State committees on fetus and newborn have been appointed in 47 states, in four Canadian Provinces and in Hawaii. All of these committees are now confronted with the problem of organizing an active program.

All state programs must have the active cooperation of the state and county medical associations. Following are excerpts from a letter from Dr. Milo Brooks showing how the Southern California Committee has informed their County Medical Association of the program and made a strong bid for its support and cooperation:

". . . The two groups (the Academy and an independent Los Angeles group, previously organized) have now blended into one organization, and with the cooperation of the Bureau of Maternal and Child Health of the State of California Department of Health, the Obstetrical and Pediatric Sections of the Los Angeles County Medical Association and the American Academy of Pediatrics have prepared a tentative program composed of the best features of premature programs now functioning in other cities and states.

"We . . . need (your) cooperation and support . . . and, therefore, humbly make the following requests for:

(1) Approval of the . . . committee as now constituted, or a committee as selected by the Los Angeles County Medical Association, as an advisory committee to work with the city and county Health Departments in the organization and operation of a premature program for Los Angeles County.

(2) Appointment (if the present committee is acceptable) of a representative, preferably a member of the section on General Practice, to the committee.

(3) Presentation of the following recommendations to the Los Angeles City Health Department Commission, and the Los Angeles County Health Department:

a. To recognize the need for better facilities for the care of premature infants born in Los Angeles County.

b. To approve and list centers for premature care and/or assist hospitals to establish or enlarge and equip a premature center.

C. To establish post-graduate nurses' training in the care of premature infants.

d. To permit the Los Angeles County General Hospital to accept any premature infants born outside the hospital within the limits of their capacity.

e. To supply the physical necessities for transporting prematures to adequate facilities when aid is requested by the physician in attendance, i.e. nurses, ambulances, oxygen, incubators, etc.

f. To supply funds for a secretary, or other personnel, which is needed for the proper funcioning of the program.

g. To make prematurity a reportable condition when adequate facilities become available to care for all premature infants born at home or in hospitals where facilities are inadequate.

h. Investigate premature infants' deaths.

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