PSEUDO-RELIGIOUS 10-CENT LODGING HOUSE.
In cellar of river-front building; flooded out every year. Dilapidated, unsanitary and unventilated, this and similar lodging houses were breeding place of disease. Closed by Bureau of Health, following investigation and report for Pittsburgh Survey, by James Forbes, mendicancy expert of the New York Charity Organization Society. A lodging house code has since been established.
In no manner of justice, can the Bureau of Health be held to account in this matter. In co-operation with the Civic Club, settlements, physicians and school principals, Dr. Edwards sought to establish a medical inspection of public schools, such an inspection as would, for example, undoubtedly have checked almost at its inception the disastrous onset of measles of last year. But the measure never got past the legal department of the city administration. In view of the present conditions in the schools, Dr. Goler's closing and pregnant suggestion has a special force:
"Ought not the Pittsburgh schools to be closed and the children repaired?"
Semi-public institutions in Pittsburgh are quite independent of hygienic control or inspection. This seems to me one of the crying evils of the present status. Let me give a few examples: An inmate of an institution for children was infected by another child who had virulent skin disease and soon afterward he became totally blind. This was a repetition of a past experience of the same institution in which a child contracted trachoma within the institution walls, is totally blind in consequence and a charge upon the state.
Last spring an institution was found in charge of a matron whose special qualification for her care of very young children was experience. She had had ten of her own, all of whom died of intestinal disease and rickets in early childhood. She was feeding the little ones in her care on coffee and other food suited only to robust grownups. Every child in a certain charitable institution, a short time ago, was suffering from skin and scalp disease. Lack of arrangements for effective isolation, in case of contagious disease, is more common than provision for isolation. A refuge for fallen women has, naturally, a large percentage of inmates suffering from venereal disease. The women of one refuge work in the laundry which gets a certain amount of outside trade. Among other things it washes towels for a hotel. Contraction of gonorrhea or syphilis from infected towels or garments is a well-recognized medical fact. A laundry with infected women on its working force cannot but be a public peril.
Grim facts are piling up on the records of the Pittsburgh Tuberculosis Dispensary as to advanced cases of tuberculosis among the little charges of charitable institutions.
Instances such as these might be multiplied. As in the case of the public schools the authorities are helpless. Even over the city's own institution, the Municipal Hospital, the Bureau of Health has no control. It has been transferred to the Bureau of Charities within the last year. It receives only contagious diseases, and is too small for the requirements in time of epidemic, having proper accommodation for only eighty, with a crowded capacity of 125. Dr. Booth of the Bureau of Health, who acts as visiting physician by special appointment to the Bureau of Charities, tells me that up to 1905 the plant was housed in buildings erected in the seventies. The furnishings were beds and bedding from the fire and police departments, regarded as being no longer fit for use by the city's paid servants, and therefore proper charity for the city's helpless sick. Two years ago, Dr. Booth put an end to this system by burning the last consignment of furnishings (for reasons principally entomological); and announcing that he would admit to the hospital no more equipment, discarded as unfit by the police and fire forces. Now the plant has its own furnishings. The building is modern but of an obsolete and unsatisfactory type, and has not sufficient grounds for its convalescents. All the other hospitals in the city are private institutions. There is no co-ordination of hospital work among them, and their distribution is such that localities where there are the most ambulance calls are without easily available hospital plants.