Massachusetts, Department of Public Health
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G£ MR 61U43 S79r , 1969-70 > /£&• c.2 . : ww ' i •-.*. A I* \- ^ x \ : I n%. CHANGE and CHALLENGE In 1869, the General Court of The Department has been 2. To assure that each individual Massachusetts passed an enabling intensively reexamining its role in receives appropriate preven- act to establish the Massachusetts the changing scene of health needs, tive, therapeutic and rehabili- State Board of Health. The law read services and distribution throughout tative services of high quality. in part: the Commonwealth. Eradication of 3. To achieve and maintain an "The board shall take cognizance infectious diseases, the introduction environment that is optimal of the interests of health and life of simple sanitation, these are no for health and well-being. among the citizens of the Common- longer the main preoccupation of 4. To instill and to reinforce the wealth. They shall make sanitary the Department. How to provide a responsibility of the individual investigations and inquiries in more equitable distribution of med- in the preservation of his own respect to the people, the causes of ical care, how to combat the increas- health and well-being and that disease, and especially of epidemics, ing pollution of the environment, of his fellows. and the sources of mortality and the how to increase research in chronic 5. To assure the continuing ex- effects of localities, employments, diseases, how to overcome the pansion of knowledge about conditions and circumstances on the critical shortage of health manpower the factors determining health ." public health . and facilities, how to provide com- and well-being. One hundred years later, this prehensive health care in the com- 6. To foster a healthy society. statement of purpose remains un- munity — these are questions that altered, merely updated and more grow more persistent and call for As a major step in the implemen- succinctly expressed as the basic solutions as the Department enters tation of these goals, the Department goal of the Department of Public its second century. undertook a complete reorganization Health: To achieve its objective and to of its structure, which was approved "To maintain, protect and im- become more responsive to the by the Public Health Council on prove the health and well-being of present and future needs and de- April 8, 1969. Although a new the people." mands of the people in the Common- structure per se does not guarantee Public health, however, cannot wealth, the Department established effective programs, it does lay the remain static. The advances in six specific goals foundation for the development and knowledge and technology are carrying out of such measures. accelerating at an unprecedented 1 . To protect the public from This 56th Annual Report is a brief pace, matched by increased demands infectious agents, injurious accounting of the activities of the for health care by a population more substances and practices likely Department of Public Health for the sophisticated and better informed to have a damaging effect on first full year undsr the new plan than were their forebears. health. of opeiat : on. P- /97/ :&^ 1 1969 -1970 A YEAR OF CHANGE HIGHLIGHTS CENTENNIAL CELEBRATION WORLD HEALTH ASSEMBLY June 1969 marked the 100th The Centennial Celebration was anniversary of the Massachusetts honored by the meeting of the 22nd Department of Public Health, the World Health Assembly, July 8-25, first modern state health agency in in Boston, when the Department the nation. One of the high points played host to delegates from 1 3 of this significant event was the member nations of the World Health Commemorative Session, July 11, Organization, the health branch of 1969, when Centennial Awards tht United Nations. The international were presented to outstanding gathering had been invited to leaders in health and medicine who Massachusetts by the United States have made an important contribu- Government. tion to world health. STATE (Mi m SEP 02 1971 :-Ji4 MASS OFFtLlAL* REORGANIZATION NEW BUILDINGS NEW FACILITIES OF THE DEPARTMENT Pondville Hospital, the first state- The Division of Food and Drugs Cognizant of the need to prepare operated cancer hospital in the held open house in their $250,000 itself to meet the challenges of the country, will have a new hospital new laboratory on the seventh floor second century, the Department ready for occupancy in the latter of the Washington Street building reorganized its structure into seven part of 1 97 1 . Ground breaking cere- in June. Two new pieces of sophis- divisions, will a change that make monies for the $8 million facility, ticated equipment were on view: the work of the Department less which will provide 140 patient beds, an infra-red spectrophotometer and cumbersome and more efficient. took place on October 22, 1969. an atomic absorption spectro- Although the Department began Governor Francis W. Sargent was photometer. operating under the new plan on the guest speaker at ground breaking The Virus Laboratory, an im- April 8, 1969, its budget is still ceremonies for the new State Public portant section of the State determined under the old form of Health Laboratory building in Laboratory Institute, is also housed organization. Forest Hills on December 17, 1969. on the seventh floor, having moved CHANGE OF ADDRESS The $15 million Diagnostic Lab- into more spacious facilities than Having outgrown its crowded oratory, scheduled for completion those it occupied at the Harvard quarters at the State House, the in mid- 1972, will replace a structure Medical School. Department moved down from the that was built in 1867. NEW PROGRAMS Hill to the center of intown Boston Dedication ceremonies for a new At the Lakeville Hospital, a at 600 Washington Street. Many high school building at the Massa- Residential Asthma Program divisions, however, still have their chusetts Hospital School in Canton treats children with intractable offices in buildings scattered were held on May 17, 1970. The asthmatic seizures. Seven children throughout the area. Brayton High School, named in ranging in age from 5 to 16 years honor of Margaret Brayton, Ed.D., were admitted to the program, the Principal, was designed to accommo- only one of its kind sponsored by a date physically handicapped chil- state-operated hospital in the dren, especially those confined to country. wheelchairs or bedcarts. The concept of Lakeville as a Regional Health Service Center Ground breaking ceremonies for devoted especially to comprehensive two 300-bed wings to the Tewksbury rehabilitation was presented and Hospital were held on June 17, 1970. approved at a public meeting on The new main building with 600 January 17, 1970. The hospital is beds was made ready for occupancy functioning as a regional center on October 14, 1969. Completion in the Department's Renal Dialysis of the 1,200 bed facility in the Program. spring of 1973 will make the Massachusetts Hospital School, Tewksbury Hospital one of the a unique residential facility that is largest and most advanced chronic both hospital and school, had its disease hospitals of its type in the Ground bre:iktng ceremonies, highest census in 20 years — 165 new nation. Diagnostic Laboratory. patients. Children In Residential Asthma Program, Lakeville Hospital. Its Orthopedic Residency Pro- gram was approved by the Joint Commission on Accreditation of Hospitals. During the year, 32 practical nursing students from the Chelsea Soldiers Home and Pondville Hospital received their pediatric training in a six-week program at the school. Pondville Hospital established a Speech Clinic for patients who had had their larynx removed because of a malignancy. Since its inception this year, 17 patients have attended the clinic. Pondville has taken the initiative in developing a regional cancer program for southeastern Massachusetts, using the Hospital as the center. Rutland Heights Hospital initiated a Comprehensive Care Clinic for outpatients on April 2, 1970. The number of complete multiphasic examinations given in the initial two-month period totaled 88. Rutland also opened a 40-bed section for the care of alcoholic patients, both men and women, and offers a program of comprehensive care and vocational rehabilitation. Lemuel Shattuck Hospital re- ceived equipment from the Renal Dialysis Program for the processing of washed frozen blood for trans- fusion. The hope is that this process will reduce the problem of hepatitis in dialysis patients. Brayton High School, Massachusetts Hospital School. Tewksbury Hospital, in its school Project Cope (Care of Pregnancy among the six New England States. for the training of practical nurses Early), sponsored by the Pittsfield Through the Center, the states will (60 students), is now offering a 12- Children and Family Services and be able to share knowledge and month curriculum instead of the the Pittsfield Visiting Nurse Asso- information at a lower cost. previous 15-month course of study. ciation, is funded by the Depart- The Office is helping the Depart- The program has been approved by ment. Thirty-two referrals were ment automate its data gathering the Board of Registration in Nursing. made to the project between and use programs. Several programs Western Massachusetts Hospital February 1 and May 1, 1970. Its are in operation for: pesticide con- maintains the only maxillo-facial goal is "developing a case-finding trol, water cross-connections and prosthetic and reconstructive service and follow-up program in the Cen- the evalution of the inpatient load in western Massachusetts. Through tral Berkshire area that does of each Public Health Department its enlarged cancer service, it has identify high-risk maternity patients Hospital. An evaluation of the organized several programs for the early in pregnancy and guides them Massachusetts Hospital School Pro- early detection of cancer of the to existing agencies providing health, gram through a follow-up study of breast and of the cervix. It is pro- education and welfare services." its graduates was begun at the end viding a service for the detection of The Office of Manpower Develop- of the fiscal year, to be completed cervical cancer for all women in- ment and Training was involved in by September 1970.