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Page.

Letter of Transmittal,

3

Ninth Annual Report of the Commissioner of Health,

5

Organization,

5

Important Changes,

5

Department of Health,

11

General Division,

11

Division of Medical Inspection,

11

County Medical Inspectors,

13

Medical Deputies,

14

Railroad Medical Inspectors,

16

Township Health Officers,

16

School Medical Inspectors,

26

Division of Statistics,

39

Local Registrars,

39

Division of Laboratories and Experimental Station,

52

Division for the Control of Tuberculosis,

53

Subdivision of Tuberculosis Dispensaries,

53

Dispensaries: Location and Staff,

54

Subdivision of Tuberculosis Sanatoria,..

58

Pennsylvania State Sanatorium for Tuberculosis No. 1, Mont Alto,

58

Pennsylvania State Sanatorium for Tuberculosis No. 2, Cresson,..

65

Pennsylvania State Sanatorium for Tuberculosis No. 3, Hamburg,

69

Division of Distribution of Biological Products,

71

Distributors of Antitoxins,

72

Division of Sanitary Engineering,

81

Division of Accounting and Purchasing,

83

Division of Supplies,

83

Comment on the Reports,

84

Correspondence with the Economy and Efficiency Commission,

84

Report of a Committee on School Medical Supervision,.

90

Summary of the Statistics of the Sanatoria and of the Upfollow of former

patients,

98

Summary of the Upfollow of former patients of the Dispensaries,

105

The Wassermann Test made available to the Dispensaries,

113

First Aid Service of the Department during the Transfer of the Flags,.

115

A Paper on a Substitute for the Permanganate of Potash in disinfection with

Formaldehyde,

117

A Paper on the Duck as a Preventive against Malaria and Yellow Fever, 120

Bulletins and "Talks" of the Year,

121

Addresses, Conferences, Conventions, etc.,

122

Special Reports,

127

Annual Report of the General Inspector,

The Underlying Factors in the Spread of Tuberculosis-By Dr. A. P. Fran-

cine,

146

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