DR. H. J. GERSTENBERGER'S PAPER 81 



Dispensary and Hospital boarding homes, and in the 

 co-operation with various philanthropic associations, as 

 the Associated Charities (material relief), Humane 

 Society, Juvenile Court, Tuberculosis Dispensary, 

 Department of Housing and Sanitation of the Board 

 of Health, Visiting Nurse Association, Day Nursery 

 Association, Blind, &c. Besides the eight hours 

 devoted to this social medical work an additional eight 

 are spent in the milk laboratory of the Babies' Dis- 

 pensary and Hospital, where under direction the 

 students personally prepare the various foods. One 

 or two lectures on the general aspect of infant mor- 

 tality work are given in the course of the regular 

 lectures on paediatrics. 



From this brief description it can be seen how the 

 University has been given the advantage of using 

 the teaching facilities of a philanthropic institution, 

 the. Babies' Dispensary and Hospital, of a municipal 

 institution, the Department of Child Hygiene of the 

 Board of Health ; and on the other hand the Muni- 

 cipality and Babies' Dispensary have the satisfaction 

 and pleasure of knowing that they are helping to 

 bring about a better training of medical men. And 

 what is of greater importance, both to the work and 

 to the medical profession itself, than the thorough 

 training of the future advisers of the mothers and of 

 the nation in preventive health measures ? 



As a brief means of recapitulation the accompany- 

 ing diagrams show the working scheme as it to-day 

 exists between the Babies' Dispensary and Hospital, 

 the Department of Child Hygiene of the Board of 

 Health, and the Department of Paediatrics of the 

 Western Reserve University. 



In this brief sketch it has, of course, not been 

 possible to picture all of the various co-operative 

 activities in Cleveland's infant mortality work, and, 

 therefore, it will be in order to simply state that in 

 carrying out the work planned to improve the chances 



