perplexing problem. It is believed that early scientific treatment of these cases would result in many cures, and that others would be benefited by such treatment, thus ultimately saving many from crime and insanity. Such an institution ought to serve also as a source of education, deterring young persons from yielding to these habits.

Your committee would respectfully but most earnestly recommend, first, that the Medical Association of the great State of Indiana take advanced steps regarding this matter. We believe the time has fully come when our Society should declare itself in favor of removing this source of disease, misery, and death from our state by every means at its command, even

to the prohibition of the manufacture and sale of alcohol for beverage purposes.

Second, that the Indiana Medical Association again declare itself in favor of a State Hospital for the control and treatment of inebriety and drug addiction, and request the enactment of such a law at the next session of the Legislature. This to be with and by the consent and coöperation of the Committee on Public Policy and Legislation of our Association.

Third, the appointment of a special committee for the purpose of bringing this matter before the next

Because of the constant and earnest agitation of the subject for the past six years, we feel that much has been accomplished, and there is yet much to do.

We are proud to report the completion of a magnificent State Hospital for the treatment of incipient tuberculosis located near Rockville, in Parke County, Indiana; there we have accommodations for two hundred patients to be prorated to the several counties according to their population; this hospital compares favorably with the best institutions of its kind in the country; it is complete in every detail and convenience; it is furnished and ready for the reception of

patients, but must remain closed until the next legislature makes a sufficient appropriation to open it; this oversight or neglect on the part of the last legislature seems to have been very expensive, from both a financial and humanitarian standpoint.

We point with pride to the good work in the treatment and prevention of tuberculosis, that has been and is being done by the several day camps established in several cities of the state by the Tuberculosis Relief Committee of the American Red Cross Society; this work is directly and actively in the hands of the several anti-tuberculosis societies, the Associated Charities and the local medical fraternities, together with the local health authorities of the several cities.

Their work speaks for itself; they have reduced the local mortality and inaugurated a very effective campaign in the prevention of tuberculosis.

this, we believe, will be found a very fertile soil for the implanting of the facts of hygiene, both personal and domestic.

We would recommend the enactment of an efficient and effective law requiring the medical inspection of the schools of our state, believing it would be a great factor in reducing the mortality in school children from tuberculosis; and in that connection we would earnestly urge the necessity of establishing open-air schools for the tuberculous child; this means of treatIment, we know, is effective as an aid to a cure and enables the child to continue a modified course of school work.

In connection with our magnificent hospital for incipient pulmonary cases, at Rockville, Indiana, we would urge the establishment of a separate ward for the treatment of surgical tuberculosis in children, of

We point with pride to the decrease in the annual death rate from tuberculosis in Indiana in the past two years, due, we believe, to the continuous campaign of education on this subject that has been waged by the various health commissioners and newspapers of the state to the lay population; this work, we believe, should be continued.

We respectfully call your attention to the very efficient and effective work being done by the very active and efficient Board of Health in Indianapolis, in its campaign of medical inspection of schools; this work has been a great factor in teaching the school children the elementary principles of hygiene in so far as it applies to preventive measures to be taken, especially in its application to infectious diseases.

We would recommend the teaching of elementary hygiene as a part of the required courses in the public schools of Indiana, and that especial emphasis be placed upon the prevention of tuberculosis in children;

which we have at least two thousand neglected cases in Indiana, to whom a cure and relief can be given; thereby aiding very materially in restoring them to health and active useful life.

We would recommend the strict enforcement by the various health commissioners of the state, of that section of the health laws which requires the reporting (for record only) of all cases of tuberculosis; this we believe to be urgent.

We would earnestly recommend the establishment and erection of a hospital for advanced or hopeless cases of tuberculosis in Indiana. We are compelled to point with shame to the fact that there is only one small hospital in Indiana where the poor, hopeless cases can go and die. We do not need many more laws, but a more strict enforcement of what we have. We know by experience and observation that tuberculosis is infectious, preventable and curable in Indiana, as well as other states; that climatic conditions

alone are not essential, but strict supervision of the individual case and an early clinical diagnosis of the

same.

With the coöperation of the united medical profession of Indiana much has been accomplished, but more remains to be done. It is, after all, a campaign of education, not only of the laity but the profession at large, in the prevention of this great white plague. When we have accomplished prevention we believe we have solved the question in a humanitarian way.

F. A. TUCKER, Chairman,

J. H. WILLIS,

GEO. B. LAKE,

H. J. FERNALD, J. C. BLOSSOM,

Committee.

REPORT OF COMMITTEE ON PREVENTION OF VENEREAL DISEASES

The Committee on the Prevention of Venereal Diseases is deeply impressed with a sense of horror at

Ignorance is one of the greatest curses of mankind, if not the greatest, and has the most to do with the progress of venereal diseases, and should be our first point of attack. It is a strange fact, but none the less true, that darkness, mental and moral, defends itself against light. Men and women object to being taught the truth about venereal diseases. Apparently they would rather suffer the leprous effects of the venereal plagues, bring blind and idiotic children into the world, and supinely watch the overwhelming onrush of darkness onto humanity than to apply themselves to the problem of eliminating the degenerative element.

It is the duty of those who know the evil better, to instruct the ignorant and the indifferent regardless of their desires, and the crass neglect in allowing children to stumble blindly into the abyss of disease must be exposed by a campaign of education. Children must be taught the functions of their generative organs as they are taught the functions of the heart, lungs and stomach. They must be taught to avoid syphilis and gonorrhea as they are taught to avoid

the terrible progress of venereal infections and urges the members of the medical profession to enter upon a campaign of publicity and education regarding these diseases.

The percentage of our American manhood affected at some time in life with venereal diseases is startling in the extreme; is, in fact almost unbelievable. It is unnecessary that we should detail the course of infection, how the man who visits a house of ill-fame or cohabits with a harlot transmits the disease to another, how the woman in turn transmits it to many other men, and how the disease goes on to the hundreds and thousands in the same manner and to the unsuspecting wives and the innocent children. It is unnecessary that we should repeat the fearful effects of these diseases on the male and female generative organs, on the eyes, and on the brain. It is our purpose here to suggest a remedy which is designed to bring these facts forcibly to the public.

places in which this can be done, in the home and in the schoolroom. In both there should be instituted and maintained a course of instruction.

However, the evil-risking and the evil-demanding elements must be controlled, and for them there is also a remedy.

For the evil-risking, shame is the weapon. And for shame, publicity is the most effective weapon. For the evil-demanding, there is the prison.

A partial solution of the problem of the venereal plagues is then:

First, the establishment in the public schools of a compulsory course of instruction in the physiology and diseases of the generative organs.

Second, the establishment of a system of medical inspection, whereby a certificate of freedom from venereal diseases must be obtained from a Board of Phy

sicians that can be depended upon to do their duty, before receipt of a license to marry.

Third, the registration of all cases of venereal diseases, the same as with other infectious diseases.

Fourth, the quarantine of all dangerous cases of venereal diseases, especially such as prostitutes and public women.

Fifth, the punishment by imprisonment of any wilful transmittor of a venereal disease.

Sixth, the punishment by revocation of license of any physician concealing any case of venereal disease or otherwise neglecting duties imposed by the statute.

Probably these measures seem stringent, but in view of the frightful rate at which venereal infections are increasing, are they not justified?

Surely with a pest so prevalent and with such disastrous results we cannot be too severe. If this "plague" is allowed to continue with its frightful rapidity, unhampered and unchecked, the time will come when we will be forced to take action and possibly may have to resort to more drastic methods in an effort to control and expunge these maladies.

With the above in force, the first means toward the solution of the problem have been inaugurated. The

this phase of our state meetings by the American Medical Association and the marked recognition of the originator of the pathologic exhibit, Dr. F. B. Wynn, by that body. Too much credit and praise cannot be given Dr. Wynn for his energy, originality and faithfulness in developing the work of the Pathologic Committee and for the magnificent stimulus he has given scientific medicine in this state and this Association.

The plan in past years has been to gather a collection of pathologic specimens from any and all sources and present them in a separate room. For the past few years, instead of the large and rather indiscriminate exhibition, a selected group of specimens, illustrating a few lesions or pathologic processes, has been shown, each specimen carefully labeled and so far as possible always in the care of some one familiar with them to demonstrate them to all who cared to study them. It has been thought best to change the plan this year and adopt a new one which has been tried at other meetings and found very satisfactory. We propose to have a series of short demonstrations of diagnostic and experimental methods, extremly practical in their application and bearing on medicine, given by experts and given at a time and place which wil!

greater part of mankind is either good or cautious and an evil needs only to be thoroughly known to be avoided by the better element.

It is the committee's intention to endeavor to influence every physician in our state and call upon them to do all in their power to prevent the further advance of these diseases, and we hope a practical start in this direction can be put into effect immediately. H. A. MOORE, M.D., Chairman, CURTIS BLAND, M.D.,

J. C. HOOVER, M.D.,

R. H. LEAVITT, M.D., G. REYNARD, M.D.,

Committee.

REPORT OF THE COMMITTEE ON PATHOLOGY The work of the Committee on Pathology of the Indiana State Medical Association in the past years has been a source of profit to all those who attended the annual meetings of the Association and of very favorable comment by those active in the larger Societies. The best proof of this is the recognition given

enable every one to be present and still not lose any part of the regular program. These exercises will occur one-half hour before the regular morning and afternoon sessions at a place to be announced later. These exercises with the matter to be presented are as follows:

1. Negri bodies and the anatomical diagnosis of rabies from the brain. Care of the animal before death; securing the head; packing for transmission to the laboratory; making and staining smears of brain substance; description of Negri bodies; demonstration of stained slides showing these. Dr. J. P. Simonds, State Pathologist.

2. Treponema (spirocheta) pallida. Distribution throughout the body; most frequent habitat; making of smears and securing of favorable material for the same; methods of staining; description of organism; diagnostic peculiarities; sources or error in staining and recognizing; demonstration of slides showing the organism by direct and dark ground illumination. Dr. J. R. Thrasher, Indianapolis.

3. Blood vessel surgery. Exhibition of a number of specimens showing the result of surgical anastomoses

Bartholomew Boone Blackford

Carroll

Cass

Clark

Clay

Clinton Dearborn

Decatur

Delaware

Elkhart

Fayette Floyd Fountain

Fulton

Grant

Greene

Hamilton

Hancock

Hendricks

Henry Howard Huntington Jackson Jefferson

Jennings

Johnson

Knox

Kosciusko

Lake Laporte Lawrence Madison Marion

Marshall Martin Miami

Mulberry Lawrenceburg Greensburg

Muncie

. Goshen

. Elkhart Connersville New Albany .Kramer

Leiter's Ford . Marion .Linton Noblesville . Greenfield .Danville New Castle . Kokomo Andrews

. Crothersville

Madison

.Vernon Greenwood Vincennes

. Leesburg Hammond Michigan City

..Oolitic Anderson Indianapolis Indianapolis . Indianapolis Indianapolis Indianapolis Indianapolis

. Culver

.Shoals

. Peru

G. Reynard..
J. R. Pate.

C. H. Parsons.
W. C. McClain.
W. A. Hager.

G. I. Inlow.

D. V. McClary
W. H. Waller.
E. M. Deputy.
H. M. Thiebaud.

W. R. Moffitt.

M. V. B. Newcomer. .G. Pigman...

A. M. Hayden.

H. T. Dixon.

M. A. Boor.

M. R. Coombs.
L. E. Jewett.
.E. L. Youngblood.
.J. E. King..

Wabash

Warrick Wayne Wells White Whitley

F. A. Metts.

.A. B. Gray.

F. G. Grisier.

ADDRESS.

Bloomington Crawfordsville Martinsville . Goodland .Paoli

. Spencer Rockville Tell City Valparaiso . Oliver Winamac Union City

.Milan Rushville . Scottsburg .South Bend Blue Ridge

....Dale Angola . Dugger Vevay Lafayette

. Tipton

. Liberty Evansville

. Evansville Terre Haute Terre Haute ...Wabash

. Boonville Richmond Ossian

. Monticello Columbia City

CONSTITUTION AND BY-LAWS OF THE INDIANA STATE MEDICAL ASSOCIATION

ARTICLE I.-NAME OF THE ASSOCIATION The name and title of this organization shall be the Indiana State Medical Association.

ARTICLE II-PURPOSES OF THE ASSOCIATION

The purposes of this Association shall be to federate and bring into one compact organization the entire medical profession of the State of Indiana, and to unite with similar societies of other states to form the American Medical Association; to extend medical knowledge and advance medical science; to elevate the standard of medical education, and to secure the enactment and enforcement of just medical laws; to promote friendly intercourse among physicians; to guard and foster the material interests of its members and to protect them against imposition; and to enlighten and direct public opinion in regard to the great problems of state medicine, so that the profession shall become more capable and honorable within itself, and more useful to the public, in the prevention and cure of disease, and in prolonging and adding comfort to life.

ARTICLE III.-COMPONENT SOCIETIES Component Societies shall consist of those county medical societies which hold charters from this Association.

ARTICLE IV.-COMPOSITION OF THE ASSOCIATION SECTION 1. This Association shall consist of Members, Delegates and Guests.