Officers and Delegates elected at the recent meeting for the ensuing year, as follows:

President-Brigadier-General George M. Sternberg, M. D., Surgeon-General, U. S. A.

First Vice-President, J. M. Mathews, Kentucky; second VicePresident, J. L. Thompson, Indiana; third Vice-President, F. W. Wiggin, New York; fourth Vice-President, T. J. Happell, Ten

nessee.

Treasurer-H. P. Newman, Illinois.

Secretary-William B. Atkinson, Philadelphia. (Permanent). Assistant Secretary-W. A. Jayne, Colorado.

Librarian-D. J. Webster, Illinois.

Chairman Committee of Arrangements-J. W. Graham, Colorado.

Board of Trustees-J. W. Priestly, Iowa; Joseph Eastman, Indiana; Truman W. Miller, Indiana.

Judicial Council-D. W. Crouse, Iowa; T. D. Crothers, Connecticut; W. T. Bishop, Pennsylvania; R. C. Moore, Nebraska; G. B. Gillespie, Tennessee; C. H. Hughes, Missouri; Ida J. Hieberger, District of Columbia.

Annual Addresses-"General Medicine," J. H. Musser, Pennsylvania; "General Surgery," J. B. Murphy, Illinois; "State Medicine," S. C. Busey, District of Columbia.

Delegates to the International Medical Congress at Moscow, August, 1897-G. S. Mitchell, J. E. Hyndman, Charles Dennison, A. M. Miller, H. L. E. Johnson, George M. Sternberg, D. L. Huntington, A. Marcy, Sr., H. D. Holton, Thomas McDevitt, J. N. Quimby, George R. Fowler.

Denver was chosen as the next place for holding the annual meeting.

AMERICAN PUBLIC HEALTH ASSOCIATION.

(Preliminary Circular.)

Concord, N. H., April 1, 1897.

The Twenty-fifth Annual Meeting of the American Public Health Association will be held at Philadelphia, Pa., October 26, 27, 28, 29, 1897.

The Executive Committee have selected the following topics for consideration:

I. The Pollution of Water Supplies.
II. The Disposal of Garbage and Refuse.
III. Animal Diseases and Animal Food.
IV. Car Sanitation.

V. Steamship and Steamboat Sanitation.

VI. The Prevention of the Spread of Yellow Fever.
VII. The Transportation and Disposal of the Dead.
VIII. The Relation of Forestry to Public Health.
IX. Nomenclature of Diseases and Forms of Statistics.
X. Cause and Prevention of Infectious Diseases.

XI. Public Health Legislation.

XII. Cause and Prevention of Infant Mortality.
XIII. Transportation of Diseased Tissues by Mail.
XIV. River Conservancy Boards of Supervision.

XV. The Peiod during which each. Contagious Disease is
Transmissible, and the Length of Time for which each
Patient is Dangerous to the Community.

XVI. Sanitation, with special reference to Drainage, Plumbing,
and Ventilation of Public and Private Buildings.
XVII. Some Method of International Arrangement for Protec-
tion against the Transmission of Infectious Diseases.

XVIII. Disinfectants. XIX. Existing Sanitary Municipal Oganizations of the Countries belonging to the Association, with a view to a Report upon those Most Successful in Practical Results. Upon all the above subjects, special committees have been appointed. Papers will be received upon other sanitary and hygienic subjects also.

REGULATIONS RELATING TO PAPERS.

Special attention is called to the new regulations in regard to papers. Papers presented later than the time specified (on or before nine o'clock, a. m., of Monday preceding the meeting) will not be placed in the programme, for, contrary to the usage of previous meetings, the entire programme for the week will be printed on Monday preceding the first day of the session.

EXTRACT FROM BY-LAWS.

4. All papers presented to the Association must be either printed, type-written, or in plain handwriting, and in order to secure a place in the programme, must positively be in the hands of the Secretary by nine o'clock, a. m., on Monday preceding the first

day of the meeting, in order that they may be submitted to the Executive Committee, and placed in the hands of the sub-committee charged with the preparation of the daily programme of the session.

5. If any paper is too late for critical examination, said paper may be so far passed upon by the Executive Committee as to allow its reading, but such paper shall be subject to publication or nonpublication, as the Executive Committee deem expedient.

6. All papers accepted by the Association, whether read in full, by abstract, by title, or filed, shall be delivered to the Secretary, as soon as thus disposed of, as the exclusive property of the Association. Any paper presented to this Association and accepted by it shall be refused publication in the transaction of the Association, if it be published, in whole or in part, by permission or assent of its author, in any manner prior to the publication of the volume of transactions, unless written consent is obtained from the Publication Committee.

7. All papers on subjects within the province of special committees shall be referred to the chairmen of the several committees, who shall report the same to the Association, incorporated with their annual reports, or refer them to the Executive Committee for consideration.

8. No paper shall hereafter be considered, of which a condensed abstract shall not have been placed in the hands of the Secretary at least twenty days before the date of the annual meeting.

9 Chairmen of committees, in making reports, shall be absolutely limited to thirty minutes, reading of papers to twenty minutes, and participants in discussion to five minutes.

10. Papers presented to the Association shall be confined strictly to sanitary, climatologic, and preventive questions, all clinical, pathological, therapeutic, or other strictly medical statements being excluded; nor shall any paper tending to the advertisement of special or local interests or establishments be accepted. II. The Secretary shall have no discretion in the matter of the enforcement of the regulations of the Executive Committee as to the acceptance of papers.

It is expected that the Philadelphia meeting will be largely attended. Its location is central, and the local Committee of Arrangements are already hard at work for its success.

An announcement will be made in ample time before the meeting, giving full particulars regarding reduced fares on railroads, hotel rates and accommodations, special entertainments to be arranged by the local committee, et cetera.

All communications relating to local matters should be addressed to Dr. Benjamin Lee, Chairman Local Committee of Arrangements, No. 1532 Pine St., Philadelphia, Pa. Per order.

IRVING A. WATSON,

Secretary.

NATIONAL CONFERENCE OF STATE BOARDS OF HEALTH.— Twelfth annual meeting, to be held in Nashville, Tenn., August 18th and 19th, 1897. Local Committee of Arrangements: Dr. J. A. Albright, Chairman; Dr. W. J. McMurray, Dr. W. J. Miller, Hon. Sam N. Warren, Hon. John T. Essary; Dr. J. Berrien Lindsley, Secretary.

The following questions for the consideration of the Conference have been received by the Secretary:

1. Should the Tuberculous Insane be isolated from other inmates in our asylums, and accommodations provided for them in separate and detached buildings?

2. What municipal ordinances shall Boards of Health advise for the restriction of Tuberculosis?

3. What attitude are State Boards of Health prepared to take regarding the need for general inspection of all dairy cattle, and what are the details of any practical scheme for inspecting (a) Herds supplying public milk? (b) Dairy produce? (c) For dealing with animals which react to the tuberculin test?

4. To what extent, if any, should State Boards of Health be expected to furnish a diagnosis of contagious or infectious diseases within their respective jurisdictions?

5. How far should mandatory measures go in dealing with (a) Measles? (b) Whooping Cough? (c) Leprosy? (d) Tuberculosis?

6. Should county jails and prisons of the different States be placed under the sanitary supervision of their respective State Boards of Health, which shall have them inspected regularly at stated intervals by a health officer appointed by them or under their control?

7. Should Boards of Health tolerate the feeding of hogs with (a) Offal from slaughter houses? (b) Meat (cooked or not) from knaker's yards?

8. Report of Committee on Vaccine Farms, Dr. Gardner T. Swarts, Rhode Island, Chairman.

9. Report of Committee on Transportation and Disinfection of Bodies Dead of a Contagious Disease, Dr. J. W. Scott, Illinois, Chairman.

The following amendments to the Constitution are to be voted upon:

"The name of this Association shall be The National Conference of State Boards of Health." The proposed amendment substitutes "American" for "National."

"The members of this Conference shall be the Executive Officers and other delegated representatives of the National, State and Provincial Boards of Health, and the Quarantine Physicians, National, State and Municipal, of the United States of America, the Dominion of Canada and the Republic of Mexico."

-Dr. C. O. PROBST, Secretary and Treasurer.

THE SANITARIAN.

SEPTEMBER, 1897.

NUMBER 334.

THE PREVENTION OF TUBERCULOSIS.1

BY JOHN B. HAMILTON, M.D., LL.D.,

Professor of the Principles of Surgery and Clinical Surgery in Rush Medical College; Consulting Hygienist to the

City of Chicago, etc., Chicago, Ill.

Naturally this is the occasion for reminiscence, a place to recite the triumphs of Preventive Medicine under the auspices of our famous Association. It is true that while the musty records of the past are gilded with the recital of the glories of the Goddess Hygeia, yet so far as records are concerned a thousand years of history are as but a day, compared with the greater progress of this restless but successful age, compressed within the period of the life of this Association. The formation of Boards of Health, of Cattle Commissions and Sanitary Bureaus, and the organization of official forces against epidemics and the spread of infectious diseases, belong to our time, and in this country is largely the result of the educational work of this Association.

The topic which I have selected is that of the Prevention of Tuberculosis. No more important subject could possibly be discussed, for this disease causes about one death in every seven that are recorded in the United States; about one death in every eight is caused by tuberculosis of the lungs alone. It is now known that no tissue of the body is exempt from the invasion of tubercle bacilli, and that the clinical appearances vary so much according to location that tuberculosis is better entitled to be called the "protean" malady than syphilis, unless, indeed, we shall sometimes find a closer relation between syphilis and tuberculosis than has hitherto seemed probable.

1Abstract of the Address in State Medicine at the Semi-Centennial Meeting of the American Medical Association at Philadelphia, June, 1897. From The Journal, June 12, 1897.