For efficiency, a public health organization in a representative form of government should, in our opinion, be directed by one versed in sanitary and practical medicine as well as in sanitary engineering.
A little training in entomology and geology would add to the efficiency of the executive. He should be clothed with great police powers. The foundation of the organization should be a statistical division, including vital, morbidity and marriage statistics. Cooperating and depending on this statistical division, a medical division should be established, headed by a medical chief with an experience of at least ten years in general and special hospital work and in epidemiology. The medical associates should be those fitted for bureau work and for field service throughout the territory over which the department has jurisdiction.
Independent of the responsibilities generally recognized as belonging to a medical division, it is essential for the best work to have
DIXON SG, ROYER BF. THE SANITARY ENGINEER IN PUBLIC HEALTH WORK. JAMA. 1915;LXV(18):1508–1511. doi:10.1001/jama.1915.02580180012004
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