ï~~ 264 Monthly Bulletin of the Department of Health. DIRECTORY OF THE DEPARTMENT OF HEALTH. OFFICES Headquarters: S. W. corner Centre and Walker Streets, Manhattan....... Telephone, 6280 Franklin Borough of The Bronx, 3731 Third Avenue.............................Telephone, 1975 Tremont Borough of Brooklyn, Flatbush Avenue and Willoughby Street..... Telephone, 4720 Main Borough of Queens, 372-374 Fulton Street, Jamaica, L. I................ Telephone, 1200 Jamaica Borough of Richmond, 514-516 Bay Street, Stapleton, S. I..............Telephone, 440 Tompkinsville Office Hours-9 a. m. to 5 p. m.; Saturdays, 9 a. m. to 12 m. HOSPITALS FOR CONTAGIOUS DISEASES.. Manhattan-WillardParker Hospital, foot of East 16th Street. Telephone, 1600 Stuyvesant. -The Bronx-Riverside Hospital, North Brother Island. Telephone, 4000 Melrose. Brooklyn-Kingston Avenue Hospital, Kingston Ave. and Fennimore St. Telephone, 4400 Flatbush. Queens-Queensboro Hospital, Flushing Ave. and Lotts Lane. Telephone, 2600 Jamaica. LABORATORIES.', Diagnosis Laboratory, Serological Laboratory, Centre and Walker Sts. Telephone, 6280 Franklin. Research Laboratory, Chemical Laboratory, Vaccine Laboratory, Foot of East Sixteenth Street. Tele phone, 1600 Stuyvesant. 1 Antitoxin Farm and Laboratory,- Otisville, N. Y. BABY HEALTH STATIONS. Manhattan. 1. 172 East 3d St. 8. 224 West 63d St. 15. n 348 East 74th St. 22. 73 Cannon St. 2. 513 East 11th St. 9. 326 East 11th St. 16. 205 East 96th St. 23. 95 Suffolk St. 3. 306 Avenue A. 10. 114 Thompson St. 17. 209 Stanton St. 24. 206 Madison St. 4. 443 1st Ave. 11. 315 East 112th St. 18. 343 Pleasant Ave. 25. - 251 Monroe St. 5, 225 East 107th St. 12. 244 Mulberry St. 19. 108 Cherry St. 26. 289 Tenth Ave. 6. 241 East 40th St. 13. 508 West 47th St. 20. 197 Hester St. 27. 95 Forsyth St. 7. 174 Eldridge St. 14. 78 Ninth Ave. 21. 27 Suffolk St. 28. 2155 Fifth Ave. Brooklyn. 1. 268 South 2d St. 7. 359 Manhattan Ave. 13. 651 Manhattan Ave. 19. 698 Henry St. 2. 621 Fourth Ave. 8. 49 Carroll St. 14. 179 Bedford Ave. 20. 594 Sutter Ave. 3. 208 Hoyt St. 9. 76 Johnson Ave. 15. 296 Bushwick Ave. 21. 167 Hopkins St. 4. 144 Navy St. 10. 233 Suydam St. 16. 994 Flushing Ave. 22. 592 Park Ave. 5. 2346 Pacific St. 11. 323 Osborn St. 17. 176 Nassau St. 23. 239 Graham Ave. 6. 184 Fourth Ave. 12. 126 Dupont St. 18. 129 Osborn St. 24. 49 Amboy St. The Bronx. 1. 511 East 149th Street. 2. 428 East 133d Street. 3. 2380 Hughes Avenue. Queens. 1. 114 Fulton Ave., Astoria. 2. 22 Maspeth Ave., Maspeth. 3. 753 Onderdonk Ave., Ridgewood. Richmond. 1. 689 Bay Street, Stapleton, S. I. DIAGNOSTIC CLINICS FOR VENEREAL DISEASES. Manhattan-Centre and Walker Streets. Week days, 9 to 12 a. m. 307 West 33d Street. Wednesdays, 8 to 9 p. m. Brooklyn-29 Third Avenue. Week days, 9 to 12 a. m. Mondays and Fridays, 8 to 9 p. m. The Bronx-3731 Third Avenue. Week days, 11 a. m. to 1 p. m. Queens-138 Hunter Ave., Long.Island City. Mondays and Tuesdays, 10 a. m. to noon. 753 Onderdonk Ave.,.Ridgewood. Mondays and Wednesdays, 2 to 4 p. m. 112 Broadway, Flushing. Wednesdays and Fridays, 10 a. m. to noon. 372 Fulton St., Jamaica. Tuesdays and Thursdays, 2 to 4 p. m. Queensboro Hospital, Flushing Avenue and Lotts Lane. Monday and Friday, 3 to 4.30 p. m.; Wednesday 8 to 9 p. m. ANTI'RABIC CLINICS. Manhattan-Centre and Walker Streets. Telephone, 6280 Franklin. Week days, 1 to 4 p. m. Brooklyn-29 Third Avenue. Telephone 6719 Main. Week days, 10 a. m. to 1 p. m. Sundays and holidays, 10 a. m. to 12 m. The Bronx-Third Ave. and St. Paul's Pl. Tel., 1975 Tremont. Week days, 11 a. m. to 1 p. m. Queens-Patients attend Brooklyn or Manhattan Clinic. Richmond-Patients attend Manhattan Clinic. On Sundays and holidays patients of all Boroughs attend the Brooklyn Clinic. Hours on these days, 10 a. mn. to 12 noon. Immunization against typhoid fever will be given on request at these clinics. OCCUPATIONAL CLINIC. Manhattan-49 Lafayette Street. Week days, 9 a. C. to noon. Telephone, 507 Franklin. The Bronx-493 East 139th Street. Week days, 2 to 4 p. m. Telephone, 6399 Melrose. BRANCH OFFICES AND TUBERCULOSIS CLINICS. Manhattan-Corlears, 331 Broome Street. Telephone, 7914 Orchard. Stuyvesant, 111 East 10th Street. Telephone, 2869 Orchard. Yorkville, 439 East 57th Street. Telephone, 2526 Plaza. Jefferson, 341 Pleasant Ave. Telephone, 2375 and 828 Harlem. Riverside, 481 West 145th Street. Telephone, 9068 Audubon. Chelsea, 307 West 33d Street. Telephone, 3471 Greeley. Washington, 130 Prince Street. Telephone, 9586 Spring. Day Camp, Ferryboat "Manhattan," foot East 90th Street. Telephone, 1581 Lenox. The Bronx-Tremont, St. Paul's Place and Third Avenue. Telephone, 1975 Tremont. Mott Haven, 493 East 139th Street. Telephone, 5702 Melrose. Brooklyn-Prospect, Fleet and Willoughby Streets. Telephone, 4720 Main. Eastern District, 306 South 5th Street, Williamsburg. Telephone, 886 Williamsburg. Germantown, -420 Herkimer Street. Telephone, 2220 Decatur. Brownsville, 64 Pennsylvania Avenue. Telephone, 2732 East New York. Parkville, 974 West Street. Telephone, 1866 Bath Beach. Bay Ridge, 215 60th Street. Telephone, 2434 Sunset. Day Camp, Ferryboat "Rutherford," foot of North 2d Street. Telephone, 2611 Greenpoint. Queens-Jamaica, 372-374 Fulton Street, Jamaica. Telephone, 1200 Jamaica. Flushing, 112-114 Broadway, Flushing. Telephone, 731 Flushing. RidewooP~dz,753 Onderdonk Ave.,T Ridgeood. 5Telephone, 3624 Evergreen. Richmond-Richmond, Bay and Elizabeth Streets, Stapleton. Telephone, 1558 Tomnpkinsville-. SANATORIUM FOR TUBERCULOSIS. Otisville, Orange County, N. Y. (via Erie Railroad from Jersey City). Telephone, 13 F 1 Otisville. TUBERCULOSIS HOSPITAL ADMISSION BUREAU 145 Worth Street. Telephone, 2373 Franklin. Hours, 9 a. mn. to 5 p. mn. 25A-2003-18B L2 CONTENTS: STATISTICS OF THE EPIDEMIC OF INFLUENZA. CLINICAL NOTES ON THE EPIDEMIC OF INFLUENZA. HOSPITALIZATION OF INFLUENZA PATIENTS. BACTERIOLOGY OF INFLUENZA. EMERGENCY NURSING SERVICE DURING EPIDEMIC. INDEX TO BULLETIN FOR 1918. I' MONTHLY BULLETIN OF THE * DEPARTMENT of HEALTH CITY OF NEW YORK Public health is purchasable. Within natural limitations a community can determine its own death rate. Published monthly by the Department of Health, City of New York. 189 Centre St., New York, N. Y. Entered as Second-Class Matter October 16, 1917, at the Post Office at New York, N. Y. Under Act of March 3. 1879. Subscription 10 cents per annum. VOL. VIII. DECEMBER, 1918. No. 12 STATISTICS OF THE EPIDEMIC OF INFLUENZA IN NEW YORK CITY. By WILLIAM H. GUILFOY, M. D. Registrar of Records. Prezious Epideornics. (See Charts Nos. 1 and 2.) The first appearance, in recent years, of influenza in this City was in the last week of December, 1889, and the disease was in evidence for seven weeks during the beginning of the year 1890. The rise, culmination, and decline occupied a period of time measured by seven weeks. It reached its highest point in the second week, and in seven weeks was practically over. The second epidemic, which occurred in the week of March 26, 1891, was much slower in its rise, the culminating point not being reached until the fifth week, and its decline was much more protracted-the epidemic not having spent itself until at least eight weeks after the culminating point. The first epidemic of 1890 had its effect directly on the respiratory diseases and tuberculosis, all other causes being very little affected by the prevailing infection. The epidemic of 1891, on the other hand, affected not only the respiratory causes of death, but also the mortality from other causes increasing them to a considerable extent. Since the epidemics of 1890 and 1891, influenza became endemic in this city; not a year passed up to the present year in which there were not from 100 to 500 deaths reported yearly from influenza, but at no time was the toll taken by this disease at all equal to that exacted during the present epidemic, 10,886 deaths being reported from influenza during the period from September 15 to November 16, inclusive. In addition to this excessive mortality there were reported 9,722 deaths from both pneumonias during the same period.