CITY OF CLEVELAND

CITY OF CLEVELAND
OHIO
Municipal Tuberculosis Sanatorium
CITY FARMS
WARRENSVILLE, OHIO
ANNUAL REPORT
Y E A R 1 9 2 6

SERVICE DIRECTORY.
Cleveland Municipal Tuberculosis Sanatorium, Fairmount
3760, located at City Farm, Warrensville, 0. Entrance from
Center Road. Capacity 300 beds. Beds available for cases of
pulmonary tuberculosis of early or moderately advanced stage.
Also for children who are pre-tuberculous by reason of exposure
to the disease in homes or households. Any legal resident of
Cuyahoga County is eligible for care under the above classification
under existing contract of City of Cleveland with Cuyahoga
County. Fees dependent on ability of patients to pay up to full
cost. Visiting Days, Wednesday, Saturday and Sunday, 2 to 4:30
P. M. only.
SUPERVISING STAFF.
Dr. H. L. Rockwood....Medical Director & Commissioner of Health
Dr. John Randall
Resident Physician in Charge
Dr. Virgil Danford
Resident Physician
Dr. Walter Gilkey
Dr. Anne Tarshis
Dr. W. J. Abbott Consulting Nose, Ear & Throat Specialist
Dr. Francis Horrigan
Dentist
Miss Grace Fennessey
Chief Nurse
Miss Sara Seyler
.Chief Dietitian
Mrs. Adessa Hostettler
Sociological Secretary
Rev. William V. Edwards
Chaplain
Rev. James P. Brennan
Chaplain
Miss Stella Hagan
Matron Children's Colony
Mr. H. H. Porter
Educational Director
TUBERCULOSIS CLINICS.
At all health stations listed below and at Central Avenue
Bath House. Clinic hours: 1:00 to 2:00, Monday, Wednesday,
Friday and Saturday and one evening, first Thursday each
month, 6 to 7 o'clock.
Health Station No. 1, 6250 St. Clair Avenue Penn. 2234
Health Station No. 2, 2921 Carnegie Avenue Superior 980
Health Station No. 3, Administration Bldg., City Hospital. .Atlantic 272
Health Station No. 4, 5845 Broadway Broadway 3682
Health Station No. 5, 9206 Woodland Avenue Cedar 3188
Health Station No. 6, 12512 Penobscot Avenue Eddy 6246
Health Station No. 7, 9939 Lorain Avenue Evergreen 5740
Health Station No. 8, 2573 East 55th Street Randolph 3748
To reach the Sanatorium take Moreland Rapid Transit or
Kinsman Road cars to end of line where Cleveland Railway Bus
connects with service hourly direct to Sanatorium grounds.

CLEVELAND MUNICIPAL
TUBERCULOSIS SANATORIUM
Warrensville, Ohio
To HON. DUDLEY S. BLOSSOM,
ANNUAL REPORT
1926
DIRECTOR OF PUBLIC HEALTH AND WELFARE.
The year 1926 has been one of progress at the Sanatorium.
Much has been accomplished in developing the Children's Colony
to a point where this unit is more nearly fulfilling the purposes
for which it is intended, namely to guard children who are, by
reason of close contact with tuberculosis cases, likely to themselves
become victims of the disease and to give particular attention
to children who have already shown evidences of the
disease in such a way as can best be done in an institution where
the equipment and personnel are suited and adapted to the care
of little folks. A child illwith tuberculosis or with any other
disease is at a disadvantage when the institutional care offered
is by necessity in the same wards with adults. For this reason
the development of the Children's Colony at Warrensville is serving
a long needed purpose in the handling of the tuberculosis
problem as it presents itself in the City of Cleveland.
In 1926 more hospital days of treatment were rendered by
the Sanatorium than has been the case for any previous year.
The total bed days for 1926 were 93,814 as compared with 92,046
for the previous year. The total number of cases occupying beds
in 1926 was 694 as compared with 689 in 1925. It will be seen
that the number of individual cases handled was therefore but
five in excess of the previous year but the average length of stay
of all cases treated during 1926 since their admission was approximately
237 days per patient whereas the average bed days
of treatment for all patients treated in 1925 was 232. The importance
of having patients remain in the institution long enough
for beneficial results of treatment is obvious and the importance
of this matter is stressed at all times so that patients will remain
sufficiently long to obtain lasting and worthwhile results
of their stay at the institution.
The average population of the institution for the year 1926
per day was 257 whereas in 1925 the average daily number of
cases treated was 250.
CHILDREN'S COLONY.
Throughout the year the operation of the Children's Colony
has been subject to certain temporary arrangements. The building
program authorized at the fall election of 1925, whereby it is
expected to soon complete a building for the pretuberculous
children who, by reason of close contact with cases of the disease,

are considered in danger of contracting the disease itself, was
developed during the early part of the year and numerous conferences
over plans for this building were held. During the late
summer the contracts were let and work begun. At the close
of the year the building is completed to a great degree including
exterior walls and roof and in every respect bids fair to become
one of the most useful and at the same time ornamental buildings
of the Sanatorium group.
This new preventorium will provide 70 beds, of which approximately
60 will ordinarily be used for patients and 10 for
employees. The employees are not housed on the same floor
with patients but are cared for on the upper floor of the two-story
portion of the building.
It is expected that this building will be equipped in its southern
exposure with the type of windowglass permitting the passage
of the shorter wave lengths of sunlight. These wave lengths
known as the ultra-violet ray portion of the solar spectrum are
now known to be of particular value in handling tuberculosis
cases but have been difficult to use throughout the year in climates
of the character encountered at the institution because
of the fact that such wave lengths do not penetrate ordinary
windowglass. Exposure out of doors becomes ill-advised and
impossible on many days during the winter.
A much needed improvement at the Children's Colony has
to do with the proper provision of playground space and the
grading and sodding of the grounds so that the sticky clay mud
prevailing does not enter into the difficulties of operation as
much as at present. Children who are constantly advised to be
out of doors at the present time are finding this difficult without
coming in close contact with a considerable amount of the
mud which prevails in the neighborhood and ultimately clothing
and shoes are soiled in this way to the disadvantage of the
floors and general cleanliness of the building in which the children
are housed.
As the construction has been going on this year it has been
practically impossible to do much grading or landscaping the
premises. The first step in this direction was taken in 1925
when a wading pool was constructed as a permanent part of the
playground equipment. This pool has proved its worth in serving
for all of the children able to be outside as a place for wading,
skating in winter, and various forms of water sport dear
to the hearts of children.
At the close of the year work is being undertaken whereby
the new Preventorium and the Administration Building are to be
connected by an underground tunnel extending some 300 feet or
more directly through the Play and Schoolhouse building which
was the first permanent structure of the children's unit erected.
This tunnel will not only serve as a means of going back and
forth in all weather for the children who must necessarily come
to the Administration Building for their meals but will also
answer to bring supplies back and forth, such as laundry supplies,
without difficulty. At first it was not thought possible to

construct the tunnel from the funds available for the new construction
work but as it will be a decided step in raising the
efficiency of the institution it is fortunate that this improvement
could be made at this time.
TRANSPORTATION.
The improved transportation facilities whereby the Cleveland
Railway Company established an hourly bus service be-
.tween the institution and the terminal of the Kinsman street
cars at East 154th Street and Kinsman Rioad, has continued
during the year and has materially added to the proper operation
of the Sanatorium. There has been less labor turnover as
a result of these important facilities and patients who have been
permitted to go home on leave have required much less physical
exertion than was the case formerly when several transfers
were necessary and the service was often interrupted.
CHARACTERISTICS OF POPULATION.
During 1926 the types of cases handled were largely those of
pulmonary tuberculosis in a moderately advanced stage as heretofore.
Of course, with the additional number of children
handled, a slightly larger percentage of pre-tuberculous cases
were admitted. The figures for the past fifteen years of operation
at the institution show a decided change in some respects
in the types of cases handled as regards color and nativity.
The buildings now in use first were occupied in May, 1913,
and careful statistics are available for the entire period of operation
since. During the first eight years of operation, from
1913 to 1920, the number of colored patients for the entire period
was 2%. Last year, out of the 694 cases treated altogether, 115
were colored or slightly over 16.6%. This percentage of colored
persons has been increasing rapidly since 1920. The percentage
of colored in 1925 was 14.1% and in 1924, 12.4%. The increase
of colored patients is in keeping with the steady increase noted
in the city in the total number of cases of tuberculosis among
negroes and the total number of deaths. In 1925 and in 1926
nearly 30% of all deaths from tuberculosis in Cleveland were
among the colored group.
As regards age during the first eight years of operation,
1913 to 1920, approximately 61% of the cases handled were
under 30 years of age. Last year, out of a total number of 694
cases treated, 489 or approximately 70%, were under 30 years
of age. This is largely due ta increased beds for children, but
the point should be stressed that the average age of the population
is sufficiently young to take into consideration the needs of
the younger age groups in matters of recreation, entertainment,
supervision and discipline in order to effect the best therapeutic
results in the shortest possible time. Naturally the people of
younger age are most active and as the treatment of this disease
requires long and continued rest the average individual affected
undergoes with considerable fortitude the long days of invalidism
wherever situated.

As regards the sex of cases handled during the first eight
years, 38% of patients admitted were females and 62% males.
The number of females treated last year was approximately 45%
of the total number of patients. The number of women affected
with tuberculosis has been shown to be increasing to some extent,
especially in the age groups under 30 years of age and to
some extent at least this condition may be charged to changed
social conditions among women.
For the past few years the number of native born cases
among the entire number receiving treatment has been increasing.
In 1926 the percentage of all cases occupying beds who
were born in the United States was 73% which was the highest
for any previous year. During the first eight years of operation,
namely between 1913 and 1920, only 43% of the cases
treated were born in the United States. This reflects the differing
conditions resulting from a restriction of immigration. Unquestionably
closing the ports of entry to immigrants has reduced
the number of tuberculosis cases of foreign birth handled
in such institutions as that at Warrensville. On the other hand
the increased number of colored cases must be noted and has
been dealt with previously, which may be considered as an intimate
part of the problem which has been raised through the
restriction of immigrants from foreign lands. During the first
eight years of operation but 19% of the cases treated at the
institution were born in Cleveland. In 1926 in a total number
of 694 cases treated 235 or 33% were born in this city.
Among the 27% of cases treated in 1926 who were foreign
born the larger number of cases came from Austria, Hungary,
Czecho-Slovakia and Jugo-Slavia. There were however 22 different
countries represented among the foreign born patients
treated during the year. 92 of the 188 foreign born cases came
from one or the other of the four countries above mentioned.
TREATMENT.
The routine treatment followed at the institution during the
year just closed has differed but little from that of the previous
years. There has been however decided improvements made in
systematizing certain special kinds of treatment, and particularly
does this apply to the application of helio-therapy.
Helio-therapy.
A word of warning is necessary whenever helio-therapy of
tuberculosis is being discussed as to dangerous results likely to
follow from ill-advised use of sunlight or of the shorter wave
lengths of light provided by artificial means, On more than one
occasion at the institution patients have felt that exposure to
sunlight was so easily accomplished that long periods of exposure
beyond those advised by the physicians would accomplish good
results whereas in one or two instances very serious results occurred.
The method employed in helio-therapy calls for a slow
exposure of the body to light, gradually increasing the length
of time and the area exposed but constantly checking against
any ill effects. Cases running fever or having hemoptysis or

otherwise exhibiting signs of activity of the tuberculosis process
are decidedly poor risks in using helio-therapy.
The development of helio-therapy or the use of sunlight and
of shorter wave lengths of light produced by artificial means has
been continued during the year. This form of treatment has
been rapidly gaining favor in most institutions devoted to the
care of tuberculosis. There is some difficulty encountered in
regard to the use of natural sunlight because of the variability
of weather conditions and the rigorous temperatures encountered
during winter time. The fact that the shorter wave lengths of
sunlight will not readily pass through ordinary window glass or
any other substances except quartz or its equivalent requires
provision for exposure of cases to sunlight which are difficult
to meet at all times of the year. These difficulties have been
easily met in the newer construction at the Children's Colony
but for adults there still remains considerable to do in providing
solaria whereby adult cases may be exposed to sunlight.
Not all cases of pulmonary tuberculosis are benefited by light
exposures and up to the present time most of the beneficial results
have been for complications affecting other parts of the
body such as bone tuberculosis or in the case of children among
those who are pre-tuberculous.
The artificial production of shorter wave lengths of light is
now accomplished through the use of certain lamps on the market
and during the year one of these lamps known as the Alpine
Sun Lamp has been in continuous operation nearly every day of
the year. It is expected that further equipment of this type
will be provided. The use of arc lamps with carbons of various
composition is being practiced on a wide scale in several institutions,
particularly abroad in Great Britain. In order to secure
equipment which has shown by experience to be best adapted
for the work, outlay in this direction has been withheld up to
the present time beyond the provision of the Alpine sun lamp previously
mentioned but during the coming year this work will
probably be extended.
Artificial Pneumothorax
Probably no greater contribution in the therapeutics of tuberculosis
has been made within recent years than that which
obtains through the use of a method known as artificial pneumothorax.
The process involved consists in effecting rest of the
lung usually on but one side of the body by inflation of the
pleural sac surrounding the lung with an inert gas. Oftentimes
air is used. These fills are given at intervals sufficient to keep
the lung compressed, thus allowing healing to take place more
rapidly while the respiratory function is diminished or performed
almost entirely by the fellow lung on the opposite side.
Some of the most spectacular results are obtained with this
method of treatment.
During 1926 there were 34 cases treated by this method and
the total number of treatments given during the year was 476
or an average of 14 per case. 10 of these cases were under treat-

ment at the first of the previous year. There were 24 new cases
in which the treatment was undertaken during the year. 9 were
treated because of hemorrhage and 15 cases because of their
toxic condition.
The following table summarizes the penumothorax treatment
for the years 1925 and 1926.
1925 1926
Total No. of cases in which artificial pneumothorax was used.. 30 34
No. of cases under treatment January 1st 14 10
No. of new cases treated 16 24
No. of cases discontinued 20 19
No. of cases still under treatment December 31st 10 15
Total number of treatments 426 476
Average number of treatments per case 14 14
Indications for treatments in new cases:—
Hemorrhage 3 9
Progressive - toxic - unilateral 13 15
Condition of cases on discontinuation of treatment:
Improved 6 9
Unimproved 11 5
Died : 3 5
20 19
No. of cases where fluid appeared 9 7
No. of cases where aspirated 7 3
Dental Care
Obviously the care of the teeth is an important part in the
therapeutics of tuberculosis. In the report of the Dental Department
submitted herewith attention is called to the fact that the
resident dentist alone performed all of the work done as included
in this report. During the coming year, with an additional
number of children expected among our patients, the employment
of additional dental aid is desirable. A well equipped
clinic is now used at the Children's Building and, as a similar
clinic is available at the main institution, there is no reason why,
for lack of equipment, two dentists may not be employed. The
clinic at the Children's Building has also been used to some extent
during the year for the purpose of rendering dental care
to cases referred from the other institutions on the City Farms,
especially from the Girls' Colony.
X-Ray
In addition to the 1220 films taken in the routine care of
cases who are inmates at the institution during the year and
106 dental films of similar cases made by the resident dentist
there have been cases referred constantly through the year for
X-ray who come from the health station clinics for tuberculosis
in the city. There were 264 films made of dispensary cases and
these films together with a routine interpretation of each were
sent to the clinic physicians for their aid in making diagnoses
of cases attending clinics.
Ear, Nose and Throat
A visiting specialist has routinely visited the institution
during the year to consult with resident physicians in cases hav-

ing complications affecting the nose, ear and throat. In the
statistical summaries herewith it will be seen that a variety of
conditions were treated, the total examinations being 372 and
the total treatments including operations, 419.
RESULTS OF TREATMENT.
The total number of cases discharged during 1925 was 436
while in the year just closed the number discharged was 427.
Of the discharged cases in 1926 the average length of stay per
patient was 181 days as compared with 207 days per patient during
1925. The condition on discharge among whites was considerably
better than among the colored group. In a total number
of 354 white discharged 237 or 69% left with favorable results
of treatment, being either in a much improved or apparently
arrested stage of the disease. Among the colored group
however of the 73 cases discharged only 36 or approximately
50% were in an improved condition. This is typical of the increased
susceptibility generally recognized as prevailing among
the colored group when compared with whites and its result
naturally is to lower the percentage of favorable results secured
at the institution in direct ratio to the increase of colored cases
handled.
Of the total number of cases handled in 1926, 63.9% left in
an improved or apparently arrested stage of the disease as compared
with 69.2% of the total number of cases discharged in
1925. During 1926 there were 63 deaths or a mortality of 9%
of all cases treated. Of the tptal deaths 43 were white and 20
colored. Of the 115 colored cases treated the mortality was
therefore 17.4% whereas among the whites, numbering 579 altogether,
the percentage of fatal cases was but 7.4%.
PERSONNEL
During the year there were several losses to the institution
either by death or illness whereby old and experienced employees
were necessarily replaced by others. During the fall Mr. Fred
Wohl, who for many years had efficiently served the institution
as storekeeper and had been active in the general operation of the
institution, was compelled to give up his work due to the onset
of a serious illness which resulted fatally in December.
Miss Stella Hagan, who has been in charge of the Children's
work since this was started in 1916, was also compelled to accept
a leave of absence due to a physical breakdown and the
date of her return to duty is somewhat problematical.
Numerous staff conferences were held during the year. The
medical staff met practically once a week for the purpose of reviewing
cases and considering methods of treatment and during
the early part of the year several joint meetings of nurses and
physicians were held for the purpose of reviewing the routine
professional care of patients.
MILK SUPPLY.
While a superior quality of milk has been furnished the institution
from the nearby dairy of the City Farms the conditions

under which milk is produced are always such as to make pasteurization
a desirable part of the work of conditioning milk for
human consumption. Up to the past year none of the milk has
been pasteurized but an additional safeguard during 1926 in the
form of a pasteurizer was installed for the purpose of employing
this process in connection with all milk supplied the institution.
REPAIRS TO BUILDINGS.
The deterioration in the construction of the Sanatorium
buildings has been increasingly serious in the past few years.
It is believed that the type of construction used, namely an exterior
of stucco on hollow tile or brick is not suited particularly
well to this climate for durability.
The plaster ceilings throughout the main buildings have
been continually falling ever since they were applied until a large
area of the ceiling is mottled with these exposed islands of concrete.
The resulting appearance is decidedly one of deterioration.
This condition is due to faulty construction methods whereby
plaster was applied directly to concrete without any bond.
Similarly on the outside of the building wherever, the stucco
has cracked the subsequent entry of water from without has
oftentimes penetrated through to the inner wall leaving its
effects in stains and discolorations. In some instances the stucco
itself on the exterior has fallen away.
With a view to remedying these conditions partially a contract
was let in 1926 for the repair of Hospital No. 1 in the particulars
outlined above and in addition to this under this contract
a considerable amount of sheet metal work was needed to replace
downspouts and eaves troughs. The work was carred on through
August to the time of cold weather and during this period many
patients were housed in tents outside the building while the
wards were vacated for these repair purposes. The result has
been to put Hospital No 1, which is used for female patients,
into excellent physical condition. Due to the expense however
only part of the work was completed this year and there remains
a considerable amount of similar repairs to be made on the other
buildings at the institution.
SOCIOLOGICAL WORK.
Many entertainments and sources of recreation have been
provided the patients during the year. The Anti-Tuberculosis
League has cooperated in supplying moving picture films and
numerous organizations in the city have responded to invitations
to entertain by giving various programs at the institution. The
sociological department has been active throughout the year in
fostering vocational work among patients and in November a
large exhibit was prepared for the Women's Exposition of articles
made by patients, both male and female. Many of these
articles were sold at this exhibition.
CONCLUSION.
During the coming year it is expected that one of the principal
accomplishments will be to place in full operation the
10

Children's Colony and at that time it is expected that a re-organization
will be necessary whereby all children will be admitted
directly to the Children's institution and the administration
of the care of this group of patients be systematized according
to a permanent standard. A considerable amount of repair
work to the buildings will probably be undertaken and in addition
to this it is to be hoped that the permanent landscaping and
grading of the grounds may be carried along much further than
at present.
The summary of the Division of Health reported elsewhere
indicates that the number of cases of tuberculosis in the City
of Cleveland is constantly increasing as the total population
increases. In 1926 the total number of active cases listed in the
files of the Division of Health at the close of the year was 4732.
It will thus be seen that the 300 beds now available or 360 beds
to be available when the new building is completed are quite inadequate
to meet the demands for institutional care of tuberculosis
cases, and considerable discrimination must be practiced
at all times in assigning beds to cases whereby cases most in
need from the standpoint of exposure of others in the home or
of their own physical condition are given preference. At no
time during 1926 was there a day when all cases applying for
care could be handled. The average waiting list for Warrensville
Sanatorium during the year was 28 cases as compared with
25 cases during 1925.
It is important however to point out that before additional
beds for patients are provided at Warrensville the next step
necessary will be to increase the beds available for employees,
particularly for nurses. A nurses' home is badly needed and as
nurses are also employed at the Warrensville Infirmary it is possible
that a nurses' home to serve jointly the two institutions
would be desirable. In any event, with a view to future extensions
of the institutions, I desire at this time to recommend that
at an early date a home for nurses be provided on the Sanatorium
grounds with a capacity of not less than 50.
The housing of employees in general should receive additional
attention at the City Farms. Many of the old farmhouses
formerly occupied are becoming so decrepit with age that they
are no longer fit for human habitation. With the grading of the
grounds at the Children's Colony the removal of the farm buildings
occupied by employes on these grounds will most likely
be necessary and at this time I desire to recommend that plans
be prepared for a service building which will adequately care for
a number of married employees with their families. On account
of the isolated location of the Sanatorium group of buildings it
is important to have employees at hand at all times who can be
used in emergencies which may arise. Such demands, it has been
found by experience, have been met best by married men with
families as they are most dependable.
Respectfully submitted,
H. L. ROCKWOOD, M. D.,
116 City Hall Medical Director.
ll

Our Acknowledgment List for 1926
2 Atwater Kent Radios with 80 head sets,
presented and installed by
Mr. H. G. Tremmel, Pres.
North American Fibre Products Co.
Cleveland, Ohio.
2 David Grimes Radios complete,
presented to Cottages 2 and 4 by
Wednesday Philanthropic Club
1 Radio, Radiola No. 3
presented to Girls' Sun Room by
Sunday School Class
Church of the Saviour
2 New Electric Sewing Machines
White Sewing Machine Co.
1 Large Moving Picture Machine, Silver
Sheet Screen and Weekly Films
presented by
Anti-Tuberculosis League
1 Piano presented to Girls' Sun Room by
Dr. Fannie Hutchins
Victrola Records, presented by
Benway Sales Co.
Radio Equipment, including loud speaker
and battery elimator; warm sleeping suits
Service Star Legion
Toilet Articles, stationery, stamps, suppers,
parties and entertainments;
Birthday Gifts and Cake for each man;
Literature and food, presented by
Various Military Organizations
Year's Subscription to 12 popular magazines
Mr. A. A. Chilcote,
2140 Superior Ave.
About 2500 Used Magazines, Jell and Fruit
by
Various Organizations
Garden Flowers each week through summer
months by
Director D. S. Blossom
1 David Grimes Radio, complete
presented to Children's Colony by
Children and Teachers of
Fairfax School
1 Victrola presented to Children's Colony by
Workmen on New Building
Skates, Sleds and Crafts Material and
Subscriptions to 7 Children's Magazines
presented to Children's Colony by
Women's Federation of Clubs
13

STATISTICAL REPORT
Years 1925 and 1926
CLEVELAND MUNICIPAL TUBERCULOSIS SANATORIUM
WARRENSVILLE, OHIO
1926 1925
Patients occupying beds in Sanatorium January 1st 253 227
Patients admitted during the year 441 462
Total cases occupying beds during the year 694 689
Patients discharged from Sanatorium during the year.... 427 436
Patients occupying beds in Sanatorium Jan* 1st of following
year. 267 253
READMISSIONS
1926 1925
Readmitted cases among population of January 1st 56 45
Readmitted cases among admissions during the year..... 90 94
Total readmitted cases occupying beds during the year 146* 139*
Readmitted cases among population of Jan. 1st of following
year 59 58
Readmitted cases discharged during the year 87* 81*
*—Of this number there were readmitted for artificial
pneumothorax treatment for one day only 13 10
LENGTH OF STAY OF ALL PATIENTS OCCUPYING BEDS
DURING THE YEAR
1926 1925
Total bed days since current admission of all patients
treated 163,495 160,142
Average bed days since current admission of all patients
treated 236.9 232.4
Total bed days of all patients discharged during year.. 77,478 90,461
Average bed days of all patients discharged during year 181.4 207.5
CLASSIFICATION OF CASES AS TO AGE AND SEX
AGE GROUPS
Male
19 2 6
Female
Total
Male
19 2 5
Female
Total
1 to 10 inclusive....
11 to 20 inclusive
21 to 30 inclusive
31 to 40 inclusive
41 to 50 inclusive...
51 to 60 inclusive...
61 to 70 inclusive...
39
83
107
96
4352
35
116
109
45
1211
74
•199
216
141
55
63
33
74
113
99
5391
30
103
120
42
1020
63
177
233
141
63
111
TOTAL. .
375
319
694
382
307
689
14

CLASSIFICATION OF CASES AS TO CIVIL CONDITION
AND COLOR
COLOR AND SEX
Single
19 2 6
Total
Single
19 2 5
Married
Widowed
Married
Widowed
WHITE—Males 177 113 12 302 175 130 15
WHITE—Females i70 89 18 182 79 11
277
Total 347 202 30 357 209 26
579
BLACK—Males 49 21 3
38 18 6
BLACK—Females 22 17 3 73 17 14
4
Total 71 38 6 42 55 32
10
GRAND TOTAL 418 240 36 115 412 241
36
BIRTHPLACE OF ALL CASES 694 OCCUPYING BEDS
19 2 6
Total
320
272
Male Female Total Male Female Total
Born in the U. S.:
Cleveland.
122 113 235 131 114 245
Ohio.
29 28 57 17 29 46
United States
111 103 214 101 91 192
TOTAL
262 244 506 or 249 234 483
73% Native Born 70% Native Born
Foreign Born:
Argentina
1 0 1 1 0 1
Austria..
23 11 34 22 11 33
Canada..
1 2 3 4 172115 5
Czecho Slovakia
1454274 114115 18622
England.
Finland .
France
1
Germany
3 4
102
Greece...
1 3
1 1
Hungary.
21 11 32 23 155531 38
Ireland
197311 16510191700110 2 1
6
Italy
15 7
12
Jugo-Slavia
12 12 152
Lithuania
412 1
Malta
Norway
0 1 1 '
Poland
113911101
20 20 318100 23
Roumania..
4 2
3
Russia
1611211 14011 22111
Scotland
Sweden
Switzerland.
Syria
Turkey
Denmark
0 1 1
Holland
1 0 1
TOTAL
113 75 188 or 133 73 206 or
27% Foreign Born 30% Foreign Born
GRAND TOTAL. 694 689
1•OtOCD
LOCOOJ
19 2 5 '
592
62
35
97
689
15

CLASSIFICATION OF CASES AS TO OCCUPATION*
1926 1925
Clerks .: 19 30
Draftsmen 13 1
Factory Hands 23 26
Housewives 101 87
Housework 25 27
Laborers . 46 46
Machine Operators 13 14
Machinists 22 23
Mechanical Engineer — 10
No occupation 21 36
Office Work 9 10
Students 187 181
Telephone Operators 7 10
Miscellaneous 208 188
Total 694 689
*—All readmissions including one day pneumothorax cases are here reported.
The same individual therefore appears in his or her occupation as
many times as admitted during the year.
SUMMARY
RESULT OF TREATMENT—DISCHARGED CASES
1926 1925
Number of cases 427 436
Length of stay (total bed days) 77478 90461
Average length of stay—per patient. 181.4 207.5
Condition on Discharge
Male
Number apparently arrested 0
Number improved 148
Total favorable results 148
No. unimproved (including deaths). 80
19 2 6
Female Total
2 2
123 271
125
74
273
154
Total Discharged 427
Percentage apparently arrested 4%
Percentage improved 63.5%
Total percentage of favorable results 63.9%
Percentage of unimproved, including deaths 36.1%
Total..: 100.0%
Male
3
169
172
77
19 2 5
Female
2
128
130
57
Total
5
297
302
134
436
1.1%
68.1%
69.2%
30.8%
100.0%
Mortality
19 2 6 19 2 5
Male Female Total Male Female Total
Number 35 28 63 30 23 53
Precentage of all cases treated 9.0% 4 7.6%
16

DENTAL REPORT
1926 1925
Number of patients examined 436 614
Number of patients defective 431 601
Number of patients 0. K 5 13
Percentages of defectives 99% 98%
Percentages of O. K 1% 2%
Operations
Extractions . 263 235
Treatments 233 212
Prophylaxis 168 129
Anesthetics 151 202
Radiographs 106 72
Amalgam 174 123
Cement filling .... 119 129
Silicate filling 58 55
Curetage 38 25
Bedside treatment 25 53
Miscellaneous 52 49
1387 1284
X-RAY PICTURES OF THORAX TAKEN AT SANATORIUM
1926 1925
House Plates 1220 780
Dispensary Plates 264 294
Total Plates 1484 1074
REPORT OF NOSE, EAR AND THROAT DEPARTMENT,
Nose examined i 143
Nose treated 130
Nasal Polyp removed 1
Antrum irrigated 2
Thro'at examined 176
Throat treated 169
Throat cauterized 2
Ears examined 53
Ears treated 98
Ear Polyp removed 1
Sup. Laryngeal Nerve injected 1
Turbinates removed 7
Sub Mucous resection 8
Total Examinations 372
Total treatments including operations 419
John J. Randall M. D.
Resident Physician
Francis J. Horrigan D. D. S.
Resident Dentist.
17

STATISTICAL SUMMARIES
BUREAU OF TUBERCULOSIS—DIVISION OF HEALTH
CLEVELAND, OHIO.
1926.
REPORT OF PULMONARY TUBERCULOSIS CASES 1926.
Cases in file December 31st, 1925 4697
New Cases Reported during 1926
Private Physicians 953
Tuberculosis Dispensaries 258
City Hospital 129
Other Hospitals in City 313
Mortuary Report 86
Total New Cases reported 1739
Old Cases re-entered:
Re-activated , 10
Re-located 28
Returned from out of City 130
Total Old Cases re-entered 168
Cases Discharged:
Died of Tuberculosis in City 718
Died of Tuberculosis at Warrensville 63
Died from causes other than Tuberculosis 96*
Dropped as Non Tuberculosis 123
Disease arrested 42
Left the City • 535
Unable to locate " 295
Total Cases discharged 1872
Cases remaining in file December 31 4732
18

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Statistical Report Year 1926.
CITY HOSPITAL SANATORIUM
SCRANTON ROAD.
Prepared by Dr. R. G. McKay,
Resident Physician.
Census at end of 1925 156
Patients admitted during 1926 610
TOTAL number of patients treated 766
Discharged 314
Died 289
Census at end of 1926 163
TOTAL 766
Admitted from outside 512
Admitted from other departments of the hospital 98
TOTAL 610
Total Tuberculosis Admissions :.. 529
Suspected tuberculosis (unexplained hemoptysis) 4
Non-tuberculous 75
Diagnosis undetermined 2
TOTAL admissions 610
Classification of Tuberculosis Cases Admitted
Incipient 33. ..'. 6.2%
Moderately advanced 41.... 7.7%
Far advanced 419 79.2%
Pleural effusion, only 18 3.4%
Hilum tuberculosis 2.... .4%
Non-pulmonary tuberculosis 14. ... 2.6%
TOTAL 529.... 99.5%
25

CITY HOSPITAL SANATORIUM
Tuberculosis Cases Admitted
By Age, Sex and Color
Male 339
Female 194
TOTAL 533
63.6%
36.4%
100.0%
White 361
Colored 172
TOTAL 533
67.7%
32.3%
100.0%
SEX-
RACE-
AGE-
0 to 9 years 2
10 19
45
20 29
.195
30 39
.149
40 49
. 88
50 59
. 38
60 69
. 13
70 79 . 3
TOTAL 533
0.4%
8.4%
36.6%
28.0%
16.5%
7.1%
2.4%
.6%
100.0%
26

CITY HOSPITAL SANATORIUM
Classification of Cases Discharged
Tuberculosis 227
Non-tuberculous 87
TOTAL 314
Tuberculosis Cases Discharged—
To Warrensville Sanatorium 33
To non-resident homes, or other institutions 45
To Cleveland homes 149
TOTAL 227
Tuberculosis Cases discharged to Cleveland homes—
Against advice 76
Improved 27
Unimproved 49
Without permission 44
Improved 31
Unimproved 13
With consent 29
Arrested 15
Apparently arrested 6
Quiescent 3
Improved (non-pulmonary) 5
Sputum negative 26
Sputum positive 3
76
44
29
29
TOTAL 149
Average length of stay
All cases discharged
103.5 days
Tuberculosis cases discharged 124.0 "
Deaths 93.0 "
27

CITY HOSPITAL SANATORIUM
NON-TUBERCULOUS ADMISSIONS
Year 19 2 6
Total Non-tuberculous admissions 75
Pneumonia ; 11
Empyema 5
Chronic bronchitis with emphysema 5
Malignant disease of lung (primary) 5
Chronic endocarditis-mitral stenosis 3
Chronic endocarditis-other valve lesion 1
Subacute bacterial endocarditis 1
Pneumoconiosis 4
Acute bronchitis 4
Chronic bronchitis 4
Bronchiectasis - 3
Abscess of lung 3
Hypertension with cardiac failure 2
Hypertension without cardiac failure 1
Influenza 2
Malingering 2
Chronic peribronchitis 1
Spirochetal pulmonary gangrene 1
Acute dry pleurisy 1
Asthma 1
Acute tonsillitis
i
Carcinoma of stomach 1
Carcinoma of larynx 1
Syphilis of larynx 1
Hysterical aphonia 1
Chronic myocarditis . 1
Primary anemia 1
Myeloid leukemia 1
Rat bite fever 1
Septicemia 1
Peri-renal abscess 1
General paresis 1
Dementia praecox 1
Chancroid 1
No disease 1
TOTAL 7~75
28