32 JOURNAL OF PROCEEDINGS [Jan. 6

and the protection of drinking water. In both counties the
survey inaugurated important changes in the sanitary habits
of the people, and larger enterprises in water and sewerage
works were greatly stimulated. Demands arose in various
parts of Maryland for similar surveys, and the State Board of
Health has been able to make a few limited surveys of towns,
without any assistance from the Federal Bureau of Health.
The State ought, of course, to be able to respond to such
requests. The indications are that these surveys were attended
and followed by a marked reduction of typhoid fever. By
the mortality test this is certainly true, but the State Board of
Health has not, in so short a time, the basis for such confident
assertion as may be expected in another year or two.

About a month ago was started a co-operative survey of the
schools of Frederick County, with Dr. Taliaferro Clark and two
other representatives of the United States Public Health Serv-
ice. This survey will be the best of its kind ever made in
Maryland and possibly the best ever made in the country.

They would not have been able to complete so much work in
1915, but for the circumstance that Maryland is getting a
reputation as a good place for the practical study of public
health operations. Universities have perceived this, and the
Board was able this year, for the first time, to get, at a very
modest price, the services of young men who are taking aca-
demic training in Hygiene.

It is even possible that schools of public health will in the
near future require their students to have practical experience
in the service of Boards of Health, and such service will count
toward the academic degree of Doctor of Public Health. In
that case, we shall be fortunate in that the Department of
Health of Maryland is held in no little esteem by academic
observers. Having met with a demand for the mo-re intimate
and thoroughgoing operations, which these surveys indicate, the
Board should be able to make at least one general survey of a
county each summer, and a school survey each winter.

The surveys of Dorchester and Anne Arundel cost about
$5, 000, the Anne Arundel survey being the more expensive.