Health Officer is also the Deputy State Health Officer in his district.
Through them the Director of Health exercises supervision over all
matters affecting public health in the counties of Maryland..

Within the Executive office work regarding Public Health Educa-
tion, nutrition and dietetics is carried on. The Public Health Educa-
tion program includes assembling and distributing information on
health promotion and disease prevention; preparing press releases,
issuing a monthly bulletin; and compiling reports and other printed
materials concerning• the work of the Department. The Nutrition Pro-
gram is educational. It stresses the need for adequate and well-
balanced diets, and provides consultation in county and school clinics.
The Consultant Dietitian is concerned with improving the diets in
hospitals and institutions, particularly in the State Tuberculosis
Sanatoria..

Eight bureaus established by Acts of the General Assembly func-
tion within the State Department of Health (Code 1939 & 1947 supp.
Art. 43, secs. 33 & 191). Each is responsible for a particular phase
of the public health program..

The Bureau of Communicable Diseases investigates the occurrence,
distribution and types of communicable diseases reported in indi-
viduals and communities, in order that the proper control measures
may be instituted. The Bureau studies the sources and routes of
infection, assists local health authorities and private physicians in
the diagnosis of communicable diseases, assists in finding unrecognized
or unreported cases and gives advice as to the proper collection of
laboratory specimens. The Pasteur treatment is administered to per-
sons who may have been exposed to rabies. Services for Crippled
Children, provided under the Bureau of Communicable Diseases, in-
clude orthopedic clinics, hospitalization, physiotherapy treatments,
and a program, operated in several counties, for the prevention of
deafness and rheumatic fever. A Venereal Disease Control Program,
consisting of clinics, provision for rapid treatment of syphilis, and
educational work, is carried on by this Bureau. The Tuberculosis
Control Program, carried on in cooperation with the Maryland Tuber-
culosis Association, stresses early diagnosis and prevention as well
as treatment (Code 1939, Art. 43, sec. 34)..

The Bureau of Bacteriology organized in 1912 assists physicians
and health officers in the diagnosis of disease incidental to treatment
and control. Bacteriological and serological tests are made to aid in
the diagnosis of infectious diseases. Many clinical laboratory tests
are made, such as urinalysis and hematological and chemical tests of
blood. The Bureau controls all laboratory work done in the counties
of Maryland in connection with the diagnosis and control of human
illness. Samples of water, shellfish, milk and other foods are exam-
ined incidental to control through the Chief Engineer and the Food
and Drug Commissioner. The central laboratory is located at 2411
North Charles Street, Baltimore, with branch laboratories in An-
napolis, Cambridge, Cumberland, Elkton, Easton, Frederick, Hagers-
town, La Plata, Prince Frederick, Rockville, and Salisbury (Code
1939, Art. 43, sec. 35)..

The Bureau of Chemistry determines the sanitary quality of
drinking waters, milk and food substances; the legality of drug-
products, pharmaceutical, and medicinal preparations sold to the
public. Chemical laboratories are operated at 2411 North Charles
Street, Baltimore, and Cambridge, Maryland (Code 1939, Art. 43,
sec. 37)..