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MILITARY GOVERNMENTOF GERMANY

PUBLIC HEALTH ANDMEDICAL AFFAIRS

MONTHLY REPORT OF MILITARY GOVERNOR

U S. ZONE 20 DECEMBER 1945No. 5

HEALTH AND MEDICAL AFFAIRS

SYNOPSIS

Düring the month denazification in th« field of Public Health progressedrapidly* Th« major operational difficulty eontinued to be the lack of passenger andcargo transportation.

An increase in reports of caees of Diphtherie, Scabies and Venereal Dis-eases, and a decrease in Typhoid Fever, Scarlet Fever and Infectious Dysentery, werenoted.. In November penicillin was made available for the treatment of Gonorrheacases among German civilians»

To prevent and control the spread of communicable diseases, all refugeeeentering the United States Zone receive physical examinations at border controlstations»

Indications of nutritional deficiency increased during the month* The benefits of an increase in the caloric value of the official ration, however, were re-flected in a general slowing in the loas of body weight*

A total of 225#.000 hospital beds are necessary immediately for minimumhospital space requirements* In general, medical care and sanitation in displacedperson centers was satisfactory»

ALLIBD HEALTH COMMITEE

The Allied Health Committee, under the Directorate of Internal Affairaand Ccomunicationa, bald meetings 14 November and 23 November 1945« Progress re-ports frcm the Working Party on Conmunicable Diseases, a subcommittee of the AlliedHealth Committee, were received and discussed« These reports concerned the Imple-mentation of a Health Committee paper on the control of conmunicable diseases« TheWorking Party had been organized for the specific purpose of studying the possibili-ties of Implementation» A Soviet paper proposing quarantine measures to be takento prevent the spread of infectious diseases that might result frcm the mass migrat-ions of Germans from one Zone to another was approved by the Committee and referredto the Working Party for detailed study and reeommendation«

ORGANIZATION

Denaaification/

In spite of difficulty in obtaining acceptabla qualif i©d replacements, de-nazification of the medical and related Services progressed rapidly in November withromoval of 6l per cent of all Nazis removed to dato (Table I)« 22,340 German civil-ian medical personnel have been vetted, with 26 per cent found unacceptable (Table II)«Of all personnel vetted, it has been neeeasary to retain only 7*7 per cent of unaccept-able individuale becauae of operational necessity» Aggressive but careful removal ofNazis has resulted in sufficient civilian personnel distribution for current medicalneeds cf the German civil population and satisfactory German support of medical carefor displaced persona under direction of Military Government (Table III)«. There ianow one doctor for every 1,194 German civilians aa ccmpared with during October1945« The improvement for related personnel ia leas marked, but aatiafactory to date«

At the end of November the distribution of German Prisoner of War medicalpersonnel not yet diachargad was as followss

NOVEMBER 1945


Peraonnel

Readjustment of United States Zone Military Government medical personneldue to redeployment necessitated retention of eertain essential individuals beyondtheir otherwise authorized departure from the Theater* Nevertheless, under cur-rent plans all individuals will be redeployed by 1 April 1946 according to currentscheduled unless they express willingness to remain* Replacements are assuming res-ponsibilities creditably with improved civilian operations* Of 291 offieial Germanhealth authorities necessarily retained on duty, only eight are politically unsatis-factory and 42 professionally unqualified*

Deficiencies

The major operational deficiency results from generalized ahortage of pass-enger and cargo transportation for civilian medical Services* Essential reporting,delivery of specimens to laboratories and transmission of laboratory reports there-from, and bringing doctors and patients together have been difficult to impossibleat times» Action has been initiated to eliminate serious shortagea of 1,221 pass-enger cars, 504 cargo vehicles (trucks and ambulances), and motor fuel required foressential health Services*

PREVENT IVE MED IC INE

Conmunicable Diseaaea

Reporting of conmunicable diseases showed distinct improvement* While casefinding and improved reporting resulted in increased rates for diphtheria, venerealdiseases, and scabies, there was a decrease of typhoid fever, scarlet fever and in-fectious dysentery (Tabie IV) during November as compared with October* (Charts Ito VI)» Diphtheria, unusually prevalent in older age groups at an overall incidenceconmon to the area for this season will be unaffected by the alroost completed inmuni-zation of children one to 14 years of age (Chart I)* The reports of incidence ofgonorrhea increased markedly with announcement that penicillin was available fortreatment of infected civilians, the major advance during November for control ofvenereal diseases (Chart II)* Scabies will continue at an unsatisfactorily high rateuntil soap, hot water and additional medicaments become available» Reporting of deathrates caused by conmunicable diseases (Tabie V) initiated during October, will requirefurther development to become significant* Infant mortality rates due primärily tomalnutrition produced by insufficient sugar and cereal, and to a lesser degree byinfection, ranged from the approximately normal pre-war average for Germany of 70per thousand live births per year in a few instances to as high as 590 at Karlsruhe*Möst cities report rates above 150, with Berlin at about 200*

Results of energetic German inmunization programs are shown in Tabie VI,concentrated upon diphtheria for children one to 14 years old, and upon typhoid feverfor entire populations in Berlin and eertain epidemic areas in Bavaria*

To prevent and control comnunicable diseases among thousands of refugeesarriving in the United States Zone from the east, many Zone border stations have beenestabiished where German civilians are conducting thorough physical inspections,quarantine when indieated and routine disinfeStation with DDT powder prior to issuanceof food or clothing ration cards* Those individuals who have gained unauthorized en-trance, other than through border stations, can receive no ration cards until theysubmit to similar attention*

NOVEMBER 1945

Area Medical Corns Dental Corns Nurses Orderlies

TOTAL 3.152 195 8,110 6,998Eastern Military District 1.473 132 4,784 4.225Western Military District 679 63 3,326 2,773


Only 14 isolated cases of typhus fever were reported during the month, not-ably limited to transiente* The generalized training of civilian control teamsthroughout the Zone has been supported by distribution of adequfite control materialsto each Regierungsbezirk and Submission of replenishment requirements through May 1946«

Alerting of all civilian personnel to the need for inmediate reporting ofany increased incidence of respiratory disease to combat potential influenza hasbeen accompanied by a morbidity survey program which includes checks of absenteeismfrom work and school and expanded visiting nurses', aides', and medical socialworkers' activities to obtain weekly census of illness and report to medical author-ities*

Nutrition

The official ration for civilians of the Zone was establiahed as 1,500calories 15 November 1945* The caloric value of rationed foods (Table VII) in-creased appreciably during November for all consumer categories except 0-3 yearsand moderate workers* The latter two decreased« Although the total caloric valuefor the group 0-3 years was sufficient, there was a serious shortage of sugar andcereal* While rationed food was insufficient for minimum required for health, thereis evidence that rationed food has been supplemented as might be expected at the endof the harvest, from garden produce and other sources. Nutrition surveys (Table VIII)showed that normal consumers examined were consuming from 1,752 to 2,100 calories,averaging 1,986* In rural areas the intake averaged 2,442 calories* The benefitsof increased consumption are reflected in general slowing in loss of body weights,although slight in all instances (Table IX)* Compared with October 1945, nutrit-ional deficiency Symptoms increased during November from 1*6 to 2*0 per cent forprotein deficiency in all examined, 7»7 to 10*9 per cent for Vitamin A deficiencyand 4*8 to 5*2 per cent for riboflavin* Displaced persona continued generally over-weight*

Sanitation

Of 38 communitiss in the United States Zone which are chlorinating theirwater supplies 14 were added during November 1945* Little change has occurred as tosewage disposal, existing shortages of housing, and lack of fuel for heating waterfor public baths*

Laboratories and Research

Sufficient laboratories exist for essential health operations* Transportat-ion, building defects and ahortage of fuel continue to prevent normal functioning oflaboratories*. Action was initiated to assure that at least one laboratory specialistfrom each Land will soon report to a selected civilian laboratory for Instruction inrecent advances and techniques in virology with particular emphasis upon Influenza,later to train additional German civilian laboratory personnel*

MEDICAL AFFAIRS

Medical Education

Düring November regulär medical courses were opened at Heidelberg and Mar-burg, preference being given to applicants who had already completed the greatest por-tions of their medical education* Dental courses are offered only at Heidelberg, theentire dental faculty of Marburg having been eliminated by denazification. Nursingschools are being reopened under Military Government supervision in adequate capacitiesto meet current needs*

NOVEMBER 1945

HEALTH AND MEDICAL AFFAIRS"

Dental Affairs

The furnishing of sufficient suitable dental supplies is the major problemundertaken to provide minimum required dental Services» A critical ahortage of mer-cury in Bavaria was relieved by the finding of a large stock in the Western District,while action was initiated to furnish acrylic resin and artificial stone from surplusmilitary Stocks» Dentures for civilians continue unavailable due to lack of coal formanufacture but minimum supplies for routine treatment will be available*

During the month a specially qualified Consultant from the United StatesBiblic Health Service arrived in response to Theater request to study incidence ofVincent's infection among German civilians« Preliminary observations indicate noprevalenee of an epidemic of that disease at this time in civilians or displaced per-sons»

Nursing Affairs

The Caritas and Innere Mission are recently more vigorous than at any timein the past seven years* Red Cross nurses, particularly in Berlin, Bavaria andWürttemberg are in uncertain state because of their former connection with the NaziGerman Red Cross* In Bavaria 100 trained nurses were dismissed for party affiliationand are not permitted to practice any type of nursing« The Free Nurses Associationrecently resumed activity, reorganizing first at Wuerttemburg, and later starting inHessen-Nassau« Pressure to force nurses to join the labor union, »Gewerkschaften*appears streng in Berlin, Stuttgart, Heidelberg and Darmstadt» German nurses re-quested that a nurs© be appointed to the Cffice of the Msdical Staff of each Landor Province to represent the nursing profession and to act as an advisor to theHealth Officer on NUrsing Affairs.

There are sufficient trained nurses for hospital staffs at present, althoughnurses aides are used to Supplement the nursing staff in practically all hospitals.Community nurses and medical social «orkers are insufficient when ccmpared with nor-mal German Standards» The condition is aggravated by the fact that raany of the med-ical social workers attached to the Gesundheitsamt have been lost through denazif icatitjn»

Hospitalization

As foreseea in October, where increase of hospital bed capacity had been11.5 percent, the gain in November decreased to 4*6 per cent, with a total of 127,057beds* (Table X)* A total of 225,000 beds are immediately necessary if a minimum of15 beds per thousand population required to meet epidemic conditions ia to be attained*In the early days of occupation there were only 7*1 of an original 11*3 beds perthousand population in the Zone, By October 1945 this had increased to 7*9 »adduring November it reaehed 8.38 beds per thousand (Table XI)» In addition to currentcivilian and displaced persons requirements there was a total of 53,618 prisoner ofwar patients awaiting discharge, equally distributed between Districts. Many of thesewill require hospital treatment by clvilians under direction of Military Governmentwhen discharged. Potential additional hospital requirements will result from entryof up to 3,00°, refugees from the east. In view of 90*26 per cent bed occupancyin November an ultimate goal of 270,000 beds is not excessiv© under current hazardsof undernourishment, overcrowding and lack of fuel for space heating and sanitationpurposes. Current inability of the Germans to increase their bed capacities, evenfrom industrial production, has necessitated efforts to establish reserve Stocks frcanmilitary sources, to be issued only under most extreme emergency*

DISPtACED fERSONS AMD KErOGEES

Medical Care in Cdnters

In general, medical care and sanitation in centers has been satisfactory,

NOVEMBER 1945


with disease rates low and individuals remaining healthy. UNRRA medical personnel,under Military Government supervision, continued rapid improvement of the means formedical care and sanitation in displaced persons centers* Düring November personnelmeans (Table XII) were increased, doctors by 41*1 per Cent, nurses by 29*2 per centand dentists by 41*5 per cent* Instruction of personnel in methods of obtaining andproper handling of medical supplies was increased* This was aided by Theater pub-lication in November of clear Standing operating procedures for supply*

Hospitalization

German authoritiea continued to furniah aati3factory aupplementary hoapitalcare for displaced persona. Diaplaced persona hospitals with 12,799 beds averaged7,468 pätients or 5®*3 occupancy, compared with 90*26 occupancy of German civilianhospitals*

Environmental Sanitation

Sanitation continued generally satisfactory, although some centers are un-satisfactory due to failure on the part of occupants themselves to observe minimumStandards of sanitation necessary in any community* Means are available for propersanitation* The greatest problem where deficiencies exist is administrative capacityfor obtaining individual and collective or community support in efforts for obtain-ing desired sanitation*

Food and Nutrition

Surplus food continues to assure excellent nutrition of displaced persona,many of whom eure overweight* Actual weighing results Show overweight up to 20 poundsabove normal Standard*

Refugees

All responsibility for health meaaures applicable to refugees haa beenplaced upoa German civil authoritiea* In every Regierungsbezirk and at border 8tationaup to date the Germana have juatified confidence placed in their performance aadirected*

MEDICAL SUPPLY

Minimum quantities of medical supplies are available* Insulin, alcohol,ether, sulfa drugs, X-ray film and dental supplies continue to be major deficiencies*The greatest shortages exist for expansion of hospitals; for articles required fortreatment of any respiratory epidemic with serious complications and articles fortreatment of venereal diseases, except penicillin which is now available for gonorrheacases»

VETERINARY AFFAIRS

German Veterinary Fersonnel

All Nazi veterinary officiala in the Western Distriet have been removed,while 15 Kreise officials in the Eastern Distriet are retained temporarily but willbe removed* Mainfranken, in the Eastern Distriet, has the only key veterinary officialrequired to be removed from Regierungsbezirk or higher Office*

NOVEMBER 1945


Animal Disease Control

The Cctober outbreaks of foot and mouth disease in Schwaben have been con-trolled by quarantine, disinfection and use of Rieroser-FMD vaccine. A new outbreakin Kreis Limburg has been combatted in a similar manner* In addition cooperativeaction was immediately initiated between the officials of the involved British, Frenchand United States Zones, followed by plans for quadripartite agreement upon meansfor controi of animal diseases* Animal disease incidence is recorded in Table XIII,page 14•

Meat and Dairy Products

There are 74 slaughter houses reported operating in the Eastern Districtand 25 in the Western District* Many need repairs and fuel. Many have adequate vet-erinary inspection*

NOVEMBER 1945


TABLE ISTATUS ÖF DENAZIFICATION

UNITED STATES ZONE( 1 December 1945)

NOVEMBER 1945

Areas and Cate Physi- Den- Mid- Pharm Sanitary Veterin-gories of NazisRemoved to Date

cians Nurses tists wives acists Inspectors arians Others

TOTAL(Number Removed) 2,855 647 1,078 ;52 424 8 400 182

EASTERN MILITARYDISTRICT 1,267 283 376 101 214 0 226 28

MainfrankenOberfranken und

205 48 77 35 10 0 13 9Mittelfranken

Nieder Bayern260 92 45 1 16 0 30 19

und Oberpfalz 30 55 80 1 0 0 54 0Schwaben 48 6 13 0 4 0 22 0Oberbayern 724 82 161 64 184 0 107 0

WESTERN MILITARYDISTRICT 1,445 356 639 51 160 8 169 137

Land GreaterHesse 919 216 481 44 62 119

RB Kassel 143 53 82 13 18 28RB Wiesbaden 446 94 119 12 22 0 30RB Hessen 330 69 280 19 22 0 61 34

Land Württem-berg Baden 441 42 83 3 70 41

Baden SectionWuerttemberg

241 42 83 3 70 0 41Section 200 Figures unavailable

BREMEN PORTCOMMAND 85 98 75 4 28 8 9 103

BERLIN DISTRICT(UNITED STATESSECTOR) 143 8 63 50 5 17

NOTE: 5,746 Nazis have been removed, a gain of 3,511 or 61 percent of all re-moved to date being removed during November 1945- 2,965 or 51*6 percentof all removed were in the Western District, 2,495 or 43*4 percent in theEastern Distriet, and 286 or 5.0 percent in Berlin •


TABLEII

RESULTSOFVETTING

GERMANCIVILIANMEDICAL

PERSONNEL

UNITEDSTATESZONE

(lDecember

15^5)

NOVEMBER 1945

Categoryof

Personnel

Totale

EastemDistrlct

WesternDistrict

Berlin(j s»«»««0

(United

Accept- able

Unaccept- able

Accept- ableUnaccept- able

Unacceptable butretained

foroperation-

al

neceesity(b)

Accept- able

Unaccept- able

Unacceptable butretained

foroperation-

al

necessity(b)

Accept- able

Unaccept- able

TOTAL

l6,4685.872

8,4422,721

883

7.7832,865

838

243

286

PhysiciansU,56l3.‘*072,3801,467

498

2,1421.797

738

39

143

Ifarsee

8,045

528

4,104262

24

3,862

25g

0

79

8

Dentists

935

896

44l

362

206

486

471

79

8

63

Midvives

1.583166

672

US

27

911

47

0

-

-

Pharmacl8ts671#

Ul9

397

237

6l

274

132

17

3

50

Sanitary Inspectors

6

-

6

0

0

0

0

0

-

-

Veterinarians397

4li

289

246

64

108

160

4

-

5

Othere

267

45

153

28

3

0

0

0

Il4

17

HOTS:(

&)

Denazifi ofUnite have

beecatlonln

UnitedStatesSectorof

Berlin,lnltlatedoriglnallybythe

Kuss1an8

prlortoentry

dStatesMilitary

Government,hasbeen

revlevedduring

NovemberNo

unacceptableindividuale

nretained.

(b)1,721or amounts

29*3parcet.toftotalunacceptableindividualehavebeen

retainedforoperational

neceesity;this

toonly7.7

percentofallmedicalpersonnelvetted.


TABUSIII

DISTRIBUTION0?GEBMAX

CIVILIAIMEDICAL

JERSQHNEL

UNITEDSTATESZONE

(lDecember

19^5)

NOVEMBER 1945

AreaandCategoryof

PereonnelPhysicians

NursesDentists

MidwivesFhamacists

SanitaryInspectorsTeterinariansOther

TOTAL

12,76021,8144,862

4,464

2.765

480

1.3431.136

RASTERNMILITARI

DISTRICT7.118

11,0452,265

2,in

1.578

308

807

548

Malnfranken

863

1,860

226

37?

205

8

88

xt£

OberfrankenundMittelfranken

1.3092.493450

556

298

nodata

164

344

NiederBayernund

Oberpfalz890

2.304539

530

124

294

208

-

Schwaben

767

1.320265

282

118

•

124

54

Oberbayern

3.289

3,068

785

431

833

6

223

WESTERNMILITARI

DISTRICT

4,622

9.3502,040

2.190

986

104

518

228

LandOreaterHeesen

1.7382.745

664

987

346

12

234

BBKassel

32g

060

*

215

3?

0

44

BBWiesbaden

5S1

849

ll4

3?5

206

0

70

BBHessen

829

1.239550

447

108

12

120

LandWuerttemberg-Baden2.4955.8371,106

1.117

584

79

235

BadenSection

995

2.437428

492

182

0

76

WürttembergSection

1.5003.400678

623

352

79

159

228

BREMENPOBT

COMMASD

389

759

270

86

-

BERLINDISTRICT

.

(UNITEDSTATES

SECTGR)

1,020

1,419

557

97

201

68

18

360

RATIO:Averagenomberof

peopleservedbyeachindividual:

UNITEDSTATESZONE

1.194

698

3.2913.112

5.509

16t

Not

Not

SstimatedBstlmatedEstimate^

HEALTH AND MEDICAL AFFAIRS ~

TABLSIV

COMMUHICABLS

DISEASESRATES

FORUNITEDSTATESZONEOFOEHMANY

EXPRESSEDASCASES

PER10,000

PERSONSANNUALLY

(Basedori

EstimatedPopulation

15,233,752)

NOVEMBER 1945(-*eröSo◄•

x>S$o4•

ru

◄•

Five Month Average June- October InclusivewflM*940 P®P W*•41

—1•

o•

ruOi—*

•

M41

TyphusFeverLousehörne

o44111RelapsingFever

•

ovj4

1i1Smallpox11i1Cholera1111Plague1ruo11Anthrax

p■X)•

PP

p-4•

er44

s>4•

cr>

4444

epOQ

Diphtheria

X)•

40

40•

4141

h->O

•

r—*-4

VO•

PvoScarletFever

M-4

-4

H*P

•

41ru

r—*OQ

•

P41

1—1er

•

43ruTuberculosisLung

andLarynx

ru•

pOQ

ru40er

j4

H*-4

M•

44erTuberculosisOther

t->

OQo

i—1•

P-4

OQ41

ru i1e

pp

WhoopingCough

►—*“^48

•ruPMeningitis

Meningococcus•

*j4~4

•

rup•

ruo44pPoliomyelitis

P-4ruer

p-4•

op

-4Poo

ruOQ•

P40

Gonorrhea

Mt—J•

x>-4

*-*oru-4

x>bi—*

-4•

44-4

Syphilis

t-*o-4P

X»•

OQX

h•op-4

H*o•

4440

TyphoidFever

•

J1M

M•

H140

H»

Per

M•

4041ParatyphoidFever

H*•

OQ-4

ru•o

ru*4H*

OQ•

VOt-<

Dysenteryinfectious

•

o•

ob■4

eru40

Bact.FoodPotsonin^

•

o441b

.*4•

oMUndulantFever•

-441

erSb

o•

41-4InfectiousJaundlceo4ru•

-4OQ

-4

CJQru

u“4>

X)OQ

ru-4|•

40OQ

Scabies

fru11Rabies11oj4o41Encephalitis

EnldemlcMOo■^4u-4

•

4140Malaria

H*•

-P*«>4

ru-441

H

OQP\•

OQru

Influenza

H*•'OOl

M•

Her

-•

o•

er41Measles

bs>l

l-4•

opMumps


NOVEMBER 1945

AREA.AND

DISEASE

TyphusFeverLouseBorne

RelapsingFever

X0p.rH rt l

2CD 1—1OXiuPlague

X2Xi -p3

Diphtheria

ScarletFever

Tbc.lungandLarynx

Tbc.other

Xi900 9 p.8£

CO d0«

0•rtO

-PO

•HO SS •H

*rtÖö%%

Poliomyelitis

lonorrhea

Syphilis

u©>£ •H O.0ß

ParatyphoidFever

Dysenteryinfectious

Bact.FoodPoisoningUndulantFever

InfectiousJaundice01 <D ■riX> cdft,

03 © •H x> ftEncephalitis

Epidemiecd■rt u<d <—

1 ftsÖ a>

1—1S

co O ra(Mumps

TOTAL

.01-

-

-

-

-

2.50.19

4*37.22-

.03

.02.01

m

l.l6.10•34

-

-

-

-

-

-

-

-

-

-

EASTERNMILITARY

DISTRICT-

-

-

-

-

2.24.042.24.20-

.04

.02-

-

.77

.11

.04

Mainfranken

-

-

-

-

-

-

2.37-

2.14-

-

.14-

-

-

.14-

-

-

-

-

-

-

-

-

-

-

Oberfrankenund Mittelfranken

m

m

m

•

1.92m

2.33.07

m

*»

i.44.07.14

„

NiederBayernund

Oberpfalz

_

_

m

-

-

.

3.00.08

2.43.16

m

.08.08

m-

1.46

Schwaben

-

-

-

-

-

2.4^.132.74.33

m

-

-

-

-

“^27.13

-

-

-

-

-

-

-

-

-

-

Oberbayern

-

-

-

-

-

-

1.34•

m

1*73.27-

—

-

—

.13

.27-

WESTERNMILITARY

DISTRICT-

-

-

-

-

-

2.29•33

3.67.29-

.01.01

-

-

.31

.01

.20

LandGreaterHesse

-

-

-

-

-

-

T758“•04""2^3"

•lb

-

-

-

-

«M

.32Tir

RRKassel

_

-

-

-

-

-

1.46.11

2.23.22

-

-

-

-

-

1.02.11.22

RBWiesbaden

-

-

-

-

-

-

3.08-

3.85-

-

-

-

-

-

.22

.11

.11-

-

-

-

-

-

-

-

-

-

RBHessen

-

-

-

-

-

-

.14

-

2.28-

-

-

-

-

-

.20

.00-

-

-

-

-

-

-

-

-

_

LandWuerttemberg-ßaden.03

-

-

-

-

-

2.81.62

4.10.43

*•

.03

.03-

-

.31

BadenSection

-

-

-

-

-

-

3.82.953.04.61

-

.06.06

-

-

-

-

-

-

-

-

-

-

-

-

WuertteinbergSection

.06-

-

-

-

-

1.46.18

2.84.18

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

BREMENPORT

COMMAND

-

-

-

-

-

-

4.^5.23

6.29-

-

.23«*

.23-

-

.23-

-

-

-

-

-

-

-

-

BERLINDISTRICT (UNITED

STATES3ECTÖR)

-

-

-

-

-

-

5.36.3229.74-

-

-

-

-

-

9.9i.328.29-

-

-

-

-

-

-

-

-

“

TABUSV

DEATHRATESFROM

COMMUNICABLEDISEASES

UNITEDSTATESZONEOFGERMANY

Bxpressedas

Deathsper

10,000Population

perAnnumforTotal

Populationof

15,233,752

ForPeriod29Sept.

1945to

26Oct.1945

Inclusive

HEALTH AND MEDICAL AFFAIRS"

■TABLE VIREPORTED VACCINATIONS AND BMJNIZATIONS

United States Zone of Germany(Through November 1945)

TABLE VIICALORIC VALUE OF RATIONED FOOD, UNITED STATES ZONE

November 1945

NOVEMBER 1945

'Area and Disease Small Pox Diphtheria Typhoid Scarlet Fever Tetanus Typhus

TOTAL 156,328 513,585 887,914 99,665 268 5,561EASTERN MILITARYDISTRICT H6,970 142,048 142,760 950

MainfrankenOberfranken und

no data 30,720 21,740

MittelfrankenNieder Bayern

18,000 24,000 38,500 950

und Oberpfalz 23,970 16,428 70,000Schwaben 45,000 45,900 2,520Oberbayern 20,000 25,000 10,000

WESTERN MILITARYDISTRICT 38,596 210,219 3,914 99,665 268 700

Land GreaterHessen 18,100 6,300 6,300

RB Kassel no data no data no data uo dataRB Wiesbaden 16,000 4,000 no data 4,000RB Hessen

Land Wuerttemberg-2,100

20,4962,300 no data 2,300

Baden 103,919 3,914 93,365 700Baden SectionWuerttemberg

13,400 H,550

89,369

3,900 14,950 620Section 7,096 14 81,415 268 80

BREMEN PORT COMMAND no data 88,861 no data no data -

BERLIN DISTRICT(UNITED STATESSECTOR) 762 72,457 741,240 3,911

frea and ConsumerCategory

0-3Irs.

3-9Irs.

10-17Irs *

NormalConsumer

Pregnant/Nursing

ModerateWorker

HeavyWorker

Minimum consurap-tion required forhealth

1000 1500-2000

2700 2000 2700 2700 3200

Average reportedrations sUNITED STATES ZONE 1187 1571 1681

l

1396 1851 1909 2520

RASTERN MILITARIDISTRICT 1262 2080 1612 1435 2147 1826 2362WESTERN MILITARIDISTRICT 1016 1249 1887 1507 2160 3713

BERLIN (UNITEDSTATES SECTOR) 1384 1384 ' 1543 1247 1247 1992 2486


TABLE VIIIDAILY AVERAGE FOOD CONSUMPTION* BY GERMAN CIVILIANS IN UNITED STATES ZONE

DÜRING NOVEMBER 1945 (Expressed in Calories)

♦Data based on Nutrition Surveys in four cities in Eastern Military District and twocities and four rural communities in Western Military District.

TABLE TLSUMMARY OF WEEGHTS OF 5,151 GERMAN GIVILIANS IN UNITED STATES ZONE

DÜRING NOVEMBER 1945*

♦Data collected by Nutrition Survey Teams in four cities of the Eastern MilitaryDistrict and two cities of the Western Military District.

NOVEMBER 1945

Area and Category ofIndividuals

6 - 9 Yrs 10 - 17 YrsNormalCon-sumer

Moderate-1y HvyWorkers

HvyWrks

VeryHvyWrks

Preg &

Lact.Women

EASTERN MILITARY DISTRICTUrban Population 2111 2280 1976 2748 2658 3240 2547

WESTERN MILITARY DISTRICTUrban PopulationRural Population

23942707

19952442

2386 2822 29682617

UNITED STATES ZONEUrban Population 2337 1986 2585 2740 2758

Age Group 20-39 Years 40-59 Years •Over 60 Years

MALES

Number Weighed 1121 1376 375Mean Weight (lbs) 143.9 137.3 132.4Normal Standard (lbs) 148 J-52 153Löss (lbs) 4.1 14.7 18.6

FEMALES

Number Weighed 13* 715 240Mean Weight (lbs) 126.9 123.0 119.7Normal Standard (lbs) 128 137 136Löss (lbs) 1.1 14 16.3Percent Deviation *3.2 —6*8 -10.0


TABLE X•HOSPITAL FACILITIES UNITED STATES ZONE

(1 December 1945)

TABLE XIIIINCIDENCE OF COMMUNICABLE ANIMAL DISEASE

UNITED STATES ZONE(1 December 1945)

NOVEMBER 1945

AREA AND INFORMATIONNumberofHospitals

NumberofBeds

Numberof BedsOccupied

Percentof BedsOccupied

TOTAL 1,055 127,057 114,690 90.26EASTERN MILITARY DISTRICT 608 63,450 61,549 97.0

Mainfranken 53 5,163 3,807 73.7Oberfranken und Mittelfranken 130 12,294 All 100.0Nieder Bayern und Oberpfalz 152 15,072 All 100.0Schwaben 82 8,858 8,813 99.4Oberbayern 191 22,063 21,563 97.7

WESTERN MILITARY DISTRICT 405 53,188 44,763 84.1

Land Greater Hesse 181 22,995 19,114RB Kassel 49 7,506 6,085 81.0RB Wiesbaden 63 6,224 5,270 87.4RB Hessen 69 9,265 7,759 83.6

Land" Wuerttemberg-Baden 204 25,607 22,348 87.2Baden Section 70 9,279 8,696 93.3Wuerttemberg Section 134 16,328 13,652 84.0

BREMEN PORT COMMAND 20 4,586 3,301 71.0

BERLIN DISTRICT(UNITED STATES SECTOR) 42 10,419 8,388 87.9

Area Diseases

HogChlo-rea

.SwineErysip-elas

Gland-ers

EquineAnemia

FowlPest

-Scab-iesHorse

Scab-iesSheep

TOTAL NUMBER OF FARMS INFECTED 131 1,725 1 77 411 835 43

EÄSTERN MILITARY DISTRICT 131 1,451 48 411 779 15Mainfranken 2 227 1 38 1Ober und Mittelfranken 392 8 35 80Niederbayern 129 389 9 248 468 1Oberbayern 1 196 10 127 114Schwaben 247 21 79 13

WESTERN MILITARI DISTRICT 274 1 29 56 28

Land Greater Hesse 186 1 17 54 27RB Kassel 98 6 16 1RB Wiesbaden 41 1 3 9 26RB Hessen 47 38 29

Land Wuerttemberg-Baden 88 12 2 1Baden SectionWuerttemberg Section 88 12 2 1


TABLEXI

CQMPARISONOTHOSPITALCAPACITIES

INUNITEDSTATESZONE

FRE-WABANDOCCUPATION

NOVEMBER 1945PKBIOD

1935-38

SPRING1945

SEPT-OCT19I45

NOVEMBER1945

ABXA

POPULATIONBEDSBEDSper 1,000

BEDSPOPULATION

BEDSBEDSper

LiGQQ

BEDS

BEDSper 1.000

TOTAL

13,492,000

152,73411-3

100,70915,233.752

121,5007.9

127,0578.38

XASTERNMILXTAHT

DISTBICT6,697.00074,139

11.1Aver.

56,9^37.295.68061,8318.3Aver.63.4508.70

Mainfranken Oberfrankennnd

797.0008,548IC.8

12.697

910,9806,013

6.6

5.163

5.67

Mittelfranken Niederbayerntrnd

1,824,00017,800

•9.7

12,0831,898,22013.915

7.3

12,294

6,48

Oberpfalz

1,423,00010.976

7.7

7,806

1,605,27414,636

9.1

15,072

9.39

Schwaben

877.00011.65713.3

11.474949,0438,272

8.7

8,858

9.33

Oberbayern

1,776,00025.158l4.l

12,8831.932.163

18,9959.8

22,06313.74

WESTEBNMILITARY

DISTBICT6.795.00078.59511.6Aver

43,7667.138,07551.6317*4

Aver.53.188

7-45

LandGreater

Heeeen

3,407,00040,29311.6

20,719

3,251.22623,2667.4

22,995

7.07

BBKassel

1,150.00011,066

9.6

7.513

1,159.1538,4007.2

7.506

6.48

BBWiesbaden

1,281,00018,40114.3

5,072

1,181,6029,1277.7

6,224

5.27

BBHessen

976,00010,82611,0

8,134

910,4715,739

6.3

9.26510.18

LandWuerttemberg-^den

2.939.00032.338

10.8

18,0743.328.75023,0107-0

25.6077.69

BadenSection

1,186,00013.26411.1

1,626

1,420,75010,265

7.5

9.279

6.53

WuerttembergSection

1.753.00019.07410.8

16,448

1,908,00012.745

6.6

16,328

8.56

BBBtXNPORT

COMMANDBERLINDISTBICT

449,0005.964

13.2

4.973

558,0965.3559.5

4,586

8.22

(UNITEDSTATES

SECTOB)

NotAvailable

NotAvailable

800,0008,83811.4

10,41913.02

Note:1945

populationfigureslistedaboveassurethatCD

hospitalratloswillbe

comparable.


TABLEXII

STATUSOFMEDICALMEANS

FORMEDICALCAREOF

DL3PIACEDFERSONS

UNDERUNRRASUPERVISION

(1December

1945)

NOVEMBER 1945

AreaandMeans

Number ofCenters

Number ofTeams

noctors

furses.

Dentists

AmbuJLances

TotalUNRRA'DPTotal■UNRRADPTotalUNRRADP

Delivered■On

Order

TOTAL

305

135

527140

38747816328377

-

173

73

200

TJNRRAHEADQ.UARTERSTEAMS

ZONE,DISTRICT,

REJIERUNSS-BEZIRKE

16

16

0

12

12

0

0

-

0

0

0

EASTERNMILITARY

DISTRICT221

2§

mSk26325s

3k

1324P

-

40

0

200

Mainfranken

8

7

38

5

33

43

10

33

3

-

3

0

0

Oberfrankenund Mittelfranken

40

14

61

10

31

37

11

16

12

-

12

0

e

NiederBayernund

Oberpfalz

72

17

48

15

33

46

22

24

14

-

14

0

0

Schwaben

32

8

71

7

64

63

9

34

8

-

8

0

0

Oberbayern

69

32

101

19

82

47

24

23

1-

-

1

0

0

TRESTERNMILITARY

DISTRICT§2

Sk

120

66

12k206

n12221

-

m

23

0

LandGreater

Hessen

32

24

88

25

63

89

23

66

18

_

66

Only50«re

0

RBKassel

21

13

67

14

33

72

11

61

17

-

61

inrunning

0

RBWiesbaden

4

6

12

6

6

7

7

0

1

-

-

condition0

RBHessen

7

5

9

3

4

10

3

3

-

-

3

0

LandWuerttemberg-ßaden48

29

99

38

61

113

46

67

19

-

67

0

BadenSection

11

6

13

7

8

19

11

8

2

-

8

0

Wuerttembergsection37

23

84

31

33

94

33

39

17

-

39

0

EREMENPORT

CCMMAND

3

3

3

3

0

4

4

0

0

-

0

0

BERLINDISTRICT (UNITED

STATESSECTOR)

1

1

2

2

0

2

2

0

0

•

0

0


REPORTEDCASESOF

DIPHTHERIAUNITEDSTATES

ZONE-1945DEUTSCHESREICH

-1942&

1943

j

.

T■ä

:

CHART"t

NOVEMBER 1945


REPORTEDCASES

GONORRHEAaSYPHIUS

U.S.ZONE

1945 OHAFiTH

NOVEMBER 1945


REPORTEDCASESOF

TUBERCULOSISLUNGSö

LARYNX

I..

.

j

. DEUTSCHESREICH

1942&

1943

UNITEDSTATESZONE

1945

l£HAHUII_NOVEMBER 1945


REPORTEDCASESOFTYPHOID

FEVER

i—r

U.S.ZONE-

1945

i—i—i—

DEUTSCHESREICH-1942ö

1943

CHARTW

NOVEMBER 1945

HEALTH AND MEDICAL AIfEAIRS

REPORTEDCASESOFSCARLET

FEVER

DEUTSCHESREICH

19428

1943

\l

I'

UNITEDSTATESZONE

1945TTn

-HcF)Äfk~jlZr

NOVEMBER 1945


REPORTEDCASESOF

DYSENTERYDEUTSCHESREICH

1942S

1943

r~TTUNITEDSTATESZONE

1945T~

f—

i —

nZHARTYTNOVEMBER 1945

LEGENDZONE BOUNDARIES -

US. MILITARYDIST" -■

LÄNDER,U&ZONE" -

HQ.US. MILITARY DIST.LAND CAPITALS

REPRODUCED BY 669 TH ENGR TOP CO.

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