Document wqKZd8Lo0BXwbO31zXb0E0d4Q

-5- T. Literature - Preparation and Distribution 1. The distribution of literature by channela la of some special interest and it indicated in th# table below. Field Force Group Policyholders Cpersunity Groups Schools Health Departments Others 2321 70.is 8.4* 9.2* .6* 8.6* 3.1* 1242 37* 36.5* 8.9* 10.4* 4.$* 2.9* The chief contrast hara is to be found in the Field Force and Group channels of distribution, lbs extensive growth of Group certificate holder# and the corresponding increase in literature by this ohanaol have absorbed a parallel decrease In the use of literature by the Field Force for Industrial policyholders and others. 2. The unit cost shoved a.narked incrasse in 1947, this being 1.013 for that year, as compared with 1,0079 in 1946. 3. For Field staff distribution soae Improve*ent was possible in 1947, wore paper being available. Certain titles out of stock for a considerable tine were replenished, to the greet satisfaction of the Field, including FIRST AID, the COOS BOOK, and IlfFORMATION FOR EXPECTANT MOTHERS. Two new consolidations were also enthusiastically received and extensively used, neaely, COMMON CHILDHOOD DISEASES, end ZDOR CHILD (coabining "Tour Baby* and *0ut of Babyhood into Childhood*}. The Field response to these publications has indicated that nor# than 9036 of the Districts requested a total of 333,000 of COMMON CHILDHOOD DISEASES. 96* of the Ddatricts ordered a total of 869,000 of TOUR CHILD. 4. The 1948 Calendar for Ccnpiny Health Berriesa seeas to have been en eceepteble innovation on the part of the Field etaff. It also illustrates, incidentally, the close interplay between the several brandies of the Conpaay having to do with health education, neaely, the radio prograa, the advertising activities, -cr-Ti the Policyholders Service Bureau, and the Health and Welfare Division. ' 4* r. - *. .2. f r* ,, holders Service Bureau, Halted auounta of our health educational materiel* were used in an organised way for the inforaation of Hoae Office enploydes. This involved Baking literature available at certain points in the Rome Office, posters for bulletin boards, articles for the HOMF. OFFICE, and window displays in the Arcade. The effort seeas to have been well received. 4 r A partial list of new publications and c^apleto revision# in 1947 is tt follows! Health Services Calendar Six Health Bulletins for Tsacher* Heart Disease at 411 Ages Information for Expectant Bothers Metropolitan Services in Industrial Health uoh Safety Protection of Yorkers Against Chrociue Respiratory Diseases Xhe Behool Adainistrator, Physician, and Kurse in the School Health Program Tuberculosis Your Child Ooaaon Childhood Disease* Cook Book First lid flood Teeth Eaaily Food Supply that Bo Ton Know About Colds? . Prevention of Oil Pisiples Typhoid fever (a new dodger) Catalog of Exhibits on Health and Sefety Catalog of Ellas on Health and Safety Special four-page Croup leaflets ont Aches and Pains Blood Prassure Health Pays RotMs Your Health? Play it Safe For probable publication in 1940* sons work was also done on nev end revised nsnuscripts including! Child Health end Safety for use in the feature health educational canpaign of 1948* Hygiene for bbxking Woaen* Silicosis* Soma experinental work was also done on possible subjects in connection with advertising projects* including! nephritis* allergies* end the prostate* **#** 9 total number of wes 720* a considerable Asoreese under 1946* owing to the lack of new window display material* -T 2. Professional exhibit* characterised the Cospeny's health educa tional sorJc in thi* field in 1947, there being a total of 627 euch exhibit* at professional meetings, a* coopered with 328 in 1946. The chief aubjeots of such exhibit* verst Heart dieease Cancer Vutritioo School health Rone safety hasarde Longevity of physician* Rheumatic fever Public health nursing Tuberculosis Industrial safety Maternity end natality Slabstaa Professional schools acre outstanding in the use of our scientific exhibit oateriale for educational purposes, including schools of edlcine end schools of nursing. Medical school* using these date In the regular currloulua lnoludtdi Harvard, Tulane, Minnesota, Dartmouth, Washington University, Tufts, Ms* lark University, Miehigsn, Isle, end Cornell. ^ ^ Outstanding international and national acetinge ahare our exhibit# ere displayed inoludedt International Council of Mureat International Congresa of Pediatries American Publle Health Association American Medical Association Kational Safety Congress American Education Assooiation Aserican Hoes Eoooaeles Association Aaericsn Assoeisticc for Health, Physical Education, and Recreation American Education Fellowship lational Association of Colored Graduate Purse* Aaerlcan Bed Cross Hone Office Managers* C* o*nv*en*tio*n* fU. foies hc-4 l+h Tier t*vaty-flve years the Conpany has been Is the file business* During that tine e have produced 9 pieturee, asst of vhlcti have ha4'a very vide shoving. Total atteidenee to January let for eaoh picture is indicated belovi i.' OffCE UFOB A TIKI (street safety) ...................................................... . 1 8EH DAT (pheuaonia) ......................... PROOF OF TUB FUDDIHO (nutrition) ................................................................ HAS AGAIN3T MICROBE ...................................................................................... TOP. CONQUEST OF DIPBTHEBIA (and Re* Ways for Old) .............. HORSING FOB I*AR Lin (periodic health examinations) ................. ONE SCAB OB KANT (smallpox) .................................... TOO KART POUNDS ...................................................................................... BX 100H AGE (heart disease) Otherwise unclassified attendance .................... 53,706,582 19,024.275 17,007,657 15,167,453 14,361,124 12,339,561 4,228,553 3,787,739 1,892,735 64,528 Total........................................................... ........................... 141,670,107 2. In 1947 total attendance us 4,474,552, a 93% increase over 1946, as entiaaed earlier, this year *as the heat on reoord aince 1942, when PROOP 0? TPP PUT-DINQ was relaaaed. BB TOUR AGE got off to food start eith attendance approxiaatine 2,000,000. OSCE UPON A TIRE, s 13-year old picture, experienced a revival in popularity, the total reported attendance for thia film no* approaching 54,000,000. 3. Television used three of our films over few networks during 1947, and *e have twelve requests fro* other stations smiting action. A highly satisfactory srrangsmsnt was worked out vith ths State Department in Washington for distributing owflllf^ strips in foreign oovmtries end for handling e request*,,'for films and film strips from Europe and elsewhere. ****** Campaigns and CooperaUon with field Staff 1* There wars nearly 400 lscsl and state health and safety oaapaigns la which the Cospaay or its Field representatives participated la 1947 - a decrease wider the previous year, as ths aajor bulk of ths local sffort* in the extensive heart disease pragma took place the latter part ef 1946* 2. The heart disease campaign in 1947 Involved a great deal of assist ance on ths port of field men. They distributed 1,500,000 pamphlets to lay readers, and 3f,000 professional packets to physicians. They helped secure news releasee in 93 newspapers end arranged for the delivery of numerous speeches and radio broadcasts. They are aleo assisting in the launching of the heart disease film. 9- O 3. Cancer was another major interest la 1947* In April our Field cn distributed 500,000 copies of e special American Cancer Society bollotia with the Ccupacy1* inprint. Approximately 700 Districts cooperated in this effort. Our Field ecs also distributed 35,000 copies of CABCER FACTS (our American Medical Association exhibit reprint) to physicians. 4. Venereal disease wee another major interest. 225 Managers end their sen participated In the use of 90,000 pamphlets, in cooperstlon with physicians, clergymen, teachers, end cocaunity leaders. The field also arranged for 850 apeechee, using our speech outline. 5. Other special campaign efforts includsd vork at the tine of the smallpox outbreak in the East, the diphtheria program in See Tork State, a whooping cough educational campaign in cooperation with the Mew Jersey State Health Department, s measles concentration in. Saw Tork in July, and routine participation in educational efforts in cooperation with the U. S. Public Health Service, and state end local health agencies, regarding such conditions asi Babies Tuberculosis Malaria Infantile paralysis Diphtheria Rheumatic fever Colds General iaaunication The School Health Bureau, with the advice of its Advisory Educational Group, Continued to anin tain its high standard of activity and rela tionship in its professional field. It vea responsible for the use of nearly 5,003,000 Conpany publications, largely for eurrioulum purposes in schools and collages. While *e have no film* specifically designed for schools, it is significant that out of film showings in 1947, approximately 20,000 were in public schools end other educational institutions. Our sound fila strips, largely used in schools, reached an audience of 304*000, as compared with 247,000 last ysar* The publications nost extensively used cad aost enthusiastically received by various educational agenoiea includei The School Adainistxetor, Physician, and Burse in The -10- 3. Cooperative relationships with professional organizations con tinued Kith suoh agencies ast national Conference for Cooperation in Health Education American Medical Association 0. 8* Office of FJ nation Aaerican Association for Health, Physical Education, and ; Beoreation Rational Tuberculosis Association Rational Education Association Rational Student Health Association 0. 3. Public Health Service Rational federation of School Athletic Associations Aaerican Association of Tsachars Colleges Aaerican Public Health Association federal State Deportment Rational Association for Murssry Education Rational Cornell of Chief State Sehool Officers X. Industrial Hygiene 1. AmoweHawaiSa activity in this field was possible during the year, oeing to the return of staff from the Axned fpOees, and an addition to the engineering personnel* Increased opportunities sere also afforded by the growth of the Croup Division and by new problems incidental to atosie anargy and related developments* 2* 78 plant surreys were aade - a 77$ increase over 1946. These plants Involved certificate holders running into hundreds of thousands* Important industries surveyed includei Armstrong Cork Coapeay Brown Conpaay General Electric Company fetes XanvlUe Company Repttbllo Stsel Corporation Raybestos Manhattan, Inc* Bte* 3* laboratory analyaas totaled 4,573* an increase of 82$, These included silica and asbestos deterwln&tione, and studies regard ing sine, lead, manganese, nereury, chroalua, nitric and other acids, bensol and other swa&sW, etc. 4* The office handled 1.125 spsoial Industrial health inquiries from insured Groups - sa increase of (ft$. At the sane bins regular Kona Office inspections were aade for the Secretary and the Medieel Director ef the Commissary Division, ae regards refrigera tion, veraln control, and cleanliness gsnerally* Vf.UJT ax il. frftLtz 1* The Safety Bureau he* continued it* usual program, in cooperation with tuny agencies, including! National Safety Council Ketiont. 1 Conmittee on Fast Safety Federal Housing Authority International Association of Chiefs of Police Numerous state, city, and county hich**y ftnh safety de;-rt.-sn*o Chaaber* of commerce Local safety council* Itc. tne Bureau has an extensive record of active cooperation on the part of Managers, Assistant Managers, and Agents in our safety educational work, utilising pamphlet*, exhibits, Welfare and Policyholder Service Bureau posters, th* OKCI OFOW A TIME fils, and other materials. 2. The safety fields in which the Company has been active are as followst Hone Traffic School Pre-school child Community o&d public Industrial Special accident surveys were made on a number of Group Insured plants incLudingt Ciba Pharmaceutical Products, Inc., Summit, B.J. Clark Grave Vault Co., Columbus, 0. Crtsawell-Gollic-r Publishing Co., Springfield, Ohio Lima Locomotive Works, Lima, 0. (Drug Products) (Shoet Metal Products) (Printing and Publishing) (Steam and Tlectrlc . Locomotive Mfr.) Gro-Cord Rubber Co., Lima, 0. (Rubber Products Mfr.) Teleregister Corp., East Orange, N.J. (Office li&ehine Mfr.) Goodbody and Co., Hew Turk, M.X. (Stock Prokerage Fine) Atlas Steels, Ltd., Welland, Canada (Steel Mill - Steel Products) .-rivvwifti'-u 3 The Safety Bureau staff have been active in studies of Home Office building hetards end have worked with the Police Department In improving pedestrian protection measures in nearby streets. Ih* Bureau has also continued its safe driving program with Metropolitan nurses, having arranged for 41 driving examinatlor.r of new nurses operating cars during the year. 12- XIX. K BcsmbIcs. 1. Nutrition institute* were continued by the Hose Economics Bureau for our staff nurse* and the nurse* of cooperating agencies during the year. 7 institutes were held, aith 89 nurse* in training, and open to 33 rialtor* free stale and local health dapartaent*. These institute* took place in Georgia, Penncylvar.la, Illinois, Ohio, and Tennessee. Curing the last 15 years this nutx-itlon prograst has'provided 118 institutes for nearly 1,500 Metropolitan nurses in 51 oities in the Cnited States and Canada - a service which bear* fruit as the nurses run into nutritional problems in hones er.d families share they are giving care. 2. The Hone fconoaica Bureau has had s number of cooperative stateaide health educational progress on nutrition and hone economics problems In 16 different states, concerned aith such interests ast Nutrition instruction for public school teachers Nutrition information for health officers and public health Bursts Nutrition workshops for sobool lunch directors Nutrition advice for parents regarding children*s diseases A Salvation Army hoaaaaklng program A nutrition progras for perent-teacher association* Nutrition workshop* for hose daeonstration agents XIZI. Accounting Service 1. The activities of the Health and Welfare Accounting Bureau have included all work in the Division with reference to budgets, expense reports and analyses, pay rolls and records, tax reports, end sisilar procedure*. 2. Nursing procedure* call for aosl of the tine of the staff of this Bureau. It arranged for the j*irchase of 201 nee cars for nurses, and at the close of the year gave accounting supervision to a fleet of approximately 350 card, fleet discounts fro* General Motors amounting to over 113,300. Questions of autoaoblle insurance, leases for nursing offices (90 in nuaber), desk apace for other nurses in District Offices (77 in umber), nursing bag equipment, sad office supplies, nursing unifox**, concern this Bureau, together with the analysis of about $00 annual cost statements froa nursing associations yearly. Owing to the increase in nursing service to monthly Industrial policyholders, the Bureau worked out a new premium income formula as a basis for calculating the relation of nursing personnel to policies in force. '`VrT o /: O -i3- nv. OfficeJtresgecent end Personnel 1. As to activities, this Bureau has charge of all Hcao Office Health and Welfare pa/ rolls as regards personnel relationships. Including pronotions, leaves, etc. During 1947 it processed 37 new inductions, and 23 resignations. It is also responsible for the details of job evaluation for the Special Salary Coaalttee and the Personnel Division. The Bureau hat worked with the Standardisation Bureau in the revision of nursing and other fores. The central filing and sail services were aupervised, 10 suggestions concerning the Health and Welfare Division were processed, and the reception Room supervised, where 2,815 visitors were taken care of. 2. The Bureau has conpiled the following data indicating tha nuaber and percentages of ohangea in the staff for the Hose Office end Head Offices, central and field, in 1947 as ooapared with 1946, Office Staffs Nursing Bureaus ; Welfare Bureaus (Including Officers) Library and Archives Total v1t7tyi ~vnf'r m U.S. and Canadian field Burses 458 397 -13 U.S. end Canadian Field Clerka Total Total - Health Sr Welfare Division Employees 648 34 590 -9 Ipprpyed Hose Office Clerical Staff 10 Field Nursing Staff - Pose Offloe -Ti Field Bursing Staff - Pacific Coast R.O. Field Nursing Staff - Canadian H.O. Twtei 4% 11 '1 *5 J> a XT. Pacific Coast cad Canada Grand Total 'tifclfk 632 `s'* .* .-tV** i. < 1. The Pacific Mj&k > .v*U-. 'V In general, 'fits distribution of literature on'the Pacific Coas followed a patters similar to the Rowe Office., it is reported that requests from individuals increased 795, presumably reflecting the spot radio broadcasts,. On the Coast as in the Rosa Office insured Groups now constitute a channel for distribution that equals or exceeds the Field staff, 1 I mm o t -14- Health conditions vara unusually good on the Coast c'.urln^ the ytar, no aeath elates being paid for either typhoid fever or neasles. 20J canes of Q fever developed in sd ai-ound Los Angeles - a nee virus disease with respiratory syaptons previouely associated vith cattle handling. The lest fee seeks of the year were asrked by an outbreak of slid Type A influents in Los Angeles ana other parts of California. Several new affiliations in nursing were under consideration, it being expected that a qefiflate transfer of our Los Angeles service to the Visiting Nurse Assooiation *111 be completed by July 1, 1948. 5 low inforce nursing services were terminated during tho yeer. Dr, Lanas's presence on the Coast during port of the year greatly stimulated interest and activity in the industrial health field. Mr. North's continuation as President of the San Francisco Chapter of the Rational Safety Council has constituted a Boat valued con tribution to safety in the whole area. Dr. Shepard continued on the Executive Coaaittee ef the Rational Tuberculosis Assooiation, as Chaimcn of the Coaaittee on Profeeeionel Education of the Aaericen Public Health Association, ae President of the Sen Frcneieeo Social Hygiene Association, and in other offices. 2. Canada Literature volume decreased in Canada owing to narked paper shortages. Over 50% of the supply *as consequently provided for the Field staff. Dr. Burnette was instrumental in having organised in Canada a Can&dion Heart Association end a Canadian Bbeuaetie Disease Association, along lines aiallar to comparable developments in the United States. He worked closely vith tho Canadian Life Officara Association, towards whose Public Health budget the Coapsny contributed $6,23$. Grants for public health activity, for research and for scholarships by the Canadian Life Officers Assooiation totaled $56,500. On. the nursing side, the addition of Mies Girard to succeed the late Mire Ahern greatly strengthened the nursing personnel. 4 high cost, low inforoe centers were closed during the year, and 1 other remains inactive. The addition of Dr. Benson to the Head Office staff, as an assistant to E*. Troup and to Dr. Burnette, constitutes a substantial advance. T--- I- . w , .. i'll 15' m. Research and Dexonstration 1. The {103,000 contribution to the Life Insurance iiedical research fund constitutes, of course, the Comany's principal research investment. In addition, * have mentioned the contribution of $6,235 to the Public Health Cotanittee of the Canadian Life Officers Association. r The Company continued 1's {7,500 appropriation to the haw York State tuberculosis control progra*. It continued to keap in clo.re touch rlth the stuoy of nursing coots being carried out by tbe National Organization for Public Health hursine with grants from this Conpany and fro other agenoies. Through the School Health Bureau, close cootact m maintained with the studies of absenteeism fro illness aoong school children, under taken by educational and health authorities in Canada and in Califomit. The Industrial Hygiene Bureau continued its coopera tion eith the Medical Division in the study in the Me* Building concerned eith the use of triethylene glycol as a aeans of air sterilisation for the control cf respiratory diseases. It eleo undertook a study of experimental fluorescent lighting in Unit 1 for the Company's Lighting Coaaittee. The Safety Bureau and the Rursing Bureau outlined plana for a 1948 study of hone acoldents as observed by our nurses in their hoae contacts, bringing up to date similar studies conducted during 1940 and 1941. 2. The CoBpsny continued certain contributions to nationsl agencies, part of nhich goes for reaeareh, including! American Public Health Association American Cancer Society American Social Hygiene Association Aaerican Heart Association For the first tine in a number of years t contribution as sada, partly for research, to the Hew York Acadeay of Medicine. XTXI. ArsMXtl(Home Office) 1. During the year the Library had turned over to it the library of the Field Training Division. It also arranged for ne equipment providing the niorofiln edition of tbe Me* York Tices, to replaes tbe rag paper edition for vhich apace la no longer available. In the field of public health, refarence and research questions totaled 2,158, ae coapared vith 1,931 last year. Insurance questions, totaling 720, came to the Library from 27 Divisions and Sections of the Company, and fro 40 libraries. Insurance companies, and other types of outside business concerns. -16- .] R' The nuaber of books circulated by the Loan Desk totaled $3,025, a coapnred with 61,959 last year. The total nuaber of books, reports, and pamphlets in the Library at the end of the year was 109,552. 2. Archives jU,t Tha attendance at the Archives for the year was 7,473, whlcJ was,, under the 1946 total of 7,475* However, attendance could not be taken during the month of January because of painting and repairs. Tl-e Archives featured a display on eurra:it disasters following the Texas City tragedy. The exhibit aaterial in the Archives is | Increasingly used by the Personnel Division and tie Field Manage* ' sent Division, in their procedurea for the introduction of new or prospective staff oeabers. ****** XVIII. Major Staff Changes Sr. Lonsa spent several stosths aarly in the year at ths Pacific Coast Head Office relieving Sr. Shaperd, who was on loan half tine froa the Company to the National Tubereulosis Association. >O * tA Kiss Villisason, the Bead of the School Health Bureau, retired, being succeeded by Kiss Craig, who bos not yet been able to find an assistant to fill her foner position. Kiss Hannah retired froa the Field Service Bureau. Dr. Allan, * temporary appointee, left to take further public health, training at Harvard. Dr. Wheatley has been directing the Bufasu while we ere searching for a permanent replacement for Kiss Hannah. Miss Bradley retired from the Library, being succeeded by Kiss Bonnell, the Assistant Librarian. In view of Kiss Hallock's anticipated retirement froa the Editorial Bureau, a dlrector-in-training, Kra. Dorothy Hhyts, began service on Seoeaber l$th. Or. McConnell was able to locate an applicant for the previously approved position of industrial health physician, but this individual will not join ths staff until early in 194C. Boss attention was given to a general astiaUnt that ru.ght be added . to Hr. Cole*a staff, but noCHIhg will be Budgeted for such a-pirsan ' until 1949 or later. 7' **'*I '1' Under the reference to Canada, we consented upon the value of the addition to the staff there of Dr. Benson, assistant to Dr. Troup and Dr. Bumatta, and of Kiss Girard, nursing successor to the late: Miss Ahern. Approval was given to the loan of half of Dr. Lonsa'a tine (and salary) to the developing industrial hygiene progreat of Hew Tork University Medical School, during 1940* k 17. xn. i9is 1. On the -aid* of educetIon end health campaigns, ro expect during 1948 to concentrate upon child health, with particular reference to accident prevention. A peaphlet ia in preparation for thia purpose. The redlo and advertising programs will have it in aind. ;he Company haa the assured cooperetior. of the national Safety Council, the American icadesy cf Pediatries, the S. Children's Bureau, and ether agendas. 2. No new notion pictures are contemplated during the year, but a thorough-going promotion, with both thee ter at.d educational agencies, *111 be followed through concerning the heart disease film. Two new flln etripa aay be proposed later for use by the School Health Bureau, one hawing to do with growth and dewelopaent in color, end another to be concerned with the hygiene ana sanitation of the school environment, as recommended by the Adwfsory Educational Croup. 3. On the musing side, the economies to be effected by the closing of high coat services will be pursued, and less costly affilia tions substituted for salaried staff, where feasible. We will continue to cooperate with the national nursing organisations in developing community visiting nurse facilities in those centers whwrp they ere needed and lacking. As a result of the downward trend in the birth rate to be anticipated, we should experience a considerable decline in nursing volume and costs, barring extraordinary epidemic situations. Respectfully submitted. D. B. Armstrong, M. D. 8eoond Tice-Preaident, Health and Welfare