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July 14, 1917


Author Affiliations

Superintendent of Health PROVIDENCE, R. I.

JAMA. 1917;LXIX(2):90-95. doi:10.1001/jama.1917.02590290012004

What constitute the most effective lines of effort is the most vital question confronting every public health administrator. Money is the measure of most effort, and appropriations are limited. In what way shall the appropriation for the health department be expended so as to save the most lives and prevent the most sickness? Are our municipal health departments making the best apportionment of their funds? Are health officials devoting the most effort to that which will best conserve the health of the people? If any city is doing this, it has a model health department.

Certainly many cities are not doing it. It is hard to break away from tradition. Most persons think largely in terms of the past. Institutions are of slower growth than knowledge. It is a pity that they cannot be kept in closer alinement. Though it would be sad, indeed, to chase every pseudoscientific will-o'-the-wisp that

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