The following text may have been generated by Optical Character Recognition, with varying degrees of accuracy. Reader beware!

| ease. Unfortunates, whose homes were wow no were MRC UNNECESIATY™ ~_imposéfl, with the idea v X y I and eight ; branch labo: at different points n idea of the ambunt of work being done boratory here last year. These consisted amination" of blood for' v eases, such as swabs for" diphthéria, the Widal for typhoid, speci- mens in connection with venereal dis- ease; dogs' heads' for rabies, and many others. The" laboratories are fully equipped to do all kinds of bac- teriological, 'serological and path- ological examinations, and all the work done is done at the expense of the Province. . Were this work done ed under Government auspices to pre- vent the spread of communicable dis- visited ? by some communicable disease, wers quarantined and frequently se- of protecting m ed public. EEN for' var While we have not entirely given up. the police idea, we resort to it in : the minimum, and wherever it is_pos- ~ sible to minimize the restrictions nec- essarily imposed on a family, without endangerng the public safety by so doing, We "that procedure. "At the sae time we are carrying on a sys- tem of public education, looking. to ~ public interest to afford the neighbor In whose home communicable disease. does not exist the same protection that] we expect him to extend to the other memb of the it able to the individual, the cost would enormous. Operating as we do with a full-time staff, under a competent director, the: cost per examination is one' central |; Hiclel.piati Province, and to give you an, la- ERE oF hog only as individual examinations, charge-| of ill health, e.g, "Nickel Rash" a; g was very prevalent pa- utes to the condition | 's in nickel refineries or L ng industry. This was during: the years 1928-24-25. | n 1928 47 cases occurred in one plant, ! 24 y 5 cases occurred and not any Were severe enough to call for com~ ti This reduction was entire- accounted 'for by the intensive study 'made by the clinical staff of the . Dept, of Industrial Hygiene, and the { development by them of a plan by | which thie worker would proteet hime tion." The result is that a copsider- able group of men, instead of having broken, part-time wages in the nickel refining industry or in nickel-plating, or having to change to some other oc- cupation, are able to carry on at their 'own trade, earn good money and sup- port their families. self amd thus keep clear of skin infec. | P®' Hon, Dr Forbes Godfrey | the medical pub- pres a few of the honorable good heolth; that prote oh oF dae _pra : .| disease, and it is now well known to the medical € profession and 'members of this House have had res- to know what an unhealthy condi- on in the mouth can accomplish in the way of 'producing bad health, It now 'generally accepted that a | y mouth: is one of the absolutely indispensable necessities in general ET 'heal mouth is a ful ta in the protection of the general health of the individual. - ? + For this reason, the Dept. of Health 'has established a Branch of Dental Services. for the purpose of giving in- 'formation to the public relative to oral hygiene! ; We are all familiar arteriosc is, rh with the terms tism and heart profession that these are due to focal infection; that is, an area of infection 'or pelsening by micro- organisms, which distribute poison by whole of the body, and set up the dis- eases 'I have mentioned above, and there associate symptoms of ill health. GOOD TEETH AND SANITY. It has recentiy been brought to-my attention that patients in the Provin- T Approximate number of men em- 51,000 86 ployed a LD TERRE TE Physicians under contract , Amount paid physicians for san- Z.were compensated. In.1925. cal fees, deducted from employees' wages, over ...... Total capitalization of the in- dustries affected, exclusive of railways ..... Esau. $102,000,000 Cost of Government supervision "FIRST AID" ADVOCATED. A further important piece of work undertaken in the unorganized terri tory is the mitigation of accident se- Compensation cases, 'especial- ly in pulp and paper and lumbering, run all the way from $1.85 to over $5 A tremén- verity. per $100 on the payroll. "3a ¥e vena $400,000 VORP, viiihes......iiviid $15,000 cial hospitals have been very material- ly. improved by attention given to their teeth. When one realizes that sanity, as it is ordinarily appreciated, is simply a conditiorf in which the Individial has sufficient control over his emotions to' maintain a normal balance and that that-control varies with varying individuals, it can read- ily be seen that a sufficient amount of control to carry on satisfactorily under ordinary conditions may find that control insufficient to deal with emergencies and under strain it ma give way, the 'condition resulting be: ing recognized as one of the varying types of insanity. Just. think for a moment of what could happen to an individual with this diminished control, constantly means of the circulatory system to the | in bis one OSEPH'S PROSPERITY, Ve. 1-6. 1, TEUPIED AND FALSELY ACCUSED, v8. 111, 1x PRISON, ve. 19-23. CTION--The story of Jose ph the miasterpieced of Biblical literature. It is told with dramatic ° skill and fidelity and "with a touching charm." "Every trait in the narra- tive is in accordance with nature; and the whole forms a vivid portraiture of true development of human char- acter. * The young boy dreams his munity may be led to ilar service on their own aceount. POORER CITIZENS HELPED, | Eight 'of these nurses are- doing special work in communities through 'Central Ontario and in New Ontario where there is no hope of establishing such a service at the expense of the local community, but with the idea of contributing service to them of dis- tinct economic advantage to the cit- zens. Let me illustrate by reference to a hypothetical case. "A doctor calls at a home and diag- noses a person there ill--typhoid fever. The home is a workingmén's home. Now one"™tan readily realize that in these days, with the"high cost of living, wages not too high in pro- portion, and other economic conditions as they are, the demands made on a workingman do not give him much leeway with a moderate salary. It is Ananeially out of the question, no mat. ter what the sentimental considera- tions in the case may be, and yet a nurse is very important in the recov- ery of the patiént. One of the public health nurses can go into the home and teach a 16-year-old girl, if neces- sary, how to make a bed, how to give the bedfast patient a bath, how to prepare the nourishment ordered; how to give prescribed medicines, how to take care of soiled linen and how to dispose of excrpta. In other, words, in the course of a week, with occa- sional visits from the public health harrassed by the irritation of, say, an! impacted molar tooth--that irritation ! keeping up for 24 hours in the day! nurse for demonstrating and teaching, this girl ean be made quite as effective in a routine case of. illness as a well- trained nurse. Is this not a very of future great ; almost im- mediately his hopes are, to all appear- | shattered; he is -away from his Tather and brethren into forei slavery; there, however, his Sivi and loyalty save him; after many trials and disappointments he is at length, by a surprising sequence of Kifcamstahees, elevated to a high and responsible dignity in Egypt" (Driv- er). There he was able to render a very great service to his aged father, who long mourned him as dead, and to hig brothers, who out of jeal- ousy had treated him so cruelly. In a sermon published in the "Ex- pository Times" of June, 1908, the character of Joseph is compared in an interesting way with that of the Greek hero, Ulyssess "Each is kept true by the tendir memories of home love; each is Godfearing; eaeh is shrewd, resourceful, courageous, growing with experience of life; but with Ulysses the shrewdness just passes the line, and can scarcely be distin- guished from guile and cunning, from which Joseph is quite free." y An Egyptian story, "The Tale of the: Two Brothers," has come down to us from the age of Moses, which is very much like the story of our lesson. It is thus summarized by Ryle in his "Commentary on Genesis': There were two brothers, Anpu and Bata, living together in one house. The elder one, Anpu, one day sends Pata back from the field in which they are working to feteh some seed from the house, In the house, Anpu's wife makes an immoral proposal to Bata, which Bata rejects. In the evéning, on Anpu's return to the house, his wife accuses Bata on the false charge of wrongful advances. Anpu in rage seeks out his brother to slay him. Batu escapes, suffers much, but long after- ward his innocence is established and he {is reconciled to his brother, y when, communicable disease unfortunately visits his home. We are going even ~ further than that and we are adopt ing modern, scientific methods to miti- te the ty of disease, and to ally oF of disease when _ It occurs, by measures applied to the « Individual before exposure to the in- fection, For example, we now make a very wide use of the Schick test, a simple procedure, which indicates by Ata action whether a child is suscep- dous amount.of this money. is paid out ; 20m as the result of infection, which is ae hoeue, hay gus a preventable if the proper "First Aid" ons, suchias lead arsenic; mereti and measures fre instituted, e.g., a small : henzok 1 might: nfention here Suny case Cut properly treated when it occurs Besides the laboratory investiga- to indicate the efficiency of the staff Its up With comparatively little lost tions that are carried om in this This was a case of chronic arsenical | 211° an no ie) a comes i 'branch, we also have a distribution of poisoning who had been referred from fected, on pe Ny cnn foretell where ies Biological 3 reducts, snd heading Doyen 2 SP hiSian sud feo Ye | the cost in connection with that injury £ { may finish. It may result in loss of | i2 J102000 3 Eieater proportion of; 18fused assistance wien he made-a) iT "TEL Tt EE ine INDUSTRIAL POISONS. worrying a person while he is awake | : and: disturbing his Sicop---maly very ETeat contribution to industry and to soon disturb' the mental equilibrium | the worker, and ig it not of eronontic of such. person to. the extent of bro.) importance to the Province as a whole. | ducing insanity, and authentic cases NURSES FIGHT TUBERCULOSIS. are on record even in our own Pro-| yell hospitals where an individual ihcarcerated' for insanity has been re- stored to normal by nothing more than a small amount of dental treatment. Pyorrhoea, one of the common causes comparatively very, very low, and the the saving to the Province as a whole through saving the money of the indi- viduals concerned, is very consider: able. > > I. JOSEPH'S PROSPERITY, vs. 1-6. V. 1. Potiphar, the captain of the guard, was, literally, captain, or chief, of the royal butchers, who may have formed the king's bodyguard (see 37: 36). (tient, an active casa of tuberculosis,| V. The Lord was with Joseph, goes to a sanatorium, and what does| Compare v. 21. This was. the secret he get there? Simply an education. {of We AL He haved hh 1, he thi a - ve: ionorably, he ept a good con- Not ane Th ou fe get there that) ¢ciance, and had the assurance that Refer again to tuberculosis. A pa- 2 God was with him, Compare the prom- . child for a period of at least seven - importance of this piece tible to diphtheria. If we find a posi-| Which e reaction, we then dn insulin, + A a Preparation yajed FREE INSULIN AND ANTI-TOXIN "Toxoid," which is absolutely painless 's ani, I very weil remem and harmiees and which wil confor per ths oo os He red "immunity from diphtheria on _ that go down into his own pocket in the case of a poor patient, and pay $7 or $8 for a dose of anti-toxin; often, too, this was delayed, the delay costing the life of the patient; now the same ~ PUBLIC HEALTH WORK PAYS. Diphtheria in the past was a dread- ful sconrge. Diphtheria now, with the : early administration of antitoxin, is! vince not a dangerous Gissase; ot, egh of ; :all, children, properly protected wit! toxoid, never need to have diphtheria Wher one of Ontario abo sician and the 0 ! tribution of insulin has more than 'of health justified er are' spending ir rk, one wil not ask the question: |proximately $35,000.a year on insu a health on and we are. raintaining alive and we "crete i oe of th 'between 800 and 900 geod citizens of "from the p health work of ~this this 'Province, the great majority of omsider tuberculosis. | whom would be utterly unable to pro- In the past fifteen years the death vide insulin for themselves and would e from tuberculosis in Ontario has 'go down as a result of diabetes. The y over 40 per cent. And why? atorium tréatment, which is simp- education in health habits and in usé of the four cardinal health --frésh air, sunshine, food i oh department to 45 cents per 100 units.] The present average annual cost: fent is in the neighborhood of $40. t is worth every cent of this, ule is for diphtheria anti-toxin and, the "doctor had to amount of anti-toxin costs the Pro-' ut $1. It costs' | work there has been on the condition- ot of insulin hag been reduced to the Per|vised-by the management that this claim for compensation. Eighteen months after his last exposure to {arsenic he fell into the hands of our Industtial Hygiene Division, and the invesigators there were able to-show, conclusively, the presence of angenic, by examination of the hair, the nails and the skin. 2? s We are endeavoring to extend sert- | 'First Aid" treatment of injury and ice of this type and make the branch | We Wiil be extremely disappointed if highly appreciated, as the valuable aid{ we do not ultimately reduce compensa. to industry in detection and cor- ns that lead to lost time and compensation. A further important piece of work jis branch has done is in investiga- ons in connection' with ventilation. This has been 'largely done at the plant of the Abitibi Power and Paper Co. at Iroquois Falls, where the wide- awake management has been extreme- ly anxious to avail itself of the serv- ices of our men and where we have found most valuable co-operation. The so is | moré heavy permanent charge. Our group of sanitary inspectors is this. year, starting in the pul paper industry, l¢ent. Our additional expense in con- nection, with this work is nil. We require no more personnel and we are extending this service to the industry gratis, believing that every service we can render industry in the Province of Ontarjo is justified by the economic resuits obtained. One point which should not be pass- ed at this stage is the important im- vestigation we have been making into a condition known as "silicosis," which affects the mining industry of Ontario. It is a condition produced by a certain type of quartz dust enter- ing the lungs of the miners and which, if allowed to progress, results in per- manent disability and death, and each side adds one more burden to the com- pensation charges of the industry ing of the air in the plant, to préduce the best' working conditions for the men employed,. and 1 have been ad- conditioning of the air in the plant, while it has had a good effect from st. Ed tin many times, to intai pe cri ER daeatior yd Potion: in, ved ini of whom are bread: and soto keep down the number ' winners, so that they may keep in good of infected contacts; and third, educa- 'health, support themselves end their ; those exposed to, or in contact families, and prevent themselves and a patient, teaching them how to their families from becoming a pub- homasioen, (Batty desaction] He phe © VIRULENCE TESTS. is the virulence piece of work| the ! standpoint, has also in-|F meat troduced rm , ir The mining industry in South | Atrica is carrying a very heavy load from this source, and we are endeav- oring to introduce a system of exam- ination before employment; and per- fodic physical examination during em* ployment, to first pick out those who are found to be susceptible to the dis- | ease, and second, those who have con- ly re In this way the ventilation investigation has achieved a two-fold purpose and has made a doubls contribution to the in- dustry concerned. ? LEGISLATION AVOIDED. The. services of this division are phy Jey 'have diphtheria do not clear u | ployer dered at the req of the em- and with the good-wil and ap-| proval of the supragen. No coercion ployment which will not be dangerous rappears anywhere on the program. i, them and to rehabilitate the second Attention is drawn to any defect de- group in other types of employment ted recommendations are made respect to correction. . We are p.4 away from legislation. tracted the disease in an early stage, an opportutity to supervene. The industry is very sympathetic ito the effort which has been made in ~ The di has done some very important work in the unorganized territory, where we have now succeed- ed in having established: » our efforts in this respect, have en- gaged a special man to w our Division of Indust: "The industries involved are: = saddled with one, p and, am truly of the opinion that the a system for the in- spection of camp foremen, camp clerks, | contribution to make to the field of etc, in the proper methods and the preventive medicine. 'tion cost to this industry by 40 per 80 as to turn the first group into em- permanent disability may have. | this respect, and the mines of the Porcupine group, desiring to further work with HS a : Lie they have no right is done is O | es: of the loss of the teeth, can now, ! | throdgh the investigations of Dr. Har. | [old Box, be detected at a very early! | incipient stage, and be corrected, and | structed in' the value of fresh air] sunshine, food and rest and how to apply these to his own case to pro- mote his recovery. Then at the end (of his period of education, from three to six months as the case may be, he returns to' his own home, to the en- | vironment of his-own domestic circle, } and he finds that the sanatorium rou- dental profession has a very major | DEPARTMENTAL ORGANIZA- TION. | tine and the domestic routine are not We have eight District Officers of ; easily adapted one to the other. He | Health, each assigned to one of the Struggles for a time to keep up the health districts of the Province, whose routine established in the sanatorium duty it is to consult with the local #nd, finally, in many instances, finds | health officers and to advise , local | that the whole) thing is too much | authorities in public health adminis. | Sble and he lapses, with the result | tration, and in matters of sanitation, | that he is soon again an active case The local health officer is the most im. | #4ngers to himself and to those about portant municipal official in a muni. | him, and the work of the sanatorium cipality. Through his efforts the people in his case has been in vain. of the community are guided and in-|. Were a puplic health nurse station- | structed and assisted in methods of ed in that community it would be her health protection and disease preven- duty, immediately on the return of tlon to the end that the community is that patient from the sanatorium, to better able to enjoy the conditions| go to the home and assist in adapting | under which they live than they could | domestic conditions to the necessary { otherwiso possibly do, and it is my routine for the patient's continued re-| | pleasure to point as an example of an covery and to encourage the patient efficient health officer to men like Dr. to maintain that routine despite all Hastings of Toronto, Dr. Adams of obstacles and difficulties. Further, it Windsor, Dr. Lomer of Ottawa, and Would be her duty to instruct the tub- many others who might be mentioned erculous patient how to protect people in this same class, These men are coming in contact with him, and fur- truly an important arm of the public ther to instruct those who had to health service, co-operating with my | come in contact with a tuberculous department and making effective the patient how to protect themselves. health education and sanitary legisla- HEALTH IN SCHOOLS. tion emanating from this central y : authority. hi Our experience with tuberculosis A division of my department that 8s indicated that the disease, from has attracted a great deal of public 31 economic standpoint only, is very interest, especially in tural Ontario, expensive. By the expenditure of is the Division of Child Hygiene. |Mmoney of public health nurses we can In this division we have employed 2s8ist in minimizing a number of con- threo physicians, besides the director tacts who, through ignorance and ex- and twenty public health nurses. posure, become victims of the disease. for the help of the local community. ' °f tuberculosis, with all its attendant! ises made to Moses, to Joshua, to Gideon, and others cal'ed to hard ex- periences and difficult tasks in Exod. | 8:12, Josh. 1:5, Judges 6:12, Jer, 1:8, ete. V. 4. He made him overseer. Find- ing him capable and trustworthy, his master made him first his own per- sonal attendant, and then superintend- ent of his household, his major domo. Upon a household thus managed the blessing of the Lord rested. : IT. TEMPTED AND FALSELY ACCUSED, VS. 7 "V. 9. This great wickedness. The high sense of honor and moral integ- rity which Joseph manifests is in | striking contrast to the loose morality of much of our modern literature, in which the most sacred ties of our dom. estic and social life are lightly re- garded, and passion is mgse to reign supreme. To Joseph the sin against the master who trusted him and-the household aver which hé rules is a sin against God. TIL. IN PRISON, vs. 19-28, V. 20. The prison. The Hebrew words mean "the Round House." What sort of place it was, whether a circular tower or dungeon, or whether this is the name of an Egyptian castle, we do not know. Hare also (v. 21), the Lord was with y ny We are re- minded again of the fact that, Stone walls do not a prison make, Nor iron bars a cage. Joseph in prison had, in his purity, loyalty, and courageous resolve to make the best of the circumstances, the elements of true greatness. V. 28. Looked not to anything that was under his hand. This is very high praise. Joseph in adversity is as dili- gent and trustworthy as in prosperity. Instead of giving way to despondency, or to anger and desire for revenge, he interests himself in those about him, | and seeks to be helpful and intelli- gently useful to them. And that which he did, the Lord made it to prosper. CHILD MORTALITY REDUCED, | A further point in tion 'with On occasions one has heard these the work of public health nurses, as questions: associated with the Child Hygiene Di- What is their business? vision, is school health supervision. Who is paying them? * | Education is the most expensive single What right have they to eome into | activity in this Province. Under our my home, interfere with my children system of education, children are and disturb the domestic routine of my t 8 brought forward as a group and not | as individuals, but it is only as. the individuals progress that the group can progress. If in a class we have one backward pupil, the whole class is retarded educationally, just in pro- portion tothe delay occasioned by the one backward pupil, consequently one backward. pupll can cost .a school board 'a good deal of money, or, in other words, can be an important fac- tor in wasting the money of a school board. Frequent peek By a progress of the child is the re- ve | sult of physical defect, and the correc- tion of the sical defect very fre- quently res in increased alertn in the pupil; he résponds promptly'to the instruction given by the teacher. to do any of these things. Whatever done as a matter of court- go to i} [a BENEFITS EVERY ONE. Nearly: every school in this Pro- vince has examples of such cases. School health supervision by 'public health nurses and public health physi- cians promotes the detection of this disability and retarding defeets and assists. in having the Lup; to the very decided advantage of | pupil himse'f and to the school group ; with whom he is associated. The Department of Health is try- ing to do its work by education, not by regulation or legislation, and is paying big dividends on the invest- ment. ; oh ree se rt -_ " Avaries. ' As the partridge sitteth on eggs and hatcheth. them not, so he that gedteth riches, and not by right, shall .eave them in the midst of his days, and at end shall be a fool Jeremiah 17: 1d re