Hare: A Study of Handicapped Children 37 



States,^ it was found that there were 10 orthopedic hospitals 

 and 14 convalescent hospitals in the United States at that 

 time, and there is no available record of new institutions 

 erected since that time, probably due to the World War. From 

 this publication a quotation from page 8 is worthy of the 

 reader's attention. ''We have no hesitation in advocating 

 the creation of a state hospital for crippled children in every 

 state in the Union." This wholesome recommendation will 

 take many years before its realization is attained, but grad- 

 ually the different states are awakening to a consciousness 

 of the situation. Minnesota was the first state to establish a 

 hospital exclusively for crippled children in 1897, under the 

 control of the State University Medical College. Statistics 

 from the records of the Minneapolis Hospital show that three- 

 fourths of the cases of deformity admitted were caused by 

 disease, nearly 75 per cent by tuberculous infection. 



New York was the second state to erect a state hospital 

 for crippled children in 1898, but this hospital has been less 

 appreciated and known than the many private institutions 

 previously established. The one field in which the Haver- 

 straw State Hospital does excel pre-eminently is in the care 

 of the rural cases which are not for the most part included in 

 the other hospitals. Of the private orthopedic hospitals in 

 New York, some of the most prominent are the New York 

 Hospital for Ruptured and Crippled, the New York Hospital 

 for Deformities and Joint Diseases, and the Children's Ortho- 

 pedic Ward in the Post-Graduate Hospital. The Hospital for 

 Ruptured and Crippled averages between 4,000 and 5,000 new 

 patients annually. The crowded and insanitary living condi- 

 tions in the poorer districts of New York City are the obvious 

 cause for such an enormous percentage of deformed children 

 with tuberculous infection of the bones. 



The complete list of all the children's orthopedic hospitals 

 in the United States in 1914 is given as follows:^ 



^ Reeves, Care and Education of Crippled Children, p. 2. 

 ^Ihid., pp. 141-157. 



