The Exeter Times-Advocate, 1926-6-10, Page 7$ervic, NV:1101(.;.•...Pro810.(e:',..0y.H.Vtibli(,•..1.1,(0.1011),(partrut(Bt. .11:elated in Detail j)y:::YjinIStcr
Hon, Dr. Forbes Godfrey Explains Facilities Provided by Department to Combat Dis,-ase and Improve Living conditions Among Peopk of Ontario --Avers Wisdom of Expenditures
.for Preventive Measures Such as Free Distribution' of Insulin Stud* of Industrial Poisons Lowers Compensation Costs.
Pubile heeith is not a recent idea, , iarger centine, to go to EI larger centre
• , in the early stages of its inception. and consult SX.,ecialist of dieeatee
It is es �d as civilization, and from, the cliest sufficiently early to obtain
its earliest beginnings, when men first a diagnosis, obtain early treatment,
•began to gee away from barbarism and make a good recovery:
•and ad:opt more eivilizeci methods of With, this in mind, we determined
• stride by stride, with modern pregress. of this Province is gather -to have the
One of the important marks that dis- advantages of a big city in heiath pro-
,
living, publie. health has kept step, Viet a settler in the farthest outpost
tinguish civilization from barbarism thotIon, in so far as it ie possible for
is the censideratien that men show fer the Department a Heath to extend
their ferows, and we have thet dernon- these advantages, and in this travel.-
strated in our cla.y by the development chest clinic we have an outstand-
nospitais, refuges, and hoes for ing specialist on tuberculos.is, who is
the unfortunates who are so situated assisted by a nurse, and equipped with
EIS to be what we call a public charge, portable X -Ray equipment, and with
and further, we have it exemplified in
the great scheme of organized, mod-
ern public health.
this limited equipment we are able to
examine between 500 and 600 patients
per year. We have rec.ently added a
We have Iaegely departed from th,e second chest specialist to the staff, and
• early days, when the procedure was the work will be increased ,accordingier.
that neighbor helned neighbor, if he. Now this may net seem much in
-were so disposed, although the same semparison with the work that is to
• fundamental principle underlies our be done, but we are proceeding 'eau-
• modern procedure, and to -day we have 'tiousiy and will develop our staff and
the community organized as a group, equipment just as raPidly as it is
• whether it be municipal or provin- possibie to do so.
cial; it is organized as a group LABORATORY BRANCH.
• for the health proteetion of the heti-
Vidual, the ciimmunity and the State.
• PUBLIC INTEREST SOUGHT.
In daye gone by, public health Was
inore or less a police function assizrn-
ed under Government auspices to pre-
vent the spread of communicable dis-
ease. Unfortunates, whose homes were
visited by some communicable disease,
were quarantined and frequently se-
• -vere and unnecessary h,ardship was
imposed, with the idea of pretecting
the public.
While we have not entireiy given
-up the poi.ice idea, we resort to it in
the minimum, and wherever it is pos-
sible to minimize the restrietioes nec-
essarily imposed on a family, without
endangerng the public safety by so
doing, we adopt that procedure. At
the sae time we are carrying on a sys-
tem of public education, looking to
public interest to afford the neighbor
•in whose home communioable disease
does net exist the same protection that
we expect him to entend to the other
members of the community when
communicable disease unfortunately
visits his home We are oin even
A very impertant brandh of the
Dept. of Health is the Laboratory
Branch. We have in Ontario, operat-
ed, by my department, one central
laboratory in Toronto and eight
branch laboratories at different peints
in the Province, and to give you an
idea cif the amount of work being done
in these taberatories, the. central la-
boratory here in Toronto examined.
_and reported on 51,000 -odd specimensl
last year. These corisisted of the ex-
amination of blood for various dis-
eases, such as swabs for diphtheria,'
the Widal rea.otion foe typhoid, speci-
mens in connection with venereal dis- I
ease; doge heads for rabies, and,
many .others. The laboratories are
fuliqy equipped to do all kinds of bac-
terioiogical, • s.enelogicai and. path-
ological examinabions, and all- the
work done is done at the expense of
the Province. Were this work done
as individual examinations, charee-
able to the individual, the ccret would
be enormous. Operatieg as we do with
a fan -time staff, under competent
director, the cost per examination is
comparatively very, very low, and the
the saving to the Province as a whole
through saving the money of the indi-
the, proud boast, and makes it with
every eepport, that •Toronto has no
typheid, and it is absolutely true that
the only typhoid that has enisted
Toronto in recent years hae been
, brought in from the outside:. What
( Teronto can doi other places can also,
' Toronto finds that it pays. Other
places would find the same.
INDUSTRIAL HYGIENE BRANCH.
I A branch of the department that
t has made wonderful progress recentiy
Iis the Industrial Hygiene Branch, and
in this branch the Department of
Health touches labor very ciosely.
I Production in a plant is in direct
proportion to the efficiency of the
staff. .
I A man in poor health or working
under peer conditions. cannot possibly
I turn in a good day's work. _
This branch gives, the whole atten-
tion of its personnel to the, investiga-
Ition of health and disease as related
to the industry. They investigate cen-
Iditions of ill, health, speaially fennel
in eartain occupations, and determine
.the feature or factor in the occupa-
tion that contributes to the condition
of ill imath, e.g., "Nickell Rash," a
skin disease which was very prevalent
• among workers in nickel refineries or
in nickel -plating industry. This was
studied during the years 1928-24-26.
In4923 47 eases occurred in one plant,
of which 18 were sufficiently severe
to oall for comparatively heavy -com-
pensation-. In 192417 eases occurred,
of which 7 were compensated. In 1925
only 5 eases occurred and not any
were severe enough to call for com-
pensation. This reduction was entire-
ly accounted for by the intensive
etudy made by the clinical staff of the
Dept. of Industrial Hygiene, and the
development by •them of a plan by
which the worker vrould protect him-
self and thus keep, clear of skin infec-
tion. The result is that a consider-
able group of men, instead of having
broken, part-time wages in the nickel
refinin,g industry or in nickeleplating,
or having to change to some other oc-
cupation, •are able to.carry en at their
own trade, earn good money and sup-
port their families.
INDUSTRIAL POISONS. •I
f rth • thanthat d •d t
ing modern., seientific methods to miti-
viduais concerned, is very consider -
gate the etwerity of, dessase, and to
The branch has eleo done some very
extensive work on the industrial Nis, -
ons, such asdead, arsenic, mercury and
g ' n ere one case
reduce the u•ene of disease when • - •
Y . even in our own. Pro -I Refer again to tuberculosis. A
indivd 1 bef t h
ua ore exposure o t e in-
. tions that are earn on in this This was a case of- chr i i
on c arsen , time and. no compensation. The same i " 1
•eq
Hon. Dr. Forbes Godfrey
in recent years ben appreciated by
, the medical profession and by the pub-
ic, and not a few of the lionorabie
I members of this House have hact rea-
son to know what an unheaithy condi-
tin in the mouth, cart accomplish in
the way of producing bad health. It gaged in a demonsteation service In 1S one of the masterpieces of Biblical
literature. It is tied with drematie
is now generally eccepted that a vsliieli they visit a community at the
1
healthy mouth is one a the absolutely request of the 'bee' heath authorities skill and' fidelltY and ""ivith a tiiliching
• •
Approximate number of men em-
ployed • • • • 51,000
Physicians under contract 86
Amount paid physicians for san-
itary inspection (by the compan-
ies) . $50,000
Amount paid physicians -as medi-
cal fees, deducted from employees'
wages, over
Total capitalization of the in-
dustries affected, exclusive of
railways .. .$102,000,000
Cost of•Government supervision
per year $15,000
ifFIRST AID" ADVOCATED.
A further important piece a work
undertaken in the unorganized terri-
tory is the mitigation of accident se-
verity. Compensation cases, especial-
ly in pup and paper andelumbering,
run all the wity from $1.85 to over $5
per $100 on the payroll. A tremen-
dous amount on this money is paid out
as the result of infection, which is
, •
preven .e teptopei " Aid»
measures are inStituted, e.g, a small:
cut properly treated when it occurs
Ilene 13. Joseph's Fidelity, Gen. 39;
i1-33. Golden Text---Seest thou
synhaan11, ingde nbtetionrohk114147..-817rsOls);4 •21126:
29, •
practical syetere heenn. eaecation I. nosed's-en FRAOKSItI4RTYTY,ISvs' .
carried in to the individual home and 'nevem AND FALSELY ACCESEE,
the individual family.
the maternal state,. it is, in face, a
The 20 n:urses employed by the Dept. PRISON, V. 1923.
of Health are, for the most part, en- Inenonuarion—The story of Xeseph
,
indisreneeble necessities in, general and by their work s w 't e c -
good heti; that protection of the ity what a public he,alth nurse era- the whole forms e, vivid portraiture of
tive is in accordance with nature; and
health of the mouth is a fundamental ployed full time by the nomrnunitY the true development of human char -
in the proteetion of the general health could accomplish, so that the coin- acter. The young boy dreams his
of the individual, ' menity inay be led to establish a sim- dreams of future greatness.; Almost ipa-
.
ho h °lumen charm." "Every trait lei the llama -
For this reason, the Dept. of Health,
has established a Branch of Dental
Services for the purpose of giving in-
fermation to the public relative to
oral hygleese
We are all faminar with the terms
arterioscierosis, rheumatism and heart
disease, and it is now well known to
the medical profession that these are
clue to focal infection; that is, an area
of infection or poisoning by rnieree
organisms, which distribute poison by
means of the circulatory system to the
vrhole of the body, and set up the dis-
eases I have mentioned above, and
there associate symptoms of ill health.
GOOD TEETH AND SANITY.
It has recently been brought to my
attention that patients in the Provin-
dal hospitals have been very material-
ly improved by attention given to
their teeth. When one- realizes that
sanity, as it is -ordinarily appreciated-,
is simply a condition • in which the
individual has sufficient control over
his emotions to maintain a normal
belance end that that control yaries tions in the ease may be, and yet a
nurse is very important in the recov-
with varying individuals, it can read- •
ery of the patient. One of the public
Ey be seen that a sufficient amount of
heath nurses can go into the home
control to carry on satisfactorily
under ordinary conditions may find, and teach a 16 -year-old girl, if neces-
SEITy, how to make a bed, how to give
that control insufficient to deal with I
the bedfast patient a bath, low to
emergencies and under strain it filayj'
give way, the condition resulting be- prepare the nourishment ordered, how
give prescribed medicines, how to
ing recognized as one of the varyieg • to
types of insanity. i take care of soiled ainen and how to
dispose of excreta. In other words,
Just think for a moment of what I
could happen to an individual with I in the course of a week, with occa-
sion -a/ visits from the public imaith
this diminished control, constantly . nurse for demonstrating and teaching,
harrassed by the irritation of, say, an'
's ger an made quite as e eetive
1 impacted; molar tooth—that irritation this in a routine case of illness as a welln
keepingu f 24 h •
I . . . _ 'I' ' • t ed
great contribution to industry and to
liar service on theueown eccount.
POORER CITIZENS HELPED.
Eight of these nurses are doing
special weak in cozninunities through
Central Ontario and in New Ontario
where there is no hope of establishing
such a service at the expense of the ins/min:we dignity in Egypte prey_
mediate:7 has hopes are, to all appear- ,
mice., shattered; he is sold away from
his father and bretluen into. foreign
slavery; there, however, his integrity
and loyalty save him; iafter many
trials end disappointreepts he is at
length, by a surprising' sequence ,of
circumstances, elevated to a high and
local community, but with. the idea of
centributing service to therm of dis-
tinct economic advantage to the eit-
zens.
• Let me illustrate by reference to a
hypothetical. ease.
"A doctor calls at a borne and dieg-
,er). There lie was able to render a
very great service, to his aged father,
who had long mournea him as dead,
and to his brothers, who out of jean-
ousy had treated him•so crueny. -
In a sermon published in the "Ex-
pository Times" of June, 19031 the
character of Joseph is eompared in an
noses a person there ill—typhoid interesting way with that of the Greek
fever. The home is a workingman's hero, Ulysses. "Each' is kept true by
home. Now tine can readily realize the tender memories of home love.
each is Godfearing; each is shrewd',
that in these days, with the high cost
of living, waves not too high in- D resourceful, courageous, growing with
ire- the experience of life; bet with
portion, and other economic conditicens Ulysses the shrewdness just passes
as they are, the demands made on a the line, and can Scarcely be distill -
workingman do not give him much guished from guile and Cunning, from
leeivey with a moderate salary. It is which Joseph is quite free."
ftnancially out a the question, nG mat.. An Egyptian story, "The Tale o.f
ter what the sentimental considera- the Two Brothers," has come down to
us from the age of Moses, whioh is
very much like the story of OUT lesson.
It is thus siunmarized by Ryle in his
"Commentary on Genesis":
There were two brothers, Anpu and
Bata, living together in one house.
The elder one, Anpu, one day sends
Baba back from the field in which they
are working to fetch. some seed from.
the house. In the house, Anpu's wife
makes an Immoral proposal to Bata,
which Bata rejects. In the evening,
on Anpu's return to the house, his
wife accuses Bata on the false charge
of wrongful advances. Anpu in rage
seeks out his brother to slaY him. Batu
escapes, suffers much, but on after-
ward his innocence is established and
he is reconciled to his brother.
I. JOSEPH'S PROSPERITY, vs. 1-6.
rain nurse. Is this not -a very
worrying a person while he is awake
• and disturbing his seep—may very the worker, and is it not of economic
. importance to the Province a,s a -rholei
disturbsoon h
of sueh a person to the extent of pro-
d in insanit d th ti NTJRSES FIGHT TUBERCULOSIS
y an au n c cases •
1 ' 1 , •
heals up with comparativeiy htte .ost
are on record
esides the laborator investiga- to indicate the efficienc of the staff 1
it occurs, by measures appieed to the B
Pa-
vmcia hospitals where an individual •
Meet, an active case of tuberculosis
have a distribution of pcne.oning who. had been referred from °tit 11°t properly treated be.comes. in- • . .
goes o a sane num and whet dees
. • • inearceraten aor insanity has been re- , t .•
fection. For•exarriple, we now make a branoh, we a.."so
free biological products, and our an- Phns
ieian to physician and from hos- fectod, and no n,e f retell he
cl t 1 b • '
very wide nee of the Schick test. a
V. 1. Potiphar, the captain of the
guard, was, literally, captain., or ehief,
of the royal butchers, who may have
formed the king's bodyguard (see 37:
36). •
V. 2. The Lord was with Joseph.
th that .urv !tore o norma y nothing more than -
he get there? Simpl an, education Compare v. 21. 'This was the ret
a his success. He behaved wen, e
the ost in dorinection '
t 1 b 1
a &mail amount a den,tal treatment. Not one thing does he get there that I lived honora.bly, lie kept a good con-
simpte procedure, which indicates by ri. uall appropriation un.der this heading Pi a _ospita , in addition to being
may finish. It 'may result in loss of ,
ite aetion witethee e„, died iiieeep_ is $102,000—a greater ProPortion of refused aseietance whee he made a , !Pyorrhoea, one of the common causes science"- and had the assuranoe that
15 which is .irrib or- less iof life' in which case he con not eet at home. He is i - '
bible th diphtheria. If we find a•posi-, c. in for compensation. Eighteen ' • " • ' ! of the loss of the teeth, can - 11 God was with him. Compare the prom-
. pre eensation is sacicred with one n 11°Ny., structed ill the value of fresh air, isee made to Mes, to Joshua. to
insunn. months after his lest expo to °°•In
• tire reaction, we then administer two I -• • more heavy permanent charge.
for diphtheriaanti-toxinand
• g e inves iba ions o r. Har- sunshine, food and rest and bow to Gideon, and others called to hard, ex -
arsenic he fell into the hands of our old Box, be detected at a very early apply these to' his own ease to pro- perienees and difficult tasks in &cod.
i ineculetions of a preparation called FREE INSULIN AND ANTI -TOXIN, Industrial Hygiene. Division, and the Ow group of sanitary inspectors is, incipient' stage; and be correeted, and
"Toxeid," which is 'absolutely painless As a physician, I very well reinem- invesigators there were able to shpw, this year, starting in the pulp and I am truiy of the -opinion that the mote his recovery. Then at the end 3:12, Josh. 1:6, Judges 6:12, Jen 1:8,
of his period of education, from three etc. i
and harmiess and which will confer leer the time wben the &odor had to'
iinmunity from diphtheria, on that - conclusively, the presenee of ,aaisenic, paper industry, a system for the in- dental profession has a very major to six months as the case may be, 4. He made hum. overseer. Find-
cl into h k t • ith
cheld for a period of at least seven
- Yews.
PUBLIC HEALTH WORK PAYS.
f f
go own is own .Poc e e by examination of the heir, the e,aes speetion o camp oremen, camp clerks, contribution to make to the field of i d t rth hi
case of a poor patient, and pay $7 or ' and the skin etc., in the proper methods 'and the preventive medicine.
ng Capable an ru iwo y, s
returns to his own home, th the en-
. master made him first his 'own per-
' vironment of his own domestic circle, sonal.attendant and then superinteild-
$8 for s dose a anti -toxin; often; too,! We are endeavoring to extend serv- "First Aid" treatment of injury and
DEPARTMENTAL ORGANIZA- and he finds that the sanatorium rou- mit of his household, his major dom.°.
this was delayed, the "delay costing--- .of this t—
ype and make the branch ive will be extremely disappohited if
•
highly appreciated, as the vit.:liable 'aid TION. itine and the domestie routine are not Upon a household, thus managed. the
adapted one to the other. He blessing of the Lord rested.
full scourge. Diphtheria now, with the amount of anti -toxin costs the Pro -
Diphtheria in the past was a dread- thenife •of the patient; now the same
• to industry in the detection and cor- eve do not ultimately reduce compensa-
ee estarsoiligyg.,aocsiaforda
me to keep up the IL TE1VIPTED AND FALSELY ACCUSED, vs.
early a.dminietration of entiboxin, is viece of !Ontario about $1. It costs ' reetion of conditions that lead. to lost tion, cost to this. industry by 40 per We have eight District Officers
Our additional expenee in eon- Health, each assigned to one of the
.
• 7-18.
routine established in the sanatorium
require no more personnel and we axe1 nection with this work is nil. We health districts of the Province whose
duty
ythit eifsficteoescoannsudlttowitahdritsh:e lloorall,
',that the whine thing is too much
and, filially, in many instances, finds
extending this service to the industry
gratis, believing that every service we ' authoritie.s in public health ad -minis -6
I trouble and he lapses, with the result
can render industry in the Province of tration, and in matters of sanitation, I that he is soon again an active case
Ontario is justified by the economic for the heti) of the local community. of tuberculosis, with ail its attendant
results obtained. The local health officer is the most im- . dangers to himself and to those about
One point which shouid not be pass- 1 Portant mueicipal official in a muni- • him, and the work of the sanatorium
ed .at this stage is the important in- eipality. Through his efforts the people .in his ease has been in vain.
vestigation we have been making into of the community are guided and in I Were a public health nurse station -
a eonclition known as "silicosis," strueted and assisted_ in methods of , ed in that community.it would be her
which -affects the mining industry of health protection and disease preveri- ' duty, immediately on the return of
Ontario. It is a condition Produced tion to the end that the community is 1 that patient from the sanatorium, to
dropped over 40 per ent. And why? , cost of insulin hes been reduced to the , the best working conditions for the by a certain type of quartz dust enter_ better able to enjoy the conditions I go to the home and assist an adapting
S•anaterium treetment, which is simp- : department to 45 cents per le0 unitaimen einployed, and' I have been cid- ing the lungs of the miners and which, I under which they live than they could , domestic conditions to the necessary
ly education in health habits and in, The present average annual cost Per , vised by the management that this if allowed to progress, results in per -1 otherwise possibly do, and it is my , routine for the patient's continued re-
use of the four cardinal health patient is in the neighborhood of $40.1 conditioning of the air in the plant' imanent disability and death, and each' pleasure to point as an example of an covery and to encourage the patient
access'ories—frath air, eurishine, food , It is worth. every cent. ofethis, multi-'
, while it has had •a good effect fromside adds one more burden -to the com- efficient health officer to men -like Dr. , to maintain that routine despite all
and rest. Education of the patient in . plied inany times, to xeaintain this ethe workers' standpoint, has ai,so in- pensation charges of the industry Hastings of Toronto, Dr. Adams of , obstacles and difficulties. Furbher, it
how to protect others in his neighbor- , group, many of whom are bread- treduced a condition under vshich the involved.
not a dangerous disease, but, best of the physician and the patient, persone, thee and compepsation. '
all, children, properly protected with elle, nothing. It is administered! A further important piece of, work
toxoid, never need to have diphtheria early, and the saving of life is enor- : this branch has done •-is in investiga-
•die- tions in connection with ventilation.
afr all. 's- mous, In the same way the free
, ' • has more than I •
• When one cen•siders the economic trileutien„ of Anemia ; This has been Largely done at the
importance of this piece ee health inntified Itself. We are sPend'ing aP- plant of the Abitibi Power and Paper
work, one wil not ask the question: proxiniethle $35,000 •a year on ineulin,, en'eat Iroquois Falls, where the wide -
Does public health pay? As a con_ tend we are renintaining alive and well,' awake management has been extreme-
erete ht.stanee of the financial returns 'between •800 and 900 good. citizens of 1 ie, anxious toiaVail itself of the serv-
from the public health work of this this Province, the great inajority of 1 ices of our men and where we have
Province consider'tuberculttis. 1 whoin wou-kl be utterly unable to pro- found meet weiliabie co-operation The
In the past lifte,en years the death vide insulin for theraset:ves and would work there has been on the condition -
rate from tubercuioeis in Ontario has go down as kl result of diabetes The ing of the air in the plant to produce
coat of drying their paper has been Windsor, Dr. Lerner. of Ottawa, and would be her duty to instruct the tub -
hood and so to keep down the-namber winners, so that they may keep in good : The notning industry in - South inany others who might be mentioned ,ereulous patient how to proteet people
of infected contacts, and third, eduoa- heetth, support themselves and their Iconsiderably reduced. In this Africa is carrying a very heavy load in. this same class. These men are corning in contact with him, and fur-
verii
tion of these exposed to, OT in contact families, .aind prevent theinsei.ves and from Ws. source, and we are endeav- 'truly an important arm of the public , ther to instruct those who had to
, way the ventilation investigation has ,
with, a patient, teaching thein how to their famines from becoming a pule' achieved a, two -fold purpose and has
. oring to introduce a sYstem of exam- health service, co-operating with My : come in contact with a tuberculous
protect themselves, (Earl'y detection • lir charge. .,th the illation before employment, and per- depertment m
and making effective the , patient how to protect themselves.
made a double contribution in- .
HEALTH IN SCHOOLS.
'early treatment.) .
•A.,
le f th financial side. At the the l• b t ' th ' • ' tee • • . • . .
d h has indicated. that the disease, from
of the disease; eariy diagnosis and -VIRULENCE TESTS. dustry concerned. - iodic physical examination d'uring ern- health eciecation and sanitary legisla-
A vete interesting piece of work', LEGISLATION AVOIDED. ployment, to first pielc o.ut those tion emanating from this central
Our experience with tuberculosis
• • e tillnenta e services of this division are found to be susceptib'e to the dis- authority. ,
ow or e. done by i -a ora ory is are ease, and second, those who have con- A division of my epartment t at tient and, trustworthy as in prosperity.
and a half minion doliars &teeny who have diphtheria do not &eel. up ra,ete the iseaee in an, early age,
•••• 1 • I
9 as to turn the first group into em- in res , especiai y in rural n ano, expensive. By the expenditure of
. or to anger and desire for revenge, he
ployer, and with the good -will and ap- • ' th t • TI ' • 1 0 t '
chargeable to tubercu:osis and made , readily otter the disease subsides, and '
provai of the emit -eyes, No coercion s e n d ' th D• -' 'o of Child Hy •
ployment which en i not e angerous i.s e leis' n giene. I
. money of pubhc health nurses we can interests himself in those about him,
V. 9. This great wickedness. The
high sense of honor and moral integ-
rity which Joseph manifests is in
striking contrast to the loose morality
of much of our modern:literature, in
which the most sacred ties of our dom-
estic and social life are lightly re-
garded, and passion is made to reign
suprreme. To Joseph the sin against
the master who trusted. hirn and the
household over which he rules is a sin
against God.
III. IN PRISON, vs. 19-23.
V. 20. The prison. The Hebrew
words mean "the Round House." What
sort of place it was, whether a circular
tower or dungeon, or wnether this is
the name of an Egyptian castle, we
do not know. Here also (v. 21), the
Lord was with Joseph. We are re-
minded again of the fact that,
Stone walln do net a prison make,
Nor iron bars a cage.
Joseph in prison had, in his purity,
loyalty, and courageous resolve to
make the best of the circumstances,
the elements of true greatness:
V. 23. Looked not to wykithatig that
was under lies hand. This is very hieh
praise. Joseph in -adversity is as dill -
present tim.e Ontario it paying one test for diphtheria. Many persons ' tend oint only,
reridered at the request of the em- t d d• ' st has attracted a great deal of public an economm s p is veil' Instead of giving way to despondency,
up of grants to sanatoria; payment they still carry 'organisms in their app,,ears anywhere on the program.'assist in rninninzing a number of core an see s o
foe p.atients in sanateria. and mothere- throat, which to all eppearances, I Attention is drawn to any defect de- ' .
te, them and to rehabilitate the second In this division we have employed e p li in eii-
cts •who, through ignorance and exe gently useful to them. And that which.
he did the Lord made it to prosper.
. , , . . , , ..).. e , an lecommee ations are made
test d d • d • , group in other types of deployment' t the P Ysiciansi esi es e irector tla
osure, become victims d the disease. ,
h • h • ' ' b 'cl th d'
ellowar-oes in cases of husbands In- : miner the thicroscope
capacitated or deceased from tub e- are • genuine
- ip eam.
d' hth .* Ily in:nu...anon f •
o guinea with respect to correction we itre before permanent disability may have and twenty public health nurses. P
dit - ' .t v hother the Ma- • • : ' , had an opportunity to supervene. CHILD MORTALITY REDUCED. •A' further point in connection with
culosie. Were OUT StatU'S with respect •
to t . . pegs we e eqrilllt. 7 ... keeping away from legislation. I
tuberculosis the same now as it wee thing. in these throats is virulent or , The division has dm . The indlustry is very sympathetie On occasions one has heard .these the work of public health nurses, as
le Sell/9 very hwhich has bean made in •
to t e effort w b questions: associated with the Child Hygiene Di -
fifteen years ago, we would be paying not. In other words, ivhether it is im eetent werl i the •
e, . i n e unorganized this reepect, and the mines of the What is their business? vision, is school health supervision.
. at the very least 40 per cent, more • 1, f ' th e ifi
capabee of 'rang e,rring e seat c territory where we have now succeed- • ' ' •
` mese o . in I, ,eria o another.; , '. . Pere-11mile group, desiring to further
, ed an having established: Who is paying them? Education is the most expensive single School health supervision by public
than e million and a ha:f dears— d* f d• hill ' tIf •
riarneiy, $600,000. The total annual! we find that the reaction inclicates 1 ii . our efforts in
' this resp ,
etit have en- •
What right h they activity sProvince.Under our health nurses and public health physi-
ght ave ey to come into in thi
• •
appropriation of the athaith pepart- that this condition is not virulent he;iii i •
Standardized s nitary cam rag s ecial nian to work with ' • • 1 ein f ' • , '
P i, ed a p my home, inteefere Wit I n'17 Chl TOD SYStSDI . o educaiaoli, children are mans promotes the detection of this
family can be reneased, the qua.rantine '''' iiin ' our Divigion of Industrial Hygiene. and disturb the domestic routine of my brought forward as a group and not clisabillity and retarding defects and
nient is $672,000. Does public health '
PaY• • • - , can e ram- an r n ... - - , . .
2, etandardized ' inepeiction service Realizing the type of in i iv
ei we were household? 1 as individuals, but it is only as the assists in having the same cleared up,
! . . .
9 And is the Department of Ithalth•I la ' ed d u i eieseary hard
paying, a substantial dnvidend on the or each camp -' • employing in this inveseigation, they •
ship can be epared. Further investi- 1 • , . , Let rim say here, they have no right ' individuals progress that the group to the eery dee•ided advantage of the
' d ted b the laberetor I 3. A standardized medieal service came to us and asked for one of *tie t� do any of these things. Whatever can progress. If in a class we have pupil hittmeif and to the school group
. /nn, While we were not anxious to is dote is done as a matter of court- one backward pupil, the whole class with whom he is associated,
release one of our. **Med men, we eeie They go to the home to offer is retarded eduCationaliy, jest irt pro- The Department of Health is try -
were anxious to co-operate with the something on behalf of the Dept. d portion to the delay occasioned, by the ing to do its Work by educatiOn, not
• industry, arid accordingly we released! Health. If the head of the house,
the man they requested. I mention father tie mother, does not wieh to re -
this merely to indicath that in the oeive the nurse; there is ne obligation
Dept. of Health ive are employing a ontiis or her pare to do eo.
high type of persolmel. •• A type that It has been found, that through the
assistance these nurses ha.vo been able
to bring to the home that conditions of
maternity, infancy and childhood have
been very materialLy improved. The
infant death rate has been reduced,
and there has been a very material
mitigation of 111 health assecietecl with
d k t and-behlfl•t"1"
BENEFITS EVERY ONE.
Neatly every school: in this Pro-
vince has examples of euch eases,
investment the nroviriee is making in
connec,Lion therevrith?
TRAVELLING CHEST CLINICS.
All impeetaen point in connection
ate those into milk and water, I for each camp.
It is not netessery here to. detail , The industries involved are:
the importance of the eupervision of Lumbering.
with tubercullosis, nrhich I should note Fee& -nate', suppees. Its importance!, Mining.
in passing, is the estahashinent of a and the disastrous results of lack of , Pule) and paper.
travelling chest clinic, which goes to supervision. have in the past been Road eoristructiou
various parts of the Province ,at the arripier deinonsizated, but the demon- Itailvv.ay construction.
request of a local niunicip.aiity for stration ineens in every instance ices' The number of camps:
ifoonsultation in connection with pule a life Axel uoneoesearily heavy ex- Lumberieg camps ........ • 8e0 •
inenary tuberculosis, or other diseases Saw miins 68
of the chest. This Government has
itealized that it is ifriancially
ilnpos-
sibbe for many people in the viral eec- Mining camps • , . , „ 68
'teens of the Province, particularly in Dr, Hastings, Medical Officer ef (At present undergoing increase.)
those eeetione far reetoved from the! lIettith of the City ef Termite, Makes Fishing otatiorie • .
pease. Close sepervision spares all
o this; and is cheap in comparison.
The eame will apply equaily forcible
to superrienie of the sappy.
Paper milts .. . ... . 4
Road camps •• 37
•
can go into the industrial or Scientific
world and hem their own to thei-r own
oredit .arid to the mainteriance of the,
dignity and standing of theiDept. of
Health of Ontario,
ORAL HYGIENE IMPORTANT.
The importance on oral hygiene has
one backward pupil, consequently one
backWard pupil can cost a school
board a good deal, of money, or, in
other words, tan be an important fac-
tor in wasting the money of a school
Frequently retardation in the
mental progress of the ehild is the re-
sult of physical defect, and the correc-
tion of the physical defect very fre-
quently resnkts in increased alertness
by regulatme or legislation) and is
paying big dividends on the iniresti
reent.
Avatiee.
As the pertrldge eitteth en eggs and
hatcheth them not,' to he that geiteth
riche% and net be right, ieave
them itt the midst of his dayi, and at
itt the pupil:: he responds promptly to his end 0101 be a toolenTermaleli 17:
the instruction given by the ,thaeher. 11.