City of Baltimore 128Th Annual Report
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4 1 ) , iITY OF BALTIMORE ONE HUNDRED AND TWENTY-EIGHTH ANNUAL REPORT OF THE DEPARTMENT OF HEALTH 1942 BALTIMORE To the Mayor and City Council of Baltimore for the Year Ended December 31, 1942 "This world is perishing for kindness." From George Washington Carver a Biography by Rackham Holt DEPARTMENT OF IIEALTII Commissioner, HUNTINGTON WILLIAMS, M.D., Dr.P.H. Assistant Commissioner, Ross DAVIES, M.D., M.P.H. Secretary, REED GAITHER ADMINISTRATIVE SECTION Administration HUNTINGTON WILLIAMS, M.D., Dr.P.IL Vital Statistics W THLTRBER PALES, Sc.D. Health Information ESTHER S. HORINE DOROTHY REGINA KALBEN Laboratories C. LEROY EWING Eastern Health District C. Hown ELLER, M.D., Dr.P.H. Western Health District ALFRED C. MOORE, M.D. Druid health Center. II. MACRO WILLIAMS, M.D., 1\1.P.II. Southeastern Health District JOHN A. SKLADOWSKY, M.D. MEDICAL SECTION Communicable Diseases DAVID II. ANDREW, M.D., C.P.H. Sydenham Hospital . MYRON C. Tom., M.D., M.P.H. HonAcE L. HonEs, M.D. Tuberculosis MIRIAM 13RAILEY, M.D., Dr.P.H. Venereal Diseases RALPH F. SIRES, M.D., 1\1.P.H. FERDINAND 0. REINHARD, M.D., M.P.H. Occupational Diseases JouNT M. McDONALD, M.D D.P.II. Child Hygiene WILLIAM K. SKILLING, M.D. School Hygiene II. WARREN BUCKLER, M.D. Public Health Nursing JANE B. LAIB, R.N. SANITARY SECTION WILMER II. SCHULZE, Phar. D., Director Milk Control IVAN M. MARTY Food Control FERDINAND A. KORFF Meat Inspection WILLIAM BRENNER, D.V.S. Environmental Hygiene GEORGE W. SCHUCKER Learn to Do Your Part in the Prevention of Disease [ 3 ] Rational Urnlilt litutor aularbr6 lii 33altimort, illarRlaub Ior Public hrallh Sithitutuirut Purititi flit pear 11142 vrtgenteb bp Zr be Cbamber of Commerce of the ZLluiteb 6tateg anti Zbe American Public f)ealtb onation - PLAQUE Presented to the Baltimore Association of Commerce in New York City, April 28, 1943. [ 4 ] CONSULTANTS DR. THOMAS S. CULLEN, Member, Maryland State Board of Health. DR. ARTHUR G. BARRETT, President, Maryland Academy of Medicine and Surgery. DR. J. M. T. FINNEY, Professor Emeritus of Surgery, Johns Hopkins Medical School. On. ALLEN W. FREEMAN, Professor of Public Health Administration, Johns Hopkins School of Hygiene and Public Health. DR. ANDREW C. GILLIS, Professor of Neurology, School of Medicine, University of Maryland. D.LOUIS HAMBURGER, Associate in Medicine, Johns Hopkins Medical School. DR. ARTHUR J. LOMAS, Administrative Consultant, Catholic Hospitals of Maryland. DR. MAURICE C. PINCOFFS, Professor of Medicine, School of Medicine, University of Maryland DR. ROBERT II. RILEY, Director, Maryland State Department of Health. On. JAMES M. II. ROWLAND, Dean Emeritus, School of Medicine, University of Maryland. DR. ARTHUR M. SHIPLEY, Professor of Surgery, School of Medicine, University of Maryland. DR. SAMUEL WOLMAN, President, Maryland Tuberculosis Association. ADVISORY COMMITTEE ON SANITATION DR. WILLIAM H. HOWELL, Chairman, Director Emeritus, Johns Hopkins School of Hygiene and Public Health. DR. ANNA M. BAETJER, Associate inlPhysiology, Johns Hopkins School of Hygiene and Public Health. DR. C. B. SPENCER, Passed Assistant Surgeon, United States Public Health Service, in charge of the Baltimore Quarantine Station. Mn. GEORGE COBB, Chief Engineer of Baltimore. DR. JAMES E. IVES, Senior Physicist of the Office of Industrial Hygiene and Sanitation, retired, United States Public Health Service. DR. ABEL WOLMAN, Professor of Sanitary Engineering, Johns Hopkins School of Hygiene and Public Health. [5 ] MEDICAL STAFF LYMAN ABBOTT, M.D. C laxity B. KOLB, M.D. h 0 EDITH R. ABRAHAMSON, M.D. C IRVING G. KROOP, M.D. s MAURICE L. ADAMS, M.D. v KENNETH KRULEWITZ, M.D. $ JOHN M. ASHWORTH, M.D. h o c ALBERT L. LAFOREST, M.D. v Louis V. Bi.um, M.D. t CHARLES D. LEE, M.D. v M. L. BREITSTEIN, M.D. ea ISIDORE I. LEVY, M.D. t HARRY BROWN, M.D. c LUCILLE LIBERLES, M.D. h 0 G. RAYNOR BROWNE, M.D. v HARRY LINDEN, M.D. v WILLIAM BERKLEY BUTLER, M.D. v AMELIA LINK, M.D. h o CHARLES R. CAMPBELL, M.D. v 0. L. LONG, M.D. h o JAMES D. CARR, M.D. v FRANCIS J-B. LUKE, M.D. v EARLE P. CLEMSON, M.D. v Huou B. MCNALLY, M.D. ID J. W. V. CLIFT, M.D. c JAY G. MCRAE, M.D. h 0 HENRY T. COLLENBERG, M.D. v ISRAEL P. MERANSKI, M.D. v JOHN COLLINSON, M.D. v EDGAR G. MILLER, M.D. h o C THEODORE COOPER, M.D. t MEYER MILLER, M.D. c ROSCOE Z. G. CROSS, M.D. h o M. ALEXANDER NOVEY, M.D. DI W. ALLEN DECKERT, M.D. ID GEORGE C. PAGE, M.D. v SOLON A. DODDS, M.D. c GEORGE II. PENDLETON, M.D..v HARRIS GOLDMAN, M.D. v D. MCKINLEY REESBY, M.D. h o HARRY C. GRANT, M.D. h 0 A. L. RETTALIATA, M.D. h 0 WALTER E. GREMPLER, M.D. C LEWIS J. ROSENTHAL, M.D. h 0 RICHARD DAVID HAHN, M.D. v ALBERT SCAGNETTI, M.D. c IIAROLD V. HARBOLD, M.D. ho J. DOUGLASS SHEPPERD, M.D. v Louis E. HARMON, M.D. v ERNEST W. SHERVINGTON, M.D. v JAMES B. HAwitixs, M.D. h 0 IsADouu A. SIEGEL, M.D. in JOHN M. HAWS, M.D. In GEORGE A. STRAUSS, M.D. v MANES S. HECHT, M.D. C J. WALKER THOMAS, M.D. h 0 WILLIAM G. HELFRICH, M.D. p HOWARD II. WARNER, M.D. h 0 BOWMAN J. How), M.D. V SAMUEL WEINBERG, M.D. h 0 LEON S. HonicA, M.D. h o ALEXANDER A. WEINSTOCK, M.D. t 'Irian P. HuanEs, M.D. h o II. WHITNEY WHEATON, M.D. h 0 HOWARD J. IcuEs, M.D. S MARY COOK WILLIS, M.D. C MEYER W. JACOBSON, M.D. t GUSTAV II. WOLTERECK, M.D. C ALBERT JAFFE, M.D. C CHARLES T. WOODLAND, M.D. v WILLIAM ATWELL JONES, M.D. v CELESTE WOODWARD, M.D. h 0 JAMES S. JULIAN, M.D. v RALPH J. YOUNG, M.D. v c = child hygiene, ea = ear clinic, ey = eye clinic, Ii o = health officer for com- municable disease control and school hygiene, h o c = health officer-contract basis, m = maternity hygiene, p = post mortem physician, s = Sydenham Hospital, t = tuberculosis clinic, v = venereal disease clinic, bold type = full time. [6] TABLE OF CONTENTS Page THE DEPARTMENT OF HEALTH 3 REPORT OF TIIE COMMISSIONER OF HEALTH 9 ADMINISTRATIVE SECTION Assistant Commissioner of Health 59 Vital Statistics 65 Health Information 71 Laboratories 79 Eastern Health District 95 Western Health District 101 Druid Health Center 101 Southeastern Health District 109 MEDICAL SECTION Communicable Diseases 117 Sydenham Hospital 129 Tuberculosis 139 Venereal Diseases 149 Occupational Diseases 157 Child Hygiene 163 School Hygiene 179 Dental Clinics 185 Public Health Nursing 189 SANITARY SECTION Sanitary Section 197 Milk Control 203 Food Control 211 Meat Inspection 221 Environmental Hygiene 227 VITAL STATISTICS TABLES 245 APPENDIX Ordinance: Milk Ordinance Amendment 311 Regulations: • Plumbing Regulation Amendment 312 Hygiene of Housing 312 Rooming Houses, Lodging Houses and Hotels 314 Maternity Hospitals 316 Trailer Camps 320 Milk Handling—Definitions 322 INDEX 323 [7 1 ORGANIZATION CHART - BALTIMORE CITY HEALTH DEPARTMENT CONSULTANTS Mien SECRETARY MEDICAL SECTION SUOMI OF BUREAU OT TUBLRGOLOSIS COLD IffSI/EPit DIVISION OF nsg400ds.tor.mcf.:11 MONT Z ONE HUNDRED AND TWENTY-EIGHTH ANNUAL REPORT OF THE BALTIMORE CITY HEALTH DEPARTMENT 1942 REPORT OF THE COMMISSIONER OF HEALTH The Honorable, THE MAYOR AND CITY COUNCIL OF BALTIMORE GENTLEMEN: Pursuant to the provisions of Section 91 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 a summary of the one hundred and twenty-eighth 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, 1942. Introduction In spite of the stresses and strains of war work the health of the city was good during the year. While severe housing shortages and increases in meningococcus meningitis and diphtheria were present the city achieved new low records in its maternal mortality and infant mortality rates. The former had never before been below 2.0, nor the latter below 40 per 1,000 live births. A primary Health Department effort in housing and slum eradication went forward during the year with the adoption and enforcement of new regulations under city ordinance, the doubling of the housing inspector staff, the codification and publication of the ordinances and regulations, and particularly with the success in test cases in court where the new legal and administrative procedures were sustained. The City Housing Authority assisted on the constructive side by building well baby clinics into two new projects that were opened to house families of war industry workers. Some approach was made through official and nonofficial channels to a more adequate dissemination of needed information on the important problem of nutrition and the Health Department strengthened its Bureau of Public Health Nursing by the appointment of a well qualified educational director. Other major advances were the opening on December 1 of a long needed chest clinic for Negroes at the Druid Health Center, the first night sessions for working persons at all the Department chest clinics and [9] 10 REPORT OF THE HEALTH DEPARTMENT-1942 the new facilities for mass X-raying of contacts and special groups at the Druid Health Center and at the Eastern Health District. Late in the year a new public health and social agency known as the Baltimore Venereal Disease Council was organized under the auspices of the Baltimore Mobilization Committee.