If you have to Cough or Sneeze use your Handkerchief and stop Influenza St. Louis Tuberculosis Society A LANTERN SLIDE USED IN ST. LOUIS St. Louis Activities Reports from St. Louis Night and Day Camp are always interesting. "The Road to Health" is the title of a booklet which the St. Louis Society is distributing in factories and elsewhere and which summarizes the results of the camp work in 1918. Other circulars received from the St. Louis Society are "How to Fumigate," a leaflet which lays rather too much stress on the value of chemical fumigation, and a circular called "What We Have Done" from the St. Louis Health League. This League organized in 1917, is composed of a group of medical and social service organizations whose purpose is to carry on public health education. The League has used the usual means of reaching the public through exhibits, literature, lectures and lantern slides, but it has gone into the by-ways and hedges-the exhibits for instance, besides being shown at settlement houses, the household show, the county fair, etc., traveled through the public bath houses. Among the plans for the future are a "Save the Mothers" campaign, during which backyard talks will be given in the congested districts in an effort to reach the class of people who rarely attend public gatherings, and especially foreign-speaking people. These backyard folks will be given in Italian and other languages. School Hygiene More drastic legislation to provide remedies for defects revealed by medical inspection is urged in the 1918 report of the State Superintendent of Schools of Pennsylvania. The questions of school hygiene and physical education are looming up in a number of other states, according to the January issue of School Life. The New Jersey State Department of Education is distributing to New Jersey teachers a leaflet which enumerates briefly the signs of physical fitness and gives pointed advice on how to maintain good health. In Minnesota in 1911-15 the Minnesota Public Health Association, in cooperation with the State Department of Education, formulated a plan whereby every one of the 20,000 teachers in the state should receive a syllabus of public health. This syllabus was to be used by the Open Air Classes New York City, one of the first cities in the country to take up the movement for open air classes, now has over one hundred such classes in connection with the public school system. According to an article in a recent issue of the monthly Bulletin of the Department of Health there are in the city three distinct groups of classes, with special ventilation, connected with the school system. These are: 1. Outdoor classes for pulmonary tuberculosis cases. 2. Open air classes,-for tubercular and pretubercular children. 3. Open window classes for regular pupils. It is with the second group that the article in question deals. The first open air classes used regular classrooms with a south and east exposure, the windows being altered to admit a maximum amount of air. Now every new school has at least one room built especially to be used for an open air class. In spite of makeshifts in the older schools the results obtained have established the value of the open air classes. The work is supervised by the Bureau of Child Hygiene of the Department of Health, in cooperation with the school authorities. Duties of teachers, nurses, and medical inspectors assigned to these classes have been worked out in detail, provision being made for parents' meetings, home visits, school consultation, and social service. Extra feeding and rest periods are a part of the regular daily routine and careful records are kept of each child's progress. From the observations made so far the following results of open air class work are enumerated: 1. Physically subnormal children improve in their mental and physical condition. 2. Their nutrition and weight improve. 10. Good habits are established. 11. Hygienic rules are lived up to. 12. Children learn how to do the right things at the right time. Tuberculosis in Dockyards em The Medical Director-General of the Royal Navy investigated rumors as to the prevalence of pulmonary tuberculosis among men ployed in the English dockyards. According to a recent issue of the British Medical Journal, the results appear to show that the rumors are unfounded. The number of cases of tuberculosis in the returns from one of the principal dockyards during the years 1915, 1916, 1917 was 99 out of a total complement of over 15,000, this giving an annual average of 33 cases, or 0.2 per cent. In this dockyard antispitting regulations are well enforced. No person suffering from tuberculosis is allowed to return to work unless certified by the local tuberculosis officer to be non-infectious; and even in such cases only outdoor work is allowed as far as possible. Barlow Sanatorium Report A home for nurses and three new cottages, each providing accommodations for four patients, have recently been presented to the Barlow Sanatorium at Los Angeles. According to the fifteenth annual report of the Sanatorium. These gifts have been most opportune inasmuch as the institution, during the past year, has been called upon to care for a number of discharged soldiers, some sent by the Bureau of War Risk Insurance, others by the Red Cross and the Los Angeles Tuberculosis Association. Dr. Walter C. Klotz, resident physician, resigned in May to join the Rockefeller Tuberculosis Commission in France. One of the noteworthy items in the report refers to the success of the patients' garden. Fruit and vegetables to the amount of over $150 were raised by the patients, most of this produce having been used for the sanatorium table. Particulars regarding the number and condition of patients and results of treatment are included in a detailed medical report. During the past 15 years the sanatorium has cared for 1,104 patients. During 1918, 181 patients were treated. Sanatorium Notes The boards of supervisors of Wyoming and Genessee Counties, New York, are considering the erection of a joint county hospital. A site near Warsaw has been proposed by the Wyoming County supervisors. The capacity of Sea View Hospital on Staten Island, New York, is to be increased to 2,000 beds with the addition of a new building now being erected. This will make the hospital the largest of its kind in the United States. The Arroya Sanatorium at Livermore, California, (Alameda County Sanatorium) during the first 9 months of its existence has treated over 175 patients, 95 per cent. of whom were advanced cases. The Sanatorium at present has a capacity of 126. This does not include the new children's building which will provide for 32 children. It is hoped to have in the near future a scientifically trained social service worker whose duty it will be to supervise discharged patients to extend post-sanatorium care. An appropriation of $15,000 has been made by Caddo Parish, Louisiana, to the Shreveport Anti-Tuberculosis League towards the erection of a new hospital building at "The Pines," the camp operated by the League. The new sanatorium will cost $50,000. Personals A. E. Sinks has been appointed executive secretary of the Maryland Association for the Prevention and Relief of Tuberculosis. Mr. Sinks was engaged in tuberculosis work in Wheeling, West Virginia, before serving with the Potomac Division of the American Red Cross, from which organization he comes to his new position. R. H. Hixson has been chosen as executive secretary of the Florida Anti-Tuberculosis Association. Mr. Hixson was previously assoIciated with the Red Cross and the Federal Board for Vovational Education. A. W. Jones, Jr., has resigned from the position of secretary of the St. Louis Society for the Relief and Prevention of Tuberculosis, which he has held for a number of years, to become Director of Civilian Relief of the Southwestern Division, American Red Cross. Miss Edna Foley, Superintendent of the Instructive Visiting Nurse Society of Chicago, sailed for Italy on April 1, to act as chief nurse of the Red Cross Tuberculosis Unit in that country. E. Q. Laudeman has been appointed executive secretary of the Indiana Tuberculosis Association. Miss Lennie B. Arthur who has served for the past two years on the staff of the Tuberculosis Committee of the State Charities Aid Association as field secretary and advisory nurse has been appointed public health nurse of Westchester County, N. Y. Miss Mary Carter Nelson who returned recently from France has been appointed executive secretary of the Fulton County (N. Y.) Tuberculosis Committee. Mr. Kenneth Dows, the founder of the Dows Tuberculosis Research Fund of the Johns Hopkins Hospital, died of influenza at Denver on April 3rd, and was buried on April 10th, at Irving-on-the-Hudson. Mr. Dows established a five-year fund at Johns Hopkins Hospital in 1916 for special research in tuberculosis. The fund amounts to $17,500 a year. Dr. Allen K. Krause, Managing Editor of the American Review of Tuberculosis, is director of the fund. Jottings The establishment of hospitals on transatlantic steamers and in various parts of California for Japanese tuberculosis patients of California, and the maintenance of open air schools for Japanese children of tuberculous parents are included in the plans of the Japanese White Cross Society of America. The purpose of the Society, which has recently filed articles of incorporation in California, is declared to be purely benevolent and charitable. Between $3,000 and $4,000 worth of tinfoil was collected by children in Birmingham, Alabama, during 1918. The money secured from the sale of this tinfoil has been used for the open air school which is conducted in connection with the Red Mountain Sanatorium of the Jefferson County Anti-Tuberculosis League. A health survey of the rural school districts of Lewis and Clark counties, Montana, which was to have been made last October and was postponed on account of the influenza epidemic, has recently been conducted under the auspices of the Montana Association for the Prevention of Tuberculosis. A hospital with a staff consisting of a chief surgeon, eight doctors and several first aid nurses is maintained by the Ford Motor Company according to "Ford Factory Facts." In this hospital an employee may be treated for general debility as well as accident, since the company considers it better for a man to be able to remain at work by receiving medical attention than to have him laid off for lack of it. At a recent meeting of the Brockton Public Forum, Prof. Irving Fisher of Yale paid tribute to Dr. Charles S. Millet of the Millet Sanatorium at East Bridgewater. Prof. Fisher said that Dr. Millet, "who had the courage to put a Brockton shoemaker out-of-doors for the treatment of tuberculosis was the first man of modern times to introduce this cure." Prof. Fisher, at one time a sufferer himself from incipient tuberculosis, said that he had been cured by following_the_methods of outdoor treatment advocated by Dr. Millet. Relative Values in Anti-Tuberculosis Work Attempts have been made to assign relative values to general health work. Now comes an effort to analyze the activities in anti-tuberculosis work, and to assign definite values to the various factors involved. The article appears in the Boston Medical and Surgical Journal for June 20, 1918, and is written by Professor C. M. Hilliard. The various items enumerated below are thoroughly discussed: Avoidance of infection.. Unlimited protection up to 4 years.. Promiscuous spread of infection.. Anti-sputum (education) Bovine tuberculosis Meat inspection .10 4 3 0.5 2:555 3 0.1 Healthy cattle and clean milk.... 0.1 Pasteurization 2.8 .20 The National Organization for Public Health Nursing is making arrangements for a traveling public health library in various states throughout the country. The idea of these libraries is to furnish public health nurses and those interested in nursing educational material. The National Tuberculosis Association has contributed a number of pamphlets to the library and other health agencies are contributing similar literature. The following is a list of some of the libraries that are interested in this work: Arizona-University of Ariz., Tucson, Miss Estelle Lutrell, Librarian. Georgia-Carnegie Library, Atlanta, Miss T. D. Barker, Librarian. Idaho Idaho Free Traveling Library, Boise, Iowa Iowa Library Commission, Des Moines, New York-N. Y. State Medical Library, Al- W. Virginia University of W. Va., Morgan- California-State Library, Sacramento, Mr. M. Montana State University, Missoula, Miss Gertrude Buckhous, Librarian. Kansas-University of Kans., Lawrence, Miss Katherine Fogarty, Librarian. Maine State Library, Augusta, Mr. Henry M. Dunnack, Librarian. Oregon State Library, Salem, Miss Mirpah P. Blair, Librarian. Wisconsin-Library Commission, Mr. M. S. Dudgeon, Librarian. Association Reports Cambridge, Mass. Madison, The 14th annual report of the Cambridge (Mass.) Anti-Tuberculosis Association is interesting reading. Increased activity has been carried on along educational and preventive lines since the city has relieved the Association of the dispensary work. The educational committee, with cooperation of the board of education and other agencies, has distributed three new leaflets,-a reference list of medical agencies for social workers, a leaflet on food and one on housing. These leaflets are used in the schools as material for compositions. The legislative committee has devoted much time to the problem of the incorrigible consumptive and in cooperation with the court has worked out a plan which it is hoped will relieve the situation. As its largest piece of work for the year the association points to the organization, in cooperation with the board of education, of a summer open air school for delicate children. The school was a great success, with an average attendance of 113. New York State To fight the war-time increases in tuberculosis, the Tuberculosis Committee of the New York State Charities Aid Association is pushing a campaign to establish more dispensaries. An effort will be made to open dispensaries in 33 cities of the state which are not thus equipped. To assist in this work two physicians with wide experience in tuberculosis work have joined the staff of the Committee, Dr. C. S. Prest of Waterford, N. Y. and Dr. Elliott Washburn, formerly medical superintendent of the state sanatorium at Rutland, Mass. Dr. Stanley L. Wang has been engaged to visit all local tuberculosis hospitals in the state with a view to helping the medical superintendents to establish increasingly effective methods of administration. New Hampshire The increased sale of Red Cross Seals in New Hampshire has enabled the state association to employ a state tuberculosis field nurse. When dealing with Advertisers please mention JOURNAL OF THE OUTDOOR LIFE Complete with Magazine Rack 50 $215 Reading Rack $5.50 extra Easy to slip it into the window on a cool, rainy night when open windows or doors are out of the question. Let down the Outside Awning and you are free from annoyance by rain, storm or glare of early morning light. But you breathe the pure, invigorating air of an outdoor tent. Price of Walsh No. 1, pictured above, $14.00. Other models at a corresponding reduction in price. Specify whether flannel or lightweight muslin bottom is desired. For further information ask for our booklet, "Sleeping Outdoors in Your Own Room." The "SANITARY" Back Rest Opens Up a New World to the Bed Patient Price $2.50 |