i ::■ -; ais UC-NRLF v,iix» B 3 12D 552 ^rratttfltt in ($mtk l^tmtm HN o The report of a Pathflndcit $unvev of living conditions which point the need of a more intensive local survey— made for The Ccn- tutty Club of Scftanton By the ^ Dcpaptment of Sunveys and Exhibits Russell $aac Foundation Published by Tbc Ccntutty Club of Scnanton SCRANTON, PA, 19 13. GIFT OF 73 ^7 r-yz? T^nr^ LETTER OF TRANSMITTAL. Department of Surveys and Exhibits, Russell Sage Foundation, New York City. Mrs. Ronald P. Gleason, President, The Century Club of Scranton, Scranton, Pennsylvania. My dear Mrs. Gleason : Early last autumn Miss Gertrude Lovell, Chair- man of the City Improvement Department of the Century Club of Scranton, called at our office for information on city surveys. The method and subjects of inquiry in sev- eral other surveys suggested a plan of procedure, and Miss Lovell returned to interest representative citizens. The proposed survey was discussed by this committee ; and the committee was enlarged to include citizens who were not members of the Club. On January 20th a preliminary diagnosis or pathfinder survey — in other words, a brief examination of general social conditions and the outlining of the main lines of investigation to be followed — was urged by a member of our staff as the next step t6 be taken. This committee, we understand, made a report to the Century Club endorsing the proposed pathfinder sur- vey and asking the Club to make the necessary arrange- ments to secure it. On February 1st your invitation, ex- tended on behalf of the directors of the Century Club, was received. 402927 rT> Mr. Zenas L. Potter nnd Mr. Franz Schneider, Jr.. members of the >;taff of this Department, and I. spent the week of Ahnvh 4th to lOth investigating eonchtinns in Scranlon and pre})aring onr ])r('Hininary report. Ahitters of ]>nl>He health and sanitation were related to so many other |irol)l('ms that Mr. Schneider spent the major ]>art of his lime studying the ])u])lic hcahh situation, wliile Mr. Potter investigated the schools, betterment ageneies, reereation, general work conditions and delinquency. In addition to gathering sutheient local facts to show the need of a further more intensive survev, it is believed that enougli data was collected to warrant the few tentative reeunnnendations included herein. I take pleasure in submitting the report herewith. Sincerely, (Signed) Shelby M. Harrison, March 10, PJ13. ^ Director. A PATHFINDER SURVEY OFSCRANTON, PENNSYLVANIA. It would seem to be a necessary corollary to the theory of democracy that a majority at least of the citizens in a given community should know conditions that bear upon or show their own community needs. Some of these con- ditions and factors, however, are so complex, perhaps due in some measure to the great changes that have taken place in the last few decades, that special study — of a kind that the average citizen has neither the time nor facilities for — is rendered necessary. One of a number of interesting so- cial inventions which have been fashioned in recent years to meet this need is the social survey. In order to indicate some of the conditions in Scranton calling for further scrutiny and analysis — for a social survey — a quick exami- nation of the city was made along the following lines: I Communitv assets, II Education, III Puhlic Health and Sanitation, IV Civic liiiprovenient, \' Bi'ttenni'nt Agencies, \'\ Ivccreation, \11 Taxation and Public Finance, ^'III AVork Conditions and Relations, IX Delinquency. I COMMU.MTY ASSETS. It is the business of a social survey to discover the local social credits as well as to uncover social debits. Otherwise the picture of the city is one-sided. No lengthy visit was necessary to learn that Scranton's credit list in- cludes a large number of connnunity assets. First of all, it is a cosmopolitan city including representatives of many nationalities. In 1910 nearly 30 per cent of the city's population (over 85.000 out of the city's 130,000 people) were foreign born : and the per cent of those of foreign born parentage runs much higher. Too often this is considered a liability. It very often h that : but no one who is at all familiar with our immigrant peoples or who has read such a book, for instance, as Prof. E. G. Balch's "Our Slavic Fellow-citizens"' will find difficulty in seeing new and valuable contributions that are being made to the future American type of citizen by these newcomers. The activities of the Century Club demonstrate it to be a constructive force in the community, not only through the opportunity it gives for united, and hence co-operative. Avork by the women of the city, but also by the forceful backing it has given and is giving to definite measures for advance. Similarly, judging from its plan and scope of work, the new City Planning Commission promises, in our judgment, to be one of the soundest organizations for city progress that has yet taken roots here. Scran ton has a liberal ^prinklino; of attractive public buildings, churches and sdiool houses. It is almost entirely a city of de- tached houses and it has done soniethino- at least in the direction of ])layp;rounds and in stimulating work in home gardens. The city may also claim credit for setting to work in an attempt to solve its absorbing problems of sur- face cave-ins, due to mining operations below. It is neither possible nor important to discuss all these assets at this time: but a few may be merely mentioned, such for instance as the various hospitals, the Y. M. C. A., the Y. W. C. A., the Boys' Industrial Association, the Working Girls' Club of St. Luke's Parish, the District iNurses' Association, various charity organizations and in- stitutions both Protestant and Catholic, and so on. The list to be completed requires longer acquaintance with the city than Avas permitted us at this time. It is important to get together in easy reference form information that would acquaint the people of the city with the special services that these institutions are equipp- ed to render. In our short stay we found citizens, other- wise well informed, who were not aware either of the methods or purposes of some of the most important social organizations in the city. The study here suggested would also include a setting- forth of the things that the city is proud of, whether in the way of past accomplishments, current work for the connnon welfare, or the attractiveness of the physical en- vironment — in other words, the things which make Scran- ton a more desirable place in which to live. II EDUCATION. In the past the Scranton schools have been much criticized, both from Avithin and without, and apparently were in the control of a political system which used them to its own purposes. Recently, under a reorganized sys- tem of control, they have taken a step forward; and the plans of the present board, as they have come to us, em- brace further measures ft)r progress. Evidences of im- provement have been noted ulono- tlie following lines: First, whereas formei'ly the teachers were often ap- jxiinlcd and held their places through politicid favor, they are now securing their places by competitive exam- ination. Second, whereas the enforcement of attendance laws formerly was controlled largely by political pressure, the system is now largely free from it. Incidentally, from what evidence we have been able to gather, we believe the enforcement of the attendance laws might be further im- proved. Among other things greater co-operation should be secured of the jjarochial schools. Only 98 absentees were reported by those institutions last year, a figure which seems almost obviously inaccurate. Third, a system of medical inspection in the schools has been inaugurated; and it has been rendered especially valuable through follow-up work of the school nurses by which they have endeavored to secure treatment for de- fective children. Fourth, special attention is being paid to night schools. The registration is at present 1,300, wdth an aver- age attendance of 900. ,In a city with so great a foreign population work of this character is important and should be extended as rapidly as the demand for it is evident. Moreover, the fact that classes aimed especially to fit for- eigners for citizenship have been found to be useful and well attended in some other cities may have a suggestion for Scranton. Fifth, in providing the Technical High ScIkjoI, grati- fying emphasis is placed on the need for instruction in the practical arts. The scope of this, or other work tend- ing to make children industrially intelligent, needs, how- ever, to be extended into the grades ; for most of the boys who become mechanics and gp into the trades never reach the high school. One of the greatest services of industrial trainin.a; Is in sho\vin.<>; ciiildicn and their })arcnts the prac'lic-al u>c's of education, and thereby inducing as long a stay in sciiool as possible. It is desirable therefore to give to till' mass of children who are to become workers some coiicei)tion of education as apjdied to life, before they leave school. An excellent illustration of the use of technical training in keei)ing cliildivn in school is found in the Technical High School. When it was established in 1!)0G there were 1,2nizes the need here and jilans to equip lour of these school yards this year and emj)loy playground directors. It is to be hoped that this is only a heiiinning toward general use of what yards there are. All over the country school authorities and citizens are beginning to realize that they have made uneconomical use of their school properties in having them open only a few hours five days in the week. Schools are being- opened up afternoons and evenings for clubs, study classes, mothers' organizations, lectures, public meetings and rec- reation purposes; and the school is taking the place it should as a common meeting ground for all the people. In many cities it has resulted in a new spirit of civic pride and new interest in community affairs on the part of many. Several million dollars are invested by the people of Scran- ton in school buildings and equipment. Why should this money return only 50 per cent on the investment because used only 50 per cent of the time, when it might return 100 per cent? Why should boys and girls be forced to find their meeting places on the street corners or at places where the influences may be even more unwholesome, when they might find them in the favorable environment of the school? Wliy should fraternal and labor organizations be forced to hire halls for their meetings when the schools stand dark and empty? Why should not mothers' clubs be encouraged by a free and agreeable meeting place? The Scranton authorities are awake to the matter, for plans have been conceived for placing libraries in four schools this year and opening the buildings for evening lectures. It is to be hoped that these innovations will receive such universal public support as to encourage a much more extensive program. On the wdiole, the citizens of Scranton have reason to take pride in the real pro^re^s ^vhit•h has been made in school matters. Jiut alono; some lines there is still pressing demand for improvement. Were a social survey of Scran- ton undertaken, we helieve a thorough investigation of some, or all. of the following sul)jeets wnuld he profitable: 1. School finance. 2. School adnunistration. 8. The school plant. 4. Teaching efficiency. 5. Extent to which schools reach school population. 6. Adaptation of instruction to pupils' needs. 7. Provision for physical care of children. 8. Social uses of schools. 9. Relation between the public and the school. III. PUBLIC HEALTH AND SANITATION. The health of a city will l)e determined by three fact- ors: fii^t, the inherent strength or hardiness of its people ; second, the efforts of the individuals, by prudent conduct, to keep in good physical condition ; and third, the sanitary condition of the environment in which its residents live. With the first of these factors — the inherent hardiness of the people — the municipality can have little to do, cer- tainly little of an immediate nature. The science of eu- genics, to be sure, is attempting to work out principles to prevent breeding of the unfit, and in other ways to improve the human stock ; but this science is in its infancy and results at best will be deferred. The second factor — per- sonal hygiene — offers a somewhat better field for com- munity effort, giving opportunities for education in the care of the body and of the mind. It depends to such a degree on the individual himself, however, that it is ob- viously a field in which it will be extremely difficult for the city to exercise any organized control. 'I'lio third factor — the sanitary condition of the envi- ronment — docs, however, offer laruc and well defined op- jHirtunities for oroanized nnniieipal (effort, nnd it is with liiis hraiieli of hygiene that we have to do in a health sur- vey, 'rile aceuiuulations of knowlidiie in this field have heen so iarue and rajtid in the last few decades that the terms sanitation. ]nihlic hy.uiene and public health science have come into counnou u^e. It should l)e noted in ])ass- \\\iX that sanitation is eoncci'ned with not only the inani- mate portion of our environment hut with the aniiuate l)art as well. Sanitarians are realizing; more and more that in ])reventing the spread of disease attention nui~t he centered on the aflflieted individuals. In making the survey of a city's public health it is f convenient to keep two main objects in view. The lirst is an investigation of those big general sanitary prol^lems which are common to all conmiunity life — such problems as the ])rocnrement of safe water and milk, the prevention of overcrowding in j)oor .sections, the conservation of infant life; and the restriction of the ravages of tuberculosis. The second part of such a survey is concerned with an examina- tion of tlie city's organized health work. The object here is to determine whether the work of the Bureau of Health is adequate in scope and efficient in practice. In' this report an endeavor will be made to give a brief estimate of the status of Scranton in these two re- spects, and to point out those problems Avhich call for the detailed study afforded by a more thorough-going survey. \' General Problems. a. Water Supply and Sewage Disposal. Following the typhoid fever epidemics of 1906 and 1907, the Scranton Gas and Water -Company made vigor- ous efforts to improve the cjuality of its water. Disinfec- tion apparatus was installed on the Elmhurst supply; 10 water-^hed?- were improved : and ihe water \va.< placed un- der the supervision of Mr. G. R. Taylor, a competent chemist and sanitarian. It would appear that the supply is being continually imiirovid as oppr)rtuiiily offers, and that the sanitary p;ilicy and managemeiU of the company is of a progressive and connnendable order. The Provi- dence supply is now liUered: and bacteriological and chemical analysis by b')th the city and company labora- tories indicate that the entire city is receiving a safe water. The sewerage situation seems to present no funda- mentally serious problems beyond the possible need for a well worked out sewerage plan for the city and adjacent suburbs. As the city grows, its topography will doubtless allow the increasing demands for sewerage to be met by the construction of new systems ; and it would appear that the old ones will not be burdened beyond relief. The in- adequacy of the sewers in the Court House and Pine Brook districts is now being remedied by the construction of relief sewers. At present probably 50 per cent of the population is connected with sewers, perhaps 75 per cent of the people in the built-up districts, and improvements under way will add another 5 per cent to the latter figure. Too many objectionable privy vaults still exist, however, and while the Bureau of Health de'-erves credit for its effective work in doing away with many of these and in compelling connections with the sewers, this policy needs to be con- tinued and prosecuted vigorously. The sewage of the city enters the Lackawanna river at some 39 points and is apparently rendered inobjectionable by the strong acid mine waters. b. Milk Supply. The data on file at the Bureau of Health is hardly sufficient to allow the formulation of a fair estimate of the sanitary quality of the city's milk supply. Some useful work has been done in the instruction of farmers and 11 handlers in the principles of clean milk production, but in our judjiinent the work has been too restricted in scope to allow of any safe generalization. Such results as are availaljle indicate that most of the milk is of fair sanitary (piality; but in the opinion of at least one well-informed citizen the general condition of the sui)ply is bad. An examination of the figures record- ing the temperatures of milk in July, 1912, shows that out of 21 tests made of milk being delivered in wagons, not one met the legal standard of oO° F; in nine cases the temperature recorded was 55° F, while in the other 12 the milk was at 6d° F or higher. In the face of these facts and of the very real hygienic importance of clean milk, it would appear to be but the part of wisdom to institute a thorough-going examination of the entire supply. c. Refuse Disposal and Street Cleaning. The brief nature of this investigation has precluded the formation of any judgment as to the value of the city's system of refuse disposal. .V more extended survey could go thoroughly into the sanitary and business eflici- ency of this service, as well as into the efficiency of the allied matter of street cleaning. d. Infant Mortality. Clearly one of the most pressing hygienic problems of the day is the prevention of infant mortality. Taking the country as a whole, nearly one-fifth of all deaths that occur are among infants in their first year of life. Tuber- culosis, the great white plague, claims only one-half as many victims as the diseases which attack these infants. The lieaviest mortality occurs, furthermore, in the first month of life. While this problem is bound up with those of housing, milk supply and excessive summer tempera- ture, sanitarians are coming more and more to recognize that the mortality figures mean, to a large degree, lack of 12 proper c-nre and feeding, and they are agreed that here is one of the most promising fu'l*!.- for preventive medicine. ■It is regrettahle. therefore, that we lind in Scranton no organized agency carrying (in a campaign against this evil: and ihi- in face of the lad tiiat in li»ll alone 4()<) Scranton infants ilicd in th<'ir lirst year of Hfe. There is hardly room for doubt tliat a good proportion of these lives might have been saved by properly directed effort. Pre- natal care should be introduced: prompt birth reporting should be required: midwives should be examined, regis- tered and supervised : and nurses should \)g sent to instruct mothei-s in infant feeding, and to improve the sanitary condition of the home. A disposition is discernablc in some quarters of the city to refuse nursing aid at births attended by midwives. It should be remembered in this connection that the mid- wife is believed by many social and public health leaders to. be with us to stay, and that a good mid-wife has a place in our present social strvicture. Incompetent ones should, of course, be eliminated and the others should be held strictly to a high standard: but it seems unwise to try to eliminate them by refusing to aid the patient. The im- portant thing is to conserve the lives involved. In passing, it may be mentioned that Scranton infants under two years of age suffer undulv from diarrhoea and enteritis — diseases especially associated with improper care and feeding; and that the death rate from puerperal causes also seems higher than should be expected, another indication of the need for a division of infant hygiene. e. Medical Inspection of Schools. Turning now to another of the more -important health problems, we find Scranton much more happily situated. A beginning has been made on medical inspection of schools, and already encouraging results are reported. The present plan provides for an inspection of all school chil- is dren, the wmk hciiig done by 20 medical in.-poctor,< undLT the siiinTx i.-idii of a chief inspector, who is Dr. W. E. Keller, Superintendent of Health. Ninres are hired from the District Niir^^inu- Association to follow up cases in the home and to see that the (locte hut touched on in a rapid survey of this kind. The most cur.sory investi- gation, however, discloses a very large nundjer of alley dwellings, dark rooms, overcrowded houses, and insanitary yards and premises. Some of the worst offenders in these respects are buildings owned and rented by the city. There is ample need of a comprehensive investigation of this problem. g. Hospifal fdcilities. The city seems to be well equipped with general hos- pital facilities. The most striking deficiency is the lack of a contagious disease hospital, or of contagious wards in the general hospitals. As a result all cases of contagious di- seases must be isolated in the home — a procedure which, especially in poor and crowded districts, often results in hardship to the family and danger to the patient and the public. Moreover, as in many connnunities, the hospitals have been established to meet what seemed the most i)ress- ing needs of the time, but with little reference to possible overlapping or gaps in the service. It is, therefore, im- portant to go over the whole field and ascertain the need for both general and special hospital service, such for in- stance as hospitals for maternity cases, for children, for ear and eye troubles, and for others. 14 A rapid huiuiry into tlu' activities of the District Nurses' Association indicattv that it is doiiit; a vahiahle work, one deservin<> Hl)eral sui)i)()rt and encouragement. I'iXcellrnt opportuiiilics arc (iircrclaying with matches and from scalding. It might be very well worth while to study this matter thoroughly. It is also suggestive that in going no further than the first two months of 1912 it appeared that two persons were killed at grade crossings. 2. The Work of the Bureau of Health. a. Appropriation. Turning now to the- question of the efficiency of Scranton's Bureau of Health work, due notice must be given to the absurdly small amount of money appropria- ted. The city appropriates-for the Bureau's work, roughly 1 per cent of its total expenditures — about $12,500 a year. For each man, woman and child in Scranton this means nine cents a year for health. .If we are liberal in our cal- culation and include the money spent by the Board of School Directors for medical inspection, the total sum will be around $20,000, and the per capita figure about 15 cents. When these figures are compared with the average of about 35 cents for American cities and the iNew York City Department's expenditure of 60 cents, we see that Scranton is here indeed a laggard. The result of this small expenditure is exactly what might be expected. The Bureau of Health is under- manned and overworked; and there are certain most im- portant fields of activity, such as infant hygiene, which it has not entered at all. As the different branches of the Bureau's work are discussed, it will appear just how much 16 it IS hampered by siieli a sliort-siglited policy. 'To enable the Bureau (<> i)ert'()nn its full service to the community, and to brin^ it abreast the progressive cities of the country, will i)robably require the doubling or trebling of its present ai)propriation. .In |)assing it may be remarked that the Bureau's form of organization as a part of tlie Department of Public Safety represents a system in which grave defects are in- herent. As a general proposition, the Superintendent of Health should occupy an independent position, as he is the specialist in public health work, and his administration should not be endangered by the possibility of interference or veto by a Director of Public Safety who is neither a jjhysician nor sanitarian. The present form of organiza- tion was tried and rejected in Pittsburgh. b. Vital Statistics. The work of the Bureau of Vital Statistics should be commended in that there has been a disposition to bind and keep records carefully and to tabulate past records where possible. Birth reporting, which is very important in studying infant mortality, has been very poor; and the Bureau should co-operate with the State Board of Health in its efforts to improve the situation. c. Communicable Diseases. The first requisite for proper control of communica- ble diseases and the prevention of death from these causes is prompt and complete reporting to the Bureau of Health by doctors of all cases visited. It is unfortunate, there- fore, that in Scranton reporting seems to be poor. Typhoid fever, scarlet fever, and diphtheria are now fairly well re- ported, but measles, mumps, whooping cough, chicken pox (important because of its confusion iu some cases with smallpox), and tuberculosis are very poorly reported in- deed. For example, no cases of whooping cough, a disease 17 I»r;K'ti(-'ally as (lan<2;en)us as scarlet fever and measles, were reported at all in 1011, althongh five deaths from it were reported dnring the same year. Adequate reporting of coiiiiiiuiiicalile diseases is of vilal iinporlanco and calls for active and close c()-()j»crati(iii Ix'lwccn llic doclors and llu; lUn'cau (if Ilcallli — which does not now exist. Isolation of the ])alicn( in Scranton must be alwaj^ in the home, because of the lack of contagious disease hos})ital facilities. This is another serious handicap to tlie public health work. The house is placarded by a sani- tary officer, after which the supervision of quarantine is turned over to the fumigating officer. The latter must see that quarantine is maintained and must terminate the ease and disinfect; as he must handle the situation alone, it is not surprising to hear reports of lax quarantine. If the published figures for 1911 are to be trusted, there ap- parently is justification for these reports. In that year 547 cases were placarded and 231 visits made to houses quarantined, an average of about one visit to every two cases. To maintain effective quarantine, especially among foreigners, frequent re-inspections are necessary; but in- stead of that, there is not sufficient provision for the first inspection. It is perfectly clear of course that men and money are necessary to maintain efficient quarantine; and that the Bureau of Healtli, no matter how faithful its employees, can not provide adequate service if the city will not pay the price. (/. Food (til (I Milk Inspection. The duties of food and milk inspection are delegated in Scranton to one man. The task is relatively enormous. The inspector in question deserves all credit for the amount of work he has accomplished, but a mere recital of his duties shows plainly the impossibility of their complete performance. To this one man falls the oversight of all meat, fish, vegetables, fruit, ice cream, milk and other 18 foods coiisuiiied in the eiiy; ihv iii>pec'liuii of all freight houses, cold storage houses, slaughter houses, restaurants, markets, dining rooms, and the hke; the condemnation and seizure of all illegal foods and the handling of the re- sulting prosecutions; and llic inspection of all milk hrouglit into the city and of its places of sale. In addi- tion, there are some 1,000 head of cattle, hogs and poultry slaughtered weekly in the city which receive neither State nor Federal inspection, for the examination of which the city in.^pector is therefor responsihle. At a conservative estimate, this man is confronted with work sufficient to oc- cupy five inspectors. In view of this state of affairs it is not surprising to find that the -work of milk inspection is not well adjusted. In 1912 for example, out of 105 samples bacteriologically examined, only one was taken during the hot months — June, July and August — when milk is most likely to spoil; as against 104 taken during the comparatively cooler nine months. The report for 1911 also shows an unfor- tunate preponderance of chemical samples, 522, to deter- mine richness, as against 63 .bacteriological examinations to determine sanitary quality. The inspector of dairies and water-sheds is not so badly overworked as the food inspector, but his labors could be made more valuable by the use of a standard dairy score card. e. Plumbing Inspection. Judging by the number of master plumbers in the city, by the building operations, and by the report of the plumbing inspector, it appears that the inspection as car- ried on is not thorough, and that a very considerable part of the work installed escapes any inspection whatever. There is probably enough work in the city to require an- other inspector; but the present effort is not, in our opin- ion, as vigorous as might reasonably be expected. Reor- 19 ,c;nnizati()ii <>f tliis service is indicated, in which event it will be well to consider the advisability of aligning the work with that of the l)uilding de])artni('nt. /, Scut ltd rij I iispccfioii. Sanitary inspection is delegated to two sanitary of- ficers. Their efforts are augmented in the spring by three or four others who aid in a general spring and summer clean-up. The latter is a commendable plan ; but con- sidering the housing ])roblems at hand and the existence of so many objectionable privy vaults, it is fair to say that there is opportunity for permanent employment of several more inspectors. g. The Laboratory. The bacteriological and chemical laboratory is under the direction of Dr. J. M. Wainwright, a competent man. The value of the work would be much increased by the installation of a reliable room temperature incubator. SuTYimary Regarding the Bureau of Health. To summarize, the Bureau of Health may be com- mended for: (1) Preserving and binding old death records and ado})ting the international classification of the causes of death; (2) extending sewer connections; (3) its share in the medical inspection of schools; (4) maintaining a la- boratory; (5) printing an annual report; (6) annual spring clean-up ; (7) efforts at food and milk inspection; (8) doing the best it can with an entirely inadequate ap- proi:)riation. On the other hand the work of the Bureau may be criticized for: (1) Its form of organization; (2) undermanning; (3) lack of educational and publicity features; (4) lack 20 of |)riiited codes fur (li.ureau of Health. (d) Outlining, in .!trtanee has yet been done to improve their river fronts or to deter corporations or individuals from encroaching on the river beds and thereby, among other things, increasing the danger from tloods. Simi- larly, the bill-board nuisance, the lack of paving in much of the citv and the problems of allev dwellings, already referrt>d to. will need to be tackled sooner or later. IIow far these needs have been covered in Mr. Nolan's report was impossible to determine, since his report has not been pid)- lished and a manuscript coi)y was not available. The least that could be done would be to make the most of that investigation and i)lan of improvement. In so far as it does not cover matters mentioned here, the study should be extended. To summarize, this inquiry would give latitude for the study of some or all of the following: (a) Grade crossings. (b) Civic centers. (c) Park, playground and boulevard j)lanning. (d) Expansion of various districts — manufacturing, retail, residential, etc., and the accommodation of street traffic. (e) . Street obstructions, bill-boards, etc. (f ) River fronts, bridges, etc. (g) Culm banks and refuse dumps, (h) New additions to the city. V BETTERMENT AGENCIES. Conditions in the charitable field of Scran ton are chaotic. A large numljer of churches and charitable agen- cies give relief, but much of it is given without any co- operation whatever. ]Many investigate their own cases 23 more or less adequately and many keep records, but there is no general reporting to any central bureau or confiden- tial exchange nor ])lan of united ed'ort. The Associated Charities maintains a registration bureau, but many relief agencies neither report to it nor consult it. An illustra- tive instance is the fact that considerable sums of money, granted to families by the Public Poor Board, are not re- corded at the Associated Charities. Some of the most suc- cessful Associated Charities do investigating for all relief agencies and maintain a central confidential exchange Avhere all cases are reported and recorded. In Scranton an Associated Charities exists almost in name only ; and thus there is much opportunity for unorganized and du- plicated efforts. It is not our purpose to attempt to fix responsibility for this condition. Probably it does not rest upon any one agency. The head of one relief organization who cri- ticized the Associated Charities because it "didn't a.ssoci- ate'' stated to one of the investigators that his organiza- tion did not consult the Assocated Charities registration bureau or report cases because they themselves had "an intelligent visitor" and did "their own investigating." Yet the Associated Charities, in its last published report, (unfortunately five years old) invited co-operation and consultation of its records "from all churches and societies of any kind which give relief." But wherever the fault lies, it is clear that the relief work in the city needs a thorough overhauling. The present system must neces- sarily lead to duplication of effort, waste of funds on un- worthy cases and, what is more important, the failure of real constructive and co-operative work toward family re- habilitation. What Scranton need is a big broad gauged movement for a real Associated Charities representing no single interest or set of interests but serving all people and institutions as a clearing house for much of the social work of the city. Institutions are of less importance than self-supporting people and, if necessary, institutions or 24 conflicting interests may need to be sacrificed, so that all betterment agencies may do coordinated and effective work for the common welfare. Several Scrantoii churches conduct missions in differ- ent parts (if the city, but tlici-c is no social settlement. A boys' club is doing a very interesting work and one of the churches has clubs for working girls. The opportvmi- ties for other work that would be distinctly helpful to the foreign population of the city would be worth careful study. Many relief agencies exist in Scranton, but few, if any, save only the Playgrounds Association, devote their efforts chiefly to stopping poverty, crime and miseiy at their beginning places. There is no Consumers' League or other organization of similar intent, working against such poverty, disease and crime as have their source in unsanitary shops, long hours of work, uncompensated in- dustrial accidents, child labor and so on. A study of the needs for agencies working for general betterment and embodying the spirit of the modern pre- ventive philanthropy would embrace some or all of these: (a) Charitable institutions of the citv. (.b) Public charity work. (c) Opportunities for co-operation between agencies. (d) Local bearing's of the pension questions. (e) Need of work for immigrants. (f) Opportunities for relating social work to the churches and the churches to it. VI RECREATION— USE OF LEISURE TIME. ' iln the field of recreation one organization is actively at work in the city — the Playground A.-sociation. Last year seven play places were secured by this organization and trained play directoi^s were placed in charge. Un- fortunately, however, the Association's funds have been exhausted and an appropriation by the City Council to continue work [\n< year was vetoed hy the mayor, for le-' gal reasons. It is to be hoi)ed that the citizens of the city will meet the need temporarily and that as soon as possible tlie city will take over \\\o play-urouiids as a public enter- prise. Some play-grounds in use last summer, while the best obtainable by the Association, were inadequate. A city of Scranton's size and poi>ulalion-distribution, it would seem, sli(»uld oi)erate at least seven well equipped play-grounds of good size. A study of the location of children in the city, which would not only indicate the need for such play-grounds but which would point out the places where they are most needed, would doubtless assist in enlisting public interest in this matter. A second part of the recreation study would relate to commercial recreations, the laws regulating them and their general character. Visits to several moving picture shows of the city showed them to be of high class; and save in one instance, where the emergency exits were nailed shut, the public safety seemed well guarded. We are informed, however, that some of the dance halls, con- trary to the legal provisions, are in direct connection with saloons. A fundamental part of an adequate recreational pro- gram for any city is the social use of the schools, a matter which has been discussed in the section on schools. This investigation would give opportunity for scruti- ny of some or all of the following: (a) Laws regulating commercial amusements. (b) Parks. (c) Playground needs. (d) Recreation uses of schools. (e) Theatres. (f) Motion picture shows. (g) Dance halls. (h) Amusement parks. (i) Opportunities for adult recreation. 26 VII TAXATION AND PUBLIC FINANCE. The tendency in the last decade or two has heen for the government, whether local, state or federal, to take a large part in supplying service to the citizens. This i~ well illustrated in the growing range of service of ihe various boards uf heallh. The increase in these functions has meant great increase in the size of public funds; and in turn that has meant, in many cases, an increased in- terest by the average citizen in governmental matters. The tax paying pnblic wishes to know how nearly 100 cents in service it is getting for every dollar it pays in taxes. "With the increasing emphasis on this demand for infor- mation and with improved facilities for reaching the ear of every citizen, full pnblicity of government finances is not difficult and does not seem far off. But these are arguments for greater publicity on the outgo side of public finances; and although general, they have specific application to Scranton since local public reports are very inadequate. On the other hand the ar- guments for greater knowledge of the income side are fully as urgent. With four separate taxing boards Avorking in the city, with duplication in assessing, notifying, col- lecting and handling taxes, the importance of a thorough- going study of the tax situation can not be minimized. One public official who is close to the local tax situation esti- mated conservatively that a re-organization and unifica- tion of the tax system would save the city at least $25,000 annually — an amount that would be of tremendous value if spent in i)lay-gTounds, for instance, or for any of a number of other needed social forces in the connnunity. This investigation would include : (a) An examination of accounting methods. (b) Budget making. (c) Taxation. (d) City debt. (e) Purchasing methods 27 (f) Sources of revenue (g) Publishing of reports. VIII .INDUSTRIAL CONDITIONS. Scranton is essentially an industrial city. By far the majority of its people are wage earners in mills or mines, or members, of wage earners' families. It would seem therefore, that probably no factors have more to do with shaping the life of the jjeople than industrial conditions — hours of work, condition of labor, industrial accidents and wages. And yet it is most difficult to find any individual who has definite knowledge of general industrial conditions in the city. So far as we were able to get data, they showed a popular belief that the wages of girls in both factories and stores are very low. Many girls get $3.50 per Aveek or less, we are told; and those in a position to know informed us that this condition is one of the contributory causes of immorality. But quite aside from that question, the figure is too low to insure healthful living conditions and some of the mere necessities of life. Certainly even higher wages have been proved to be inadquate to meet even a low cost of living in many cities. Moreover, a study of the wages, of men, women, and children would undoubtedly throw much light, not only on the causes of vice and poverty, but upon the uses (or the non-uses) made of local facilities for intellectual and ethical growth. The mining industry, which is estimated to employ upwards of 12,000 men in the city of Scranton alone, is rated as one of the most dangerous of occupations. Hun- dreds of men are maimed or killed in this district every year. Many families whose breadwinners have lost their lives are being supported by the Poor Board at public ex- pense. The injustice of a system which makes a limited part of the public and the injured individuals pay the cost of accidents which are seemingly a necessary part in a 28 process of production is bein<>; recognized the country over in the movenicnt for workmen's coniiionsation laws. A study of accidents and their cost to the companies, to the injured and to the pubUc, should yield data of value to those outside as well as inside the city. The study of industrial conditions in Scranton should include as many as possible of the following: (a) Hours of labor, men, women and children. (b) Wages. (c) Industrial accidents. (d) Safeguards against occupational disease. (e) Unions and their recognition. (f) Employment agencies. (g) Welfare work. (h) Relation between wages and the cost of living. IX DELINQUENCY. The method of handling juvenile delinquents in the courts of kScranton is open to unfavorable criticism on several grounds — First, court is openly held in the regular court rooms. Second, boys and girls are often tried to- gether at the same session of court. Third, delinquent and neglected children are not always handled separately. Fourth, the judges are so crowded with work that the juvenile sessions are frequently neglected and children are often held two weeks, sometimes longer, in the deten- tion home before a hearing. Fifth, the papers of the city publish, often quite fully, descriptions of the cases of de- linquent children. Incidentally, in many cities the papers have agreed, upon the request of the court, to omit all matter relating to child crime or delinquency. There seems to be plenty of reasons for the establishment of a separate juvenile court to handle children's cases. The children's detention home violates almost every test by which such institutions may be measured. Boys and girls while separated in their rooms, mingle together 29 (lurinp; the day under the matron's care; older women are sometimes ke]it at the home with young girls; delinquent cliildron, truants and neglected children arc not separated; very young children and older children are not separated; double beds are i)rovidcd in the dormitories; the home is often crowded to capacity and at such times the air be- comes unwholesome: no adequate facilities for play or study are pro\idc(l. For these conditions the city, not the matron in charge, is mainly responsible, since the miser- ably inadequate facilities are for the most ]:>art used to the best advantage. We are informed that plans for a new home are under way, although the i)lans as yet were found to be very intangible. They can not be completed too soon, for the present facilities are wholly inadequate. A visit was made to the lock-up in the basement of the ]\Iunicipal Building. .It can be graded as fairly good, as lock-ups go. If prisoners were held there more than 24 hours, it would be objectionable. The county jail, considering the time it was built, is surprisingly good in construction, in that prisoners' cells open to the outside air. although by a very small window. In its manage- ment, however, it is not meeting present day standards, in that it is used purely as a place of detention, and embodies no plan for their reformation. Many of the prisoners are there for a number of months, a sufficient length of time to start reconstructive forces at work. Some educational work of an industrial nature is much needed. Under present conditions there is not one chance in a hundred that a prisoner will leave the jail better than when he went in, — there is every likelihood that he will come out worse; for prisoners are kept two in a cell, in most cases regardless of their character or probable influence on each other. Finally, the system of Aldermanic Courts is the sub- ject of general criticism on the part of many Scranton citizens, and the conditions known to exist in other cities of the state where the same system obtains warrant the conclusion that an investigation of these courts should be 30 iiu'luded in a social ation would in- clude as many of tiie following as possible: (a) Aldernianic courts. (b) Juvenile courts. (c) City lock-ups. (d) Detention home. (e) The probation system. (f) County jail. (g) Nature of crimes and their cla^;