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OFFICIAL MINUTES.

Tuesday, April 24.

Address of welcome by Hon. B. A. Fowler. Response by Dr. J. W. Flinn. President's annual message.

Annual Essay by Capt. H. D. Thomason.

A sketch of the Sanitary Management at Roosevelt, Dr. R. F. Palmer.

Iritis, Its Importance to the General Practitioner, H. W. Levengood.

Acute Yellow Atrophy of Liver, C. T. Sturgeon.

General discussion on "Etiology and Hypodermic Treatment of Syphilis."

The following committees were appointed:

Committee on Necrology, Dr. Martin, Dr. Rolph and Dr.

Whitmore.

Committee on Resolutions, Drs. Yount, Dameron and Jones. Committee on Municipal Legislation, Drs. Simpson, Flynn and Hughes.

Motion made, seconded and carried that members make voluntary contributions and hand them in to the secretary for the memorial of N. S. Davis.

Tuesday, April 24, Afternoon.

A plea for More Rational Therapy in the Treatment of Tuberculosis, Dr. F. M. Pottenger.

Human Myiasis from the Screw-Worm Fly, C. E. Yount.
General discussion on "The Medical Treatment of Appendi-

citis."

General Discussion of Territorial and Municipal Health Laws, Henry H. Stone.

Wednesday, April 25. Forenoon

Report of Committee on Necrology received and adopted.
Report of Committee on Resolutions received and adopted.
Report of Secretary read and approved.

Election of Officers.

The following persons were unanimously elected to the offices following their respective names:

Dr. O. E. Plath, of Phoenix, President.

Dr. W. V. Whitmore, of Tucson, First-Vice-President.
Dr. A. R. Hickman, Douglas, Second Vice-President.
Dr. R. N. Looney, of Prescott, Third Vice-President
Dr. J. W. Foss, of Phoenix, Secretary.

Report of treasurer read, approved and adopted.
Dr. R. F. Palmer, of Roosevelt, Treasurer.

Dr. J. W. Flinn, of Prescott, Councillor.

Dr. C. E. Yount, Delegate ot the American Medical Association to be held in Boston.

Dr. H. W. Fenner, of Tucson, Essayist.

Bisbee was then selected as the next meeting place of the Association.

The Anaethetist; His Duties and Major Surgical Operations in General Practice from his Point of View, J. W. Flynn. The Physician, J. M. Swetnam.

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Ruptured Politeal Aneurism-Clinical Report of Case with Specimen, R. N. Looney, C. E. Yount.

Enteric Fever, Henry A. Hughes.

Continued Fever, A. J. Hetherington.

Amoebic Dysentery, Louis Dysart.

Dysentery Complicated with Measles, J. E. Drane.
The Medical Inspection of Schools, Mary L. Neff.
Thereputic Uses of Echinacea, E. C. Bond.
Report of Committee on Municipal Legislation.

Phoenix, Ariz., April 25, 1906

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Whereas it is a well-known fact that Tuberculosis is an fectious disease and whereas it is our duty to do all in our power to prevent infection by the numerous patients who come here for the benefit of their health. Therefore be it resolved that we insist that each municipality enact and enforce such laws as will most effectually produce the desired results.

Resolved 2nd: That we recommend all municipal councils to enforce the reporting of tubercular patients to the health board, who should cause all rooms having been occupied by tubercular patients, together with bedding, clothes, etc., to be thoroughly fumigated by the health officer at the expense of said municipality,

Also that rigid laws regarding the proper care of the sputum be enacted and enforced.

Resolved 3rd that a copy of these resolutions be sent to each municipal government in the Territory with recommendations that they act promptly in this important matter.

H. A. HUGHES,

W. I. SIMPSON,

J. W. FLINN.

Unanimously Passed.

Report of Councilor for Northern District. Phoenix, Ariz., April 24, 1906.

As Councilor for Northern Arizona I am the recipient of the Councilor's Bulletin, a bi-monthly publication of the A. M. A., replete with suggestions for councilors, county and territorial offices.

Acting on one of these suggestions I have written our members in the northern counties asking for the names and addresses of legally qualified practicing physicians who they could recommend for membership in our county society.

When furnished with these names and addresses I wrote to the doctor telling him that we have a County Med. Society in Yavapai county founded on the Constitution for County Societies as promulgated by the A. M. A., of which we are an integral part. I point out the difficulties in securing successful County Societies in the sparsely settled northern counties with their magnificent distances and limited means of travel and invite them to join us, and through us the Territorial Association.

I wish to state that to four such letters I received no reply whatever the letters have not been returned—what then is my duty as Councilor. I am unable to visit them as a Councilor might under more favorable circumstances.

The solution occurs to me, it is not an immediate case; but mark you gentlemen, if the enthusiastic spirit of the meeting can go out of here today and ultimately reach the uttermost corners of our vast commonwealth through you, the councilor's duties in this district will be nil, the physician will seek the County Society and the Territorial Association, and through your ceaseless effort in support of each, when opportunity presents to declare that value to the physician, even though isolatted, then it is gentlemen, that you will have a united profession in Arizona a professional pride and spirit which will work wonders to our clentelle, to us and prosterity.

Report of Secretary.

C. E. YOUNT.

The past year has been most pleasing in its results, in, that the northern and middle portion of the Territory has been, prac

tically, completely organized. There seems to be a movement in the southern third of the Territory for organization and it is hoped that during the next year the southern portion will be as well organized as the balance of the Territory.

Secretary F. C. Diver of Cochise County Medical Society reports a membership of 26.

Secretary W. I. Simpson of Maricopa County Medical Society reports a membership of 32.

Secretary J. W. Lennox of Pima County Medical Society reports a membership of 11.

Secretary A. L. Gustetter of Santa Cruz Medical Society reports a membership of five.

Secretary C. E. Yount of Yavapai County Medical Society reports a membership of 26.

And dues for the above membership have been transmitted to your Secretary and duly paid to the Territorial Treasurer.

There is much work in the future for the Arizona Medical Association and it component societies. The magnificent work which is being done by the National council of pharmacy and chemistry should be recognized by this society. The general movement by the various state societies and associations against the reduction of fees of the medical examiners for the old line life insurance companies should receive the hearty support and recognition of this society. Also the magnificent work of some of our newspapers and magazines, such as Colliers Weekly, Ladies' Home Journal and others, in the assistance they have given the medical profession in educating the public to the viciousness and dangers of nostrums, patent medicines, etc., and assisting in the passage of the pure food laws.

The county societies are most earnestly urged to take cognizance of these affairs and have them thoroughly discussed at their meetings and pass resolutions regarding the same, which, if transmitted to the territorial secretary will be forwarded to the proper parties for publication. I cannot impress too strongly, upon the county societies, the importance of their earnest attention to this

matter.

I also would call the attention of the county secretaries to the importance of reporting each month, upon the cards furnished for that purpose, any changes which may occur in the membership of their society: that is, new members added or removals. It is necessary that this be done that the membership be known by the territorial secretary, as well as the secretary of the American Medical Association, to whom your territorial secretary reports monthly.

The improved organization of the medical profession in this territory is already bearing fruits in the fraternal feeling and desire, which is manifest among the members, to be of mutual assistance to their fellow-workers. J. W. FOSS.

REPORT OF SIXTEENTH ANNUAL MEETING .

OF THE

ARIZONA MEDICAL ASSOCIATION.

Some Suggestions in Regard to the Use of
Tuberculin.'

By CHARLES C. BROWNING, M. D., Los Angeles, Cal.

Medical Director of the Pottenger Sanatorium, Monrovia, Cal.

Tuberculosis being a disease due to tubercle bacilli is infectious, therefore preventable, and is cured through means which are directed against the development of the bacillus, or the production of immunity by the invaded host to the bacillus and its toxins.

Normally, man possesses a degree of immunity to many diseases, among them tuberculosis. This immunity is due to protective substances existing in the body fluids, which may be increased when the body is invaded by the micro-organisms. Immunity may be partial or complete or transient, as in pneumonia, typhoid fever and diphtheria, or more permanent, as in measles and smallрох.

The tubercle bacilli find lodgment many times in our bodies without producing this disease. This may be due to the bacilli having lost their virulence, being of attenuated virulence or few in number. In either of the two latter cases the failure to develop when they find lodgment is due to the presence of these protective substances, and many bacilli are destroyed.

When bacilli find lodgment in suitable soil they begin to multiply and their growth develops toxins which stimulate the tissues to an effort of destruction of the invading organism, or failing in this, to protection from injury or destruction by it. A stimulation of the invaded area occurs, and an extra amount of blood wth its protective bodies is drawn to the parts, and the organisms are bathed with serum and surrounded by leucocytes. If the organisms are not destroyed, proliferation of fixed cells and an effort to encapsulate the foreign substance takes place,-a tubercle is formed. If the mass of tubercle formed is not too great or there are not other invading organisms present, a fibrous capsule forms about the whole and we have a cure or arrestment, without clinical manifestation of an invasion having occurred. However, this effort is not always successful. The tissues on

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