LAST SPEECH ON VIVISECTION OF LAWSON TAIT, M.D., F.R.C.S., LL.D, Ex-Professor of Gynecology, Mason's College, Birmingham. Died : June 10th, 1899. ** Specially prepared for and delivered at the Great Demonstration of the London Anti-Vivisection Society, at St. James' Hall, Piccadilly, London, W., on April 26th, 1899. Condon : THE LONDON ANTI-VIVISECTION SOCIETY, 13, REGENT STREET, S.W. 1899. PRICE ONE PENNY. COPYRIGHT. ma k&. etxrif a. H*T<*UCAL COUU*™°« I " Some day I shall have a tombstone put over me and an inscription upon it. I want only one thing recorded on it, and that to the effect that 'he laboured to divert his profession from the blundering which has resulted from the performance of experiments on the sub-human groups of animal life, in the hope that they would shed light on the aberrant physiology of the human groups.' Such experiments never have succeeded, and never can ; and they have, as in the cases of Koch, Pasteur and Lister, not only hindered true progress, but have covered our profession with ridicule." —From a letter by Lawson Tait, M.D., F.R.C.S., LL.D., in the Medical Press and Circular, May, 1899. • THE USELESSNESS OF VIVISECTION, LAWSON TAIT, F.R.C.S., M.D., LL.D., Ex-Professor of Gynaecology, Mason's College, Birmingham. Specially revised by the Author, before his death, for the London Anti-Vivisection Society. TO BE OBTAINED OF THE SECRETARY, THE LONDON ANTI-VIVISECTION SOCIETY, 13, REGENT STREET, LONDON, S.W. PRICE THREEPENCE, POST FREE. MR. LAWSON TAIT'S LAST SPEECH ON VIVISECTION. Mr. Chairman, Ladies and Gentlemen, — If anything were needed to convince me that I was not addressing myself to a mere fad or to some ephemeral sentiment, I think the faces before me would be sufficient conviction. We — especially those who belong to my own profession — who share in your views either to some extent or completely, are regarded as in the light of faddists — people who look into corners for small objects to speak about, and perhaps still more stringently for things which may catch the public ear for the moment. I was reminded coming into this room that it is some seventeen or eighteen years — I can hardly say which — since I appeared upon this platform as an advocate of your views. The difference in the attitude of the public on this question and of this question to the public has altered very materially during that time. 1 do not remember such an audience then as I have before me now either in size or in character, and the earnestness with which the matter is being pursued by all classes of society is clear evidence that this so-called Anti-vivisection movement has come to stay. (Applause.) But I suppose I should be lacking in wisdom if I did not take it for granted that even such as you are not dealing with this merely as an Anti-vivisection question — that there is something very much deeper than this mere word conveys to the mind when you join in a movement such as we are taking part in to-night. There is a delightful division of the creation by Herbert Spencer, and curiously enough, familiar as I am with his writings, it had not caught my eye — it was given to me the other night by a School Board teacher — where he divides the results of the creation, so far as animal things are concerned, into human groups and sub-human groups. These are phrases that are exceedingly useful from a scientific point of view, and I endorse their adoption for popular purposes because they remove from us some bones of contention — bones of contention which this meeting in itself seems tending to remove as well. There are many phases from which we approach such a question as this and many points of view. There is the point of view of the mere sentimentalist — a man or a woman ; it would be mostly women I think — who shudder and shrink with horror at the idea of .any kind of suffering, particularly when that suffering affects something belonging to themselves. That is a view which I feel for strongly, and it is a view which bears very strongly upon myself as a matter of argument. Then there is the phase of religious development which is much akin to that of sentiment. You know some religions of this world, adopted and followed by millions of our fellow creatures, look upon sub-human life as almost as sacred as human life. There is a line in the hymn which you have just sung which bears upon this point — " One in life with all things lowly." The Buddhist would join in that, and the Komanist, and the most extreme Calvanist dissenters ; it could not receive from them one single word of objection. Then we come to a third — there might be more if I cared to occupy your time on the subject of these sub-divisions, but there is another which concerns me more than the others, and that is the question of utility. If you wander along the banks of a sluggish stream like the Avon at Stratford, and look into some of the eddies and little pools and bays and creeks at its margin, you will see huddled together about this time of the year myriads of the young fry — things from half an inch to an inch in length — gathered there in myriads ; they are countless ; if you remove them from the water and injure them in the slightest degree they die. We have looked from the time of the ancient Greek philosophers at this extraordinary phenomenon with wonder- ing gaze, and have come to the foolish conclusion that there is a waste of life and gigantic cruelty here. It looks so only at first sight. If you watch a little, you will see a big perch or roach come slowly sailing up and he takes a huge mouthful of these fry and that is his luncheon ; he goes off for some time and comes back, takes another mouthful and that is his supper; he repeats the process at intervals as he may require during that day and succeeding days, and he grows upon his own kind. There must be some kind of cruelty, some small degree of cruelty in the process, but the utility is clear. The intention is that one large fish should grow out from the destruction of a large number of small fish, and so it goes on throughout the world — one sub-human group devouring and fatten- ing upon another below it — until we come to the human group who seem to have had placed at their mercy all those belonging to the sub-human groups, and they have taken upon themselves sometimes to deal precisely in the same way with some of their brethren in the other human groups. I do not suppose the question enters into the mind of the large perch how he can, with the least cruelty, obtain what food he requires, but it has entered into our minds — into the minds of the human groups within a very few years, but still it has entered deeply as to how in their use of the sub-human groups for their requirements, the sufferings of the sub-human groups may be diminished. "We use our cattle for food, and we use our horses for agricultural and other purposes, but we have determined by the votes of the people that these uses shall be restrained alike in the community and in the individual to such an extent as, that there shall be the least possible suffering. And this brings us to the point at issue. It is given to all groups to die, to suffer, that death is inevitable may be put aside, cruelty in the method being diminished as much as possible, but in utilization there may be prolonged and protracted cruelty, and by Act of Parliament we have determined that these cruelties shall be shortened and diminished as much as possible. We come then to our corner of the subject. It is said that animals may be, and have been, used with advantage to mankind and to themselves for the purpose of determining the course of disease, the natural functions of the body, and particularly, by these two combined, how disease in animals and in man may be dealt with for the diminution of common suffering, and for the prolongation of common lowly life. With this preamble, it is per- fectly easy to see that any argument on this subject and in this direction must be a critical investigation of the history of the matters that come before us. When someone got up and said, " I am prepared to cure cancer or consumption by some discovery that has been made by observations upon animals," for a long time, mankind was prepared to listen to him, but you have very well said, sir, that the prolongation of suffering and its exaggeration has been so enormous and the results futile, that our patience has at last become exhausted. (Applause.) It was at this point that I myself, some thirty years ago — perhaps less than that, but dates are not of very much importance — was driven to examine the question for myself as to whether my own work had been so satisfactory as I had believed and did believe it at the time to be. It turned out to be unsatisfactory, and I withdrew all that I had said upon the subject, and I have expressed my regret at having been led myself, and having led others, into serious blunders. After that I need not say that my mind became an open one as to the reception of evidence upon any scheme that might be based upon animals. Just at that time — and as I intend to refer from time to time to a criticism of my own views on the matter which has lately appeared in Holland, I may as well take this as an example — the critics to whom I have to reply to-night have found fault with my saying that this question is one which can be discussed by a layman as well as one belonging to the medical profession. The translator of the pamphlet — a translation of which I have in my hand — evidently knows English very well, but it is clear that those very fine distinctions which we can draw in English when speaking to one another have not been entirely mastered by him. We all know that those fine distinctions are extremely difficult to render in another language, and when I say that this question " can be discussed," I may mean one of two things — not very different, but still distinctly different in this pamphlet that I have in my hand. I may mean that it has been done ; or I may mean that it may be done at any moment. As a matter of fact, I meant that it had been done ; but I would meet my critics by accepting their rendering of my words to the effect that it could be done at any moment, and I have no doubt you will see, in the speeches which follow what I have to say, examples of what I contend for. As a matter of history it is very interesting that this movement was begun almost by one man — certainly by two men and one woman — it was the writings of that one man, a layman, I mean Mr. George Jesse, which converted me absolutely to the views that I now hold. That is my justification for saying that he, as a layman, could and did discuss the question; he discussed it with some of the keenest intellects belonging to my profession : such men as Sir Eichard Owen, Sir Spencer Wells, and undoubtedly discussed it and beat them hollow in their own argu- ments. (Applause.) Again, anything more ludicrous than the defeat of Sir Eichard Owen, in the discussion with Mr. Charles Adams, on the question of v< Hunter and the Stag" I do not think exists in the English language. If any of you possess that pamphlet — it is difficult to get hold of now — I advise you to read it from that point of view, how it is possible for a layman, by sheer power of criticism and historical investigation, to defeat a man, who from the chair of authority makes an assertion which history will not sustain. You will see then that I have narrowed down very considerably the points which I have to discuss. I come to utility, and I come to the fact that this question of utility is open to all the world to investigate. We are not a privileged priesthood who can say to the public, " We assert that, and you must believe it." The days of priestcraft of that kind have gone for ever. (Loud applause.) I do not know which of the three I should dread most — a priest of that kind of the legal, the ecclesiastical, or the medical order. I think, perhaps, my discomfort would be greatest from the third. Now then, sir, I reached this platform some seventeen or eighteen years ago, at this point. As a disciple of Mr. George Jesse, and one who fol- lowed his method, and who had been made eager and ready to follow that method by the awful statements which I found coming to me on every hand in support of this process of experimentation on animals, I had to submit to a deep humiliation, for it was no small matter for an ambitious young man of twenty-four or twenty-five to acknowledge that he has been wrong in his published conclusions, and to admit that his experiments were not only utterly wrong, but mischievous and misleading. I was humiliated, and I feel that those who made similar assertions might with some advantage to their profession look, again and again, and more carefully, and again to see if their seat was quite as secure as I thought mine was. The result of that was — it is well-known to the older members of your Society — a pamphlet which I issued on the uselessness of experimentation upon animals for any purpose that you can imagine. I will just state a few as I go on. Now bear in mind I did not use the word " absolute." I 1 am not an absolute abolitionist, i have said so before, and you must patiently wait for my explanation, because I am quite ready to make one. I see door after door closed for the utility of this proceeding. I see revelation made after revelation of the mistakes that have been made — how the same experiments have been repeated century after century, the recorders being perfectly honest men, perhaps, but like everything that is human they have desired results, and, therefore, have obtained them. The story can be told of any item in particular, especially in surgery, how generation after generation one man has said one thing, and another man has come up and said the reverse, and we have had battledore and shuttle- cock going on until the thing was a mass of confusion and ignorance to a degree that was disgraceful. I say this — I am not afraid to say it, because I have humbled myself before the public and before my profession, as a sinner who has come to repentance. My pamphlet was brought about by one which contained a large number of illustrations and arguments in favour of the conclusion that experimentation upon animals ought to be allowed to go on as it was, uninterrupted. Eemember this was before the time of the great agitation, and I think before your Society was started. At any rate, it was somewhere there or thereabouts. We were only at the beginning of the question. I proceeded on Mr. George Jesse's plan, I simply went to the records of medicine and surgery, and found out how futile all the illustrations were. I will take one example — though I shall not allude to it at any length — the surgery of the brain. We were told of all the marvellous cures of epilepsy and all other diseases arising from depressed structure of the skull ; we were told of all the results of experiments performed on monkeys by Professor Ferrier and various others. But we found also that these operations had been done last century, and there was a list of 166 of them that were done before Ferrier was born, and with a vast amount of success, both primarily in saving life ; and secondly, in curing disease. Therefore we declined to accept the statement that these results were attributable to Ferrier's experience. You may take that as an example of the method of criticism that I adopted. I have also to tell you that that little pamphlet of mine was taken up by your Society and other societies ; it has appeared, I think, in every civilised language — I have seen a copy of it in Japanese, and it is in all the European languages, and I .vould not like to say how many hundreds of thousands of copies have been circulated. It seems, in some quarters at least, to have made a distinct impression ; I am glad to say that it has made an impression in my own profession. I am in altogether a different position in relation to my profession on this matter to that in which I was five or ten years after that pamphlet appeared. (Applause.) I had a very unpleasant time to go through, but I came through it, and I have not suffered in the long run. (Applause.) Before coming here, I consulted my friend, Mr. Trist, and he thought that I might usefully take up a few of your minutes by glancing over the first reply which has been made, after seventeen years, to this pamphlet. I do not mean to say that it has not been criticised, and that it has not been largely abused, but there has been no serious attempt made to answer me for seventeen years, and it now rests with two Dutch physicians to enter the arena. The gentleman who sent me a copy of this reply writes me : " Our anti- vivisection movement is happily growing in our country, but we are very poorly supported by the medical faculty. We lack the technical ability to take away the unfavourable impression that the pamphlet of the said doctors has made on the public, and we hope you will be so kind as to help us in this difficulty." It is my desire to help them now. He tells me that, in spite of their not getting on very well, they have 109 physicians who have declared tbemselves more or less against vivisection (remember Holland is a small country) amongst whom were forty-two total anti-vivisectionists. (Applause.) As I do not think we can reckon that we have progressed at that rate in England, after our twenty years, and with our large medical population in Holland they have not done so badly. The first objection which my Dutch critics have to me is that I am not a physiologist. No ; in their sense I am not, and I am very thankful for it. (Loud cheers.) But I will tell you what I am. I am placed by my profession and my position in the position of a judge of physiologists. (Applause.) They make their experiments, they assert their conclusions, and it has to come to the Court of practitioners to determine whether those conclusions are valid and of use, and I pronounce them of no use. (Applause.) They believe that physiologists are the best judges of physiologists, and they would leave all expresssion of opinion, and all judgments of physiological results, to the physiologists themselves. But we have an English saying, that " we do not set thieves to catch thieves." (Applause, and some interruption.) My friends at the back would not try criminals by a jury selected from the convicts. We in this country are already tired of the so- called medical inspection of vivisection. I will tell my friends at the end of the hall there that it is a fraud (Cheers.) You will get no satisfactory inspection of vivisectionists until you have a lawyer to do it, or a business man, or somebody wholly uncon- nected with the medical profession. (Cheers.) And, as I see and hear and feel ripples of dissent among various sections (I am sorry to have to use the word) of the Anti-Vivisection party, I strongly beg them to stop their dissensions, whatever they may be, and unite upon that one point — the abolition of the medical inspector. (Applause.) And if I give you no other good advice to-night, with all I have said and the rest that I have to say, let that sink into your souls as a matter for the deepest consideration. Then, after pages of the ordinary abuse, we come to one argument upon which I have made playful allusions — I have never used it as any very active argument, but I am tempted now to push the matter a little further home. My words were, " To urge its continuance (the continuance of vivisection) on the ground that it was useful in the seventeenth century, is just as reasonable as to ask the astronomer to go back to the cumbrous methods by which Huyghens worked his lenses." " Surely," says my critic, " such a proceeding would not only be slightly foolish but very mad indeed." He grants my argument to begin with. " However, so far as vivisection goes, no testimony of any physiologist is known to me where it is demonstrated that it was useless then and totally useless nowadays." Well, all I can say is, that he has searched the records of the old works on physiology but very scantily if he has seen no evidence at all. Let us take the much disputed case of Harvey and the circulation. The vivisectionists assert that Harvey discovered the circulation by means of experi- ments—and cruel experiments they were — upon living animals. Well, suppose he did ; and suppose that the circulation had to be discovered now ; would any man in his senses go back to those experiments, when, with a pint of coloured water and a syringe, he could do it just as well upon a dead body ? The syringe is not a new discovery ; it was invented in the third century ; and Harvey used the syringe. If he had taken the dead body of the donkey upon which he experimented, and pushed the nozzle of that syringe into the aorta, or into a vein, or any large vessel of the body, and poured in his coloured water, he would have made out the circulation far more easily and far more perfectly than was done by him and his successors. What makes one angry about these so-called illustra- tions of what is due to vivisection in past times is, they are so stupid ; they are so clumsy, they assist not in clearing the sky of clouds, but in bringing bigger clouds down. All these experiments led them into false conclusions about the circulation. The circula- tion was not established until Malpighi located the fine vessels, and some one else afterwards saw them in the frog's foot. It was altogether matter of speculation before that. If you read the columns and pages and volumes of the speculators, you will see that even the few original observations which were made by Harvey were misrepresented and misunderstood, and for them he was persecuted by his fellow physicians of the time. It was not until generations after him that even his discoveries were made clear. Now, in the old days, when a witness, especially in certain kinds of legal proceedings, was refractory and would not yield the evidence which it was supposed he had in his possession, there were several kindly ways of impressing upon him the necessity of giving up the truth. They pinched his thumbs with thumbscrews, they smashed his legs with " boots," and stretched his joints with the rack, and many other things of that kind. But we are told by our friend here that that has no kind of analogy with vivisection. I wonder what the dogs would say about that. The analogy comes in pretty strongly if one looks at the confessions of the late Dr. Eutherford, who tells us that you must be very careful in physio- logical investigations not to use any means which will vitiate the results. I fancy when the press came upon the chest of the poor wretch who had to plead, knowing that if he did plead his lands and possessions would go from his wife and children ; the man who had 10 the courage to be pressed to death for the sake of his little, ones was pretty much in the condition of the dog, who could not speak English and could not tell his tormentors what was going wrong, and how he felt when nerve after nerve was being divided. This poor man under the press was only influenced by one decision — " I will not plead." The dog could not plead, the man ivould not, and he died in agonies. But supposing in that death of agony you had been standing by him, and feeling his pulse, and taking his temperature, and watching the moisture of his skin — do you think that these simple physiological processes would not have been altered by that weight on his chest, that his pulse would have slowly failed, his temperature under the torture would have fallen and sweat would have poured from every open pore in his body ? Are these not conditions that would vitiate any observation, except the conclusion that the press was killing the poor wretch. I will not go into my own views about the value of experiments from this point of view, but I will read Dr. Eutherford's own confessions. They were very cleverly abstracted in your journal the other day. Apropos of the death of Dr. Eutherford, he once did us an important service. I shall not read the long sentence in which the argument is made clear, because I have practically given you that. The sentence I want to quote is this. " Chloroform was used during the preliminary operation in two cases, but the stimulation of the liver which it induced rendered the experiments worthless." What conclusion can be derived from that but that there is no condition of experimentation possible, with the influence of anaesthesia, from which just conclusions can be formed ! The thing is ridiculous. It is a reductio ad absurdum. Your "patient" must be either conscious or unconscious; if it is unconscious the experiment is admittedly " worthless " ; if it is conscious its nervous system is so stimulated, and it is so upset by the torture, that no truth can be arrived at. Before the days of anaesthetics, these experiments were all conducted under conscious- ness, and the argument, therefore, is that running through them all there was a vitiating condition which rendered them futile. But this word " anaesthetics " just reminds me of one of those futile grounds of experimentation in which there is not very much cruelty, yet it fully shows how absolutely stupid and, from my point of view, useless these experiments are. Let me instance the case of anaesthetics which are used to induce quietness on the part of the patient and freedom from pain. The study of anaesthetics began with Sir Humphrey Davy in the year 1804, when he very nearly — ah ! what a pity he did not succeed ! — gave us a perfect anaesthetic in the shape of nitrous oxide ; he was just afraid to go a little further, and give the patient nitrous oxide without any oxygen at all ; if he had gone on with that, this branch of medical science would have been advanced just one century, or at least three years short of it. Here we are at the very end of our century, and at this moment — I speak now of my own knowledge in the last few days — it appears that we are going to do away with 11 ether and chloroform, and all those compound chemicals which seem to have more or less danger in them, and go back absolutely to nitrous oxide as an anaesthetic. And why ? Because now we get it pure and we mix with it as we give it, as the case requires, a little pure oxygen, and the thing seems to be perfectly safe and manageable. I saw an operation performed under this method the other day ; it occupied twenty minutes, and the patient was absolutely free from pain, and arose from the operating table without any sickness or distress or trouble. As we watched the patient there seemed to be the minimum of danger or hardly any danger, and here we have been running away with these infernal experiments on animals for generations on the simple question of ether and chloroform, and we have had Sir Humphrey Dav/'s triumphant discovery lying barren for a century. (Applause.) lam reminded by the chairman that I cannot go on indefinitely with these illustrations. (Cries of " Go on.") Although you are patiently listening to me, and the more I go into the question the more I feel enthusiastic about it, I must draw up some time, I can only give you the assurance that in the hands of the Secretary of this Society I shall give my answer in detail to the criticisms which these gentlemen have kindly made, and I think it is very likely you will be able to read them in a second or last or some other editions of the pamphlet which will shortly appear. I have only one thing more to say and that is this : My dear friends here look upon me as an extremely old-fashioned person, a physician who must have been educated last century. Well, I know this, that my brethren here do not think so. (Applause.) They are always rather annoyed by my endeavours after something new, rather than a persistency in the ancient tracks ; and sometimes I have been reproved for being too much advanced. (A voice : " Don't advertise yourself.") Thank you, it is not necessary now. (Loud applause.) If I had wanted advertising I could have done it twenty years ago with more effect. (Applause.) I think that as in this matter the public is in the van of the profession, I may claim to be not so much an old fogey as one of those troublesome new people who are anxious to make the world move on. I certainly am particularly anxious to move my profession out of this old groove in which they are bound hand and foot by nothing but tradition and the authority of the elders. (Applause.) At the end of the room one or two gentlemen have been making comments, and, though I cannot see very clearly at this distance whether they are young or old, I am afraid they are the youngest of the young. (Laughter and applause.) And as a parting advice to them, let me advise them to go home and ponder over these things, and to do as I hav> been compelled to do — to learn the lesson that there is none of us omniscient, not even the youngest. (Laughter and applause.) I now move this resolution : — " That this meeting wholly disapproves of experimentation on living animals, as being crude in conception, unscientific in its nature, and incapable of being sustained by any accurate or beneficent results applicable to man." Che Condon Jlnti=Vtoi$ection Societp, 13, Regent Street, London, S.W. Founded 1876. " Heartily sympathising with your efforts." — Extract from a letter from H.M. The Queen to the Secretary of this Society. Lord Shaftesbury.— "Vivisection is an abominable sin." Lord Brampton (late Mr. Justice Hawkins).— " I abominate vivisection : should rejoice to see it legally suppressed." Viscount Clifden The Earl of Lindsay The Countess of Lindsay The Dowager Countess of Kintore The Dowager Duchess of Manchester The Dowager Marchioness of Ormonde The Earl of Haddington The Countess of Boden The Countess of Korbury The Countess of Munster The Countess of Castle- stuart Baroness Kinloss Lord Ernest Hamilton Lord Leigh Lord Brampton Patrons: Lady Brampton Sir Humphrey de Trafford, Bart. The Bishop of Argyle and the Isles Lady Colquhoun Lady Anne Campbell The Lady Madeleine Keith- Falconer. The Lady Maud Keith- Falconer. Lady Windsor Lady Paget Lady Gwendolen Herbert Lady Jane Ellice Lady Mary Milbanke Lady Walsham The Very Rev. the Dean of Durham medical patrons: The Very Rev. the Dean of Hereford The Very Rev. The Dean of Battle General Sir John Field, K.C.B. Colonel Sir David Carrick- Buchanan, K.C.B. Rev. John Hunter, D.D. Rev. Prebendary Webb- Peploe J. Maden Holt, Esq. Herbert Philips, Esq., J.P. Joshua Rowntree, Esq. James Sant, Esq., R.A. Miss Vernon Wentworth Lieut. -General Phelps Surg.-General J. H. Thornton, C.B., B.A., M.B. Surg.-General Watson, M.D. A. Wall, Esq., M.R C.S., L.R.C.P. A. A. Beale, Esq., MB, CM. A. J. H.Crespi, Esq. (Hertford Coll., Oxon), M.R.C.P. Medallist in (Surg.). T. G. Vawdrey, Esq., L.R.C.P., MJt.C.S. Stephen F. Smith, Esq., M.R.C.S., L.S.A. Stephen Townesend, Esq., F.R.C.S. Chas. Bell Tavlor, Esq., M.D., F.R.C.S. John Clarke, Esq., M.D., M.B. F. Cann, Esq., F.R.C.S. Edward Haughton, Esq., B.A., M.D., M.R.C.S. F. S. Arnold, Esq., B.A., Oxon, M.B., M.R.C.S. Hector Munro, Esq., M.B., CM. F. E. Vernede. Esq., L.R.C.P., M.R.C.S. Walter R. Hadwen, Esq., M.D., etc. George Ferdinands, Esq., M.D., M.B.,CM. Henry P. Taylor, Esq., M.B., CM. W. T. Buckle, Esq., L.R.C.P., M.R.C.S. M. W. Sharpies, Esq., M.B., CM. Edward Wood-Forster, M.R.C.S. Harry Holmes, Esq., L.R.C.S. E. E. Barrington, Esq., M.B. John Bowie, Esq., L.R.C.P. Charles G. Woodd, Esq., M.R.C.S. Charles H. Groves, Esq., M.D., B.A. J. Nalton Robson, Esq., L.R.C.P. C. P. Collins, Esq., L.R.C.P., M.R.C.S. Frederick A. Floyer, Esq., B.A., M.B., M.R.C.S., L.S.A. George Herring, Esq., L.F.P.S., Glasgow, L.S.A. George H. Jackson, Esq., M.R.C.S. John McLachlan, Esq., M.D., F.R.C.S. Rev. Henry C Lang, M.D., M.R.C.S., L.R.C.P. Dudley Wright, Esq., F.R.C.S. M. Weir, Esq., M.R.C.S. Berthon, Dr. Rosalie. A. Stoddard Kennedy, Esq., M.D. B. Clarke, Esq., M.D., F.R.C.S. (Eng.) G. W. Hatchell, Esq., M.D. Edwardes Fritche, Esq., L.D.S., L.S.A. (Lond.) The Annual Report and Literature Free on Application. The Committee most earnestly appeal for Aid to enable them to carry on a more Vigorous Campaign. OFFICES : 13, REGENT STREET, LONDON, S.W. Treasurer : Dr. WALL. Hon. Sec. :— Mbs. CULVER JAMES. Secretary :— SIDNEY TRIST. DUKE MED. CENTER LIB. 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