Other Articles
November 1913


Author Affiliations

From the Children's Medical Department, Massachusetts General Hospital.

Am J Dis Child. 1913;VI(5):355-362. doi:10.1001/archpedi.1913.04100350068006

A striking change has been evident in hospital and medical practice within the last ten years. The advent of social service work in the hospital routine has resulted in a new conception of many disease conditions. Certain diseases have been long recognized as intimately connected with conditions of living, and steps have been taken toward the prevention of such diseases and the protection of the community from the spreading of the infection. Tuberculosis stands as a notable example of this group. Other diseases until recently considered as presenting almost entirely medical problems, are now recognized as having a large social element. As yet sufficient attention has not been given to a study of the social aspect of these diseases. Vulvovaginitis in children belongs in this class. This disease is confined largely to hospital practice, which would at once suggest that it is dependent in part, at least, on poor social

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