Henry Street Settlement (New York, N.Y.); Poor -- New York (State) -- New York
In the Italian quarter this species still preys upon the superstitious
fears of some of the people, and the secrecy involved in his “treatment”
makes permanent riddance extremely difficult. The people on the whole,
however, give remarkable response to the “American” custom of employing a
regular practitioner and the visiting nurse.
* * * * *
In this country, unfortunately, we have little data on morbidity.
Statisticians desirous of obtaining figures for study have found
interesting material in our files, and it has been possible to make
comparison of the results of hospital and home treatment. Those who
are familiar with the discussion upon papers presented by children’s
specialists in recent conferences on the saving of child life have had
their attention drawn to the disadvantage of institutional treatment.
Discussion of this subject is recent, and the laity do not always know
that certain complications incident to the hospital care of children are
obviated by keeping them at home. Among these are cross-infections, while
the high mortality among infants in hospitals has long been recognized
and deplored as unavoidable.
We soon found that children’s diseases, particularly those of brief
duration, lent themselves most advantageously to home treatment. Our
records show that in 1914 the Henry Street staff cared for 3,535 cases
of pneumonia of all ages, with a mortality rate of 8.05 per cent. For
purposes of comparison four large New York hospitals gave us their
records of pneumonia during the same period. Their combined figures
totaled 1,612, with a mortality rate of 31.2 per cent. Among children
under two—the age most susceptible to unfortunate termination of this
disorder—the mortality rate from pneumonia in one hospital was 51 per
cent., and the average of the four was 38 per cent., while among those of
a corresponding age cared for by our nurses it was 9.3 per cent.
[Illustration]
Doctors and nurses highly trained in hospital routine are apt to be
hospital propagandists until they learn by experience that there is
justification for the resistance, on the part of mothers, to the removal
of their children to institutions, and that even in homes which, at first
glance, it seems impossible to organize in accordance with sickroom
standards, the little patients’ chances for recovery are better than
when sent away. Diseases requiring climatic or operative treatment, or
peculiar apparatus, must usually be excluded from home care.
In a letter written to a friend more than twenty years ago I find this
account of one of our patients:
Public-domain text, read in full here on John Shaqi.
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