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III. TuhTcitlcxir:

Special mention should be made here of the work of the National Tuberculosis Association:

(ai The medical service, offering consultation on surveys of tuberculosis institutions, advice on occupational therapy, sanatorium and home treatment, industrial rehabilitation, etc.

(41 A crusade service, promoting the modern health crusade in the schools—a service which also lias a tearing upon the interests of the divitiou of maternity, infancy, and cliild health.

(c) A field service, giving special attention to organization problems, programs and budgets of State and local tuberculosis associations, interrelations between voluntary and official groups, etc.

((f) Publicity and publications service, making available newspaper and special articles, motion pictures, and other educational material.

it) Statistical service, offering assistance in health surveys, consultation on morbidity and mortality statistics, etc.

if) Library service on tuberculosis and general health through the National Health Library.

(j) Publishes "The Review of Tulxrculosis" and "The Journal of Outdoor Life."

(h) The training of personnel through the Tuberculosis Institute.

IV. Venereal T.Hse<ue»:

Special mention should be made here of the services offered by the American Social Hygiene Association:

(ai The general promotion of public opinion in support of the venereal disease programs of State and local health departments.

(6) The making and distribution of films desired by health authorities; placing the program before physicians, social workers, officers of courts, and police departments, and other important groups.

(<•} Similarly, the making and distribution of exhibits, pamphlets, and other publicity.

Id) The provision of full or part time personnel when voluntary aid is desired for surveys of clinics, lectures, conferences, vice investigations, etc.

(e) In addition the association carries on its general activities, which are not usually considered as within the public health field, but which indirectly have a bearing upon reduction of the total number of exposures to the venereal diseases:

1. The publication of the monthly Journal of Social Hygiene, devoted to articles

and discussions on social hygiene research and activities.

2. The promotion of education in social hygiene with particular reference to

accurate, wholesome instruction for youth.

3. The promotion of protective measures.

4. The promotion of legal measures.

5. Other activities in the general field of social hygiene.

If) General sex education and home and child hygiene promotion—an activity also bearing on the division of child hygiene. (j) Library service through the National Health Library.

V. Division of Menial Hygiene:

Obviously there should be mentioned here the services of the National Committee for Mental Hygiene:

(o) A statistical research and advisory service on mental hygiene and insanity problems.

(6) Public education through lectures, literature, exhibits, monthly and quarterly bulletins, etc.

(c) Institutional and other surveys and promotion of adequate facilities. 51374°—23 2

(d) Delinquency and other child health and welfare contacts.

(«) Information and expert advice on general mental hygiene problems. (/) Library service through the National Ilealth Library.

VI. A Division of Public Health Education:

Many of the agencies devote a major portion of their resources to health education, including the American Child Health Association, the American Social Hygiene Association, the National Committee for Mental Hygiene, the National Tuberculosis Association, the American Society for the Control of Cancer, and the National Organization for Public Health Nursing.

In addition, one agency, the American Bed Cross, considers that public health education constitutes one of the first factors in its future health program, through the health study class, lectures, exhibit*, classes in first aid, life saving, home hygiene, nutrition, etc. Through the Junior Red Cross, the American Red Cross also offers facilities of interest to child health divisions; and, through its public health nursing service, it is in close touch with the corresponding division of State health departments.

VII. Division of Vital Statistics:

Most of the agencies have some facilities for service in this field and could be called upon by State health departments more extensively than is the case at present.

The following agencies provide practically full-time statistical personnel, either directly or through purchases of service from the National Health Council, or in both ways:

1. Tho National Tuberculosis Association.

2. The National Committee for Mental Hygiene.

3. The American Social Hygiene Association.

4. The National Organization for Public Health Nursing.

5. The American Child Health Association.

D. SPECIAL ORGANIZATIONS TOUCHING DISTINCT FIELDS OF STATE
HEALTH DEPARTMENT INTEREST, BUT NOT ORGANIZED PRIMARILY
ALONG RECOGNIZED AND ESTABLISHED DIVISIONAL LINES.

I. The American Society for the Control of Cancer:
The particular services of this organization include—

(a) Publications of three types: Pamphlets for the profession, for nurses, and for the general public.

(b) Exhibits—a number of sets being in constant circulation.

(c) Films—the society possesses one popular dramatized cancer film in two reels. (ef) The organization of cancer committees and cancer weeks in cooperation with

State and local health authorities.

(e) The promotion of medical standards of diagnosis and treatment.

II. The American Public Health Association:

Last, but by no means least, this organization, composed primarily of official health workers, is in a position to offer valuable and extensive service to public health officials, State and local, along the following lines:

(a) A clearing house, through its sections and annual meetings, for questions of general administrative interests, organization procedure, etc.

(6) Through its committees standards are set as to laboratory, statistical, sanitary engineering, and other procedures.

(?) Through the committee on municipal health department practice, in cooperation with the United States Public Health Service, information about official health organization in general is kept current, and a consulting advisory service offered at the present time to municipalities, and perhaps, subsequently, to States.

(</) Through the Journal, general information, employment service, etc.

E. PERSONNEL SPECIFICALLY AVAILABLE ON A PART OR FULL-TIME BASIS. FOR CONCRETE SERVICES TO STATE HEALTH DEPARTMENTS AND OTHER AGENCIES.

1. The American Child Health Association.—For the services previously outlined, this association has available a relatively extensive personnel which may be stated in part as follows: and all of which is presumably available part time at least to advise with reference to child health problems:

Mr. Courtenay Dinwiddie, general executive.

Miss Ella Phillips Crandall, assistant general executive.

Dr. Richard A. Bolt, director of medical service.

Miss Sally Lucas Jean, director of health education division.

Dr. George T. Palmer, director of research.

Miss Ellen 0. Babbitt, research editor.

2. The American Public Health Association.—Plans for the immediate future of this Association call for the establishment of a field service, to be conducted in cooperation with the United States Public Health Service, to follow up the findings of the committee on municipal health department practice, and to be available at the start for municipal health activities. It is not inconceivable that this service might ultimately become available for State health interests as well.

3. The American Red Cross.—This organization anticipates the addition to it* headquarters staff before long of a health director to work under the specifications laid down in the recent report of the advisory committee on the health program of the Red Cross.

At the present time there are available and at work 51 supervising public health nurses, operating with definite understandings with State health departments. In addition, there is a large staff available among division and chapter personnel to advise with reference to classes in home hygiene, nutrition, first aid, life saving, Junior Red Cross, etc.

4. American Society for the Control of Cancer.—This organization has available ono full-time field director, Dr. J. E. Rush, whose services may be secured without cost to give addresses, to attend conferences, to assist in the organization of cancer committees, to stimulate interest in the establishment of diagnostic and advisory cancer clinics, etc.

5. The American Social Hygiene Association.—This organization has a staff of full or part-time personnel available to assist State and local organizations along the following lines:

(a) Surveys of clinics and other treatment facilities.

(b) Lectures to lay or technical groups.

(c) Conferences with legislators or other officials.

(d) Investigations of vice conditions.

(e) Study and preparation of special material for promoting cooperation of racial groups, protective facilities, social service follow-up, State laws and health regulations, and measures dealing with delinquency cases.

(ft Stimulation of selected volunteer agencies when desired, to supplement official efforts.

6. The National Committee for Mental Hygiene.—In addition to the medical director, Br. Frankwood E. Williams, and the secretary, Mr. Clifford W. Beers, mention should be made of the following:

Br. V. V. Anderson, director division of prevention of delinquency.
Br. Thomas H. Haines, director department of mental deficiency.
Br. Samuel W. Hamilton, director division on hospital service.
Miss Edith M. Furbush, director division on information and statistics.

7. National Organisation for Public Health Nursing.—Associated with Miss Anne A. Stevens, the general director of this organization, the following staff are available for field work:

Miss Frances V. Brink, field secretary.
Miss Theresa Kraker, assistant director (part time).

Miss Gertrude Hodgman, educational secretary for field work in connection with the education of nurses for public health nursing.

8. The National Tuberculosis Association.—Under the direction of Dr. Linsly R. Williams and his associate, Mr. Frederick D. Hopkins, the following are available for specific field services:

Dr. H. A. Pattison, on medical, institutional, industrial, occupational therapy, sanatorium, and home-treatment problems.

Mr. T. D. Kidner, on institution sites, plans for tuberculosis institutions, occupational therapy, etc.

Dr. Edgar T. Shields, on medical field service.

Mr. Charles M. De Forest and associates, on child health education and the modern health crusade.

Mr. A. J. Strawson, on general field organization, association relationships, etc.

Mr. P. P. Jacobs, on publicity and education problems, the training of special workers, etc.

Miss Jessamine S. Whitney, on health service, statistics, etc.

P. THE NATIONAL HEALTH COUNCIL ITSELF.

In addition to the foregoing services a number of joint activities are offered by the member agencies through the council organization itself, the more important of which may be mentioned as follows:

1. The monthly digest of current information of activities of members.

2. The Federal legislative statements.

3. The State legislative statements in cooperation with the Public Health Service.

4. Conference calendar, in cooperation with the American Public Health Association.

5. Washington contacts and informal representation for the State health officers and others.

6. Informal temporary New York headquarters for traveling health officers.

7. The publication of reports summarizing the organization and service of national health agencies.

8. The promotion of coordination of voluntary organizations in the States, in cooperation with tho State health departments.

BIRTHS, DEATHS, AND MARRIAGES IN SCOTLAND.

BATES FOR THE FIRST QUARTER OF 192S AND FOR 191S TO 1»22, INCLUSIVE, BT

QUARTERS.

The tables gives below were compiled from figures published in the "Quarterly Return of the Births, Deaths, and Marriages Registered in Scotland during the Quarter Ending March 31, 1923," issued by the Registrar General of Scotland.

The following extracts are taken from the Return: "Deaths registered in Scotland during tho quarter numbered 17,672. This number is 1,977 more than that of the previous quarter, but is 8,590 less than that of the first quarter of last year. * * *

"The quarterly death rate was 14.6 per thousand. This death
rate is 1.9 more than that of the previous quarter, but is 7.1 less than
that of the first quarter of last year, 4.1 less than the mean of those
of the first quarters of the preceding 5 years, and 3.9 less than the
mean of those of the first quarters of the preceding 10 years. It is
the lowest first quarter Scottish death rate yet recorded. * * *
In the larger burghs, taken collectively, the death rate was 15.2; in
the smaller burghs, 14.8; and in the county districts, 13.5.

"Deaths of children less than 1 year old numbered 2,807. * * *
The infantile mortality rate (98 per thousand births) is three more
than that of the previous quarter, but is 43 less than that of the first
quarter of last year. It is 30 less than the mean of the infantile
mortality rates of the first quarters of the preceding 5 years, and
31 less than the mean of those of the preceding 10 years. * * *
In the larger burghs, taken collectively, this rate was 101; in tho
smaller burghs, 105; and in the county districts, 90."

Birth, death, and marriage rates per 1.000 population in Scotland January 1, 1913, to

March SI. 1923, by quarters.

BIRTH RATES.

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