tion could be obtained. These should be investigated and a prop- 

 er registration made under the Board of Health. In addition, the 

 citv has two public hospitals; the Health Department Hospital 

 for contagious diseases, only, and with a very limited capacity; 

 the other, the County Hospital, will be described later. The only 

 other free hospital treatment available is at the Children's Home 

 Hospital, where there are twelve beds. The only public emerg- 

 encv treatment in the city is given by a physician employed by 

 the^ police department. Two rooms at the police station are set 

 aside for this work, but are. such that the best results or even 

 good results can hardly be obtained. An emergency station 

 should be established in the down-town district with doctors and 

 graduate nurses in attendance day and night, and surgically clean 

 and well-equipped operating rooms. 



Until a vear ago the conditions at the County Hospital are said 

 to have been bad. However, at the present time the County 

 Hospital is under the management of a broad-minded, scientific 

 physician. In spite of some bad features which he has not yet 

 been able to change from lack of money the County Hospital 

 probably offers the best hospital facilities in the city, with the 

 best training school for nurses, and with an unusually fine free 

 dispensary service. The hospital, however, should accept both 

 free and pay patients. This would help to relieve the burden of 

 public taxes', and take away the stigma attached to a hospital for 

 the poor only. Under the present management the County Hos- 

 pital has been taken out of politics. The best physicians and 

 specialists of the city serve on the hospital visiting staff. _ This 

 gives the physicians a chance for public service, and likewise for 

 the experience and prestige obtained by such service. Two in- 

 terns are employed. The head of the training school and her 

 assistant, with the preHminary instructor and the head of the 

 night nurses are all graduates from some of the best training 

 schools in the country. Hospital conditions are such now that 

 the best sort of training can be given, and there should be no 

 hesitancy in advising any girl, particularly high school grad- 

 uates, capable of becoming nurses, to enter this hospital training 

 school. During 1913 a larger number of persons than ever be- 

 fore — 1174 — were admitted to the County Hospital. Serious op- 

 erations were perform.ed on 149 persons. The cost of mainten- 

 ance was remarkably low, too low for future good hospital ser- 

 vice, if the experience of other well-managed County Hospitals 

 is to be considered. However, this is partly explained by the 

 fact that indigents are kept under the same management, the 

 cost of whose care is naturally much less than for medical and 

 surgical cases. The cost has been 61 1-lOc per capita; $1.25 per 

 capita is held to be the minimum for an efficient County Hospital. 

 The salary of the director is too low. He should be paid enough 

 to be able to give all of his time to the work, excepting possibly 

 for consultation practice. 



The most serious criticism of the hospital at the present time 

 is the fact that the city's poor must be lodged in the same build- 



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