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 1932 > Part 9
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347
Number of milk rooms visited and inspected.
Number of milk processing plants inspected. 171
79
Number of ice cream plants inspected.
111
Number of restaurants inspected. 71
Number of bakeries inspected. 21
The price of milk and cream has remained the same as in 1931.
Many new dairies have started delivering milk in Quincy, some . coming from quite a distance.
Respectfully submitted,
JAMES O'DOWD, Milk Inspector.
144
CITY OF QUINCY
REPORT OF THE BACTERIOLOGIST
JANUARY 1, 1933.
DR. CORNELIUS J. LYNCH, Health Commissioner.
DEAR SIR :- During the past year I have completed the following work in the laboratory:
Bacteriological examinations of milk 608
Bacteriological examinations of ice cream 80
Chemical examinations of ice cream
80
Chemical examinations of milk
784
Total number of examinations
1,552
Yours truly,
EDWIN E. SMITH, M.D.
145
REPORT OF DEPARTMENT OF HEALTH
REPORT OF INSPECTOR OF MEATS AND PROVISIONS
DECEMBER 31, 1932.
To the Commissioner of Health, Quincy, Mass.
DEAR SIR :- I submit the report of the work in this office for the year ending December 31, 1932.
Inspections made
1,352
Meats and Foodstuffs Condemned as Unfit for Food
Beef (pounds)
39
Pork (pounds)
27
Lamb (pounds)
31
Ham (pounds)
39
Bacon (pounds)
17
Salt pork (pounds)
12
Veal (pounds)
15
Corned beef (pounds)
41
Corned shoulders (pounds)
70
Frankfurts (pounds)
36
Beef liver (pounds)
16
Saurkraut (pounds)
9
Smoked shoulders (pounds)
41
Poultry (pounds)
98
Fish (pounds)
93
Oysters (gallons)
3
Spawn (pounds)
4
Peaches (baskets)
5
Dates (pounds)
3
Spinach (pounds)
7
Bread (loaves)
8
Crackers (pounds)
6
Appropriation
$250 00
Expended :
Transportation
$226 00
Telephone
15 00
Office
8 00
Flash light batteries
60
$249 60
Balance
40
Food Establishments in Quincy
Markets
112
Stores
175
Restaurants
61
Fish markets
65
Delicatessens
17
Fruit stores
41
Open air markets
4
Creameries
....
9
Our retail stores in all classes of business have improved won- derfully the past few years, more modernized and up-to-date
146
CITY OF QUINCY
methods of doing business in less time and more efficiently than ever before. The markets we have in our City today are the most up to date retail stores, equipped with all the most modern sanitary fixtures and refrigerator systems for cooling and handling meats of all kinds than any other City of its size.
The housewife of today can go to the market and purchase every item of food for the table at the one store at prices the lowest for many years. We take the liberty at this time to advise the house- wife to go to market each day for her supply, taking advantage of special day sales, pay as you go plan and bring them home with her; she will save money by so doing and cut down much of the household expense. It is a business proposition and a money saver to all. This office is always informed of all stores, markets, res- taurants and lunch counters through the inspector at all times. whose duty it is to see that all places are in perfect sanitary con- dition at all times, according to the rules of the Department of Health. Any complaints that are made are attended to at once to receive first information regarding its action and who is re- sponsible.
The independent market man, as well as chain store supervisors, are always willing at all times to cooperate with us in keeping their place of business clean and in an up-to-date sanitary condi- tion with this department.
An inspection was made among the markets of the city around Christmas time and found conditions good, and prices far below anything in years and business best ever was quoted by many dealers.
Respectfully submitted,
HOWARD ROGERS, Inspector of Meats and Provisions.
147
REPORT OF DEPARTMENT OF HEALTH
REPORT OF INSPECTOR OF PLUMBING
JANUARY 1, 1933.
DR. CORNELIUS J. LYNCH, Health Commissioner.
DEAR SIR :- As Inspector of Plumbing I have the honor to sub- mit my thirty-ninth annual report.
Applications filed
401
Received for permits
$611 00
New Buildings for Which Permits Were Issued
Dwellings
81
Restaurant
1
Apartment blocks
2 Office
1
Cottages
2
Stores
Gas stations
8
Bakery
2
Garages
2 Dance hall
2
Battery station
1 Band stand
1
Fish market
1 Storage
1
Old Buildings for Which Permits Were Issued
Dwellings
228
Barber shops
7
Cottages
4
Markets
3
Tenement and store
1
Drug store
1
City home
1
Beauty parlors
4
Court house
1
Dwelling and garage
1
Business block
1
Arena
1
Block of stores
1
Post office
1
School
1
Lunch rooms
5
Offices
3
Bowling alley
1
Barn
1 Bakery
Stores
16
Skating rink
1
Dental parlors
4
Public hall
1
New Buildings Connected to Sewer
Dwellings
53
Restaurant
1
Apartment blocks
2
Store
1
Gas stations
8
Bakeries
2
Garages
2
Dance hall
1
Storage building
1
Cottage
1
Battery station
1
New Buildings Connected to Cesspools
Dwellings
28 Dance hall
1
Fish market
1 Office building
1
Summer cottage
1 Band stand
1
Store
1
Old Buildings Connected to Sewer (New Connections)
Dwellings 52
1
Restaurants
5
148
CITY OF QUINCY
Old Buildings Connected to Cesspools (New Connections) Dwellings 13 Office 1
Old Buildings Connected to Septic Tank Dwellings 8
Vaults abandoned
8
Fixtures Installed
Water closets
323
Sinks
259
Wash bowls
272
Bath tubs
195
Wash trays
174
Shower baths
15
Dental spittoons
2
Stop sinks
5
Urinals
8
...
Respectfully submitted,
J. J. KENILEY, Inspector of Plumbing.
149
REPORT OF CITY HOSPITAL
FORTY-THIRD ANNUAL REPORT OF THE QUINCY CITY HOSPITAL For the Year Ending December 31, 1932
BOARD OF MANAGERS
MAURICE P. SPILLANE, Chairman. .Term expires 1934
GEORGE TAYLOR, Secretary.
.Term expires 1932
JOSEPH A. DASHA
Term expires 1933
ERNEST B. NEAL.
.Term expires 1935
FORREST I. NEAL
Term expires 1934
CONSULTING STAFF
Physician EDWIN A. LOCKE, M.D. Surgeon FRED B. LUND, M.D. Gynecologist CHARLES H. HARE, M.D. Neurologist JOHN J. THOMAS, M.D.
Diseases of the Ear, Nose and Throat
GEORGE H. POWERS, JR., M.D.
WILLIAM J. HARKINS, M.D.
WILFRED G. FUNNELL, M.D. ROBERT O. GILMORE, M.D.
Diseases of the Eye GEORGE H. RYDER, M.D.
Pathologist and Bacteriologist FRANK B. MALLORY, M.D. Roentgenologist SAMUEL W. ELLSWORTH, M.D. Orthopedist
HENRY J. FITZSIMMONS, M.D. Bone Surgery FREDERIC J. COTTON, M.D. Urologists ARTHUR L. CHUTE, M.D. ROGER C. GRAVES, M.D. Dermatologist RUDOLPH JACOBY, M.D. Dental Department FRED G. ROLLINS, D.D.S. FRANK J. KENNA, D.S. I. L. SHAW, D.S.
150
CITY OF QUINCY
VISITING STAFF Consultant NATHANIEL S. HUNTING, M.D. Surgeons
WALTER L. SARGENT, M.D. DANIEL B. REARDON, M.D.
WILLIAM J. MCCAUSLAND, M.D. WILLIAM R. HURLEY, M.D. F. RAMON BURKE, M.D. Associate Surgeons
JAMES H. COOK, M.D. RICHARD M. ASH, M.D.
J. EDWARD KNOWLTON, M.D. FRED A. BARTLETT, M.D. ROBERT L. COOK, M.D. Junior Surgeons
GEORGE D. DALTON, M.D. ROSCOE S. K. HANIGAN, M.D.
JOHN M. MACLEOD, M.D. E. MURRAY BRITTON, M.D. DAVID H. MONTGOMERY, M.D.
Physicians CHARLES S. ADAMS, M.D., Consultant
WILLIAM G. CURTIS, M.D.
EDWIN E. SMITH, M.D.
CORNELIUS J. LYNCH, M.D. JOHN H. ASH, M.D.
WILLIAM L. KRIEGER, M.D. T. VINCENT CORSINI, M.D.
Pediatrician CHESTER L. GLENN, M.D.
Anesthetist ALFRED P. THOMPSON, M.D. Roentgenologist CHARLES WHELAN, M.D. Physio-Therapy CLAUDE L. PAYZANT, M.D.
Pathologist FRANCIS P. MCCARTHY, M.D.
151
REPORT OF CITY HOSPITAL
OFFICERS OF HOSPITAL AND TRAINING SCHOOL
Superintendent of Hospital RUTH J. ADIE, R.N. Assistants
ESTELLE C. SVENSON, R.N.
Executive Assistant
MARION LOCKE, R.N.
Second Executive Assistant
EILEEN M. YOUNG, R.N.
Supt. of Training School
JESSIE NICHOLSON, R.N. DOROTHY DAWES, R.N., B.S.
Theoretical Instructor
MINNIE E. HARRON, R.N.
Practical Instructor Night Supervisor
ADA M. WHARTON, R.N.
MARGUERITE M. BOYNTON, R.N.
BARBARA HOBBS, R.N. HELENE G. REED, R.N.
Assistant Night Supervisor Surgical Supervisor X-Ray Technician
MADELYN FLAHERTY, R.N.
Asst. X-Ray Technician
Physiotherapy Technician
MARJORIE HOBBS MARTENS FRANCES K. MORRIS, B.S.
Laboratory Technician
ELINOR D. RICH, A.B.
Asst. Laboratory Technician
AMITY PERKINS, B.S.
Dietitian
INFORMATION RELATIVE TO ADMISSION OF PATIENTS, RATES, ETC.
Application for the admission of patients to the hospital should be made to the superintendent. Patients desiring admission should be referred by a physician.
Accidents are admitted at any time.
The hospital maintains an ambulance for transportation of pa- tients within the city limits. The ambulance may be obtained for special service by application to the superintendent.
Single rooms, $4.50, $5.00, $6.00, $8.00 and $10.00 per day.
Semi-private rooms, $5.00 per day. Ward bed (private), $3.00 and $4.00 per day.
Ward bed (service), $3.00 and $4.00 per day.
Additional charges:
Operating room, $5.00 to $10.00. Delivery room, $5.00.
Etherizing fee, $5.00. Laboratory fee, $5.00.
Plaster casts or special dressings, $3.00 to $5.00.
Ambulance, $3.00. Board of special nurse, $1.00 per day.
Proprietary drugs or unusual or expensive preparations, min- eral waters, liquors, etc., will also be charged extra.
Radiographs will be taken every day by appointment, with the exception of Sunday.
Training School Assistant
152
CITY OF QUINCY
REPORT OF BOARD OF MANAGERS
APRIL 12, 1933.
To His Honor the Mayor, the President and Members of the City Council :
The Board of Managers of the Quincy City Hospital herewith submit as their report for the year ending December 31, 1932, the following information and reports of departments.
MAURICE P. SPILLANE, Chairman, GEORGE TAYLOR, Secretary, JOSEPH A. DASHA, FORREST I. NEAL,
EMMA S. TOUSANT, (Secretary, December, 1932),
LOUISE M. EMBLETON.
153
REPORT OF CITY HOSPITAL
REPORT OF THE SUPERINTENDENT
To the Board of Managers, Quincy City Hospital:
The following is the report of the work done at the Quincy City Hospital for the year 1932:
Statistical Information
Patients in hospital January 1, 1932
140
Patients admitted during the year 5,353
Total
5,493
Male patients admitted
2,170
Female patients admitted
3,183
Total
5,353
Patients admitted to medical service
657
Patients admitted to surgical service
2,970
Patients admitted to obstetrical service
877
Number of babies born
849
Total
5,353
Private patients admitted
1,003
Private ward patients admitted
2,765
Service patients admitted
1,585
Total
5,353
Paying patients admitted 4,552
Part paying patients admitted
458
Abatements, rates
22
Abatements, free
185
Free patients admitted
73
? of rates
63
Total
5,353
Largest number in the hospital any one day. 199
Smallest number in the hospital any one day.
106
Daily average number of patients
148
Average number of patients admitted per day.
15
Total number of days' treatment
54,288
Children admitted, 12 years and under
1,045
Operations
2,705
Out-patients
2,938
Accidents
926
Male patients discharged
2,151
Female patients discharged
3,180
Total
5,331
Patients discharged-medical service
643
Patients discharged-surgical service
2,976
Patients discharged-obstetrical service
873
Number of babies discharged
839
Total
5,331
154
CITY OF QUINCY
Patients discharged-well
752
Patients discharged-relieved 4,167
Patients discharged-unrelieved 150
Patients discharged untreated
10
Deaths within 48 hours of admission
96
Stillborn
26
Remaining deaths
130
Total
5,331
Number of patients remaining in hospital Dec. 31 162
Total
5,493
BIRTHPLACES
Albania
1
Armenia
1
Australia
3
Brazil
1
Canada
282
China
1
Denmark
4
Egypt
1
England
78
Finland
55
France
4
Germany
7
Greece
6
Holland
1
Honduras
1
India
2
Ireland
86
Italy
185 1
Lithuania
1
Massachusetts
1,588
Newfoundland
12
Norway
24
Panama
1
Quincy
2,081
Roumania
1
Russia
19
Scotland
107
Serbia
1
South Africa
1
Sweden
49
Syria
16
Turkey
1
Unknown
149
United States
576
Wales
4
Portugal
2
Total
5,353
Latavia
155
REPORT OF CITY HOSPITAL
Financial Statement JANUARY 1 TO DECEMBER 31, 1932
RECEIPTS
Private room
$39,439 14
Ward private
33,589 32
Regular service
10,399 08
Obstetric
30,320 11
Operating room
14,981 75
X-ray
17,477 00
Ambulance
1,631 00
Medical and surgical supplies
550 65
Physical therapy
5,437 50
Board special nurses
4,438 00
Nurses' equipment
457 25
Miscellaneous
778 70
Laboratory
6,777 50
Endowment fund income
4,201 90
$170,480 90
Refunded to patients
336 79
Total receipts less refunds
$170,144 11
EXPENDITURES
Salaries and wages:
Administration officers and clerks
$12,927 54
Telephone operators
3,888 00
Superintendent of nurses, instructors,
charge nurses
75,602 00
Nurses
3,597 72
Physical therapy
3,556 42
Orderlies
3,062 71
X-ray
10,165 60
Ambulance
2,268 00
Housekeeping and kitchen
43.855 40
Laundry
6,457 16
Maintenance-property and power plant ..
8,445 80
Care of grounds
1,317 35
Laboratory
4,435 75
Total payroll
$179,579 45
Other expenses:
General administration
$5,283 61
Medical and surgical
24,704 35
X-ray
3,886 76
Ambulance
396 41
Nurses' equipment
1,214 73
Housekeeping and kitchen
11,862 47
Laundry
1,527 51
Groceries
13,332 02
Butter and eggs
5,478 11
Milk and cream
9,743 32
Fruit and vegetables
7,203 85
Meats, poultry and fish
19,338 23
Coal and wood
10,961 55
Electricity and gas
8,167 86
Rent
1,400 00
156
CITY OF QUINCY
Transportation and express
262 11
Commissions
2,893 57
Repairs to buildings and plant
6,212 50
Postage ..
00
Petty expenses
94 42
Insurance
360 41
134,723 79
Total expenditures
$314,303 24
Respectfully submitted, RUTH J. ADIE, R.N., Superintendent,
REPORT OF THE SCHOOL OF NURSING, QUINCY CITY HOSPITAL, 1933
To the Board of Managers, Miss Adie and Friends :
Our school and its alumnae have been so much more fortunate than many that we are all deeply appreciative of our blessings this year.
At the present time, the census of the school is thirty-five.
Seniors -ten
Intermediates -twenty Preliminary -seven
There were two resignations due to illness, and two students dismissed during the year because of inability to meet the re- quirements.
With the decrease in the size of our school the care of the pa- tients has been given to a greater extent, to the graduate floor staff now employed. This group of nurses is very cooperative. Toward the end of autumn, when there was comparatively little illness, these nurses cheerfully took a week leave of absence so that some of the private duty nurses might be given temporary employ- ment.
I am happy to say that we have been able to assimilate in some capacity many of the nurses who have graduated since February, 1931. Our nurses are realizing more than ever before the need for special preparation for their work; four attended Summer School at universities, and during the winter nine have been taking part time courses. Two courses have been given at the hospital, one an Outline of the Administrative Field, the other on the Principles of Teaching. These have been well attended by supervisors, charge nurses and graduate floor nurses.
The classes of 1931 and 1932 have shown their special interest in the school by the type of Class Gift they have given. The class of 1931 made it possible to buy a set of the Encyclopedia Britannica, while the class of 1932 presented one hundred dollars in gold to be used as the nucleus of a loan fund for post graduate work.
I would like to thank the Committee of the School of Nursing for its advice, suggestions and support; also the doctors who so kindly give of their time and skill, and the friends who in so many ways show their interest in us.
Respectfully submitted,
EILEEN M. YOUNG, Superintendent of Nurses.
157
REPORT OF CITY HOSPITAL
REPORT OF STAFF OF QUINCY CITY HOSPITAL
To the Board of Managers and Superintendent of Quincy City Hospital:
During the year 1932 the various departments of the hospital have been carrying on their work in a most satisfactory manner. The Surgical, Medical, Obstetrical, Pathological, Physical Therapy, and X-ray departments have carried on and their results have been most commendable. The Pediatric Department has been organized and has been placed in charge of Dr. Edmund B. Fitzgerald, a man well trained in that branch of medicine. The Nose and Throat De- partment has been organized with Dr. W. J. Harkins as its chief, and with a capable corps of assistants. Therefore, for the first time, the staff is pleased to report that all departments of the hospital are well organized and in charge of men well trained in their particular branches of medicine. We feel that this complete organization is in keeping with the development and progress at the hospital and must react for the benefit of the people of Quincy.
Just as in the previous year, there has been a more marked influx of physicians desiring to locate and practise in the City of Quincy. It is to be regretted that some of these men have not graduated from Class A Medical Schools. After residing in Quincy a short time they all desire to participate in the benefits of the hospital. Therefore, mindful of the fact that it is our great ambition to maintain always our present high standing, namely a Class A rating of the Quincy City Hospital, the staff deemed it necessary to in- crease the length of residence of applicants to the Courtesy Staff from one to two years in the City of Quincy and also to specify that the applicant must be a graduate of a Class A Medical School.
The supervision and regulation of major surgical work in a hos- pital such as ours is one of great importance and is exceedingly difficult. With this in mind, and after the most careful delibera- tion the senior members of the Surgical Staff recomended that all major operations should be done by a physician who is a member of the American College of Surgeons, or under his supervision or approval. We felt that this was a step forward in maintaining a high standard of surgical work which must react to the benefit and high reputation of our hospital. We are glad to state that this, and other recommenlations, were approved by the Board of Man- agers and accepted by the entire staff.
We are deeply grateful for the efficient service rendered by the nursing corps, during these most trying times, under the careful guidance of Miss Adie and her assistants, and also appreciate deeply the hearty coperation shown by the Board of Managers in approving recommendations made by the staff.
All recomendations made by the staff have been done with only one thought in mind, that is to maintain the highest possible stand- ard of efficiency. We feel that if this is understood by the citi- zens of Quincy, there will be no need of any citizen going else- where for hospital treatment, if they realize that within the limits of their own city there is a hospital fully organized and equipped to handle any medical problem.
Respectfully submitted,
DR. DANIEL B. REARDON, President, Staff of Quincy City Hospital.
158
CITY OF QUINCY
REPORT OF THE X-RAY DEPARTMENT, QUINCY CITY HOSPITAL
To the Superintendent and Board of Managers,
Quincy City Hospital, Quincy, Massachusetts.
During the past year the radiographic department of the X-Ray laboratory showed an increase of approximately twenty per cent in the number of patients examined, while the therapy department showed an increase of almost one hundred per cent in the number of patients treated.
The above record, while extremely gratifying to all interested, emphasizes the fact that more help is needed if the work of the laboratory is to maintain its high standard. The present arrange- ment provides one full-time technician, Miss Helene G. Reed, and a part-time assistant, Miss Madelyn Flaherty, whose major duty consists in supervising the work in the drug room. These two young women deserve the utmost praise for the efficient and pleas- ant manner in which they have successfully labored to keep the routine of the laboratory running smoothly, but the time has come when the full-time effort of both is essential. I am hoping this change may be made at a very early date.
The marked increase in the number of patients treated for cancer and other diseases amenable to radiation therapy adds another time consuming detail to the work of the laboratory, and we feel that it will not be long before a technician will have to devote all her effort to this important branch of X-Ray.
It might be well to say in conclusion that the Quincy City Hos- pital is now well equipped to treat malignant diseases by the most approved methods. Both high and low voltage therapy machines, as well as radium, are now available, and the experience of the past year showed that the members of the staff and heads of de- partments are cooperating in every way to aid the development of this important branch of medicine.
Following is a statistical report of the cases seen in our labora- tory during the year 1932:
Out patients
2,807
House patients
1,811
Total
4,618
G. I. tract
498
G. U. tract
153
Gall bladders
402
Upper extremities
752
Lower extremities
679
Skulls
396
Noses
11
Jaws
26
Chests
565
Pelves
281
Spines
283
Teeth
76
Barium enemas
79
Ribs
198
Sinuses
64
Mastoids
89
Sternum
11
159
REPORT OF CITY HOSPITAL
Foreign bodies
8
Pregnancies
34
Reduction of fractures under fluroscope .... 13
4,618
Treatments
Whooping cough
59
Carbuncles
36
Cancer
176
Thymus
23
294
Grand total
4,912
With sincere appreciation of the hearty cooperation of the Ad- ministration and Staff during the past year, I am,
Respectfully yours, CHARLES WHELAN, M.D.
ANNUAL LABORATORY REPORT
To the Superintendent and Board of Managers,
Quincy City Hospital, Quincy, Massachusetts.
The following is the report of the Clinical and Pathological Laboratory for the year 1932:
There was another large increase in the total number of speci- mens examined in the laboratory during the year 1932 as compared with previous years. The increase in the number of post mortem examinations indicates a scientific interest on the part of the Staff in the general character of the work at the hospital.
Our technicians, Miss Frances K. Morris and Miss Elinor D. Rich, are working harmoniously together and doing efficient and accurate examinations in keeping with the high standard of the laboratory.
The following is the detailed report of the specimens examined during the past year:
Pathological surgical specimens
885
Autopsies
70
Urinalyses
6,833
Renal function tests
30
Blood examinations:
White blood counts
1,010
Red blood counts
556
Hemoglobin estimations
561
Color indices
529
Platelet counts
8
Differential counts
558
Bleeding times
17
Clotting times
39
Blood chemistry:
Blood sugars
144
Blood N-P-N
146
Icteric indices
12
Van denBergh
3
Blood typing
26
Blood matching
122
160
CITY OF QUINCY
Blood cultures
26
Throat cultures
17
Miscellaneous cultures
88
Bacteriological smears
166
Sputa
81
Exudates
4
Transudates
16
Bacterial count
1
Spinal fluid examinations
43
Gastric analyses
3
Vomitus
6
Feces
60
Autogenous vaccines
6
Animal inoculations
13
Ascheim-Zondek pregnancy tests
48
Basal metabolism estimations
49
Total number of examinations
12,276
Respectfully admitted, FRANCIS P. MCCARTHY, M.D., Pathologist.
REPORT OF THE DEPARTMENT FOR PHYSICAL THERAPY
To the Superintendent and Board of Directors,
Quincy City Hospital, Quincy, Massachusetts.
The following is the number of treatments given in the depart- ment during the year 1932:
January
585
February
641
March
639
April
738
May
419
June
346
July
367
August
467
September
400
October
600
November
615
December
524
6,341
During the past year the department has increased its service to the citizens of Quincy through the cooperation of the staff, which has made this possible. Over a thousand more treatments were given this year than during the year 1931.
Included in the work done was a series of lectures to nurses, including demonstrations of the various physical therapy pro- cedures.
The value of colonic therapy is being recognized and many pa- tients are taking advantage of this phase of our work. Many in- teresting clinical observations have been made since this service was instituted.
Respectfully submitted, CLAUDE L. PAYZANT, M.D.
161
REPORT OF CITY HOSPITAL
REPORT OF THE HOSPITAL LIBRARIAN
Another year of service added to the roll has further satisfied those interested that the book lending service at the Quincy City Hospital is all that it was expected to be. After more than seven years the public have become accustomed to the idea of library books in the hospital and require little explanation as the library wagon is trundled about.
Seven new shelves have been added to the library to make way for the books which have been added since the room was furnished two years ago.
At present there are 856 permanent books; 683 are adult fiction, 107 are juvenile fiction, 35 are adult non-fiction and 76 are juvenile non-fiction. There are books in Italian and Finnish in the per- manent collection.
In addition, special requests are gratified whenever possible, and at this writing there are in circulation 33 books borrowed from the main library by request.
The subjects covered in requested books loaned to patients are philosophy, one; engineering, four; literature, six; travel, six; finance, one; biography, six, and history two; fiction, seven.
The total circulation for the year 1932 was 10,971, a gain in cir- culation of 199 as against the previous year. The detailed figures are:
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