246

Claxton . . . . . . . . . . . . . . . . . . 50,000

1,265

39

Cochran . . . . . . . . . . . . . . . . . . 75,000

2,021

37

Columbus . . . . . . . . . . . . . . . . 4,000,000

31,125

128

Commerce . . . . . . . . . . . . . . . . 200,000

2,459

80

Conyers . . . . . . . . . . . . . . . . . . 40,000

1,817

22

Cordele . . . . . . . . . . . . . . . . . . 200,000

6,538

30

Cornelia . . . . . . . . . . . . . . . . . . 65,000

1,274

51

Covington . . . . . . . . . . . . . . . . 250,000

3,203

78

.Cuthbert . . . . . . . . . . . . . . . . . . 140,000

3,022

46

Decatur . . . . . . . . . . . . . . . . . . 450,000

6,150

73

Douglas . . . . . . . . . . . . . . . . . . 225,000

3,401

66

_ Douglasville . . . . . . . . . . . . . . 125,000

2,159

58

Dublin . . . . . . . . . . . . . . . . . . . . 550,000

7,707

71

Eastman . . . . . . . . . . . . . . . . . . 100,000

2,707

37

East Point . . . . . . . . . . . . . . 225,eoo

5,241

43

Edison . . . . . . . . . . . . . . . . . . . . 100,000

885

113

Elberton . . . . . . . . . . . . . . . 500,000

6,475

77

Fitzgerald . . . . . . . . . . . . . . . . 500,000

6,870

73

77

Table No. VIII-(Continued)

Total Daily

Population Per Capita

City

Consumption

July 1920 Consumption

Folkston . , , .. , ... , 10,000

397

25

Fort Gaines , . . . . . . 100,000

1,237

81

Fort Valley .. .. .. .. .. .. .. 300,000

3,223

93

Gainesville .. .. .. . .. .. .. .. 600,000

6,272

95

Glennville , ......... , .. .. . 20,000

1,069

18

Greenville .. , .. . .. . .. . 60,000

760

80

Griffin . . . . .. .. .. .. . . . . 500,000

8,240

60

Hartwell .. , .. , . , , 75,000 .

2,323

' 32

Hawkinsville . . . . . . 100,000

2,867.

35

Hazlehurst , ....... , 40,000

1,383

29

Jakin , ...... , , 15,000

430

30

Jesup . . . . . . . . . . . . 75,000

1,941

38

Kirkwood . . . . . . . . . 160,000

2,934

55

LaGrange .. . . . . . .. .. 800,000

17,038

47

Lawrenceville . . . . 75,000

2,059

36

Louisville . . . . . . . . . . . . . . . . 60,000

1,040

57

Madison ... , . . . . 300,000

2,348

128

Manchester . . . . . . . . . . . . . 250,000

2,776

90

Marietta ................ , 288,000

6,190

45

Midville .. .. .. .. .. .. .. . .. . 50,000

985

50

Milltown . . . . . 7,500

860

9

Monroe , . 150,000

3,211

46

Montezuma .. .. .. .. . . . . . 175,000

1,827

95

Monticello .. . .. .. .. .. . 80,000

1,823

44

Moultrie . . . . . . . . . . 300,000

6,789

44

Nashville .. .. .. . . . .. .. .. . 90,000

2,025

44

Newnan , . . . 300,000

7,037

42

Pelham . . . . . . . . . 120,000

2,640

45

_ Pembroke . . . . . . 10,000

560

18

Pinehurst . . . . . . . 15,000

596

25

Plains . . . . . . . . . . . . 12,000

611

20

Porterdale . . . . . . . 600,000

2,880

208

Richland . . . . . . 300,000

1,529

196

Rochelle . . . . . . . . . . 40,000

1,046

38

Rockmart . . . . . 90,000

1,400

64

Rome . . . . . . . . . . . 1,400,000

13,252

105

Savannah ....... 12,000,000

83,252

44

Springfield . .. .. .. .. .. . .. 10,000

377

26

Sylvania ... , . . . . . . 60,600'

1,413

42

Thomasville . , . 425,000

8,196

52

Tifton . . . . . 450,000

3,005

149

Valdosta .. .. .. .. .. .. .. .. . 800,000

10,783

74

78

Table No. VIII-'-(Continued)

Total Daily

Population

City

Consumption

July 1920

Vidalia .. .. . . . . . .. . . .. 130,000 Washington . . . . . . . . . . 200,000 Waycross .......... 2,000,000 Waynesboro . . .. . . .. . 300,000 West Point . . . . . . . . . . 450,000 Whigham . .. .. . . . .. . . .. 18,000 Winder .. .. . . . . . .. . . . . 225,000

2,860 4,208 18,068 3,311 2,138
662
3~335

Per Capita Consumption
45 40 110 .91 210 27 67

79

TABLE NO. IX

TABLE SHOWING EXPENDITl)"RES FOR MALARIA WORK

.

1922

CITY

Approx. Area

Approx. Amt. Population Under Contro

Spent 1~2~, ,;; Prot\lcted

Sq. Miles

Albany________ -~ _____ 2,168.61

11,555

13

A t l a n t a ______________ B l a k e l y ______________

5,000.00 330.70

200,616 1,985

20 3

Brunswick ___________ Cairo_________________

2,074.26 678.81

14,413 1,908

15 3

Columbus ____________ 6,000.00

31,125

8

D o n a l s o n v i l l e ________ F l t z g e r a l d ___________ Millen ________________ S a v a n n a h ____________

1,860.00 1,101.97 1,776.39
78,897.17

1,031 6,870 2,405
83,252

5 6 6
11

Thomasville __________ T i f t o n _______________ Valdosta_____________

795.92
778.50 1,010.30

8,196
3,005 10,783

8 6
7

-

Totals ___________ 102,472.63

377,144

111

TABLE NO. X
TABLE SHOWING EXPENDITURES FOR MALARIA CONTROL WORK BY CITIES FOR THREE YEARS 1920-1922

CITY

1920

1921

1922

A l b a n y _______________ A m e r i c u s _____________ A t l a n t a ______________ Blakely ______________ B r u n s w i c k ___________ Cairo _________________ Columbus ____________ D o n a l s o n v i l l e ________ Fltzgerald ___________ Macon _______________ Millen ________________ Q u i t m a n _____________ Ray City_____________ S a v a n n a h ____________ T h o m a s v i l l e __________ Tifton _______________ Valdosta _____________
T o t a l s ____________

3,746.21 none none none none 856.35 none none none none none none none
39,000.00 4,457.37
none none
48,059.92'
80

3,650.00 120.00
4,000.00 2,120.00 1,000.00
31.85 none none none 200.00 none 200.00 400.00 21,000.00 1,660.00 1,656.41 none
36,038 26

2,168.61 none
5,000.00 330.70
2,074.26 678.81
6,000.00 1,860.00 1,101.97
none 1 '776.39
none unknown 78,897.17
795.92 778.50 1,010.30
102,472.63

TABLE NO. XI TABLE SHOWING CITIES HAVING WATER SUPPLIES, WITH SOURCES OF WATER AND MEANS OF
PURIFICATION.

Locality

County

~
~
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aS~
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'o
~lot

:aC)
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~~
Cl)j:l,
cp,
a~ om
CIJ

I
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&

~~
1i :a Cl) rl.l
b.()+>
~~a:
~A

a

'"' I 0

0

J":q

E-t

....... ...!...

Type of Treatment

s:l
0

'"'~~

Cl).s Cl)

at:;.;.~.a.:.
....,+ 0 o'-'.s:l
'~S~~0::~-01

CllCI)
a'"':et;jb.O
~s
o:ICIJ

~

~

s:l
0
~
-a
o:l 0
0

~
~'"'

-~
0
1;j
N
~

:~a
+>
~
M....
0
Cl)
1;j

t;) A

~

Abbeville__________ ----- Wilcox_______________ _
Acworth_______________ Cobb_____ -----------Adairsville_____________ Bartow___ ------------

1...... 11918 l,ll9 D.Well Hanl

468 -lfi6 ........................

1,117 D. wen________ 835 350 -150 ------ ______ ------ ------ 1915

814 Spring Hard ------ ------ -------- ------ ------ ------ at ------

AdeL------------- _____ Cook________________ _ Albany_________________ Dougherty__________ _ Americus______________ Sumter______________ _

1,720 D. Well ________ ------ 590 11,555 D. Well Hard 800 1,100 9,010 Spring

times
-150 ------ ------ ------ ------ 1908 -40 ------ ------ ------ yes 1892

Arlington______________ Calhoun____________ _ Ashburn_______________ Turner______________ _

D. Well Hard 400 1,725 1,831 D. Well Hard ------ 1,800 2,116 D. Well-------- 850 400

-78 ------ ------------------ 1907 -70 ------ ------------------ 1908
-268 ------ ------ ------ ------ 1909

Athens________ ------ ___ Clarke_-------------_ AAutlgaunsttaa____-_-_-_-_-_-_-_-_-_-_-_-_-_- RFulclhtomno_n__c_L___________________ __ BAalliennbhriudrgset__________________________ LDiebcearttuyr__-_-__-_-_-_-_-_-_-_-_-_--_ Barnesville_____________ Lamar______________ _

16,748 200,616 52,548
255 4,798 8,050

River -------- ------ ------ -------- yes yes yes yes -----River Soft ------ ------ -------- yes yes yes yes -----River Soft ------ ------ ---"'---- yes yes yes yes -----D. Well-------- ------ ------ -------- ------ ------ ------ ------ -----DSp. Wrinelgl Hard ------ 550 -58 ------ ------ ------ ------ 1901

Barwick________________ Brooks______ ------- __ Baxley----------------- Appling_____________ _ Blackshear_____ -------- Pierce_____ -----------

D. Well Hard 800 422 D. Well ________ -----1,142 D. Well Soft 450 1,829 D. Well Hard ------

875 444
600
825

--8250

~------~------~------~
------ ------ ------

-

-y-e-s--

-150 ------ ------ ------ ------

-60 ------ ------ ------ yes

1890 1918
1890 1918

~:..:...-/.'

~

BBlluaekeRliyd_g-e-_-_-_-_-_-_-_-_-_-_-_-_-_- EFaarnlnyi_n_____________-_-_-_-__-_-_-_--_
BBoowstdoonn_____-_-_-_-_-_-________-_-_-_-_- TChaorrmolals___________________________ __ Bronwood.._____________ Terrell______________ _ Buena Vista___________ Marion______________ _ Buford___ ---- _______ --_ Gwinnett___________ _ Butler_---------------- Taylor______________ _ Brunswick_____________ Glynn_______________ _ Baconton______________ Mitchell_____________ _ Cairo___________________ Grady_______________ _ Calhoun_______________ Gordon_____________ _
Cam111a___ -------- _____ Mitchell_____________ _ Canton________________ Cherokee___________ _
Carrollton_____________ CarrolL ___ ----- ____ _ Cartersville_______ ----- Bartow______________ _ Cave Spring____________ Floyd_______________ _ .Cedartown_____________ Polk________________ _
Chatsworth____________ Murray___ ----------Chipley___ ------------- Harris_______ ----- ___ _ Claxton_____ ------ _____ Evans_________ ------_ Clayton___________ ----- Rabun____ ----------_ Cochran_______________ Blackley_-----------College Park___________ Fulton______________ _ Columbus______________ Muscogee___________ _ Commerce______________ Jackson_____________ _ Conyers_____ ---- _______ Rockdale____________ _ Cordele________________ Crisp__________ ------_ Cornelia_______________ Habersham_________ _ Covington___________.__ Newton_____________ _ Cuthbert______________ Randolph___________ _ Dalton_________________ Whitfield____________ _

1,985 D. Well Soft ------ 800 -20 ------ ------ ------ ------ 1903 904 Creek Soft ------ ------ -------- yes no no yes ------

1,640 D. Well Hard ------ 500 -100 ------ ------ ------ ------ 1911 1,047 Springs _______ ------ ------ -------- ------ ------ ------ ------ ------

520 D. Well-------- 300 300 -260 ------ ------ ------ ------ 1910 1,230 D. Well ________ ------ 230 -147 ------ ------ ------ ------ 1906

2,500 Spring-------- ------ ------ -------- ------ ------ ------ ------ ------

758 Spring-------- ------ ------ -------- ------ ------ ------ ------ 1911 14,413 A. Well Hard 600 1,000 +:38 ------ ------ ------ ------ 1899

568 D. Well ________ ------ ------ -------- ------ ------ ------ ------ -----1,908 D. Well ________ ------ 700 -150 ------------------------ 1906

1,652 Springs Hard _____ -------------- ----------- ------ yes ------

2,136 D. Well ________ ------ 297 -150 -----.------ ------ -----. 1904

2,002 River Soft ------ ------ -------- no yes yes yes 1908 4,363 River -------- ______ ------ -------- yes yes yes yes -----4,350 River Soft ------ ------ -------- yes y~s yes yes ------

738 Spring-------- ------ ------ -------- ------ ------ ------ ------ -----4,053 Spring Hard ------ ------ -------- ------ ------ ------ yes 1l 0

472 728

Spring-------Spring--------

-----------

------~-----

---------------

-----------

-----------

-----------

-----------

-----1921

1,265 D. Well ________ ------ 633 -80 ------ ------ ------ ------ ------

545 Creek -------- ------ 300-------- no no yes no -----2,021 D. Well ________ ------ ------ 630 ------ ------ ------ ------ 1907

3,622 D. Well ________ ------ 460-------- ------ ------ ------ ------ -----31,125 River Soft ____ ------ -------- yes yes yes yes ------

2,459 Creek -------- ------ ------ -------- yes yes yes yes -----1,817 D. Well ________ ------ ------ -------- ------ ------ ------ ------ -----6,538 D. Well________ 500 700 -18 ------ ------ ------ ------ ------

1,114 Spring-------- ------ ------ -------- ------ ------ ------ ------ ------

2,886 3,022

DC.reweekn

__S__o_f_t__

.-.-_---------

-----333

--------7o__

yes ------

yes yes ____________

yes ------

-----------

Darien__ ---- __ --------_ Mcintosh___________ _ 5,282223 DSp. wrienng___H_a_r_d__ ---5-0-0- ---6-0-0- ---+--4-.5-- ------------ -_-_-_-_-_-__-_-_-_-_-_- --y-e-s-- -1-9-0-0--

Dawson________________ Terrell________ ------Decatur________________ DeKalb__ -----------Donalsonville__________ Seminole____________ _

3,509 D. Well ________ ------ ------ -------- ------ ------ ------ ------ -----6,150 Creek Soft ------ ------ -------- yes yes yes yes -----1,031 D. Well Hard ------ 691 -75 ------ ------ ------ ------ 1907

TABLE NO. XI (Continued)
TABLE SHOWING CITIES HAVING WATER SUPPLIES, WITH SOURCES OF WATER AND MEANS OF PURIFICATION.

Locality

County

~
......
.::

0
:::l .0 ::l ll<

~0::":!'

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;a;!.:t:il

CoDpA.

oACO!l

gw'"':::!

ll<

rll

.;.:..,.,
::::1 a! ::l
G

.....
..... 0
~E"'
bll...,:::l
>a!:lACCD!~> ll:lA

s

0
~'"'

0
I E-1

:I:

Type of Treatnient

'C"D'ao::"::'l

~aClD,Col~)

'"' ~~t_~....O...

Cl>ct>

...0.:.:.,

.::

..0...:..:.,

I 0
...,

~..,.Q,

.sg~:o:.g~

~...,a!bll ~
~t!iJ

a!
;3
bll a! 0

...8.,
a!
.~.'"..'

a!
N
:::l
."1C.=.D1,

~

p:l

0

~

rll

.:: ...8.,
a!
~...,
...".:.:'.
.....
0
..C.D,
a!
A

I

Douglas ________________ Coffee ______________ _ 3,401 D. Well________ 480 500 -180 _____________________________ _

00
~

Douglasville____________ Douglas _____________ _ Dublin_________________ Laurens:____________ _
East Lake..----------~- DeKalb _____________ _

2,159 Creek Soft ___ __ _ ______ ___ _____ no yes yes yes _____ _

7,707 611

D. Well Hard 300 300 ________________________________ 1917 D. Well ________________________________________ ------ ___________ _

East Point _____________ Fulton______________ _ 5,241 D. Well ________________________________________ ------ ___________ _

Eatonton ______________ Putman_____________ _ 2,530 River Soft __________________________ yes yes yes _____ _

Eastman_______________ Dodge _______________ _ Edison_________________ Calhoun ____________ _

2,707 885

D. Well Hard ______ 467 -120 ________________________ D. Well ____________________________________________________

1907 1909

Ellaville ________________ Schley______________ _

693 D. Well ________ ------ 210 -90 ------ ------ ------ ------ 1915

Elberton_______________ Elbert _______________ _ 6,475 Creek Soft ____________________ yes yes yes yes _____ _

Fairburn_______________ Campbell____________ _ 1,395 Creek Soft ______ ______ ________ no yes yes no _____ _

Fitzgerald_____________ Ben Hill_____________ _ Flowery Branch _______ Hall_________________ _

6,870 461

DSp. Wrinelgl_______________________________8_2_5____-_1_2_5___-_-_--_-_-______________-_-_-_-_--__-_-_-_-_-_-__1_8_9_8_

Forsyth________________ Monroe _____________ _ 2,241 D. Well Soft

300 356 -75 __ : _____________________ 1908

Fort Gaines ________,____ Clay________________ _ 1,237 D. Well Soft ______ ______ + ______ ------ ------ ------ 1910

Fort Valley ____________ Houston____________ _ 3,223 D. Well Hard ______ 350 -125 ________________________ 1904

Folkston_______________ Charlton____________ _

397 D. Well ________ ------ EOO -13 ------ ______ ------ ______ 1906

Gainesville _____________ HalL _______________ _ 6,272 Creek Soft ------~------ ________ yes yes yes yes _____ _

Glennville _____________ Tattnall_ Grantville _____________ Coweta __

~:~ ---~~: ---~~~~- -~~~~- 1,069
g: 1,200

======== ======

====== ====== ====== ======

.:......fu{'i'N'\;

:-;i~rMrt'

Greensboro ____________ Greene______________ _ Greenville______________ Meriwether _________ _ Griffin_________________ Spalding____________ _

2,128 Creek Soft ____________________ yes yes yes yes _____ _ 760 Creek ________ ______ ______ ________ yes yes yes no _____ _
8,240 D. wen________ 350 512 -50 _____________________________ _

Guyton________________ Effingham _________ -Hampton ______________ Henry_______________ _ Hartwell_______________ Iiart ________________ _
Hawkinsville___________ Pulaski ____________ -_ Hapeville_______________ Fulton______________ _
Hazlehurst ____________ Jeff :Davis ___________ _ Helena_________________ Telfair______________ _ Hebardsville ___________ Ware ________________ _ Homerville _____________ Clinch ______________ _

539 D. Well ________ -----'-- ______ -----------"------~------------------927 D. Well________ ______ 275 -100 ________________________ 1910
2,323 Creek ____________________________ yes yes yes no -----2,867 D. Well________ ______ 312 + ________________________ 1904 1,631 D. Well Soft ______ 600 -100 ________________________ 1914 1 ,383 D. Well ________ ______ 280 -80 ______ ______ ______ ______ 1907
928 D. Well________ ______ 300 _____________________________________ _
360 D. Well________ ______ 509 -20 ________________________ 1909 627 D. Well______________ 697 -96 ____________ ------ ------ 1912

Iron City ______________ Seminole____________ _

Jackson________________ Butts______________ -_

Jefferson ______________ Jackson_____________ _

Jesup~------- __________ Wayne ______________ _

Jeffersonville_

Twiggs___ _

696 D. Well ________ ------ ______ -------- ______ ------ ------ ------ ------

2,027 Creek'------~ ____________________ yes yes yes yes ------

1,626 Creek Soft __________________________ yes yes yes ------

1,941 D. Well liard ------ 820 -32 ____________ ------ ______ 1912

842 D. Wel

51' -286

____________ 1905

00 Jonesboro ____________ Clayton __ _ 01 LaFayette ___________ Walker ___ _

LaGrange ___________ Troup _____ _

Lavonia_______________ Franklin __ _

Lawrenceville__ Leary________

Gwinnett_ __ Calhoun __ _

1,06' D. We' 2, 104 Sprin; 17,038 Creek I Soft 1,644 D. we: 2,059 D. wer
46E D. We'

yes

yes yes yes yes 1------

16' 24'

1917

311 -23

1912

73E +15

1895

Lindale ______________ Floyd _____ _

Louisville________

_ Jefferson __

3,104 ------
1,04C D. We' I Soft

30( +zo

1903

Lumpkin _______________ Stewart ___ _ Lyons__________________ Toombs ___ _

934 D. Well 873 D.Well

30(' -200

----- '------' 1908

McDonough _________ Henry ____ _

1,263 Spriw

McRae _______________ Telfair ___ _ Macon _________________ Bibb _____ _ Madison________________ Morgan __ _
Manchester_____ ______ Meriwether __ Marietta_ ______________ Cobb ______ _ Marsha1ville ____________ Macon ___ _ Meigs ________________ Thomas

D. Well

1,273
-ye-8-,--ies-j i~~~ 52,995
2,348 2,717 6,19('

D.Wel' River Creek
DC.reWeek1'

Soft Soft
Soft
_______

287 -72

yes yes

yes yes

yes yes

yes yes

yes 1913 yes _____ _

! ______ ! ______ , ________ , ______ ,______ , ______ , ______ , _____ _

1----- -1------J- ---- -J- 1,151 D. We" Hard

420 :::100

-----11914

1,111 D.WP1-

5751 1,180 150 ------ ------ ------ ------ 1912

TABLE NO. XI (Continued) TABLE SHOWING CITIES HAVING WATER SUPPLIES, WITH SOURCES OF WATER AND MEANS OF
PURIFICATION.

Locality

1:

Type of Treatment

~

I

County

0
C\l
.0...>..
~
I otil
:a;S3t;ijl ~~ A a> oO Ill

C)
;:::j
.0 ;j Ill
'g~
a> A OA
gool-l;j
ell

.1..>, .
:a
;j ~

~
-go

~-~~til

... -4Cf.l: til
~:S:a
~!3:
~A

~

I 1-1

0

~

E-4

~a>~OQ::):I

aaS:.o~i3~: ~O+ .._..Q0 ...,a>...,
,QI>;j

1-1
a>ep ...,bll aS aS !3:~-<

-~
0
"t;!
~

-bsi)~O:Oa

~s
flSCll

bll
~

Ill

~

0

-~
..0., .1.a.-S1,
~

~
:0g
N
:a.C..l,)
ell

..0... "t;!
:..;.,
til
~ 1-t
~
0
.C..l,)
ol
A

Metter _________________ Candler _____________ _ 00 Midville ________________ Burke _______________ _

908 D. Well______________ 462 -52 ------~------ ______ ______ 1922 985 D. Well______________ 580 -21 ____________ ------ ------ 1914

0) Milledgeville ___________ Baldwin _____________ _ 4,619 Creek Soft ____________________ yes yes yes yes 1922

Millen_ _________________ Jenkins _____________ _ 2,405 D. Well______________ 450 -5 ________________________ 1907

Milltown _______________ Lanier_ _____________ _

850 D. Well________ 200 300 -85 ____________ ------ ______ 1913

Monroe ________________ Walton_ _____________ _ 3,211 Creek Soft ____________ -------- yes yes yes yes _____ _

Montezuma ____________ Macon ______________ _ 1,827 D. Well Hard 350 500 ________________________________ 1890

Monticello _____________ Jasper ______________ _ 1,823 Creek ________ ______ ______ ________ yes yes yes yes 1907

Moultrie _______________ Colquitt ____________ _
Nashville _______________ Berrien _____________ _ Newnan _______________ Coweta_____________ _

6,789 D. Well______________ 500 -225 ______ ------ ------ ______ -----2,025 D.Well -------- ______ 850 -120 ____________ ------ ------ 1908 2,037 Creek ___ __ __ _ ____ __ ___ ___ ___ _____ yes yes yes yes 1891

Norcross _______________ Gwinnett ___________ _ 993 D. Well _________________________________________________________ _

Ocilla__________________ Irwin _______________ _ 2,180 D. Well Hard ______ 400 -220 ______________ --- ______ 1906

Oglethorpe ____________ Macon ______________ _ 871 D. Well______________ 280 +3 ________________________ 1911

Pavo ___________________ Thomas _____________ _

990 D. Well--------______ 300 -100 ______ ------ ------ ______ 1910

Pearson________________ Atkinson ___________ _

792 D. Well________ ______ 356 -150 ------ __________________ 1921

Pelham ________________ MitchelL ___________ _ 2,640 D. Well______________ 727 -188 ------ ------ ------ ------ 1907 Pinehurst ______________ Dooly_______________ _ 596 D. Well ______ __ ___ __ _ 218 -37 ______ ___ ___ __ ____ ___ __ _ 1911

Pembroke ______________ Bryan _______________ _ Plains __________________ Sumter _____________ _

560 D. Well______________ 520 -16 ------ ------ ------ ______ 1908 611 D. Well Soft ______ 287 -75 ------ ------ ------ ______ 1920

Pooler_________________ OhathB.IIL------------

443 D. Well ________ ------ 389 + ------ ------ ------ ------------

Porterdale _____________ Newton _____________ _ 2,880 River Soft ____________________ yes yes yes no

Perry_------------ _____ Houston ____________ _ Quitman _______________ Brooks______________ _

723 D. Well Iron ______ ------ ________ ______ yes yes no -----4,393 D. Well Hard ______ 699 ________ ______ ______ ______ yes 1910

Reidsvllle______________ TattnalL _____.______ _ Reynolds_____________ " Taylor ______________ _ Richland ______________ Stewart _____________ _
Rochelle_--------- _____ Wilcox ______________ _ Rockmart______________ Polk ________________ _

553 D. Well--------______ 300 -164 ------ ______ ------ ------ 1905 776 D. Well______________ 520 -414 ------ ------------- ------ 1921 1,529 D. Well______________ 710 -186 ------ ------ ------ ------ 1910 1,046 D. Well________ 377 377 -160 ____________ ------ ------ 1913 1,400 Spring--------______________________________________ yes ------

Rome __________________ Floyd _______________ _ 13,252 River Soft ______ ______ ________ yes yes yes yes -----Royston_______________ Franklin____________ _ 1,681 Spring-------- ____________________________________________ 1921

Sandersvllle___________ Washington ________ _ 2,695 D. Well________ 200 400 -75 ------ ------ ------ ------ 1902

Savannah______________ Ohatham____________ _ 83,252 D. Well Soft

500 1,500 ______ _,_ ------ ------ ------ ------ ------

Shellman______________ Randolph ___________ _ Smithvllle______________ Lee_______ --------- __ _

1,077~14

D. Well------- 224 D. Well______________

480 -82 ------ ------ ______ ------ 1906 492-------- ________________________ 1922

Social Oircle ___________ Walton ______________ _ 1,781 D. Well________ 55 500 -3.0 ------ ____________ ------ 1920

Soperton ______________ Treutlen_ ___________ _ 1,033 D. Well________ ______ 312 -210 __________________ ------ 1920

~

Sparks _________________ Oook ________________ _ Sparta_--------- _______ Hancock ____________ _

792 D. Well ___ __ __ _ ___ ___ 407 -125 ________._ __ _ ___ __ _ ___ ___ 1909 1,895 D. Well-------- ____________ --------------------------------------

Statesboro_____________ Bulloch _____________ _ 3,807 D. Well________ 510 600 -100 _______ c ____ ------ ------ ------

Stone Mountain _______ DeKalb _________ ---- _ 1,266 Spring______________________________________________ yes 1922

St. Marys ______________ Oamden _____________ _ Statenville _____________ Echols ______________ -

812140 DD.. WWeellll_-_-_-_--_-_-_-_____________ 145704 +-20 -_-_-_-_-_-__-_-_--_-_-__-_-_-_-_-_-_-_-_-_-_-_- -1-9-1-0--

summerville ____________ Ohattooga __________ _ 1,003 Spring______________________________________________ yes ------

Swainsboro____________ EmanueL ___________ _ 1,578 D. Well______________ 670 -90 __________________ ------ 1921

Sylvania_______________ Screven_____________ _ 1,413 D. Well_______ ______ 310 -90 ______ ------ ------ ------ ------

Sylvester _______________ Worth _______________ _ 1,547 D. Well-------- ______ -------------------------------------------Talbotton______________ Talbot ______________ _ 1,093 D. Well-------- 100 150 -30 ____________ ------ ------ 1911 Tennille________________ Washington _________ _ 1,768 D. Well______________ 87 -40 __________________ ------ 1917

Thomaston____________ lJpson_______________ _ 2,502 Oreek Soft ____________________ yes yes yes no ------

Thomasvllle ____________ Thomas _____________ _ 8,196 D. Well Hard 300 500 -185 ____________ ------ ------ -----Thomson_______________ McDuffie ____________ _ 2,140 Oreek Soft ______ ______ ________ yes yes yes yes -----Tifton_________________ Tift _________________ _ 3,005 D. Well________ 480 540 -60 ------ ____________ ------ 1916

Toccoa _________________ Stephens____________ _ 3,567 Oreek Soft ______ ______ ________ yes yes yes no ------

Toomsboro _____________ Wilkinson ___________ _

420 D. Well______________ 300 +1,5 ____________ ------ ______ 1912

Trion __________________ Ohattooga __________ _ 1,588 Spring ________ ___ ___ ______

___ __ _ ___ __ _ ___ ___ yes _____ -

TABLE NO. XI (Continued) TABLE SHOWING CITIES HAVING WATER SUPPLIES, WITH SOURCES OF WATER AND MEANS OF
PURIFICATION.

Locality

County

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~ CUnadilla______

__ Dooly ____ c _________ _ 1,103 D. Well___ ____ ______ 175 -70 ________________________ 1912

Vf!ldosta _____________ Lowndes __________ _ 10,783 D. Well______________ 450 -135 ______ ------ ____________ 1894

Vidalia_______________ Toombs _____________ _ 2,860 D. Well Hard ______ 800 -90 __________________ --,--- 1905

Vienna _________________ Dooly _______________ _ 2,019 D. Well Hard ______ 325 -75 ________________________ 1910

Wadley _________________ Jefferson __ _

1,423 D. Well________ 185 350 +20 ________________________ 1914

Washington ____________ Brooks______________ _ 2, 331 Creek Soft ______ ______ ________ yes yes yes yes _____ _

Waycross____ ______ ______ Ware.________________ _ 18,068 D. Well________ 75C 850 -35 ------ ------ ______ ------ 1885

Waynesboro ____________ Burke _______________ _ 3,311 D. Well______________ 275 -60 ________________________ 1906

West Point_____________ Troup _______________ _ 2,138 Creek Soft ____________________ yes yes yes yes _____ _

Whigham _______________ Grady _______________ _ 662 D. Well ____________________ -------- _____________________________ _

Willacoochee ___________ Atkinson____________ _ 1,211 D. Well Hard ______ 408 -346 ________________________ 1908

Winder_________________ Barrow______________ _ 3,325 Creek Soft ______ ------ -------- yes yes yes yes 1907 Wrightsville____________ Johnson ____________ _ 1, 476 D. Well ________ ______ 400 -120 ______ ______ ______ ______ 1910

Zebulon ____________ Pike ____________ _

629 D. Well ____________________ -------- _______________________ _

-~- ...-

- - - - ...... - .

- ....

TABLE NO. XII

TABLE SHOWING NUMBER OF PEOPLE USING WATER FROM MUNICIPAL SUPPLIES, BY TYPES, CHLORINATION, PROTECTION BY ANALYSIS, ETC. 1922

MUNICIPAL WATER WORKS.

No. PeCorpeleeksD_r_i_n_k__in__g__W__a__te_r__f_r_o_m___S__u_r_f_a_c_e__S__o_u_r_c_e__s_, _R__i_v_e_r_s_, No. People Drinking Water from Spring Supplies _________ _ No. People Drinking Water from Deep Well Supplies _______ _

476,314 37,611 351,651

Total Number People Drinking Water from Municipal Supplies___________________________________________________ 865,576

Population State of Georgia ____________________ "------------ 2,893,601

Total Number People Drinking Water from Private Supplies 2,028,025

Per Cent. of People of State Drinking Water from Municipal

Supplies_______________________________________________

30

Per Cent. of People of State Drinking Water from Private

Supplies_______________________________________________

70

TotnaaltNedumSubpepr lPieeso_p_l_e__o_f__S_t_a__te__D__r_i_n_k__in__g__W__a_t_e_r_f_r_o__m__C__h_l_o_r_i_- 502,774

Per Cnenatt.edofSuPpepolpilees _o_f__S_t_a__t_e__D__r_in__k_i_n._g__W__a_t_e_r__fr_o__m__C__h_l_o_r_i_-

17

NumbSeur pPpelioepsl_e__D__r_i_n_k__in__g__W___a_te__r__f_r_o_m___C__h_l_o_r_i_n_a__te__d__R__i_v_e_r 462,342

Number People Drinking Water from Unchlorinated River Supplies_______________________________________________ 13,972
Number of People Drinking Water from Chlorinated Spring Supplies_______________________________________________ 19,102
Number People Drinking Water from Unchlorinated Spring Supplies_______________________________________________ 18,509
NumbSeur pPpeloiepsle__D__r_in__k_i_n_g__W__a_t_e_r__fr_o__m__C__h_l_o_r_i_n_a__te__d_D__e_e_p__W__e_l_l 21,330

NumbWerelPl eSoupplpeliDesr_i_n_k_i_n__g__W__a_t_e_r__f_r_o_m___U__n_c_h__l_o_r_i_n_a_t_e_d__D__e_e__p 330,321

Total Number People Living in Cities which have Monthly oAfnHaleyasletsh _m_a__d_e__o_f__W__a_t_e_r__S_u_p_p__li_e_s__b_y__t_h__e__S_t_a_t_e__B__o_a__rd_ 578,678

Total lN.lnuamlybseers P__e_o_p__le__L__i_v_i_n_g__in___C_i_t_i_e_s_t_h__a_t__m__a_k_e__t_h__e_i_r_o__w__n 137,397

Total Number People Living in Cities having Municipal Water Works where no Analyses are made ____________ 149,~1
89

TABLE NO. XIII TABLE SHOWING CO-OPERATION GIVEN STATE BOARD
OF HEALTH BY CITIES' RELATION TO MONTHLY ANALYSIS OF WATER SUPPLIES. 1922

Column 1 Cities giving
excellent co-operation

Column 2 Cities giving
fair co-operation

Columna Cities
giving poor cooperation

Column4 Cities giving no co-operation

Adairsville

Americus

Adel

Ashburn

Albany

Baconton

Atlanta

Boston

Augusta

Calhoun

Bainbridge

Cartersville

Barnesville

Decatur

Blackshear

Donalsonville

Blue Ridge

Dublin

Buford

Fairburn

Cairo

LaFayette

Canton

LaGrange

Carrollton

Lawrenceville

Cave Springs

M;cRae

(School for Deaf) Ocilla

Cedartown

Pearson

Chatsworth

Social Circle

Chipley

Thomaston

Commerce

Covington

Eastman

Eatonton

Elberton

Ellaville

Forsyth

Greensboro

Griffin

Greenville

Hartwell

Jackson

Jefferson

Jonesboro

Louisville

Lumpkin

McDonough

Manchester

Milledgeville (City)

Milledgeville

(State Saniatrium)

Monroe

Monticello

Madison

Newnan

Plains

Porterdale

Rockmart

Rome

Royston

Cornelia Cuthbert Douglasville East Point Edison Fitzgerald Fort Valley Glennville Lavonia Millen Midville Nashville Perry Quitman Richland Sandersville Statesboro Thomson Tennille Vidalia

Abbeville Acworth Allenhurst Arlington *Athens Blakely Buena Vista Barwick Baxley Bowdon Bronwood Butler Brunswick *Columbus Camilla Claxton Cochran (City) Cave Spgs. Clayton Chickamauga Cordele College Park Douglas Dalton Darien Dawson East Lake Folkston Fort Gaines Flowery Branch Grantville *Gainesville Guyton Hampton Hawkinsville Hazlehurst Helena Homerville Hapeville Hebardsville Iron City Jesup Jeffersonville Leary Lindale Lyons Moultrie Marietta

/
90

TABLE NO. XIII-Continued.
TABLE SHOWING CO-OPERATION GIVEN STATE BOARD OF HEALTH BY CITIES' RELATION TO MONTHLY ANALYSIS OF WATER SUPPLIES. 1922

Column 1 Cities giving
excellent co-operation

Column2 Cities giving
fair co-operation

Column 3 Cities
giving poor cooperation

Column4 Cities giving no co-operation

Summerville

Thomasville

----

Toccoa

Valdosta

Washington

West Point

Winder

Waycross

Conyers

Marshallville Meigs Metter Milltown Montezuma *Macon Norcross Oglethorpe Pembroke Pinehurst Pavo Pooler Pelham Reidsville Reynolds Rochelle *Savannah Sparta Statenville Swainsboro Sylvania Shellman Smithville Soperton Sparks Stone Mountain Sylvester St. Marys Trion Toomsboro Talbotton Tifton Unadilla Vienna Waynesboro Wrightsville Whigham Wadley Willacoochee

*-Note:-Athens, Columbus, Gainesville, Macon and Savannah appear in Column 4. These cities make their own analyses and do not have any made by the State Board of Health.
91

TABLE NO. XIV CONDITION OF WATER SUPPLIES IN GEORGIA FOR YEAR
1922

Column 1 Cities and Towns having excellent
water supplies

Column 2 Cities and Towns having a fair water supply but at times
doubtful

Column 3 Cities and Towns having a dangerous
water supply

Albany
Americus Atlanta Augusta Athens Bainbridge Barnesville Blue Ridge Buford Cairo Canton Cave Springs
(School for Deaf) Cedartown Chatsworth Chipley
Commerce Conyers Cuthbert Columbus Dublin Eastman Ellaville Elberton Fitzgerald Forsyth Fort Valley Griffin Greensboro Hartwell Jackson Jefferson Jonesboro LaGrange Lumpkin McDonough McRae Madison

Adairsville Adel Allenhurst Ashburn Blackshear Blakely Baconton Calhoun Camilla Carrollton Cartersville Claxton Cordele Covington Cochran Decatur Donalsonville Douglasville East Point Eatonton East Lake Edison Fort Gaines Glennville Hawkinsville Hazlehurst Helena Hapeville Hebardsville LaFayette Lavonia Lawrenceville Louisville Midville Millen Monroe Monticello Moultrie

Boston Bronwood Cornelia Fairburn Flowery Branch
Greenville Lyons Manchester Pembroke Quitman Trion

92

TABLE NO. XIV-Continued.
CONDITION OF WATER SUPPLIES IN GEORGIA FOR YEAR 1922

Column 1 Cities and Towns having excellent
water supplies

Column2 Cities and Towns having a fair water supply but at times
doubtful

Columna Cities and Towns having a dangerous
water supply

Milledgeville Newnan Perry Plains Porterdale Rockmart Royston Rome Savannah Social Circle Summerville Tennille Thomaston Thomasville Toccoa Vidalia Washington West Point Waycross

Nashville Ocilla Pearson Pinehurst Richland Sandersville Shellman Sparta Statesboro Sylvania Thomson Vienna Valdosta Waynesboro Winder

93