Sanitarium is a place for treatment of disease. And furthermore like any other place for treatment of disease, it is necessary to have a medical and a business side, and the business side should be looked after by business men, just as the medical side should be conducted by medical men, and no Governor is capable of appointing a set of business men who are capable of regulating the medical affairs of any institution. We can accomplish a great deal with our legislature, and must begin the education of the people at home, and while working with them we might have some of our other medical laws in Georgia amended.

Dr. Swin.

Ever since I can remember we have had a repreresentative at the association, and we have wanted to have more representatives, but an explanation of that fact is, it always conflicted with the meeting of the Board of Trustees. The regular meeting of the Board of Trustees has been postponed this month in order to give the members an opportunity to come to this association. I feel that the members of the staff need the cooperation of the Medical Association to use their influence to bring about changes in the way of appropriations by the Legislature.

Dr. Hardman.

I have had opportunity of visiting this institution as a committeeman of the Georgia Legislature. I have had an opportunity of voting a number of times for the appropriation for this instiution. I have noticed in almost every year that I have been a member of the Legislature when an appropriation has been asked for this institution that political fights are at once started to work against the appropriation. This institution takes one of the largest amounts of appropriations made by the State. Necessarily it meets with opposition, because there is other needs of the State, but any one that in

vestigated the needs of this institution and have compared the per diem support of this institution with other institutions of this country would see that it is kept up with less per diem than almost any institution in this country. There is great need for more appropriation to this institution, but it occurs to me that we would want to get rid of the political factions if we want to add money to this institution, the doctors in Georgia must take more interest in this institution. It is but very seldom that there is any of the doctors of the State who appear before the appropriation committee, except the efficials of this institution, for increased appropriation, to give any reason why it should be done, and of course these officials are regarded with suspicion.

I believe if the doctors of Georgia would go to work in their homes and go to work with their people and take a stand or these things you would find you would get good results and get more money. You know it is said the State of Georgia is almost bankrupt, but I do not believe it.

I agree heartily with the gentlemen who have taken such a stand that the political connection should be severed. No executive of the State is hardly in position, hardly capable to judge of proper men, either as trustees or otherwise, to know the need of this institution and know what can be done.

Dr. Wesley Taylor.

There is one thing that Dr. Hardman called to my mind in reference to the Epileptic that is this: That while we care for the epileptic at the Sanitarium we have no special place for them, another class of patients we havn't room for is the feeble minded. A branch of our State Sanitarium should be devoted to feeble minded children. The epileptics will run up into thousands if we consider we have as many in this State as other States, and when it comes to feeble minded children

we have a large number of these, and I think most of us will agree that feeble minded children demand special attention, or special institutional work, simply because they cannot be cared for at home. I think we might look forward to some place to care for the feeble minded as well as the epileptic.

Dr. J. W. Mobley.

As an official doctor of the State Sanitarium, I would like to say that one trouble of that institution is that the physicians in the State do not take any special interest in it as a body. The management of an institution of that kind must be medical in its character, the material and professional are so combined until it is almost impossible to run it successfully any other way. I do think that this body, as a body, representing the principal medical association of this State, should take more interest in that institution. No one scarcely knows the work that goes on there. They take no interest in it specially, and yet at the same time there is a great deal of scientific as well as practical work done there.

The trouble of course arises from many points.

First is, physicians who go there are generally internes, they get them on small salaries. I went there myself with the view of perefecting myself in certain branches. I do not know what there is so fascinating about the place. A great many applicants apply for trusteeship, and at one time the Governor asked one of the applicants the question what is there so fasciating about the Geoorgia State Sanitarium as to make anywhere from 250 to 300 applicants. The man replied, "You would not resign trusteeship to be Governor of Georgia." That simply points the fact that the control is to a degree political, and for that reason people have looked on that place in rather a suspicious way. I think the question ought to be presented fairly and squarely before the Association so as to eradicate any doubt as to the work that goes on there.

Dr. Jones, Milledgeville, Ga.

We never have been able to get the appropriations we asked or to support the institution as it should be. We need some buildings there today, but there are two points I would like to call to the attention of this body. That is, the law ought to be changed so as to not appoint a new Board of Trustees whenever a new Governor is elected. As the law stands now the new Governor can put out every trustee but one. We have a Board of ten trustees, and the law is now that the Governor could put out every man except one. That has been done several times, bringing in a new Board entirely ignorant of the needs of the institution. It takes a man some time to learn what we need in an institution like that, and the law ought to be changed so as to make the Board of Trustees a period of say six years.

The most important thing is a law requiring ten days waiver of the notice by the relatives of the person who is to be tried for insanity. I do not care how great the necessity for the care and treatment of a case is they cannot be tried under ten days. There is scarcely a week that I do not have applicants for immediate care, but I cannot receive them until they are kept away ten days. That law ought to be amended so as to allow them to waive that ten days notice. Three relatives have got to have ten days notice. I have known patients to die for want of proper care and treatment while staying in jail waiting for the ten days notice. I hope this body will take some interest in having that law so amended, that patients can be tried and sent to the institution at once.

PELLAGRA-ITS RELATION TO INSANITY AND

CERTAIN NERVOUS DISEASES.

J. W. Mobley, M.D., Milledgeville, Ga.

Much has been written in the last two years on Pellagra, and especially Pellagra in the South.

The daily newspapers have given considerable attention to the subject, and agitation of this malady has arisen from many other sources since its general recognition by the medical profession in the South.

The purport of this paper is not so much to deal with the history of pellegra, but to present the disease, as the writer sees it, in its many-sided clinical aspects. At the very outset, we are drawn into contention with a serious problem. There is no further question as to the existence of pellagra throughout the South; it is here in its true and allied form, confronting us with such an awful clinical picture as to carry death and dispair in its very name. The alienist looks back with regrets upon the mortality of this scourge in hospitals for the insane. He is made to reflect with deep concern for the future of his race, when he observes the powerful impress of this disease upon the mind and nervous system. The general practitioner is not so much called upon to consider pellagra in its relation to insantity. On the alienist rests the moral duty of warning his people against an infection which, once firmly rooted, will manifest its baneful influence forever upon the human family.

Discouraging enough would it be if each individual case represented a morbid entity unto itself. The picture becomes more serious, however, when we contemplate the role which pellagra plays in the chain of heredity. Its poisoning effects are not spent alone upon the individual subject, but like tuberculosis, it transmits a mor