Chapter I: January 2-The People. II. February 6-The Place. III. March 2-The Work (9)

What is Pittsburgh going to do about it? Though the foregoing rather general survey may suggest pessimistically "the little done, the undone vast," yet there is not lacking, in the view, definite promise as well as progress. Many and diverse agencies are helping the cause. The monthly reports of the bureau keep a public, which has for years been in a state of Egyptian darkness as to the how and wherefore of its mortality, fully informed. A Civic Improvement Commission has been appointed by Mayor Guthrie, one of the sub-committees of which will deal with needed hygienic reforms. The Chamber of Commerce has appointed a special committee to co-operate with the Health Bureau for the betterment of housing conditions, and another to aid in improving the milk supply. For the protection of the communities downstream, a sewage disposal plant has been voted; and badly needed it is, as is shown by the fact that, at the present writing, two thousand people are ill in the suburb of Bellevue, from drinking water polluted by Pittsburgh's sewage. The Allegheny County Medical Society has constituted a committee on public instruction in health matters; also a milk commission. The Tuberculosis Commission will soon be in the field with its broad campaign. Municipally there has been an important step forward in the establishment of a disinfection corps which sterilizes and makes safe, at the public expense if necessary, the premises from which a consumptive has been removed. Anti-tuberculosis education by the various corps of visiting nurses is extending into every corner of the city that harbors a dangerous consumptive. The state school commission has recommended medical inspection of schools. City ordinances providing for milk standards, and rubbish disposal, are in prospect. The Bureau of Health, only a short time ago a rusted and ineffectual machine fed by incompetents from other departments, has, under its new head, developed an _esprit de corps_, and is now welded into a compact, dependable organization. And this organization will constantly have a supply of better trained men to draw upon, since the University of Pittsburgh and the Carnegie Technical Schools have, at Dr. Edwards's suggestion, arranged for special courses in sanitary engineering and practical hygiene.

Yes; Pittsburgh is awake to the needs of the situation. But the true test is yet to come. Thus far it has been but the laying out of the lines of battle and a few preliminary, and, on the whole, victorious skirmishes. For when hygienic and sanitary reform impinges, in its advance, as it needs must, upon the private purse of some, the political purposes of others, and the industrial and commercial license of the whole, then will come the tug of war. Then, according as shortsighted selfishness shall prevail over, or succumb to, civic pride and patriotism, the victory will be to the germ or to the city.

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