women, and the incredible amount of milk which has been directed to the nourishment of underfed little bodies. We cannot count the mothers and babies who are alive today because of the health centers which have been instituted by the club women and the public health nurses who have been engaged through their enthusiasm and determination. There is no way of measuring the information which has reached women all over the country through the programs on child welfare and through the publicity carried through club magazines and local newspapers. DIVISION OF HEALTH. A National Department of Health. A High Moral Standard, the Same for Men and Women. MRS. WALTER MCNAB MILLER, Chairman. The Chairmen of the Health Division in reporting on the work accomplished in the last biennial period regrets that it has been only a series of skirmishes and some trench warfare but not an attack upon the enemy along the whole front. Her first few months in this office were spent in necessary organization routine and in consulting with the foremost health experts of the country regarding a general program of work. Among those whose suggestions have been most helpful were the Surgeon-General of the United States, Director of the Rockefeller Foundation, President of the American Public Health Association, and the Acting Directors of the American Social Hygiene, Tuberculosis, and Occupation Therapy associations. This carried the work along into January, and then began the tedious task of ascertaining the names of the State Chairmen and of getting into communication with them, and even after two years of effort there are certain states from which no replies have ever been received. That this difficulty is not confined to the Chairman of this Division witness the fact that from all but two states that have replied to a questionnaire, comes a wail as to the State Chairmen's difficulty in securing reports from their District Chair men. Taking these conditions into account, the amount of good work reported is gratifying. COMMITTEE ON ANTI-TUBERCULOSIS. MRS. SADIE ORR DUNBAR, Chairman. The Chairman of the Committee on Anti-Tuberculosis reports increased interest in the tuberculosis work from all the states. Curiously enough some of her reports came not from the club women but from the Secretaries of the State Tuberculosis Associations, who are loud in praise of the assistance given by the Federation. The club women of the country may congratulate themselves that to the wonderful falling of the death-rate from tuberculosis, which was reported at the Annual Tuberculosis Meeting in Washington in May, they have contributed in no small degree. COMMITTEE ON CO-OPERATION WITH WOMEN'S FOUNDATION FOR HEALTH. LENNA L. MEANES, M. D., Chairman. The Committee on Co-operation with the Women's Foundation for Health reports that most of the year has been spent in securing manuscript for use in promotion of their work. The handbook on "Positive Health" will soon be off the press, and the six reprints known as the "Official Series of Positive Health" will soon be ready for distribution and will be used as a study. COMMITTEE ON OCCUPATIONAL THERAPY. MRS. ELEANOR CLARKE SLAGLE, Chairman. From the Committee on Occupational Therapy comes a report of great interest in this new and increasingly important line of work, and you will note in the reports from the various states what stimulation has been given to this work by the club women. COMMITTEE ON PUBLIC HEALTH NURSING. The Committee on Public Health Nursing has had various vicissitudes. The first capable Chairman, Miss Olmstead, went to Geneva, Switzerland, as Associate Director, Division of Nursing of the Red Cross Societies; and she was succeeded by Miss Edna Foley whose health required her resignation, and we have at present no Chairman. The outline of work and the program for clubs, which was presented by the Committee on Public Health Nursing, has aroused much interest and has served as a text for the study of the subject in the various states. This Committee also reports activity in the securing of properly trained Public Health Nurses for community work and in higher standards for Public Health Nurses. COMMITTEE ON SOCIAL HYGIENE. FRANCES L. BISHOP, M.D., Chairman. The Social Hygiene Chairman reports special interest in her programs. The United States Public Health Service has been holding Social Hygiene Institutes for lay women in various parts of the country, aided by workers of the Interdepartmental Social Hygiene Board, and these institutes were largely organized and made possible through the interest of the club women. The result of these institutes has been the formation of large study groups, pledged to inform themselves on the various phases of the Social Hygiene program and to carry on the social and protective work in their various communities. A few facts of nation-wide interest brought out by the questionnaire are as follows: All State Boards of Health had a Division of Vital Statistics; 23 had a Division of Communicable Diseases; only 21 states reported as to a Division of Child Hygiene, and of these 18 had such a Division; 19 states answered the question in regard to a Division of Sanitary Engineering, and of these 17 had such a Division; 21 states answered the question as to a Division of Public Health Nursing, and 14 had such a Division. Thirteen states, with an aggregate of 1,084 counties, reported 80 counties having Full-time Health Officers; and 13 states, with an aggregate of 816 counties, reported 229 counties having County Nurses employed by the county-a great gain over our statistics of two years ago. In the field of tuberculosis work the figures are not so en couraging; 14 states gave full data, and for 5 others, for which the number of beds for tuberculosis patients were reported, your Chairman was able to supply the number of deaths from tuberculosis in 1921. This gives 19 states with a total of 15,138 beds, whereas there should have been 48,277 to correspond with the number of deaths from tuberculosis. The state among these 19 coming nearest to providing adequately for tuberculosis patients is Minnesota where the number of beds provided is 612 per cent of the number of deaths from tuberculosis reported in 1921; that is, their provision is approximately two-thirds adequate. The next nearest among those reporting is Michigan, where the beds provided are 51 per cent of the number of deaths reported, or slightly over one-half adequate. Georgia, Alabama and Texas were the most inadequately equipped of the states for which we have full data. Georgia should have approximately 30 times as many beds as were reported; Alabama should have over 271⁄2 times as many beds as were reported, and Texas nearly 101⁄2 times as many beds as were reported. According to the commonly accepted standard as many beds as there are deaths from tuberculosis should be provided to give adequate accommodation for tuberculous patients. Everywhere is increased co-operation between the clubs and the official health agencies and volunteer organizations, but still closer team work offers rich results and the field is a fertile one for trained women seeking a profession where the returns are social as well as financial. DIVISION OF INDUSTRIAL AND SOCIAL CONDITIONS. Industrial Co-operation Safeguarding the Rights of Employer, Employee and the Public. Modern Scientific Methods for the Care and Training of Prisoners and Delinquent Children. MRS. FRANK ELLIS HUMPHREY, Chairman. Upon her appointment late in October, 1920, your Chairman of the Division of Industrial and Social Conditions was at once faced with difficult situations. Located far from her Chairmen of Committees and the Chairman of the Department, necessitating the frequent covering of long distances by correspondence, with a multitude of unique problems and details of organization and methods to deal with, it was only through the splendid co-operation of all concerned that those situations were met and constructive work started within a comparatively few months. And it is due to the same unfaltering loyalty and efficiency that it has since been carried to a point where it may be justifiable to say it has not been a discredit to the Department of Public Welfare and the General Federation of Women's Clubs. On March 30, 1921, your Chairman, following an appeal from Idaho in relation to the then critical wool situation, sent out a circular letter to all officers, directors and Department, Division and Committee Chairmen of the General Federation urging activity in the "Buy a Pound of Wool" campaign. In the following May the Division produced and broadcasted its "Hand Book," covering all phases of the Committee work and plans for co-operative activities by corresponding State Federation committees. This "Hand Book" necessarily covered matters within the purview of the Division as then organized, namely, into the two Committees on Industrial and Business Relations and on Institutional Relations. It was only a month later, however, when a third Committee was created by the Board of Directors, at the Salt Lake City Mid-biennial Council-that on Indian Welfare. It would be difficult, indeed, to conceive of greater efficiency and a better showing of practical results than have been demonstrated and achieved by the Chairmen of Committees of this Division; and in order that the General Federation as a whole may have their fine records at first hand-for no effort of others could approach them-their several reports, substantially in full, are hereto appended. COMMITTEE ON INDUSTRIAL AND BUSINESS MISS M. LILLIAN WILLIAMSON, Chairman. The chairman of the Committee on Industrial and Business |