AN ARMY DOCTOR ON MEDICAL OPPORTUNITIES ABROAD A personal letter from an Army doctor in France to an old friend and college classmate in America France, November 12, 1918. My dear : I call your attention to date above. Naturally we are all still thrilling with the news of yesterday — that the armis- tice is an assured fact and that hostili- ties have ceased. I need not attempt to tell you with what joy it has been received ; the whole world shares it and I have no doubt that New York is just as jubilant as the cities and towns over here. Outside the window of the little office from which I am writing, some two hundred of our boys, about to be evacuated from the hospital, are whist- ling in a way I have not heard since we arrived here some two months ago. When shall we get home? is the ques- tion on everybody’s lips this morning. With the end of the war and the act- ual signing of the peace compacts, which is now surely not far off, the millions of men in our armies will be. sooner or later, returned to the home- land, to face the problem of their fu- ture employment or activities. Among them will be some thousands of medi- cal men. Most of these men will re- turn with their old positions and prac- tices calling for them, but still foot- loose. Many of them, and especially the younger ones, will come back to be- gin life entirely anew, free as no like body of medical men in our experience have ever been to choose the field of their activities. All of them will re- turn with wider views of life and of the possibilities of their work than have heretofore been common among medi- cal men. The question of deepest in- terest to us is how many of them can be enlisted in the missionary service, how many the mission societies are prepared to seek and employ. There is no doubt that if the Church is ready to go forward, there is an op- portunity the like of which will never, within our life-time, come again. Never again will there be so many men, peculiarly fitted by their expe- rience to listen to the call to world- 2 wide service and also qualified by their experience to meet the call with un- usual ability. The question the Church must face is how far it is prepared to go in enlisting medical men for work in foreign fields and also what scope it will seek to give to the men it secures. The number of men who can be used in the mission field will be determined by the scope of the medical mission- ary’s work. What I want to call particularly to your attention is the fact that one of the results of the war will be to present a problem of perhaps equal importance in another field of medical effort. One of the really startling results (to me) of experience in the medical work of an army is the comparative unim- portance of what is done for the indi- vidual in the way of treatment, either medical or surgical, when weighed against the tremendous influence of the measures that affect the army as a whole. Changes in treatment save a life here and there, or perhaps a few hundred lives, and it may be that these few lives are of great value, but the big things are the measures of preventive medicine, sanitation, and hygiene, which touch the whole mass of mil- lions of men, and when properly em- 3 ployed, save tens of thousands. Let me cite the anti-typhoid vaccination as an example of what I mean. Typhoid killed thousands in 1898 and well-nigh paralyzed the army by its ravages. In 1918 it has played almost no part in either the morbidity or mortality of the army. The big question before the army today is not any new measure in medicine or surgery, but what shall be done to stop the epidemics of in- fluenza and pneumonia. The reply will probably be a new form of vaccin- ation. In fact, Major is now engaged in a great effort along that line. The greatest things to be done in the Orient lie along these lines — the prevention of disease among the teem- ing millions. The possibilities of serv- ice in this field are almost unlimited. The opportunities are open to qualified men. Who will lay hold of these op- portunities and realize the possibilities of the situation? I know that to some the suggestion of the idea that to equip men for such service and send them out as missionaries will be revolution- ary. To you it cannot be new, for I recall a letter from one of the men in Persia pointing out the vast possibili- ties inherent in this preventive work 4 and asking that men qualified in bac- teriology should be sent out to try to realize them. This is the work of the Church as much as is the preaching of the gospel, I firmly believe, and I surmise that the developments of these war years have opened many eyes to the power and the appeal of the work done for the lame, the halt, and the blind. Has there been any word spoken since the beginning of the war that will match in power the practical demonstration of the fruits of Christianity? I see great things in the future in the tremendous interest aroused by the war in relief work, and the boundless generosity of the people when a cause really reaches their hearts, if these can only be laid hold of and used for the work of min- istry in other lands. I need not say in closing that I would not be thought to belittle the preaching of the Word alone. I wish only to see it given the power that comes from its practical application, just as nearly as possible in the way in which Christ himself coupled the Ever your friend, Lieut.-Col. M. C., Base Hospital, No. , France. 5 The Foreign Mission Boards of the United States are looking for a large number of Christian medical men who will go out especially to the countries of Asia and Africa to heal the sick, to promote the training of physicians in these lands, to prevent disease and to diminish human suffering in the name and in the spirit of Christ, and to help to introduce the principles of sanita- tion, hygiene, and human sympathy which prevail in a Christian civiliza- tion. Any man in the army or navy, who is interested may learn of these opportunities from the foreign mission board of the Christian denomination to which he belongs, and any chaplain or Y. M. C. A. secretary will be glad to put him in communication with the missionary agencies. Published for the National War Work Council of Young Men’s Christian Associa- tions, by Association Press, 347 Madison Avenue, New York. 6