Evening star., 1928-06-03

turn, would be directly responsible tn
the District Commissioners.
Every phase of the Health Denart-
ments present activities Is treated COM
prehensively in the report. which is di-
V1ded into 10 chapters. Each division
contains a summary of recommended
tions concerning its particular topic.
AT the very outset Of the report are a
number OF recommendations for in
ternal adjustment which do not require
additional appropriations or new Ieeis-
lation. Then follows long list of
recommendations requiring additional
appropriations, but not requiring any
change in existing legislation. The
third set Of recommendations are those
which require additional legislation.
Internal Adjustment.
Outstanding among the recommenda-
tions for internal adjustment are the
following:
That the present Bureau Of Vital
Statistics be placed in the proposed
Bureau Of Medical Services.
That notification OF typhoid fever ane
tuberculosis be increased.
That trained public health nurses or
special investigators onu whole-time
status be substituted for the part-time
medical personnel for the investigation
Of communicable disease cases.
Modification and revision of the
present system of record keeping, in
order TO furnish an adequate check on
the current prevalence OF disease.
Replacement of the present method
Of gaseous fumigation. which is "a
waste Of time and money" with
systematic terminal cleansing methods
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private and parochial schools.
Certain diseases not now placarded
should be placarded.
Hospital Supervision
More active supervision over private
hospitals caring for charity patients
suffering with communicable diseases
should be provided.
tuberculosis record keeping should
be carefully studied and revised 10
meet requirements of expanded pro-
gram of control.
A careful study. conducted jointly by
the health and school authorities,
should be made to determine the need
for 24-hour sanitarium care of active
tuberculosis In children and one or
more preventoria for children.
Hospitals should be required to re-
infections end TO furnish summaries OF
clinic activities.
Provisions should be made for cpl
demilogic studies and for facilities TO
ascertain and follow up sources OF in
fection and contacts
Provisions should be made to give
technical advice and guidance 10 school
authorities in sex education and means
providing for carrying out educational
measures among clinic patients and
their families.
Provision should be made for the ex-
animation OF sex offenders. as provided
by law.
Mix control regulations should be
carefully revised.
Effective pastcurization OF all milk,
except properly certified supplies, should
be required.
Some systematic plan for ascertain
ing the incidence Of communicable
diseases In the milk producing area
should be devised
More frequent bacteriologic examina-
tions of milk supplies are advisable.
Present sanitary control over food
handling places should be replaced By
a firm policy OF enforcement.
The Health Departments program
concerning housing conditions In rela-
ton to health should be based upon
systematic housing survey.
Barber Shop Sanitation.
The sanitation Of barber shops should
receive more effective supervisory
control.
Certain problems relating 10 the en-
forcement Of the So-called female labor
law, the smoke prevention law. and the
mattress law deserve careful study and
consideration.
Important among the recommended
tions which require additional appro-
priations are the following:
Creation Of a division OF popular
health education, under the direction
of trained publicity agent
Coordination Of the statistical. nurs-
Ing and medical services for the control
OF preyentable diseases. tuberculosis and
venereal disease and for maternal and
infant hygiene and school care.
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