ENEMY NO. 1 ON THE HOME FRONT 23.000. persons ill, impaired or defective. 1.000. person-days lost from work or usual pursuits every year. $10,000,000,000 estimated annual cost of accident and ill health. TO HELP SAVE 300,000,000 WAR WORK DAYS THIS YEAR A "Keep Fit" Educational Program of Personal Health, Safety and Physical Conditioning Which Every Industrial or Community Unit Can Easily and Economically Put to Work To Reduce Time Lost from War Work Due to Disability To Increase the Physical Effectiveness of All Workers To Reach Mothers and Families of Workers To Clean Up Illness, Injury and Disability, and Their Causes To Make America a Nation of Well, Active, Health- Conscious People CHAMBER OF COMMERCE OF THE UNITER STATES Washington. H. C. Copyright 1943 Chamber of Commerce of the United States Washington, D. C. CHALLENGING ""The *10.000.000.000 Annual Tax nobody yeti" Physical Disability lays a Billion Person-Day loss, a Many Billion Dollar burden, upon America's War Effort and national economy. This handicap, ranging from acute illness and injury to under-par physical condition, chronic disease and so-called permanent impair- ment or serious defect, levies upon the Nation's communities, in terms of absence from work and many other direct or indirect forms, an annual loss or "tax" estimated at $10,000,000,000—a gigantic tax that everybody pays and nobody gets. In recent decades, the medical profession and the sciences bearing upon health have made the most spectacular progress in all history. We now know how to disarm and defeat many of the diseases usually listed among our first twenty "public enemies." But with the conditions imposed by the war, health hazards now are greatly increased, in ways too numerous to list—rationing of food and fuel, stress of economic and working conditions, drafting of doctors, nurses and others for front-line service. . . . It is to meet these threats that Washington has called upon every community to mobilize its home front for Health ... and in response to this call, that Business, through its Chamber of Commerce of the United States, has taken the lead in developing a definite program available to every community. All members of the National Chamber are vitally Interested In Industrial, Community and Individ- ual Health, in the reduction of absences due to health causes— In the abolition of this "tax no- body gets." Every community, every industry, every insurance company, every commercial enterprise and every taxpayer will benefit immeasur- ably by the increased physical fitness of the American people. But how to attack so vast a prob- lem, and to Implement and ad- vance the splendid work already being done by scores of special- ized organizations now working In the field of Health, Safety and Hygiene? For some time, those in charge of the new United States Chamber Health Education Program have been studying this situation. They URGE KEEPING WAR WORKERS FIT TO CUT BIG WORK DAY LOSS WASHINGTON, D. C., June 4, 1942.—Six high officials charged with increasing Arnei i- ca’s war production today appealed to Wai Pi'oduction Drive Committees to keep the American workman fit and healthy to save man hours for victory. T XT , The appeal was signed by Donald> M- Chairman of the WPB; Paul V. McNutt, Chan- man of the War Manpower Commission, Robert P. Patterson, Under-Secretary of Wai, James V. Forrestal, Under-Secretary of the Navy; E. R. Stettinius, Jr., Lend-Lease Admin- istrator, and E. S. Land, Chairman of the Man- time Commission. Their joint statement was sent to eacn labor-management committee m the more than 800 plants which are participating in the Production Drive. The text follows: “Sick and injured war production work- ers lose 6,000,000 work-days every month. “We must save as many of those lost days as we possibly can for the Produc- tion Drive. . “Only healthy workers pan put into the drive what it takes—vigor, staying- power and the will to win. “It is your job to fight sickness and acci- dents. See to it that every medical and engineering means of prevention is•Pro- vided in your plant. Make it a healthful working place. “Help the men and women in youi olant to keep themselves healthy and on Se job You can do this by training them in health conservation and safety as caie fully as you train them in efficiency. “Use your influence to see that youi community has an active public healt department; enough doctors, nurses and hospital beds to care for your workers and their families. Your Federal and State governments are doing then pait Make sure your community does its part. “If your plant is not already conducting a sound industrial hygiene program, write to the United States Public Health Se^ ice Washington*. D. C., for advice.^ 1 nroductm have met with the leaders of many health organizations. They have considered the health problem as it affects our war effort, and also in terms of peace-time economy. And they have found that the needed link in present efforts for community and industrial health is a means for continuous, simplified, sound but popularized health education of community leaders, war workers, the average individual and the family. With the cooperation of a thoroughly representative Advisory Council, the United States Chamber has accordingly produced and made available to Its members and affiliates In all communities, a sound, popular and economical program of general health education. This program every community may use in its efforts to improve health, reduce war work absences due to health causes, clean up all possible disabilities or impairments, and minimize the occurrence of occupational diseases. This program effectively gears into the health efforts of all recog- nized National and community health organizations. It simplifies and at the same time intensifies the war on disease, injury and defi- ciency which the U. S. Chamber in common with other organizations has been waging for years. By the aggressive application of this program, It is estimated that the full time of 500,000 to 1,000,000 workers can be added to the war effort, eventually lopping off a material part of "the $10,000,000,000 annual tax nobody gets." 25 Years’ Progress in Health NOW THREATENED IN THE WAR "YARDSTICKS" OF HEALTH IN 1916-18 IN 1940-41 YEARS 1943-4 • • • • Average Life Span 55 years 62 years 7 Death Rate per 1,000 I4 10.6 7 • • • • Average Hospital Stay (days) 17-20 10 7 Births with Hospital Care 621,896 (1929) Over 1.200.000 [«] ' ' 1 all births J 7 No. approved Hospitals 89 2,806 7 Hospital Beds Available 612.251 1,226,246 7 • • • • Doctors Available 145,241 of whom 3 1,000 in Service 180,496*, of whom 42,000 have been called to Armed Services 55,000 or more total to be in War Service before 1944. • • • • Accidents . . . Injury % (Not Available) 9,400,000 7 Fatal % 85,100 (1918) 102.500 7 • • • • • Absentees from work 6,000,000 persons (av. due to Illness-Injury (Not Available) winter day, 1936)** 7 • • • • Chronically III, Impaired or Defective (Not Available) 23,000,000 persons*** 7 "A major war problem in every community and every industry is: How to control sickness, accident, malnutrition, epidemics —how, with depleted and over-burdened health personnel con- fronted with unparalleled health hazards, to be assured of the abounding health and driving power to win the war, care for the war injured, and rebuild the National economy." *F!gures from American Medical Association. **Estimated 1936. See National Health Survey Bulletin I, page I. ***Estimated 1936. See National Health Survey Bulletin 6, page 12. by WAR’S Problems and Stresses 1916-18 1941-42 1943-44-45 • • • Expansion of Modern, Scien- Infectious and Occupa- War Hazards and Needs, tific Control over Disease tional Diseases and Injuries Absence due to Illness, Epi- and Injury Brought under a Degree of demies, Physical Incapacity, • Control and the "Wearing-out" • Diseases Are Still Major Bacteriology Problems Biologic and Blood Chemistry By such means as Blood and Chemistry of Drugs Dietetics Plasma Therapy, "Sulfa" and other Chemicals, Sterile Surgery, • Serums, Vaccines and Antitox- Cancer Safety Work ins, Oxygen Therapy, Safety Heart and Circulatory Rheumatic-Arthritis Engineering, Scientific Diet, Re- habilitation, etc. Diabetic-Nephritis Brain and Nervous Poliomyelitis Peptic Tuberculosis Silicosis Colds and Respiratory Dental and Sensory Epidemic Deficiency Fatigue Injury Neglect War Havoc 25 years ago, the Scientific Method in matters of Health and Treatment was just getting into the saddle. By research, training, cooperation and nation-wide health education, Health made history's most spectacular advances in this quarter century. The method and "know-how" are at hand. Can these advances continue under the intensified hazards of the War Years? War Program and National Economy RETARDED E ACCIDENTS.. ALL REPORTED INJURIES-U. S.-1941 9,400,000 PERSONS * Fatal Accidents in 1941 were up 6% over 1940. Every 5 minutes, one person is killed and 90 injured in accidents in the U. S. A., at a total cost of $38,000 . . . In 1941, there was one accidental death in every 342 families; one disabling injury in every 4 families; and the national cost was $88 per family. *National Safety Council, I942 Accident Facts, p. 58, 67 Figures include some duplication. and IMPERILED by HEALTH DEFICIENCIES OCCUPA- TIONAL Fatal 18.000 Non-Fatal 1,600,000 * Permanent Disability 70,000 Temporary Total Disability 1,500,000 Fatal 31,500 Non-Fatal 4,650,000 * HOME Permanent Disability 130,000 Temporary Disability 4,500,000 ACCIDENTAL INJURIES 1941 MOTOR VEHICLE Fatal 40,000 Non-Fatal 1,400,000 • Permanent Disability 110,000 Temporary Disability 1,300,000 PUBLIC (not motor vehicle) Fatal 15,000 Non-Fatal 1,800,000 Permanent Disability 50,000 Temporary Disability 1,750,000 ALL INJURIES 9,400,000 (I in 14 people) FATAL 102,500 (I in 1,300 people) TOTAL NON-FATAL 9,300.000 Permanent Disability 350,000 Temporary Disability 8,950,000 Our Armies may take 10 million men — one in 13 among us. . . . But already civilian injuries every year take I in 141 War Death, Wounded, Captured and Missing in the year following Pearl Harbor took about 55,000 men. . . . But in the same year, 102,500 died in accidents. DISEASE and DISABILITY LIIJ 6 000,000 persons unable to work, attend school, or pursue other usual activities each win- ter day (1935-6), on account of illness, injury or gross impair- ment resulting from disease or accident. Disease Number of coses (in millions) Rheumotism (a) e.eso.oool Heart diseases (b) 3,700,000 I Arteriosclerosis and high blood pressure (c) 3700.0001 Hay fever and asthma 3,450000 I Hernia 27 00000 I Hemorrhoids 2,000,0001 Varicose veins 1790000 I Chronic bronchitis 1700,000 I Nephritis and other kidney I aiseases 1950,000! Nervous and mental discases*(d) 1,450,000 I Goiter and other thyroid I diseases uoo.ooo I Sinusitis 1.150,0001 Cancer and other tumors 930,000 I Diseases of female organs (f) 720000! Tuberculosis - all forms (g> 680,0001 Diabetes mellitus eegoool Diseases of gallbladder and liver (n) 6400001 Other, diseases of the, I crcuwtory system (j) 44Qpoo I Chronic tonsillitis and other 5 fhroot affections (e) 300000 I Ulcers of stomach I and duodenum 330000 I Diseases of bladder and urethra 2700001 Chronic diseases of the skin (i) 220,0001 Anemia 24opoo I Chronic appendicitis itqpoo I Chronic diseases of the eye (I) 190000i Chronic diseases of the ear (k) 100,0001 Chronic pleurisy 900001 Diseases of the prostate and eoooo I mole genito-urmory organs ' What is the Cost of Illness and Disability? Nobody knows. Figures over lap. D isabled people can sometimes work. People with acute disease can carry on. But these estimates, based on wide- spread surveys, indicate a slowing down of war effort as gigantic as if 5-10% or more of the U. S. were occupied by enemy forces. Estimates based upon National Health Survey of some 800,000 families in 83 cities and 23 rural areas in winter (1935-36), by the Na- tional Institute of Health, U. S. Public Health Service. Fig I - ESTIMATED PREVALENCE OF SPECIFIED CHRONIC DISEASES IN THE UNITED STATES (1937)* * ♦National Health Survey, Bulletin I, page 3. ♦♦Gallup Poll Survey. ♦♦♦National Health Survey, Bulletin 6, page 12. ♦♦♦♦National Health Survey, Bulletin 6, page 3-4. The $10,000,000,000 TAX NOBODY GETS 480,000,000 Man Days Lost from War Work, sufficient to produce:* WHAT DOES IT COST ANNUALLY in Time and Money? TIME —23,000 Heavy Bombers or — I 15,000 Fighter Planes or —300,000 Light Tanks or —580 Destroyers or —59 Battleshios ACCIDENT COSTS Wage loss, $1,950,000,000 Medical Expense, $300,000,000 Estimated Total Direct Costs, $4,000,000,000 CASH Almost 1,000,000,000 Person Days (All Ages) Lost per year Due to Chronic Disease, Total or Partial Impairments and Defects, 6-8 days Chronic and Impairment Absence for every Male Worker per year. 10-11 days Chronic and Impairment Absence for every Female Worker per year. Fatigue and Under-Par Condition slowing down the War Efforts of Millions. DISEASE AND DISABILITY COSTS The Present and Prospec- tive Burden of Disease and Injury — in Man Power, Days and Dollars Lost . . . would in a few years go far to Pay the Cost of the War. all basic materials, assembly and construction. Figures from 1942 Accident Facts, p. 59, published by National Safety Council, Inc. $ 10,000,000,000 or More Direct and Indirect Cost to our National Economy; Death, Disability and Impairment of Babies, Youth, Mothers, Workers, Older People . . . Burdens of Care and Expense on Family, Community, Industry, Business, Insurance, Government, and Taxpayers. A Drag of perhaps 10% on America's War Effort. TOTAL COSTS and now WAR Tightens the STRAIN on Civilian Health m Industrial Pace and Strain Increasing Food, Fuel, Trans- port and other Health Conditions Deteriorating GENERAL CONDITIONS All Living Standards Declining Larger Percentage of Family Heads Working Births for 1943 Estimated up to 3,000,000 with attendant Medical-Health problems FAMILY and HOME CONDITIONS Home Care, Fatigue, Morale, Discipline Present Serious New Problems Occupational Disease and Injury Hazards Increasing Living and Sanitary Conditions in War Communities Topsy-Turvy Workers under Strain, Under- nourished, Insistent and Critical WAR LABOR CONDITIONS WAR HAZARDS Sabotage and War Raid Threats Always Present Epidemic Poten- tials in Both Civilian and War Conditions Nation Faces the Gigantic Health Problem of Caring for and Salvaging the War's Sick, Injured and Impaired as They Return from War Fronts. For this War of Health on the Home Front, our Civilian and Industrial Population Face the Need for a Period of "Commando" Self-Training, Education and Conditioning. E HEALTH FORCES!'!., SERIOUSLY DEPLETED 42,000 of our 180,000 available doctors now in Armed Services 57,000 (total) to be called before 1944 An important percentage (censored) of our 77,000 Dentists already in Armed Services I n PERSONNEL An important percentage (censored) of our 289,000 Nurses already in War Service MEDICAL AND HOSPITAL SHORTAGES CAUSED BY THE WAR Similar conditions as regards Dietitians, Hospital Workers, Health Workers. New Plants, Equipment and Personnel Greatly Restricted. I n FACILITIES New Equipment tor Existing Hospitals Severely Rationed Many Medicines and Drugs under Ration- ing to the Vast Worldwide Priorities of War Need. The Forces of Health are more, rather than less, seri- ously affected by war than average civilians. In Admiral King's phrase, the War of Health definitely presents the grave problem of “less butter to spread more bread." To Meet this CRITICAL With the Cooperation of THE HEALTH ADVISORY COUNCIL on Community, Industrial and Individual Health General Chair man Dr. James S. McLester, Professor of Medicine, University of Alabama, Birmingham, Alabama Committee on Community Health Committee on Industrial Health Committee on Individual Health Dr. W. G. Smillie, Chairman, Cornell Medical College, New York City. Dr. J. Burns Amberson, Bellevue Hospital, New York City. Dr. Harry Bakwin, Associate Professor of Pediatrics, New York University, New York City. Mr. Bailey Burritt, President, Neighborhood Health Development, Inc., New York City. Dr. George R. Cowgill, Associate Professor of Physiologi- cal Chemistry, Yale University School of Medi- cine, New Haven, Conn. Dr. George Kosmak, President, American Gynecological Society, New York City. Dr. Ernest L. Stebbins, Commissioner of Health, New York City. Dr. Felix J. Underwood, State Health Officer, Jackson, Mississippi. Dr. Henry F. Vaughan, Division of Hygiene and Public Health, University of Michigan, Ann Arbor, Michigan. Dr. Paul White, President, American Heart Association, Massachusetts General Hospital, Boston. Dr. Leverett D. Bristol, Chairman, Health Director, Am. Telephone & Telegraph Co., New York City. Dr. Harvey Bartle, Chief Medical Examiner, Pennsylvania Railroad, Philadelphia. Mr. J. Dewey Dorsett, Manager, Casualty Department, Assn, of Casualty & Surety Exec. New York City. Professor Philip Drinker, Ph.D. Harvard University School of Public Health, Cambridge, Mass. Dr. Leroy Gardner, Member Board of Directors, National Tuberculosis Association, Saranac Lake, New York. G. W. Hardy, Jr., Lumbermens Mutual Casualty Co. Chicago. Dr. Anthony Lanza, Chief, Occupational Hygiene Section, Office of Surgeon General, U. S. A. Washington, D. C. Dr. William Alfred Sawyer, Medi- cal Director, Eastman Kodak Company, Rochester, New York. Dr. Loyal A. Shoudy, Bethlehem Steel Corporation, Bethlehem, Pa, Dr. Harry E. Ungerleider, Assistant Medical Director, Equitable Life Assurance Society, New York City. Dr. J. J. Wittmer, Medical and Personnel Director, Consolidated Edison Company, New York City. Dr. James E. Paullin, Chairman, Professor of Medicine, Emory University, Atlanta, Georgia. Dr. Alfred Blalock, Johns Hopkins Hospital, Baltimore. Dr. Arthur F. Chace, President, New York Academy of Medicine, New York City. Dr. Joseph C. Doane, Professor of Clinical Medicine, Temple University, Philadelphia. Dr. Louis Hamman, Baltimore. Miss Marion G. Howell, R.N., Presi- dent, National Organization for Public Health Nursing, New York City. Dr. H. M. Marvin, Associate Clinical Professor of Medicine, Yale University School of Medi- cine, New Haven, Conn. Dr. George Morris Piersol, Professor of Medicine, University of Pennsylvania, Philadelphia. Dr. Russell Wilder, Mayo Clinic, Rochester, Minnesota. Dr. Wallace M.Yater, Professor of Medicine, Georgetown University, Washington, D. C. cine, WAR HEALTH SITUATION To round out and Implement other Programs of Health Edu- cation and Incentive. The U. S. Chamber, with the cooperation of its business membership and of health, commercial, in- dustrial, and trade or- ganizations from coast to coast, has developed a program of Community, Industrial and Individual Health, directed toward the Nationwide Fam- ily-by-Family HEALTH Education of the Ameri- can people... A Pro- gram Designed...... To Win the Active Cooperation of the Public with the Local Forces of Health. To Reduce Sickness, Disability, Absence and Under-Par Condi- tion among Workers. To Vitalize War Work at Full Individual Capacity. To Make Available to Every Community a Local Health Edu- cation Program so Economical that Every Family May Receive It—So Simple, Interesting and Easily Read that Most People will Read It. To Arouse Every Possible Family and Person to the Importance and Value of Good Health. To Help and Encourage Every- one to Get Fit and Keep Fit. Familiarity with H.alth Pro- worl.r aod hi. family, grams—Federal, State, Safety, The present program seeks (I) Hospital, Insurance, School, and fo simplify, unify and encourage other — indicates that in all Community-wide Health Work, cases the essential and needed and (2) to reach every worker element is community-wide, con- and family consistently with tinuous, popular Health Educa- sound, interesting and helpful tion and Incentive for the aver- Health materials. To Reduce the TEN BILLION DOLLAR TAX nobody THE PROGRAM Consists of Regular UNITS which combine wide influence with LOW COST 3 A Regular Publication for the Average Worker and Family A "reader's health digest" of the most interesting and signifi- cant health material which re- search, professional and other groups are developing to arouse Health - consciousness and Health - Safety Cooperation among workers and citizens. Short, readable articles and dra- matic illustrations.can be read in 10 minutes. Approaches health from the individual and family viewpoint. Attacks the great "bottlenecks" of the health problem, the health causes of absence from work, the seasonal and occupational hazards to health and methods of community cooperation in making your city a better place to live. Its stories are newsy, profes- sionally correct and coopera- tive. They combine science, human interest, the urge to health and the how of keeping fit or taking prompt action when illness threatens. Available in standard quantities of each issue, for distribution by Member Organizations of the U. S. Chamber or other affiliated business and industrial groups. 10 MINUTES for HEALTH Y°" °HAMB“ °r COMMERCE your city date MORE MILLIONS OF CIRCULATION a "KEEP FIT" POSTERS To be displayed regularly at pedestrian and worker "cross-roads". . . making millions of contacts and spreading the Inspiration to Health—the invitation to get and read "TEN MINUTES FOR HEALTH." JOIN the HOME FRONT Newspaper Releases . . . One release for every week ... for editorial use by your local newspapers. Stilting that every true American is eager to help with war ..ark or any other really important task thrt will bring Vic- tory more quickly, Mr. of title hospital (time and place), outlined three definite ways in which civil- ians can actually help the cause of health at the front and behind tho lines. Use of blooo end plasm-. in warfare is nor recognizee as of enormous importance in lifesaving one recovery from shock, wounds, bums, eik mrny other conditions. To meet this need on* a worldwide front, the Red Cross quota has been increased to 3,000,000 pints of blood for the coating year—over 50,000 pints per week. V.hen the call comes for blooc aonors, if you are in good condition and cceptable, here is a chance for you to serve America—perhaps save a life. The process is not painful. Co not hesitate to do your part. Also, with countless thousands of doctors required by the Armed Forces, those who stay behind are heavily burdened, before the war is non, it is estimated that 2 out of every 5 uoctors nay be called into wo* service. Obviously those who remain in the coimnunity will be burdened beyonc human capacity. You one I can help by adhering to these simple rules: Don't go to the hospital unless it is really necessary. When you do, ask your doctor to see tha t you ere dis- charged as soon as your condition permits. For routine matters visit your ooctor ct his office and keep the appointment to the minute. In this way tho doctor's attention, encrgi.s, and the hospital accommodations will be available for those FOR HEALTH FACTS AND HELPS PERSONAL md RADIO TALKS One for each week—for personal delivery by your speakers over local radio stations... also at schools, clubs, meetings of workers, and wherever suitable. Community, Industrial and Individual HEALTH BULLETIN 51 And to Make Your Community Health Program More Effective . .. In each regular shipment, your organiza- tion will also receive a special Bulletin of suggestions and directions to assist your group in making the Health pro- gram more effective. Th is Bulletin will digest Facts from the work of recognized national hea ith organizations, the successful experience of other communities and resultful ways to use the materials supplied. THE HEALTH ADVISORY COUNCIL of the CHAMBER OF COMMERCE OF THE UNITED STATES Washington, I>. C. "E Pluribus Unum77 DEMOCRACY’S WAV TO HEALTH PUBLIC HEALTH OFFICIALS Regulation • Sanitation • Prevention Safety Health Surveys and Statistic* Red Cross and Public Health Nursing and Nurse Training Services Entry and Salvage Work of Medical Examiners for Armed Forces COMMUNITY HEALTH EDUCATION Sponsored by The Chamber of Commerce of the United States and Your Chamber of Com- merce or other community Business-Industrial Group, tying together and facilitating the efforts of all local Health Forces Civilian Defense and Emergency Services Industrial and other Organization Doctors and Nurses Physical Examinations Working Conditions First Aid War Work Absences due to Health Life Insurance Examination and Health Work Directed to The Community as a Unit, The Worker and his Family, Mother and Child, Young People, Rejected Draft-Age Men, The Elderly School Nurse and Physical Education Programs Automobile and other Accident'lnsurance Safety Work PURPOSES To arouse the Individual Will- to-Health. To Guide the Worker's Efforts to Build up Health and Min- imize Defects or Disabilities. To Reduce Absences from Health-Accident Causes. To Increase Individual Vigor and Efficiency. To Reduce the Cost of Illness and Accident. To Help All America Get Fit and Keep Fit. Special Groups Cancer Heart Tuberculosis Syphilis Industrial Hygiene Occupational Diseases, Etc. Families make up Communities . . . Communities make up the Nation For permanent progress in Na- tional Health, each Unit Com- munity must be brought up to the higher standard of Health, Immunity, Sanitation, Safety and Vitality. Already the official and profes- sional forces are working to- gether toward this end. COMMUNITY HOSPITALS Physicians and Surgeons c. rr n . Research and Staff Doctors , L . Nurses Laboratory The present program seeks to make every industry, worker, mother and family actively health-conscious and coopera- tive. INPATIENTS • OUTPATIENTS • GENERAL PUBLIC Diagnosis First Aid Medicine Surgery Obstetrics Dietetics Child Health Old Age "No community can continue half well and half diseased." HOW YOUR COMMUNITY MAY PARTICIPATE IN THIS WAR-TIME HEALTH PROGRAM All member organizations and affiliates of the U. S. Cham- ber—and any other properly qualified communities, industries or groups—are invited to help extend the influence of this program. The plan is simple, economical and easy to apply. Its appli- cation makes all workers and citizens more alert, informed and cooperative on health issues. This is the American way, by which popular support is assured for the common good. No compar- able investment can possibly yield as great returns in commu- nity and national welfare. Health—dominant, "contagious" health—Is basic. Will you join with us? Then simply fill in the brief form attached. On receipt of it, we will send you all essential details —as to coverage, proper use, cost—and the interesting merit awards to be made to ail who use the program effectively. THE HEALTH ADVISORY COUNCIL ON COMMUNITY, INDUSTRIAL AND INDIVIDUAL HEALTH of the CHAMBER OF COMMERCE OF THE UNITED STATES Washington, D. C. ON WAR’S HOME FRONT A major war problem faced by every American community and Industry Is: how to control sickness, accident, mal- nutrition, epidemics—how, with depleted and over-burdened health personnel con- fronted with unparalleled health hazards, to be assured of the abounding health and driving power to win the war. One important principle in dealing with the problems of health In any com- munity or industry is to Interest the individual citizen or worker in getting fit and keeping fit. THOMAS PARRAN, Surgeon General United States Public Health Service