of the Department, who also serves as chairman, the Commissioner
of Health of Baltimore City, and six members appointed by the Gov-
ernor to serve for terms of six years.

The Department of Health serves the State through twenty-three
sanitary districts organized along county lines. Each county health
department is in charge of a health officer who serves as the Deputy
State Health Officer for his district. For regulatory purposes the
Montgomery County Council and the Board of County Commissioners
in each of the other counties serves ex-officio as the county board of
health (Code 1939, 1947 Supp., Art. 43, secs. 6-10, 45-50, 52; Acts
1949, Ch. 89).

The General Assembly of 1951 abolished each of the Bureaus of
the Department which had thereto-fore been established by law, and
vested in the State Board of Health broad and inclusive powers over
health and hygiene matters of the State. These functions and re-
sponsibilities include, collection, study and publication of communi-
cable disease data; laboratory analysis of water, sewage, trade wastes,
milk products, food, drugs, and other materials that may be responsi-
ble for the transmission of infectious diseases; examination and super-
vision of public and private water supply, sewage disposal, ventilation,
heat and lighting in public institutions and control of nuisances; regis-
tration, tabulation and publication of vital statistics (including birth,
death and marriage records) ; study of the causes of death and illness
among mothers and young children and provisions of services for
mothers and children; administration of a medical care program for
indigent and medically indigent residents of Maryland's counties;
operation of the hospitals placed under the Board's jurisdiction; in-
vestigation of complaints made by physicians or affected citizens;
licensing of midwives; laboratory testing of food and drug specimens
to assure compliance with laws prohibiting adulteration and mis-
branding and prosecution of violators (Acts 1951, Ch. 75).

To carry out these duties the Board of Health established within the
Department seven bureaus, as follows: Office of the Deputy Director,
including Divisions of Local Health Services, Vital Records and
Statistics, Public Health Nursing, and Communicable Disease Con-
trol; Bureau of Laboratories; Bureau of Preventative Medicine, in-
cluding Divisions of Maternal and Child Health, Crippled Children
and Heart Disease Control, Dental Health, Venereal Disease Control,
and Mental Hygiene; Bureau of Tuberculosis; Bureau of Medical
Services and Hospitals, including Divisions of Home Medical Care,
Hospital Services and Cancer Control; Bureau of Environmental
Hygiene, including Divisions of Sanitary Engineering, Industrial
Health and Air Pollution, Food Control, Drug Control, and Bedding
and Upholstery; and a Bureau of Management. The Executive Office
consists of an advisor, a Consultant in Public Health Administration,
a Public Relations Assistant and Administrative Assistant.

Expenditures* Appropriations*

1950 1951
General funds 4,874,40437 $5,426,75200
Special funds .. 259,892.99 28,227.00
County funds - 147,844.00
Federal aid 1,191,851.89 2,068,933.00

$6,326,149.25 $7,671,756.00

* Expenditures and appropriations include funds for tuberculosis and
chronic disease hospitals.