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Department of Health CITY OF BALTIMORE ONE HUNDRED AND FIFTY-FIRST ANNUAL REPORT OF THE DEPARTMENT OF HEALTH 1965 ■ ■ ■■ ■■■■ ■■ 11 111 7■■■■ II 1MI■ BALTIMORE To the Mayor and City Council of Baltimore for the Year Ended December 31, 1965 Without health, life is not life. .. ARIPHON THE SICYONIAN If we could first know where we are and whither we are tending, we could better judge what to do and how to do it. ABRAHAM LINCOLN DEPARTMENT OF HEALTH Commissioner, ROBERT E. FARBER, M.D., M.P.H. Deputy Commissioner, MATTHEW TAYBACK, Sc.D. LOCAL HEALTH SERVICES JOHN B. DE HOFF, M.D., Director Eastern Health District Wilson M. Wing M.D., M.P.H., Health Qfficcr Druid Health District H. Maceo Williams, M.D., M.P.H., Health Officer Southeastern Health District Wilson M. Wing, M.D., M.P.H., Health Offic( r Southern Health District C. Gottfried Baumann, M.D., M.P.H., Health Officer Western Health District C. Gottfried Baumann, M.D., M.P.H., Health Officer Health Information Joseph Gordon, B.S., Director Public Health Nursing Alice M. Sundberg, R.N., M.P.H., Director Communicable Diseases James E. Peterman, M.D., M.P.H., Director Tuberculosis Allan S. Moodie, M.B., D.P.H., Control Officer Tuberculosis Clinics Meyer W. Jacobson, M.D., Clinical Director Tuberculosis Surveys M.S. Shiling, M.D., Director Venereal Diseases E. Walter Shervington, M.D., Clinical Director Dental Care H. Berton McCauley, D.D.S., Director Nutrition Eleanor M. Snyder, M.S., Chief CHILD HEALTH SERVICES J. L. RHYNE, M.D., M.P.H., Director Maternal and Child Health George H. Davis, M.D., Associate Director Maternity Project 501 Kathleen A. Swallow, M.D., M.P.H., Director Preschool Hygiene Robert E. Yim, M.D., Clinical Director Child Day Care Marion D. Persons, B.A., Chief School Hygiene John B. Saratsiotis, M.D., M.P.H., Director Handicapped Children Gary S. Goshorn, M.D., Chief MENTAL HEALTH SERVICES WAYNE E. JACOBSON, M.D., Director Alcoholism Programs Harry E. Shelley Th.B., LL.B., Coordinator Alcoholism Clinic A. M. Schneidmuhl, M.D., M.P.H., Director Eastern Mental Health Clinic Hugh Jones, M.A., Administrator Psychiatric Day Center Gertrude M. Gross, M.D., Director Western Mental Health Clinic Saim B. Akin, M.D., Director MEDICAL CARE SERVICES JOHN B. DE HOFF, M.D., Acting Director Medical Supervisor Henry W.D. Holljes, M.D. Nursing Homes J. Raymond Gladue, M.D. Pharmacist Gordon A. Mouat, B.S. in Pharmacy Pharmacist Victor H. Morgenroth, Jr., B.S. in Pharmacy SANITARY SERVICES GEORGE W. SCHUCKER, B.E., Director Environmental Hygiene Director Community Sanitation Elbert H. Cohen, B.S., LL.B., Chief Rodent Control John A. Childs, Chief Food Control Jacque G. Ayd, A.B., LL.B., Director Food Plant Inspection Benjamin Ginsberg, Ph.G., Chief Industrial Hygiene Elkins W. Dahle, B.S., Director Air Pollution Control C Edward Sachs, Pr. P.H., Engr. Industrial Hygiene Investigations David T. Lewis, B.S., Chief Meat Inspection David R. Berzon, D.V.M., Director Milk Control Gulius D. D'Ambrogi, MS., Director Dairy Farm Inspection Joseph H. Pohlhaus, B.S., Chief Milk Plant Inspection Louis G. Hillebrand, Jr., Chief Sanitarian Training Milton P. Friedmann, B.S., Chief LABORATORY SERVICES CLINTON L. EWING, Director Chemistry • Emanuel Kaplan, Sc.D., Assistant Director Microbiology Katherine Welsh, A.B., Assistant Director RESEARCH AND PLANNING Biostatistics Elizabeth B. Kelley, B.S., Director Vital Records Sidney M. Norton, B.S., Director 3 CONSULTANTS DR. JOHN E. BORDLEY, Professor of Laryngology and Otology, Johns Hopkins School of Medicine. DR. J. EDMUND BRADLEY, Professor and Head of Pediatrics, School of Medicine, University of Maryland, Retired. DR. WILLIAM J. PEEPLES, Commissioner, Maryland State Department of Health. DR. ERNEST L. STEBBINS, Dean, Johns Hopkins School of Hygiene and Public Health. DR. ISADORE TUERK, Commissioner of Mental Hygiene, Maryland State Department of Mental Hygiene. Dn. THOMAS B. TURNER, Dean, Johns Hopkins School of Medicine. DR. ALLEN F. VOSHELL, Professor Emeritus of Orthopaedic Surgery, School of Medicine, University of Maryland, Retired. DR. CHARLES W. WAINWRIGHT, Associate Professor Emeritus of Medicine, Johns Hopkins School of Medicine. DR. HUNTINGTON WILLIAMS, Commissioner of Health of Baltimore City, Retired. DR. WALTER D. WISE, Professor Emeritus of Surgery, School of Medicine, University of Maryland. DR. SAMUEL WOLMAN, Assistant Professor Emeritus of Medicine, Johns Hopkins School of Medicine. ADVISORY COMMITTEE ON SANITATION Mn. CLARK S. Holm, Chairman Director, Civic Development Bureau, Baltimore Association of Commerce, Retired. DR. ANNA M. BAETJER, Professor of Environmental Medicine, Johns Hopkins School of Hygiene and Public Health. MR. HANS FROELICHER, JR., Honorary President, Citizens Planning and Housing Association. MR. BERNARD L. WERNER, Director of Public Works of Baltimore. DR. ABEL WOLMAN, Professor Emeritus of Sanitary Engineering, Johns Hopkins School of Hygiene and Public Health. 4 THE HEALTH DEPARTMENT AT WORK 1965 METROPOLITAN COOPERATION Mayor McKeldin joined with County Executives and the Maryland State Department of Health in establishing an official Metropolitan Baltimore Air Quality Survey Program. MATERNITY CENTER IS OPENED City, State and Federal officials attended the dedication of the new Baltimore Maternity Center at 211 W. Lombard Street. The new project to prevent mental retardation and expand maternal and child health services was made possible by the U. S. Children's Bureau. EILIGHTS DIABETES DETECTION Joint planning by state and city medical and health groups resulted in finding 56 diabetics out of 3,172 persons tested. FOOD CONTROL Control methods in fighting the enemies of food were demonstrated at the 1965 Mid-Atlantic Regional Restaurant Mart. Alcohoüm 1!:f9Trnon Week NOV. 21:3 ". -DO GOALS ALCOHOLISM PROGRAMS Governor Tawes transmits Proclama- tion on Alcoholism Information Week to representatives of the City Health Department and the Baltimore Area fit Council on Alcoholism. TABLE OF CONTENTS Page THE DEPARTMENT OF HEALTH 8 REPORT OF THE COMMISSIONER OF HEALTH 9 19 Deputy Commissioner of Health 20 Health Information Laboratories 26 Public Health Nursing 36 Druid Health District 42 Eastern Health District 45 Southeastern Health District 48 Southern Health District 50 Western Health District 62 PREVENTIVE MEDICINE SERVICES Communicable Diseases 54 Dental Care 75 Nutrition 80 CHILD HEALTH SERVICES 83 83 Maternal and Child Health 92 School Hygiene MENTAL HEALTH SERVICES 101 MEDICAL CARE SERVICES 104 119 SANITARY SERVICES 122 Environmental Hygiene 129 Food Control 139 Industrial Hygiene 154 Meat Inspection 157 Milk Control RESEARCH AND PLANNING 162 Biostatistics 165 Vital Records 168 VITAL STATISTICS TABLES 208 APPENDIX 208 Health Department Publications: 1965 209 Bibliography: 1965 212 Ordinance: Inspection of Dwelling Units 216 Blood Banks and Blood Depositories Regulation: 220 State Law on Tests for Mental Retardation 220 Law on Transfer of Laboratory Personnel State 220 Metropolitan Agreement on Air Quality Survey 223 INDEX 7 - ORGANIZATION CHART BALTIMORE CITY HEALTH DEPARTMENT COMMISSIONER CONSULTANTS ADVISORY COMMITTEES DEPUTY COMMISSIONER CHILD HEALTH LOCAL HEALTH SANITARY MEDICAL CARE SERVICES SERVICES SERVICE SERVICES CHILDMATERNAL AAAAAA • SIOST•TISTICS INFORMATIONHE ALTO EASTERNDISTRICT HEALTH SANITARIANTR •I WING MEDICALTHE INDIGENT CANE F011 ITT ISYGIANA VITAL RECORDS MENTAL HYGIENE WESTERNDISTRICT HEALTH MILK CONTROL E SHINH TO ON IEN ME NT•L MEDICALFOR THEASSISTANCE AGED PSYCHIATRIC DAIRY FARM COMMUNITY IT GIGUE HPU•LICNURSING NE•LTH I • DAY CENTER H DRUIDDISTRICT HEALTH INS PE CT ION *SANITATION ■•■••1@MILD DAY CAR ALCOHOLISM MILK PLANT RODENT CONTROL NUTRITION HSOUTHERNDISTRICT HEALTH INSPECTION HSI:WOOL NYONNE AAAAAA CARE --LFOOD CONTROL I INDUSTRIAL COMMUNICAOLEDISEASES HEALTHSOUTHE•STE DISTRICT ON HYGIENE ..-•■••1 NANDIC•PPED I FTIOD •AAAA POLLUTION DISEACUTE GOES H L•SORATORIE FINSPECTION -LH CONTROL FriCT AIL FOOD INDUSTRIAL HYGIENE TUGENCULOSIS CHEMISTRY INSPECTION _I INVESTIGATIONS RADIATION VENEREAL MICROSIOLOR INSPECTIONMEAT CONTROL 0511A GEE ONE HUNDRED AND FIFTY-FIRST ANNUAL REPORT OF THE BALTIMORE CITY HEALTH DEPARTMENT 1965 REPORT OF THE COMMISSIONER OF HEALTH The Honorable, THE MAYOR AND CITY COUNCIL OF BALTIMORE GENTLEMEN: Pursuant to the provisions of Section 81 of the City Charter and also in accordance with a resolution adopted by the City Council in the year 1817 I have the honor to transmit to you the one hundred and fifty-first in a series of consecutive annual reports of the work done by the Baltimore City Health Department and by the several bureaus thereof, for the year ended December 31, 1965. Introduction A sharp drop in the number of resident births, an increase in low income families and of elderly individuals and record highs in the loss of lives and in the number of persons injured due to automobile acci- dents were the more important developments during 1965 of major consequence to the health of the city's residents. The following additional major developments were noted: (1) Diseases preventable by vaccines were kept well within control and near eradication levels. Of particular note was a fourth year free of poliomyelitis, another year without diphtheria and smallpox, one case of tetanus which terminated fatally in an unimmunized person, and a small number of reported cases of whooping cough. (2) Dis- eases subject to broad control programs were kept within their 1963- 1964 levels of occurrence, but no significant advances were made. These diseases were tuberculosis-746 cases and 106 deaths, and the venereal diseases-347 cases of reported infectious syphilis and 5,670 cases of reported gonorrhea. (3) The loss of life among Negro infants declined by 20 per cent to a record new low nonwhite infant mortality rate of 31.7 deaths per 1,000 live births. Unfortunately, the infant mortality among white infants increased by 13 per cent from 22.0 in 1964 to 24.8 in 1965. (4) The loss of life due to cancer of the lung showed no evidence of decline even though it has been clear for years that cigarette smoking is a major cause of this disease.
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