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The problem of securing efficient administration of public health laws is especially difficult in the rural districts. City and town can today obtain the best health service for which they are prepared to pay. The small community, on the other hand, unless the circumstances are exceptional, cannot command the various kinds of expert knowledge, medical and sanitary, chemical, bacteriologic, engineering and statistical, which are essential for the adequate handling of its problems.
Attempts along several different lines have been made to meet this need. In many Southern states, health officers are provided for on the basis of county units. In Massachusetts an interesting plan of voluntary community cooperation has been worked out under the guidance of the public health faculty of the Massachusetts Institute of Technology. The most promising plan of all is perhaps the organization of a corps of state sanitary supervisors, acting under the direction of the state
THE PROBLEM OF RURAL HEALTH ADMINISTRATION. JAMA. 1915;LXV(16):1368. doi:10.1001/jama.1915.02580160052019
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