EXECUTIVE SECRETARY 21 



by teachers of hygiene, of sociology or of home economics, in 

 a number of colleges and universities. 



According to the constitutional requirement, one-third of the 

 directorate must be non-medical, and two thirds medical. The 

 membership enrollment is about equally divided between medical 

 and non-medical members. The correspondence files show that 

 inquiries have been received from physicians, health officers, 

 trained nurses, social workers, and teachers men and women 

 who have approached the problem from all view points. 



The income of the Association has amounted to $5,095.00. It 

 has been derived partly from membership dues, and partly from 

 contributions. The banking house of Alexander Brown and 

 Sons has served as the custodian of the funds, and the disburse- 

 ments have been made subject to the order of the president and 

 treasurer. A part of the expense of the exhibition, amounting to 

 $500 was assumed by the Baltimore City Department of Health, 

 and by the Maryland State Department of Health, and does not 

 appear on the books of the Association. The rest amounting to 

 $1,205.17 was met out of a special fund. The general expendi- 

 tures have amounted to $3,220.00. 



Of necessity the year has been one of preparation and pioneer- 

 ing. The "staff" has included two people the executive secre- 

 tary and one assistant. The second year should show larger re- 

 sults in the way of more widespread interest in the movement, 

 increased membership, representing every section of the country , 

 reports of investigations undertaken, and of preventive activities 

 begun. 



The latest report of the U. S. Public Health and Marine Hos- 

 pital Service shows that there are only about 28 cities in the 

 country in the class containing 20,00_Q or more population, in 

 which definite preventive activities are under way. With two 

 exceptions, these are under private auspices, and the municipal 

 health department which definitely recognizes its responsibility 

 to its potential citizens, is the exception rather than the rule. 



So long as there are communities in which the birth registra- 

 tion laws are not enforced; in which no inquiry has been made 

 into the midwife problem; in which no thought has been given 

 to the necessity for the education of the expectant mother; or 

 in which the relation between the high infantile mortality of the 

 summer months and the lack of supervision of the milk supply, 

 is ignored ; so long there will be need for an Association for the 

 Study and Prevention of Infant Mortality. 



In view of the limited resources at the command of the Asso- 

 ciation, I would like to suggest that each member of the Associa- 

 tion be asked to resolve himself or herself into a committee 

 of one, for the study and improvement of conditions in his or 



