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Durham Review (1897), 10 Jun 1926, p. 3

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D com- lb our. I Of Dr. {0' the I an. be... roll to plum If”! Mela. In the man an of aat ht and did d a tto M request of a local municipality for consultation in emanation with pul- monary tulwreulosis. or other discasets of tho (Mt. This Government ha realized that it is flnaneia'dy impos- uibie for many People h the rural soc- dons of the Prnrvitsee, particulariy in in” sqct.ogt. far "5mm from the with tuberculosis. w in passing. is the c mulling ehvst of?! VII-ions parts of th request of a local mutilation in eon ‘PF mel pay? And POW"! , to tuber, fifteen y tha mul Pal " 'up If " th ficryict Given Whole Province by Public Health Department Related in Detail by Minister IN Hon. Dr. Forbes Godfrey Explains Facilities Provided by Denartment to Combat Disease and Improve Living Conditions Among People of Ontarier--Avem Wisdoul of Expenditures for Preventive Measures, Such as Free Distribution of insulin-Study of Industrial Poisons Lowers Compensation Costs. onnccth-n therewith? TRAVELLING CHEST CLINICS. An important point in eomteetio d ‘_000. The tot I of the Honk "oft. Does " he Denartment otantis', divide " he atabiishn , dime. whiet u is Bot a recent idea tags of. it, ineeptiots civilization, and from nnings, when men hrai away from barbarian: a civilized methods of an 'ou r we won 40 WP? on of the D wry: in his r wp 'rom ttw W " WORK PA Y.R Pr th h and from tube" talus with new: am now as it Mrtt a would be payim I from bart that men sh: " t. which th habit: parted from the r procedute was neighbor, if he tough the same nd third is pay mm " h Lem progn- Irks that d O o1'GUT hm " " " h 'onfer that ti ed tn mod- it in ttttlt NP} th I" As a physician. 1 very WP.l remem- pr by: the timo whrn the doctor had to 1ut m down into his own rocket in the :41 mice of a [war patient, and pay $7 or 9R for a dv.s * of anti-toxin; often. too, l. this was dt-Viycd. th:. delay costing L,| the 'ifv of the patInt; now the same 3'0 amount of anti-toxin costs tho Pro- '_, sinee of Ontario about $1. It costs of the physician and the patient, person- th ttily, nothing. It is administered .ia early, and the saving of Life is enor- ,mn"-*. In the sumL way the free die, tic tribution of in-suiin has more than th justified itself. We are spending ap- n: ‘ proximately 8M,000 a year on insulin, .n. and we "a rmintlining a.'ive and well ma between 800 and 900 good citizens of t's 'his Province. the 'trettt majority of whom would be uttmiy unable to pro- th ride insulin for themre'ves and would 12r " who throat sinee of Ontario abo the physician and the any. nothing. It early, and the saving th th Now this may not seem much in romparison with the work that is to ho (My, but wr. are proceeding con- tious y and will develop our an.“ and equipment. just as rapidly " it is poe,uih'o to do BO. LABORATORY BRANCH. A very important branch of the Dept. of Hearth is the Laboratory Branch. We have in Ontario, operat- cd, hy my department, one central Laorutory in Toronto and eight hmurh 'umoratories at different points in the Provinee, and to give you an new. " the amount of work being done an 'r,- Inbnmtnries, tha central 'at- )n an! rv hnm in Toronto examined and Imported on 51,000-odd specimens an arger centres, t REE INSI As a phys sense of diphtheria to another. If , find that the reaction incrcates at this condition is not virulent mily can be retessed, the quarantine n be raised and unnecessary hard. p VIRULENCE TESTS. h very interesting piece of work "a by the laboratory is the virulence t Cr diphtheria. Many persons 0 have diphtheria do pot clear up it”): after the discase subsides, and 'Y stiil carry organisms in their Trat, which to all appearancey ir the mierostyope, are genuine htheria. By inocuiation of guinea ‘s we duo-rminz whether the ma- hd in thsse throats is virulent or .. In other words, whether it Is nuke of transferring the sreeiBe ease of diphtheria to another. If ination of blot m. such in " , Widal reaetior m in connectim p; dogs' heads ny others. Tl ly oqtripr:ul to chest sur iatrnosis, I) make di mu -tin that l 1. we a 711111 710m. serungwa. and ' examinations, and a', cue is do"? at the expe wince. Were this work ividual examinations. ('1 tho individual. the cost mans. opsrrtatinit as we d, physlclar timn wh l into hi th dime we rnr the ar UN AND or; mm at prt use»; inocu‘. tine w throat ET J go to a Larger centre winks: of disea; 3.; of ently early to phtim lain early treatment, ab ve 1 due H it is pmsiL-{e for f Heath to extend and in this trays; , liave an Outstand- uberculosis, who is un ting as we do With under a competent wr examination is _ very low, and the rovince as a whole ra necessary hard- Further investi- Kory inves'lia- ied on in this a distribution of ts, and our an- der this heading r proportion of :1 anti-toxin and ANTI-TOXIN y of th work done 3. charge- t would do with ir 11 The division has done some very impcrtant work in the unorganized territory. where we have now succeed- ed in having established: 1. _ Standardized " uitary camp buildings. 2. Standardized sinspeeticn service for each camp. 3. A standardized medical service for each camp. The industries involved are: Lumbering. Mining. .. Pulp and paper. Road construction. . Railway eiynstruetion. The number of camps: - Lumberingeampts ............ 800 Saw will: ................... 68 Paper milk .........r....... 4 Road camps ................. 87 Mining map. ............... 68 (At present undergoing increase.) Fishing stations ............. 2 LEGISLATION AVOIDED. The services of this division are rendered at the request of the em- ployer and with the good-will and ap- prom: of the employee. No coercion appears anywhere on the program. Attention is drawn to any defect de- teeted, and recommendations are made with 'cspcct to correction. We are keeping away from legislation. This was a ("we or chronic arsenical poisoning who had been referred from physician to physician and from hos- pital to hospital, in addition to being refused assistance when he made a (“aim for compensation. Eighteen months after his last exposure to arsenic he Cl'. into the hands of our Industrial Hygiene Division, and the invesigators there were able to show, conciusively, the presence of arsenic, by examination of the hair, the nails and the skin. A further important piece of work this,' branch has done is in investiga- tions in vot1nssetion 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 whero we have found most valuable co-operation. The work there has been on the condition- ing of the air in the plant, to produce tho best working conditions for the men employed, and I have been ad- vised by the management that this conditioning of the air in the plant, while it has had a good effect from the workers' standpoint, has aim in- troduced a condition under which the cost of drying their paper has been very considerably reduced. In this way the ventilation investigation has achieved a two-fold purpose and has made a double contribution to the in- dustry concerned. We are endesvoring to extend serv- ice of this type and make the branch highly appreciated, as the vaiuable aid to industry in the detection and cor- reetion of conditions that lead to lost time and compensation. This branch gives the whole atten- tion of its personnel to the investiga- tion cf health and disease as related to the industry. They investigate con- ditions of ill health, specially found in certain occupations, and determine the feature or factor in the occupa- tion that contributes to the condition of ill heaith, e.g., "Nickel Rash," a skin disease which was very prevalent among workers in nickel refineries or in nickel-plating industry. This was studied during the years 1923-24-25. ln 1923 47 cases occurred in one plant, of which 18 were sufflcierWy severe to call for comparatively heavy com- pensation. In 1924 17 cases occurred. of which 7 were compensated. In 1925 r the proud boast, and makes it withl every support, that Toronto has no! QphnEd, and it is absoluteiy true that} the. oniy typhoid that has ex’sted in Toronto in recent years has been brought in from the outside. What Toronto can do, other places can also. Town!» fired,. that it pays. Other pleas would find the same. INDUSTRIAL HYGIENE BRANCH. A branch of the department that has made wonderful progress recently is tho Industrial Hygiene Branch, and in this branch the Department of H:ralth touches labor very closely. Production in a punt' is in irirect proportion to the efficiency of the staff. A man in poor heaith or working under poor conditions cannot possibly tug in a good day's work. M , Our group of sanitary inspectors is, this year, starting in tho puip and 'paper industry, a system for the in- 'spection of camp foremen, camp clerks, Iota, in the proper methods and the :“First Aid" treatment of injury and 'we wi'.l he extreme/y disappointed if , we do not ultimately reduce compensa. 'tion cost to this industry by 40 per cent. Our additional expense in con- lncction with this work is nil. We irequire 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 'Ontario is justified by the economic ', l'esuits obtained. l One point which shnuid not be pass- ied at this stage is the important in- !vestigation we have been making into f a condition known as "tri1ieosiss," :which affects the mining industry of jOntario. It is a condition produced hy a certain type of quartz dust enter- ) ing the lungs of the miners and which, 'if allowed to progress, results in per- l manent disability and death, and each T side adds one more burden to the com- I, pensation charges of the industry involved. F The industry is very sympathetic} to the effort which has been made in' this respect. and the mines of the' Porcupine group. desiring to further: our efforts in this respect, have em] staged a spa-in] man to work with our Division of Industrial HygieneJ Realizing the type of men we were employing in this investigation, they, came to us and asked for one of our men. While we were not anxious to, release one of our trained men, we: were anxious to co-operate with the' industry, and accordingly we reI-easedi the man they requested. I mention. this merely to indicate that in the Dept. of Health we are employing ii high type of personnel. A type that can go into the industrial or iii,ieiiiiil world and hold their own to their on credit and to the.ntaintermuteo of the dignity and standing of the Dept. of Health of Ontario. ORAL HYGIENE IMPORTANT, The mining industry in South Africa 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- iodic 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- tracted the disease fn an early stage, so as to turn the firrt group into em- ployment which will not be dangerous to them. and to rehabilitate the second group in other types of employment before permanent disability may have had an opportunity to supervene. as the rrsult of infection, which is prvvrntable if the proper "First Aid" measures are instituted, c.g.. a small cut properly trwated when it occurs heals up with comparatively little test time and no compensation. The same cut not properly treated becomes in- fected. and no one can foretell where the cost in connection with that injury may finish. It may result in loss of limb or has of life, in which case compensation is saddled with one more heavy permanent charge. . kmgss‘amiz II GOOD TEETH AND SANITY. iei'er- 2t home is tt t','g',t,i,m,e',y.2) T tome. ow one can readitr maize Hon. Dr. F rho Godfre ' It has recent.y been brought to my . . l m._..S'1't.l'fL51'1'l?1l..'1l'11'hC._.. I attention that patients in the Provin. 1u1.vt,d",'e, tet rim tags?“ f,",'.'tl, . . , ' " ' . o oo n Approximate number of men 1eiil/'ip1l',t,',1tvtlt 1tp',l"ii,"ntvit,',? 'g.te,,riatli 'lu'll'lursi'ld. economic (l',,l'litl'or,ti, ' , 1 " ',',tyt.1..rr.:rcr1rcrr-trie,1ril'hei p y n 'J' ntsttteyare,thedemantV,rnndetn il Ph '.uettuts under contract tml, t on teeth. When one realizes that . . . I y'. . . . ...... . . . . t . workingman do not give him much Am t d h r f lsamty, as it is ordinarily appreciated, . . . T o.un pai p .yaicians or san- . f l . . . L. leeway with a moderate salary. It is! itary inspection (by the compan- iis aimpy a condition in whieh the fl .. . l . l ) $50 oool Individual has sruffleient control over “new ly out of the question, no maul 99 'U"'.'."."".'.""""'"'."."" lhi . . "l viz-what the sentimental considers" A t d h g medi- is emotions to maintain a normal . . I moun pm p yMelan'. as lt, , t ' _ ' . . _ltiotta in the case may be, and yet a ' lf d l t df 1 ,, l stance and that that Immol variesi . . . (a ees, Pt ue . rom emp oyee'. _'with varying individuals it can md_'iiurso " very important in the Maw-l waRe3, over .' '1: 'l'.' . . ' . . . . '5400'000i .. be h . .-' ',ery of the patient. One of the public. Total eapitaiization of the in- ' Ly seen t. at a suffieient amount of‘ health , h h d t iou, ff ted .. ' . f icontrol to carry on satisfactorily; ' nurses can Ro nt.o t e onto. ue tues a ec , e..c.uswo o 'under ordinary eonditrms may find and traturh a 16-year-old m'rl, if neces-z railways .. . . . . . . . . . . .. .$10.2v.0o0,000: h l . . _ o l “TY. how to make a bed, how to (Wei C . f G ' t isi " at contra insufficient to d an with, . t osto overnmen .superv 'Ill 'emergencies and under strain it muy'the bedfast patient a bath, how to] peruyearg'i‘. AID" 'iijiaiii'i','.' (ttive way, the condition resulting he- prepinre the nourishment 1.ordortd, h°wi Frm . .' . ing recognized as one of the varying to 'give proscrilfed medicines, how 00‘ A further important piece of :e,t types of insanity. det', carefof wilted linen 1,nji, howdmi . ' . '.’. - . S . k? , _ 1t.iy.ete11 l". 'the J,,',T,fl'l:i' l tterr Juat think for a moment of what in”?th lu',',,',",',", an d',ult ',',)rd'"d,"e1ir' tory ts the mitigation O :(‘I'fn,_.sTicould happen to an individual with'sinm. visits from the 'uii‘ic hva.'th “We .Compensation ”as; esp"."' 'ithis diminished control. constancy. ' . p l yy' ly In DUI? and paper and '.umberine,i harrassed by the irritation of say an nurse for demonstrating and t,tt,tt:l . - . H.‘ . , .".". thissri , i'.easeireetiv run all the way from t',l1i.85fto,.':,',' $5 i, impacted m0.ar tooth--that irritation gigglfiig tcyl; 31:“: 1;: thixl per $100 on the pay!“ . . anwn'keeping up for 24 hours in the day, . " . " _ V .CC.l dous amount of this money IS paid out‘ worrying a person while he is awake trained DUFF“. Itt this not B very) ttS lt t:c,sul.t, It i,,n.foe,1e.oer,i',rshtieAhidii1titfi disturbing his skep---may very t5,Calot,1"jt/iedoi'.,',,1' 1',dtu:t/L',:,imt.; prvvrntable if .tht.l"10p,er "f.. t ..isam disturb the m-ntu) equilibrium im Ji.iiiiC,'d iiie"'pi.iv'iiii, Uri a whok, . measures are instituted, e4te a 5min“)! such a person to “W t' s,'ynt of pro- p t . . _ fut.proptxr.ly. trwated Wm." .irre,urtyidueiiue insanity. and authvutic cases NURSES FIGHT 'rUBErtClr.r.ofeIS. per year ........,..'........$15,000 "FIRST AID" ADVOCATED. A further important piece of work undertaken in the unorganimd terri- tory is the mitigation of accident Be- verity. Compensation canes. especial- ly in purp and paper and '.umberine, run all the way from $1.85 to over $5 per $100 on the payroll. A tremen- dous amount of this money is paid out as the rrsult of infection, which is nrevrntabie if the proper "First Aid" Total eapitayzation of the in- dustries affected, exclusive of railways ...............$102.000,000 The importance of on} hygiene has ONTARIO ARCHIVES TORONTO 7 We ha . new}. we eight Distric - ' . t health 'cg't, assigned to efjt,'p' of “SW “a” 'duty it it its of the Provi ne of the Mruggks “Ed on? to the oth 'health offl , consult (,'/i'tl""t"i' whose routine 85mg}: time tn Kee er. llo. blrssi 'authorities Trs and to ad Elle local and, finall . 1"th in the .3 p up the ll T ”g of ths, Ls,rd IN' t tration and"! Public health‘lsg local that the 351;? many imt;::;to;illm' . “all???“ AN'fr Cl,.,',:',"',."", for the. be. m matters of minis-itrouble a A? thing . '"t hrls“ . _ . 4. , y Atw- >1 T z . . . , nd 1-5 t: i Wt . I, Is iportant . . o ccris th 'fr o tubereul . gain an ., ,sulCrity w l, ft "nor " r',',' rr My. Th, (ljiiiiiir.. 'r'rq,',titt20,ft'l, l' l"",f, tm- gunman to 'tttgf,',' all “:23; :ils:i' C"riyc,',h)tc.l.,oi't"/1,1 In ”In"! m 17 ,of th . iseff . muni- im. an ' and: n ant of m ' HN to o'l',,1(,",', iv, i lat,“ el community are ot'.e? the people .in his ed the work of a; those about Whit-[1:121I of our rvoder y, r, "WNW" (health and agaisted galded and in-' W m has in v .sanatorium Mir 8"; mos! “Cred-"12030.4 tt re, ll Irii; to ggomction and sizemethnds of ed i3; public :48th am. .L'al'ded EMT“ life arr, "f, 'i/ll' dorn . vu' _ ;' nurse . trupee , assinn ic l I}! tlv r” !bette eend that th ttre preven- dut . teommattit . station- eme. T . mad. . _ I r able . e com . . Y. immedi y it w the o Jose I l to r ' lund0r which 't en‘Joy the 1',1,1'1t, ls,that patient iately on 'crd be her haunts}? If,",' who 'att,,',',"' yn ”:33: .Otherwise t " live tha n ItIons "to to th from the return of ani Ple"" which I him nnd tl: x . Dossib n they co e home Fanntori . nst God. he ru'oc: 's.. y lp-eaaure to pointly do, and it is uid &rmetrtie comic?“ 885m in “in to, "I IN PRI " " "i.' ' _ . [ . . so .r, I lyf,tti','t, health of? an example 'l/ld routine for the or? to the tttine, v. 20. 17' H. 19-23. ytimm of T cer to men lik n covery and t pa ient's COM' ”Mary words m I? prism; l. Windsor D oronto, Dr Awning. to maintai 0 encourage th‘nlued re- sort of ?a“‘fthe Roun'd Je' ”A”. imany 061%:th ner of Ottawa of alludes 'tttt routine tuh"), gmr $633; was. 1,'clJt,1."r.," ". Gd' in this 0 might be ' and would fieultims. all? e name Reon. or ' r a (I rr-.'. l ("my I/h',",',', Class. 'kt,"',',',':?":,',", on: Wa., duty to instruFu ' iile not k of an i,t.,r,lvily,th/c',,,/):t I thwlth M) Portant arm of men "I. win .PI ent how to et the tubJ Lru. mm- iii. Here Rlso h, l',"; I: I" , TVlce co-o ' the Publ ' In ttt cont. protect ' iminded th Joe .I '?lt. tl,, department "iild bemung with Either to inst et with him, “Wm M attain of then.” We :m- llt,tt1th edueati making we“; myzoomo in can: et those who“?!d fur-' '.Cl,'.'t wnthr do i',eotY that, r. inc“ emanatizt 'W, sanitary Ye; the patient how (out with a Where-d] to) 'si,ai,i"'ln1'y.i', I 'JIU) prnsurrl niuln it"1hodriitdi, rom this wags? HEALT t wives“ ous, loyalty. map???“ had. in his lhns :éViSion of my dope t . Our ex H IN SCHOOLS . 31“: the best T'lf,71','i' "“3331? I . r r . . . b . I ement r C ' t unmet:t le',:', {crest dammint that has 'iu1',',T,rt'rf, with tube . l, v. M. Jlec,', true "93$??an 'tre .is the div- 86038.1? in rural" public an economic that the dim reiosia was. "oder INCL": m" fo b",,',',',';'? , “do“ of Child H ' Pntario, expennv trtatrtdpoint o l se., from'pralse. JON and. This in C/Y/ {ma "lene. . money 'JP By the ex “Ayn Is very Rent and Hugh ttl adversitv lg." hlul .___,_. s, _Public health pemiiture of Instead of ..u.ty.1'..rtly.r, In inf A m 1i'r LE”; nur o man . . pros t . t__, Raw ,rllum ttway to . Polity e can Cer a d . . de, . . . interests hi n , desire for 'cycytyt, . . my in ”W. ',','ir,"J,f'i; h, . q '. ' " I'".' him i In this division we have employed :three physicians, besides the director Iand twenty public, health nurses. 1 CHILD MORTALITY REDUCED. I On occasions one has heard these .questions: l, What is their business' ' .Who is paying them? I What right have they to come into my home, interfere with my ehikiren iand disturb the domestic routine of my I household? in recent ycars been appreciated by the medical profession and by the pub- lie. and not a few of the honorable members of this House have had ten- mn to know what an unhealthy condi- tion in the mouth can accomplish in the way of producing 'bud health. It is now genarally accepted that I healthy mouth is one of the absolutely indispensable neessities in general good h'w'th; that rroteetion of the health of the mouth is a fundamental in the prvtectitm at the general health of th, individual. For thir reason, the “apt. of Health ha: established a Branch of Dental It has been found that through the assistance these nurses have been able to bring to the home that conditions of maternity, infancy and childhood have Mn very materially improved. The infant death rate has been reduced. and there has been a very material mitigation of ill health associated with Let me say here, they have no right to‘do any of these thingi. Whatever is done is done as a matter of court- esy. They go to the home to offer something on behalf of the Dept. of Health. Jf the head of the home, father or mother, does not wish to re- ceive the nurse, there is no obligation on hit oLher part to do so. indisr-ens good kn." health of in the pr. of th, in Just think for a moment of what could happen to an individual with this diminished control. constancy harrassed by the irritation of, say, an impacted mo.'ar tooth--that irritation keeping up for 24 hours in the day. worrying a person while he is awake and disturbing his slep---may very Sam disturb the nr-nl equilibrium of such a person to tho r Jent of pro- ducing insanity, and nutluntic cases are on record even in our own Pro- vincial hospitals where an individual incarcerated for insanity has been re- stored to normal by nothing more than a small amount of dental treatment. Pyorrhoea. one of the common cansvs of the loss of the teeth. can now. through the investigations of Dr. Har.. dld Box, be detected at a very early incipient stage. and be corrected, and I am truly of the opinion that the dental profession has a very major contribution to make to the fieH of preventive medicine. formatin oral hyg We are an famiiiar with the terms arterioselerosis, rheumatism and heart disease,. and it is now well known to the medical profession that these are due to focal infection; that is, an and of infection or poisoning by micro- qrgnnisms, which distribute poison by means of the eirculatory system to the whole of the body, and set up the dis- eases I have mentioned above, and there asmciate symptoms, f ill health. DEPARTMENTAL ORGANIZA TION. Ie8GiG6t"i"/dersiL2"c"'s"Li"é'i"i 2"g"'s"Li'érir.,uuiu,2Tfs.',', "d,,"," r=1Csl8t.8il th the Jun. of Health Branch of Dental ”pose of giving in- pulslie ratativo to A further point in connection with' B-.--.------.------' -_- _ . , __ the work of public health nurses, as BENEFITS FA F"Alh “\L associated with the Child Hygiene Di- Nearly every schnai it “I n' P: Vision,'is .school health supervision; Vince hos exampks oi" ruvh m: Educntion is the most expensive sing; School health superyifion by we. activity in this Province. Under our I health nurses and nutwr hea 1h p- lr system of education, children are cians promotes the drtertion of ti brought forward as a group and not disability and "birding (10% '2» u as individuals, but it is only u the assists in having the same ciov, I ', individuals progress that the groupl to the very decided advanmm r.” . can progress. If in a class we have pupil himself and to the Him: , 'r, so 't'gi',zdd1tiout', whole clusl "ft,2p he is yt/tcl h rem a y just in pro-l periment o 9:11 l.- l, portionto the delay i,iriiif,ii"i"i by the, ing to do its wk by education, " one backward pupil, consequently o'"!, by regulation or iegislt1thm. and backward pupil can cost u sehoo1,pavintr big dividends on the in\"-- board a good deal of money, or, in ment. ' other words, can be an important pe _.__,..___, - tor in wasting the money of . school! Aorict, bond. Frequentl retardation in the .. mental prone“ (3th child in the ne-‘ A: the partridge sltteth on gym a: limo! [)th defect, and the corne- . hutch-(h them not. no he that gtfle tion of the fe'.,',",") tUfeet very he, detaining: :13); t't1duf,"l1dr, quendy rem m nomad tr4eetrte" 810m '. j in “I purllt her my”. promptly lo, " end tshall be l ft'"-'.'"."."'" l tgt_ruetu-trrtheuaehar.iu. . r o-.' Our experience with tubercu'osis has indicated that the disease, from an economic standpoint only, is very expensive. By the expenditure of money of public health nurses we can assist in minimizing a number of con- taeta who, through ignorance 1nd ex- posure. become victims of the disease. Were a public health nurse station- ed in that community it would be her duty, immediately on the return of that patient from the sanntorium, to go to the home and assist in adapting the maternal state; it in. in hurt, I practical system of health education carried in to the individual homo and the individual family. 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 thrco to six months as the case may be, he returns to his own home, to the on- vironment of his own domestic circio, and he finds that the sanatoriuni mu» tine and the domestic routine are not easily adapted one to the other. He struggles for a time to keep up the routine established in the sanatorium and, finally, in many instances, finds that the whole thing is too much trouble and he lapses, with the result that he is soon again an active case of tuberculosis, with all its attendant dangers to himself and to those about him. and the work of the sanatorium .in his case has been in vain. the Internal state; it u, in fact, 1' ANALYSIS. practical system of health edueation I. 403373" mam“, VB. IMI. carried in to the individual home and ll. fauna) um “we” Autism, vs. the individual family. I T.18. The 20 up,” employed by the Dept! IH. m PRISON, vs. 19-23. of Health no. for the most part, en-' Ittrtuotttots'--The story of Joseph [aged in . demonstration service in' is one of the mairpieces of Hiblieal which they visit a community " the ligature. It is told with dranyytie request of the local hedth authorities, ' tde and fltli,t,,r. T,! 1wiitnh lj",:','.','.', . ' arm." " ver mi in t e mbrrB- Ind by their wit? show the oommun-z tive is in accordance with nature; Ind "9' what a PY ite health nurse 1.Pri the whole forms a vivid portraiture of 'ated full “file by the "1'rtttrl the true development of human ehar.. eouid accomplish, so that the oom- when The young boy dreams his munity may be led to establish a sim-Edneams of future greatness; almost Im- ilar service on their own account POORER CITIZENS HELPED. Eight of these nurses are doing special work in communities through Central Ontario und,in New Ontario where there is no hope of establishing ouch . 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- wens. 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 workingman's home. Now one an readily realize that in these days, with the high cost of living, wages not too high in pro- portion, Ind other economic conditions as they are, the demands, made on a workingman do not give him much leeway with a moderate salary. It is fitrcneitslly out of the question, no mat. Refer again to tuberculo tient. an active raw of u goes to a santttoriurn, and he get there? Simply an Not one thing dons he get he could not get at home. tubercuiosis d what tic-en tt education t than tha! y. He is in, iret wan with Joncph. We are iminded again of the fact that, 1 Stone walk do not a prison mu Nor iron bars I cure. j Joseph in prison had. in his nun ;loynlt,v. and cotanuzmua resolve :mkn the best of the cirrumstahv- j thie’m of true rreatness. .the experience of life; but with Ulysses the ahrewdneas just passes ‘the line, and can scarcely be distin» 'guished from guilo and running. from which Joseph is quite fiw." l An Egyptian story, "The Tie of the Two Brothers," has come down to In from the use of Moses, which i- very much like the story of our lesson. It is thus summarined by Ryle in his “Commentary on Genesis": l Then were two brothers, Arum and Bats. living together in one house. iThe cider one, Anpu, one day sends 1 Pan back from the field in which they In a sermon published in the “Ex- pository Times" of June, 1903. the character of Joseph is compared in an 'inwresting way with that of the Greek ihero, Hines. "Each is kept true by the ten 'r memories of home love; each is Godfearing; each is shrewd. ppsovrreful! couragg‘ous,’ growing with Al the partridge swath on a“! and latched: them nbt. so he that gelleth riches. and not by right, mu leave that: In the man of in days, and at in and than be I Ytsrk.---3.ertmv"m 17: u. . ., r" ‘1'; striking contra" to tho 700.":- morality of much of our modern liternvure. in which the most new! ties of our dorm mic and and.) life um lightly re- garded, and passion is made to reign supreme. To Joseph the sin mine» the master who trustrd him and the houoehold over which he rules in a sin against God. m. IN mason, vs. 19-23. V. 23. Looked not to 'tnttthrmrt thot man under " Imnd. This is very high praise. Joseph in adversity is as: di'.i.. mt and trustworthy u in. prosperity. Instead of giving way to despondonev, or to Anger and desire for rwmgv. he interests himself in thoce about him. and no!" to be helpful and inte'.ii- eetttlr useful to them. A Md Hun whirl: he did. the Lord made it fo pqur'r. sons] attendant. and th, ent of his household. h Upon a household thu, Jun. 18. Jouph'. Fldqmy. Gen. Mt 1-33. Golden Tettt-Ft thou I man dlllgent In hi. bullneu? ho shall mud More 1rlrttts.-Prov. 22: mediateiy his hope. one. to all appear- Inoq shattered; he in sold away from his father and brethren into foreign slavery; there, however, his integrity and loyalty save him; after many trials and disappointments he in at length, by a surprising sequence of circumstances. elevated to u high and responsible dignity in Egypt" (Driv- er). There he was able to render a very great service to his aged father, who had long mourned him tttc dead. and to his brothers, who out of jeal- ougy haul traced him so cruefly. are working to fetch mm" the houses In the house, A makes an immoral pronoun which Bat: rejects. In th on Anpu's return to the wife accuses Bata on the fu of wrongful advances, An] leeks out his brother to slur escapes. suffers much. but ' ward his innocence in esttti: he is reconciled to his hrotr etc ”inning of the Lord muted. H. murmn AND FALSELY AN T-M?. V. 9. This area! il'z'rlwdnn high sense of honor and mm rity which Joseph munifes I. Josnru's PROSPERITY, vs. V. l. Potipher, the rapt gum-cl, was. IiternHy. captai of the royal butchers, who formed the king's bodyeuat M). V. 4. He made him "Pt'rV hrg him capable and trunm master made him first his Compare v. 21. of his success. lived honorably svience. and h, svience. and had thy assurzu God was with him. Compare th ises made to Moses, to J”; Gideon. and others "Fed to V perieneer and diftieult tasks i 3:12, Josh. 1'.5, Judges 6:12. A The Lo a] d 11'": This w He beh: ht ken kept tt good l he assurance I [Mp-m tho pr 9. to Joshua. cited to hard ult tasks in Fr [gee 6:12. Jer. Du T h ve n t t' h they I from b' wife Batu. h' up " . Mt ll

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