Shore and there we will take a sail on the great South Bay, going over to Jerico to view the ocean from that side, and cross the bay again and come to Sayville and have a shore dinner at Sayville, and when that is completed we will come back and go home and that will finish our mode of entertainment for you as far as the committee is concerned.

I don't know that we have time, Mr. Chairman, for any further executive business and I think in a very few minutes we will be ready to partake of the good things upstairs. (Applause.)

The Chairman: Changes in program deserve special emphasis and the change which Dr. Bell has just mentioned, I wish to particularly call attention to. By reason of the length of the drive that we take on Monday we plan to leave at 8:30 instead of 9 o'clock. That will be from downtown, from the Bossert, where you who are stopping in Brooklyn, and from where you are immediately accessible to the subway if you are stopping in New York. The Borough Hall station of the old Subway from New York is within five minutes walk of the Bossert Hotel. So, be there at 8:30 that we may start in good season and have a full whole-hearted day. If any of you haven't been here before, why, I think it worth while to call your attention to the fact that Coney Island is a summer resort. (Laughter.) Up to yet this spring we have had no summer nor anything to suggest summer. We have been at some of these meetings where the mere absence of an overcoat didn't merely produce comfort but this year an overcoat continues to be comfortable. I wouldn't dare say what the floating population or capacity of Coney Island is but you will not see it crowded to its absolute capacity this evening. I think there will be plenty of room to travel around and we will have to chiefly entertain ourselves and each other because the other casual visitors to Coney Island this evening will be a fraction of one percent of what they would be one month from now or even what they would be now if the thermometer were twenty to thirty degrees higher.

We will not see typical Coney Island tonight because the sun hasn't shone long enough and hard enough to drive them to the fresh air.

The meeting now stands adjourned until two o'clock and we will see you all upstairs in a few minutes.

Adjourned at 12:53 P. M.

ELEVENTH ANNUAL MEETING OF THE AMERICAN ASSOCIATION OF MEDICAL MILK

COMMISSIONS

Second Session

The Second Session, held in the Kings County Medical Society Building, was called to order by President W. D. Ludlum, Friday afternoon, June 1st, 1917, at 2:45 P. M.

The Chairman: The meeting will please come to order. We have with us this afternoon a new member, not only new to our Association but new to the milk commission. It was due to our misfortune, that, immediately at least, he is a member of the commission. At Doctor Coit's request and to fill the vacancy caused by his own demise the man who was also his last medical attendant was appointed to the Essex County Commission and it gives me pleasure at this time to introduce to you Doctor Murray who will say a few words. (Applause.)

Doctor Murray: Perhaps it is rather out of place for me at this time to make these remarks but I feel and as we all know the rate of the deaths of children on the other side simply for the want of milk, more pure milk. We don't want to get in the same boat that the other belligerent countries are at this time and I feel that it would be rather fitting for this organization to encourage the milk producer in the sale of his milk, to encourage him to raise the price of milk and for all of us to buy all the milk and butter and cheese that we possibly can. On the other hand, to encourage, also to create a market for

milk and milk products; on the other hand to discourage the sale of beef and veal. If every individual here started out and said we won't buy any more beef or veal and started propaganda in their own neighborhoods after a very short time it seems to me there wouldn't be such an awful demand for beef and veal and consequently we could conserve our milch cows and it seems that if this organization would take a stand in that direction we might be doing something for humanity and preserve our child life and coming generations. (Applause.)

The Chairman: The man who has done without any question the largest amount of hard work for our organization during the past year in preparing the scientific paper is the one we have to speak to us next. I am pleased to introduce Doctor Fleischner. (Applause.)

Dr. E. C. Fleischner:

REPORT OF THE "COMMITTEE ON VETERINARY INSPECTIONS AND PROTECTION AGAINST TUBERCULOSIS" OF THE AMERICAN ASSOCIATION OF MEDICAL MILK

E. C. Fleischner, M. D., San Francisco, Cal.

In an effort to gather data relative to the Tuberculosis situations among certified herds, the "Committee on Veterinary Inspections and Protection Against Tuberculosis" drew up a Questionnaire in October 1916. This Questionnaire was immediately sumitted to Dr. O. P. Geier of Cincinnati, Dr. C. M. Haring of the University of California, Dr. J. W. Kerr of the Public Health Service, Dr. A. D. Melvin of the Department of Animal Industry, Dr. K. F. Meyer of the Hooper Research Foundation of the University of California, Dr. M. P. Ravenel of the University of Missouri, and Dr. J. P. Sedgewick of the University of Minnesota. Several important suggestions were made and incorporated in the final Questionnaire that was sent

to the Secretaries of all the Milk Commissions on January 28th, 1917. It is with a great deal of pleasure that your Committee is able to report that satisfactory replies were received from 32 or about 41% of the Commissions. It is with considerable regret, on the other hand that from 16 or about 20% of the Commissions replies were received showing that the work carried on was either definitely unsatisfactory or that the function of the Commission had ceased to be of value to the community. Of this 20%, 13 or about 16.5% were no longer certifying any dairy, and 3 or 4% were certifying one dairy, but with the supervision so incomplete as to be practically useless. In order that the members of this Association may have some idea of the manner in which the problem was attacked, it will not be inappropriate to read in detail the list of questions that was included in the Questionnaire.

1. The name of the Medical Milk Commission.

2. The name and address of the Secretary.

3. The name and address of the Veterinarian approved by the Commission.

4. How often are your certified herds tested regularly with tuberculin when no reactors are found in the herd?

5. How often are your certified herds tested regularly with tuberculin when reactors are found in the herd?

6. Technique of subcutaneous test?

a Kind of tuberculin.

b Where obtained?

c Dosage.

d Number of pre-injection temperatures and hours of taking.

e Number of temperatures taken subsequent to injection and hours of taking.

7. Have your experts any fixed rules for deciding upon reactors to the subcutaneous test? If so, describe.

8. Technique of intradermal test, if used.

a Kind of tuberculin.

b Where obtained?

c Dosage.

d Number of observations.

e Hours of observations following injections.

9. Have your experts any fixed rules for deciding upon reactors to the intradermal test? If so, describe.

10. Give the technique of any other methods of testing, especially the ophthalmic test.

11. Do you ever use the combined methods of testing applied either at the same time or at intervals?

12. Have your experts any fixed rules for deciding upon reactors to the combined methods? If so, describe.

13. Are physical examinations ever made of the cows for evidence of Tuberculosis?

14.

Are the animals examined separately other than by a superficial examination to discover unusual carriers of bacterial contamination to the milk?

15. Are the physical examinations supplemented by laboratory examinations?

16. Are your Producers instructed to immediately remove suspicious animals (i. e.) thin animals with rough coats whose milk supply has diminshed or with chronic inflammation of the udder, from contact with the certified herd?

17. Has your Producer a place for complete isolation of reacting and suspicious cattle before disposition is made of them?

18. Give details concerning the location and character of the place of quarantine and the method of handling the quarantined cattle.

19. Are non-reactors in a tested herd always accepted for additions to certified herds, irrespective of the percentage or reactors?

20. Are tuberculin tests on all purchased animals conducted by your offcial Veterinarian or do you accept the test of any Veterinarian?

21. If tuberculin tests are made by Veterinarians other than