general headquarters supreme commander for the allied powers

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GENERAL HEADQUARTERS SUPREME COMMANDER FOR THE ALLIED POWERS

Public Health and Welfare Section

WEEKLY BULLETIN

For Period 6-12 December

1948 Number 102

SECTION PAGE I GENERAL 1 II PREVENTIVE MEDICINE 1 III VETERINARY AFFAIRS 2 IV NURSING AFFAIRS 2 V SUPPLY 3 VI NARCOTIC CONTROL 5 VII WELFARE 6 VIII SOCIAL SECURITY 8 IX MEMORANDA TO JAPANESE GOVERNMENT 9

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SECTION I GENERAL

The following Public Health and Welfare Technical Bulletin is inclosed (Inclosure #1) with this Weekly Bulletin. Title: Glossary of Japanese Welfare Terms Short Title: TB-PH-WEL 5

SECTION II PREVENTIVE MEDICINE DIVISION

Repatriation from Soviet Held Areas Repatriation from Soviet held areas has been suspended for the winter months. Facilities will be in readiness for reopening on 1 April 49 or on 30 days notice. One case of typhus fever was discovered aboard the repatriation ship, TOKOJU MARU arriving Hakodate 2 December from Maoka, Karafuto. The patient was hospitalized and the Tokuju Maru Placed in quarantine until 18 December. One thousand four hundred fifty-seven contacts, passengers and crew members, remain in quarantine aboard the ship. Smallpox in Korea and in the Philippines Because of the recent outbreak of smallpox in U. S. occupied Korea, all individuals departing for Japan will be required to show evidence of successful vaccination within the preceding 60 days. The same restrictions apply to individuals arriving from the Port of Manila and the Island of Midora, which have been declared infected with smallpox. Primary Function of Health Centers Observations and information gleaned from staff visits and from Military Government Monthly Activities Reports indicates that some individuals still consider the Health Center merely a clinic. It is true that the clinical activities are a prominent feature of the Health Center and they are of the utmost importance in the accomplishment of its mission. However, it is emphasized that everyone concerned thoroughly understands that the primary function of the Health Center is overall public health administration and not merely the operation of clinical facilities. Meetings of Health Center Directors Reference Section I Weekly Bulletin No.99. As a mean of improving public health administration regular conferences of Health Center Directors, together with key prefectural health officials and Military Government Health Officers will prove beneficial to all concerned. It is recommended that conferences be held in the Health Centers. Insofar as possible it would be well to rotate the meetings among the various Health Centers within the prefecture so as to hold at least one meeting in each health center once a year. In this way every key prefectural health official and every Health Center Director will have an opportunity to see every other Health Center in the prefecture at least once a year. This should stimulate the improving of some sub-standard Health Centers in both administration and facilities. BCG Programs Military Government Health Officers, active in the BCG program in Japan, will be interested in the status of BCG studies in the United States. An article by Dr. Sol Roy Rosenthal of the Tice Laboratory, University of Illinois College of Medicine, in the January 10, 1948 issue of the J.A.M.A. gives an excellent account of his work in Chicago. Another enlightening article by Dr. Joseph Aronson appeared in the September 1948 issue of the American Review of Tuberculosis. The latter describes the experience of the U.S. Department of the Interior with BCG among the American Indians. Both of these papers are the leading articles of the named issue and reflect the great interest which is now being manifested in BCG in the United States.

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The small number of individuals (under 2,000) involved in each of these prominent studies gives some indication of the rare opportunity which exists for studying the results of BCG in Japan where several million BCG inoculations are given every year. The Ministry of Welfare will, in the near future, institute a comprehensive system of recording BCG data. When this system is inaugurated, all Military Government Health Officers should ascertain that the instructions are followed implicitly.

SECTION III VETERINARY AFFAIRS DIVISION

Rabies Control The Prefectures of Tokyo, Saitama, Kanagawa and Chiba have initiated a plan to consolidate a round-up of stray dogs as a control measure in reducing the number of cases of Rabies in dogs. The original plan submitted by Tokyo-to has been adopted with the exception of a few minor changes. The Veterinary Affairs Section, Ministry of Welfare took an active part in arranging this drive. Niigata Prefecture Inspection An inspection of veterinary activities in this prefecture disclosed that extensive work has been done in establishing the food inspection program. In many cases improvements in all phases of inspection were noted especially in the utilization of screening material, construction of new plants and the adoption of good sanitary measures in retail shops handling various food commodities. Recommendations were made at the time of inspection to correct or facilitate the improvement of food inspection as a whole when deficiencies were encountered. The overall food sanitation program is definitely showing improvement. Animal Diseases The Animal Hygiene Section, Ministry of Agriculture and Forestry, submitted a negative report for the period 6 - 10 December. Animal Disease Control The Animal Hygiene Section, Ministry of Agriculture and Forestry, has submitted a plan for approval of a program in which horses will be immunized against Equine Encephalomyelitis for the year 1949.

SECTION IV NURSING AFFAIRS DIVISION

Publications “History of Nursing” by Sellew and Neusse, in Japanese will be available the end of December and can be ordered from: Mr. Katsu Suzuki Far Eastern Literary Public Co., Branch Bldg. Finance Ministry 2-1 chome, Uchisaiwai-cho, Chiyoda-ku Tokyo Price 250.00 yen

SECTION V SUPPLY DIVISION

Distribution During the period 28 Nov - 4 Dec, 955 pieces of dusting and spraying equipment were distributed to 14 prefectures as follows:

Knapsack Semi-automatic Hand Engine

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Prefecture DDT Duster Sprayer Sprayer Sprayer Sprayer Akita 1 Hokkaido 5 Saitama 50 Ishikawa 5 Hyogo 50 50 Wakayama 60 25 Shimane 50 Yamaguchi 12 12 12 Kagawa 48 Kochi 216 Fukuoka 50 144 74 Oita 12 6 Miyazaki 48 12 12 Ehime 1

Total 412 345 123 74 1 On 7 December nine surplus U.S. army weapons carriers were released to the Ministry of Welfare. The distribution of these vehicles has been scheduled as follows:

Prefecture Using Agency Fukushima Fukushima Health Center Kochi Kochi Health Center Tottori Yonago Health Center Shimane Hikawa Health Center Saga Saga Health Center Osaka Toyonaka Health Center Yamagata Yamagata Health Center Hokkaido Engaru Health Center Osaka Protection Section, Public Welfare Bureau, Osaka Prefecture

Allocation and distribution of Ephedrine HC1 is not made during the summer months in order to conserve the supplies for the winter months when the need for this drug is at its highest. A special allocation of ephedrine HC1 tablets, the first of the winter season, is being made at this time. Tickets are enroute to prefectures for the following quantities.

Distribution of Ephedrine Prefecture Ephedrine Hydrochloride (Tabs) Prefecture Ephedrine Hydrochloride Hokkaido 752,000 Kanagawa 545,000 Aomori 233,000 Niigata 527,000 Iwate 258,000 Toyama 207,000 Miyagi 340,000 Ishikawa 232,000 Akita 246,000 Fukui 159,000 Yamagata 251,000 Yamanashi 159,000 Fukushima 379,000 Nagano 425,000 Ibaraki 437,000 Gifu 301,000 Tochigi 324,000 Shizuoka 476,000 Gumma 302,000 Aichi 658,000 Saitama 402,000 Mie 308,000 Chiba 471,000 Shiga 170,000 Tokyo 1,533,000 Kyoto 479,000

Distribution of Ephedrine Prefecture Ephedrine Hydrochloride (Tabs) Prefecture Ephedrine Hydrochloride Osaka 761,000 Kagawa 189,000 Hyogo 747,000 Ehime 345,000

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Nara 168,000 Kochi 186,000 Wakayama 216,000 Fukuoka 873,000 Tottori 127,000 Saga 218,000 Shimane 202,000 Nagasaki 317,000 Okayama 386,000 Kumamoto 433,000 Hiroshima 495,000 Oita 292,000 Yamaguchi 364,000 Miyazaki 202,000 Tokushima 170,000 Kagoshima 435,000 Total 17,700,000 tabs. Production Attention is invited to Inclosure No.4 to Public Health and Welfare Weekly Bulletin, No.101, 29 November - 5 December, which was inadvertently listed as “Distribution of Medical and Sanitary Supplies and Equipment”. It should read correctly as “Tables of Production of Medical and Sanitary Supplies and Equipment - October 1948”. A total of 4,146 pieces of the various types of DDT dusting and spraying equipment for insect control programs was produced during the period 28 Nov - 4 Dec. During the period 28 November - 4 December, 50,900 pounds of 10% DDT dust, 225 gallons of 5% DDT residual effect spray, and 10,800 vials of typhus vaccine were distributed. At the same time, 139,400 pounds of 10% DDT dust, 20,600 gallons of 5% DDT spray, and 5,225 vials of typhus vaccine were received, leaving inventory stocks on hand at regional warehouses of the Ministry of Welfare of 2,331,880 pounds of 10% DDT dust, 583,361 gallons of 5% DDT spray. As of 6 December, it was learned that a total of 16,234 vials of typhus vaccine, produced indigenously, now out-of-date, upon reassay, failed to pass potency tests of minimum standards. This stock consequently has been destroyed. At the same time, a total of 11,880 vials of U.S. produced imported vaccine, now out-of date, upon reassay, failed to pass. This, too, must be discounted from present stocks available for distribution, so that, as of 6 December, total stocks on hand in regional warehouses of the Ministry of Welfare are 29,920 vials. A complete stock on hand, in both regional warehouses and in biological-producing plants, reads, as of 6 December, 32,611 vials of U.S.-produced vaccine and 34,199 vials of Japanese-produced vaccine. The distribution of standard coal and lignite to the medical supply industry during July, August and September, the second quarter, JFY 48, in comparison to the proposed allocations during the period, is indicated as follows: Below tabulation indicates percentage of deliveries against the allocated amounts for subject period. Allocated amount of coal 30,000 tons Received amount of coal 22,931.9 Percentage 76.4% Allocated amount of lignite 22,330 tons Received amount of lignite 14,805.60 Percentage 66%

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Classification by District Allocated Received Allocated Received District Am't of Coal Am't of Coal Am't of Lignite Am't of Lignite Hokkaido 1,050 677.2 Tohoku 900 602 2,900 625 tons Kanto- Shinetsu 10,500 7,713 7,400 4,342.8 Tokai-Hokuriku 1,600 995.5 3,550 1,863.8 Kinki 11,700 9,323.8 8,070 5,842 Chugoku 700 428 60 Yamaguchi 700 683 Shikoku 400 305 300 240 Kyushu 2,450 2,204.40 50 Total 30,000 22,931.9 22,330 14,805.60 tons

Allocated Received Allocated Received

District Prefecture Am't of Coal Am't of Coal Am't of Lignite Am't of Lignite Hokkaido Hokkaido 1,050 677.2 Tohoku Yamagata 213 150 1,235 240 Iwate 5 5 — — Aomori — — 65 35 Miyagi 147 115 200 30 Fukushima 535 332 1,400 320 Total 900 602 2,900 625 Kanto- Tokyo-to 7,171 5,244 4,820 3,219.6

Shinetsu Chiba 575 443 720 552 Ibaraki 15 10 15 — Gumma 49 34 120 62 Saitama 547 328 515 258 Kanagawa 1,391 997 770 222 Nagano 120 70 75 29.2 Niigata 632 587 — — Total 10,500 7,713 7,400 4,342.80 Tokai- Shizuoka 381 296 670 434Hokuriku Aichi 829 437 1,850 714.8

Gifu 13 — 45 10 Mie 29 — 200 70 Toyama 340 262.5 775 635 Ishikawa 8 — 10 — Total 1,600 995.5 3,550 1,863.80Kinki Fukui 90 — — — Nara 60 60 55 55 Wakayama 234 134 110 — Shiga 102 10 15 — Kyoto-fu 837 663 845 382 Osaka 8,708 7,221 5,565 4,408 Hyogo 1,669 1,233 1,480 997 Total 11,700 9,323.8 8,070 5,842

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Allocated Received Allocated Received District Prefecture Am't of Coal Am't of Coal Am't of Lignite Am't of Lignite Chugoku Hiroshima 435 338 30 — Okayama 245 70 30 — Shimane 20 20 — — Total 700 428 60 — Yamaguchi Yamaguchi 700 683 — — Shikoku Tokushima 353 293 210 240 Ehime — — 10 — Kochi 20 — — — Kagawa 27 12 80 — Total 400 305 300 240 Kyushu Saga 90 38 — — Kumamoto 152 102.4 — — Fukuoka 2,117 1,973.3 40 — Nagasaki — — 10 — Oita 5 5 — — Kagoshima 86 86 — — Total 2,450 2,204.7 50 —

SECTION VI

NARCOTIC CONTROL DIVISION Narcotic Agent Power of Arrest The Narcotic Control Law (Law No.123 of 1948) which became effective 10 July 1948, has been amended so that the police power given Narcotic Agents by Diet Law No.112 will be continued. This amendment was necessary as Diet Law No.112 was based upon Imperial Ordinance No.528 which will become ineffective 1 January 1949. The new amendment will be promulgated 10 December and become effective 1 January 1949. Steel Cabinets for Narcotic Storage The Ministry of Welfare October Report of Narcotic Control Activities lists 25 thefts of narcotic stocks, one of a hospital and 24 being of individual physicians. It is recommended that all physicians reporting such thefts have their future narcotic purchases limited to a one month supply until better narcotic storage is provided. This storage may be a regulation steel safe or the much more economical steel cabinet recommended by the Narcotic Section of the Ministry of Welfare, purchase of which may be arranged through the Narcotic Agents or a narcotic local wholesaler.

SECTION VII WELFARE DIVISION

Licensed Agencies for Relief in Asia (LARA) LARA shipment, number 109, of relief supplies for Japan, arrived in Yokohama on 26 November aboard the S.S. Staghound and contained 9.45 tons of clothing.

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LARA relief supply shipments to Japan, as reported, now total 7,061.40 tons, consisting of the following: Tons Food 5,414.71 Clothing (including shoes) 1,278.41 Medicines 59.37 Cotton (raw) 207.62 Miscellaneous (soaps, seeds, candles, etc.) 101.29 Total 7,061.40 Cooperative for American Remittances to Europe and to the East (CARE) CARE has received two shipments of packages (oriental food pack only) since the beginning of their distribution operations in Japan in July. The following report covers the status of “CARE packages for Japan” as of 30 Nov: Total Packages received 19,979 Total Packages damaged 1,933 *Total Packages delivered 6,065 Total Packages in process of delivery 2,143 10,141 Total Packages (food only) on hand & not consigned 9,838 *(Includes 150 packages sent to Okinawa) Japanese Red Cross Society National Conference: A meeting of all prefectural (chapter) executives will be held at the National Headquarters (Tokyo between the dates 16 - 17 December. The purpose of this conference is to discuss and review the following programs: Membership Campaign, Disaster Relief, Volunteer Services, Chapter Administration and Junior Red Cross. Disaster Relief Operations: A vessel owned and operated by the Kochi Prefectural Government sailing from the port of Shimoda to the port of Suzaki, was caught in the typhoon “Agnes” on 19 November at 0600 and was washed ashore at Kamikawaguchi at 0730 on the same date. The Japanese Red Cross sent a medical aid and rescue team immediately to the scene of the marine disaster. Emergency medical aid and treatment was administered to nine persons with three of them who were seriously injured being hospitalized. Several members of the Red Cross Volunteer Service Group in the village of Shirotakawa, near the scene of the disaster, assisted in the rescue work and gave emergency assistance (clothing and food) to the many victims. Community Chest-Japanese Red Cross Joint Fund Campaign Prefectural Reports covering the progress of the Community Chest-Japanese Red Cross Joint Fund Campaign reflect a total of 879,631,985.05 yen raised (collected) towards the established goal of 1,175,450,000.00 yen or 74.9% of quota. (Note: 13 prefectures have reached or exceeded their goal). Many prefectures are not making prompt reports covering their collections and they are to be encouraged to keep the Central Committee currently informed regarding the progress of their prefectural campaign. The progress of each prefectures in the “Joint Fund Campaign”, including the date of their latest report, is given below:

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Prefecture Goal Amount Collected Date Reported Percent

Hokkaido 70,000,000.00 55,656,500.00 30 Nov 79.5 Aomori 11,000,000.00 11,000,000.00 25 Nov 100.0 Iwate 17,000,000.00 17,000,000.00 14 Nov 100.0 Miyagi 16,000,000.00 12,000,000.00 15 Nov 75.0 Akita 10,000,000.00 10,100,000.00 21 Nov 101.0 Yamagata 20,000,000.00 18,961,148.39 22 Nov 94.8 Fukushima 20,000,000.00 21,421,461.47 15 Nov 107.1 Ibaraki 15,000,000.00 14,588,587.75 1 Dec 97.3 Tochigi 21,000,000.00 17,222,000.00 30 Nov 82.0 Gumma 12,000,000.00 7,030,000.00 15 Nov 58.6 Saitama 16,000,000.00 17,314,204.00 15 Nov 108.2 Chiba 25,000,000.00 12,991,594.53 27 Nov 52.0 Tokyo 80,000,000.00 55,796,759.04 8 Dec 69.8 Kanagawa 70,000,000.00 39,659,891.00 24 Nov 56.7 Niigata 29,000,000.00 24,384,700.00 25 Nov 84.0 Toyama 13,000,000.00 13,065,841.98 25 Nov 100.5 Ishikawa 13,000,000.00 11,431,084.00 15 Nov 88.0 Fukui 13,000,000 11,616,124.38 17 Nov 89.5 Yamanashi 9,450,000.00 9,451,958.00 15 Nov 100.0 Nagano 30,000,000.00 27,728,000.00 20 Nov 92.5 Gifu 20,000,000.00 20,566,563.31 15 Nov 102.9 Shizuoka 20,000,000.00 20,421,507.00 1 Dec 102.1 Aichi 66,000,000.00 67,465,649.43 30 Nov 102.2 Mie 20,000,000.00 19,016,091.00 1 Dec 95.1 Shiga 11,000,000.00 10,230,000.00 27 Nov 93.0 Kyoto 50,000,000.00 17,692,222.37 30 Nov 35.4 Osaka 85,000,000.00 62,230,110.89 3 Dec 73.2 Hyogo 60,000,000.00 16,881,712.00 20 Nov 28.1 Nara 12,000,000.00 12,000,128.00 5 Dec 100.0 Wakayama 9,500,000.00 3,757,005.00 24 Nov 92.1 Tottori 9,000,000.00 5,222,385.00 30 Nov 58.0 Shimane 10,000,000.00 7,992,331.47 20 Nov 79.9 Okayama 21,000,000.00 18,546,170.00 18 Nov 88.4 Hiroshima 30,000,000.00 26,445,570.00 16 Nov 88.4 Yamaguchi 26,000,000.00 9,000,000.00 28 Nov 34.6 Tokushima 15,000,000.00 8,037,867.00 20 Nov 53.6 Kagawa 14,000,000.00 13,363,772.00 25 Nov 94.6 Ehime 25,000,000.00 21,259,000.00 17 Nov 85.1 Kochi 13,000,000.00 7,684,003.00 25 Nov 59.1 Fukuoka 50,000,000.00 32,059,723.04 3 Dec 64.1 Saga 12,500,000.00 12,500,000.00 31 Oct 100.0 Nagasaki 20,000,000.00 2,122,240.00 21 Nov 10.6 Kumamoto 21,000,000.00 19,898,582.00 1 Dec 94.8 Oita 18,000,000.00 16,360,265.00 30 Nov 91.0 Miyazaki 10,000,000.00 11,000,000.00 31 Oct 110.0 Kagoshima 17,000,000.00 4,459,233.00 12 Nov 26.2 TOTAL 1,175,450,000.00 879,631,985.05 74.9%

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National Survey of Physically Handicapped Persons The Ministry of Welfare has been sending out questionnaires to all prefectures in an attempt to make and accurate survey of all physically handicapped persons in Japan. In view of the fact that an unsatisfactory survey was made in April 1948 and that the compilation of these figures are urgently needed in the Rehabilitation Program for the Physically Handicapped, it is recommended that all Military Government Welfare Officers assist in expediting this survey on a local level as a target date of 1 February 1949 has been set by the Ministry of Welfare for compilation.

SECTION VIII SOCIAL SECURITY DIVISION

Social Insurance Statistics Reference Public Health and Welfare Weekly Bulletin No.95, 18 - 24 Oct, regarding a summary of the Health Insurance Program, notably that part of it which is under government management. On 1 August a revision to the Law became effective which increased certain flat-rate benefits provided in the Law. However, in the benefit statistics for August shown in Inclosure No.2 these increases are not yet fully reflected due to the fact that benefit payments made in August were largely in respect to claims which arose prior to that month. Medical Fee Payment Fund Reference is made to Hohatsu Nos.87, 88, and 90, issued by the Insurance Bureau, Ministry of Welfare, to the Prefectural Governors between November 18 and 29. Hotatsu No.87 calls attention to the number of associations delinquent in making their deposits to the Medical Fee Payment Fund. To fulfill the purpose of the Fund which is to make prompt payment of medical care claims it is essential that the deposits be kept currently up-to-date. Hohatsu No.88 refers to the fact that a number of the medical care claim were incorrect owing to insufficient instructions given to insurance doctors. Also employer-owned hospitals or clinics serving a Health Insurance Society established within the same employer’s business enterprise are not required to use the Fund, but are permitted to make direct settlement with the Health Insurance Society concerning payment for services rendered to members of that Society. Hohatsu No.90 calls attention to the delay in payment of medical care claims due to inefficiency in the processing thereof. Although some delay was to be expected in the first few months in preauditing the bills, this lag should be reduced with each succeeding month, until payments can be made promptly within ten days after presentation of the bill. Health Insurance Reference is made to Hohatsu No.43 dated 23 August 1948 subject: “With Respect to the Insured Certificate of Health Insurance” issued by the Insurance Bureau, Ministry of Welfare to the Prefectural Governor. This notice calls attention to several important factors affecting the functioning of the Health Insurance program, such as, the proper use of the insured’s certificates, which is not transferable, a checking of certificates during the month of October, coordination of insurance doctors and dentists in giving medical care to dependents and the reports by employers which are to include the number of dependants of the employee.

SECTION IX MEMORANDA TO THE JAPANESE GOVERNMENT

PHMJG Date Subject Surveillance Distribution 84 12/9/48 Law for the Restriction of Population Inflow No MG 8th Army into Urban Areas. Note: Directive to Ministry of Construction, Japanese Government offering no objection to non-extension of above-subject law beyond 31 December 1948.

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CRAWFORD F.SAMS

Brigadier General, Medical Corps Chief

4 Inclosures: 1. TB-PH-WEL 5 - Glossary of Japanese Welfare Terms. 2. Social Insurance Statistics Benefits Granted Under Government-Managed Health Insurances. 3. Weekly Report of Communicable and Venereal Diseases in Japan for week ending 4 December 1948. 4. Monthly Report of Communicable and Venereal Diseases in Japan for Month ending 30 November 1948. (No Restricted Annex included in this issue)

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WEEKLY BULLETIN For Period

13-19 December Number 103

SECTION PAGE Ⅰ GENERAL 1 Ⅱ PREVENTIVE MEDICINE 2 Ⅲ VETERINARY AFFAIRS 6 Ⅳ SUPPLY 7 Ⅴ NARCOTIC CONTROL 7 Ⅵ WELFARE 8 Ⅶ SOCIAL SECURITY 11 Ⅷ MEMORANDA TO JAPANESE GOVERNMENT 13

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SECTION I GENERAL

The following list of Division and Branch Chiefs of Public Health and Welfare Section is published for the information of Military Government Teams: Titled Name Tel. No. Chiefs of Section Brig. Gen. Crawford F. Sams, MC 26-6992 Deputy Chief of Section Col. Cecil S. Mollohan, MC 26-6993 Executive Gordon E. DeVille 26-6993 Chief, Preventive Medicine Division Lt. Col. Lucius G. Thomas, MC 26-6987 Assistant Chief Dr. Ira Hirschy 26-6987 VD Control Branch Dr. Isamu Nieda 26-8211 Laboratory Branch Dr. Samuel R. Bozeman 26-6987 Epidemiology Branch ) Maj. F.E.M. Bourland, MC 26-8211 Port Quarantine Branch ) Sanitary Engineering Branch Mr. Edmond A. Turner 26-8211 Virus & Rickettsial Diseases Control Branch Dr. Charles M. Wheeler 26-8211 Chief, Social Security Division Mr. Leonard R. Anton 26-8642 Deputy Chief Mr. George F. Pollack 26-8642 Social Insurance Branch Mr. Peter M. Sullivan 26-7057 Social Insurance Analyst Mr. Dale L. Rose 26-7057 Economic Analysis Branch Mr. George F. Rohrlich 26-8642 Health Insurance Branch Mr. Harold Knoy 26-7057 Chief, Medical Services Division Col. Harry G. Johnson, MC 26-6995 Assistance Chief Dr. Milton C. Morton 26-6995 Nutrition Branch Miss Agnes O’Donnell 26-6990 Chief, Health Statistics Division Mr. Leonard V. Phelps 26-6717 Assistant Chief Miss Esther M. Wright 26-6717 Chief, Veterinary Affairs Division Maj. Marion W. Scothorn, VC 26-6149 Assistant Chief Dr. C. T. Beechwood 26-6149 Chief, Welfare Division Mr. Nelson B. Neff 26-6988 Welfare Administration Branch Mr. Milton J. Evans 26-6988 Public Assistance Branch Mr. Irvin Markuson 26-8425 Social Work Training Branch Miss Florence Brugger 26-8425 Welfare Organization & Rehabilitation Branch Mr. Ferdinand Micklautz 26-8425 Chief, Nursing Affairs Division Miss Grance E. Alt 26-6986 Area Director Miss Elizabeth Pickens 26-6986 Senior F. H. Nurse, Nursing Consultants Branch Miss Josephine Kaser 29-2021-45 Director, Nursing Education Branch Miss Elenore Carlson 33-1186-88 Assistant Director Miss Dorothy Toom 26-6986 Instructor, Nursing Education Branch Miss Billie Harter 33-1186-88 Instructor, Nursing Education Branch Miss Mary Kanagamitsu 49-4945-55 Nursing Education Consultant Miss Enid Mathison 26-6386 Nursing Education Consultant Miss Louise Kincaid 48-0688 Nursing Education Consultant Miss Verginia Ohlson 26-6986 Chief, Supply Division Mr. Charles V. Band 26-6913 Production Branch Mr. Sidney F. Ascher 26-6913 Production Control Officer Mr. Edwin Payne 26-6913 Stock Control & Distribution Branch Mr. Eugene Coppola 26-8712 Chief, Narcotic Control Division Mr. Wayland L. Speer 26-6989

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Assistant Chief Mr. Willian Tollenger 26-6989


Typhus Fever Control Observations and reports from the field indicate that many members of insect and rodent control teams lack proper instruction in the technique of applying 10% DDT dust to the hair and clothing of individuals in louse control operations. Attention is called to printed instructions which may be found in: TB-PH-Preventive Medicine 3 Feb.1947 (PH&W, GHQ, SCAP) TB-MEDICAL 194 17 Aug. 1945 TB-MEDICAL 218 17 April 1946 It is suggested that the Chief of the Sanitation Section of Health Centers be urged to conduct periodic training periods on this technique at regular intervals throughout the typhus season. Improvement in Sanitation Reference Weekly Bulletin No.87 for 23 - 29 August and Weekly Bulletin No.94 for 11 - 17 October in which comparisons were made between certain prefecture monthly morbidity rates for July and August 1948 with those for 1947. This article, the third and last of a series under the subject of “Improvement in Sanitation”, makes comparisons of morbidity rates by prefectures for intestinal diseases occurring in the “intestinal disease season”, -the period from 1 July to 30 September. For the information of all prefectures, case rates for the “intestinal disease season” are included in table form for both 1948 and 1947 for dysentery, typhoid fever, and paratyphoid fever. The rates for the entire year will be much lower than those given for the three-month period, since the majority of the year’s cases occur during the period under consideration. The dysentery rate for all of Japan was one-third as high during the summer of 1948 as during the same period of 1947 (July - September). Rates for individual prefectures ranged from 10 to 82 percent of the previous years’ summer rates. Prefectures showing greatest improvement are chiefly in central Honshu and Shikoku. Outstanding improvement was shown by Yamanashi (10% of the rate for the 1947 season), Ishikawa (13%), Nagano (13%), Yamagata (13%), Tokushima (18%), Kagawa (19%), Tochigi (20%), Fukushima (20%), and Nara (22%). Some showing the greatest improvement still have rates considerably in excess of the national rate. The typhoid fever case rate for the three month period July to September 1948 for all Japan was 45 percent as high as for the same period in 1947. Only two prefectures failed to show improvement, is one of which the presence of an epidemic gave a case rate of 71. (The National case rate was 19.2 for July - September 1948). Outstanding improvement was shown by Kumamoto (6% of the 1947 season’s rate), Yamanashi (12%), Wakayama (12%), Yamagata (15%), Miyazaki (16%), Kagawa (20%). The paratyphoid case rate for July-September 1948 for Japan was 52 percent of the rate for the corresponding period of 1947. Five prefectures failed to show improvement. The over-all reduction in dysentery is encouraging. Although a number of factors may account for this reduction, improvement of general sanitation may be given a fair share of credit. The reduction of typhoid and paratyphoid fevers, however, is further assisted by immunization programs. That the results were less favorable than in the case of dysentery may be partly attributed to a reservoir of infection existing in typhoid carriers. Mass immunizations against typhoid and paratyphoid fevers are a seasonal affair, but the discovery of carriers and their management is an important part of the health program that must remain active throughout the year. Registers of typhoid carriers should be maintained and adequate control measures instituted to prevent carriers from being a source for disease among others. Due to the “carrier factor”, the typhoid control program

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requires and should receive the extra attention and effort required to bring all intestinal diseases to still lower levels in the coming year.

Cases Rates for Dysentery, Typhoid, and Paratyphoid for Three Months’ Periods (July, August, September) by Prefecture, 1947 and 1948. (Rates per 100,000 population Per Annum)

Dysentery Typhoid Paratyphoid Prefecture 1948 1947 1948 1947 1948 1947 Jul-Sept Jul-Sept Jul-Sept Jul-Sept Jul-Sept Jul-Sept Hokkaido 72.2 110.4 18.8 35.7 7.2 14.8 Aomori 30.7 77.0 18.5 40.4 10.6 6.6 Iwate 128.4 193.8 12.1 26.0 8.4 8.7 Miyagi 35.3 148.1 22.7 37.3 15.4 35.0 Akita 42.9 90.8 10.0 21.7 1.6 8.5 Yamagata 46.3 352.0 6.6 45.0 4.2 14.2 Fukushima 77.0 392.9 14.7 35.9 7.7 10.8 Ibaraki 110.2 282.4 11.6 36.0 8.3 17.8 Tochigi 54.5 270.3 19.4 50.5 6.2 15.5 Gumma 92.2 296.8 9.0 34.5 6.2 9.6 Saitama 56.8 241.3 16.6 36.1 2.3 8.2 Chiba 34.4 144.9 19.9 32.0 5.8 12.5 Tokyo 75.1 191.2 26.0 52.3 14.8 16.4 Kanagawa 32.1 96.6 33.0 51.4 6.9 11.9 Niigata 65.6 239.8 18.8 52.5 7.1 15.7 Toyama 16.9 62.9 31.8 87.1 6.0 28.2 Ishikawa 9.0 72.0 12.4 60.0 2.1 11.6 Fukui 92.2 160.5 35.1 50.3 3.8 13.0 Yamanashi 26.6 276.1 4.9 42.0 1.0 13.2 Nagano 35.2 270.2 71.0 26.3 7.5 11.1 Gifu 90.3 143.8 35.6 82.3 7.7 19.8 Shizuoka 39.3 153.4 16.9 36.3 11.2 9.3 Aichi 66.2 196.2 23.6 68.7 5.0 12.2 Mie 38.3 113.2 31.9 84.7 6.9 16.4 Shiga 32.2 123.9 12.9 28.0 1.4 8.6 Kyoto 42.4 116.9 24.6 43.4 4.5 11.6 Osaka 39.0 71.5 17.7 39.4 2.1 8.1 Hyogo 41.4 145.8 19.8 77.7 2.8 9.8 Nara 14.0 64.2 30.5 40.4 4.7 3.0 Wakayama 13.5 45.5 13.1 113.2 1.6 16.5 Tottori 34.6 102.5 32.6 41.8 6.1 9.4 Shimane 74.8 156.7 16.5 57.6 24.5 24.8 Okayama 36.3 81.6 21.5 41.1 0.5 2.4 Hiroshima 45.6 84.8 22.2 59.9 5.3 16.4 Yamaguchi 42.8 58.5 11.8 8.5 0.5 3.8 Tokushima 57.4 323.1 21.8 63.9 0.9 11.8 Kagawa 35.7 184.4 6.9 34.5 4.7 18.1 Ehime 71.2 221.9 20.1 22.9 4.6 6.3 Kochi 24.2 97.1 27.9 86.7 6.5 8.5 Fukuoka 31.3 63.0 6.6 14.6 1.8 1.9 Saga 57.0 69.3 12.1 13.6 4.3 5.7 Nagasaki 40.9 118.0 4.6 12.7 1.5 4.5

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Kumamoto 29.7 68.9 0.7 12.0 2.5 2.5 Oita 45.6 86.4 12.6 19.0 3.2 1.0 Miyazaki 57.7 105.2 5.7 36.1 1.5 7.5 Kagoshima 25.1 94.1 1.8 2.8 0.9 2.3 All Japan 51.8 157.5 19.2 42.7 5.9 11.4

Special Training Course for Sanitarians and Sanitary Engineers Reference Section II - Weekly Bulletin No.101 Special courses for sanitarians and sanitary engineers will begin in January 1949 at the Institute of Public Health in Tokyo. The Sanitarians Course which will begin on 10 January is designed for Chiefs of Health Center Sanitation Sections and is open to doctors, engineers, veterinarians or others with necessary technical training and background in public health work. This special course will emphasize organization, administration, and personnel training. The Sanitary Engineers Course which is expected to begin on or about 24 January is for graduate engineers only, and is designed to train personnel for key positions in the prefectural health departments. Students may be sent from the civil engineering sections of the prefectures, but they should be used in connection with public health work after being returned to the prefecture. Health Information and Education Film Libraries The following is the latest list of film libraries furnished by Civil Information & Education Section. Information concerning loan of educational films may be secured by contacting one of the libraries in your region. REGION PREFECTURE BUILDING ADDRESS Hokkaido Hokkaido Pref. Library Nishi-5-chome Kitaichijo Sapporo-shi Tohoku Aomori Pref. Government Ono Aomori-shi Iwate Pref. Library 86, Uchimaru, Morioka-shi Miyagi Pref. Library 27, Kotodaidori, Sendai-shi Akita Pref. Library 29, Higashinekoyamachi, Akita-shi Yamagata Pref. Government Hatagocho, Yamagata Fukushima Pref. Library 20, Sugitsumacho, Fukushima-shi Kanto Ibaraki Pref. Government Kita-san-no-maru, Mito-shi Tochigi Pref. Library 356, Shiodamachi, Utsunomiya-shi Gumma Pref. Government Kuruwamachi, Maebashi-shi Saitama Pref. Library 73-3-chome, Takasagomachi, Urawa-shi Chiba Pref. Library 2 Ichibamachi, Chiba-shi Tokyo Pref. Library 28 1-chome, Tsukiji, Chuo-ku, Tokyo-to (Kyobashi Library) Kanagawa CIE Library Kita-ku, Yokohama-shi Yamanashi Pref. Government Tachibana-cho, Kofu-shi Niigata Pref. Library Yoriimachi, Niigata-shi Nagano Pref. Library Asahi-machi, Nagano-shi

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Tokai- Toyama Pref. Library Omotecho, Toyama-shi Hokuriku Ishikawa Kanazawa Municipal Library 65 Tonomachi, Kanazawa-shi Gifu Pref. Government 1 Tsukesamachi, Gifu-shi Shizuoka Pref. Library 254 Ottecho, Shizuoka-shi (Aoi Bunko) Aichi Pref. Government Minami sotoboricho, Nichi-ku Nagoyashi Mie CIE Library Komei-cho, Tsu-shi Fukui Pref. Government Shiro-machi Fukui-shi Kinki Shiga Industry Cultural Hall 1 Higashiura, Otsu-shi Kyoto Pref. Library Okazaki, Sakyo-ku, Kyoto-shi Osaka Pref. Library Nakanoshima, Kita-ku, Osaka-shi Hyogo Pref. Government 5-chome, Yamatedori, Ikuta-shi Nara Kashiwara Library Unebicho, Takaichi-gun, Nara-ken Wakayama Pref. Library Jonai, Wakayama-sh i Chugoku Tottori Pref. Library Nichimachi, Tottori-shi Shimane Pref. Library Tonomachi, Matsue-shi Okayama Pref. Government Kamiifuka, Okayama-shi Hiroshima Pref. Government Mondo-cho, Hiroshima-shi Yamaguchi Pref. Government Itsukushima, Yamaguchi-shi Shikoku Tokushima Pref. Government Tomita-uramachi, Tokushima-shi Kagawa Pref. Library Gobancho, Takamatsu-shi Ehime Pref. Government Ichibancho, Matsuyama-shi Kochi Pref. Government Marunouchi, Kochi-shi Kyushu Fukuoka Pref. Government Tenjinmachi, Fukuoka-shi Saga Pref. Government 36 Akematsu, Saga-shi Nagasaki Pref. Library 1 Kaminishiyama-machi, Nagasaki-shi Kumamoto Pref. Library Honmarumachi, Kumamoto-shi Oita Pref. Library Niagemachi, Oita-shi Miyazaki Pref. Government Miyatamachi, Miyazaki-shi Kagoshima Pref. Government Yamashitamachi, Kagoshima-shi

LIST OF MOTION PICTURES AVAILABLE Insect and Rodent Control: Adaptations: CI&E 08 “Winged Scourge” CI&E 47 “Pale Horseman” Japanese: “Hae” (The Fly). Explanation of how epidemics are carried by flies. Source: Riken Motion Pictures Co. No.1, 3 chome Ginza Chuoku, Tokyo Price: 35mm: 55,800 yen 16mm: 26,040 yen Tuberculosis: Adaptations: CI&E 86 “Home Care of Tuberculosis” Japanese: “Tanoshiku Ryoyo-seikatsu” (Happy Life of Convalescence Patients). Introduction to the treatment of Tuberculosis. Source: Sanko Eiga Sha. No.30, 2 chome Shinbashi Minato-ku, Tokyo Price: 35mm: 30,475 yen 16mm: 20,000 yen Diphtheria: Japanese: “Nobiyuku Yoiko” (Grow up Healthy Youngster) Diphtheria Immunization. Source: Nippon Manga, c/o Yamaguichi Building No.30, 2 chome Shinbashi Shiba, Minato-ku, Tokyo Price: 35mm: 30,000 yen 16mm: 18,000 yen Venereal Disease:

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Japanese: “Junketsu” (Purity of Blood) Source: Miyako Eiga Sha Chuo-ku, Shintomi-cho, Tokyo Price: Rental of 35mm print. Price tentative; 5,000 yen to 8,000 yen. No 16mm prints available. Related subjects: Adaptations: CI&E 28 “Government the Public Servant” American with CI&E 29 “Children’s Supervised Play” Japanese sound CI&E 32 “Medical Specialist” CI&E 34 “Modern Medicine” Japanese: “This Town, That Town” (Ano Machi Kono Machi) City Clean-Up Campaign. Source: Dentsu Motion Picture Co. No.1, 7 chome West Ginza, Chuo-ku, Tokyo Japanese: “Diary of a Public Health Nurse” (Hokenfu Nikki) Source: Nishi Nippon Eiga Sha No.13 Oiichi, Yamaguchi City Price: Estimated price for 16mm: 20,000 yen to 25,000 yen Japanese: “Boshi Techo” (Mother & Child Handbook) Source: Hanabusa Yoko Educational Motion Picture Co. No.5, 1 chome Maki Machi, Chuo-ku, Tokyo Price: Prices not established.


Inspection Trip During the past week a visit was made to Aichi Prefecture and Gifu Prefecture. In Aichi Prefecture, two small but modern milk plants are being constructed and equipped to pasteurize milk at low temperature. It is planned to have the plants in operation by 1 February 1949. Milk processing plants producing prepared baby food are operating on a full scale and under good sanitary conditions. Food sanitation inspection is not receiving sufficient coverage due to the small number of inspectors in relation to the food establishments registered in Prefecture. Food inspectors assigned as a budget requirement are being misdirected by Health Center directors and are not devoting full time to the inspection of food due to assignment to other types of duty. In Gifu City, Gifu Prefecture, The Veterinary School of the Prefectural Agriculture College was visited. This school is continuing to show improvement in following the proposed high standards of Veterinary education. Animal Diseases The Animal Hygiene Section, Ministry of Agriculture and Forestry reported the following outbreak of diseases for the period 11 - 17 December. Prefecture Disease No. of Cases Yamanashi Swine Erysipelas 1 Chiba Swine Erysipelas 1

SECTION IV SUPPLY DIVISION

Distribution During the period 5 - 11 December, 809 pieces of DDT Dusting and spraying equipment were distributed to seven prefectures as follows:

Knapsack Semi-Automatic

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Prefecture DDT Duster Sprayer Sprayer Hand Sprayer Ibaraki 72 160 Tokyo 240 2 Osaka 100 Wakayama 60 25 Tokushima 50 Fukuoka 50 Hyogo 50

Total 340 184 75 210 The allocation of cotton sanitary materials (absorbent cotton, gauze and bandage) for the quarter, January, February and March 1949, was sent to all prefectural governors by the Ministry of Welfare, Japanese Government, Pharmaceutical & Supply Bureau directive dated 14 December 1948 (YAKU-HATSU #860). A detailed breakdown of this allocation is inclosed. (Incl. No.1). The allocation of controlled medicines for the quarter, January, February, and March 1949, was sent to all prefectural governors by the Ministry of Welfare, Japanese Government, Pharmaceutical & Supply Bureau directive dated 9 December 1948 (YAKU-HATSU #817). A detailed breakdown of this allocation is inclosed (Incl. No. 2). Production A total of 3,605 pieces of the various types of DDT dusting and spraying equipment for insect control programs was produced during the period 5 - 11 December. During the period 5 - 11 December, 10,000 lbs. of 10% DDT dust, and 23,330 vials of typhus vaccine were distributed. At the same time, 258,985 lbs. of 10% DDT dust and 51,600 gallons of 5% DDT spray were received, leaving inventory stocks on hand at regional warehouse of the Ministry of Welfare of 2,518,865 lbs. of 10% DDT dust, 639,149 gallons of 5% DDT spray, and 23,299 vials of typhus vaccine.

SECTION V NARCOTIC CONTROL DIVISION

Outstanding Investigations The Narcotic Section of the Ministry of Welfare has recently adopted a program whereby the details of outstanding narcotic investigations will be disseminated in the form of technical letters to each prefectural narcotic section. The object of this procedure is to furnish all narcotic agents now ideas on how to conduct investigations, using methods which have proven successful in previous investigations by other agents, and to stimulate the investigations of narcotic suspects and the obtaining of information that will result in successful completed cases. The first such investigation to be so distributed concerns a director of a hospital in Tokyo. The receipt of an anonymous letter, upon investigation, disclosed that this director had withheld a tremendous stock of narcotics from the hospital inventory at the time the Narcotic Law became effective on 19 June 1946, and recently tried to sell these narcotics through intermediate accomplices, on the black-market. The director and six other defendants have been apprehended to date, and a very large quantity of narcotics seized. Another considerable quantity of narcotics was stolen from the original quantity by one of the accomplices during black-market transactions and is presently being traced and has produced leads in two adjoining prefectures. This investigation and many smaller investigations, successfully completed, have been the result of intelligent checking of anonymous information which should be thoroughly investigated and not considered as worthless or a waste of time, by the Agents concerned. The names of the Narcotic Agents successfully conducting such outstanding investigations will be published as a form of “Commendation” for their efforts and as an incentive for other Agents to increase their investigation efforts.

SECTION VI

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WELFARE DIVISION Community Chest-Japanese Red Cross Joint Fund Campaign Prefectural reports received up to 15 December covering the progress of the Community Chest-Japanese Red Cross Joint Fund Campaign reflect a total of 919,920,964.11 yen raised (collections including pledges) towards the established goal of 1,175,450,000.00 yen or 78.3% of quota. Sixteen prefectures have reached or over-subscribed their quotas, namely: Aomori, Iwate, Akita, Yamagata, Fukushima, Saitama, Niigata, Toyama, Yamanashi, Gifu, Shizuoka, Aichi, Mie, Nara, Saga and Miyazaki. The progress of each prefecture in the “Joint Fund Campaign”, setting forth the latest date of each prefectural report is given below: Prefecture Goal Amount Collected Date Reported Per Cent Hokkaido 70,000,000.00 60,491,577.00 10 Dec 86.5 Aomori 11,000,000.00 11,000,000.00 25 Nov 100.0 Iwate 17,000,000.00 17,000,000.00 14 Nov 100.0 Miyagi 16,000,000.00 12,000,000.00 15 Nov 75.0 Akita 10,000,000.00 10,235,433.07 8 Dec 102.0 Yamagata 20,000,000.00 20,152,174.27 2 Dec 100.7 Fukushima 20,000,000.00 21,421,461.47 15 Nov 107.1 Ibaraki 15,000,000.00 14,588,587.75 1 Dec 97.3 Tochigi 21,000,000.00 19,748,000.00 10 Dec 94.0 Gumma 12,000,000.00 10,668,939.68 11 Dec 88.9 Saitama 16,000,000.00 17,634,210.00 10 Dec 110.1 Chiba 25,000,000.00 12,991,594.53 27 Nov 52.0 Tokyo 80,000,000.00 55,796,759.04 8 Dec 69.8 Kanagawa 70,000,000.00 43,120,000.00 10 Dec 61.6 Niigata 29,000,000.00 29,198,627.00 10 Dec 100.1 Toyama 13,000,000.00 13,065,841.98 15 Nov 100.5 Ishikawa 13,000,000.00 11,431,084.00 15 Nov 88.0 Fukui 13,000,000.00 11,616,124.38 17 Nov 89.5 Yamanashi 9,450,000.00 9,451,958.00 15 Nov 100.0 Nagano 30,000,000.00 28,639,661.00 4 Dec 95.5 Gifu 20,000,000.00 20,566,563.31 15 Nov 102.9 Shizuoka 20,000,000.00 20,421,507.00 1 Dec 102.1 Aichi 66,000,000.00 67,465,649.43 30 Nov 102.2 Mie 20,000,000.00 20,013,217.00 14 Dec 100.1 Shiga 11,000,000.00 10,230,000.00 27 Nov 93.0 Kyoto 50,000,000.00 22,599,173.63 8 Dec 45.2 Osaka 85,000,000.00 65,663,372.84 10 Dec 77.3 Hyogo 60,000,000.00 16,881,712.00 20 Nov 28.1 Nara 12,000,000.00 12,000,128.69 5 Dec 100.0 Wakayama 9,500,000.00 8,757,005.00 24 Nov 92.1 Tottori 9,000,000.00 5,222,385.00 30 Nov 58.0 Shimane 10,000,000.00 8,678,192.00 4 Dec 86.8 Okayama 21,000,000.00 18,546,170.00 18 Nov 88.4 Hiroshima 30,000,000.00 26,445,570.00 16 Nov 88.4 Yamaguchi 26,000,000.00 15,530,000.00 10 Dec 59.8 Tokushima 15,000,000.00 8,037,867.00 20 Nov 53.6 Kagawa 14,000,000.00 13,910,552.00 10 Dec 99.3

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Ehime 25,000,000.00 21,259,000.00 17 Nov 85.1 Kochi 13,000,000.00 7,684,003.00 25 Nov 59.1 Fukuoka 50,000,000.00 32,059,723.04 3 Dec 64.1 Saga 12,500,000.00 12,500,000.00 31 Oct 100.0 Nagasaki 20,000,000.00 2,122,240.00 21 Nov 10.6 Kumamoto 21,000,000.00 19,990,342.00 8 Dec 95.3 Oita 18,000,000.00 17,625,355.00 13 Dec 97.9 Miyazaki 10,000,000.00 11,000,000.00 31 Oct 110.0 Kagoshima 17,000,000.00 4,459,233.00 12 Nov 26.2 TOTAL 1,175,450,000.00 919,920,946.11 78.3

Japanese Red Cross Society Disaster Relief Operations: On 8 December at 0525 hours a fire, caused from chimney sparks, broke out in Iwamatsu-mura, Fuji-gun, Shizuoka Prefecture. Thirty-eight dwellings were completely destroyed, with several damaged, leaving 252 persons homeless. Forty-five persons were slightly injured. One Red Cross Medical Aid and Relief Team (1 doctor, 2 nurses and 3 staff assistants) was dispatched to the area and gave emergency medical aid and assistance to the sufferers. Junior Red Cross: Four outstanding Junior Red Cross meetings have recently been held (three in the Niigata Chapter area and one in the Saitama Chapter area). The following information briefly summarizes the meetings: Niigata Chapter: 27 November in Chapter Headquarters auditorium. Approximately 50 Junior Red Cross representatives from Niigata City attended accompanied by their teachers. The main speaker was a Junior whose topic was “The Meaning of Being a Member of the Junior Red Cross”. 30 November in the Niigata Girls’ High School. Three hundred representatives attended. The meeting was addressed by two members of the Niigata Military Government Teams. 30 November in the Niigata First Normal School. This meeting was held for the purpose of acquainting prospective teachers with the Junior Red Cross program. 11 December in the Kawagoye Girls’ High School (Saitama). Junior representatives from 47 Primary and Middle Schools (and their teacher-sponsors) attended. A total of 370 persons were present for the conference. The Junior speaker addressed the conference on the subject, “The Spirit of the Junior Red Cross”. Volunteer Services: The National Headquarters, Japanese Red Cross Society, is currently devising ways and means of building and expanding their Volunteer Services program and is considering many fields of endeavor including the field of health and sanitation. In considering activity by their Volunteer Services in matters related to health and/or sanitation, representatives of the Japanese Red Cross have conferred with the Public Health and Welfare Section, SCAP, and they are familiar with the content and meaning of PHMJG(69), dated 16 August 1948, subject, “Dissolution of Sanitary Associations and Other Similar Organizations”. It has been agreed that the Volunteer Services program could serve a useful purpose in the field of health and sanitation through a project of “environmental sanitation”. This project would include such activities as “clean-up campaigns”, “swat the fly campaigns” and information and publicity endeavors directed towards individuals and/or families for the purpose of making them cognizant of certain health hazards existent in and about their homes and recommend remedial measures.

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Any and all Volunteer Service programs that are or may be officially conducted by a Red Cross Chapter (prefectural) are only those established and approved by the National Headquarters, Japanese Red Cross Society. Official Volunteer Services activity in the health and sanitation field will not be finalized until it has been coordinated with and approved by the Public Health and Welfare Section, SCAP. Public Assistance Mimeographed copies (translated) of Hatsu-sha #129, dealing with the new public assistance program, will be attached to Public Health and Welfare Section Weekly Bulletin No.104 (for period 19 - 25 December). Public Assistance Report - October The Ministry of Welfare has submitted the following figures for the month of October 1948. Totals for September 1948 and October 1947 are furnished for purpose of comparison with the October report: October 1948 September 1948 October 1947 Persons-Institutional 143,806 144,882 147,734 Persons-Non-Institutional 1,720,106 1,773,108 2,799,561 Total 1,863,912 1,917,990 2,947,295 Assistance-Cash* 565,029,472 519,237,688 312,746,101 Assistance-Kind 25,126,018 23,266,546 21,824,752 Total Yen 590,155,490 542,504,234 334,570,853 *Before deductions for repayment Public Assistance Report by Prefecture - October

Prefecture Institutional Non-Institutional In Kind Cash* Hokkaido 13,796 59,775 3,892,807 22,691,724 Aomori 1,804 30,344 141,228 9,190,670 Iwate 871 40,254 69,986 10,631,341 Miyagi 1,395 42,478 3,405 8,410,128 Akita 959 47,064 2,079,643 16,463,728 Yamagata 801 24,411 89,815 6,475,585 Fukushima 921 50,642 48,792 13,775,364 Ibaraki 1,238 36,134 46,989 7,046,765 Tochigi 1,076 22,256 39,818 6,348,736 Gumma 4,811 35,055 10,583 10,397,080 Saitama 1,382 41,406 12,100 13,524,702 Chiba 2,680 35,870 458,080 9,639,948 Tokyo 17,961 110,860 --- 57,598,186 Kanagawa 5,112 42,335 --- 18,898,125 Niigata 9,914 56,756 92,965 14,848,819 Toyama 1,349 27,648 25,500 8,872,224 Ishikawa 1,270 26,544 26,730 7,721,745 Fukui 506 19,856 49,951 6,712,603 Yamanashi 465 20,861 --- 5,395,992 Nagano 3,157 43,641 207,855 14,350,563 Gifu 2,072 31,209 514,440 9,138,617 Shizuoka 5,460 44,817 2,156,301 13,264,569 Aichi 7,860 63,503 --- 21,058,889 Mie 947 35,964 33,210 11,337,231 Shiga 663 24,336 --- 5,788,092

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Kyoto 3,692 46,765 8,000,794 17,240,440 Osaka 8,970 58,327 75,179 31,445,548 Hyogo 6,953 71,539 840 26,045,782 Nara 720 20,329 --- 7,387,960 Wakayama 368 29,302 46,563 7,814,647 Tottori 1,031 17,005 1,007,634 5,338,985 Shimane 692 26,377 --- 7,567,995 Okayama 3,199 38,931 84,173 12,211,740 Hiroshima 3,441 42,216 24,171 15,867,715 Yamaguchi 9,565 31,593 20,649 12,747,885 Tokushima 2,112 26,853 --- 7,920,889 Kagawa 1,927 22,169 1,245,389 5,622,826 Ehime 1,189 34,532 185,213 11,456,289 Kochi 619 20,671 2,884 6,085,865 Fukuoka 1,426 17,168 1,153,093 5,976,371 Saga 1,975 32,577 2,591,029 6,703,916 Nagasaki 1,222 34,029 46,685 11,102,637 Kumamoto 1,704 36,363 52,353 11,258,088 Oita 1,330 21,580 --- 7,105,999 Miyazaki 1,545 26,946 589,171 6,703,900 Kagoshima 1,656 50,815 --- 11,715,766

TOTAL 143,806 1,720,106 25,126,018 564,902,669 *After deductions for repayment.

SECTION VII SOCIAL SECURITY DIVISION

Japanese Nationals Employed for the Occupation Forces. SCAPIN 1949 dated 13 December 1948 has been released pertaining to physical examination, immunization, medical care, hospitalization and other benefits for Japanese Nationals working for the Occupation Forces. It was issued to meet the need of further controlling expenditures from funds chargeable to occupation costs and to make modifications necessary because of recent legislation by the Japanese Diet. The issuance and control of procurement instruments and budgeting for such costs are increased responsibilities for Military Government Teams. In general it subjects to procurement instruments procedures expenditures for the medical services and cash payments required of the Japanese Government with respect to such workers under the Labor Standard Law, the National Public Service Law, as amended, and the Health Insurance Law. Protection required by such laws conform in large part with those previously prescribed by SCAPIN’s and PHMJG’s in the absence of Japanese legislation. Fixed costs prescribed by such laws as to amount or percentage of payroll which are the responsibility of the Japanese Government as the employer can be included in the procurement instruments now being issued covering the employment of these workers. Expenditures for services covering physical examinations, immunization and control of communicable diseases specifically prescribed by SCAPIN 1949 where special facilities are not required can be handled by procurement instruments to cover an extended period to minimize detail paper work. However, separate and specific procurement instruments and receipts are required where the construction, equipping, operation and maintenance at government expense of any special or exclusive facility is involved. The cost of services provided these workers as prescribed by the Preventive Vaccination Law, the Food Sanitation Act, the Venereal Disease Prevention Law and the Tuberculosis Preventive Law are not chargeable to Occupation Force requirements and therefore not subject to procurement instruments. The immunization requirements were particularly affected due to the comprehensive nature of the Preventive Vaccination Law.

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The Special Procurement Board of the Japanese Government has notified this Section that instructions have been forwarded to their offices authorizing the payment of salaries and expenses covering these services until 31 December but such payments will have to cease at that date without procurement instrument authorization. The Advisory Council on Social Security The National Diet on 13 December 1948, passed a law providing for an Advisory Council on Social Security in the Prime Minister’s office for the purpose of investigating and making recommendations relative to a social security program. The Council will have the responsibility of studying and making recommendations to the Prime Minister for submittal to the Diet. It will provide written advice to the Prime Minister, and other Ministers concerned, as to the most effective methods of providing economic security through social insurances, and as to legislation and administrative policies concerning social insurances and related subjects. The Council will have a membership of 40 persons drawn from the following groups: members of the Diet, officials of Government Offices concerned, persons of learning and experience, and employers, employees, physicians, dentists, pharmacists and others similarly participating in the operations of the social insurance programs. The appointments will be made by the Prime Minister. Twelve additional temporary members may be appointed if and when considered necessary. The establishment of this Council is the outgrowth of recommendations made by the Social Security Mission from the United States which made a study of the social security program in Japan during the latter part of 1947. The basis of the recommendation for establishing a National Advisory Council on Social Security was stated in the Mission’s report as: “The Social Security program affects so many people and is the concern of so many interested groups that it is desirable to have, for some years to come, the assurance of representation and participation at a high level of all those interested. The council should have independent character to permit freedom of expression and research. It would bring to the government the consensus of national opinion with reference to social security matters and constitute a channel to assure communication between the public groups and their government.” The Advisory Council on Social Security supersedes the Social Insurance Investigating Committee which was established by Imperial Ordinance in March 1946 as the result of a request of the Minister of Welfare than an investigation of the various social insurance programs be made with a view toward coordinating their functions for the benefit of the people. The Minister of Welfare realized that the purposes and functions of social insurances were neglected during the war. The investigating Committee was established on a ministerial level to function primarily for the Ministry of Welfare and was concerned only with the social insurances. As social insurances are only a part of a social security program which is vitally important in the economic recovery of the Japanese people, it was the opinion of the Social Security Mission that a council should be established on a higher level to be responsible for advising and making recommendations to governmental organs. Social Insurance Statistics Reference is made to Public Health and Welfare Weekly Bulletins Nos.95 and 96 for a summary of the Health Insurance program and monthly benefit data of the months of April through July 1948. The tabulation (Incl.No.3) lists the benefits paid under society-managed Health Insurance during the month of August 1948. To some extent the figures reflect increases in certain flat-rate benefits which became effective on 1 August 1948. For the first time, nursing allowance paid in respect of dependents of insured have been separated from those paid to primary insured women workers.

SECTION VIII MEMORANDA TO THE JAPANESE GOVERNMENT

None.

CRAWFORD F. SAMS Brigadier General, Medical Corps

Chief 4 Incls.

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1. Allocation of Cotton Sanitary Materials for January, February, March 1948. 2. Controlled Medicines Allocated for January, February, March 1948. 3. Social Insurance Statistics - Benefits Granted Under Society-managed Health Insurance. 4. Weekly Report of Communicable and Venereal Diseases in Japan for Week Ended 11 December 1948. (No Restricted Annex included in this issue).

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WEEKLY BULLETIN

For Period 20-26 December

Number 104

SECTION PAGE Ⅰ GENERAL 1 Ⅱ PREVENTIVE MEDICINE 1 Ⅲ VETERINARY AFFAIRS 2 Ⅳ SUPPLY 5 Ⅴ NARCOTIC CONTROL 8 Ⅵ WELFARE 8 Ⅶ SOCIAL SECURITY 13 Ⅷ MEMORANDA TO JAPANESE GOVERNMENT 14

27

SECTION I GENERAL

The following Public Health and Welfare Technical Bulletins are inclosed with this Weekly Bulletin. Title: Duties of the Military Government Public Health Nurse. (Incl. #1). Short Title: TB-PH-ADM-4 Title: National Health Insurance (Incl. #2). Short Title: TB-PH-SS-3


Personnel Changes Announcement is made of the arrival in Japan and assignment of Dr. Samuel R. Bozeman as Chief, Laboratory Branch, Preventive Medicine Division, Public Health and Welfare Section, SCAP, replacing Dr. H. Hamlin who has returned to the United States. Dr. Bozeman is highly qualified and experienced in biologic laboratory methods and is currently on leave from the Michigan State Department of Health, Lansing, Michigan, where he was Assistant Director of the Bureau of Laboratories, Biologic Products Division. Suspension of Immunizations Recently a number of severe reactions and deaths have resulted from the administration of a faulty lot of Japanese produced diphtheria toxoid. Reports have also been received from several other sections of the country relative to reactions of varying degrees of severity following the administration of other types of vaccine. These incidents should not have, and would not have occurred had established minimum standards been followed implicitly. Nevertheless, these reactions and the adverse publicity resulting therefrom may cause the general public to lose faith in the immunization program and place the entire program in jeopardy. In view of these facts a decision was made to suspend the use of all Japanese produced vaccines for preventive immunization until such time as Public Health & Welfare Section can be assured that only safe, potent, and effective vaccines are available for use in the general immunization program. Necessary instructions have been issued by the Ministry of Welfare contained in Yo-Hatsu #104, subject: “Re-Assay of Japanese Produced Vaccines for Preventive Vaccinations,” dated 25 December 1948, from the Vice Minister to the Governors of all prefectures. For the information of all concerned, these instructions are quoted below:

“We are very sorry to see the unfortunate cases have happened at Kyoto and Shimane recently from diphtheria vaccination, in spite of the fact that the good results have been shown by the enforcement of the Preventive Vaccination Law for which you have always given great efforts. The Ministry of Welfare has given serious consideration for the bad influence of these cases on the future enforcement of the Law and consequent hinderance for the promotion of the health of the people. Therefore, we have done the extensive investigation of the facts. Our findings are, as announced previously, the fault in the process of manufacturing diphtheria vaccine. Because of this fact, we decided to re-assay all the vaccines under the Preventive Vaccination Law according to the followings, in order to prevent the repetition of the same in the future and, at the same time, to protect the health of the people. You are expected to exert utmost effort in putting this plan into operation.

1. The use of the Japanese produced vaccines for the preventive vaccination against any and all diseases are suspended hereby immediately and until further notice. 2. These vaccines shall immediately be collected for re-assay, and the laboratories producing these vaccines shall be reinvestigated thoroughly. The procedure for all these investigations shall be instructed later.

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3. The vaccines suspended for use shall be kept in the refrigerators at the Health Department of the prefectural office according to the method already instructed. 4. The vaccines which are re-assayed according to the procedure described above and are proved to be safe and potent shall be notified for use by later instruction. 5. Suspension of use and the collection of vaccines shall be given full publicity so that there will no such cases happen during the course of the execution of this instruction.”


Animal Diseases The Animal Hygiene Section, Ministry of Agriculture and Forestry reported the following outbreak of diseases for the period 18 - 24 December. Prefecture Diseases No. of Cases Oita Swine Plague 2 Okayama Filariasis 1 Monthly Animal Disease Report Diseases October November Anthrax 0 1 (horse) Blackleg 2 3 Filariasis 3 (horse) 1 Swine Erysipelas 27 7 Swine Cholera 20 1 Swine Plague 15 0 Piroplasmosis 1 0 Rabies 1 (horse) 1 (goat) Scabies 1 (horse) 0 Strangles 30 19 Equine Infectious Anemia 137 68 Infectious Abortion Cattle Trichomonas 86 94 Burucella 7 6 Equine Paratyphus 5 5 Pullorum Disease (fowls) 3,720 7,483 Bovine Tuberculosis 50 163 Monthly Livestock Slaughtering Report The Veterinary Affairs Section, Ministry of Welfare, reports the following number of livestock slaughtered during the month of October: Cattle Calves Horses Number of slaughtered 21,657 1,007 5,773 Live Wt. (kgs) 8,683,382 90,267 1,834,449 Dressed Wt. (kgs) 4,359,116 43,591 921,690 Condemned Ante-mortem 1 0 7 Condemned Post-mortem Total 19 3 10 Partial 1,063 23 461 Viscera 3,733 61 813 Swine Sheep Goats Number of slaughtered 18,764 25 299 Live Wt. (kgs) 1,643,723 883 8,948

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Dressed Wt. (kgs) 957,789 399 4,013 Condemned Ante-mortem 2 0 0 Condemned Post-mortem Total 2 0 0 Partial 2,330 2 3 Viscera 5,004 1 4 MILK INSPECTION The Veterinary Affairs Section, Ministry of Welfare, reported the following milk inspection figures for the month of October. Special Milk Dairy Farms Inspected 5 Number of samples 13 Over bacterial standards (50,000 per cc) 3 Under butterfat standards (3.3 percent) 1 Plant Inspections 13 Over bacterial standards (50,000 per cc) 3 Under butterfat standards (3.3 percent) 1 Ordinary Milk Dairy Farms Inspected 10,962 Number of samples 13,249 Over bacterial standards (2,000,000 per cc) 904 Under butterfat standards (3.0 percent) 903 Plant Inspections 6,158 Over bacterial standards (2,000,000 per cc) 512 Under butterfat standards (3.0 percent) 365 Goat Milk Dairy Farms Inspected 41 Number of samples 42 Over bacterial standards (2,000,000 per cc) 8 Under butterfat standards (3.0 percent) 6

MILK PRODUCTION The following amounts of milk was produced during the month of October: No. of Farms No. of Milk Animals Amount Produced Special Milk 8 138 32,081 Lit. Ordinary Milk 53,365 100,242 18,044,685 Lit. Goat Milk 3,256 6,563 366,294 Lit. SEAFOOD INSPECTION The Veterinary Affairs Section, Ministry of Welfare, submitted the following inspection report for October on sea-food. Wholesale Sea-food Markets Nubmer of establishments 1,368 Number of establishments inspected 918 Sanitary condition Good 133

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Fair 614 Poor 172 Total number of inspections 2,584 Amount of sea-food examined 141,432,117 kgs Amount of sea-food condemned 1,183,350 kgs Cause for condemnation Peutrefaction Disposition Fertilizer Retail Sea-food Shops Number of establishments 41,668 Number of establishments inspected 16,018 Sanitary condition Good 2,062 Fair 9,895 Poor 4,117 Total number of inspections 19,183 Amount of sea-food examined 5,033,726 kgs Amount of sea-food condemned 1,362 kgs Cause for condemnation Uncleanliness Staleness Peutrefaction Disposition Fertilizer Sea-food Processing Shops Number of establishments 9,142 Number of establishments inspected 2,737 Sanitary condition Good 410 Fair 1,660 Poor 644 Total number of inspections 4,502 Amount of sea-food examined 1,942,813 kgs Amount of sea-food condemned 1,817 kgs Cause for condemnation Staleness Peutrefaction Disposition Fertilizer

MEAT PROCESSING Meat Processing Plants Number of establishments 1,270 Number of establishments inspected 605 Sanitary condition Good 56 Fair 514 Poor 35 Number of inspections 2,648 Amount of meat examined 243,684 Amount of meat condemned 4 kgs Cause for condemnation Peutrefaction Disposition Incinerated Meat Retail Shop Number of establishments 13,125 Number of establishments inspected 8,174 Sanitary condition Good 2,290 Fair 4,814 Poor 1,070

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Number of inspections 10,068 Amount of meat 1,077,036 kgs Amount of meat condemned 164 kgs Cause of condemnation Peutrefaction Disposition Fertilizer Note: One establishment in Saitama Prefecture was suspended from business for misrepresentation of business.

FOOD SANITATION The Food Sanitation Section, Ministry of Welfare, submitted the following monthly report on Food Sanitation for September. Food Establishments Number of instructing cases 82,759 Number of inspections 470,608 Number unqualified 70,405 Number of samples collected for examination 4,857 Total samples examined and found satisfactory 3,631 Note: A total of 1,287 food inspectors are engaged in the sanitary inspection of food of other than animal origin.

SECTION IV SUPPLY DIVISION

Production A total of 4,291 pieces of the various types of DDT dusting and spraying equipment for insect control programs was produced during the period 12 - 18 December. Distribution of DDT products and typhus vaccine during November totaled 251,398 lbs. of 10% DDT dust, 40,717 gallons of 5% DDT residual effect spray, and 23,913 vials of typhus vaccine. During the month 942,553 lbs. of 10% DDT dust, 142,400 gallons of 5% DDT spray, and 18,970 vials of typhus vaccine were received. Following is breakdown of distribution to prefectures and government agencies: 10% DDT Dust 5% DDT Residual Typhus Vaccine Prefecture of Department (lbs) Effect Spray (gallons) (vials) SAITAMA 50,000 1,120 ISHIKAWA 4,000 500 SHIGA 5,000 500 OSAKA 100,000 25,000 10,000 TOTTORI 2,840 YAMAGATA 1,070 FUKUSHIMA 250 IBARAKI 500 TOCHIGI 50 GUMMA 113 KANAGAWA 1,300 MIE 10 HYOGO 5,000 YAMAGUCHI 500 Quarantine Stations: OTARU 100 HAKODATE 1,250 YOKOHAMA 100 MAIZURU 100 2,500 NAGASAKI 50 MINISTRY OF EDUCATION 500 5

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MINISTRY OF JUSTICE 48,058 14,112 (Prisons, Houses of Dentention, Juvenile Prisons, and Reformatories) TOKYO JUVENILE COURT 1,000 500 HOKKAIDO AOMORI FERRYBOAT: HOKKAIDO 20,000 AOMORI 20,000 TOTAL 251,398 lbs. 40,717 gallons 23,913 vials Distribution The distribution of medical supplies and equipment during the month of October shows an increase over September distribution in non-controlled medicines, patent medicines, dental instruments, rubber sanitary goods, sanitary materials and medical instruments. Distribution of controlled medicines, dental materials, Japanese Army-Navy surgical instruments and medical supplies decreased from September distribution. During the month of November, distribution of medical supplies and equipment showed slight increases in some items, such as, controlled medicines, non-controlled medicines and medical instruments; marked increases in patent medicines and dental materials, and decreases in dental instruments, rubber sanitary goods, and sanitary materials. There was no distribution of Japanese Army-Navy surgical instruments or medical supplies during November. (See Table I of Inclosure #3.) Miscellaneous drugs distributed during October showed marked decreases in all items, except sulfadiazine, which showed a slight increase. November distribution increased over October distribution in both sizes of mapharsen ampoules and bismuth subsalicylate ampoules. The distribution of sulfathiazole tablets in November dropped to less than half of October’s distribution. Sulfadiazine tablets have shown a slight decrease. (See Table II, Inclosure #3). During the month of October biologicals distributed were as follows: October Biological Quantity Distributed Stock on Hand Cholera vaccine 1,361,700 cc 33,150 cc Typhus vaccine 449,830 cc 504,654 cc Triple Typhoid vaccine 891,350 cc 16,263,500 cc Diphtheria Toxoid 2,532,090 cc 2,104,200 cc Diphtheria Antitoxin 57,707 cc 631,020 cc Smallpox 797,705 doses — Anti-rabies 26 doses — Anti-rabies (canine) 61,000 cc 10,000 cc As compared with September distribution, all vaccines showed an increase with the exception of diphtheria antitoxin and the rabies vaccines. Penicillin distribution during October totaled 15,260 vials of 200,000 oxford units American-made penicillin and 338,211 vials of 100,000 oxford units of Japanese-made penicillin. During November, distribution of American-made penicillin (200,000 oxford units per vial) totaled 9,390 vials and 284,259 vials of 100,000 oxford unit of Japanese-made penicillin. (See Table III, Inclosure #3). The yen value of distribution of medical instruments for the months of October and November totaled over 35,000,000 yen for each month, with November slightly higher than October. Over 2,000,000 pieces of medical instruments were distributed during each month. (See Table IV, Inclosure #3). The number of pieces of dental instruments distributed in October increased over September’s by more than 300,000 pieces and increased nearly 2,000,000 yen in value. The yen value for dental materials during October remained at 8,000,000 yen. The number of pieces of dental instruments distributed during November decreased by a little more than 100,000 pieces from October with a corresponding decrease in yen value of more than 1,000,000 yen. The yen value of dental materials distributed during November were double that of September and/or October. (See Table V, Inclosure #3).

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During October the theft of 300 grams of gold plate and 4 grams of gold plate alloy was reported in Hokkaido. Distribution of dental precious metals during October totaled over 11,000 grams of gold and 275,864 grams of silver preparations. The x-ray and electro-therapy equipment distributed during October totaled 1,591 pieces, which is the highest amount distributed in any one month during 1948. Distribution for the month of November totaled 1,374 pieces which is a slight decrease from the month of October. (See Table VI, Inclosure #3). Distribution of rubber sanitary goods for the month of October totaled 65,854 kgs. and for November totaled 38,736 kgs. Yen value for this distribution totaled more than 37,000,000 yen for October and over 20,000,000 yen for November. These figures, through a fluctuation from other months, constitutes no great difference from the average. (See Table VII, Inclosure #3). Distribution of textile sanitary materials during the month of October increased for absorbent cotton, gauze, triangular and abdominal bandages and lint over the distribution for September. November distribution shows a decrease from October distribution in all items except lint, which showed a distribution of 2,298 pieces. The yen value of distribution of textile sanitary materials shows an increase of over 100,000,000 yen from September distribution figures and a decrease during the month of November of nearly 100,000,000 yen from October distribution. November distribution was 42,000,000 yen above September distribution. (See Table VIII and IX, Inclosure #3). Distribution of x-ray film in October increased in all sizes of film except 8×10, 10×12, 11×14, dental film and 35mm rolls. Distribution during the month of November increased in all sizes except 6-1/2 × 8-1/2, 10×12, 11 ×14, 14×17 and 120 rolls from October distribution. (See Table X, Inclosure #3). During the month of October total of 2,303,015 tablets of santonin was distributed, which is the smallest amount distributed for any month since April 1948. During the month of November, a total of 3,250,280 tablets were distributed, making a marked increase over October distribution. (See Table XI, Inclosure #3). During the period 12 - 18 December, 2,536 pieces of dusting and spraying equipment were distributed to 14 prefectures as follows: Knapsack Semi-Automatic Hand Engine Prefecture DDT Dusters Sprayer Sprayer Sprayer Sprayer Iwate 5 Akita 5 Yamagata 1 Shizuoka 1 Kyoto 200 Osaka 50 50 Shimane 50 Kochi 196 Fukuoka 336 258 24 50 Saga 18 6 Nagasaki 956 Kumamoto 48 96 Miyazaki 48 54 Kagoshima 60 24

TOTAL 1,784 542 80 124 6

SECTION V NARCOTIC CONTROL DIVISION

Lecture Program

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A new four hour lecture program to commence in January 1949 and covering all applicable points of the Narcotic and Taima (Marihuana) Control Laws will be given the graduating classes at all Medical, Dental, Pharmaceutical, Veterinary-Surgeon and Nursing Schools and Colleges throughout Japan. Lectures will be given annually to all graduating classes by the personnel of the Narcotic Section, Ministry of Welfare and by the Narcotic Agents and Pharmaceutical Section Chiefs in the Prefectures. They are scheduled to start in January so as not to interfere with student examinations beginning in February. This program is expected to materially reduce future violations by narcotic handlers of these professional classes.

SECTION VI WELFARE DIVISION

Licensed Agencies for Relief in Asia (LARA) LARA shipments numbers 111 through 114, of relief supplies for Japan, have arrived in Yokohama. (Note: Shipment Number 110 has arrived but has not been inventoried). These shipments contained 54.27 tons of the following supplies: 111th Shipment: Arrived aboard the S.S. Kyska on 15 December and contained 20.25 tons (clothing). 112th Shipment: Arrived aboard the S.S. Matt Luckenbach on 16 December and contained 18.33 tons (food, 14.18 tons - clothing, 1.5 tons - medical supplies, including medicines, 2.15 tons - miscellaneous, .5 tons). 113th Shipment: Arrived aboard the S.S. Gertrude Maersk on 16 December and contained 10.25 tons (clothing). 114th Shipment: Arrived aboard the S.S. Tjiboda on 16 December and contained 5.44 tons (food). The total LARA relief supply shipments to Japan, as reported, now totals 7,115.67 tons, consisting of the following: Tons Food 5434.33 Clothing 1310.41 Medical Supplies (including medicines) 61.52 Cotton (raw) 207.62 Miscellaneous (soaps, seeds, candles, etc.) 101.79 TOTAL 7115.67 Community Chest - Japanese Red Cross Joint Fund Campaign Prefectural reports covering the progress of the Community Chest - Japanese Red Cross Joint Fund Campaign reflect a total of 967,250,846.96 yen raised (including pledges) towards the established goal of 1,175,450,000.00 yen or 82.3% of quota raised. (Note: 18 prefectures have reached or exceeded their goal). The progress of each prefecture in the “Joint Fund Campaign”, including the date of their latest report, is given below: Prefecture Goal Amount Collected Date Reported Per Cent Hokkaido 70,000,000.00 60,491,577.00 10 December 86.5 Aomori 11,000,000.00 11,000,000.00 25 November 100.0 Iwate 17,000,000.00 17,023,964.00 1 December 100.2 Miyagi 16,000,000.00 12,000,000.00 15 November 75.0 Akita 10,000,000.00 10,341,366.87 15 December 103.4 Yamagata 20,000,000.00 20,152,174.27 2 December 100.7 Fukushima 20,000,000.00 21,421,461.47 15 November 107.1 Ibaraki 15,000,000.00 14,658,909.87 13 December 97.7 Tochigi 21,000,000.00 19,748,000.00 10 December 94.0

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Gumma 12,000,000.00 10,668,939.68 11 December 88.9 Saitama 16,000,000.00 17,652,200.00 15 December 110.3 Chiba 25,000,000.00 12,991,594.53 27 November 52.0 Tokyo 80,000,000.00 56,569,266.32 22 December 70.8 Kanagawa 70,000,000.00 43,120,000.00 10 December 61.6 Niigata 29,000,000.00 29,274,627.00 14 December 100.9 Toyama 13,000,000.00 13,065,841.98 25 November 100.5 Ishikawa 13,000,000.00 11,431,084.00 15 November 88.0 Fukui 13,000,000.00 11,616,124.39 17 November 89.5 Yamanashi 9,450,000.00 9,451,958.00 15 November 100.0 Nagano 30,000,000.00 28,639,661.00 4 December 95.5 Gifu 20,000,000.00 20,566,563.31 15 November 102.9 Shizuoka 20,000,000.00 20,421,507.00 1 December 102.1 Aichi 66,000,000.00 67,980,655.73 13 December 103.0 Mie 20,000,000.00 20,013,217.00 14 December 100.1 Shiga 11,000,000.00 11,013,437.04 18 December 100.1 Kyoto 50,000,000.00 23,220,741.00 14 December 46.4 Osaka 85,000,000.00 68,567,220.00 15 December 80.8 Hyogo 60,000,000.00 36,041,813.00 16 December 60.1 Nara 12,000,000.00 12,000,128.00 5 December 100.0 Wakayama 9,500,000.00 8,757,005.00 24 November 92.1 Tottori 9,000,000.00 5,222,385.00 30 November 58.0 Shimane 10,000,000.00 9,052,943.18 11 December 90.5 Okayama 21,000,000.00 19,846,418.00 15 December 94.5 Hiroshima 30,000,000.00 26,445,570.00 16 November 88.4 Yamaguchi 26,000,000.00 15,530,000.00 10 December 59.8 Tokushima 15,000,000.00 8,037,867.00 20 November 53.6 Kagawa 14,000,000.00 13,910,522.00 10 December 99.3 Ehime 25,000,000.00 21,259,000.00 17 November 85.1 Kochi 13,000,000.00 7,684,003.00 25 November 59.1 Fukuoka 50,000,000.00 45,603,541.33 18 December 91.2 Saga 12,500,000.00 12,500,000.00 31 October 100.0 Nagasaki 20,000,000.00 2,122,240.00 21 November 10.6 Kumamoto 21,000,000.00 19,990,342.00 8 December 95.3 Oita 18,000,000.00 18,003,309.00 20 December 100.0 Miyazaki 10,000,000.00 11,000,000.00 31 October 110.0 Kagoshima 17,000,000.00 11,141,669.00 15 December 65.5 1,175,450,000.00 967,250,846.96 82.3

Community Chest Funds and Year-End Gifts There was a rather general practice in December 1947 and January 1948 for many prefectural Community Chest Committees to make available Community Chest funds for “year-end gifts”. These gifts (usually in yen) were distributed to all persons receiving public assistance (under the provisions of the Daily Life Security Law) and varied in different locales from 50 yen to 100 yen per person. This practice was discouraged since such distribution served no real relief or rehabilitation purpose and dissipated funds that might well have been utilized for a more constructive purpose. It is estimated that approximately 8& of the Community Chest funds were distributed on this basis last New Year Season. The officials of the Central Community Chest Committee and the Social Affairs Bureau, Ministry of Welfare, have made a careful study of the past practice of using a part of the Community Chest Funds for year-end distribution and since these funds so allocated were distributed through Welfare Commissioners and Minsei-iin, it

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was their decision to curb this practice by issuing an official government notification to all prefectural governors, on the subject. This notification sets forth the views of the government and is tangible evidence of the government’s interest in the use of private welfare funds as well as their cognizance of government’s responsibility in meeting basic needs, with supplemental aid through private welfare enterprise being given when upon proper investigation the supplemental aid is necessary and is not otherwise available. The content of the official government notification mentioned above is given below for the information and guidance of Military Government Welfare Officers. SHA-OTSU-HATSU No.230 25 December 1948 TO: The Prefectural Governors FROM: Director, Social Affairs Bureau, Ministry of Welfare SUBJECT: Distribution of Year-end Gifts to the Destitutes out of Community Chest Fund. Information has reached this office that the local Community Chest Committees are planning to make year-end gifts to the destitutes who are receiving institutional or outdoor care through public assistance or who are otherwise in need of such gifts. It should be cautioned that none of the Community Chest fund, in the form of year-end gift or in any other form, will be expended to meet the deficit in the public assistance program or distributed on a basis of a uniform grants in cash or in kind without due consideration of the individual need for such gifts. However, this does not prohibit the Community Chest fund to be used by the member agencies in the Chest to give supplementary assistance to the needy persons, provided this is done after careful investigation of the needs of these persons and when such assistance is found to be necessary in the absence of any other means. Such assistance beyond the public assistance grants may include gifts of special kinds of eye-glasses, if a persons needs them over and above what may be provided for by the public assistance. They may also include magazines, books on items of recreational nature. While the program of this kind will be directed by the Central and the Local Community Chest Committees, you are requested to supervise the handling of these gifts as cautioned above.

/s/ C. Kimura Japanese Red Cross Society Chapter Director's Conference: A meeting of Chapter Directors and one paid worker each of the 46 prefectural Chapters was held at the National Headquarters (Tokyo) on 16 and 17 December. The following subjects were given consideration and full discussion:

a. Speeding up organization of Volunteer Services. b. Completion Disaster Relief program. c. Child Welfare activities. d. Home Nursing. e. Junior Red Cross programs. f. 1948-49 Budgets. g. 1949-50 Campaign plans.

Volunteer Special Services: Steady progress is being made by many Chapters (prefectural) in the development of their Volunteer Special Service program. The following table reflects the development of the Volunteer Service units, as of 15 November: Prefectural Chapter Number of Units Number of Volunteers

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Miyagi 13 13,000 Ibaraki 126 3,260 Miyazaki 682 19,681 Nagasaki 46 288 Tokushima 6 136 Mie 11 2,397 Nara 4 4,965 Aomori 2 (not reported) Wakayama 6 539 Shizuoka 177 20,055 Kumamoto 2 (not reported) Tochigi 11 5,771 Kochi 34 16,833 Shimane (not reported) 8,341 Akita 177 30,548 Iwate 13 1,618 Osaka 427 246,506 Fukuoka 114 135,557 Okayama 65 3,518 Oita 214 39,600 Tokyo 101 15,320 TOTAL 2,231 567,933 Disaster Relief Operations: On 19 December a boarding house located in Akasaka (Tokyo) was completely destroyed by fire and 35 families were rendered homeless. Tokyo Chapter assisted by National Headquarters gave emergency relief (temporary shelter, food and clothing). Home Nursing Instructor’s Course: Five nurses were enrolled in a Home Nursing Instructor’s Course conducted at the National Headquarters (Tokyo) from 29 November through 11 December. Three of the nurses successfully completed the course (2 from Tokyo Chapter and one from Shizuoka Chapter). Restriction of Population Movement The present “Law for the Control of Population inflow into Urban Areas” expires on 31 December 1948. During the year 1948 it applied only to the following urban areas: Yokohama, Kawasaki, Yokosuka, Kyoto, Osaka, Sakai, Huse, Kobe, Amagasaki, Wakayama, Shimonoseki, Fukuoka and Yawata. The Ministry of Construction, by communication dated 9 November 1948, requested approval by this General Headquarters in not continuing restrictions on population movements after 1 January 1949. The communication set forth that all Ministries concerned had deliberated upon the matter and had reached this unanimous conclusion. The request to not continue restrictions on population movements was approved by PHMJG 84, dated 9 December 1948, for the reason that conditions in general had improved sufficiently (housing, food supply, rationing procedures, transportation, etc.) to not continue these regulations which hinder the return to normalcy as it relates to the free movement of people. Public Assistance - New Program With the release of Hatsu-Sha #129, dated 7 December 1948, (partial copy, Part I, attached Inclosure #4) the Ministry of Welfare has inaugurated several important changes in the program presently in use as well as increases in individual grants which are the result of the ration and price increases of 1 November 1948. Welfare Officers will note that the mimeographed material attached is not complete. Due to the bulk and composition of the unattached portion, part II of the ordinance it was not possible to translate and mimeograph it for release this time. It will be forwarded at a later date. Some of the more important changes are:

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1. Single persons in or out institutions who are over 60 years of age and other distinctly unemployable single persons may be allowed their full budgetary requirements upon authorization of head of city, town or village. Other single persons and families may be allowed up to 60% of the standard upon local authorization and the additional 40% (or the percentage required) upon authorization by the prefecture. Special authorization for grants over the standard (including special diets) must still be authorized by the Ministry of Welfare. It is believed that complete local authority may be authorized within the next few months. 2. There is no longer a set scale in use based on the “typically” composed family. The present plan allows for the determination of family needs based on the makeup of each family. 3. The plan requires the evaluation of resources and income and determines the method by which this shall be accomplished. 4. Governors, at the request of cities, towns and villages, may decrease the scale on an area basis. Increases over the scale may be authorized for individual cases or for areas by approval of the Ministry of Welfare on presentation of factual information. 5. Artificial feeding expenses, school lunch and school expenses have been included in the standard amount. The Ministry of Welfare is requesting that the amount of tax allotted locally be increased to assist local communities to meet their obligations. Correction TB-PH-WEL-5 dated November 1948, “Glossary of Japanese Welfare Terms”, Section 2, paragraph N, “National Insurance Section, Kokumin Kenko Hoken Ka” should read “Insurance Section, Hoken Ka”. Also refer to TB-PH-ADM-3 dated February 1948, “Administration of Health, Welfare and Social Insurance in Japan”, Section 1, paragraph 7, sub-paragraph a (6) and (7) for translation of insurance terms concerning administrative organization of the prefectural (social) insurance sections.

SECTION VII SOCIAL SECURITY DIVISION

Health Insurance Notification was received from the Insurance Section of the Welfare Ministry that Article 3 of the Health Insurance Law was amended by the Diet on 23 December. This Article concerns the rates of standard remuneration of insured members for the purpose of contribution assessment and the amendment increased the maximum subject to contribution from 8,000 yen monthly to 13,500 yen monthly. Benefit payments predictated on standard remuneration are likewise proportionately increased. National Health Insurance Prefectural National Health Insurance Federations have recently organized a National Health Insurance Central Society as a successor to the former National Health Insurance Reform League. Membership in the society by a Federation is voluntary, and the function of the society is to represent collectively the Federations and their components on issues of national scope vital to the success of the National Health Insurance program. Accident Compensation for Government Employees The last Diet adopted legislation which general excluded government workers from coverage under the Labor Standard Law. However, an amendment was made to the National Public Service Law which continued workmen’s compensation protection provided by the Labor Standard Law for government employees until replaced by new legislation of a comprehensive nature. A bill providing complete workmen’s compensation for government workers has been drafted by the Finance Ministry but there is lack of agreement as to jurisdiction and administration procedures. Undemobilized Persons’ Compensation Law (Law No.182, 1947)

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On 13 December the Diet passed amendments to the Undemobilized Persons’ Compensation Law which increased the amount of compensation payable to an ex-serviceman or former civilian employee of the army or navy department (gunzoku) upon his repatriation, as well as the amount of family allowance payable to his dependents and the amount of allowance for traveling and burial expense. These amendments also provide for furnishing medical care to such a repatriated person in need thereof because of illness or injury resulting from a cause arising prior to his repatriation which is not the result of his own fault. A burial expense allowance is also provided for those repatriated persons who die while receiving medical care under this law. There are also provisions for lump sums for physical disabilities in accordance with the degree of disability for those not entitled to compensation for disability under the (Government) Pension Law. Since gunzokus of official rank and all ex-servicemen are covered by the Pension Law the provisions for lump sums will be applicable to only the gunzokus of lower than official rank. The provisions regarding medical care are effective upon promulgation of the amendments for all such persons repatriated since 2 September 1945, who qualify therefor but do not provide for any reimbursement for medical care obtained prior to the promulgation of the amendments. The lump sum payments for disabilities are provided for all qualified persons who have been repatriated since 2 September 1945. The amounts of the lump sum payments correspond to the amounts provided for comparable disabilities under the Pension Law. Thus, those repatriated after 31 August 1948 will receive larger amounts than those repatriated prior thereto because of the increase in the amounts of benefits under the Pension Law effective on 1 September 1948.

SECTION VIII MEMORANDA TO THE JAPANESE GOVERNMENT

PHMJG Date Surveillance Distribution 85 12/22/48 Minimum Standards for Hexylresorcinol Yes MG 8th Army and Its Preparations. Note: Directive to Ministry of Welfare approving the minimum standards for Hexylresorcinol and its preparations and also instructing Japanese wholesalers and retailers, etc., to return all stocks that stocks that were produced not in accordance with these standards to the factories for re-assay.


Chief 5 Inclosures: 1. TB-PH-ADM-4 2. TB-PH-SS-3 3. Distribution of Medical Supplies and Equipment for January through November 1948. 4. Hatsu-Sha #129. (Information to Military Government Teams Only). 5. Weekly Report of Communicable and Venereal Diseases in Japan for Week ending 18 December 1948. (No Restricted Annex included in this Issue).

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WEEKLY BULLETIN For Period

27 December 1948 - 2 January 1949 Number 105

SECTION PAGE I GENERAL 1 II PREVENTIVE MEDICINE 1 III SUPPLY 4 IV NARCOTIC CONTROL 8 V WELFARE 9 VI SOCIAL SECURITY 13 VII MEMO TO JAPANESE GOVERNMENT 13

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SECTION I GENERAL

Attached hereto as Inclosure #1 are Ministerial Instructions to Prefectural Governments for period 25 October - 4 December. The following Public Health and Welfare Technical Bulletin is attached (Inclosure #2). Title: Nursing Affairs Short Title: TB-PH-Nursing 2


Availability of Vaccine A limited quantity of United States produced smallpox and typhus vaccines have been made available to the Ministry of Welfare to meet immediate quarantine requirements and for emergency use in the immunization of contacts throughout Japan. The use of this vaccine does not come under the prohibition of PHMJG 86 or Ministry of Welfare instructions (Yo-hatsu #104 dated 25 December 1948, subject: Re-assay of Japanese Produced Vaccine for Preventive Vaccinations). Distribution is being made by the Ministry of Welfare. Smallpox vaccine will be available at quarantine ports, particularly Yokohama, Kobe, and Fukuoka (Hakata). It will also be available through the Ministry of Welfare (Koseisho) offices in Osaka (Dr. Morita) and in Tokyo (Dr. Ishibashi). Typhus vaccine will be available through the Ministry of Welfare (Koseisho) office in Tokyo (Dr. Ishibashi), Osaka (Dr. Morita), Fukuoka (Dr. Sakaguchi), Hiroshima (Dr. Fujii), Nagoya (Dr. Furukata), and Sendai (Dr. Matsui), and at the prefectural health offices in Hokkaido (Sapporo - Dr. Nishino), Fukushima (Dr. Hashi), and in Nara (Dr. Fujii). These vaccines have been properly refrigerated up to the date of their release to the Ministry of Welfare, and are considered of satisfactory potency. If refrigeration at the proper temperature is continued (below 0ﾟcentigrade for smallpox vaccine and 2ﾟto 5ﾟcentigrade for typhus vaccine) their potency will be acceptable for the interim period until fresh stocks of approved Japanese vaccines are released. Tuberculosis Control - Movie Film Recommended An excellent short film has been prepared showing the health center as the focal spot of tuberculosis control. Tuberculin testing, x-ray examinations, and BCG administration are shown. Graphs showing recent changes in age distribution of tuberculosis deaths are included. The most marked changes are in the BCG inoculated age groups. It is recommended that Military Government Health Officers encourage the prefectural health department to contact the nearest film library as listed in the Weekly Bulletin No.103 (13 - 19 December) and have them secure this film for showing to the public. The title is “Myonichi e no Kenko BCG” (Your Health of Tomorrow with BCG). It is produced by Eigan Sha, Ltd., 9 - 8 Nishi Ginza, Chuo Ku, Tokyo, The Civil Information and Education reference number is 447. This is an excellent educational film suitable for showing both to professional and lay groups including public and private schools and various other organizations. Orientation Course for Medical Social Workers A two week orientation course for personnel employed as medical social workers in the model health centers will be held at the Institute of Public Health, Tokyo, from 12 - 26 February 1949. Every effort is being made for this course to be of practical value and thus help the medical social workers to function more effectively in the health centers. Therefore those attending the course are requested to be prepared to report on the number of cases handled during January 1949, the major medical problems of these cases and the principal social problems either

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resulting from or relating to the medical problems. Besides lectures giving essential information, the course will include discussions, demonstration and field trips. An official announcement of the course is being sent to the Governors of Prefectures by the Ministry of Welfare. Sanitation Insect and Rodent Control An Insect and Rodent Control supplemental budget has been approved by the Ministry of Finance. The following plan of subsidies have been sent to the prefectures. This money must be matched on a 50-50 basis by the prefectures and is to cover the cost of insect and rodent control during January, February and March 1949. SUPPLEMENTARY BUDGET FOR INSECT AND RODENT CONTROL IN 1948 Expenses for Sanitary Team Travel Expenses of InspectorsHokkaido Yen 6,527,000 Yen 231,000Aomori 2,332,000 72,000Iwate 1,337,000 75,000Miyagi 1,657,000 93,000Akita 2,655,000 75,000Yamagata 1,423,000 81,000Fukushima 1,949,000 120,000Ibaraki 2,854,000 123,000Tochigi 2,221,000 93,000Gumma 2,223,000 96,000Saitama 4,423,000 126,000Chiba 4,423,000 129,000Tokyo 10,571,000 300,000Kanagawa 7,515,000 132,000Niigata 2,496,000 144,000Toyama 2,334,000 57,000Ishikawa 949,000 57,000Fukui 746,000 42,000Yamanashi 2,592,000 48,000Nagano 2,552,000 123,000Gifu 2,050,000 90,000Shizuoka 3,891,000 141,000Aichi 7,650,000 189,000Mie 3,114,000 84,000Shiga 2,380,000 51,000Kyoto 1,917,000 114,000Osaka 5,984,000 201,000Hyogo 10,908,000 183,000Nara 103,000 48,000Wakayama 2,568,000 57,000Tottori 983,000 36,000Shimane 1,532,000 51,000Okayama 3,624,000 102,000Hiroshima 4,444,000 120,000Yamaguchi 2,801,000 87,000Tokushima 1,636,000 51,000Kagawa 1,362,000 54,000Ehime 2,080,000 87,000

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Kochi 1,230,000 39,000Fukuoka 5,508,000 189,000Saga 1,174,000 54,000Nagasaki 2,878,000 90,000Kumamoto 3,231,000 105,000Oita 2,294,000 72,000Miyazaki 1,914,000 63,000Kagoshima 3,245,000 105,000 144,280,000 4,680,000

Water Supplies The following plan of allocation of the cement quota for the fourth quarter (Japanese FY 1948) for maintenance and repair of water works has been made by the Ministry of Welfare. The original quota of 1500 tons was reduced 35% due to demands from the Japanese export program. This reduction has been prorated on a sliding scale basis whereby the larger requests are cut proportionately more than the smaller ones. In addition to this allotment of cement, the Ministry of Construction has an allotment of 4500 tons for the fourth quarter for new construction. This allotment is not made through Public Health Department channels but is made through the Ministry of Construction to Prefecture Public Works Department (Civil Engineering Section).

PLAN OF ALLOCATION OF CEMENT FOR WATERWORKS IN THE FOURTH QUARTER OF 1948 Prefecture Total Tons City, Town or Village and Quantity of Demand (Tons) Hokkaido 50 Muroran 7 Otaru 5 Sapporo 8 Nemuro 5 Kushiro 25 Aomori 2 Aomori 2 Iwate 1 Ayasato 1 Akita 30 Akita 30 Fukushima 11 Onshama 11 Ibaraki 4 Taga/Ota 2 Minagawa 1 Saitama 2 Tokorozawa 1 Takasa Aso 1 Chiba 2 Chibaken ww Katsuura 1 Kanagawa 36 Yokohama 15 Kawasaki 16 Odawara 2 Hatano 1 Hori 2 Niigata 11 Danjyo 2 Niigata 9 Toyama 6 De 1 Takaoka 5 Yamanashi 14 Inami ww Aso 14 Nagano 10 Matsumoto 10 Fukui 40 Fukui 40 Gifu 75 Gifu 75 Shizuoka 6 Takaoka 2 Shizuoka 2 Atami 2 Aichi 34 Okazaki 4 Nagoya 30 Mie 29 Suzuka 4 Nagashima 25 Kyoto 2 Maizuru 2 Osaka 194 Sanitary Engineering Section 1. Tondabayashi 15 Osaka ww. Aso 1 Kishiwada 60 Yao 6 Kaizuka 10 Shuita 20 Sakai 50 Osaka 32 Hyogo 224 Kobe 111 Ako 20 Hanshin ww. 50 Nishinomiya 1 Himeji 5 Takasaga 2 Akashi 35 Tottori 3 Tottori 3 Okayama 13 Okayama 13 Yamaguchi 10 Yamaguchi 6 Hagi 4 Ehime 1 Yahatahama 1 Tokushima 4 Ikoda 1 Tachibana 3 Fukuoka 45 Fukuoka 30 Yakata 15 Saga 27 Yobuko 1 Saga 25 Imali 1 Nagasaki 3 Omura 3 Kumamoto 63 Ohoyou 40 Hinaku 23 Kagoshima 23 Sakurjima 23

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Total 975 tons

SECTION III SUPPLY DIVISION

Designation of Sulfa Drugs, Penicillin and Streptomycin The Minister of Welfare, Japanese Government, has designated sulfanilamide and its derivatives, penicillin and streptomycin, and all preparations containing these drugs under Article 41 (g) of the Pharmaceutical Affairs Law, Law No.197, 29 July 1948, by notification published in the Official Gazette dated 27 December 1948. This designation puts Article 41 (g) and Article 44 (g) of the Pharmaceutical Affairs Law into full operation. These articles are quoted below: “Art. 41. A drug . . . . shall be deamed to be misbranded: . . . . g. If it consists of sulfanilamide and its derivatives, penicillin, streptomycin, or any other preparation which the Minister of Welfare shall designate unless its label bears the statement “To be used only pursuant to the prescription or by the direction of a doctor, dentist or a veterinary surgeon.” “Art. 44. The following acts are hereby prohibited: . . . . . . g. The sale or other distribution of drugs mentioned in . . . . . (g) of Art. 41 other than to dealers licensed under this Law and to doctors, dentists or veterinary surgeons except pursuant to the prescription or by the directions of a doctor, dentist or a veterinary surgeon; and failure to maintain written record of such sale or other distribution as provided in Ministerial regulation.” The Enforcement Regulation of the Pharmaceutical Affairs Law (Ministry of Welfare Ordinance No.37, 15 August 1948) states: “Art. 31. When a proprietor of a pharmacy or a seller of drugs delivers, for the purpose of sale or other distribution, such a drug as mentioned in item. . . (g) of Art. 41 of Law, in accordance with item (g) of Art. 44 of the Law, he shall keep the record in which is written the name of such drugs, quantity and date of delivery, name and address of the doctor, dentist or veterinary surgeon who has issued a prescription or who has directed its use, and the name and address of the transferee. “The record as provided in the preceding paragraph shall be kept for two years as from the date of delivery.” According to provision of Art. 56 of the Law any person who has violated the provisions of Art. 44 of the Law shall be subject to a penal servitude not exceeding three years or a fine not exceeding 30,000 yen, or both. Attention is invited to Article 71 of the law which states: “Labels and labeling of drugs, devices or cosmetics which are printed as of the date of promulgation of this Law may be used for period of 6 months in spite of provisions of this Law.” The effective date of the Law is 29 July 1948. Distribution A revised distribution system for dextro-maltose (nutrient sugar), malt extract, and rice powder for babies has been established by the Ministry of Welfare and will become effective for the 1st quarter April, May, June (Japanese FY 1949). The “Mothers and Infants Purchasing Book”, which is presented to a mother at the birth of a child, will be used to distribute these items. The purchase book will, upon presentation at the local pharmacy, be valid for purchase of the total amount allocated for the period, or any fraction thereof. An exchange of name seals will be made to record the transaction in much the same may as controlled medicine sales are recorded.

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During the period 19 - 25 December, 1,494 pieces of dusting and spraying equipment were distributed to 12 prefectures as follows:

Knapsack Semi-automatic Hand Prefecture DDT Duster Sprayer Sprayer Sprayer

Iwate 50 50 Akita 200 Ibaraki 130 Tochigi 2 Chiba 3 3 Tokyo 2 2 Kanagawa 200 Osaka 200 50 Shimane 50 Fukuoka 50 Oita 500 Gifu 2 Totals 700 307 107 380

Production A total of 5,325 pieces of the various types of DDT dusting and spraying equipment for insect control programs was produced during the period 19 - 25 December. Ministry of Welfare, Japanese Government, was notified on 18 December, by PHMJG 85, that no objection was offered by this Section to the proposed Minimum Standards for Hexylresorcinol and Its Preparations, submitted for approval by the Pharmaceutical and Supply Bureau, Ministry of Welfare, Japanese Government, (Yaku-hatsu No. 603), under date of 6 November 1948, subject to the following provisions to insure control over the hexylresorcinol already in finished form, manufactured prior to the establishment of these approved minimum standards:

a. Ministry of Welfare will issue instructions to have all stocks at both the central and local sellers returned to the respective manufacturers.

b. Ministry of Welfare will issue instructions to notify all dealers including practitioners, hospitals, and clinics, that any stocks on hand and manufactured before the date of adoption of the new minimum standards may be unsatisfactory and unsafe for use; that these stocks can be returned through the proper channels to the manufacturer for due credit.

c. Any of these products which the manufacturers deem satisfactory, meeting all specifications of the new minimum requirements except for the gelatin coating, will be submitted to the Ministry of Welfare for approval, and will not be permitted distribution without assay and approval by the Ministry of Welfare.

d. The instructions will include all alkyl resorcinol preparations, which means the hexylresorcinol, normal amylresorcinol and iso-amylresorcinol already in distribution. However, in the preceding paragraph (c above), only hexylresorcinol will be considered, since the efficacy and toxicity of the amyl resorcinols have as yet not been determined.

e. Ministry of Welfare will publish these approved minimum standards.

f. Ministry of Welfare will establish hexylresorcinol as a powerful drug.

g. Ministry of Welfare will initiate a wide publicity campaign to inform the professional and the lay public on all phases of this program.

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h. Ministry of Welfare will maintain close supervision over the manufacture, assay, and distribution activities, in accordance with the provisions of the PHMJG 85, to insure compliance with the provisions of the Pharmaceutical Affairs Law, Law No.197, 29 July 1948. The minimum standards describe the physical and chemical properties of hexylresorcinol, outline standards, tests, and assay procedures for the crude drug and for the finished pill, and stipulate the packaging and labeling requirements. The Ministry of Welfare is responsible to insure that nonebut a satisfactory hexylresorcinol preparation be permitted distribution upon approval of the minimum standards and the subsequent release of hexylresorcinol for distribution. It is suggested that necessary supervision be exercised over the disposition of the existing stocks which were manufactured prior to the adoption of minimum standards. The yen value of production of medical supplies (medicines, biologicals, dental instruments, dental materials, rubber sanitary goods, medical instruments and surgical dressings) for November, totaled 2,139,726,723 yen. This total represents an increase of 431,605,729 yen above October production figures for medical supplies and an increase of 188,500,995 yen above the 3rd Quarter, CY 1948 monthly production averages. Controlled medicine production for November increased approximately 197,030,123 yen. Increases in yen value production for both non-controlled and patent medicines were also noted. Non-controlled items exceeded October yen value by 201,459,206 yen, and patent medicines for November reached 403,485,762 yen, an increase of 85,042,553 yen. The above commodities were visibly effected by the new price schedule established at the beginning of November. However, controlled medicine production remained adequate to provide sufficient quantities of essential medicines for domestic needs. Production of miscellaneous (pure mapharsen, bismuth subsalicylate injection and sulfathiazole) during November showed a substantial increase for mapharsen and sulfathiazole but a substantial decrease for bismuth subsalicylate injection. Production of bismuth subsalicylate has been far in excess of demand or consumption with the result that investory stocks have piled up in the hands of the manufacturers who then regulate production schedules according to needs. November sulfathiazole production is the second largest monthly production reported to date since the initiation of indigenous production. Sulfadiazine production for November totaled 33 kgs. as compared to the 22 kgs. reported for October production. Production during November of the various sulfa drugs manufactured by a total of 50 producers totaled the following: sulfanilamide 9,140 kgs., acetylsufonamide 3,953 kgs., sulfathiazole 8,519 kgs., sulfamethylthiazole 943 kgs., sulfapyridine 55 kgs., sulfaguanidine 630 kgs., sulfamerazine 571 kgs., homosulfamine, 409 kgs., sulfadiazine 33 kgs. Biological production during November decreased in yen value approximately 8,852,000 yen below October production. Production activities are being expended to provide the necessary quantities of biologicals to implement scheduled immunization programs complying with the new vaccination and immunization laws. Production of penicillin during November totaled 406,290 vials of 100,000 oxford units each or a total of 40,629,000,000 oxford units. Of this total, 351,730 vials were of the calcium or sodium salt of penicillin variety and 54,560 vials were the crystalline G type. Of the total of 351,730 vials, 88,712 vials were produced by the surface method and 263,018 vials by the submerged process. Of the total of 54,560 vials, 360 vials were produced by the surface method and 54,200 vials by the submerged process. While the minimum standards have not yet been established for penicillin in wax, many manufacturers are conducting experiments with a view toward future production of the penicillin in wax. November production reached a new high, representing a nine billion oxford unit increase over the September production of approximately 31 billion oxford units which up to November had represented the largest monthly indigenous production of penicillin to date.

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Medical instrument production during November totaled 2,729,572 pcs. valued at 36,172,450 yen. This production was an increase of approximately 310,000 pcs. and 650,000 yen above the October production. November production represented the largest monthly production ever reported. Concerted efforts are now being made by the medical instrument manufacturers to improve the quality of their products. Dental instrument production during November decreased approximately 311,000 pcs. although the yen value remained comparable to that of the October production. Dental material production approximately doubled the October production in yen value. In both cases, the November production was in reality a decrease below October production; but, due to the recently increased price schedule, the yen value would make it appear possibly as increased production. Production during November of glass syringes for domestic use totaled 434,400 pieces of the various types and sizes of syringes. This total represented the largest monthly production ever reported for any month of 1948 to date and represented an increase of approximately 45,000 syringes over the 1947 monthly production average. Production of laboratory animals during November increased 6,744 animals above the October production. Receipt of increased deliveries of animal feed against scheduled allocations is the reason for this substantially increased production. Available supplies of animals are sufficient to meet the needs of all laboratories. Production of x-ray film during November totaled 30,222 square meters. This is a decrease of approximately 6,000 square meters below the October production, but still an increase of 6,000 square meters above the 1946 and 1947 monthly production averages. Monthly production quota has been set at 30,000 square meters. Adequate supplies of all types and sizes are on hand to meet all requirements. Production of x-ray and electrotherapy equipment during November decreased 118 units below the October production. However, inventory stocks of all x-ray and electrotherapy equipment are adequate to meet domestic requirements. Production of x-ray tubes, both the Coolidge and the Kenotron types, during the period September - November 1948, continued at a satisfactory level to meet domestic requirements. Production is accelerated or decreased according to existing inventory stock levels and consumer demands. Rubber sanitary goods production for November totaled 32,337.96 kgs, valued at 25,410,134.80 yen, as compared to October production averages of 40,338.82 kgs. valued at 24,022,497 yen. The fact that more of the expensive pieces were produced accounts for the differences from the previous months reported production. Production of gauze, bandage cloth, and absorbent cotton, during November, from stocks of imported raw cotton totaled 183,365,913 yen. This total represents an approximate decrease, when compared to October production, of 51,000,000 yen. This is a result of the decrease in production, comparing the two months of approximately 66,000 lbs. of gauze, 10,000 lbs. of bandage cloth, and 60,000 lbs. of absorbent cotton. November production of gauze was 121,187 lbs; October, 187,255 lbs; November production of bandage cloth was 102,605 lbs; October 112,460 lbs; November production of absorbent cotton was 450,863 lbs; October, 510,180 lbs. Production of hexylresorcinol during November totaled 325.25 kgs. This amount is comparable to the average production for the 3rd quarter 1948, but indicates a decrease of more than 50% of the October production figures. The production of hexylresorcinol will be substantially increased in the very near future now that minimum standards for assay of the drug in both crystalline and finished coated pill form have been established by the Ministry of Welfare and approved by Public Health and Welfare Section. Production of all types of insect and rodent control supplies and equipment during November continued satisfactorily. Adequate stocks of all types are on hand to meet all requirements. Production of 10% DDT dust (from Japanese concentrate) totaled 309,100 lbs., an increase of approximately 39,000 lbs., over October production figures, and represented the largest monthly indigenous production of 10% DDT dust from Japanese concentrate for the calendar year. November production of DDT concentrate totaled 40,203 kgs. as compared to 35,585 kgs. for October and 31,792 kgs. for September. This is the largest concentrate production to date, and further increases may be expected in future months.

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The attached tables (inclosure #3) indicate production of medical, dental and sanitary supplies and equipment.

SECTION IV NARCOTIC CONTROL DIVISION

Investigations An investigation was initiated upon receipt of two anonymous letters from Kamakura City in Kanagawa Prefecture. The only identifying information available was “an addict widow living with an old woman.” An intelligent narcotic agent succeeded in compiling a list of eighty such “widows living with an old woman” in Kamakura City and by the process of elimination succeeded in identifying the addict widow mentioned in the anonymous letters. In concentrating on the addicts source of supply, this agent succeeded in meeting the addict in the guise of a “broker”, and learned of several sources of illicit narcotics which resulted in the apprehension of nine defendants, the clearing of suspicion of one person, the elimination of one person due to his demise in September 1948, and with one person a fugitive due to lack of identification. The intelligence, initiative and ability displayed by the narcotic agent in successfully completing this investigation deserves the “Commendation” of having the details of his investigation disseminated to all other narcotic agents as an aid to them in similar circumstances. This will be disseminated through Japanese channels. Check of “Not Guilty” Defendants The Weekly Bulletin of 11 October 1948 mentioned in “Narcotic Control Activities Report - August”, that for the first time since June 1946 (effective date of Narcotic Control Regulations in Japan), two defendants charged with narcotic violations were found “not guilty” by the courts. A check of these two cases disclosed that one defendant should not have been prosecuted, as the evidence seized was determined upon analysis to be “acetanilid”, a medical drug, and not a narcotic. The second defendant was apprehended with possession of Opistan (Demerol) shortly after this medicine was directed by Ministerial Order, to be handled under the narcotic control system, and could not be prosecuted under such conditions. The Narcotic Control Law of 10 July 1948 effectively covers Opistan and all brands of Demerol and similar products.

SECTION V WELFARE DIVISION

Community Chest-Japanese Red Cross “Joint Fund” Campaign The “Joint Fund” campaign of the Community Chest and the Japanese Red Cross Society has now exceeded one billion yen. The latest consolidation of prefectural reports covering the progress of the campaign reflects a total of 1,005,968,747.93 yen raised (collections including pledges) toward the established goal of 1,175,450,000.00 yen or 85.5% of quota. Twenty-one prefectures have, according to reports received up to 30 December 1948, reached or exceeded their quotas. The progress of the campaign, by prefectures, setting forth goals, amounts collected (including pledges) and last reporting date, is given in the table below: Prefecture Goal Amount Collected Date As of: Per Cent Hokkaido 70,000,000.00 64,496,489.00 27 Dec. 92.1 Aomori 11,000,000.00 11,000,000.00 25 Nov. 100.0 Iwate 17,000,000.00 17,023,964.00 1 Dec. 100.2 Miyagi 16,000,000.00 12,000,000.00 15 Nov. 75.0 Akita 10,000,000.00 10,341,366.87 15 Dec. 103.4 Yamagata 20,000,000.00 20,152,174.27 4 Dec. 100.7

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Fukushima 20,000,000.00 21,535,570.93 25 Dec. 107.7 Ibaraki 15,000,000.00 14,658,909.87 13 Dec. 97.7 Tochigi 21,000,000.00 20,499,000.00 20 Dec. 97.6 Gumma 12,000,000.00 10,668,939.68 11 Dec. 88.9 Saitama 16,000,000.00 17,731,694.00 22 Dec. 110.9 Chiba 25,000,000.00 12,991,594.53 27 Nov. 52.0 Tokyo 80,000,000.00 56,569,266.32 22 Dec. 70.8 Kanagawa 70,000,000.00 48,402,962.08 27 Dec. 69.1 Niigata 29,000,000.00 29,274,627.00 14 Dec. 100.9 Toyama 13,000,000.00 13,074,745.68 21 Dec. 100.7 Ishikawa 13,000,000.00 11,485,360.00 22 Dec. 88.3 Fukui 13,000,000.00 14,008,000.00 23 Dec. 107.9 Yamanashi 9,450,000.00 9,451,958.00 15 Nov. 100.0 Nagano 30,000,000.00 28,639,661.00 4 Dec. 95.5 Gifu 20,000,000.00 20,566,563.31 15 Nov. 102.9 Shizuoka 20,000,000.00 20,421,507.00 1 Dec. 102.1 Aichi 66,000,000.00 67,980,655.73 13 Dec. 103.0 Mie 20,000,000.00 20,013,217.00 14 Dec. 100.1 Shiga 11,000,000.00 11,013,437.04 18 Dec. 100.1 Kyoto 50,000,000.00 26,349,960.26 21 Dec. 52.7 Osaka 85,000,000.00 71,878,504.00 22 Dec. 84.5 Hyogo 60,000,000.00 36,486,885.00 20 Dec. 60.8 Nara 12,000,000.00 12,000,128.69 5 Dec. 100.0 Wakayama 9,500,000.00 8,757,005.00 24 Nov. 92.1 Tottori 9,000,000.00 5,943,650.00 27 Dec. 66.0 Shimane 10,000,000.00 9,354,181.66 25 Dec. 93.5 Okayama 21,000,000.00 20,231,032.56 29 Dec. 96.4 Hiroshima 30,000,000.00 29,250,000.00 20 Dec. 97.5 Yamaguchi 26,000,000.00 20,000,000.00 22 Dec. 77.0 Tokushima 15,000,000.00 8,037,867.00 20 Nov. 53.6 Kagawa 14,000,000.00 14,000,000.00 22 Dec. 100.0 Ehime 25,000,000.00 21,365,811.21 20 Dec. 85.5 Kochi 13,000,000.00 7,684,003.00 25 Nov. 59.1 Fukuoka 50,000,000.00 50,119,568.64 25 Dec. 100.2 Saga 12,500,000.00 12,500,000.00 31 Oct. 100.0 Nagasaki 20,000,000.00 7,466,110.00 23 Dec. 37.3 Kumamoto 21,000,000.00 19,990,342.00 8 Dec. 95.3 Oita 18,000,000.00 18,003,309.00 20 Dec. 100.0 Miyazaki 10,000,000.00 11,407,048.60 17 Dec. 114.1 Kagoshima 17,000,000.00 11,141,669.00 15 Dec. 65.5 Total 1,175,450,000.00 1,005,968,748.93 85.5 %

Licensed Agencies for Relief in Asia (LARA) Reference, Public Health and Welfare Weekly Bulletin, No.104 (for the period 20 - 26 December 1948). Overseas shipment, number 110, which was not reported in the previous report, reference above, has now been inventoried and is as follows: 110th Shipment: Arrived aboard the S.S. City of Alma on 15 December and contained 44.42 tons (food, 21 tons - clothing, 22.24 tons - miscellaneous, 1.18 tons)

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The total LARA relief supply shipments to Japan, as reported, now totals 7,160.09 tons, consisting of the following items: Tons Food 5,455.33 Clothing 1,332.65 Medical Supplies (including medicines) 61.52 Cotton (raw) 207.62 Miscellaneous (soaps, seeds, candles, etc.) 102.97 Total 7,160.09 The 7th Coal Output Increase Encouragement Entertainers Group (Hokkaido District), under the sponsorship of the Coal Mine Culture Development Association and with the endorsement of the Information Division of the Economic Stabilization Bureau, engaged Mr. Otsuji, an outstanding Japanese comedian to entertain their members. Mr. Otsuji, at the close of each of his performances, before groups of miners in the Hokkaido area, made an appeal for contributions to be used through LARA, for the care of orphans. The response to Mr. Otsuji’s appeals were spontaneous and the contributions (varying in amounts from 50 sen to 1 yen) from the several thousands attending the performances totaled 98,202.02 yen, which amount was transmitted to LARA on 27 December 1948. The instance of voluntary group participation by Japanese to assist with and contribute to the LARA program is praiseworthy however it is recommended that such contributions, when collected, be collected for the purpose of supporting an indigenous recognized private charity enterprise such as the Community Chest or Japanese Red Cross. LARA was not organized to accept money contributions from the Japanese people. To further and strengthen indigenous private welfare agencies every encouragement should be given these agencies through increased public support. (Note: Contributions in money, for Japanese Nationals, from Allied personnel and their dependants, individually or as groups (clubs, organizations, etc.), is to be forwarded to LARA through Public Health and Welfare Section, SCAP. This is in conformity with the current SCAP policy of non-participation by Allied personnel, unless authorized by SCAP, in the administration and operation of indigenous welfare and relief activities. Japanese Red Cross Society First Aid (18 hours instruction)

Miyagi Chapter: First aid course held between the dates 24 November - 3 December. Eighty-one persons were enrolled in the course with 56 (28 men and 28 women) successfully completing. The classes were held in the Red Cross Hospital (Sendai). Tochigi Chapter: First aid course held between 5 - 10 December. Thirty-one persons were enrolled with 24 persons satisfactorily completing the course. Shiga Chapter: First aid course held between 13 - 22 December. Complete report not received. (Note: These First Aid Courses were attended by representatives from hospitals, police departments, fire departments and public schools).

Junior Red Cross The Akashi Middle School, (Tokyo) is the first school to attempt a new and novel method in International Correspondence. This school, in which all students are enrolled in the Junior Red Cross, have received an album (International Correspondence) from the American Junior Red Cross. In reply, the Akashi Juniors have recently completed their album and before transmitting it to the American Junior Red Cross they decided to add “recorded greetings”. On 14 December, at the Nippon Kokan Studio, a Japanese Junior Red Cross song was recorded on one side of the record and on the other side their greetings were expressed (in Japanese by a girl and in English by a boy). The text of the greeting given in English is as follows: “Our Dear American Friends: Thank you ever so much far the lovely albums you sent across the west Pacific. We’re sending you our hearty thanks.

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“The album of your warm friendship made us feel as if it had been a bright sunshine pouring over us who had been suffering from many kinds of difficulties after the war. “In order to repay your kindness we have made an album. We wonder if it is good enough, but we made our best effort to answer you, the pupils of the country of science. We do hope you would appreciate our effort and like it. “We’ll be so happy, if this will make a start for the friendship between you and us, through International School Correspondence, the most charming activity of Junior Red Cross. “As Spring comes after Winter, soon we’ll have pleasant spring in the heart of all the people in the world. We know it needs the effort of our Junior Red Cross members. Isn’t it a big job? Let’s do our duty, helping all together, hand in hand, Good-bye and good luck”. Medical Social Work Reference paragraph in Preventive Medicine Section of this Bulletin announcing an Orientation Course for Medical Social Workers of the Model Health Centers which is to be held during the period 14 - 26 February inclusive at the Institute of Public Health, Tokyo. A three-months course in medical social work for those who wish to train for positions in this field is to be offered by the Japan School of Social Work, Tokyo. This course to begin 1 April. Requests for information and/or applications should be forwarded to the Japan School of Social Work, 266-3 Harajuku, Shibuya-ku, Tokyo. Social Group Work Training Courses Miss Dorothea Sullivan, professor of group work at the School of Social Work, Catholic University, Washington, D.C. will conduct two courses, each of two weeks duration, in group work (one at the Osaka School of Social Work and one at the Japan School of Social Work, Tokyo). The course at Osaka will be from 24 January through 5 February. Requests for additional information relative to this course may be obtained from the Osaka School of Social Work, 2 Tajima Machi, Minami Ku, Osaka. In Tokyo, the course will be held between 14 - 25 March inclusive. Requests for further information should be sent to the Japan School of Social Work, 266-3 Harajuku Shibuya Ku, Tokyo. Each course is limited to 35 students and it is mandatory that students who do not commute provide their own board and room. Final selection of students will be made from among the applicants by a committee from each school. The Tokyo Committee has set up the following rules and qualifications for applicants:

a. Applications must be submitted on or before 15 February. b. Registration fee - 200 yen. c. Minimum age - 22 d. Minimum education - Middle school graduate e. Minimum experience - 2 years full-time position in a public or private social agency or in the field of

education. Each applicant is requested to submit a statement as to their previous experience with groups either as a member or a leader and to include in the statement their reasons for desiring to attend these course and the expected value these courses will bring to them in their future work. This course will be of special benefit to personnel now employed in institutions handling children in age groups from 7 to 18 years of age.

SECTION VI SOCIAL SECURITY DIVISION

Coverage of Local Government Employees The Allowance Bureau of the Ministry of Finance and the Insurance Bureau of the Ministry of Welfare have provided the following clarification of the social insurance coverage of local government employees:

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1. Government employees, national and local, are covered by the Health Insurance and Welfare Pension Insurance Law, except those who are members of Mutual Aid Associations. 2. Included in Mutual Aid Associations are:

a. Generally, all national employees. b. Prefectural employees and city library employees - Local Public Bodies Mutual Aid

Association. c. Teachers in public schools, regardless of status of national or local employee - Public Schools

Mutual Aid Association. d. Teachers in national schools. National School Mutual Aid Association. e. Police and firemen - Police and Firemen’s Mutual Aid Association.

3. In the event the employees of a city, town or village government are members of the National Health Insurance program, they may be exempt from participating in Health Insurance.

SECTION VII MEMORANDA TO THE JAPANESE GOVERNMENT

PHMJG DATE SUBJECT SURVEILLANCE DISTRIBUTION 86 12/28/48 Suspension of Use of Japanese Product Yes MG 8th Army Vaccines for Preventive Vaccinations Note: Directive to Ministry of Welfare approving plan for temporary suspension of all vaccines until certain deficiencies are corrected. 87 12/27/48 Supplementary Food Ration to No MG 8th Army Foreign Nationals Note: Directive to Ministry of Welfare approving plan to supply certain supplementary foods to Foreign Nationals as replacement for imported canned goods not delivered in October.


Chief 5 Inclosures: 1. Ministerial Instructions to Prefectural Governments, period 25 Oct - 4 December. 2. TB-PH-Nursing 2. 3. Tables of Distribution of Medical Supplies and Equipment, January - November 1948. 4. Monthly Summary of Vital Statistics in Japan - October 1948. 5. Weekly Report of Communicable and Venereal Diseases in Japan for week ending 25 December 1948. (No Restricted Annex included in this Issue).

general headquarters supreme commander for the allied powers

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