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of¡¡July¡¡the¡¡city¡¡authorities£»¡¡on¡¡behalf¡¡of¡¡the¡¡people¡¡of¡¡New¡¡York¡¡City£»¡¡conferred¡¡a¡¡gold¡¡medal¡¡upon¡¡Edward¡¡Bok¡¡for¡¡his¡¡services¡¡in¡¡connection¡¡with¡¡the¡¡birth¡¡of¡¡the¡¡new¡¡Fourth¡¡in¡¡that¡¡city¡£

There¡¡still¡¡remains¡¡much¡¡to¡¡be¡¡done¡¡in¡¡cities¡¡as¡¡yet¡¡unawakened£»¡¡but¡¡a¡¡comparison¡¡of¡¡the¡¡list¡¡of¡¡casualties¡¡of¡¡1920¡¡with¡¡that¡¡of¡¡1905¡¡proves¡¡the¡¡growth¡¡in¡¡enlightened¡¡public¡¡sentiment¡¡in¡¡fifteen¡¡years¡¡to¡¡have¡¡been¡¡steadily¡¡increasing¡£¡¡It¡¡is¡¡an¡¡instance¡¡not¡¡of¡¡Bok¡¡taking¡¡the¡¡initiativethat¡¡had¡¡already¡¡been¡¡takenbut¡¡of¡¡throwing¡¡the¡¡whole¡¡force¡¡of¡¡the¡¡magazine¡¡with¡¡those¡¡working¡¡in¡¡the¡¡field¡¡to¡¡help¡£¡¡It¡¡is¡¡the¡¡American¡¡woman¡¡who¡¡is¡¡primarily¡¡responsible¡¡for¡¡the¡¡safe¡¡and¡¡sane¡¡Fourth£»¡¡so¡¡far¡¡as¡¡it¡¡already¡¡exists¡¡in¡¡this¡¡country¡¡to¡­day£»¡¡and¡¡it¡¡is¡¡the¡¡American¡¡woman¡¡who¡¡can¡¡make¡¡it¡¡universal¡£

Mrs¡£¡¡Pennypacker£»¡¡as¡¡president¡¡of¡¡The¡¡Federation¡¡of¡¡Women's¡¡Clubs£»¡¡now¡¡brought¡¡to¡¡Bok's¡¡attention¡¡the¡¡conditions¡¡under¡¡which¡¡the¡¡average¡¡rural¡¡school¡­teacher¡¡lived£»¡¡the¡¡suffering¡¡often¡¡entailed¡¡on¡¡her¡¡in¡¡having¡¡to¡¡walk¡¡miles¡¡to¡¡the¡¡schoolhouse¡¡in¡¡wintry¡¡weather£»¡¡the¡¡discomfort¡¡she¡¡had¡¡to¡¡put¡¡up¡¡with¡¡in¡¡the¡¡farm¡­houses¡¡where¡¡she¡¡was¡¡compelled¡¡to¡¡live£»¡¡with¡¡the¡¡natural¡¡result£»¡¡under¡¡those¡¡conditions£»¡¡that¡¡it¡¡was¡¡almost¡¡impossible¡¡to¡¡secure¡¡the¡¡services¡¡of¡¡capable¡¡teachers£»¡¡or¡¡to¡¡have¡¡good¡¡teaching¡¡even¡¡where¡¡efficient¡¡teachers¡¡were¡¡obtained¡£

Mrs¡£¡¡Pennypacker¡¡suggested¡¡that¡¡Bok¡¡undertake¡¡the¡¡creation¡¡of¡¡a¡¡public¡¡sentiment¡¡for¡¡a¡¡residence¡¡for¡¡the¡¡teacher¡¡in¡¡connection¡¡with¡¡the¡¡schoolhouse¡£¡¡The¡¡parson¡¡was¡¡given¡¡a¡¡parsonage£»¡¡why¡¡not¡¡the¡¡teacher¡¡a¡¡¡¨teacherage¡¨£¿¡¡The¡¡Journal¡¡co¡­operated¡¡with¡¡Mrs¡£¡¡Pennypacker¡¡and¡¡she¡¡began¡¡the¡¡agitation¡¡of¡¡the¡¡subject¡¡in¡¡the¡¡magazine¡£¡¡She¡¡also¡¡spoke¡¡on¡¡the¡¡subject¡¡wherever¡¡she¡¡went£»¡¡and¡¡induced¡¡women's¡¡clubs¡¡all¡¡over¡¡the¡¡country¡¡to¡¡join¡¡the¡¡magazine¡¡in¡¡its¡¡advocacy¡¡of¡¡the¡¡¡¨teacherage¡£¡¨

By¡¡personal¡¡effort£»¡¡several¡¡¡¨teacherages¡¨¡¡were¡¡established¡¡in¡¡connection¡¡with¡¡new¡¡schoolhouses£»¡¡photographs¡¡of¡¡these¡¡were¡¡published¡¡and¡¡sent¡¡personally¡¡to¡¡school¡­boards¡¡all¡¡over¡¡the¡¡country£»¡¡the¡¡members¡¡of¡¡women's¡¡clubs¡¡saw¡¡to¡¡it¡¡that¡¡the¡¡articles¡¡were¡¡brought¡¡to¡¡the¡¡attention¡¡of¡¡members¡¡of¡¡their¡¡local¡¡school¡­boards£»¡¡and¡¡the¡¡now¡­generally¡¡accepted¡¡idea¡¡that¡¡a¡¡¡¨teacherage¡¨¡¡must¡¡accompany¡¡a¡¡new¡¡schoolhouse¡¡was¡¡well¡¡on¡¡its¡¡way¡¡to¡¡national¡¡recognition¡£

It¡¡only¡¡remains¡¡now¡¡for¡¡communities¡¡to¡¡install¡¡a¡¡visiting¡¡nurse¡¡in¡¡each¡¡of¡¡these¡¡¡¨teacherages¡¨¡¡so¡¡that¡¡the¡¡teacher¡¡need¡¡not¡¡live¡¡in¡¡solitary¡¡isolation£»¡¡and¡¡that¡¡the¡¡health¡¡of¡¡the¡¡children¡¡at¡¡school¡¡can¡¡be¡¡looked¡¡after¡¡at¡¡first¡¡hand¡£¡¡Then¡¡the¡¡nurse¡¡shall¡¡be¡¡at¡¡the¡¡call¡¡of¡¡every¡¡small¡¡American¡¡communityparticularly¡¡to¡¡be¡¡available¡¡in¡¡cases¡¡of¡¡childbirth£»¡¡since¡¡in¡¡these¡¡thinly¡¡settled¡¡districts¡¡it¡¡is¡¡too¡¡often¡¡impossible¡¡to¡¡obtain¡¡the¡¡services¡¡of¡¡a¡¡physician£»¡¡with¡¡the¡¡result¡¡of¡¡a¡¡high¡¡percentage¡¡of¡¡fatalities¡¡to¡¡mothers¡¡that¡¡should¡¡not¡¡be¡¡tolerated¡¡by¡¡a¡¡wealthy¡¡and¡¡progressive¡¡people¡£¡¡No¡¡American¡¡mother£»¡¡at¡¡childbirth£»¡¡should¡¡be¡¡denied¡¡the¡¡assistance¡¡of¡¡professional¡¡skill£»¡¡no¡¡matter¡¡how¡¡far¡¡she¡¡may¡¡live¡¡from¡¡a¡¡physician¡£¡¡And¡¡here¡¡is¡¡where¡¡a¡¡visiting¡¡nurse¡¡in¡¡every¡¡community¡¡can¡¡become¡¡an¡¡institution¡¡of¡¡inestimable¡¡value¡£

Just¡¡about¡¡this¡¡time¡¡a¡¡group¡¡of¡¡Philadelphia¡¡physicians£»¡¡headed¡¡by¡¡Doctor¡¡Samuel¡¡McClintock¡¡Hamill£»¡¡which¡¡had¡¡formed¡¡itself¡¡into¡¡a¡¡hygienic¡¡committee¡¡for¡¡babies£»¡¡waited¡¡upon¡¡Bok¡¡to¡¡ask¡¡him¡¡to¡¡join¡¡them¡¡in¡¡the¡¡creation¡¡of¡¡a¡¡permanent¡¡organization¡¡devoted¡¡to¡¡the¡¡welfare¡¡of¡¡babies¡¡and¡¡children¡£¡¡Bok¡¡found¡¡that¡¡he¡¡was¡¡dealing¡¡with¡¡a¡¡company¡¡of¡¡representative¡¡physicians£»¡¡and¡¡helped¡¡to¡¡organize¡¡¡¨The¡¡Child¡¡Federation£»¡¨¡¡an¡¡organization¡¡¡¨to¡¡do¡¡good¡¡on¡¡a¡¡business¡¡basis¡£¡¨

It¡¡was¡¡to¡¡go¡¡to¡¡the¡¡heart¡¡of¡¡the¡¡problem¡¡of¡¡the¡¡baby¡¡in¡¡the¡¡congested¡¡districts¡¡of¡¡Philadelphia£»¡¡and¡¡do¡¡a¡¡piece¡¡of¡¡intensive¡¡work¡¡in¡¡the¡¡ward¡¡having¡¡the¡¡highest¡¡infant¡¡mortality£»¡¡establishing¡¡the¡¡first¡¡health¡¡centre¡¡in¡¡the¡¡United¡¡States¡¡actively¡¡managed¡¡by¡¡competent¡¡physicians¡¡and¡¡nurses¡£¡¡This¡¡centre¡¡was¡¡to¡¡demonstrate¡¡to¡¡the¡¡city¡¡authorities¡¡that¡¡the¡¡fearful¡¡mortality¡¡among¡¡babies£»¡¡particularly¡¡in¡¡summer£»¡¡could¡¡be¡¡reduced¡£

Meanwhile£»¡¡there¡¡was¡¡created¡¡a¡¡¡¨Baby¡¡Saving¡¡Show£»¡¨¡¡a¡¡set¡¡of¡¡graphic¡¡pictures¡¡conveying¡¡to¡¡the¡¡eye¡¡methods¡¡of¡¡sanitation¡¡and¡¡other¡¡too¡¡often¡¡disregarded¡¡essentials¡¡of¡¡the¡¡wise¡¡care¡¡and¡¡feeding¡¡of¡¡babies£»¡¡and¡¡this¡¡travelled£»¡¡like¡¡a¡¡theatrical¡¡attraction£»¡¡to¡¡different¡¡parts¡¡of¡¡the¡¡city¡£¡¡¡¨Little¡¡Mothers'¡¡Leagues¡¨¡¡were¡¡organized¡¡to¡¡teach¡¡the¡¡little¡¡girl¡¡of¡¡ten¡¡or¡¡twelve£»¡¡so¡¡often¡¡left¡¡in¡¡charge¡¡of¡¡a¡¡family¡¡of¡¡children¡¡when¡¡the¡¡mother¡¡is¡¡at¡¡work¡¡during¡¡the¡¡day£»¡¡and¡¡demonstrations¡¡were¡¡given¡¡in¡¡various¡¡parts¡¡of¡¡the¡¡city¡£

The¡¡Child¡¡Federation¡¡now¡¡undertook¡¡one¡¡activity¡¡after¡¡the¡¡other¡£¡¡Under¡¡its¡¡auspices£»¡¡the¡¡first¡¡municipal¡¡Christmas¡¡tree¡¡ever¡¡erected¡¡in¡¡Philadelphia¡¡was¡¡shown¡¡in¡¡the¡¡historic¡¡Independence¡¡Square£»¡¡and¡¡with¡¡two¡¡bands¡¡of¡¡music¡¡giving¡¡concerts¡¡every¡¡day¡¡from¡¡Christmas¡¡to¡¡New¡¡Year's¡¡Day£»¡¡attracted¡¡over¡¡two¡¡hundred¡¡thousand¡¡persons¡£¡¡A¡¡pavilion¡¡was¡¡erected¡¡in¡¡City¡¡Hall¡¡Square£»¡¡the¡¡most¡¡central¡¡spot¡¡in¡¡the¡¡city£»¡¡and¡¡the¡¡¡¨Baby¡¡Saving¡¡Show¡¨¡¡was¡¡permanently¡¡placed¡¡there¡¡and¡¡visited¡¡by¡¡over¡¡one¡¡hundred¡¡thousand¡¡visitors¡¡from¡¡every¡¡part¡¡of¡¡the¡¡country¡¡on¡¡their¡¡way¡¡to¡¡and¡¡from¡¡the¡¡Pennsylvania¡¡Station¡¡at¡¡Broad¡¡Street¡£

A¡¡searching¡¡investigation¡¡of¡¡the¡¡Day¡¡Nurseries¡¡of¡¡Philadelphiaprobably¡¡one¡¡of¡¡the¡¡most¡¡admirable¡¡pieces¡¡of¡¡research¡¡work¡¡ever¡¡made¡¡in¡¡a¡¡citychanged¡¡the¡¡methods¡¡in¡¡vogue¡¡and¡¡became¡¡a¡¡standard¡¡guide¡¡for¡¡similar¡¡institutions¡¡throughout¡¡the¡¡country¡£¡¡So¡¡successful¡¡were¡¡the¡¡Little¡¡Mothers'¡¡Leagues¡¡that¡¡they¡¡were¡¡introduced¡¡into¡¡the¡¡public¡¡schools¡¡of¡¡Philadelphia£»¡¡and¡¡are¡¡to¡­day¡¡a¡¡regular¡¡part¡¡of¡¡the¡¡curriculum¡£¡¡The¡¡Health¡¡Centre£»¡¡its¡¡success¡¡being¡¡proved£»¡¡was¡¡taken¡¡over¡¡by¡¡the¡¡city¡¡Board¡¡of¡¡Health£»¡¡and¡¡three¡¡others¡¡were¡¡established¡£

To¡­day¡¡The¡¡Child¡¡Federation¡¡is¡¡recognized¡¡as¡¡one¡¡of¡¡the¡¡most¡¡practically¡¡conducted¡¡child¡¡welfare¡¡agencies¡¡in¡¡Philadelphia£»¡¡and¡¡its¡¡methods¡¡have¡¡been¡¡followed¡¡by¡¡similar¡¡organizations¡¡all¡¡over¡¡the¡¡country¡£¡¡It¡¡is¡¡now¡¡rapidly¡¡becoming¡¡the¡¡central¡¡medium¡¡through¡¡which¡¡the¡¡other¡¡agencies¡¡in¡¡Philadelphia¡¡are¡¡working£»¡¡thus¡¡avoiding¡¡the¡¡duplication¡¡of¡¡infant¡¡welfare¡¡work¡¡in¡¡the¡¡city¡£¡¡Broadening¡¡its¡¡scope£»¡¡it¡¡is¡¡not¡¡unlikely¡¡to¡¡become¡¡one¡¡of¡¡the¡¡greatest¡¡indirect¡¡influences¡¡in¡¡the¡¡welfare¡¡work¡¡of¡¡Philadelphia¡¡and¡¡the¡¡vicinity£»¡¡through¡¡which¡¡other¡¡organizations¡¡will¡¡be¡¡able¡¡to¡¡work¡£

Bok's¡¡interest¡¡and¡¡knowledge¡¡in¡¡civic¡¡matters¡¡had¡¡now¡¡peculiarly¡¡prepared¡¡him¡¡for¡¡a¡¡personal¡¡adventure¡¡into¡¡community¡¡work¡£¡¡Merion£»¡¡where¡¡he¡¡lived£»¡¡was¡¡one¡¡of¡¡the¡¡most¡¡beautiful¡¡of¡¡the¡¡many¡¡suburbs¡¡that¡¡surround¡¡the¡¡Quaker¡¡City£»¡¡but£»¡¡like¡¡hundreds¡¡of¡¡similar¡¡communities£»¡¡there¡¡had¡¡been¡¡developed¡¡in¡¡it¡¡no¡¡civic¡¡interest¡£¡¡Some¡¡of¡¡the¡¡most¡¡successful¡¡business¡¡men¡¡of¡¡Philadelphia¡¡lived¡¡in¡¡Merion£»¡¡they¡¡had¡¡beautiful¡¡estates£»¡¡which¡¡they¡¡maintained¡¡without¡¡regard¡¡to¡¡expense£»¡¡but¡¡also¡¡without¡¡regard¡¡to¡¡the¡¡community¡¡as¡¡a¡¡whole¡£¡¡They¡¡were¡¡busy¡¡men£»¡¡they¡¡came¡¡home¡¡tired¡¡after¡¡a¡¡day¡¡in¡¡the¡¡city£»¡¡they¡¡considered¡¡themselves¡¡good¡¡citizens¡¡if¡¡they¡¡kept¡¡their¡¡own¡¡places¡¡sightly£»¡¡but¡¡the¡¡idea¡¡of¡¡devoting¡¡their¡¡evenings¡¡to¡¡the¡¡problems¡¡of¡¡their¡¡community¡¡had¡¡never¡¡occurred¡¡to¡¡them¡¡before¡¡the¡¡evening¡¡when¡¡two¡¡of¡¡Bok's¡¡neighbors¡¡called¡¡to¡¡ask¡¡his¡¡help¡¡in¡¡forming¡¡a¡¡civic¡¡association¡£

A¡¡canvass¡¡of¡¡the¡¡sentiment¡¡of¡¡the¡¡neighborhood¡¡revealed¡¡the¡¡unanimous¡¡opinion¡¡that¡¡the¡¡experiment£»¡¡if¡¡attempted£»¡¡would¡¡be¡¡a¡¡failure£»an¡¡attitude¡¡not¡¡by¡¡any¡¡means¡¡confined¡¡to¡¡the¡¡residents¡¡of¡¡Merion£¡¡¡Bok¡¡decided¡¡to¡¡test¡¡it¡¡out£»¡¡he¡¡called¡¡together¡¡twenty¡¡of¡¡his¡¡neighbors£»¡¡put¡¡the¡¡suggestion¡¡before¡¡them¡¡and¡¡asked¡¡for¡¡two¡¡thousand¡¡dollars¡¡as¡¡a¡¡start£»¡¡so¡¡that¡¡a¡¡paid¡¡secretary¡¡might¡¡be¡¡engaged£»¡¡since¡¡the¡¡men¡¡themselves¡¡were¡¡too¡¡busy¡¡to¡¡attend¡¡to¡¡the¡¡details¡¡of¡¡the¡¡work¡£¡¡The¡¡amount¡¡was¡¡immediately¡¡subscribed£»¡¡and¡¡in¡¡1913¡¡The¡¡Merion¡¡Civic¡¡Association¡¡applied¡¡for¡¡a¡¡charter¡¡and¡¡began¡¡its¡¡existence¡£

The¡¡leading¡¡men¡¡in¡¡the¡¡community¡¡were¡¡elected¡¡as¡¡a¡¡Board¡¡of¡¡Directors£»¡¡and¡¡a¡¡salaried¡¡secretary¡¡was¡¡engaged¡¡to¡¡carry¡¡out¡¡the¡¡directions¡¡of¡¡the¡¡Board¡£¡¡The¡¡association¡¡adopted¡¡the¡¡motto£º¡¡¡¨To¡¡be¡¡nation¡¡right£»¡¡and¡¡State¡¡right£»¡¡we¡¡must¡¡first¡¡be¡¡community¡¡right¡£¡¨¡¡Three¡¡objectives¡¡were¡¡selected¡¡with¡¡which¡¡to¡¡attract¡¡community¡¡interest¡¡and¡¡membership£º¡¡safety¡¡to¡¡life£»¡¡in¡¡the¡¡form¡¡of¡¡proper¡¡police¡¡protection£»¡¡safety¡¡to¡¡property£»¡¡in¡¡the¡¡form¡¡of¡¡adequate¡¡hydrant¡¡and¡¡fire¡­engine¡¡service£»¡¡and¡¡safety¡¡to¡¡health£»¡¡in¡¡careful¡¡supervision¡¡of¡¡the¡¡water¡¡and¡¡milk¡¡used¡¡in¡¡the¡¡community¡£

¡¨The¡¡three¡¡S's£»¡¨¡¡as¡¡they¡¡were¡¡called£»¡¡brought¡¡an¡¡immediate¡¡response¡£¡¡They¡¡were¡¡practical¡¡in¡¡their¡¡appeal£»¡¡and¡¡members¡¡began¡¡to¡¡come¡¡in¡£¡¡The¡¡police¡¡force¡¡was¡¡increased¡¡from¡¡one¡¡officer¡¡at¡¡night¡¡and¡¡none¡¡in¡¡the¡¡day£»¡¡to¡¡three¡¡at¡¡night¡¡and¡¡two¡¡during¡¡the¡¡day£»¡¡and¡¡to¡¡this¡¡the¡¡Association¡¡added¡¡two¡¡special¡¡night¡¡officers¡¡of¡¡its¡¡own¡£¡¡Private¡¡detectives¡¡were¡¡intermittently¡¡brought¡¡in¡¡to¡¡¡¨check¡¡up¡¨¡¡and¡¡see¡¡that¡¡the¡¡service¡¡was¡¡vigilant¡£¡¡A¡¡fire¡¡hydrant¡¡was¡¡placed¡¡within¡¡seven¡¡hundred¡¡feet¡¡of¡¡every¡¡house£»¡¡with¡¡the¡¡insurance¡¡rates¡¡reduced¡¡from¡¡twelve¡¡and¡¡one¡­half¡¡to¡¡thirty¡¡per¡¡cent£»¡¡the¡¡services¡¡of¡¡three¡¡fire¡­engine¡¡companies¡¡was¡¡arranged¡¡for¡£¡¡Fire¡­gongs¡¡were¡¡introduced¡¡into¡¡the¡¡community¡¡to¡¡guard¡¡against¡¡danger¡¡from¡¡interruption¡¡of¡¡telephone¡¡service¡£¡¡The¡¡water¡¡supply¡¡was¡¡chemically¡¡analyzed¡¡each¡¡month¡¡and¡¡the¡¡milk¡¡supply¡¡carefully¡¡scrutinized¡£¡¡One¡¡hundred¡¡and¡¡fifty¡¡new¡¡electric¡­light¡¡posts¡¡specially¡¡designed£»¡¡and¡¡pronounced¡¡by¡¡experts¡¡as¡¡the¡¡most¡¡beautiful¡¡and¡¡practical¡¡road¡¡lamps¡¡ever¡¡introduced¡¡i

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