4. Pathology, Symptoms, and Treatment of Burns. G. W. Anglin, Warsaw.

Discussion opened by J. B. Porter, Elkhart, and D. S. Linville, Columbia City.

5. The New Doctor. M. C. Kimball, Converse. Discussion opened by John Spooner, Peru, and P. B. Carter, Macy.

Introduction of President-Elect.

The discussants have been chosen by the essayists this year instead of by the committee.

Papers are limited to twenty minutes and discussions to five minutes, except the one appointed to open discussion, who will be allowed ten minutes.

Those appointed to open discussion of papers are privileged and even urged to prepare written

REPORT OF OFFICERS AND COMMITTEES

REPORT OF SECRETARY

The total paid membership for 1910 to date is 2,546, not quite up to the high water mark of last year, although there will be some additions between now and the close of the year. Every county in the state except one has membership in our Association, although there are no societies in the counties of Brown, Ohio, Jasper, Starke, Warren, and Vermillion, these counties, except Starke, having one or more members each in the societies of adjoining counties.

In submitting this, my fourteenth and last annual report, I cannot refrain from referring to a few facts: First, that the membership has more than doubled while I have been secretary; second, that more than $30,000 of your money has passed through my hands and been accounted for without the loss of a penny,

discussions. All papers and written discussions must be turned over to the secretary immediately following reading.

The Committee on Pathology will give interesting demonstrations for a half hour preceding each session.

COMMITTEE ON ARRANGEMENTS

A. P. Buchman, chairman; K. K. Wheelock, B. Van Sweringen, Eric A. Crull, and Albert E. Bulson, Jr.

Dr. Jessie Carrithers Calvin is the chairman of the committee selected to arrange for the entertainment of the ladies.

and the affairs of the office have been conducted as economically as my own private business; third, that there has never been any friction or complaint or unpleasantness worth mentioning or remembering, but unvarying kindness and courtesy, for which I wish to thank the members, one and all. And I would add that, while the duties of the office have been at times detrimental to my best interests, interfering with my participation in the scientific work or with mingling with the members so freely as if unengaged, yet there have been formed many pleasant associations and it has not been without its compensations. One could not have held such a position so long without ever after feeling a sincere interest in the welfare of the Association and of all its members. In the words of Rip Van Winkle, "May you all live long and prosper." F. C. HEATH, Secretary.

Owing to the fact that several of the councilors were taking vacations at the time a call for reports was made, it has not been possible to secure late reports from all of the districts, and in consequence it has been decided to defer the publication of detailed reports until later. The councilors made detailed reports in January, published in the April number of THE JOURNAL, and conditions have made little change since then. In general it may be said that the condition of the medical societies in the various counties of Indiana is fairly satisfactory. Starke County is the only county in the state which has no membership in the State Association, and this county is not only isolated, with poor roads and few railroad accommodations, but has very few physicians. There are no societies in the counties of Brown, Ohio, Jasper, Warren, and Vermillion, but these counties have one or more members each in the societies of adjoining counties.

With few exceptions each member of the Council has visited every county medical society in his district at least once during the past year. Some of the councilors have made two visits to county societies. Each councilor has endeavored to stimulate interest and enthusiasm in medical society work, and assist county society officers in increasing membership in their respective societies. That the work of the councilors has been efficient is shown by the growth of county societies and the increase of interest in the scientific work. In many counties no society existed until organized by the councilor, and in other counties the society was "on paper" until the councilor stirred up a little life and interest in the organization.

It has generally been found that the greatest difficulty to be met in keeping medical societies active is that of securing programs to stimulate attendance and keep up interest. Those county societies having wideawake officers have generally had no difficulty in securing programs and maintaining live and progressive medical societies. Therefore it has been the policy of the Council to urge county societies to choose their officers, and particularly the secretary, with a good

deal of caution. An enterprising, energetic and faithful county society secretary can do much toward making his county society a thoroughly active and progressive organization.

Many county societies have taken up the discussion of the business side of the practice of medicine and accomplished beneficial results for the members by adopting appropriate fee bills, and uniting upon a warranted course of action concerning various phases of public health service and medical practice for corporations, lodges, etc.

THE JOURNAL, published under the direction of the Council, has been issued at a slightly increased cost over last year, owing to an increased number of reading pages and increased expense for illustrations. The income of THE JOURNAL from the Association has been fixed, and is the amount that the bound transactions, formerly issued, cost the Association. The advertising income has remained about the same as it was last year. THE JOURNAL has continued the policy adopted. at its establishment, to exclude all advertising not in accord with the principles laid down by the Council on Pharmacy and Chemistry of the A. M. A., and to conduct a journal that at all times shall conform to proper standards of ethics and be of scientific and practical value to the members of the Association. The indications are that THE JOURNAL will close the year with a larger number of reading pages for the year than ever before, and at an expense which denotes economy to the Association, and evidence of careful business management on the part of the editors. At the present increased cost of printing, it would be absolutely impossible to publish the Association proceedings alone in the form of bound transactions (such as furnished the members prior to 1908) for as little money as THE JOURNAL is now furnished to members. THE JOURNAL therefore represents a distinct economical saving to the Association aside from being a medium for conveying Association announcements and news, and being a practical scientific monthly medical journal of general interest to all members of the Association.

The Council has not been called upon to settle any ethical questions relating to membership in county medical societies or the State Association, and is pleased to report that peace and the utmost harmony and good fellowship exist in all of the societies of

During the past year our death list has not been a large one. Only a few counties have reported deaths. In a few instances I have derived information of the death of physicians from the secular press, and in all cases, where members or not, I have sent the names of all honorable deceased physicians of the state to THE JOURNAL and they have been promptly published.

As the names appear in print each month and are promptly read by members I do not deem it wise to take up space in this report by reproducing them, especially as the index at the close of the volume will give a complete alphabetical list.

G. W. H. KEMPER, Chairman.

REPORT OF COMMITTEE ON MEDICAL EDUCA

TION

The opinion of your committee concerning the status of medical education in this country is in accord with that of the Council on Medical Education of the A. M. A. as expressed in the conclusion of their report to the House of Delegates June 6, 1910. This conclusion reads as follows: "Although there is still much to be done splendid progress is being made, and we can all look forward to the future confident that within a few years medical education and medical licensure in this country will be on a satisfactory basis."

Indiana. While our school is in the first class, it is by no means what it should be, and, we may add, what it will be, in the near future if the members of the Indiana State Medical Association do their duty. The public is coming to believe that it is to their interest that all doctors be at least reasonably competent, and it is one of the first duties of the members of the profession to stimulate the development of this idea in the public mind.

We desire to quote herewith our approval from the introduction to the report of the Carnegie Foundation: "One of the problems of the future is to educate the public itself to appreciate the fact that very seldom, under existing circumstances, does a patient receive

Something better than this may be said of medical education in Indiana. For we have now but one medical school and that school a department of the State University at Bloomington. The Council on Medical Education of the A. M. A. in their last report ranks this school in Class A. The entrance requirement in this school is two years of college work. The State Board deserves credit for coming to the aid of the school by making the two-year college standard the minimum for practice within the state. The practical value of the medical school of this action on the part of the State Board will be better appreciated by calling to mind the fact that of the 226 students attending this school last year 94 per cent. were from

the best aid which it is possible to give him in the present state of medicine, and that this is due mainly to the fact that a vast army of men is admitted to the practice of medicine who are untrained in sciences fundamental to the profession and quite without a sufficient experience with disease. A right education of public opinion is one of the problems of future medical education."

Medical education is expensive, therefore our university must be dealt with liberally by our legislature, and in return the university must deal liberally with her medical school.

A hospital under the complete educational control of the medical school is as necessary as are laboratories

of chemistry, pathology, etc. Not only must the school have a hospital under its educational control, but in addition to this the school should seek close affiliation with every hospital within the state in which firstclass clinical work is being done. In the minds of your committee this affiliation is a close second in importance to the establishment of the school-hospital. Your committee wishes here to announce its full endorsement of that part of the report of the Carnegie Foundation which refers to the Indianapolis part of the school, which is as follows: "In order to make the school attractive to highly qualified students, it will be necessary (1) to employ full-time men in the work of the first two years, (2) to strengthen the laboratory equipment, (3) greatly to improve the organization and conduct of the clinical courses. The trustees have formally committed themselves to this policy. It would appear necessary for some years to regard the needs of the Indianapolis department as a first lien on the increasing income of the university, if the university is to make good the ideals indicated by its entrance requirements. It can do Indiana no greater service in any direction. That done, Indiana will be one of the few states that have successfully solved the problem of medical education."

We feel sure that the university will do its duty by the medical department if the people, who are the chief beneficiaries, will do theirs by the university.

The people of Indiana can have what they want in the way of medical education. It is the business of the medical profession to teach them what they need. Bayard Holmes in a recent address (Cin. LancetClinic, Aug. 6, 1910) well says: "An ideal medical school would be an ideal place for the state to work out the problem of self-preservation. The nation supports its war college; the state should as liberally support its college of peace. The nation supports a magnificent navy; the state should support with equal prodigality the laboratories for saving life and preventing suffering." Our people are quick to see, they have the courage of their convictions, they are not slow to act. Therefore the question as to the time that shall elapse ere Indiana successfully solves the problem of medical education rests in the hands of Indiana doctors, and that means that it rests in the hands of the Indiana State Medical Association. In the parlance of the day it is "up to us" and we must "get busy.”

MILES F. PORTER, Chairman, Ft. Wayne,
CHAS. SOWDER, Indianapolis,

A. B. GRAHAM, Indianapolis,

T. B. EASTMAN, Indianapolis,
GEORGE D. KAHLO, French Lick,

Committee.

REPORT OF COMMITTEE ON PUBLIC POLICY AND LEGISLATION

Owing to the fact that the Legislature has not been in session during the life of the present Committee on Public Policy and Legislation, and that a new committee will be appointed before another session of the Legislature, no report and no recommendations are offered.

MILTON T. MCCARTY, Frankfort, Chairman,
W. C. MCFADDEN, Shelbyville,
J. P. SALB, Jasper,

C. H. FULLENWIDER, Mt. Vernon,

L. D. BROSE, Evansville,

S. B. MONTGOMERY, Cynthiana,
C. E. STONE, Shoals,

C. M. KENNEDY, Camden,
W. J. MITCHELL, North Vernon,
G. H. SMITH, Knightstown,
PAUL MARTIN, Indianapolis,
A. W. GIFFORD, Tipton,
R. E. HOLDER, Columbus,
C. P. COOK, New Albany,
O. W. McQuown, Marion,
J. E. KING, Richmond,

F. C. ROBINSON, Martinsville,

E. R. SISSON, Greenfield,

H. O. BRUGGEMAN, Fort Wayne,
T. J. CREEL, Angola,

O. C. NEIER, Indianapolis,
W. S. WALKER, Lafayette,

O. R. SPIGLER, Terre Haute,
R. B. DUGDALE, South Bend,
L. B. HILL, Seymour,

Committee.

REPORT OF COMMITTEE ON INEBRIETY

It being our opinion that a State Hospital for the control and treatment of Inebriates and Drug habitues should be established in Indiana, it was thought advis able to ask the Indianapolis Medical Society to devote one evening to the consideration of this subject. Accordingly, the regular meeting night of this Society, May 31, was very kindly given over to our committee, and an open meeting was held, which was well attended by both doctors and laymen, many women being pres

ent.

This meeting was addressed by James A. Collins, Judge of the Indianapolis City Court, from the Legal and judicial standpoint; and Dr. F. W. Terflinger, Superintendent of the Northern Hospital for the Insane, Logansport, on the medical aspect. Other short addresses were made by quite a number of persons.

Dr. S. E. Earp, President of the Society, in opening the meeting called attention in a forcible manner to the need of such an institution. All the speakers declared themselves heartily in favor of the state assuming charge of this class of unfortunates. These addresses were well received by the audience and the press of the city generously gave very good notices of the proceedings.

Your committee believes that a public meeting of this kind should bear good fruit. There seems to be a growing public sentiment in favor of such institutions. Several states of the Union already have such hospitals and several others are making efforts in that direction. The tax-payers of Indiana ought not object to the state paying out money for this purpose when We are reliably informed that Massachusetts spent for the year 1908 over $1,400,000, out of taxes to provide for prisoners, 94 per cent. of whom were recorded as intemperate by habit.

It is the opinion of very able physicians who have given this subject much thought and have written upon it, that inebriety is a disease and has a distinct pathology. There may be differences of opinion as to the nature of the malady, but certainly every physician who has given any serious thought to inebriety will admit that it is a condition at least in which heredity

and environment play an important rôle. It is a condition also which leads to poverty and the worst hygienic and sanitary surroundings, breeding discontent, disease and misery, not only to those who are its victims but also to all who by family ties or otherwise are associated with them. By its baneful effects on the human organism those who become excessive users of alcohol, cocaine, morphine, etc., are more susceptible to intercurrent diseases, and their years of life and usefulness are much shortened. It is believed that children begotten of parents who have become excessive users of alcohol or other narcotics are handicapped in the race of life, being either mentally or physically weak, or perhaps both.

There is no known drug which taken into the system will relieve the craving for drink. And our best efforts are thwarted because we cannot control our patient

to do so? And what would we think of our health officers if being assured that in certain localities there were cesspools of infection such as smallpox, scarlet fever, tuberculosis, etc., to which the previously healthy and susceptible victims are constantly coming and going, and they made no effort to remove such places and prevent the spread of disease and death?

One of the strong arguments advanced by our Medical Association for the establishment of a State Hospital for the Tubercular was the prevention of the spread of the disease by isolating so far as possible those afflicted, and in educating the public, both sick and well, as to the danger of scattering the tubercle bacilli and thus infecting others. The etiology of inebriety is as well known as that of tuberculosis, and why should we not take up the cry of prevention in this disease the same as any other and make an

and keep alcohol from him. Too often his environment is bad (being poorly housed, fed, and in the worst possible hygienic surroundings) and we are powerless to change these conditions. We hear a good deal in these days about personal liberty, and that a man has a right to do as he pleases. To a certain extent this is logical, but when carried to the extreme it becomes necessary to make him feel and know that there are bounds beyond which he cannot go for his own good as well as that of others. If we see a man attempting suicide by drowning, shooting, or hanging, we have not done our duty if we have made no effort to rescue him; or if a man is about to inflict some terrible physical torture upon his fellow man, or some member of his family, would we think it his personal privilege

honest effort individually and collectively in the name of science to remove the source of infection?

At the present time there is no provision in this state for the control and treatment of those who have succumbed to the seductive influences of alcohol and other narcotic drugs to such an extent that they are no longer able to think or act intelligently for themselves, and who have become a nuisance and an expense to their families and the community in which they live, except the jail and workhouse, or insane hospital. And according to the best authorities both of these methods are not only inhuman but are acknowledged failures. It is the opinion of those most competent to speak upon this subject that State Inebriate Hospitals. properly conducted, offer the best solution of this most