ditions and methods used, have been made to the owners and proprietors of the plants. A rough classification of the one hundred and twenty plants inspected is as follows; ten were found to be of generally good sanitary construction, equipment and manner of operation; some twenty-five may be said to be of fair sanitary construction, equipment and operation; some forty were poorly constructed and poorly operated and some forty-five were found to be in a very unsatisfactory condition both with respect to construction and operation. As a partial indication of the results of the work, the 60 plants of which reinvestigation was made may be roughly classified as follows: nineteen have either permanently or temporarily discontinued pasteurization; eleven have either been abandoned for new plants, completely reconstructed or have been so remodeled as to carry out all the recommendations made by the Department; at twenty plants some of the recommendations made have been carried out and the proprietors have shown a willingness to cooperate and carry out the remainder of the recommendations as soon as possible; at ten of the plants no steps have been taken to carry out the recommendations of the Department. It is expected that original inspection will be completed of all the pasteurizing plants now in operation in the State during the early part of the coming year, the work thus far having covered generally the eastern half of the State east of Syracuse and a considerable number of the pasteurizing plants located in the city of Buffalo. It will be noted from the summary of the results of the investigation as thus far carried on that definite and effective results are being acomplished and it is expected that the work will be continued and considerably extended during the coming year. INVESTIGATION OF SANITARY CONDITION OF STATE INSTITUTIONS In accordance with section 14 of the Public Health Law, as amended by Chapter 559 of the Laws of 1913, the examination and inspection of the sanitary conditions of State Institutions, commenced in 1914, has been continued this year. These investigations comprise in all cases a careful inspection of the grounds, buildings and other features to determine the sanitary conditions with respect to water supply, sewerage, sewage disposal, plumbing, ventilation, garbage disposal, milk supply, etc. Twenty-eight institutions were investigated and reported upon and as required by law, copies of the reports and recommendations. thereon transmitted to the institution authorities. The institutions investigated during the year are as follows: Agricultural School Farmingdale -State School of Agriculture Charitable and Reformatory Institutions Albion - Western House of Refuge for Women Bedford Hills - New York State Reformatory for Women Newark New York State Custodial Asylum for FeebleMinded Women New York City, Randall's Island - New York House of Refuge Oxford New York State Women's Relief Corps Home Ray Brook - New York State Hospital for Incipient Pulmonary Tuberculosis Rome Rome State Custodial Asylum Syracuse Syracuse State Institution for Feeble-Minded Children Thiells Letchworth Village West Haverstraw - State Hospital for Crippled and Deformed Children State Hospitals for the Insane Brooklyn — Brooklyn State Hospital Central Islip Central Islip State Hospital Kings Park Kings Park State Hospital Chester Farm Colony for Women Offenders Abstracts of the reports on the examination of the institutions will be found below: AGRICULTURAL SCHOOLS (Farmingdale) State School of Agriculture The State School of Agriculture is located about 11⁄2 miles north of the village of Farmingdale, Nassau county, N. Y., and on the boundary line between the town of Oyster Bay, Nassau county and the town of Babylon, Suffolk county. The institution owns about 308 acres of land. The central portion of this area is flat, the main drainage being from the hills in the northeastern part of the property toward the southwest. The ground surface drops sharply to the Amityville-Huntington Highway. The main buildings consist of the Agronomy building, the Horticulture building, the dormitory of the boys' group, the director's residence and the power house. In addition to this there are a number of barns, sheds and similar structures. The total population of the institution at the time of the inspection was 142. An examination of the sanitary condition of the institution was made on March 26, 1917. As a result of this investigation it appeared that certain insanitary conditions existed and the report on the inspection contained the following conclusions and recommendations. Conclusions and recommendations 1. That the recommendations of the report dated June 21, 1915 on the special investigation of the water supply made by this Department be carried out. 2. That the farm buildings be provided with adequate water supplies of safe sanitary quality. 3. That the disposal plant be operated more strictly in accordance with the directions provided by this Department under date of May 6, 1916. 4. That the use of privies be discontinued wherever possible. Where it is necessary to use a privy, I would recommend that it be located so that a water supply will not be polluted, that it be so constructed as to be inaccessible to flies and that it be maintained in a sanitary condition. 5. That all storm and surface water be excluded from the sanitary sewers. 6. That the institution be provided with adequate fire apparatus and a fire alarm system. 7. That more buildings be provided if the present or a greater number of students is to attend the institution. 8. That proper heating, plumbing, sewerage and sewage disposal facilities be provided at the Mott farm and at the other farm buildings. CHARITABLE AND REFORMATORY INSTITUTIONS (Albion) Western House of Refuge for Women The Western House of Refuge for Women is located near the western boundary of the village of Albion, Orleans county, N. Y. The station of the N. Y. C. R. R. in the village is about one mile from the institution and the station of the B. L. & R. Electric R. R. is located practically at the gate of the institution. The Erie canal passes the institution just north of and the N. Y. C. R. R. just south of the grounds. A small creek runs through the property. In the vicinity of the buildings the slopes are such that the drainage is good but some portions of the farm lands are rather low and the drainage not so satisfactory. There are 22 occupied buildings. The most important are the administration building, 7 cottages, the hospital, the amusement hall and the power house. In addition to these there are the necessary farm buildings. The area of the property owned for the use of the institution is 92.5 acres. The institution receives upon commitment any female between the ages of sixteen and thirty years, convicted by any court or magistrate of petit larceny, vagrancy, habitual drunkenness, of being a common prostitute, or frequenting disorderly houses or houses of prostitution, or of a misdemeanor, and who is not insane, nor mentally or physically incapable of being substantially benefited by the discipline of such institution. The capacity of the institution is 217 inmates. At the time of the inspection the total population was 246, made up of 193 inmates and 53 employees. An examination of the sanitary condition of the institution was made on February 17, 1917. As a result of this examination several insanitary conditions were found to exist and the report on the inspection contained the following conclusions and recommendations: Conclusions and recommendations 1. That in view of certain insanitary conditions in some of the buildings at the institution as described in detail in the body of this report: (a) The necessary repairs or alterations be made in the reception cottage to place the building in a good sanitary condition. (b) The floors be replaced where necessary. (c) Painting and repairing be done where these are needed. 2. That in view of the unsatisfactory condition of the auxiliary water supplies of the institution, the use of the well near the farm house and the well near the power house be discontinued. 3. That obsolete plumbing be replaced by plumbing of the modern type as soon as possible. 4. That proper toilet facilities be provided at the barn and that the privy near the barn be abandoned. 5. That the receptacle for the storage of the garbage at the piggery, be provided with a cover and be kept covered. 6. That adequate facilities be provided for heating the industrial building at all times. 7. That the milk obtained from outside dealers be made to conform to a standard of good sanitary quality or that the milk be pasteurized at the institution. (Batavia) New York State School for the Blind The New York State School for the Blind is located in Genesee county, in the northern part of the village of Batavia. The buildings are situated on a knoll at an elevation of about 920 feet above mean sea level and higher than all other land in the vicinity. There are in all 11 buildings belonging to the institution, the more important of them being the main building, the kindergarten building, power house and laundry, gymnasium, hospital, green house and barn. The area of the grounds owned for use in connection with the institution is 60 acres. The institution receives blind persons residing in the State of New York, outside of the counties of New York, Kings, Queens, Nassau, Suffolk, Richmond, Westchester, Putnam and Rockland, who are not under five or over twenty-one years, and who are not incapacitated by mental, physical or moral infirmity for useful instruction. The capacity of the institution is 180 pupils. At the time of the inspection the enrollment was 174 pupils in addition to which there were about 73 attendants, making a total of 247. This institution was inspected on February 16, 1917, and the report covering in detail the results of the examination contained the following conclusions and recommendations. Conclusions and recommendations 1. That in view of the unsatisfactory character and quality of the three water supplies used at the institution, these supplies all be eliminated and a new supply sufficient for the needs of the institution in all respects and of a safe quality be provided in their stead. This may be accomplished either by installing an entirely new supply or by using the city water for all purposes when this water, after proper treatment, shall be found to be of a safe sanitary quality. I would further recommend that until this is done every precaution be used to make the city water and the cistern water inaccessible to the pupils and scholars at the school. 2. That stand pipes and hose be provided in the industrial building and that a portable hose cart and hose for outside use also be provided. 3. That as recommended in the previous report better and more convenient storage accommodations be provided for storing supplies of food other than those kept in the cold storage. 4. That additional toilet facilities more conveniently located be provided where necessary. 5. That all connections for the discharge of storm or roof water into the sanitary sewers be disconnected and such water be discharged into the storm sewers. (Bedford Hills) New York State Reformatory for Women The New York State Reformatory for Women is located in the town of Bedford, Westchester county, N. Y., about 1 mile east of Bedford Hills and is reached from New York city over the Harlem division of the New York Central R. R. to Bedford Hills thence by conveyance to the institution. A small stream known as Broad Brook, which is tributary to the Croton water supply, flows through the grounds belonging to the institution. The buildings |