POOR RELIEF IN THE UNITED STATES i6i 



that in 1897, when tho first state hospital for crippled children 

 was founded, the medical college of the state university was 

 legally required for two years to treat the children gratuitously 

 and care for them in every way; $5,000 was set apart for each 

 year. The members of the medical faculty thereupon made a 

 contract with the hospital, according to the terms of which the 

 care of the children, with the exception of medical treatment, 

 was committed to a superintendent. The university paid for 

 this service weekly $3.75 for each child betw^een two and twelve 

 years of age, and $4.50 for those between twelve and sixteen 

 years. After an experience of tw^o years this arrangement was 

 voluntarily continued. The hospital set apart a building with 

 thirty beds for the exclusive use of crippled children, which at 

 present is so full that some patients must be sheltered in the 

 central building. The state hospital for crippled children thus 

 became an independent institution, for whose support $16,000 

 were appropriated for the next two years. 



The movement for combating tuberculosis has made 

 progress in America. The number of institutions thus far 

 provided for dependent persons is not very great; the most 

 important being the St. Joseph hospital in New York, wdth 

 350 beds, and the Cook county hospital in Dunning, 111., with 

 380; two institutions, with 125 and 200 beds in Massachusetts; 

 one with 92 beds in Brooklyn; and one with 100 beds in Balti- 

 more. A second sanatorium of the Montefiore home was 

 recently opened, with 100 places, which they hope to increase 

 to 350, so that with the one earlier erected it can provide for 

 500 sufferers. New institutions have been erected in New 

 Hampshire, New York, and Connecticut. In Pennsylvania 

 the society for preventing tuberculosis has erected a sana- 

 torium. The Adirondack college sanatorium of Dr. Trudeau 

 occupies a peculiar position. It has pubhshed its fifteenth 

 annual report, and Liebe, in his book on public hygiene, re- 

 marks that it must fill the German physicians in sanatoriums 

 with a kind of en\^. It is a colony in which from 250 to 300 

 invalids are annually received. The extension of the care of 

 the sick by trained nurses, who, during three or four years, are 

 thoroughly instructed in schools connected with hospitals is 

 very important. The work is satisfactory, and is by no means 



Vol. 10—11 



