292 State Papers and Addresses

pedic nurses made 888 visits to homes of crippled children. The physiothera-
pists gave 10, 825 treatments to patients as part of the general program.

In addition to the general run of crippling conditions, the special group
referred to as spastics and birth injuries were hospitalized at the Children's
Rehabilitation Institute. Ten of the children in this group were residents of
Baltimore City.

Through a special grant from the Federal Government which did not re-
quire State money to match, it has been made possible to develop a cardiac
program for the diagnosis, treatment and hospitalization of cardiac conditions
in patients under 21 years of age, with special reference to rheumatic fever
which results in so many heart complications. Since this fund is limited in
amount, this phase of the crippled children's program has been limited for the
time being to Anne Arundel County.

For the year 1941, it is planned to develop and extend all clinics conducted
for the discovery, treatment and hospitalization of communicable diseases and
to maintain on the same standard all immunization programs and to develop
to the fullest extent, if funds allow, complete hospitalization and home care of
all crippling conditions among those inhabitants of the State under 21 years of
age.

MARYLAND TUBERCULOSIS SANATORIA

Maryland has long been outstanding in its hospital care for its unfortunate
citizens who suffer from tuberculosis. From the very beginning the State and
its people have had the exceptional benefit of the services of Dr. Victor F.
Cullen, who is not only one of the outstanding specialists in tuberculosis in the
Country, but has unusual ability in the matter of economic and efficient ad-
ministration. The tuberculosis hospitals in Maryland are noted not only for the
excellent service rendered, but for the economy with which they are conducted.

There are four Tuberculosis Sanatoria in the State, 3 for the treatment of
white patients, and 1 for the colored. At the 1939 session your body increased
the appropriation to the Tuberculosis Sanatoria by $117, 150 for 1940, and by
$126, 250 for 1941 for maintenance of these four institutions. This additional
appropriation provided increased personnel and operating expenses to care for
a larger number of patients.

In addition, $183, 000 was provided in the Bond Issue for erection of an
additional building at Henryton to house 100 patients, as well as providing for
additional employees' quarters. In this amount was provision also for the
construction of a surgical unit at the Mt. Wilson Sanatorium in order to make
available facilities for lung surgery, which is the most approved method of
treating certain cases.

The population of these Sanatoria is as follows:

Sabillasville.............................................. 510

Mt. Wilson............................................... 180

i Henryton.................................................... 368

Pine Bluff................................................ 75

The Mt. Wilson surgical unit, which is about to open, provides for 26 addi-
tional beds. When the Henryton building, now under construction, is in opera-
tion, Maryland's program for hospitalization of tubercular patients will be