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The District Health Officer is the Director of Bealth activities in his District. [le spends every morning in the schools doing school medical work. He visits the same day children sent home from school suspected of communicable disease so as to catch the cases early.
Пis other duties include :--
A. The conduct of Maternity and Infant Welfare and Child Welfare Centres in some Districts. There are special offices in some Centres.
B. Work in connection with the V.D. Prevention Act.
Work in connection with communicable disease.
D. V.D. and T.B. Clinics in co-operation with hospitals.
The staff in the Dental Service consists of 25 balf-time and 5 full-time Dental Officers under a Director of Dental Services who is responsible to the M.O.H. Every school child is examined once a year. The Dental Clinics are situated in the school buildings. Each Dentist has a Lady Assistant.
The Division of Public Health Nursing.→This Division has a staff of 114 Nur- ses each of whom has had four years training three of which were spent in a hospital school of nursing and one in a university department of Public Health Nursing.
The primary function of the P.II. Nurse is health education and for this she is particularly fitted as she is a welcome visitor in the homes.
In each of the 9 Health Districts there is a Supt. of Nurses who supervises the duties of the staff of District Nurses attached to her command. Each nurse on the District Staff has assigned to her a small section and it is her duty to become acquaint- ed with all the families in that section and to be familiar with what is going on. The Division of Public Health Nurses constitutes the vital connection between the home and the health department and the home and the hospitals. She is the friend and confident of all and the person to whom those in trouble go for advice and assist-
ance.
The duties of the P.H. Nurses include :-
1. Home visiting.
2. Attendance at school clinics.
3.
4.
5.
6.
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LW. Clinics
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Hospitals for Infectious Disease and Tuberculosis Sanatoria. These Infer- tions Disease Hospitals receive and care for cases of infectious disease which cannot be dealt with properly in their own homes Small-pox must be treated in a special hospital.
The staff consists of a Medical Supt and Asst. Medical Supt. two House Sur- geons, a Supt. of Nurses, a Dietition and 30 Nurses
Mortuary and Ambulance Division.-The Mortuary requires no description.
The Ambulance Section of this Division deals with infectious cases only-trans- ferring them to and from homes or hospitals to the Infectious Disease Hospital
Food Control Division.—This Division maintains supervision over—
(a) Municipal abattoirs and killing places.
(b) Sausage factories and pickle factories.
(c) Dairy farms, dairies, milk shops and ice cream manufacturies
(d) Soft beverage establishments.
(e) Restaurants and other eating places.
This Division also carries out the general sanitary inspection of the foregoing places. It also inspects food in markets and retail shops such as butcher shops and grocery shops.
There are Veterinary Surgeons for the inspection of live meat and supervision of abattoirs and there are Veterinary Surgeons for the inspection of dairy farms.
This Division co-operates closely with the Laboratory Division.
Toronto receives milk from 2,500 dairy farms which in turn are supplied by 24,000 cows. There are some 1,500 milk stores in the City. Milk comes from as far distant as 140 miles. Dairy Farms are inspected once a quarter and dairies once a month
All milk sold in Ontario is Pasteurised
Savitation Division.—This Division is the organisation through which the de- partment deals with nuisances. It also through two special inspectors deals with all the prosecutions of the Department
In 1915 there were 28 full-time employees of this Division riz. :-
Chief of Division and Deputy Chief.
General Sanitary Inspectors each caring for one district
Bake-shop Inspectors
Restaurant Inspectors
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2
3
day nuseries
Hospital-Out-patients
T.B. Clinics.
7. Co-operation with Social Welfare Units.
8.
9.
10.
Private Practitioners.
Divisions of the Health Department.
other Nursing organisations and with such bodies
as fresh air clubs.
They give home instruction in Nursing, assist bed-side nursing in emergency. distribute sanitary supplies, refer cases to hospital, assist in securing the attention of social agencies etc., etc.
In the Public Health Department there is no division more important than the divison of Public Health Nurses. It is no exaggeration to say that without the nurses the usefulness of the Department would be greatly lessened.
A special group of 16 Public Health Nurses are responsible for the social ser- vice work of the hospital and institutions.
The Quarantine and Preventible Disease Division.--The Division deals with matters of communicable diseases control, isolation, quarantine, epidemiology. The Director of this Division also serves in the capacity of diagnostitian, his services be- ing available to the profession for the purpose of aiding in diagnosis of communic- able disease
Notice sewers
Court Inspectors
Inspections re-sanitation are made to Hotels, lodginghouses, restaurants, laun- dries, bake-shops, candy shops, barber shops, body stables, and domestic premises. Municipal and Crown buildings are not inspected except on request.
Factories are inspected with regard to their outside sanitation and freedom from nuisance.
Licenses for Hotels, lodging houses, restaurants, bakehouses, confectioners, barber shops, laundries and living stables are not issued except under permit from the Health Department.
The Inspectors aim at inspecting each house in their district at least once a quarter, bake-shops, restaurants, confectioneries and laundries are inspected month-
ly.
The Sanitary Division co-operate closely with the housing division and brings to the notice of the latter any structural defects.
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