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DIRECTORY OF THE DEPARTMENT OF HEALTH

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OFFICES
Headquarters: S. W. Corner Centre and Walker Streets, Borough of Manhattan

Telephone, 6280 Franklin.
Borough of The Bronx, 3731 Third Avenue.

Telephone, 1975 Tremont. Borough of Brooklyn, Flatbush Avenue and Willoughby Street. . Telephone, 4720 Main. Borough of Queens, 372-374 Fulton Street, Jamaica, L. I..

Telephone, 1200 Jamaica. Borough of Richmond, 514-516 Bay Street, Stapleton, S. I..

. Telephone, 440 Tompkinsville Office Hours-9 a.m. to 5 p.m.; Saturdays, 9 a.m. to 12 m.

HOSPITALS FOR CONTAGIOUS DISEASES
Manhattan-Willard Parker Hospital, foot of East 16th Street. Telephone, 1600 Stuyvesant.
The Bronx-Riverside Hospital, North Brother Island. Telephone, 4000 Melrose.
Brooklyn-Kingston Avenue Hospital, Kingston Avenue and Fenimore Street. Telephone, 4400 Flatbush.

LABORATORIES
Diagnosis Laboratory, Centre and Walker Streets. Telephone, 6280 Franklin.
Serological laboratory, Centre and Walker Streets. Telephone, 6280 Franklin.
Research Laboratory.

Chemical Laboratory. Vaccine Laboratory. Drug Laboratory.
Foot of East Sixteenth Street. Telephone, 1600 Stuyvesant.

INFANTS' MILK STATIONS

Manhattan 1. 172 East 3d St. 8. Vanderbilt Clinic 15. 421 East 74th St.

73 Cannon St. 2. 513 East 11th St.

9. 326 East 11th St.

16.

205 East 96th St. 23. 110 Suffolk St. 3. 281 Avenue A

10. 114 Thompson St. 17. 209 Stanton St. 24. 96 Monroe St. 4. 240 East 28th St.

11. 315 East 112th St. 18. 2287 First Ave. 25. 251 Monroe St. 5. 225 East 107th St. 12. 244 Mulberry St. 19. 108 Cherry St. 26. 289 Tenth Ave. 6. 241 East 40th St.

13. 508 West 47th St. 20. 122 Mulberry St. 27. 74 Allen St. 7. 174 Eldridge St.

14. 78 Ninth Ave. 21. 207 Division St.

Brooklyn 1. 268 South 2d St.

7. 359 Manhattan Ave. 13. 651 Manhattan Ave. 19. 698 Henry St. 2 660 Fourth Ave.

8. 49 Carroll St.

11. 185 Bedford Ave. 20. 552 Sutter Ave. 3. 208 Hoyt St.

9. 69 Johnson Av.

15.

296 Bushwick Ave. 21. 167 Hopkins St. 4. 176 Hudson Ave.

10. 233 Suydam St. 16. 994 Flushing Ave. 22. 604 Park Ave. 5. 2346 Pacific St.

11. 329 Osborne St. 17. 176 Nassau St. 23. 239 Graham Ave. 6. 184 Fourth Ave.

12. 126 Dupont St. 18. 129 Osborn St. 24. 49 Amboy St. The Bronx-1. 511 East 149th Street. 2. 1354 Webster Avenue. Queens-1. 114 Fulton Avenue, Astoria, L. I. Richmond-1. 689 Bay Street, Stapleton, S, I.

CLINICS FOR SCHOOL CH LDREN

Hours: 2-5 p. m. Saturdays, 9-12 m.
Manhattan-Gouverneur Slip. Telephone, 2916 Orchard.

Pleasant Avenue and 118th Street. Telephone, 972 Harlem.
164 Second Avenue. Telephone, 2081 Orchard.
449 East 121st Street. Telephone, 3230 Harlem.

P.S. 144 Hester and Allen Streets. Telephone, 5960 Orchard.
Brooklyn-330 Throop Avenue. . Telephone, 5379 Williamsburg.

124 Lawrence Street. Telephone, 5623 Main.

1249 Herkimer Street. Telephone, 2684 East New York, The Bronx-580 East 169th Street. Telephone, 2558 Tremont. Richmond-689 Bay Street. (Dental only). Telephone, 686 W. Tompkinsville.

DIAGNOSTIC CLINICS FOR VENEREAL DISEASES
Manhattan-Centre and Walker Streets. Weck days, 9 to 10 a.m.
307 West 33d Street. Wednesdays, 8 to 9 p.m.

TUBERCULOSIS CLINICS
Manhattan-West Side Clinic, 307 West 33d Street. Telephone, 3171 Murray Hill.

East Side Clinic, 81 Second Street. Telephone, 5150 Orchard.
Harlem Italian Clinic, 420 East 116th Street. Telephone, 2375 Harlem.
Southern Italian Clinic, 22 Van Dam Street. Telephone: 412 Spring.

Day Camp, Ferryboat “Middletown," foot of East 91st Street. Telephone, 2957 Lenox.
The Bronx-Northern Clinic, St. Pauls Place and Third Avenue. Telephone, 1975 Tremont.

Southern Clinic, 493 East 139th Street. Telephone, 5702 Melrose.
Brooklyn--Main Clinic, Fleet and Willoughby Streets. Telephone, 4720 Main.

Germantown Clinic, 55 Sumner Avenue. Telephone, 3228 Williamsburg.
Brownsville Clinic, 64 Pennsylvania Avenue. Telephone, 2732 East New York,
Eastern District Clinic, 306 South 5th Street, Williamsburg. Telephone, 1293 Williamsburg.

Day Camp, Ferryboat “Rutherford," foot of Fulton St. Tel., 1530 Main.
Queens-Jamaica Clinic, 10 Union Avenue, Jamaica. Telephone, 1386 Jamaica.
Richmond-Richmond (linic, Bay and Elizabeth Streets, Stapleton. Telephone, 1558 Tompkinsville.

SANATORIUM FOR TUBERCULOSIS
Otisville, Orange County, N. Y. (via Erie Railroad from Jersey City). Telephone, 13 Otisville.

TUBERCULOSIS HOSPITAL ADMISSION BUREAU
Maintained by the Department of Health, the Department of Public Charities, and Bellevue and Allied

Hospitals, 426 First Avenue. Telephone, 8607 Madison Square Hours 9 a.m. to 5 p.m.

M. B. BROWN PRINTING & BINDING CO.

49 TO 67 PARK PLACE, NEW YORK

622-K-18 (B) 2000

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All communications relating to the publications of the Department of Health should be

addressed to the Commissioner of Health, 149 Centre Street, New York

Entered as second class matter ay 7, 1913, at the post office at New York, N. Y.,

under the Act of August 24, 1912.

NEW SERIES. VOL. II.

NOVEMBER 22, 1913.

No. 47

REORGANIZATION OF BUREAUS AND DIVISIONS OF THE DEPART

MENT OF HEALTH. At the meeting of the Board of Health held October 28, 1913, several resolutions were adopted effecting important changes in the organization of the bureaus and divisions of the Department of Health. The object of these changes is to rearrange the working forces of the Department of Health more in accordance with the needs and problems of the present time. The rapid expansion in the scope and functions of the Department of Health and the great increase in the number of employees which have come about in recent years have made necessary the creation from time to time of new divisions, several of which have grown from small beginnings until they are now of the first importance among the various lines of activity of the Department. The resolutions referred to have the effect of raising to the rank of bureaus several branches of the work formerly organized as divisions, making them co-ordinate with the Sanitary Bureau and the Bureau of Records, which latter have existed in the Department for many years.

As a result of the action taken at the last meeting the Department of Health will now carry on its activities through the following bureaus:

(1) Bureau of General Administration.
(2) Sanitary Bureau.
(3) Bureau of Infectious Diseases.
(4) Bureau of Child Hygiene.
(5) Bureau of Hospitals.
(6) Bureau of Laboratories.
(7) Bureau of Food Inspection.
(8) Bureau of Records.

By a second resolution the office titles indicated in the following schedule are given to the officials assigned to duty as chief executive officers of the several bureaus and they are required to report directly to the Commissioner of Health, to whom, as the chief executive officer of the department, they are responsible for the conduct of the work, and the efficiency of the employees under their jurisdiction :

Bureau.

Chief Executive Officer.

Present Incumbent.

Bureau of General Admin-
istration
Secretary

Eugene W. Scheffer,
Sanitary Bureau

Sanitary Superintendent
Bureau of Infectious Dis-
eases
Director

John S. Billings, M.D.
Bureau of Child Hygiene.. Director

S. Josephine Baker, M.D. Bureau of Hospitals... Superintendent of Hospitals Robert J. Wilson, M.D. Bureau of Laboratories... Director of Laboratories... William H. Park, M.D. Bureau of Food Inspection. Director

Marion B. McMillan, M.D. Bureau of Records... Registrar of Records. William H. Guilfoy, M.D.

Bureau of General Administration. The Bureau of General Administration was originally created by the Board of Health on January 30, 1912, since which time it has been under the executive supervision of the secretary of the Board of Health, and has included the offices of the chief clerk and the assistant chief clerks in the several boroughs, the law clerk, and since July 2, 1912, the office of the filing clerk.

By an additional resolution adopted October 28, 1913, there were established in the Bureau of General Administration two new divisions, to be known as the Division of Supplies and the Division of Audit and Accounts, to be developed under the direction of the secretary from the employees now under the supervision of the chief clerk, these new divisions to continue the work performed in the chief clerk's office.

Mr. James McC. Miller, chief clerk, was assigned to duty as the head of the Division of Supplies, and charged with the duties of superintending the purchase of all supplies by the Department of Health, the supervision and care of all the buildings and offices of the Department of Health, with the exception of those belonging to the hospital service, the preparation of plans and extensions and repairs to the buildings, and the sale of laboratory products.

Mr. Louis C. Connolly, examiner, was assigned to duty as the head of the Division of Audit and Accounts, and charged with the responsibility of the auditing and accounting work of the Department of Health and with the supervision of all bookkeepers, clerks and other employees detailed to duty in the Division of Audit and Accounts.

Bureau of Infectious Diseases. The organization of the Bureau of Infectious Diseases was defined to include the following divisions :

(1) Division of Contagious Diseases.
(2) Division of Tuberculosis.
(3) Division of Venereal and Veterinary Diseases.
(4) Division of Institution Inspections.
(5) Division of Typhoid Fever.
(6) Division of Nurses.
(7) Division of Diagnosis Laboratory.

Bureau of Child Hygiene. The organization of the Bureau of Child Hygiene comprises the following divisions :

(1) Division of Midwife and Foundling Inspection.
(2) Division of Institutions and Day Nurseries.
(3) Division of School Medical Inspection.
(4) Division of Employment Certificates.
(5) Division of Infants' Milk Stations.
(6) Division of Children's Clinics.

Bureau of Food Inspection. The organization of the Bureau of Food Inspection includes the following divisions :

(1) Division of Meat, Fish, Vegetables, and Drug Inspection.
(2) Division of Milk Inspection (City).
(3) Division of Milk Inspection (Country).
(4) Division of Milk Inspection (Pasteurizing plants).

ROCHESTER'S INFANT MORTALITY, CORRECTION OF AN ERROR.

Under the head "A Reduction of Infant Mortality," there appeared in the bulletin of August 2 a table in which the death rate and number of deaths occurring from all causes in infants under one year of age were given for a number of cities in New York State. The figures referring to the City of Rochester were starred and a foornote stated that deaths from prematurity were not included. For many years Rochester had not included deaths from prematurity in its report of deaths, but had published them in a separate table in its monthly as well as in its annual reports. In January, 1913, it began to include these deaths in its reports. We are informed by the Health Officer of Rochester that in the January issue of the Bulletin of the State Department of Health, from which our figures were taken, the figures given by Roch.'s. ter were made to include all deaths from prematurity for the year 1912. The Commissioner of Health of New York State has informed us that the State Department did not see the certificates of deaths from premature birth occurring in the City of Rochester until after the close of the year, when it was called to their attention that these returns had been omitted. They were thereupon placed in Rochester's tabuiz. tion, and the death rate for Rochester as given in our chart should have been held to include all deaths from prematurity. Rochester's figures for 1912 per 1,000 births were as follows: Rate, 97.7; deaths, 539.

women.

PRENATAL WORK OF THE BUREAU OF CHILD HYGIENE. Another link has been added to the chain of effort in the reduction of infant murs tality by extending the activities of the milk stations to include the care of pregnant

Thirty-six per cent. of infant mortality occurs in the first month, and it is safe to infer that the majority of these children die either because the mothers were physically unfit to bear healthy children or because of their ignorance of the propos care of their offspring during the first weeks of life. The milk station at 2287 is? ave., Manhattan, has been selected as a centre for the instruction of nurses in prenatal work. When sufficiently familiar with its details, they will be assigned to other stations to carry it on. The nurses assigned to this work canvass the neighborhood and persuade expectant mothers to place themselves under medical care as early in pres. nancy as possible; they communicate with the doctor of the hospital under whose care the patient may be, and explain the desire of the Department of Healtlı ton. operate and the manner and degree in which it is prepared to do so; they instruct mothers in detail with regard to diet, fresh air, foodi, exercise, clothing, etc., and inpress upon them the importance of nursing their infants.

In normal cases visits are made every ten days ante-partum and every three da! post-partum; in abnormal cases, as often as may be necessary. Visits are made for one month after labor. The mothers are then requested to enroll their children at the milk station, where they are cared for during their first and second years

To date one hundred and seventy-five mothers have been enrolled, of whom twenty-five have given birth to children. While it is too early to show by figures wha! can be accomplished, it is most gratifying to note the appreciation of the mothers and the enthusiasm of the nurses.

DEATH RATE FOR THE WEEK. There were 1.388 deaths and a death rate of 13.48 per 1,000 of the population, as compared with 1,354 deaths and a rate of 13.65 for the corresponding week of 1912, an absolute increase of 34 deaths-corresponding to a decrease relatively of 18 deathsand a decrease of .17 of a point.

The death rate from the following causes showed material decreases, scarlet fevet diphtheria and croup, diarrhoeal diseases under five years of age, bronchitis. laloar pneumonia and violence. Those causes showing increases were measles, whooping cough, tvphoid fever, organic heart diseases, broncho pneumonia. pulmonary tuberculosis and Bright's disease and nephritis.

Viewed from the point of age grouping, the mortality under one year of age per resented 40 fewer deaths, and under five years of age 39 fewer deaths than in 191? The increased mortality was based upon an increase in the diseases affecting adult liic such as pulmonary tuberculosis, organic heart diseases and Bright's disease and nephritis. There were 33 more deaths reported between the ages of five and siatvfive and 40 more deaths at the ages of sixty-five years and over.

The death rate for the first forty-seven weeks of this vear was 1371 per 1.000 the population as against 14.07 for the corresponding period of 1912, a decrease of of a point.

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