A physician who has a large
practice among the poor and who
has made a careful study of the
mortality statistics of Brooklyn
as compared with other cities of
the country made the alarming
statement this morning to a
reporter of the Eagle that the
juvenile mortality in Brooklyn
was greater per capita in the
summer than in any other city in
the United States. The fact that
Brooklyn has always been
considered an especially healthy
place according to the records
of mortality, led the reporter
to question the doctor's
statement.
"I mean it," he said. " It is
not a statement that is made
without foundation, for the
records and I will produce them
if you give me time will prove
it. And there is a strange thing
about the matter, too. The death
rate of Brooklyn during the
summer months is greater among
children than in other cities
while in the winter time. When
one would suppose that the death
rate in such a place as Brooklyn
is greatest, it is less than in
the other large cities. Now the
contrary, you would expect,
would be the case.
"Brooklyn is subjected to
climatic conditions that would
seem to favor life for the
children in summer and death to
their elders in winter. It is
surrounded practically by the
sea and the strong sea air one
would expect would vivify the
children in the summer months.
The contrary is the case, while
the deaths in winter from
pneumonia, phthisis and kindred
winter maladies are not so great
as in Manhattan, for instance.
But Manhattan has a much lower
juvenile death rate than
Brooklyn in the summer months.
That was shown last year when
children were dying in Brooklyn
by the hundred, while in
Manhattan there was little above
the normal juvenile mortality.
"Is it possible," asked the
reporter, "that the condition is
due to the fact that there is
not the same systematic
examination of the conditions in
the tenement houses in Brooklyn
as in Manhattan?"
"I cannot say that," said the
doctor in reply. "for I do not
know what steps are taken in
Brooklyn for a thorough
inspection of the tenement
houses in the borough in the
summer months nor do I know much
about what the summer corps of
physicians did in the past. But
I do know that the appointment
of an intelligent and
conscientious corps of doctors
to guard the children would be
not only good for the reputation
of the borough but would be a
humane measure. I know that
there was such a corps in
Manhattan last year, but
Brooklyn, in spite of the fact
that the newspapers were calling
the attention of the people over
here to the awful mortality
among the babies, was left
without such a corps.
"It is the same old complaint.
Brooklyn can get very little
from the powers over there. The
members of the Board of Health
can find plenty of fault, as
they did last year, but they are
not willing to offer any
assistance. I do not know what
will be done this year. I see
that the distribution of
Pasteurized milk is going on
under the direction of a doctor
of the Health Department, but
the money for the work is
entirely subscribed by private
parties. That is all right of
course, and the work is bearing
good fruit. It was beneficial
among the babies last year,
although it has started at the
eleventh hour, but the Health
officials should go further.
"I saw in the Eagle last night
that the infant mortality during
the recent heated spell had been
terrible. There are ways that
intelligent sanitarians could
adopt to stop this. There is no
excuse in this enlightened age
for such a terrible condition in
any civilized community. A
perfect and systematic
inspection of the tenement
house, medical superintendence
and examination of the children
and the free distribution of
medicines and sterilized milk
are what might be suggested.
Certainly the city, which is
wealthy enough to waste money
for the enrichment of favored
contractors and politicians,
should divert some of its money
into this channel. It would be
charitable and just as
constitutional as some other
expenditures that are made by
the Health Board."
"Do you think, doctor." asked
the reporter," That the
establishment of a corps of
summer physicians would in a
measure meet the case? Is it
likely that the jobs would be
given to a number of young
doctors who would regard the
appointment as something of a
political snap and that they
would neglect their duty and
draw their pay?"
The physician, who declined the
use of his name in the
interview, thought for a minute
or two and replied:
"There is always a danger of
that. I was at one time on the
summer corps of Brooklyn in the
old days when the affairs of the
city were managed in Brooklyn. I
know that some of us thought
that it was something of a
political sinecure a job to tide
us over the summer when our very
few patients were out of town. I
know that I started in the work
with enthusiasm, but I found
that the people were not with
us. As soon as the poor in the
tenement houses knew that we
were from the Health Department
they seemed to resent our
interference.
"It was the same old formula in
nearly every case. 'Any sick
children here?" after a tap at
the door. 'Who are you?" from
the tenant. 'I come from the
Board of Health,' from the
doctor. 'Well, we have our own
doctor to attend to our
children,' that visit. That
thing occurred so often that we
were frequently discouraged.
"Again, we found that the
parents themselves either did
not care if their children lived
or died or were ignorant of the
gravity of the situation. I have
seen over and over again where a
child was seriously ill that the
parents not only did nothing for
it, but resented outside
interference. While they would
not pay for a doctor or buy good
nourishing food for their
children, they always had the
price of a can of beer."
"Is it not a fact that many
physicians do much charitable
work among the poor in a
volunteer way?" asked the
reporter.
"No," said the physician. "As a
rule, doctors like their own
ease too well to interfere where
they do not seem to be wanted. I
believe that there are several
physicians who do something in
the way of charitable work among
the poor, but compared with the
mass of doctors in practice in
the cities, these are very few.
I have done a little of that
myself, but I must confess that
it was generally when my
attention was called to a
specific case by a missionary or
charitable visitor. I have also
supplied medicines when
necessary, but most druggists,
when they are told of a case of
necessity, are willing to make
up the prescriptions
gratuitously.
"What we need in Brooklyn is an
official corps of doctors who
will do their work among the
poor conscientiously and not as
a matter of form. In Manhattan
there are many charitable
organizations which attend to
just this work and their labors.
I believe, have much to do in
keeping the death rate of the
crowded tenement houses in
Manhattan down to a minimum in
this weather. There are not so
many of these charitable
organizations in Brooklyn, and
for that reason I think that it
is little short of murder for
the health officers of the city
to neglect the work."
Health Officer Black of Brooklyn
was told about the physician's
declaration. "Yes," he admitted,
"it is true that the mortality
among the babies of Brooklyn is
greater than in Manhattan. Our
general death rate, though, is
lower. I am trying to get a
corps of physicians appointed
for the summer work, but I do
not know whether I will be
successful. Last year there was
a summer corps of physicians for
Manhattan, but in Brooklyn there
was no provision. Something
should be done though, and I
agree that an effort should be
made, for the condition is
serious. The free distribution
of sterilized milk is going on
satisfactorily. That was
something that I wanted to have
started early in the summer, and
we worked very hard for three
weeks to get it into shape."
"Is there any danger that the
members of a summer medical
corps would regard the work as
something of a political
sinecure and would neglect their
work?" asked the reporter.
"If the work was properly laid
out I do not think so" said Dr.
Black in reply. "You see, we
should have to appoint the men
from an eligible list and the
chances are that politics would
be to a very large degree out of
it. We would hold the physicians
to their work and I believe the
appointment of such a corps
would be very beneficial. As I
have told you, in the light of
the present condition of affairs
I will make a strong effort to
have money appropriated for the
purpose and a corps appointed.
It is too bad that we cannot do
this work at once, but I believe
that the board will make proper
provision for a corps of
physicians this year. We should
have had it last year, but no
appropriation was made. This
heated spell was sudden and
unexpected, but I think we will
have a corps that will be ready
for the work soon. I am
seriously interested in this
matter and I shall use every
effort to have the corps
appointed."
There was a decline in the
juvenile death rate today. Up to
11:30 o' clock this forenoon but
sixty deaths of children from
diseases that are directly
traceable to the heat were
reported. This brings the death
rate among the babies in
Brooklyn from causes that might
have been prevented by proper
work on the part of parents and
the health officials to 392 for
the week, according to the
corrected list.