334

industries and certificates for older people have never been filed with the De-
partment. Provision has been made for the legal recording of such certificates
but the operation is time-consuming and, in order to better serve the public, I
recommend the employment of this additional personnel.

5. The establishment of a proposed Division of Industrial Health within
the Department. This is urged by many industries and by the Federal Gov-
ernment for the protection of workers in plants having national defense con-
tracts. The purpose is to employ the necessary professional personnel to co-
operate with industry in studying occupational hazards in plants, and in cor-
recting those conditions which cause illness in industrial workers. At a hearing
held recently in the offices of the Department many Maryland industries sent
representatives who approved of the plan, the rules for the conduct of the work
and the establishment of a Division of Industrial Health in the Department.
While not all the personnel is provided for in this recommendation, it is be-
lieved that some Federal funds will be available by next year to supplement
the State appropriation.

This additional personnel and the necessary laboratory and other technical
equipment account for the increase to this Department.

For many years the work of the Department has been handicapped because
of the lack of suitable space and facilities for carrying on laboratory and
engineering activities. The Department needs between thirty and forty thou-
sand square feet, the rental of which is necessarily quite high. In order to
secure space within its appropriation it has been necessary to occupy premises
which are not well suited to the needs of the Department. A careful survey
also shows that the logical location for the Department is in Baltimore and
because of this fact and to provide adequate facilities for this important work,
I am recommending in the Bond Issue an appropriation of $250, 000. 00 for the
construction of a building to house the offices and laboratories of the State
Health Department. The rental for the building now occupied is $14, 500. 00
per year.

MARYLAND TUBERCULOSIS SANATORIA

The State supports three sanatoria for the treatment of white patients and
one for the treatment of colored patients. The present population of these four
institutions is 1, 139.

Provision was made in the 1939 Bond Issue for the construction of a
surgical unit at Mt. Wilson to accomodate 26 patients and a building at Henry-
ton to accomodate 100 patients. There will, therefore, be an increase of 126 in
the number of patients during the fiscal years 1942 and 1943, bringing the
total to 1, 265.

The appropriation to the four sanatoria has been increased $62, 432. 00 in
order to care for the 126 patients. The new unit at Mt. Wilson, being a surgi-
cal hospital, will require more nurses than in the other hospitals where many
of the patients are ambulatory. However, the per capita cost for 1942 and
1943 will be $571. 00, as in 1940.

It is gratifying to note that the construction now in process and completed
will practically terminate the building program for the tuberculosis sanatoria.
There will then be one bed for every death in the State, which is the standard,