304 AFFILIATED SOCIETIES 



from six Branch Dispensaries, to fifty-three milk stations on two 

 routes, to all the day nurseries and kindergartens, a few of the board- 

 ing homes for babies, to settlement houses and three general hos- 

 pitals. 



The educational propaganda of the Dispensary has been carried 

 out by consultations in the dispensaries by physicians and nurses with 

 mothers and older children, by follow-up work, and practical demon- 

 strations in the homes by Dispensary Visiting Nureses; by a course 

 of illustrated lectures, given in the public schools, to mothers clubs, 

 and by newspaper publicity. 



From October i, 1909, to October i, 1910, there were 13,437 births 

 in the City of Cleveland. During this period, exclusive of stillbirths, 

 2,016 babies under one year of age were recorded on the death reports. 

 This gives a mortality rate of 150.0 per 1,000, or 15 per cent, a rate 

 about 1.6 per cent higher than for the corresponding period of last 

 year. 



Total number of new patients at the Babies' Dispensary and Hos- 

 pital from October i, 1909, to October i, 1910, was 1,338. Total 

 deaths 140, 27 under direct care, and 113 under outside care. Total 

 death rate for the Dispensary, 7-6 per cent. Lowering of the death 

 rate from last year of 1.2 per cent. In the city as a whole, there was 

 an increase of 1.6 per cent in the infant mortality. While the decrease 

 of 1-2 per cent at the Babies' Dispensary and Hospital can be attri- 

 buted to many factors, it is believed that the character of the milk 

 supply was one of the most important. 



The principal features of the Babies' Dispensary and Hospital are: 



A Central Dispensary, six Branch Dispensaries, and an Out Dooi 

 Ward. 



A medical director, four physicians, and one out physician, on duty 

 at the Central Dispensary. 



Eight physicians on duty at the Branch Dispensaries. 



One superintendent and six graduate nurses on duty at the Dis- 

 pensaries. 



Four graduate nurses, one nursery maid and a wet nurse on duty 

 during the summer months at the Out Door Word. 



One milk laboratory with fifty-three distributing stations. 



Total number of gallons of milk delivered 32,610 



Number of bottles of milk 37,451 



Number of baskets modified milk 4,966 



Total number of new cases 1,837 



Total attendance 10,285 



Number of visits to homes by nurses 18,392 



The Dispensary co-operates with all charitable institutions in the 

 city. 



THE BABIES' HOSPITAL., 

 Newark, N. J. 



The Babies' Hospital Milk Dispensary is conducted by the Hospital 

 as a part of its medical service. The Babies' Hospital is a chari- 

 table institution designed for the sick infants of the poor, is under 

 nonsectarian management and attempts to fulfill the following objects: 



First To provide a place for the care and treatment of sick infants 

 who are otherwise without medical attendance. 



Second To establish a school for the training of intelligent care- 

 takers for the children of the better classes. 



