Evening star., 1928-06-03
D. c. HEALTH PLAN
WILL Be ANALYzED
City Heads to Study Sugges'
tions Made by U. S. Ef-
ficiency Bureau.

The District Commissioners plan to
make a careful study and analysis this
week of the comprehensive plan for
undermining the public health service,
as outlined in a voluminous 3l8-page
report filed with them yesterday by the
Federal Bureau of Efficiency.
A five-year program of reorganiza-
ton and expansion Of the Health De-
partment is the outstanding recon-
mendation in the report, which was pre-
pared for the Efficiency Bureau by DR.
Paul Preble, surgeon Of the United
States Public Health Service, In col
laboration with eight experts in vari-
GUS departments of that service, 1t rep
resents the results of the most exhaus-
tive survey ever made Of the Health
Department.
Herbert D. Brown, chief of the Eff
cheney Bureau, in his letter Of transmit
tai accompanying the report, called
particular attention to what he de-
scribed as the significant conclusion
presented by DR.. Preble in his sum-
mary.
Find Service Inadequate.
1t read: when the present resources
and activities of the District Health
Department are compared with the
generally accepted standards of mod
ern public health practice, 1t Is be-
lieved that sufficient evidence has been
offered in the several sections OF this
report to justify the conclusion that
the health service now provided for
the most important municipality of the
Nation Is decidedly inadequate and in
effective IN many of It's component
activities"
The only remedy to apply to this con-
dition, DR.. Preble pointed out, Is fiye-
year program calling for reoTganiza-
ton and expansion of the Health De-
partment personnel, services and ex-
penditures which will practically dou-
BILE the present program. This he re-
CARDS as essential In order to bring the
District health program to the mini
mum standard required by modern pub
lie health practice.
To carry out this program the report
proposes a gradual increase In annual
appropriations over the five-year period
from $350O00 In 1925 to $65O,000 in
1882 or 1888. In addition, 1t stresses
the need for special appropriations for
new communicable disease hospital,
and for additional facilities for the
tuberculosis Hospital and for the care
Of women and children.
other Proposals.
DR.. Preble also proposes the organiza-
ton of a division Of popular health edu-
cation; a plan for better coordination
OF the statistical nursing and medical
services: the establishment OF a divi-
sion of public health nursing and a
great increase in this service; the elimi-
nation OF much OF the present work of
the division of sanitary inspection by
relegating most Of 1t to other depart
ments and the substitution of profess
sional program of public health SANTA
ton: the creation OF bureau of hos
pitals and the transfer to 1t from the
Board of Public Welfare Of all munich
pal hospitals, ambulance service, medi-
cal service TO the poor and the COM
plete revision. modification and codifi-
cation OF the health laws of the Dis
tfict.
Under such plan the Health De-
partment would become the bureau OF
health, administered by the health Of
ficer, and ell hospitals and hospitaliza-
ton facilities would be combined to
form a new bureau of hospitals in
charge OF a medical director or super
intendent Both bureau would be SUI
pervised and co-ordinated under quail
ified medical director OF health. who, In
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