DR. H. J. GERSTENBERGER'S PAPER 69 



cal experience in the creches. The teachers receive 

 special training in these subjects. 



The boys also are receiving like instruction, 

 though on a more limited scale, in such subjects 

 as temperance, and we must hope this valuable 

 instruction will show important effects. The keen 

 interest both boys and girls take in this subject is 

 quite remarkable. Enough time has not yet elapsed 

 for the results to show themselves. 



Finally, it is encouraging to note that a great fall 

 in the death-rate of infants has already been secured. 

 In the year 18/4 and about that time, out of every 

 1,000 children born, over 230 died during the first 

 year. A gradual improvement has taken place ever 

 since, with slight upward and downward fluctuations ; 

 last year this 230 per thousand had been reduced 

 to 125 per thousand. This, of course, is still far too 

 high a rate, but we hope for better things in the 

 future. 



I have read this paper in the hope that we may 

 hear something of the work done by other muni- 

 cipalities who are making like efforts, and that we 

 may learn from one another. 



THE ORGANIZATION OF INFANT MOR- 

 TALITY WORK IN CLEVELAND, 

 SHOWING THE RELATION BETWEEN 

 A MUNICIPALITY, A BABIES' DIS- 

 PENSARY AND A UNIVERSITY. 



BY DR. H. J. GERSTENBERGER. 



Associate Professor of Pa-diatrics, Western Reserve. University, Medical Director of the 

 Babies Dispensary and Hospital; Director of Department of Child Hygiene, Cleveland, Ohio. 



THE presentation of this subject is primarily clue to 

 the request and suggestion of the Foreign Hon. 

 Secretary, Dr. Janet Lane-Claypon, who had an 

 opportunity, while attending the last annual meeting 



