For the physician or other health worker interested in getting an over-all picture of state public health programs, this mimeographed pamphlet is a handy reference manual. Based on the annual combined state reports for 1947 and plans for 1948, it indicates trends for a wide range of activities, including cancer services, mental hygiene, school health services, industrial hygiene, laboratory services and tuberculosis and venereal disease control. The significant fact that most of the states lean heavily on federal aid is emphasized by the decreased operation of maternal and child health services in 1947 and continued cutbacks for 1948. As is pointed out, this is related directly to discontinuance of the Emergency Maternal and Infant Care Program.
Lack of trained personnel in practically all fields is stressed. As might be expected, most states planned extensive additions to mental hygiene staffs. One of the greatest increases accomplished and planned occurred in the