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of venereal disease are followed up with an unusually high percentage of success.

State laws have been revised during the past year making it much simpler to
hold and convict prostitutes. The war has made it easier than formerly to
get convictions.

There is some educational effort concerning venereal diseases in the way of
lectures, movies and distribution of literature in vicinity of Army camps and
war industry areas.

Nebraska Welfare Association, Lincoln. Human Welfare in a War
Economy was the theme of the forty-sixth annual meeting of the
Nebraska Welfare Association in Omaha during April, 1942. A
session on Fitness for Freedom, including consideration of special
public health problems, among others, was based on an address, This
Business of Morale, by a representative of the Office of Defense
Health and Welfare Services, Mark A. McCloskey. The Family in
War Time, another discussion session, followed the address of Miss
Charlotte Whitton, past Executive Director of the Canadian Welfare
Council, Ottawa, who spoke on Gearing into Total War.



NEVADA

Population Population rank among states 49

Urban 43,291 A.S.H.A. members in state 14

Bural 66,956

110,247

Social Hygiene Societies and Committees

Reno: Nevada Social Hygiene Association: Secretary, Rev. Warren L. Botkin,
Y.W.C.A., City Hall, Reno.

Other Voluntary Agencies

American Legion: Department Adjutant, J. E. Martie, University of Nevada,

Reno.

Kiwanis International:*
Lions International:*
Nevada Federation of Women's Clubs: Chairman Public Welfare, Mrs. Roger

Corbett, Winnemucca.
Nevada Junior Chamber of Commerce: President, Emerson J. Wilson, P. O. Box

884, Reno.

Nevada Nurses Association: Secretary, Josephine Reeve, 339 W. 1st Street, Reno.
Nevada State Congress of Parents and Teachers: President, Mrs. C. D. Baker,

325 North 6th Street, Las Vegas; Social Hygiene Chairman, Mrs. A. J. Shaver,

Box 99, Winnemucca.
Nevada State Medical Association: President, George R. Magee, M.D., Yering-

ton; Secretary, H. J. Brown, M.D., P. O. Box 698, Reno.
Nevada Tuberculosis Association: Executive Secretary, John Boylan, 36 East

Second Street, Reno.
Nevada Woman's Christian Temperance Union: President, Mrs. Susan Russell,

1270 Sierra Street, Reno.
Rotary International:*
United Service Organizations, Region XII: See California.

* See page 239 for national headquarters.



274 JOURNAL OF SOCIAL HYGIENE

Official Agencies

National Youth Administration, Region XII: See California.

Nevada State Council of Defense: State Director, Hugh A. Shamberger, Carson

City.
Nevada State Department of Education: Superintendent of Public Instruction,

Mildred Bray, Carson City.
Nevada State Department of Health: Secretary and State Health Officer, E. E.

Hamer, M.D., Carson City; Director, Division of Venereal Disease Control,

B. H. Caples, M.D., Eeno.

Clinics or Cooperating Clinicians at:
Reno.

Social Protection Section, Office of Defense Health and Welfare Services,

Region XII: See California.
State Board of Relief Work Planning and Pension Control: Executive Secretary,

Gilbert C. Boss, 303 South Center Street, Eeno.
U. S. Army, Ninth Corps Area: See Utah.
U. S. Department of Agriculture, Extension Service: State Extension Director,

C. W. Creel ; State Home Demonstration Leader, Mrs. Mary S. Buol, College
of Agriculture, Eeno.

U. S. Navy, Twelfth District: See California.

U. S. Office of Education, Civilian Morale Service: To receive material for

War Information Center: Thea Thompson, University of Nevada, Reno.
U. S. Public Health Service: For Director, District VIII, see Colorado; for

Liaison Officer, Ninth Army Corps Area, see Utah.
Work Projects Administration: See California, Northern Division.

Nevada State Department of Health, Reno. At present our most
acute problem from the standpoint of venereal disease control is
the rapid increase in our population. The new defense plants,
training stations, bombing ranges and air fields are bringing
thousands of construction workers and military personnel into
Nevada. It is estimated that in and around Reno alone, there will
be stationed within the next year thirty-five to forty thousand
troops. This naturally means increased activity on our part and
a widening of our program.

Local authorities throughout the State have agreed to comply with the requests
of the secretaries of the army and navy and General De Witt, Commander of
the Fourth Army, relative to the repression of prostitution in Nevada. Houses
of prostitution are still operating in some areas but steps are being taken by the
passing of ordinances to give the police authority under which to act.*

In the Selective Service registration of 1940 leaflets dealing with syphilis were
given to every registrant throughout the State. With every questionnaire sent
out was enclosed the leaflet, So Long Boys, Take Care of Yourselves. These
same procedures are being followed at the present time.

All selectees with positive blood tests are urged to have a second blood test
and physical examination. If syphilis then be diagnosed treatment will be
given, in the case of those unable to pay, by any physician of the selectee's
choice. Moderate fees are paid these physicians by the Division of Venereal
Disease Control and drugs are furnished free. Physicians are also paid and
drugs furnished in the case of indigent civilians. Our present rate of syphilis
among the selectees is 3.2 per cent per hundred. The names of all those having
positive blood tests are immediately turned over to our public health nurses for

* Since this report was written word has been received that Eeno 's ' ' stockade ' '
and other prostitution centers have been officially closed by the law enforcement
authorities.



STATE AND COMMUNITY SUMMARIES 275

investigation. Selectees are notified of the result of their tests and a further
test and physical examination are advised. Under our State law those who
are infectious and uncooperative may be quarantined.

In 1941 the prenatal examination bill passed, becoming effective July, 1941.
The premarital examination bill was again defeated.

The Reno Venereal Disease Clinic is being moved into the new building of the
Washoe County Health Clinic. This is well equipped and centrally located.
Both day and evening hours will be held. The new Las Vegas Venereal Disease
Clinic will be housed in the Clark County Health Unit Building that is now under
construction.

The state-wide project under the U. S. Public Health Service and the WPA,
the purpose of which is to assist our present venereal disease program, was
submitted to Washington about two weeks ago. This, if finally approved, will, I
believe, be of great help to us throughout the State.

We hope to enlarge our educational program, especially at the defense plants
that are now under construction in Nevada, not only through the distribution
of literature, talks and movies, but also in urging upon the heads of these
various plants the necessity for blood tests and treatment where indicated. All
this will mean a larger appropriation for the coming year.

You will be glad to know that we are receiving fuller cooperation from the
medical profession. Reporting has markedly improved and the provisions of
the Prenatal Law are being more and more complied with.

The observance of Social Hygiene Day in 1942 was successfully carried out
throughout the State. Meetings were held in every county with an estimated
attendance of 3500. Many movies were shown, many talks given and large
amounts of literature distributed.

Nevada Social Hygiene Association, Reno. This comparatively
new society works closely with the State Department of Health
in the state-wide program, and has sponsored a number of meetings
and other projects.

A.S.H.A. visitors to the cities of Reno, Carson City, and Stewart during the
past year have been Dr. Snow, Dr. Clarke and Miss Shenehon.



NEW HAMPSHIRE

Population Population rank among states 45

Urban 283,225 A.S.H.A. members in state 11

Rural 208,299

491,524

Social Hygiene Societies and Committees

Manchester: Social Hygiene Committee, Manchester Council of Social Agencies:

Executive Secretary, Robert L. Garvey, 967 Elm Street.

Other Voluntary Agencies

American Legion: Department Adjutant, Frank N. Sawyer, State Office Bldg.,

Concord.

Kiwanis International:*
Lions International:*

* See page 239 for national headquarters.



276 JOTJBNAL, OP SOCIAL HYGIENE

New England Council of Federated Church Women: President, Mrs. A. E.

Baum, 360 Wibird Street, Portsmouth.
New Hampshire Conference of Social Work: Secretary, Mrs. Eva A. Reed,

State Annex Bldg., Concord.
New Hampshire Congress of Parents and Teachers: President, Mrs. Benjamin

Kendrigan, Newmarket; Social Hygiene Chairman, Robert James, Durham.
New Hampshire Federation of Women's Clubs: Chairman Public Health, Mrs.

Josephine Varnum ; Greenfield.
New Hampshire Junior Chamber of Commerce: President, Richard Dexter,

Keene.
New Hampshire Medical Society: President, Timothy F. Rock, M.D., Nashua;

Secretary, C. R. Metealf, M.D., 5 8. State Street, Concord.
New Hampshire Nurses Association: Secretary, Dorothy Health, 8 Copp Street,

Nashua; Chairman, Public Health Nursing Section, Florence Clark, 32 Church

Street, Concord.
New Hampshire State Teachers Association: Executive Secretary, John W.

Condon, Derry.
New Hampshire Tuberculosis Association: Executive Secretary, Robert B.

Kerr, M.D., 456 Beach Street, Manchester.
New Hampshire Woman's Christian Temperance Union: President, Mrs. Grace

M. Hamilton, Wilton.
Rotary International:*
United Service Organizations, Region I: See Massachusetts.

Official Agencies

National Youth Administration, Region I: See Massachusetts.
New Hampshire State Board of Health: Secretary, Travis P. Burroughs, M.D.,

Concord; Director, Division of Venereal Disease Control, Alfred L. Frechette,

M.D.

Clinics or Cooperating Clinicians at:

Berlin, \ Concord, Dover, Manchester, Nashua, Portsmouth.
New Hampshire State Council of Defense: Executive Secretary, Noel Wellman,

State House, Concord.
New Hampshire State Department of Education: Commissioner of Education,

James N. Pringle; Supervisor of Health, Elizabeth M. Murphy, Concord.
New Hampshire State Department of Public Welfare: Commissioner, Harry O.

Page, Concord.
Social Protection Section, Office of Defense Health and Welfare Services. Region

I: See Massachusetts.
State Defense Committee on Industrial Cooperation: Chairman, Harry J.

Kelley, Laconia.

U. S. Army, First Corps Area: See Massachusetts.
U. S. Department of Agriculture, Extension Service: State Extension Director,

H. B. Stevens, University of New Hampshire, Durham; State Home Demon-
stration Leader, Daisy D. Williamson.
U. S. Navy, First District: See Massachusetts.
U. S. Office of Education, Civilian Morale Service: To receive material for

War Information Center, David Jolly, University of New Hampshire, Durham.
U. S. Public Health Service: For Director, District I, see New York. For

Liaison Officer, First Army Corps Area, see Massachusetts.
Work Projects Administration: State Director of Community Service Program,

Mary H. Head, Silver and Lincoln Streets, Manchester.

State Board of Health, Division of Venereal Disease Control, Con-
cord. The control of venereal diseases is largely a State centralized
program. This division is headed by a full time physician who
supervises and administers the program. There are seven part-time
physicians employed as clinicians in the six venereal disease clinics
operated by the Board. The venereal disease epidemiology is car-
ried out by the public health nurses of the Public Health Nursing
Division under the supervision of the director of venereal disease
* See page 239 for national headquarters.



STATE AND COMMUNITY SUMMAEIES 277

control. On request, the State Board of Health nurses investigate
sources and contacts of either syphilis or gonorrhea patients and
request them to report to a private physician for examination.
They also do follow-up investigations of delinquents.

The division renders consultative services on request. This is done either
through correspondence, by personal visits when indicated, or by having the
patients admitted to a hospital for special diagnostic procedures.

A neurological consultant is also employed. He examines late cases of syphilis
from the neurological standpoint and consults on neurological problems, both
for clinic cases and those of private physicians. He also supervises and admin-
isters fever treatment in cases of neurosyphilis, under the hospitalization program.
Hospitalization and fever treatments have been provided for many of these
patients by this division at both the State Hospital in Concord and the Elliot
Hospital in Manchester.

In areas not now served by venereal disease clinics and where the cost of
transportation to such a clinic would exceed the cost of treatment locally, the
State Board of Health remunerates physicians directly for the treatment of
venereal disease patients. The State Board of Health provides all drugs used
in the treatment and, when necessary, needles and syringes.

This division is responsible for the administration of the premarital blood
test law which requires a blood test on every applicant for marriage, together
with a statement by the physician that the applicant is not infected with syphilis
or in a stage that may become communicable.

The venereal disease control division has been taking bloods on all applicants
for N.Y.A. enrollment in cooperation with the National Youth Administration.

This division has cooperated with the Selective Service System in taking blood
tests on draftees, and the necessary equipment has been supplied by the State
Board of Health for this project. Follow-up has been done on all positive cases
found.

We have received excellent cooperation from the medical officers of the armed
forces, both naval and military, in military areas of the State. No increase in
the venereal disease rate has been noted. All contacts and sources of infection
are reported to us and a trained epidemiologist is sent to the area to interview
the patient. All sources and contacts are immediately investigated.

Educational activities have consisted of the distribution of literature, talks by
the director of the division, and the showing of the movie, With These Weapons.

There has been continued effort to suppress prostitution. Letters have been
sent to city health officers calling their attention to the problem of prostitution
and asking that all individuals arrested for moral offenses be subjected to an
examination for venereal diseases. Police chiefs have been called on and asked
to cooperate in this problem. The problem is not very intensive in New Hamp-
shire but all efforts are being made to keep it at a minimum.

Manchester Council of Social Agencies, Social Hygiene Committee.

This group has been active in social hygiene education, especially
with industrial groups, and has backed up local law enforcement
efforts with good results regarding repression of prostitution. For
Sixth National Social Hygiene Day, the committee arranged a
city-wide educational display through drug-stores and other public
places where exhibits could be shown to advantage.



A.S.H.A. staff visitors to the cities of Concord and Manchester during the
past year have been Mr. Gould and Miss Pinney.



278



JOURNAL OF SOCIAL HYGIENE



NEW JERSEY



Population

Urban 3,394,773
Enrol 765,392



Population rank among states 9
A.S.H.A. members in state 215



4,160,165



Social Hygiene Societies and Committees

Newark: Social Hygiene Committee, New Jersey Tuberculosis League, Inc.:

Executive Secretary, Ernest D. Easton, 15 East Kinney St., Newark.
Camden: Education Committee: Chairman, Mabel G. Lesher, M.D., 331 PennSt.

Other Voluntary Agencies

American Legion: Department Adjutant, Roland F. Cowan, Memorial Bldg.,
Staey Park, Trenton.

Kiwanis International:*

Lions International:*

Medical Society of New Jersey: President, Elias J. Marsh, M.D., Paterson;
Secretary, Alfred Stahl, M.D., 55 Lincoln Park, Newark.

New Jersey Congress of Parents and Teachers: President, Mrs. Albert L. Gard-
ner, R.F.D. 1, Perth Amboy; Social Hygiene Chairman, Elizabeth Ford Love,
M.D., 142 E. Oak Avenue, Moorestown.

New Jersey Education Association: William L. Fidler, Audubon; Solomon C.
Strong, West Orange.

New Jersey Federation of Womens Clubs: Mrs. Clarkson A. Cramner, Foothill
Road, Somerville.

New Jersey Junior Chamber of Commerce: President, James D. Connell, 84
Washington Street, Hoboken.

New Jersey Nurses Association: Executive Secretary, Wilkie Hughes, 17 Acad-
emy Street, Newark; Secretary, State Organization for Public Health Nursing,
Dorothy Knowlton, 10 Park Place, Morristown.

New Jersey State Commission for the Blind: Chief Executive Officer, George
F. Meyer, 1060 Broad Street, Newark.

New Jersey Welfare Council: Acting Secretary, Mrs. Douglas H. MacNeil, 20
Fulton Street, Newark.

New Jersey Woman's Christian Temperance Union : President, Mrs. Mary Du
Bois, R.D., Salem.

Rotary International:*

United Service Organization, Region III: See New York.

Official Agencies

National Youth Administration, Region II. See Pennsylvania.

New Jersey Defense Council: Director, Leonard Dreyfuss, 114th Infantry

Armory, Trenton.
New Jersey State Department of Education: Commissioner of Education,

Charles H. Elliott, Trenton; Assistant in Health Education, Lulu P. Dilworth;

Assistant in Physical Education, William P. Uhler.
New Jersey State Department of Health: Director of Health, J. Lynn Mahaf-

fey, M.D., Trenton; Chief, Division of Venereal Disease Control, Daniel

Bergsma, M.D.

Clinics or Cooperating Clinicians at:

Asbury Park, Atlantic City, Bayonne, Belvidere, Blairstown, Bloomfield, Boontoii,
Bordentown, Bound Brook, Branchville, Bridgeton, Burlington, Camden (2),
Carteret, Cranbury, Dover, Eatontown, Elizabeth (3), Englewood, Ewing,
Franklin, Freehold (2), Hackensack, Hackettstown, Hammonton, Hightstown,

* See page 239 for national headquarters.



STATE AND COMMUNITY SUMMABIES 279

Irvington, Jersey City (3), Kearny, Keyport, Long Branch (2), Madison,
Mahwah, Manasquan, Mays Landing, Millville, Montclair, Moorestown, Morris-
town (2), Mt. Holly, Neptune, Newark (4), New Brunswick (2), New Monmouth,
Newton, Northfield, North Wildwood, Nutley, Ogdensburg, Orange, Passaie (3),
Paterson (4), Penns Grove, Phillipsburg, Plainfield, Port Norris, Princeton,
Bed Bank (2), Riverside, Boselle, Salem, Somers Point, Somerville, Sparta,
Summit, Sussex, Teaneck, Trenton (2), Vineland, Washington, Weehawken,
Woodbine, Woodbury.

New Jersey State Department of Institutions and Agencies: Commisioner, Wil-
liam J. Ellis, Trenton.

Social Protection Section, Office of Defense Health and Welfare Services,
Region III: See Pennsylvania.

U. S. Army, Second Corps Area: See New York.

U. S. Department of Agriculture, Extension Service: State Extension Director,
L. A. Bevan; State Home Demonstration Leader, Marion Butters, State College
of Agriculture and Mechanic Arts of Rutgers University, New Brunswick.

U. S. Navy, Third District, Northern New Jersey: See New York; Southern
New Jersey, Fourth District: See Pennsylvania.

U. S. Office of Education, Civilian Morale Service: To receive material for
War Information Centers, Dr. Henryetta Sperle, New Jersey State Teachers
College, Montclair; Julian P. Boyd, Princeton University, Princeton; George
Osborne, Rutgers University, New Brunswick.

U. S. Public Health Service: State Venereal Disease Consultant, P. A. Surgeon
Glenn S. Usher, State Department of Health, Trenton. For Director, District I,
and Liaison Officer, Second Army Corps Area, see New York.

Work Projects Administration: State Director of Community Service Program,
Mrs. Eva H. Reda-Reina, 1060 Broad Street, Newark.

New Jersey State Defense Council. This State Council has an
advisory Committee on Health, Welfare and Recreation to assist in
the focussing and coordinating of such activities at the state level.
In addition the Council has appointed Community Defense Service
Councils which are integral parts of the Local Defense Councils and
are composed of representative citizens who are recognized as
leaders in local official and voluntary agencies, to function as liaison,
clearinghouse, promoter and sponsor for many types of services,
" particularly for the protection of health and welfare."

New Jersey State Department of Health, Trenton. Activities
directly concerned with National Defense are receiving first con-
sideration in the program of the Bureau of Venereal Disease Control
of the New Jersey State Department of Health :

Laboratory services have been expanded to do serologic tests for syphilis of
all men examined for Selective Service and for the examination of spreads for
gonococci at the discretion of the examining physicians.

Positive and doubtful results are followed up by letter, and if indicated, by
home visit to make sure that treatment needs are met.

All men found to be infected with syphilis or gonorrhea when examined by
the Army Examining Team at pre-induction stations (now in Newark and at
Fort Dix) are interviewed before they go home to plan for their medical care
and for the examination of contacts.

All men hospitalized at Fort Dix are interviewed for contact information and
the information referred to the proper officials for investigation.



280 JOURNAL OP SOCIAL HYGIENE

Through the voluntary assistance of physicians and nurses, 46,000 men sub-
mitted to blood tests on the registration days, February 14, 15, and 16, 1942.

Close cooperation is maintained with the State Police, State Alcoholic Beverage
Commission, Local Police, National, State, and Local Welfare and recreational
agencies, to reduce prostitution and sexual promiscuity in areas surrounding
military encampments.

Ninety clinics provide treatment for persons unable to pay for private care.
These clinics receive some assistance in the form of drugs, funds for the payment
of physicians, for the services of public health nurses for intensive contact
tracing and case holding activities.

Three years' experience with premarital and prenatal laws have proved their
value. In 1941 one hundred thousand premarital tests were reported, of which
1.37 per cent were positive. An increasing number of pregnant women are being
tested under the provisions of the prenatal law, with a marked increase in the
number tested before the fifth month of pregnancy.

Intensive arsenotherapy is being used in at least 20 hospitals in the State.

Culturing of the gonococcus is being carried on for selected clinics, and this
service will be extended.

The sensitivity and constancy of serologic tests for syphilis, as performed by
laboratories in New Jersey, is checked by the lyophile method with standardized
syphilitic serum. Mazzini antigen of a constant sensitivity is now supplied to
laboratories upon request.

The program carried on for the past 20 years of making information about
the venereal diseases available to the public through leaflets, posters and motion
pictures has been continued, with a special effort during the past year to secure
the cooperation of drug store proprietors and industrial employers in the dis-
tribution of educational material.

Pamphlets on sex hygiene also are distributed in large quantities. The
Bureau has cooperated with the New Jersey Social Hygiene Society. This
society merged with the New Jersey Tuberculosis League in 1941 and cooperation
is being continued. The Bureau also cooperates with the Social Hygiene Com-
mittee which is functioning under the auspicies of the State Department of
Public Instruction.

New Jersey Tuberculosis League, Newark. To consolidate efforts
in the field of social hygiene and health education in New Jersey,
the New Jersey Social Hygiene Association and the New Jersey
Tuberculosis League, agreed in January, 1942, to place the public
health education program and other social hygiene activities under
the latter agency, which will now plan to carry on an active social
hygiene program. This arrangement is on a trial basis for one year.

Carried over from the Social Hygiene Association's program
was the Annual Spring Conference held by the League in April,
and including prominently the theme of social hygiene.

The Education Committee of the New Jersey Social Hygiene Association has
done outstanding work in studies of education for family life and how it may
be taught in the public school system. Two comprehensive bulletins An



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