The Bureau of Sanitary Engineering supervises the purity of
water throughout the State and examines all sewage, water works,
and refuse disposal projects. Through the State Board of Health, it
can require local authorities to install sewerage or water works or
to alter their construction or operation. The Bureau exercises super-
vision over the disposal of trade wastes, stream pollution in general,
and aerial pollution (Code 1939, Art. 43, sec. 38)..

The Bureau of Vital Statistics registers births and deaths in the
State; it receives copies of the marriage and divorce records for sta-
tistical tabulation and as a safeguard against destruction of the
original records maintained in the counties. The Bureau issues
certified and uncertified copies of the birth and death records, and
a "Registered Notice" of each new birth certificate is also sent to the
mother on registration of the birth. It, publishes current vital statis-
tics monthly and annually and makes statistical studies based upon
population, births, deaths, marriages, divorces, etc. (Code 1939, Art.
43, sec. 39)..

The Bureau of Child Hygiene works through the counties in an
advisory and building capacity. It promotes, develops and extends
the county programs. Upon request of the County Health Officers,
and with the approval of local physicians, arrangements are made
for obstetrical and pediatric consultation clinics, health conferences
for infants and pre-school children, and summer round-up clinics
for children about to enter school. A School Health Program is op-
erated in cooperation with the State Department of Education (Code
1939, Art. 43, sec. 40)..

The Bureau of Medical Services assists in the medical care of the
indigent through a program which includes physician services, diag-
nostic examinations, nursing homes, dental care and drugs. The
Bureau licenses hospitals and nursing homes, and administers chronic
disease hospitals in cooperation with the Division of hospital Con-
struction and Administration. The Emergency Maternity and Infant.
Care Program for the wives and children of service men has been
administered under this bureau (Code 1947, supp. Art. 43, sec. 44A).
The Division of Cancer Control was organized within the Bureau of
Medical Services in 3946. It cooperates with the Maryland Division of
the American Cancer Society in the development of a State Cancer
Control Program. The principal activities under this program in-
clude: education of lay and professional groups; provision of Can-
cer Detection Clinics and Tumor Clinics; research in cancer control
and aid to the medically indigent..

The Chief of the Bureau of Food and Drugs is State Food and
Drug Commissioner. This Bureau investigates food and drug prod-
ucts manufactured or sold in the State in order to determine their
purity, honesty of labeling, and compliance with the Food and Drug-
Acts. Its personnel inspects dairies, canneries, pharmacies, stores,
markets, seafood establishments, slaughter houses and other places
where food or drugs are produced, manufactured or sold (Code 1939,
Art. 43, sec. 191)..

Also operating within the Department are eight Divisions organ-
ized by the State Board of Health..

The Division of Industrial Health enforces the provisions for the
prevention of occupational disease as included in the Workman's
Compensation Law. The Staff visits plants to determine the extent
and severity of health hazards and to make recommendations for
needed corrections..