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1-.957 MASSACHUSETT~ ~ DEPARTMENT ·OF PUBLIC HEALTH ~ -- --- 1- J e (0, 1957 Commissioner of Public Health, Samuel B. Kirkwood, M.D. PUBLIC HEALTH COUNCIL Samuel B. Kirkwood, M.D.,.... Chairman Gordon M. Fair, B.So,Dr.Ing., 1956-62 Raymond L. Mutter, 1947-59 William H. Griffin, D.M.D., 1945-57 Conrad Wesselhoeft, M.D., 1953-60 Paul J. Jakmauh, MoD., 1949-61 Charles F. Wilinsky, M.D., 1946-58 Florence L. Wall, Secretary BUREAU OF ADMINISTRATION Division of Administration Worthen H. Taylor, B.S., Director Division of Health Information Anthony V. Caramello, M.P.H., Director BUREAU OF HEALTH SERVICES Robert E. Archibald, MoD., M.PoH., Bureau Chief Division of Local Health Robert E. Archibald, M.D., M.P.H. Services Director and Deputy Commissioner Division of Maternal and Child Sallie Saunders, M.D o , Director Health Services BUREAU OF HOSPITAL FACILITIES A. Daniel Rubenstein, M.D~, M.P.H., Bureau Chief Division of Hospital Facili ties ·:A .. .Daniel Rub'enflt.ein, M.D., M. P.H • . Director ' . " BUREAU OF PREVEN'rIVEDISEkSE CONTROL Herbert L. Lombard, :-M.B; s ' M' P':H :; BtlreaLi 'Chief ... :. ... ... ..... .. .. : . Division of Cancer and Chronic Herbert L. Lombard, M.D., M.P.H. Diseases Director Division of Communicable Roy F. Feemster,_ M.Do, Dr.P.H. Diseases Director Division of Venereal Diseases Nicholas J. Fiumara, M.D., M.P.H. Director Division of Dental Health William D. Wellock, D.M.D., M.P.H. Director Division of Alcoholism James B. Moloney, M.Do, Director 1-,r "'I~M 3 Srrq.,... ICf5fc-.5'1 BUREAU OF ENVIRONMENTAL SANITATION Clarence I. Sterling, Jr., C.E., Bureau Chie£ Division o£ Sanitary Engineering Clarence I. Sterling, Jr., C.E., Director Division of Food and Drugs George A. Michael, B.S., Director BUREAU OF TUBERCULOSIS CONTROL William H. Weidman, M.D., Bureau Chie£ Division o£ Sanatoria and William H. Weidman, M.D., Director Tuberculosis BUREAU OF INSTITUTE OF LABORATORIES Johannes Ipsen, M.D., M.P.H., Bureau Chie£ Division o£ Biologic Laboratories James A. McComb, D.V.M., Director Division of Diagnostic Robert A. MacCready, M.D., Director Laboratories District Health O£ficers under Division of Local Health Services Southeastern District Grace E. Lutman, M.D. Lakeville State Sanatorium Middleboro Northeastern District Frederick A. Dunham, M.D. North Reading State Sanatorium North Wilmington Central District Arthur E. Burke, M.Do Rutland State Sanatorium Rutland Western District Walter W. Lee, M.D. University of Massachusetts Amherst and 246 North Street, Pittsfield Institutions under Division o£ Sanatoria and Tuberculosis Lakeville State Sanatorium Harry A. Clark, M.D., Superintendent North Reading State Sanatorium Clair W. Twinam, M.D., Superintendent Rutland State Sanatorium Paul Dufault, MoD., Superintendent Westfield State Sanatorium Wilson W. Knowlton, MoD.,M.P.H., Supt. Pondville Hospital George L. Parker, M.D., Superintendent Lemuel Shattuck Hospital William H. H. Turville, M.D., Supt. Massachusetts Hospital School John J. Carroll, M.D., Superintendent ANNUAL REPORT OF PUBLIC HEALTH COUNCIL Samuel B. Kirkwood, M.D., Chairman Herewith is submitted the annual report of the Public Health Council for the fiscal year ending June 30, 1957. Meetings Regular monthly meetings were held in accordance with General Laws, Chapter 17, Section 3. In addition, because of the great number of matters for consideration, some of which required lengthy deliberation, it was found necessary to hold two meetings in April, 1957. The regular July, 1956, meeting was held at Lakeville State Sanatorium where the Council was conducted on a tour of the various activities carried on, including the patients' quarters, the surgical and x-ray departments, the physical therapy and occupational therapy departments, and the facilities for evacuation of patients in case of emergency_ The Council then visited the Southeastern District Health Office, located in a separate building on the Sanatorium grounds, and viewed the facilities available for the functioning of this office. Four special meetings were held during the year, as follows: In July, 1956, to meet with the Barnstable County Health Officer at his office in Barnstable to discuss various programs and problems in his area; on October 30, 1956, to consider applications for assistance under the Hospital and Medical Facilities Survey and Construction Act of the Federal Government; on March 19, 1957, to hold a public hearing on the appeal of a boarding home from the Department's refusal to issue a renewal license; and on June 14, 1957, to follow the annual custom of meeting at Amherst with representatives of local boards of health to familiarize them with various programs of the Department. The Committee on Environmental Sanitation, composed of Dr. Jakmauh, Chairman, Mr. Mutter and the Commissioner, has met regularly during the year prior to the regular Council meetings to study matters of sanitary significance and prepare recommendations on them for presentation to the full meeting of the Council. General Duties The regular duties imposed upon the Council by General Laws, Chapter 111, Section 3, and other statutes have been carried out. These include the approval and licensing of hospitals, hospital blood banks, convalescent and nursing homes, boarding homes for the aged, public medical institutions, city and town infirmaries, dispensaries, and dental clinics which have been found upon inspec tion by Department representatives to comply with the Department's minimum standards for licensure of each class of facility; the • certi£ication o£ laboratories which have taken part in the annual evaluations carried on by the Institute of Laboratories and have demonstrated their ability to perform satis£actorily certain tests; approval of professional personnel in the Department and at state and county sanatoria; approval of professional personnel at clinics for alcoholism; approval of contracts between Medical Milk Commissions and dairies £or the production and sale o£ certified milk; approval of food regulations of local communities which submit them under General Laws, Chapter 94, Section 146; advice to cities and towns and official agencies on sanitary problems of water supply, sewage disposal, nuisanees and offensive trades, and prevention of pollution of inland and tidal waters; and approval of out-of-state shellfish dealers which have been approved by their respective state authorities. Contracts were approved and signed on behalf of the Commonwealth with the town of Lakeville for the conveyanceto said town o£ Clear Pond and land surrounding it, this pond no longer being needed as a source of water supply of Lakeville state Sanatorium; and with the Geological Survey, United States Department of the Interior, for investigation of water resources and stream gaging work. Because of funds made available by the Children's Bureau of the Department of Health, Education, and Welfare of the Federal Government, it was possible to make agreements between the Common wealth and other agencies as follows: With the Children's Medical Center tor assisting in the financing of the Poison Information Center; with Boston Uhiversity School of Nursing for the development of a program in Nursery School Education; with Harvard University School of Dental Medicine for assistance ot its Public Health Unit; with Boston University School of Nursing for expenses in connection with a Work Conference on Nursing of the Mentally Retarded Preschool Age Child; with Tufts University School ot Dental Medicine £or the development and administrative support of an Institute for Clett Palate and Dentotacial Deformities; and with the city o£ Cambridge for a Community Project on Mental Retardation. A three-year contract between the counties of Be~kshire, Frankli~ and Hampshire for the joint use of Hampshire County Sanatorium for the care of tuberculosis patients, was approved. Special Activities The matter of the importation of £oreign shellfish, which was reported last year, was given £urther attention this year. On August 3, 1956, after consideration o£ reports of tests made on imported clams the Council voted to continue its policy of restric tion adopted on February 14, 1956. The advisability of this policy was further strengthened by the report of the Committee on Environmental Sanitation to the Public Health Council on September 11, 1956, that about 61 per cent of samples of imported £rozen shellfish had to be rejected after testing because of decomposition of the clams in the middle of frozen blocks of clams which were apparently decomposed before they were effectively frozen. As a result of the recommendation of the Special Recess Commission relative to High Blood Pressure and Its Control, the Public Health Council on October 2, 1956, established the follow ing program for the study and control of arterial hypertension at the Lemuel Shattuck Hospital: (1) The establishment of a Hypertension Research Laboratory (2) The purchase and installation of necessary equipment and supplies for the Laboratory, amounting to over $16,950. (3) The purchase and installation of a suitable plaque designating the Paul A. McCarthy Memorial. (This was unveiled on May 17, 1957.) The report of an investigation and study made by the Department under Chapter 67 of the Resolves of 1954, relative to the preserva tion of the purity of certain water supplies was approved and signed on December 11, 1956, and filed with the Clerk of the Senate. A report of an investigation made by the Department under authority of Chapter 92 of the Resolves