do now is to make intensive studies with regard to the first-aid problem of specific industries. This applies to all industries in general. This is the big, basic foundation.

The CHAIRMAN. My understanding was that what was desired was to get a first-aid outfit that would be standardized and would be generally adopted.

Dr. RUCKER. I beg your pardon, Mr. Chairman, but that was only -one small corner of the problem.

The CHAIRMAN. Wait one minute until I finish, because I may be responsible for this thing myself; and that they could standardize a first-aid outfit for general use, and it was desired to have the cooperation of the Navy Department, the War Department, the Public Health Service, and representatives of industrial establishments so that it would fit in, as far as possible, for general use. Now, you are prepared, are you, to publish that manual?

Dr. RUCKER. May I explain to the chairman that not only is it necessary that the package

The CHAIRMAN (interposing). First you were to have a universal package for general use so there would not be 30 or 40 different firstaid packages. Have you standardized that?

Dr. RUCKER. We have that phase of the thing pretty well standardized.

Dr. RUCKER. But now it is necessary to publish instructions as tɔ the use not only of that packet but of other first-aid materials. For example, there is the question of how long we are to tell a layman to leave a tourniquet on an arm. We will say that somebody has a bad cut on the arm, and they go to work and put on a tourniquet. The question is what is the limit of safety or what can we say is the limit of time that you may leave that tourniquet on the arm, or what is the best practice? In other words, we have got to standardize not only the first-aid packets but first-aid education, or the training of the layman in first aid. We have got to standardize for the layman firstaid transportation-not the emergency surgeon's transportation but how the layman is going to carry the man who has been taken with sickness or who has been injured. We collected and have sent out a questionnaire covering the general basic points. We have a questionnaire covering some 60 points. This was sent out to volunteers throughout the United States. We sent out 6,929 preliminary letters, and we have received replies from 3,086.

Then we sent out the questionnaires and received in return 1,424 complete questionnaires up to the time that this report was written, and we have had some since. These were taken up and very carefully digested to find out what the men throughout the country who are responsible for this work thought about the thing, and what they have found to be the best practice. We have gotten the thing up to this point. We must not only write a first-aid manual which will be for general use throughout the whole country, but we should collect data which will enable us to say which is the best method of first aid to be used in lumbering, for instance, because there you have a totally different class of injuries from what you would have in the anthracite coal mines, or from what you would find in the manufacture of explosives or in the manufacture of paint. You see each of these things will have to have a little bit different treatment, and I think it is a very important matter. It is one which was important enough

to have called together a volunteer conference in this city in 1915, a conference of which Maj. Gen. Gorgas is the head and of which Dr. Joseph C. Bloodgood, of Baltimore, is the secretary. The members of the first-aid committee, or, rather, of the board, are appointed. by the President and work without compensation. They do not even get their traveling expenses or anything of that sort. It is entirely a volunteer matter.

FRIDAY, JULY 20, 1917.

GOVERNMENT PRINTING OFFICE.

STATEMENTS OF MR. DANIEL V. CHISHOLM, DEPUTY PUBLIC PRINTER, AND MR. J. H. BRINKER, SUPERINTENDENT OF DOCUMENTS.

SUPERINTENDENT OF DOCUMENT'S OFFICE—ADDITIONAL EMPLOYEES.

(See p. 206.)

The CHAIRMAN. You are asking for certain additional employees. during the fiscal year 1918 at annual rates of compensation as follows: Clerks-two at $1,000 each, two at $900 each, two at $840 each; for labor necessary to handle current periodicals, $4,000; in all, $9.480?

Mr. CHISHOLM. That is very necessary on account of the increased volume of work in the Office of the Superintendent of Documents. The CHAIRMAN. Why?

Mr. CHISHOLM. The work in that office has increased to such an extent that we are unable to handle it with the present force.

The CHAIRMAN. Can you give us any detailed information in regard to that.

Mr. CHISHOLM. I will ask the Superintendent of Documents to give you that information.

Mr. BRINKER. In addition to what was said when we were last before you, Mr. Chairman, the increase in the work for the past fiscal year in our letter mail has been 20 per cent. About 60,000 more letters were handled in 1917 than in the previous fiscal year. The increase in the money contained in those letters was about $57,000. The increase in publications handled in 1917 was about 3,000,000 more than for 1915 in books distributed by the office; that is, including the publication work of the departments. There has been no increase in the clerical force since 1915.

The CHAIRMAN. Has not the Bureau of Efficiency made some suggestions as to improvement in your methods of doing business? Mr. BRINKER. It has.

The CHAIRMAN. Have you adopted them?

Mr. BRINKER. No. They have not directly made any in a form to be adopted; they are working on them.

The CHAIRMAN. I understood that they had made certain suggestions?

Mr. BRINKER. No, sir; not in concrete form. They made certain Suggestions as to improvement in the handling of the publications,

and I allowed them to arrange to experiment with their scheme, which they have been doing for about six weeks; but it has not been put in shape to be acted upon. Last year we asked the efficiency commission to assist us in the distribution of publications to be sent out on congressional orders where we were tied up and could not handle them, and they furnished us with 60 boys at an expenditure of about $1,000, which they paid; and this enabled us to catch up with the work.

The CHAIRMAN. They have not made any definite recommendation? Mr. BRINKER. No; they are working upon that proposition. That would not offer any relief to the clerical force of the office, as their plan only covers a scheme for the distribution of farmers' bulletins on congressional orders.

The CHAIRMAN. It might, as there is a very large number of persons engaged in that work.

Mr. BRINKER. It was in the congressional distribution that they were proposing to offer some suggestions, how it might be handled in a more expeditious manner, but not in the handling of the mail or the correspondence.

FURNITURE AND FIXTURES, ETC.

The CHAIRMAN. For furniture and fixtures you are asking an increase of $23,000?

Mr. BRINKER. That is based on an estimate made by the Public Printer of the increased cost of materials and supplies.

The CHAIRMAN. You have just started the fiscal year and you can not tell whether you will have a deficit or not. Why should we consider this now when the money might or might not be needed at the end of the year?

Mr. BRINKER. We need it now as we progress.

The CHAIRMAN. You have $146,000, and so this additional money could not possibly be needed.

Mr. BRINKER. No; I now understand your position about that.

MATERIALS AND SUPPLIES FOR DISTRIBUTION OF PUBLIC DOCUMENTS.

The CHAIRMAN. "For materials and supplies for the distribution of public documents, $1,000." There is no deficit in this appropriation for last year?

Mr. BRINKER. No, sir. We had a lot of work that went over from last year into this year. The clerks are actually needed now for the work that is going on daily.

ADDITIONAL EMPLOYEES.

(See p. 205.)

Mr. SISSON. How many additional clerks can you get along with? Mr. BRINKER. We made an estimate for six.

Mr. SISSON. How much has the work increased since the clerks were increased?

Mr. BRINKER. Over 41 per cent, as the last increase in the clerical force was in 1915 the increase in 1917 was 20 per cent.

I desire to add that the services of the six clerks asked for are absolutely needed, as the present force can not handle the increase of work. During the past six months it has been necessary for me to require the clerks to work extra hours, which was equal to about eight additional clerks for the time, and even then it has been impossible to keep the work up to date.

It might be well to say that the receipts of the office for 1917 were $252,301.87, and of this amount more will be turned into the Treasury than was appropriated for the salaries, which amounted to $178.395 for 1917.

MONDAY, JULY 16, 1917.

STATEMENT OF MR. JOHN C. SCOFIELD, ASSISTANT AND CHIEF CLERK, WAR DEPARTMENT.

PRINTING AND BINDING FOR WAR DEPARTMENT.

The CHAIRMAN. The next item is, on page 91, "For printing and binding for the War Department, fiscal year 1918, $374,500." You had $275,000, $150,000, and then $630,000?

Mr. SCOFIELD. We have practically spent it already. The total of the bills rendered to June 23 was $459,000; that is to say, those bills that had been charged, where the work had been done and the appropriation had been charged with it, amounted to $459,433.98, and the estimate to that date on work that had been sent down and requisitioned for, but for which they had not billed us, amounts to $476,188.62, making a total actually charged against the allotment and obligated, according to the estimate, of $935,262.60. I do not know how much has been spent in the interval since June 23. The CHAIRMAN. How much do you figure it?

Mr. SCOFIELD. $935,262.60.

The CHAIRMAN. That was under last year's appropriation?

Mr. SCOFIELD. That was under the sundry civil bill of July 1, 1916, $225,000; under the general deficiency act of April, 1917, $150,000; and the urgent deficiency act of June 15 of $630,000.

The CHAIRMAN. That is $275,000 and $150,000. For 1917 and 1918 the appropriations thus far are $1,430,000?

Mr. SCOFIELD. Those are not my figures.

The CHAIRMAN. The regular appropriation for 1917 was $225,000 and a deficiency appropriation of $150,000; for 1918 the regular appropriation was $275,000, a special appropriation of $150,000 and another special appropriation of $630,000.

Mr. SCOFIELD. That special appropriation I have not got down here. What appropriation is that?

The CHAIRMAN. It is in the sundry civil bill.

Mr. SCOFIELD. This is the act of June 12.

The CHAIRMAN. So you had $1,430,000, and how much do you say` you have obligated so far?

Mr. SCOFIELD. $935,262.60.

The CHAIRMAN. So you have nearly a half million dollars now available, and you have all the printing supplies you will need for the rest of the year?

1

Mr. SCOFIELD. In my estimate this $150,000 is not taken into consideration. It is the appropriation which The Adjutant General got through for outside printing, printing outside of the Government Printing Office for the field service. It is not really applicable to what I am estimating for. The provision reads:

In addition to any other appropriation available for this purpose, there is hereby appropriated $150,000, or so much thereof as may be necessary, to be immediately available, to be expended in printing and binding publications and manuals.

Mr. GILLETT. That was mainly for those manuals?
Mr. SCOFIELD (reading):

Necessary for the organization and instruction of the land forces of the United States, or such other necessary printing as the Secretary of War may prescribe: Provided, That the printing and binding herein authorized may be executed under contract with private concerns if, in the judgment of the Secretary of War, the public interest requires.

Gen. McCain got that through and the printing is not to be done at the Government Printing Office.

The CHAIRMAN. Congress gave that to you because you said you could not supply any manuals; it was stated that you did not have any and that you could not supply them to anybody, and we gave you $150,000, and in the event that you could not spend it in the Govern ment Printing Office you were given authority to spend it outside, but I understand that you could spend it all in the Government Printing Office. You are using that money, of course, for the

manuals; is that a fact?

Mr. SCOFIELD. I can not tell you about that, because I have not had anything to do with that appropriation.

The CHAIRMAN. You will look into that again?

Mr. SCOFIELD. I will do so and send you a full statement. (The statement is as follows:)

WAR DEPARTMENT,

OFFICE OF THE ASSISTANT AND CHIEF CLERK,

Washington, July 18, 1917.

The estimate of the deficiency of $374,500 in the allotment to the War Department for printing and binding to be done at the Government Printing Office up to December 31, 1917, was derived as follows:

We have a credit account made up of the following items:

General deficiency act. April 17, 1917.

Sundry civil act, July 1, 1916-

Urgent deficiency act, June 15, 1917.

One-half of the appropriation of $275,000 for fiscal year 1918_.
Credit by sales-

Total

Against this credit account are the following charges: For work completed as per bills rendered to June

23, 1917.

Estimated cost of uncompleted work at the Government Printing Office to June 23, 1917_.

Balance on June 23, 1917--

1 Under the law only one-half of the 1918 appropriation is available for expenditure during the first half of the fiscal year; that is, up to Dec. 31, 1917.