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( enw > 4 : November 19 : 1921

President.

You may wish to have a bound copy of our report.

The practical uses to which this repert can be put are
unlimited. I+ was well received on Thursdey at the meeting. But,
the Committee and the Association will follow up the report in.
many ways. A number of health officers have already asked us to
get behind them in their local efforts to remedy the situations in
their cities. They have waited for the report and now know in
what respects their city is deficient as compared with the best
practice in other cities. They can use these facts in connection
with their appeals for appropriations, etc. The fuller report
which will probably run into three or four hundred pages, is well
on the way, and we shall finish during the next four or five months.
The staff at New Haven and at Johns Hopkins will be put to work on
it without any expense to us, and we will, in that way, work out

very definite standards as to what the most effective health depert-|

ment should be like and what it should cost for each group of items.

You are right in your statement that we cannot get any-
where without well paid full-time health officers. We are placing
great emphasis on that, but the difficulty is that there are not
enough well-trained health officers to go around. The schools of
Johns Hopkins, New Haven, and, more recently, the one established
by the Rockefeller Foundation at Harvard are trying to do this on a
large scale.

On every hand, I heard praise for the Company and grati-
tude to you personally for having made this Committee's work pos-
gible through the generous contribution last year.

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