Inaugural address of the mayor, with the annual report of the officers of the city of Quincy for the year 1929, Part 7

Author: Quincy (Mass.)
Publication date: 1929
Publisher:
Number of Pages: 462


USA > Massachusetts > Norfolk County > Quincy > Inaugural address of the mayor, with the annual report of the officers of the city of Quincy for the year 1929 > Part 7


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I have the honor to submit the following report of the Tax Col- lector's Department for the year ending December 31, 1929:


The amount of cash collected on the tax for the various years is as follows:


Tax of 1926


Amount uncollected January 1, 1929. ... $1,542 63


Amount abated during year 1929. 528 01


Amount collected during year 1929. $1,014 62


755 92


$755 92


Amount uncollected January 1, 1930 ....


$258 70


Amount of interest collected.


85 92


Main Sewer Apportionments of 1926


Amount uncollected January 1, 1929 ....


$180 10


Amount collected during year 1929 ......


83 60


83 60


Amount uncollected January 1, 1930 ....


$96 50


Committed Interest on Main Sewer Apportionments of 1926


Amount uncollected January 1, 1929 ....


$16 08


Amount collected during year 1929.


14 40


Amount uncollected January 1, 1930 ....


$1 68


Street Betterment Apportionments of 1926


Amount uncollected January 1, 1929 ....


$698 43


Amount collected during year 1929 ......


49 96


49 96


Committed Interest on Street Betterment Apportionments of 1926


Amount uncollected January 1, 1929 .... $69 89


Amount collected during year 1929 ...... 24 00


24 00


Amount uncollected Januarv 1, 1930 ....


$45 89


$14 40


Amount uncollected January 1, 1930 ....


$648 47


Cash Received


116


CITY OF QUINCY


Street Oiling of 1926


Amount uncollected January 1, 1929 .... $1 92


Charge by Auditor 4 08


Amount collected during year 1929 ...... 6 00


Tax of 1927


Amount uncollected January 1, 1929 ....


$30,204 42


Reconsideration of abatement by As- sessors


7 50


$30,211 92


Charge by Auditor


5 44


$30,217 36


Credit by Auditor.


890 56


$29,326 80


Amount abated during year 1929 11,025 24


$18,301 56


Amount collected during year 1929.


15,461 63


Amount uncollected January 1, 1930. ... $2,839 93


Amount of interest collected.


1,928 26


Main Sewer Apportionments of 1927


Amount uncollected January 1, 1929.


$319 06


Charge by Auditor


79 39


$398 45


Credit by Auditor


4 40


$394 05


Amount abated during year 1929


102 27


$291 78


Amount collected during year 1929.


248 91


Amount uncollected January 1, 1930 ....


$42 87


Committed Interest on Main Sewer Apportionments of 1927


Amount uncollected January 1, 1929. .. $31 23


Charge by Auditor


4 35


$35 58


Credit by Auditor.


1 32


$34 26


Amount abated during year 1929.


4 70


Amount collected during year 1929 .... ... 28 33


Amount uncollected January 1, 1930 ....


$1 23


6 00


$15,461 63


248 91


28 33


$29 56


Cash Received


$6 00


117


REPORT OF COLLECTOR OF TAXES


Sidewalk Apportionment of 1927


Cash Received


Amount uncollected January 1, 1929 .... $47 03


Amount collected during year 1929 .. .. 47 03 47 03


Committed Interest on Sidewalk Apportionments of 1927


Amount uncollected January 1, 1929 .... $2 55


Amount collected during year 1929 .. .... 2 55


2 55


Street Betterment Apportionments of 1927


Amount uncollected January 1, 1929 ....


$820 26


Charge by Auditor.


7 21


$827 47


Credit by Auditor.


49 37


$778 10


Amount abated during year 1929.


40 78


$737 32


Amount collected during year 1929. ... 664 66


Amount uncollected January 1, 1930


$72 66


Committed Interest on Street Betterment Apportionments of 1927


Amount uncollected January 1, 1929 ....


$117 60


Charge by Auditor.


3 33


$120 93


Credit by Auditor


3 24


$117 69


Amount abated during year 1929.


3 60


$114 09


Amount collected during year 1929.


102 57


Amount uncollected January 1, 1930 ....


$11 52


Street Oiling of 1927


Amount uncollected January 1, 1929 ....


$79 02


Charge by Auditor


22 84


$101 86


Credit by Auditor.


10 02


$91 84


Amount abated during year 1929.


16 98


Amount collected during year 1929.


53 68


Amount uncollected January 1, 1930 ....


$21 18


664 66


102 57


$74 86


53 68


118


CITY OF QUINCY Gypsy Moth of 1927


Cash Received


Amount uncollected January 1, 1929 .... $38 26


Charge by Auditor 1 34


$39 60


Amount abated during year 1929.


7 30


$32 30


Amount collected during year 1929. ... 32 30


32 30


Tax of 1928


Amount uncollected January 1, 1929 .... $1,378,925 96 Reconsideration of abatement by As-


sessors


61 60


$1,378,987 56


Charge by Auditor


40 69


$1,379,028 25


Credit by Auditor


37,553 50


$1,341,474 75


Amount abated during year 1929.


18,415 72


$1,323,059 03


Amount collected during year 1929 .... 1,294,431 48


Amount uncollected January 1, 1930 .... $28,627 55


Amount of interest collected


Main Sewer Apportionments of 1928


Amount uncollected January 1, 1929 ....


$5,435 78


Charge by Auditor


15 92


$5,451 70


Credit by Auditor


147 59


$5,304 11


Amount abated during year 1929.


34 89


$5,269 22


Amount collected during year 1929.


5,146 04


Amount uncollected January 1, 1930 .... $123 18


1,294,431 48


44,804 96


5,146 04


119


REPORT OF COLLECTOR OF TAXES Committed Interest on Main Sewer Apportionments of 1928


Amount uncollected January 1, 1929 ....


$1,387 88


Charge by Assessors. 4 65


Credit by Auditor. $1,392 53


34 59


$1,357 94


Amount abated during year 1929.


8 23


$1,349 71


Amount-collected during year 1929. .... 1,313 33


Amount uncollected January 1, 1930 ...


$36 38


Sidewalk Apportionments of 1928


Amount uncollected January 1, 1929 ....


$3,450 12


Reconsideration of abatement by As- sessors


5 84


$3,455 96


Credit by Auditor


77 21


$3,378 75


Amount collected during year 1929. .. 2,928 42


Amount uncollected January 1, 1930 ....


$450 33


Committed Interest on Sidewalk Apportionments of 1928


Amount uncollected January 1, 1929 ....


$1,001 94


Reconsideration of abatement by As- sessors


1 26


$1,003 20


Credit by Auditor


28 83


$974 37


Amount collected during year 1929.


848 32


Amount uncollected January 1, 1930 ....


$126 05


Street Betterment Apportionments of 1928


Amount uncollected January 1, 1929 .... $14,789 72


Additional warrant by Assessors.


10 00


$14,799 72 12 50


Credit by Assessors


$14,787 22


Credit by Auditor ..... 405 64


$14,381 58


Amount abated during year 1929.


282 14


$14,099 44


Amount collected January 1, 1929 ...... 13,722 33


Amount uncollected January 1, 1930 ....


$377 11


Cash Received


1,313 33


2,928 42


848 32


13,722 33


120


CITY OF QUINCY


Committed Interest on Street Betterment Apportionments of 1928


Amount uncollected January 1, 1929.


$4,459 38


Additional warrant by Assessors. 1 95


$4,461 33


Charge by Assessors


75


$4,462 08


Credit by Auditor.


112 74


$4,349 34


Amount abated during year 1929.


52 26


$4,297 08


Amount collected during year 1929. .... 4,191 15


4,191 15


Gypsy Moth of 1928


Amount uncollected January 1, 1929.


$1,005 05 7 50


Credit by Auditor.


$997 55


Amount abated during year 1929.


7 50


$990 05


Amount collected during year 1929.


854 35


Amount uncollected January 1, 1930 ....


$135 70


Tax of 1929


Total amount committed by Assessors .. $3,975,253 47 Amount abated during year 1929. 14,587 67


$3,960,665 80


Amount collected during year 1929. 2,466,381 42


2,466,381 42


Amount uncollected January 1, 1930 .... $1,494,284 38


Amount of interest collected


2,465 69


Main Sewer Apportionments of 1929


Total amount committed by Assessors $13,117 24


Credit by Assessors. 5 17


$13,112 07


Amount abated during year 1929.


69 52


$13,042 55


Amount collected during year 1929. 5,675 99


5,675 99


Amount uncollected January 1, 1930 .... $7,366 56


Cash Received


Amount uncollected January 1, 1930 ....


$105 93


854 35


121


REPORT OF COLLECTOR OF TAXES Committed Interest on Main Sewer Apportionments of 1929


Total amount committed by Assessors


$2,961 35


Credit by Assessors.


2 48


$2,958 87


Amount abated during year 1929


16 58


$2,942 29


Amount collected during year 1929. .... 1,272 39


Amount uncollected January 1, 1930 ....


$1,669 90


Sidewalk Apportionments of 1929


Total amount committed by Assessors


$8,629 39


Charge by Assessors


5 17


$8,634 56


Amount abated during year 1929


58 27


$8,576 29


Amount collected during year 1929 ......


3,760 09


Amount uncollected January 1, 1930 ....


$4,816 20


Committed Interest on Sidewalk Apportionments of 1929


Total amount committed by Assessors $2,783 58


Charge by Assessors 2 48


$2,786 06


Reconsideration of abatement by As-


sessors


50


$2,786 56


Amount abated during year 1929.


21 11


$2,765 45


Amount collected during year 1929. ...... 1,162 59


Amount uncollected January 1, 1930 ....


$1,602 86


Street Betterment Apportionments of 1929


Total amount committed by Assessors $27,593 81 Amount abated during year 1929. 46 28


$27,547 53


Amount collected during year 1929. .... 11,430 39


11,430 39


Amount uncollected January 1, 1930 ....


$16,117 14


Cash Received


1,272 39


3,760 09


1,162 59


122


CITY OF QUINCY


Committed Interest on Street Betterment Apportionments of 1929


Cash Received


Total amount committed by Assessors $10,352 71


Amount abated during year 1929. 15 03


$10,337 68


Amount collected during year 1929. .. 4,139 33


4,139 33


Amount uncollected January 1, 1930 ....


$6,198 35


Gypsy Moth of 1929


Total amount committed by Commis-


sioner of Public Works. $2,029 95


Amount abated during year 1929. 5 00


Amount collected during year 1929.


$2,024 95


1,229 08


1,229 08


Amount uncollected January 1, 1930 .... $795 87


Motor Excise Tax of 1929


Total amount committed by Assessors $211,328 36


Amount abated during year 1929. 17,469 75


$193,858 61


Amount collected during year 1929. .. 133,258 41


Amount uncollected January 1, 1930. $60,600 20


Amount of interested collected.


174 43


Sewers


Amount collected during year 1929 on sewer con- struction


11,609 85


Amount of interest collected 34 73


Permanent Sidewalks


Amount collected during year 1929 on Permanent Sidewalks


11,938 90


Amount of interest collected 66 81


Street Betterments


Amount collected during year 1929 on Street Bet- terments


20,187 53


Amount of interested collected.


119 07


Costs collected during year 1929.


7,097 80


Bank interest collected during year 1929.


2,172 81


Total amount of cash collected during year 1929 $4,072,007 41


JAMES B. WHITE Collector of Taxes.


123


REPORT OF DEPARTMENT OF HEALTH


REPORT OF DEPARTMENT OF HEALTH


JANUARY, 1, 1930.


THOMAS J. MCGRATH, Mayor:


Dear Sir,-The following report of the activities of the Health Department during the past year is modelled, as heretofore, on the third edition of the "Appraisal Form for City Health Work," as published by the American Public Health Association. The Appraisal Form recognizes fourteen major headings in city health work. A definite value is assigned to each of these headings; the total equaling 1,000 points. The Appraisal of the activities for 1928 was made by Dr. W. F. Walker, Field Director of the Ameri- can Public Health Association. The Appraisal for 1929 was made by Mr. A. A. Robertson of the Quincy Health Department. No credit was given for points unless it could be clearly shown that credit was due. The scoring is as follows:


Activities


Possible 1928 Score Score


1929 Score


Gain


Vital Statistics


50


50


50


*


Communicable Disease Control


160


142


150


8


Venereal Disease Control.


50


20


23


3


Tuberculosis Control


90


83


80


3


Maternity Hygiene


80


56


56


0


Infant Hygiene


80


64


66


2


Pre-school Hygiene


80


32


44


12


School Hygiene


120


73


76


3


Food and Milk Control


70


49


54


5


Sanitation


80


53


56


3


Laboratory


60


43


49


6


Popular Health Instruction.


40


37


38


1


Cancer Control


20


2


2


0


Heart Disease Control


20


8


8


0


Total


1000


712


742


40


*Perfect score.


Each activity will now be discussed under separate headings.


Vital Statistics


1


For the last three years the department has had a perfect score.


Communicable Disease Control


Because of a marked increase in the number of children im- munized against diphtheria-particularly the pre-school group- there was a gain of eight points. Scarlet fever continues as a problem. Many unrecognized cases (because of the continued mildness of the disease) are probably responsible for this situation.


124


CITY OF QUINCY


Venereal Disease Control


There was a slight gain because of an increase in the number of cases reported.


Tuberculosis Control


More visits to post-sanatorium cases increased our score. Points were lost because the percentage of children under twelve of the total number of patients admitted to sanatoria was lower than in 1928. Points were lost also because of a diminished number of nursing visits. This was due to the fact that the State Survey was made the previous year.


Maternity Hygiene


The city can get no credit for prenatal clinic services because as yet no clinic exists. The quickest way to further reduce our already low infant mortality would be to concentrate on more ex- tensive prenatal service. Sixty-eight per cent of the infant deaths under one year were in the first month of life. Such deaths can be properly accredited either to conditions existing before or at the time of delivery.


Infant Hygiene


This score was increased because of an increased number of nursing visits.


Pre-School Hygiene


This heading has to do with health activities concerning children from one year to school age. It includes all services rendered to children in this age group attending the regular baby clinics. In- asmuch as a regular weekly pre-school clinic was started July 17 in place of the previous monthly clinic, nine points were gained. An increase in nursing visits accounted for the rest of the increase.


School Hygiene


This is under the care of the School Committee. There was a gain of three points due to an increased number of physical ex- aminations.


Food and Milk Control


In 1928 this department could not show figures regarding the percentage of dairy cows in the area that were tuberculin tested. The score on this point was seven out of a possible eight, because of definite information, for the year 1929.


Sanitation


The gains in this phase of public health were due to an in- creased number of sanitary inspections.


Laboratory


The standard for diphtheria examinations is 250 specimens per annual resident death from diphtheria. There were only two deaths. There was a loss of one point for examination of diph- theria specimens. As this disease gets more rare there is a ten-


125


REPORT OF DEPARTMENT OF HEALTH


dency to take fewer cultures. There was a loss of one point in milk examinations because of a diminished number of examina- tions of pasteurized milk. There was a gain because of an in- creased number of sputum examinations for tuberculosis. There was a gain of one point because of increased supervision of semi- public and private water supplies, swimming pools and bathing beaches. There was a gain of 10 points in total laboratory pro- cedures because of a marked increase in laboratory examinations at the Quincy City Hospital.


Popular Health Instruction


There was a gain of one point because of an increased use of pamphlets. There was also a gain of four points because of a larger mailing list for the monthly bulletin.


Cancer Control


There is no change from last year. There is deplorably little being done.


Heart Disease Control


There is no change from last year. The logical beginning of a campaign against heart disease is with the school child. This is the period in life when infected teeth and tonsils begin to appear as a frequent cause of infectious heart disease.


To sum up this report we can say that the Health Department is doing outstanding work in certain of the most important fea- tures of public health. These features can easily be determined by picking out the high relative weights given to certain sections such as Communicable Disease Control (where we secured 150 of 160 possible points), Tuberculosis Control and Infant Hygiene. In less important sections, such as Vital Statistics and Popular Health Instruction, there is almost a perfect score. Some of the significant accomplishments are as follows:


1. Only two deaths from diphtheria in the whole city. Ap- proximately one-third of the pre-school population of the city im- munized against diphtheria.


The diphtheria rate is less than one-seventh of what it was in 1925.


2. The remarkably low infant mortality-52 deaths per thou- sand live births.


3. Ninety-five per cent of the milk is pasteurized.


Some phases of the health work that are peculiar to Quincy are:


1. The use of a school-Woodward Institute-virtually as a health center.


2. The close correlation of this department with the State De- partment of Mental Hygiene. Quincy now has the largest Habit Clinic and the first Child Guidance Clinic in the State-showing the marked interest of the public in mental hygiene.


3. The marked interest of the local Chapter of the Red Cross in a peace time activity-viz., nutrition work in children. The local Chapter has appropriated a sum sufficient for the salary of a den- tist who is to devote his time to the care of children in the pre- school group during 1930. This Chapter also paid the salary of a nutrition worker during 1929.


126


CITY OF QUINCY


It is hoped that in the coming year more attention can be paid to Venereal Disease Control, Maternity Hygiene, Pre-School Hy- giene, Cancer Control and Heart Disease Control.


Some urgent needs of the Health Department are as follows:


1. A "Health Centre" (mentioned in annual report since 1925).


2. Higher salaries for some members of the staff who are ren- dering highly technical services in a most efficient manner.


3. A nursing supervisor.


4. Generalized nursing service.


It might be interesting for the public to realize the progress that has been made in this department during the last ten years. Accordingly we have prepared the following statement showing the various steps forward taken by previous Health Commissioners.


Under the administration of Dr. Jones in 1921 was started the Venereal Disease Clinic and the Atlantic, West Quincy and Quincy Point Baby clinics. In 1922 was started a clinic for children ex- posed to or suspected of having tuberculosis. Under the direction of Dr. Sweeney in 1923 Schick testing and toxin-antitoxin clinics were held. In 1924 the Wollaston Baby Clinic was started. At the suggestion of Dr. Bartlett in 1925 a Baby Clinic began in South Quincy and Schick test clinics were started in the schools. In 1926 a Pre-natal Nurse was appointed and a health survey of the pupils of St. John's School was made. In 1927, at the direc- tion of the writer of this report, a monthly Pre-school clinic was started, a monthly Orthopedic clinic and Toxin-antitoxin clinics in the schools. The State Department of Mental Hygiene opened a Habit Clinic. In 1928 this department began the Houghs Neck Baby Clinic and a weekly nutritional conference. In 1929 the State Department of Mental Hygiene began a Child Guidance Clinic and this department bought the equipment for a Dental Clinic which is now being run by the Red Cross. Through the cooperation of the Speech Readers Guild hearing tests were carried out in both Parochial Schools by means of the Audiometer. (The latter is an electrical device which makes possible quick and ac- curate testing of forty pupils at one time.)


The Department wishes to mention the fine cooperation we have received from the State Department of Health, the School Depart- ment, the local Chapter of the American Red Cross, the Quincy and Wollaston Women's Clubs and the Wollaston Mothers' Club. The success of Popular Health Instruction in Quincy has been due to a considerable extent to the generous publicity of the "Quincy Daily Ledger" and the "Quincy News."


I can close this report with no better paragraph than this one containing the following remarks by Dr. M. J. Roseneau, Professor of Hygiene at the Harvard Medical School: "Preventive medicine dreams of a time when there shall be enough for all, and every man shall bear his share of labor in accordance with his ability, and every man shall possess sufficient for the needs of his body and the demands of health. These things he shall have as a mat- ter of justice and not of charity. Preventive medicine dreams of a time when there shall be no unnecessary suffering and no prema- ture deaths; when the welfare of the people shall be our highest concern; when humanity and mercy shall replace greed and selfish- ness; and it dreams that all these things will be accomplished through the wisdom of man. Preventive medicine dreams of these things, not with the hope that we, individually, may participate in


127


REPORT OF DEPARTMENT OF HEALTH


them, but with the joy that we may aid in their coming to those who shall live after us. When young men have vision the dreams of old men come true."


Respectfully submitted,


E. B. FITZGERALD, M.D., Health Commissioner.


REPORT OF SUPERINTENDENT


JANUARY 1, 1930.


DR. EDMUND B. FITZGERALD, Health Commissioner:


DEAR SIR :- I hereby submit my annual report of the Depart- ment of Health for the year ending December 31, 1929.


The personnel of the department is as follows:


Com. of Health and Inspector of Milk ... Dr. E. B. Fitzgerald Superintendent Thomas G. Smith


Clerk Verna M. Kelley


Sanitary Inspector


A. A. Robertson


Assistant Milk Inspector


James O'Dowd


Plumbing Inspector


J. J. Keniley


Inspector of Meats and Provisions


Howard Rogers


Dr. C. J. Lynch


Child Welfare Physician


Dispensary Physician Dr. Rachel L. Hardwick


Venereal Disease Physician


Dr. E. E. Smith


Bacteriologist Dr. E. E. Smith


Tuberculosis Nurse Gertrude T. Russell, R.N.


Tuberculosis Nurse


Mary E. Keeley, R.N.


Contagious Nurse Catherine F. Coleman, R.N.


Child Welfare Nurse Nettie D. Fowler, R.N.


Child Welfare Nurse


Mary E. Marr, R.N.


Inspector of Animals and Slaughtering ... Dr. E. A. deVarennes


There have not been any permanent additions to the personnel of the department for the past year.


In an effort to clean up the dumps and other nuisances created in different parts of the city, for the summer months, Francis Dris- coll was appointed an assistant Sanitary Inspector. He proved very faithful and efficient.


Appended you will find the reports of the various inspectors and nurses, also report of diseases and deaths reported for the year 1929.


See Auditor's report for statement of receipts and payments.


Respectfully submitted,


THOMAS G. SMITH, Superintendent.


128


CITY OF QUINCY


REPORT OF CONTAGIOUS DISEASE NURSE


JANUARY 1, 1930.


DR. EDMUND B. FITZGERALD, Health Commissioner:


DEAR DOCTOR :- I herewith submit my fifth annual report of contagious disease work for the year ending 1929.


Eight hundred and sixty-five cases of notifiable diseases were reported as follows:


Scarlet fever


268


Diphtheria


18


Measles


99


Whooping-cough


170


German measles


8


Anterior poliomyelitis


8


Cerebro-spinal fever


2


Influenza


83


Dog bite


40


Chicken pox


62


Lobar pneumonia


47


Mumps


54


Ophthalmia neonatorum


1


Tetanus


1


Typhoid fever


4


Nursing visits


By


By Contagious Nurse Other Nurse Total


Scarlet fever


1,032


42


1,074


Diphtheria (cultures 93)


94


9


103


Measles


181


20


201


Whooping-cough


332


14


346


Anterior poliomyelitis


15


1


16


Dog bite


2


1


3


Chicken pox


2


2


Cerebro spinal fever


1


1


Typhoid fever (cultures 3)


4


4


(widal 1)


This was the lowest number of cases reported in the city since 1917.


Scarlet Fever


This was the only important disease to show an increase over other years. The majority of these cases were of a mild type. Of the 268 cases reported, 33 were sent to the Brighton Hospital. One death occurred in the city.


Diphtheria


There were 18 cases reported. As in the previous year, diph- theria prevention clinics were held once a week in the various wards. More than 3,700 children received the treatments, nearly 50 per cent of whom were of pre-school age. During the year two deaths occurred in the hospital. Neither child had received the protective treatments. Seven of 18 cases were hospitalized.


129


REPORT OF DEPARTMENT OF HEALTH


Cerebro Spinal Fever


Two cases were reported, both of which proved fatal. Both cases were hospitalized.


Anterior Poliomyelitis


Of the eight cases reported four were treated in hospitals, two of whom died.


Typhoid Fever


The four cases reported were cared for in the hospital.


During October the hearing of the children in the Parochial schools was tested. Twenty-five were found to be defective and referred for treatment.


Assistance was given at the physical examinations of the chil- dren in the first grade of these schools.


The following number of clinics were attended:


T.A.T. 105


Dental clinics 14


Dental Forsythe 5


Baby Clinics 8


Re-Schick clinics 5


Ear clinics


1


Office hours have been held daily.


In the followup work 1,750 visits have been made, including checking up of quarantine rules, taking of cultures, examination of contacts and releases from quarantine. Daily visits have also been made to St. John's school in connection with the work the past year.


Respectfully submitted,


CATHERINE F. COLEMAN, R.N., Contagious Disease Nurse.


130


CITY OF QUINCY


REPORT OF THE VENEREAL DISEASE CLINICIAN


JANUARY 1, 1930.


DR. EDMUND B. FITZGERALD, Health Commissioner :


DEAR SIR :- In submitting my report this year, I would invite your attention to a few special facts.


First, that 233 visits to 51 clinics gives an average of more than four (4) patients per clinic hour, a higher patient per hour rate than I am able to maintain in my own office when treating the same class of patients. Obviously many "corners have been cut" in the clinic. This same time question may account partly for the fact that many physicians do not treat venereal disease privately.


Speaking in the abstract, this would be but a small amount of work performed for the money, if one forgets that in the mean- while, the clinician attends to the records, reports, correspondence, supplies, Wasserman returns, sterlization, as well as the heating plant and telephone. The water used for intravenous therapy is distilled and sterilized in our own laboratory by the clinician, thereby insuring a fresher product than could be bought com- mercially at any price.




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