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ommendation, was well aware of the preference of of the members of this society that it will be dethie vast majority of citizens. The prohibition

feated in this state. forces, aroused by this step, are preparing to fight Committee on Social or Health Insurance of the issue with all the influence they command.

the Illinois State Medical Society: One can only regret the stubbornness and lack of

Ed. H. Ochsner, Joseph Fairhall, vision which the persistence shows.-American Medicine, May, 1919.

George Apfelbach, S. V. Balderston,
C. A. Hercules,

Cleaves Bennett,
W. F. Burres,

E. W. Fiegenbaum, NATIONAL HEALTH INSURANCE DETI- Henry F. Bruning, W. D. Chapman, MENTAL TO THE STATUS OF THE

Chairman.

Secretary.
MEDICAL PROFESSION OF
GREAT BRITAIN

ONE FORM OF AUTOCRACY HAS DISAPMr. Frederick L. Hoffman of the Prudential

PEARED-IS ANOTHER TO TAKE Insurance Company, who is now on an extended

ITS PLACE? English trip for the purpose of thoroughly in

COMPULSORY HEALTH INSURANCE vestigating the methods and results of National Health Insurance in Great Britain, wrote the To deprive any citizen of the privilege of editor of the Journal of the Medical Society of putting his life in the hands of a physician of New Jersey, under date of July 15, 1919, as fol- his choice is un-American and it is equally unlows:

American to compel a physician to attend a per

son in sickness when for a good reason he would I have just finished reading a large amount of

like to be excused. If a man must submit his original information received from England and I am absolutely of the opinion, in the light of my pres

life to the dictates of a bureaucracy, such a man ent knowledge, that National Health Insurance has is robbed of his liberty and independence as it been decidedly detrimental to the status and well- is related to that which is above all things being of the medical profession of Great Britain. sacred to him. The doctors have been reduced to the status of mere clerks or servant of Approved Societies and there

Where is the justice or equity of discriminathas been developed a tendency to the granting of

ing legislation that would advocate a bureaudishonest certificates as an aid to malingering and cracy to control and dominate the members of fraud upon the funds. A large amount of the the medical profession to the extent that such practitioner's time is taken up with National Health

bureaucracy shall determine the personnel of a Insurance which have nothing to do with the prace tice of medicine as a healing art. Doctors are con

physician's clientele and the fee he may charge tinually on trial before Insurance Commissioners for regardless of the qualifications attained and the alleged offenses against the act, chiefly over-prescrib- specially skilful service rendered? One cannot ing, with that it is more true of England today than be in sympathy with such a contemptible stateof any other country in the world, unless it be Ger

wide lodge practice. Why should the members many, that there is a reign of terror and chaos, in con

of the medical profession, who at present rank sequence of a fatuous policy of alleged social reform. The President of the Illinois State Medical Society

in qualifications with that of any other profesin his annual address, May, 1919, said:

sion or calling, be commercialized at the instigaThe organized profession which will have to work

tion of comparatively few apparently selfunder this law does not demand it, organized labor appointed ultra enthusiasts who pose as deeply has condemned it, the employers of labor, as repre- interested in the physical welfare of the peosented by the various national organizations, ple of our commonwealth and who do not see Chambers of Commerce and Civic Federations, have

fit to apply the same principle in every other all gone on record as being opposed to it. It is

line of human endeavor ? It is just as being fostered by and originated with the "American Association for Labor Legislation,” which is in American for a bureaucracy to determine the nowise connected nor in any way affiliated with clientele of a physician as it would be to deorganized labor. However, the supporters of this termine the clientele of a butcher, a baker, or measure have a strong organization to promote its

a candlestick maker. There is no difference in enactment, so strong that it has been successful in

the application of the principle. enlisting many prominent medical men in its defense, and it will only be by the united team work The physical welfare of our people was never

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so well taken care of as now. Preventive medi- less than the smaller countries, as Belgium, Poland, cine has made tremendous progress and is the

Serbia, and Roumania. It must always be borne in

mind that for a considerable part of the war the outgrowth of work accomplished by the organ

blockade was notoriously inadequate. ized medical profession. Nowhere in our coun

The real facts of the condition of infants in Gertry was it the result of the importation of any

many while the war was in progress are beginning to foreign scheme that has brought ruin to the

leak out. Recently an instructive summary concernprofession wherever adopted. This whole propa- ing infant welfare in Germany during the war has ganda appeals to one as artful sophistry, a been given in a report prepared by the intelligence species of Michiavelianism.-G. E. H, in Penn. department of the British Local Government Board in Med. Jour.

1918, which has just been published. The summary was reproduced in Public Health Reports for Feb

urary 14, 1919. HISTORICAL DATA

The most striking feature of the information set

down in the document is the heavy decrease shown in In the John Crearer Library, Marshall Field the number of births. Some 40 per cent fewer babies Building, Chicago, Illinois, can be found a com- were born in 1916 than in 1913. On the whole, the plete file of the ILLINOIS MEDICAL JOURNAL. infantile death rate was well kept down. According The editor and the trustees feel that it is best

to the British report, the reduction in the rate was that these valuable historical records of the

due partly to the special measures taken and partly

also because of the cool summers. The chief measure transactions and proceedings of the Society be

adopted in Germany to promote infant welfare during stored in a fireproof building instead of being

the war was the distribution of imperial maternity kept in a private home as in the past. In the grants. One of these grants is given only to women Crearer Library they are not only safe from the who feed their babies at the breast, the encourageravages of fire but they will be card indexed and ment of breast feeding being regarded as one of accessible at all times.

the most powerful agencies for furthering infant welfare.

Illegitimacy increased greatly in Germany in the INFANT WELFARE IN GERMANY DUR

past few years. The proportion of illigitimate births ING THE WAR.

in the entire German Empire is between 9 and 10

per cent, and in certain districts the rate is much In all Europe and, of course, more especially higher. The care of foster children was interin those countries engaged in war, infants and

fered with by the war on account of the mobilizachildren have suffered severely, and this consti

tion of medical men appointed to look after them.

However, when affairs had become settled on a war tutes one of the most important after-the-war

basis, illigitimate children were cared for better problems. Conditions in Germany during the than ever before. Foster children and children whose war have been largely veiled in obscurity, or mothers were working outside were taken care of camouflaged, as they seemed to suit military ex

both in homes and in institutions. It is claimed by

those concerned in the welfare of infants and young igencies or the wishes of the ruling caste. The

children that these are better cared for by trained reports from Germany itself in the past four

and supervised workers in creches or infants' homes years have been so contradictory that no reliance than in the houses of foster mothers, especially in whatever could be placed on them, and even now

view of the difficult food conditions that must still it is very difficult to arrive at the truth. When

prevail for a considerable time. the war was going on it was usually declared that

A discussion of the subject of infant welfare in infants and children were not very adversely af

Germany recalls the recent request of workers in this

field to the British Government for permission to imfected by the blockade; but now that Germany is port from England a supply of rubber nipples for beaten, and it is the policy of the country to ap- nursing bottles. The petitioners urged that this was peal to the sympathies of the world at large, it is imperatively necessary to save the lives of thousands asseverated.

of infants, and to clinch the point by an unanswerable

argument they added that if this request was refused, that hundreds of thousands of infants and children by 1933 there would be no men fit for army service. were wiped out by Great Britain's cruel blockade. The naivete of this statement is delicious, and is on The truth appears, as is generally the case, to lie be- a par with many other manifestations of the utter tween these two extreme statements, and probably humorlessness of Teutonic efficiency. With minds Germany suffered in infant mortality to about the set on the goal, they are absolutely blind and deaf to same extent as the other big warring countries, and all side issues.--Medical Record, March 22, 1919.

SHORTER HOURS FOR NURSE, DEMAND AT

MEETING HERE.

Resolutions were adopted at the closing session of the twenty-fifth annual meeting of the National League of Nursing Education in the Congress hotel as follows:

For shorter hours for nurses.

Advocating that schools for nursing include courses in mental diseases, care of children, communicable diseases, and public health.

For inspection of schools of nursing.

Military rank for nurses serving in the army or navy.

some physician in the district for a delegate to the Constitutional Convention.

Per Dr. G. W. RICE,
Sec. Jo Daviess Co. Med. Society,

Galena, Illinois. Out of ninety-five communications sent out I received twelve replies expressing a choice. Doesn't that show some interest in a convention that is to revise or re-write the fundamental law of our state !! Who in that convention will look after the interests of the medical profession? Of course we can maintain a lobby under the direction of our committee on legislation and receive telegrams and form letters from them asking us to use our influence with our delegates.

Is it any wonder that the professional politician says, “The doctors can go to hell” when only twelve out of ninety-five will express a choice on a subject of such vital importance as revising the constitution of this state?

G. W. RICE.

Correspondence

THE CONSTITUTIONAL CONVENTION

APATHY OF PHYSICIANS

Galena, Ill., Aug. 12, 1919. To the Editor: The recent attempted legislation relative to the medical profession of this state should cause us to prick up our ears and at least stimulate us to some interest in legislation.

With this thought in view, and believing that the medical profession should be represented in the Constitutional Convention I sent the following communication to all the physicians in this, the Twelfth Senatorial District, comprising the counties of Jo Daviess, Carroll and Stephenson, with the hope that some physician might become a candidate for delegate to the convention.

Public Health

READ THIS, DOCTOR The Constitutional Convention meets in January, 1920, for the purpose of revising or rewriting the Constitution of the State of Illinois.

Each Senatorial District in the state is entitled to two representatives or delegates. These delegates are elected by the people of each Senatorial District. To become a candidate at the primary election, it is necessary to file a petition signed by one-half of one per cent of the vote cast in the district for Governor at the last election. The petition must be filed with the Secretary of State before the first day of August, 1919.

Who is going to represent the Medical Profession from the Twelfth District-including Stephenson, Jo Dariess and Carroll Counties?

The medical profession should see that we have representation in this convention and should put out a candidate in many districts of the state.

Let us not leave the framing of the fundamental law of the state entirely to others. Let us have something to say! The profession is vitally interested,

Reply on enclosed postal expressing your choice of

PREVALENCE OF INFANTILE PARALYSIS IN

ILLINOIS. The Division of Communicable Diseases of the State Department of Public Health reports an increased prevalence of infantile paralysis dating from July 1st with new cases being reported almost daily. For the current year from January 1st to June 30th there were 45 cases of infantile paralysis in this State. During the month of July alone 51 cases were reported, or six cases more than had been reported during the first six months of the year. Between August 1st and August 22nd, 68 additional cases had been located.

An interesting feature of this outbreak of poliomyelitis is that the new cases are being reported in many instances from exactly the communities in which the first cases were noted in the outbreak of 1916. In 1916 the first cases were found in the village of Standard in Putnam County, where five cases with two deaths have been noted within the past few weeks. It will be recalled that in 1916 La Salle County and particularly that section in the neighborhood of La Salle County was particularly hard-hit. At the present time cases are reported in four sections in La Salle County and in the adjoining counties, and in seven communities of the adjoining counties of Bureau and Putnam. Since the compilation of data on August 22nd, 5 cases have been reported in Monticello, Piatt County. There were a number of cases in and about Piatt County during 1916.

In addition to the active cases of poliomyelitis located through the reports of physicians to the Di

vision of Communicable Diseases or through the in- The plant at Carthage involves a filtration and purivestigations of epidemologists, the Division of Child fication works for the proper treatment of water Welfare and Public Health Nursing reports that in which is now being drawn from Long Creek. all of the eighteen clinics for crippled children pa- At Newton experiment wells are being driven under tients are being presented for diagnosis and treat- the direction of the Division of Sanitation for the ment who show the after-effects of infantile paralysis purpose of securing the water supply to take the not recognized during the acute stages of the disease. place of the present protected supply drawn from the

It is difficult to determine the cumparative prev- Embarrass river. alence of poliomyelitis at the present time with that of several years ago, inasmuch as the attention given to the subject by the State Department of Public

BETTER BABIES CONFERENCE AT STATE Health and the apprehension occasioned by the east

FAIR. ern epidemic of a few years ago, have led to a more The Better Babies Conference conducted by the careful diagnosis by physicians and to a greater will- State Department of Public Health in conjunction ingness to report both known or suspicious cases as with the Illinois State Fair was larger this year than required by the Rules of the Department.

at any time in the past and there was noticeable

a disposition on the part of the parents to seriously BATHING AT WATER SUPPLY SOURCES.

utilize the Conference as a means for promotion of

health of infants, rather than as a purely competThe State Department of Public Health issued

itive baby show. Of the 547 infants examined communications to local health officers and other pub

ranging in age from six months to five years a large lic officials urging that definite steps be taken to pre- number were entered in the non-competitive class in vent bathing and swimming in reservoirs, lakes,

an effort on the part of the parents to ascertain the streams or other sources of municipal water supply.

causes of recognized physical deficiencies and to It has been ascertained that a number of communities

learn the best means of overcoming these conditions. where the water supply is otherwise satisfactorily and

In addition to the non-competitive class the interest in thoroughly protected that swimming in reservoirs is

improvement in the physical condition of children was permitted or, if forbidden, is not effectively prevented.

manifested by a group of approximately 150 in the Cases are available where the use of sources of water

so-called “Improvement Class.” These children had supply for swimming has resulted in serious outbreak

been examined at previous annual conferences and of water-borne disease, that regardless of the de

were brought back this year for re-examination and velopment of disease the Department of Health holds

for comparison of their former and present ratings. that the use of public reservoirs for bathing or swim

While a large number of competing children came ming is repugnant to all sense of decency and should

from the central part of the State there were over be absolutely prohibited.

fifty counties represented, a wider distribution of rep

resentatation than in any previous year. IMPROVED WATER SUPPLY IN ILLINOIS The conference was held under the immediate su

The Division of Sanitation of the State Department pervision of Dr. C. St. Clair Drake, Director of Pubof Public Health is concluding investigations for the lic Health, with the assistance of the heads of the establishment of a water supply in Virden, Macoupin

several divisions of the Department, a group of volCounty. Up to this time Virden has been the largest unteer physicians and a large corps of nurses. city in Illinois without a public water supply. Certain phases of the examination were carried out Through extensive investigations which have extended by physicians and nurses furnished for the conferover a period of three years it was found that there ence by the State Department of Public Welfare. was no ground water supply available and conse- The exhibits of the Department of Health this quently it became necessary to draw the supply from year were more extensive than ever before, occupySugar Creek. The Virden plant will consist of an ing over one-half of the balcony of the large exearthen dam with a concrete spillway making a res- position building, this section proving one of the ervoir with a capacity of 80 million gallons. The most popular features of the entire fair. Throughout water will be pumped from this reservoir to a filtra- the entire exhibit the policy of conferences tion and purification plant.

carried out, the chiefs of the several divisions beThe Division is also making an investigation of the ing present to confer with health officers, physicians proposed water plants for Christopher, Franklin and other interested persons on all phases of public County; Carthage, Hancock County; and Newton,

health work. Jasper County. At Christopher the present water supply will be

EAST ST. LOUIS SURVEY. treated with liquid chlorine. The Department of Public Health has recommended in addition to this The general sanitary survey of East St. Louis a filtration plant which is to rid the water of for- which is being carried out by the State Department of eign material and to overcome occasional tastes and Public Health in conjunction with the War Civics odors. The filtration plant cannot be installed at the Committee is being rapidly completed. The field staff present time on account of lack of funds.

under the direction of Paul L. Skoog, Chief of the

was

Division of Surveys and Rural Hygiene, have re- It is reported that a similar disease is quite prevalent turned to Springfield where the final report is in in southern Wisconsin. process of preparation.

Epidemiologists of the Division of Communicable A staff of workers is now in the field conduct- Diseases who have made a house to house canvass ing a tuberculosis survey which is being carried out in certain of the communities most infected, report by the Department of Public Health and which has that there is a striking immunity on the part of been financed largely by a special grant of money those persons who suffered from "Au” during the refrom the National Tuberculosis Association and an cent epidemic. The clinical picture of these cases of appropriation from the St. Clair County Medical so-called "summer flu” is almost identical with that Society.

of infectious colds which preceded the serious “Au” The tuberculosis work in East St. Louis is ex- epidemic of last year. pected to be more than a survey; the plan being not The State Department of Public Health in view only to investigate the tuberculosis situation but to of the prevalence of these infectious diseases urges leave in operation all of the machinery necessary to that all physicians shall report promptly to their local the modern warfare against tuberculosis disease. health officers the existence of groups of infected

The health survey of Alton, in conjunction with the persons and urges that health officers shal! make local medical profession and the Alton Commercial epidemiologic studies, particularly as to whether those Association, will be begun about September first. persons sick at the present time suffered during the

recent epidemic.

DEDICATION OF THE MCLEAN COUNTY

TUBERCULOSIS SANITARIUM. The McLean County Tuberculosis sanitarium established under the supervision of the county sanitarium law after referendum vote of the people, was dedicated and opened for patients on Sunday, August 17th. This sanitarium, which is known as “Fairview," is said to be one of the most beautifully equipped institutions in the middle west, excelling in many particulars the more pretentious 'private sanatoria. Under the provision of the Illinois law county sanatoria are free to all persons regardless of their financial condition and the standard set by the McLean County board was that the institution was to be suitable for the care of all classes of persons.

The medical director of "Fairview" is Dr. Bernice Y. Curry, who for some time has been director of the McLean County tuberculosis dispensary and recently completed a special course in tuberculosis at the Tudor School at Saranac Lake, New York.

It is said that every bed in the McLean County institution was occupied at the time of opening.

This is the second county sanitarium to be opened of the forty created by vote of the people of Illinois during the past two years. The La Salle County tuberculosis sanitarium was opened last February. The Morgan and Adams County sanatoria are rapidly approaching completion.

SO-CALLED "SWIMMING” FEVER. Investigations made by the Division of Communicable Diseases of so-called "swimming fever” at Sidell, Virden, Auburn and Assumption, has led to the conclusion that the cases reported were probably those of the typhoid type of influenza. Some of these cases had been reported as paratyphoid, while others were reported under the vague term of "swimming fever." Unnecessary prevalence of diphtheria is causing field representatives of the State Department of Public Health to make investigations to determine why the death rate from diphtheria remains relatively high when the State had provided the means whereby the disease may be absolutely controlled. The diagnostic laboratories afford definite means of diagnoses and the State applies the "Schick test" to determine the immunity of individuals. The State also furnishes immunizing doses of anti-toxin for the protection of those cxposed to the disease and curative doses for those who develop diphtheria. While diphtheria antitoxin for the immunization of individuals is not furnished by the Department of Public Health at the present time, it is available from other ources and with the development of the new division of Biologic and Research Laboratories it is hoped that this valuable agent will be made available without cost to the medical profession.

PROBABLE RECURRENCE OF "FLU” INCREASED APPROPRIATIONS FOR THE DEEPIDEMIC.

PARTMENT OF PUBLIC HEALTH The Division of Communicable Diseases of the The Fifty-first General Assembly which recently State Department of Public Health is conducting ex- adjourned, made provision for greatly increased aptensive investigations of infectious colds prevalent propritations for the State Department of Public in several sections of the State and particularly noted Health as compared with any previous year. For the in the counties of Peoria, Stark, Bureau, Madison and year 1919 there will be available approximately four some points in McLean county, and which is regarded hundred thousand dollars, or a total of $786,000. for as possibly in some way related to the "Au” infection the biennium 1919-1920. The significance of these of the past year, possibly indicating a condition which increases is made clear when it is known that in may give rise to another epidemic of more or less 1914 the total appropriations of the Department magnitude during the coming fall and winter seasons. amounted to but $50,000.

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