64 MARYLAND MANUAL

disease control program consisting of clinics and educational work
(Code 1939, Art. 43, sec. 84).

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, authorized by law in 1910, 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).

The Bureau of Sanitary Engineering, organized in 1912, supervises
the purity of water and examines all sewage, water works, and refuse
disposal projects operated or constructed throughout the State. It
administers the regulations of the State Board of Health relating to
sewage disposal and water supply and exercises general supervision
over trade wastes, aerial pollution, and stream pollution in general
(Code 1939, Art. 43, sec. 38).

The Bureau of Vital Statistics, organized in 1912, registers through
the County Health Officers births and deaths within the State and
receives from each county copies of marriage and divorce records for
statistical tabulation and as a safeguard against the destruction of
the original record. Copies, either certified or uncertified, of birth
and death records may be secured from the Bureau. It also publishes
monthly and annual summaries of current vital statistics (Code 1939,
Art. 43, sec. 40).

The Bureau of Maternal and Child Health and Services to Crippled
Children, organized in 1922, is responsible for the investigation and
control of diseases relating to maternity and infancy and the causes
of infant mortality. It operates in cooperation with the county health
departments' pre-natal, post-natal, and child care clinics; and provides
in cooperation with the Department of Education a school health pro-
gram. This Bureau also administers the services provided for crippled
children including orthopedic clinics, physiotherapy treatments, and
hospitalization (Acts 1949, Ch. 9).

The Bureau of Medical Services, organized in 1946, administers the
Maryland program for the care of the indigent ill. It licenses hos-
pitals, nursing homes and homes for the aged and assists the Division
of Hospital Construction and Administration in the supervision of the
chronic disease hospitals (Code 1947, Supp., Art. 43, sec. 44A). The
Division of Cancer Control, organized within the Bureau of Medical
Services in 1945, administers in cooperation with the American Cancer
Society a cancer control program which includes lay and professional