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FROM CINCINNATI'S WESTERN MUSEUM TO

FROM CINCINNATI'S WESTERN MUSEUM TO

CLEVELAND'S HEALTH MUSEUM

by BRUNO GEBHARD, M.D.

Director, Cleveland Health Museum

Cleveland prides itself in having the first health museum in

the United States, opened November 13, 1940. But in 1820 Cin-

cinnati established the first public science museum west of the

Alleghenies, the Western Museum. Both were started by physi-

cians, who seem to have a natural affinity for museums. Perhaps

this is because a good physician must be a keen observer. In the

days of pre-laboratory medicine they depended nearly entirely on

what they saw, felt with their hands, and heard; and a good doctor

might depend upon his nose for a snap diagnosis, and if necessary

on his taste buds.

Physicians have been founders of many museums since the

day of the inauguration of a museum of natural history by Guy

de la Brosse and Dr. Herouard, both physicians to King Louis

XIII. In 1626 the King of France ordered them to secure a

building and a place where could be installed a "jardin royal des

herbes medicinales." In 1650 the public was first admitted, un-

der the protest of the faculty of medicine, to what was later to

become the finest museum of natural history in the world. Phy-

sician Hans Sloan's library of 50,000 books and manuscripts,

23,000 coins and medals, 3,000 antiques, and 16,000 natural

history specimens made up the main bulk of the early collection

of the British Museum. For all this, in 1753 Parliament paid his

heirs the sum of £20,000.

I am speaking here only of those museums devoted to the

education of the public. College and university museums are a

different story, beginning with the Ashmoleon Museum in Oxford

(1683), via the "Repository of Curiosities" of Harvard College

(1750), to the "Cabinet" of the American Philosophical Society

in Philadelphia (1770).

371



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372 Ohio State Archaeological and Historical Quarterly

As to which had the honor of being the first science museum

for the public east of the Alleghenies, the contestants are the

"Cabinet" in Philadelphia and the Museum of South Carolina

in Charleston, which was opened to the public in 1773 by "the

library society of Charles-Town."  Here also two physicians

played a leading role. They were the doctors Alexander Baron

and Peter Fayssoux. "All letters of intelligences, specimens of

the mineral, animal and vegetable kingdom" were to be sent to

them by those who cared to be recorded "as promoters of, and

contributors to, so useful a work," according to an advertisement

in the City Gazette of January 6, 1785.

Dr. Daniel Drake was the prime mover of the Western Mu-

seum in Cincinnati. Members of the clergy and the medical pro-

fession in those days were also naturalists, physicists, geogra-

phers, chemists, statisticians, and explorers. Science and life, in

the early part of the nineteenth century, were not yet separated

into specialized compartments. Doctors were also farmers; they

might own a drugstore, or a grocery, or, better yet, a bank. They

might run a brewery on the side or have their fingers in politics

as did Dr. Edward Tiffin, the first governor of Ohio, elected in

1803.

In his publications Daniel Drake never--in so far as it was

possible for me to ascertain-refers to the established eastern

museums. He must have heard of them during his study in Phila-

delphia in 1805 and 1815, but the pioneers of the Queen City

were a proud lot and thought of themselves as making the world

anew in many respects.

Daniel Drake developed the program of the Western Museum

in his "An Anniversary Discourse on the State and Prospects of

the Western Museum Society," delivered on June 10, 1820:

At the expiration of the two years which have been spent in the

collection and arrangement of curiosities, when they are prepared for

public inspection, and the doors of the Museum are about to be opened,

it is important that we should review the design and labors of the

Society, and inquire what benefits they are likely to produce. As the

arts and sciences have not hitherto been cultivated among us to any



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The Cleveland Health Museum                373

 

great extent, the influence they are capable of exerting on our happiness

and dignity is not generally perceived, and they have consequently but

few friends and admirers. It is, therefore, proper that we should in-

stitute and continue to observe an annual festival in celebration of the

origin of the Society.

Drake mentioned "the illustration of our Natural History"

as the main objective of the museum, "as people in our situation

have special need of an acquaintance with their productions and

resources." Proudly he mentioned also that Mr. Audubon, "one

of the excellent artists connected with the museum, who has drawn

from nature several hundred species of American birds, has in his

portfolio a large number that are not pictured in Mr. Wilson's

work [American Ornithology] and many which do not seem to

have been recognized by any naturalist."

Dr. Drake described a collection of Indian utensils, weapons,

and trinkets though he was not much interested in the contempo-

rary Indians. To him their background was more fascinating:

Our country exhibits older and nobler monuments than the recent

vestiges of our Indian tribes. The number, extent and regularity of our

mounds, and the implements of stone and copper which they contain

afford incontestible proofs that a people more numerous, enlightened

and social, than the wandering hordes found on the discovery of this

continent, had previously been its inhabitants. These monuments are our

only antiquities; and although they may not, like the classical ruins of

Asia and Europe, awaken inspiration nor infuse melancholy, they will

not, I hope, be thought altogether unworthy of our admiration.

Drake, a member of the American Philosophical and Geo-

logical societies and a counselor of the American Antiquarian

Society, made some promises that these subjects would get due

attention. He also put great emphasis on the presentation of the

different branches of natural philosophy. "Among the variety of

objects which it is designed to embrace in the Museum, are several

kinds of philosophical instruments, calculated to illustrate the

principles of magnetism, electricity, galvanism, mechanics, hydro-

statics, optics, and the mechanism of the solar system. The whole

of these can be fabricated by our ingenious Curator, Mr. Best."



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374 Ohio State Archaeological and Historical Quarterly

An advertisement in the Liberty Hall and Cincinnati Gazette of

January 12, 1822, tells us: "Robert Best--Curator of the West-

ern Museum--Will repair all kinds of Philosophical and Mathe-

matical Instruments--all the higher order of Time Keepers, and

in short, every species of delicate and Complicated Machinery.

He may be applied to either at the Western Museum, in the Cin-

cinnati College, or at his dwelling nearly opposite, on Walnut

street."

Robert Best, born in England, was the Rev. Elijah Slack's

assistant during the first session of the Medical College of Ohio.

In 1823 he lectured on chemistry, authored a book on the same

subject, received his doctor of medicine in 1826 at Transylvania,

and according to Otto Juettner, died a "nervous wreck" at the

age of forty in 1830.

Reading Dr. Drake, we find that he apologizes for the ab-

sence of art objects in the Western Museum. He states flatly:

We are too poor to encourage the fine arts.... I will admit that

but few of our citizens have sufficient wealth to become their individual

patrons; but this very circumstance constitutes a strong argument for

confiding to a collective body, the means and the duty of promoting

their introduction into this country. This object has been assigned to

our Society, and I hope to see it executed in a manner that will both

delight and refine the public taste.

Here Dr. Drake was definitely wrong. Cincinnati had plenty

of money in those days. The museum itself, according to Grove,

had funds exceeding $4,000.00. Those were the days when a

dozen eggs could be bought for 9?? and beef for 61/4?? per pound.

The Western Museum was in effect a stock company. Each mem-

ber owned shares worth $500. The price of membership was

$50, which was transferable and which admitted the subscriber

and his whole family. "Decent strangers" were cheerfully ad-

mitted. New money was given liberally in those days, Mansfield

tells us. In June 1818 the amount of $29,000 was subscribed by

seven gentlemen during one week for the Lancaster Seminary,

later known as Cincinnati College. Regarding the financing of

the museum, Drake had expressed the hope in a meeting of the



The Cleveland Health Museum 375

The Cleveland Health Museum              375

Western Museum Society (1818) "to see from $5000 to $6000

contributed to that object next week." To have $4,000 on hand

on the opening day was surely not an indication of being poor in

those days when a family lived well on an income of a thousand

dollars or less.

In the beginning there was no need for a special building

since there were not enough exhibits and space was at a premium

in that quick-growing city. The 1820 census tells of 9,642 resi-

dents living in 1,003 dwelling houses. A dozen druggists were in

business and just as many doctors; five printing offices were listed,

four book and stationery stores, and seventeen taverns.  The

number of churches was ten.

Dr. Drake in his "Anniversary Discourse" points out that

having a museum and a college under one roof was by choice,

and it was planned to be permanent.

In some degree they are necessary to the success of one another,

and the interests of both would, therefore, suffer by a separation. They

afford, in succession, all the aids that are essential to a liberal educa-

tion. The College is principally a school of literature, the Museum of

science, and the arts. The knowledge imparted by one is elementary, by

the other practical. Without the former, our sons would be illiterates;

without the latter, they would be scholars merely-by the help of both,

they may become scholars and philosophers.

An invitation to exchange materials "with other societies and

individual collectors at a discount" closes the discourse. Under

the materials offered are geological and zoological specimens,

grinders of the mastodon and arctic elephant, Indian implements,

and aboriginal relics taken from mounds and tunnels. The

"wanted" list asks for natural specimens from the eastern states

and Europe, trinkets from the islands of the Pacific Ocean, coins

and medals and even paintings, casts from statues, and finally

books. Prof. Silliman of Yale College is listed as one to receive

foreign paintings. Prospective givers are told that they would

experience "the noble satisfaction of being instrumental in natu-

ralizing the sciences in a new country," and that all would help

"the Institution of an extensive and useful School of Art and



376 Ohio State Archaeological and Historical Quarterly

376 Ohio State Archaeological and Historical Quarterly

Nature." The exhibits were actually limited to natural speci-

mens, with the exception of the human organism. Man himself

was taken for granted. We are still in the days before Lamarck.

Geology, botany, and zoology were the main fields of interest.

The word "biology" did not yet appear in the scientific literature

of the states.

Dr. Drake, who has been called "a great organizer and dis-

organizer, a great founder and flounderer," left the care of the

museum mainly to Robert Best until 1823. But Robert Best left

town, and after 1823 Joseph Dorfeuille had run the show. The

stockholders of the Western Museum could no longer pay for the

upkeep. They tried to sell, but there was no buyer, and they

finally gave the exhibits to Dorfeuille, the only condition being

that he must admit free the original subscribers and their fam-

ilies. Originally planned as an educational institution, under the

Dorfeuille techniques it dropped gradually into the field of

entertainment.

The status of the museum as of 1824, including a very com-

plete inventory, is published in the Cincinnati Literary Gazette

of March 13, 1824, in the form of a poem of ten eight-line stanzas

signed by "P," and titled "The Western Museum, a New Song

after the old tune Songs of Shepherds in Rustical Roundelays."

Wend hither, ye members of polished society--

Ye who the bright phantoms of pleasure pursue --

To see of strange objects the endless variety,

Monsieur Dorfeuille will expose to your view.

For this fine collection, which courts your inspection

Was brought to perfection by his skill and lore,

When those who projected and should have protected

Its Interests, neglected to care for it more.

The nine verses which follow describe the exhibits as curiosities

procured from the red men, mummies of early antiquity, panthers

and wolves, and teeth of mastodon; the collection of fish and birds

gets a full stanza, and especially mentioned are "things unnatu-

ral" such as young pigs with two heads and lambs with eight feet,



The Cleveland Health Museum 377

The Cleveland Health Museum              377

bottled in spirits, while "the mighty magician of these things

Elysian is plain to your vision."

Dorfeuille, originally Count d'Orfeuille, was a nephew of

the Duchess de Richelieu and belonged to the guild of itinerant

artists who were so typical of our colonial and pioneer days. He

has been referred to as a "zealous naturalist from Louisiana who

had made some collections and was seeking a suitable place for

the establishment of a museum." The success of a public museum

always depends on the combined work of a scientist-educator and

an artist. Dorfeuille's main contribution to the Western Museum

was the creation of a "pandemonium, a representation of Dante's

Inferno." Hiram Powers, later to become a world-famous sculp-

tor, was responsible for nearly thirty life-size wax figures, some

of them having movable parts with clock mechanisms, fifty years

before the Edison era. Cincinnati's Western Museum was the

forerunner of the famous Mme. Tussaud in London and the Musee

Grevin in Paris (1882).

Dorfeuille's "Hell," as it became known, was, according to

Tom Trollope, "a representation of not only the Inferno, but of

Purgatory and Paradise as well." He claims that his mother, a

great lover of Dante, conceived the plan for it. Mrs. Trollope

herself gives a very vivid description. She says:

Dwarfs, that by machinery grow into giants before the eyes of

the spectator; imps of ebony with eyes of flame; monstrous reptiles

devouring youth and beauty; lakes of fire, and mountains of ice; in

short, wax paint and springs have done wonders. "To give the scheme

some more effect," he makes it visible only through a grate of massive

iron bars, among which are arranged wires connected with an electrical

machine in a neighboring chamber; should any daring hand or foot

obtrude itself within the bars, it receives a smart shock, that often

passes through many of the crowd, and the cause being unknown, the

effect is exceedingly comic.

The "Inferno Regions" were very popular. According to

the Cincinnati directory of 1834, "They are open every night for

the accommodation of those who may wish to make a call upon

his Satanic Majesty who is always ready to see company."



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378 Ohio State Archaeological and Historical Quarterly

We should not refer to these displays as "Chambers of Hor-

rors." In those pre-Darwin days the stories of the Bible were

ultima ratio. Readers of religious fiction of our days, or the

viewers of DeMille's monumental films, would have been willing

to pay the twenty-five cents admission "without distinction of

age," meaning that children paid the same entrance fee.

It is incidental but interesting to note that the great con-

troversy between religion and science found its expression in the

large number of people denouncing the "Great Exhibition" in

London in 1851. "Large numbers of religious folk denounced

the proposed exhibition as an arrogant and wicked flaunting of

man's powers in the face of the Almighty, and they declared it

would bring down upon Britain the shattering wrath of God.

Worse still, a Colonel Sibthorpe, actually went so far as to pray

that hail and lightning might destroy it."

Not even Dorfeuille could keep the Western Museum going.

Shortly before he moved to New York to establish his "Inferno"

there, he offered, on February 17, 1837, to sell to Cincinnati's

Western Academy of Natural Science, organized in 1835, the

10,000 specimens of natural history and a large library of books.

It isn't certain what happened. Very likely the scientific exhibits

were sold piece by piece to different people or given to other insti-

tutions. We have no trace of the distribution today.

Elizabeth R. Kellogg has given us a detailed study of Joseph

Dorfeuille and the Western Museum and has come forward with

an interesting explanation of the falling off of interest in the

Western Museum:

The religious backing earlier given to the study of natural science

as evidence of the handiwork of God began to give way before the dis-

coveries and conclusions of Darwin, Cuvier, Wm. Smith and other

epoch-making scientists. Again, the physicians who, for their own re-

search as well as the education of the public had been the most ardent

promoters of the Western Museum, began to put their resources more

and more into developing the laboratory work required by their pro-

fession.



The Cleveland Health Museum 379

The Cleveland Health Museum           379

The lifetime of the Western Museum was too short to make

a lasting impression on the life of the city. Pioneer days are full

of projects not always successful. Here is just one example. An

ideal "City Set on the Hill," named "Hygia" was planned by a

J. B. Papworth. He proposed a model city, about 1,000 acres of

land, built opposite Cincinnati, to make that place a demonstra-

tion, with "horticultural and agricultural gardens, places for the

landing of boats, a modern library, churches for the various de-

nominations." Five years later the project was dropped, accord-

ing to Bullock's Journey Through the Western States.

Because Americans are basically not "history-minded," but

"future-minded," science museums have been slow in developing

in this country. It is deplorable but true that museums in the

last century were not highly valued in the United States as vehicles

"for the diffusion of knowledge." It took more than a dozen

years for scientists and members of congress to agree on plans

for a "National Museum," better known as the "Smithsonian In-

stitution," established in 1846, but medicine and public health

were not exhibited before 1922. It was Louis Agassiz, who had

studied medicine and geology in Switzerland, Germany, and

France, who "made science a national cause and charmed money

out of politicans for the founding of museums as if they were

asylums for the blind." Van Wyck Brooks refers in this way to

the sum of $200,000 Agassiz was able to raise from the legislature

and citizens of Massachusetts for the founding of his museum of

comparative zoology at Cambridge in 1860. This in turn led to

the generous gifts by George Peabody to Harvard and Yale

(1867) for establishing museums. George Peabody had been the

commissioner of the United States to the great exhibition in Lon-

don in 1851. New York tried to copy the London exhibition but

failed in many ways. The pre- and post-Civil War years were not

helpful in the development of educational and science institutions.

The Sanitary Fairs of those days were mainly money-raising

affairs. The Great Western Sanitary Fair in Cincinnati in 1863

reported the receipt of $260,000.



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380 Ohio State Archaeological and Historical Quarterly

The year 1862 marks the beginning of the Army Medical

Museum in Washington. Surgeon General William A. Hammond,

M.D., is credited as its founder, but this museum really got under

way when John Shaw Billings was its director. In his paper

"Medical Museum," which was the presidential address delivered

before the Congress of American Physicians and Surgeons, Sep-

tember 20, 1888, he not only gave a complete and detailed review

of that field in Europe and the United States but also outlined

plans for an ideal institution: "An ideal medical museum should

be very complete in the department of preventive medicine, or

hygiene. It is a wide field, covering, as it does, air, water, food,

clothing, habitations, geology, meteorology, occupations, etc., in

their relations to the production or prevention of disease, and

thus far has had little place in medical museums, being taken up

as a specialty in the half dozen museums of hygiene which now

exist." Note that what seems such a modern term, "preventive

medicine," was already anticipated by John Shaw Billings in

1888. What Dr. Billings asked for in the United States had

already arrived in some degree in England and Germany. Ed-

mund Alexander Parkes, M.D., holder of the first chair of hygiene

at Fort Pitt in Chatham, the British army training grounds, gave

his name to the first museum of hygiene opened in 1876 in Lon-

don. It merged into the Royal Sanitary Institute in 1888, which

still has about the greatest collection of water closet equipment

one can imagine. I have always wondered if the phrase "Going

to the John" is not the best memorial to Sir John Harington for his

epochal invention in 1596.

A hygiene museum was opened in Berlin in 1886, and in

1890 Paris opened a Musee de l'Assainissement, mainly dealing

with water and sewage affairs, and later on developing as the

Musee d'Hygiene de la Ville de Paris.

International exhibits have been the most successful way to

acquaint the masses with the principles and methods of healthful

living. Two hygiene expositions held in London (1884 and 1888)

were both of international character. The one of 1888 was espe-

cially successful, with four million visitors from May 8 to October



The Cleveland Health Museum 381

The Cleveland Health Museum           381

30, in spite of being closed on Sundays. Not less than nineteen

volumes were published under the title The Health Exhibition

Literature on this undertaking by William Cowles and Sons, Ltd.,

London, in 1884. Robert Koch was the general planner for the

German Hygiene and Life Saving Exposition in Berlin in 1883.

The year 1911 witnessed a unique experiment in health edu-

cation, the International Hygiene Exposition in Dresden, Ger-

many. It can be said, without fear of contradiction, that this

exhibition was the most successful to date in bringing hygienic

instruction to the masses. The Dresden exposition broke with the

tradition of hygiene expositions, which had limited their displays

to environmental hygiene and information on contagious diseases.

The center of attraction at Dresden was the exhibit Der Mensch

("Man"). The exhibition had an attendance of five and one-

half million in four months and was so successful financially that

an endowment fund was created to establish the German Hygiene

Museum, incorporated in 1912.

One year following the Dresden Exposition in 1911, the

American Museum of Natural History in New York, under the

guidance of Professor C. E. A. Winslow of Yale, opened the first

permanent exhibit on medicine and public health in America, in

order "to illustrate certain important phases of man's relation to

his environment." This new development had been preceded by

the very successful American Tuberculosis Exhibit, which did

much to arouse the interest of lay groups to participate in the

control of tuberculosis. Truby King, M.D., in New Zealand, had

at that time demonstrated that infant mortality could be reduced

to an unbelievable minimum if mothers were better educated.

Health education became a real force, and visual aids were added

to the spoken word. The American Medical Association in 1907

appointed a special committee dealing with education of the pub-

lic. The committee encouraged the delivery of lectures given to

the general public and the publication of pamphlets, and its activ-

ities lead to the council on health and public instruction of the

American Medical Association. World War I interrupted a prom-

ising development, with the one exception that motion pictures



382 Ohio State Archaeological and Historical Quarterly

382 Ohio State Archaeological and Historical Quarterly

were first used in social hygiene education in the army and navy.

The itinerant museums of former centuries took on modern forms

and the "healthmobile" appeared, just as railroad-car exhibits

had been used before.

A milestone in museum development after World War I was

the International Hygiene Exposition in Dresden in 1930, where

the "Transparent Man" was first shown in the modern building

of the German Hygiene Museum. As the author was connected

with these activities for ten years and is, therefore, hardly fitted

to be objective, I prefer to quote Dr. Arturo Castiglioni, who in

his A History of Medicine (2d ed., p. 1134), states that "the

example set by the hygienic exhibits at Dusseldorf in 1926, and

Dresden in 1930, has been followed in the public museums and

exhibitions of other countries." Health museums were established

during 1930 in Poland, Yugoslavia, Roumania, and Egypt, and

especially in Russia.

The Hall of Medical Science at the Chicago "Century of

Progress" in 1933 and 1934, under the leadership of William

H. Pusey, M.D., and especially of Eben F. Carey, M.D., showed

a great number of excellent medical exhibits. Many of them

later made up the main core of the medical exhibits at the Chicago

Museum of Science and Industry, with Thomas H. Hull, Ph.D.,

from the American Medical Association, as its curator. The Buf-

falo Science Museum under Carlos Cumings, M.D., had included

health exhibits before and was the first museum to display a

"transparent man" in the United States. The medical and public

health exhibits at the New York World's Fair in 1939, where the

author served as technical consultant, were sponsored by the

American Museum of Health. To quote again, "At the New York

World's Fair the Hall of Man contained a number of accurate and

entertaining biological and medical exhibits that were extremely

popular." Measured in terms of attendance--seven and one-half

million people-this was the most successful attempt in mass

health education.

For many decades, the Academy of Medicine in Cleveland

has had an active health education program, first mainly through



The Cleveland Health Museum 383

The Cleveland Health Museum            383

lectures, and since 1925 through the radio. In 1927 the first

committee on health education was appointed. In 1931 a special

Health Education Foundation was established. Health education-

minded physicians felt that a continuous, all-year-round, planned

program was needed. By the use of visual means, such as exhibits

and films, not only larger groups would be reached, but a more

penetrating educational effect would be secured. These consid-

erations led to the incorporation of the Cleveland Museum of

Health and Hygiene in 1936. This act was definitely the expres-

sion of the organized medical profession. No single individual

can be named as the "founder" of the first health museum in the

United States. The author has only the claim of being its first

manager.

The incorporators were H. C. King, M.D., at that time presi-

dent of the Academy of Medicine; Howard Whipple Green, sec-

retary of the Cleveland Health Council; H. Van Y. Caldwell,

secretary of the Academy of Medicine; Lester Taylor, M.D., past

president of the Academy of Medicine and chairman of its

health education committee for many years; and James A. Doull,

M.D., at that time professor of preventive medicine at Western

Reserve University. The late Wingate T. Todd served as chair-

man of a committee on scope. The museum was incorporated on

December 28, 1936, and at the opening in November 1940 about

eight hundred members of the medical and dental profession and

interested lay persons had pledged support to the museum through

memberships of ten dollars or more.

The first location of this museum was the former home of

Mrs. Elisabeth S. Prentiss, 8811 Euclid Avenue, where she had

lived for many years as Dr. Dudley P. Allen's wife. The estab-

lishment of the Elisabeth S. Prentiss National Award in Health

Education has aroused the interest of many groups in modern

forms of museum education. Award winners were: 1944, Evart

and Mary Routzahn; 1945, C. E. A. Winslow; 1946, Mary Con-

nolly; 1947, W. W. Bauer, M.D.; 1948, Donald B. Armstrong,

M.D.; 1949, Harry E. Kleinschmidt, M.D. In 1946 the museum's

activities were transferred to a larger site, with the main museum



384 Ohio State Archaeological and Historical Quarterly

384 Ohio State Archaeological and Historical Quarterly

building located at 8911 Euclid. Nearly half a million people

have visited the museum. The present membership is about 1,500.

Health museums in Mexico City and Dallas, Texas, opened in

1942 and 1947, have more or less been patterned after the Cleve-

land Health Museum. The museum's workshops have duplicated

many health exhibits for other organizations, including the famous

Dickinson-Belskie collection on human reproduction, an important

part of the museum's exhibits.

The Cleveland Health Museum is a distinct departure from

the traditional hygiene museums. The emphasis is on education

and not on collection. It features man's normal growth and de-

velopment. Its aim is better health for more people, it being

understood that health is a state of physical and mental ease. It

considers man not only as a biological unit but as a social being.

It concerns itself with public health just as well as with personal

health.

Future museum historians may refer to the Cleveland Health

Museum as the first expression of a group activity of the medical

profession, trail-blazing new methods in order "to make health

visible," with emphasis on normal growth and development of the

individual as well as of community health to achieve "better

health for more people."