cases to individuals free of the disease; to diagnose cases in the
early stages of the disease; and to direct the clinical management of
known cases before their hospital admission and after their hospital
discharge.

Bureau of Environmental Hygiene

The Bureau of Environmental Hygiene acts in a consultatory and
supervisory capacity in matters relating to public water supplies,
sewage treatment plants, swimming pools, refuse disposal and land
fill operations, food, milk, and beverage producers. The Bureau is
also concerned with control of radiological problems, assistance to
communities in housing hygiene, and control over pollution of the at-
mosphere.

Bureau of Medical Services and Hospitals

The Bureau of Medical Services and Hospitals is concerned pri-
marily with the provision of medical services to those citizens of the
State who, through lack of financial resources, might otherwise be
deprived of needed medical care. Through a variety of programs,
these services are provided in the patient's home, physician's and
dentist's offices, hospital outpatient departments, general hospitals,
or in State chronic disease hospitals.

The Bureau, is also concerned with the improvement and expansion
of medical facilities including voluntary hospitals, health centers, and
nursing homes. This is effected, in part, through a Survey and Con-
struction Program which includes preparation of an annual plea for
construction of such facilities under the Federal Hospital Survey and
Construction Act, Public Law 725—79th Congress and Amendments.
The Bureau also licenses public and private hospitals and nursing, con-
valescent homes, and care which meet Health Department standards.

The Bureau administers the State's three chronic disease hospitals
which furnish medical services to chronically ill patients who are in
need of rehabilitation or who are suffering from other conditions
which require long-term hospital care.

TUBERCULOSIS HOSPITALS
Elmer P. Sauer, M.D., Medical Director

Victor F. Cullen State Hospital
Michael G. Zavis, M.D., Superintendent
Cullen (Frederick County) Telephone: Highfield 301

This institution was established in 1908 as the State Sanitorium and
acquired its present name in 1949. It provides for the care of 129
patients.
Staff: 99.

Henryton State Hospital
Edgars M. Maculans, M.D., Superintendent
Sykesville (Carroll County) Telephone: Sykesville 176

This hospital was established by Chapter 464, Acts of 1922 and
provides for the care of 274 patients.
Staff: 263.