ctures,
recognizes this as well as the private organization, and today
ignorance is necessarily due only to indifference.

Illustrated lectures followed by literature are of inestimable value
if rightly and not sensationally given. Even then, the seed must have
time to sprout.

Man has reached his present stage of civilization, however we regard
it, by an incessant warfare against adverse conditions. Enemies, man
and beast, surrounded him; mountains and rivers obstructed his
passage; fire and flood swept away his dwellings; but ever onward the
inward impulse has carried him.

It is interesting to see how the same vocabulary is transferred to the
warfare for social betterment, "campaign," "warfare," "battle,"
"fight," "weapon," "corps," "army." And the fight to be won can only
come through knowledge, its dissemination and then its application.

Publicity today means cooperation and democracy--all to help, all to
be helped.

All the foregoing methods should be used in these campaigns for
health, with the dictum, "Man, know thyself."

CHAPTER VIII

_Both child and adult to be protected from their own
ignorance. Educative value of law and of fines for
disobedience. Compulsory sanitation by municipal, state, and
federal regulations. Instructive inspection._

The strength of the State is the sum of all the effective
people.

_Dr. Edward Jarvis, Massachusetts State Board of Health, 1874._

When the Americans took charge of Bilibid Prison in Manila
the death rate was 238 per 1,000 per year: by improving
sanitary conditions, this death rate was reduced to about 75
per 1,000: here it remained stationary until it was
discovered that a very high percentage of the prisoners were
infected with hookworms and other intestinal parasites: then
a systematic campaign was inaugurated to expel these worms,
and when this was done the death rate fell to 13.5 per 1,000.

_C. W. Stiles._

So the duties and responsibilities of a Health Department
are not only changed, but they are very greatly increased
and are constantly increasing. And on broad lines to cause
the citizen to do the things he can and ought to do, and
then to do for him the things that he cannot do, but which
should be done, is the duty of the State, and that, being
interpreted, means the real prevention of disease.

_Eugene H. Porter,