DUPLICATE 
 
 ''"'' HX0001 3340 ^ ,,). 1 'iiysiciaos aad Satl»a& 
 
 A NARRATIVE 
 
 ^ ^ of the work done in a year by the 
 BOSTON ASSOCIATION FOR THE 
 RELIEF AND CONTROL OF TUBER- 
 CUL^IS^ €[ A^ announcement of 
 its immediate plans. ^A diagram of the 
 present resources in city and state for 
 the relief and control of tuberculosis. 
 ^ An acknowledgment and accounting 
 to those who have provided the funds. 
 
 1907 
 
 PRICE 15 CENTS 
 
 4 Joy Street, Boston, Massachusetts 
 
Digitized by the Internet Archive 
 
 in 2010 with funding from 
 
 Open Knowledge Commons 
 
 http://www.archive.org/details/narrativeofworkdOObost 
 
A NARRATIVE 
 
 of the work done in a year by the 
 
 BOSTON ASSOCIATION FOR THE RELIEF 
 
 AND CONTROL OF TUBERCULOSIS. 
 
 ^ An announcement of its immediate plans. 
 ^ A diagram of the present resources 
 in city and state for the rehef and 
 control of Tuberculosis, d^ An 
 acknowledgment and ac- 
 counting to those who 
 have provided 
 the funds. 
 
 ANNUAL REPORT, FOURTH YEAR 
 NOVEMBER i, 1906, to OCTOBER 31, 1907 
 
 The cross on the cover is the 
 
 international emblem of the campaign against tuberculosis. 
 
 Yellow represents prophylaxis. 
 
 Price 15 Cents 
 
 4 Joy Street 
 Boston, Massachusetts 
 
CONTENTS 
 
 PAGE 
 
 Resources for Tuberculous Persons Frontispiece 
 
 State Legislation 5 
 
 New Hospitals 7, 9, 10 
 
 City Legislation 9 
 
 School Dental Clinics Needed 10 
 
 Relief and Control Nurses 12 
 
 Hospital and Sanatorium Care 14 
 
 Day Camp Sanatorium 15 
 
 Where Cure Breaks Down 25 
 
 After Care 29 
 
 Education 30 
 
 Traveling Exhibit 30 
 
 Summary of Day Camp and Nursing Work 33 
 
 Treasurer's Report 34 
 
 Officers and Council 35 
 
 Committees and Staff 36 
 
 Donations 37 
 
 Objects, Form of Bequest 46 
 
 Membership Application Blank . . , 46 
 
RESOURCES FOR TUBERCULOUS PERSONS 
 
 /^ UMIC I PAL 
 
 Zcrjrfs.//osp/ta/ /wa/^a/ianlfosp/tai ShySo/ratcr/am 
 
 State 
 
 Ccnneciicut H//ey 
 
 Tfirf /and State Soft- 
 inc/p/ent Ccues 
 
 
 Ncu-th(0^tern Stai(. f-/oip.{/SO\ -♦ 
 
 TtivA-iiarySfat , 
 /YoS/3'fa/ fi>r f^v/>efs 
 
 ^0(/lh<ras/rr/7 ■5fafe 
 
 
 Charities 
 
 PriVA T£ 
 
 l^ Co///i//omefor 
 
 Gooc/ Oomar/i''^f? //osp. 
 
 7^^' 'Sc/TCieriif/rt 
 A/o/jf GAoit //o^pt''':-/ 
 
 Car/7 ey //ospifo/ 
 
 /■re <^ ^0/77 e ^ar 
 Jt^'.b / yjarratoria rcut farpcofit' 
 
 The diagram illustrates in rough proportion the resources for caring for the 
 consumptives of Boston. The central circle represents the places, including private 
 physicians' offices where examinations and diagnoses are made, and from which 
 the patients are sent to a suitable "resource" when there is a vacancy. 
 
 The five small inner circles represent the five principal free clinics. 
 
 The clinic for examination of applicants from Boston and its vicinity for ad- 
 mission to the Rutland Sanatorium (1) is represented by the upper left-hand inner 
 circle, within which are its initials. The second (2) or next small inner circle to 
 the right is the Out-Patient Department of the Boston Constmiptives Hospital, 
 13 Burroughs Place. The third (3) is the Boston Dispensary on Beimet Street. 
 The fourth (4), the Massachusetts General Hospital, on Grove Street. The fifth (5), 
 the Out-Patient Clinic of the Carney Hospital. 
 
 The outer central circle represents the office of the Association where a central 
 registration and record of all reported cases is maintained. A nurse is employed 
 to investigate and assist emergency cases. Proper means of disposing of sputum, 
 literature, and information are distributed free. 
 
 With the exceptions above mentioned all of the "resources" may be referred to 
 directly. It is noticeable that there is no institutional provision whatever for 
 children. 
 
 (1) Is located at Massachusetts General Hospital on Grove Street. It is open on Wednesdays 
 and Saturdays from 1.30 to 4. .30 p.m. Attended by a nurse from this Association to care for those 
 rejected. 
 
 (2) Controls admissions to the beds for consumptives in the top or Municipal group of resources, 
 and to the connected side groups — Holy Ghost and Carney Hospitals and St. Monica's Home. 
 Also provides for supervised home care. Open Monday, Wednesday, Friday and Saturday (for 
 children), 9-12. 
 
 (3) Provides supervised home care and sends some cases direct to Rutland Sanatorium. Open, 
 except Sunday. 9-11. 
 
 (4) Out-patient clinic, classes, social service. Open, except Sunday, 9-10. 
 
 (5) Open, except Sunday, at 9. 
 
*'The conservative assumes sickness as a necessary 
 fact, and his social frame is a hospital. . . . Sickness 
 gets organized as ivell as health, the vice as well 
 as the virtue." — Emerson. 
 
 IN addition to a formal report upon the scope and statistics 
 of its work the public looks to the Boston Association for 
 the Relief and Control of Tuberculosis for news, for a re- 
 capitulation of the present situation, and for a program. De- 
 scription of the progress made toward the relief and control of 
 tuberculosis dm-ing our past year may properly begin with an 
 outline of the broader measures — those resulting from legis- 
 lation passed for the state and for the City of Boston during 
 that year. The Association agitated the need of these measures, 
 assisted the State Tuberculosis Connnission which recommended 
 some of them, and was represented at public and private hear- 
 ings in their advocacy. 
 
 STATE LEGISLATION 
 
 Massachusetts General Court of 1907 passed three acts of 
 main importance to the common health. The report of the 
 Tuberculosis Commission of 1906 demonstrated that our present 
 best knowledge of the number and location of tuberculosis 
 cases and foci in Massachusetts is not even approximate. Health 
 protective efficiency requires : 
 
 1 Notification of danger by whoever recognizes it. 
 
 2 Registration at a central office of the facts regard- 
 
 ing the dangerous thing or person. 
 
 3 Examination of the situation with a view to erad- 
 
 icating the danger. 
 
 4 Mechanically recurrent attention until it is erad- 
 
 icated to prevent the danger slipping from notice 
 and control. 
 .5 Explanation of the lesson to be learned by each 
 experience to each person affected. 
 
COMPULSORY 
 REGIS- 
 TRATION 
 THE FIRST 
 ACT 
 
 'DANGEROUS 
 
 TO THE 
 
 PUBLIC 
 
 HEALTH " 
 
 An enforced compulsory notification and registration law 
 is, therefore, fundamental to intelligent combat of disease. 
 This law was passed at the last session. It requires that every 
 person who knows of a case of infectious or contagious disease in 
 his house or family shall notify the selectmen or board of health 
 within six hours. The householder must disinfect to the satis- 
 faction of the local board of health whatever places or articles 
 have, in its opinion, been exposed to infection. The layman may 
 be fined $100 for failure to act according to this law, while the 
 attending physician who faUs to give such notice is to be fined 
 not less than $50 nor more than $200 for each offense. Local 
 boards of health or selectmen must in turn transmit the in- 
 formation to the state board of health. With prompt and full 
 information in hand from every community it can run a con- 
 tinuous survey of the Commonwealth and exercise statecraft 
 where the health defences are weakest. Empowered by a 
 supplementary act of the same session this state board, on 
 August 8, declared tuberculosis to be among the diseases ''dan- 
 gerous to the public health," and so to be imder these provisions. 
 
 The full list of these diseases is as follows: 
 
 Actinomycosis 
 
 Anthrax 
 
 Asiatic Cholera 
 
 Cerebro-Spinal Meningitis 
 
 Chicken-Pox 
 
 Diphtheria 
 
 Glanders 
 
 Leprosy 
 
 Measles 
 
 Scarlet Fever 
 Smallpox 
 Tetanus 
 Trichinosis 
 Tuberculosis 
 Typhoid Fever 
 Typhus Fever 
 Whooping-cough 
 Yellow Fever 
 
 ENFORCE- 
 MENT 
 OF LAW 
 
 It is not complimentary to our citizens, and especially to 
 that group whose exceptional educational advantages should 
 make them appreciative of the seriousness and immediate 
 importance of this law, to report that there had been no marked 
 change in the first five months after it went into effect in the 
 number of cases of these diseases reported. How soon shall 
 the fines be invoked? 
 
The second act established a Consumptives Hospital Com- 
 mission and provided for three new State Sanatoria of 150 beds 
 each for advanced cases of tuberculosis. They are to be located 
 in the northeastern corner of the state, in the southeastern 
 corner, and in the Connecticut Valley. The appropriation 
 made by the same act of $100,000 for site, buUding and equip- 
 ment of each is quite inadequate. Considermg present costs 
 and the character of construction and degree of comfort necessary 
 for this class of patients together with the number of beds to 
 be provided, it is evident that the coming session must augment 
 these allowances. Important work on the selection of sites 
 and the plans has been done by the Commission of which Dr. 
 Arthur T. Cabot and Dr. John B. Hawes, 2d, are Chairman and 
 Secretary. The act allows this Commission 'Ho establish out- 
 patient departments," and to "disseminate knowledge" as to 
 the best methods of combating tuberculosis. The amount of 
 publicity given by the newspapers to the first health article 
 sent out offers encouragement for the extension of this means 
 of public education. 
 
 The third act divides the State into fifteen health districts 
 and provides for a "practical and discreet" doctor of medicine 
 to be state inspector of health in each. That the state values 
 direct experience is indicated by their term of five years. The 
 inspectors are to gather information regarding the prevalence 
 of tuberculosis and other diseases and influences dangerous to 
 the health of the public m their district. After consultation 
 with the State Board of Health, under whose general direction 
 they work, and with the local board of health, they must take 
 steps to abate such diseases and influences. They are empowered 
 to enforce the laws regarding light, ventUation and cleanliness 
 of factories, and regulate - them in regard to matters affecting 
 the health of the operatives. Structural changes may on 
 their recommendation be required by the State police. They 
 are especially charged to watch for Ul health or physical mifitness 
 of minors found in factories, and report it to employer, parents, 
 and the State Board of Health. They issue all licenses for 
 work to be done in tenement houses. This last prerogative 
 alone resulted immediately in discovery of many evil conditions 
 and the beginning of health improvement work. 
 
 7 
 
EFFICIENT The value of this legislation depends entirely on the fitness 
 
 INSPECTORS 
 
 of those selected to carry out its provisions. Governor Guild 
 was especially fortunate in the selection of these health scouts. 
 I They are so alert that they have already found work to do 
 
 beyond their individual strength, and it would be economy 
 for the state to give them proper assistance. With such a 
 staff at large it seems a safe prophecy that local health boards 
 will soon cease to be mere policemen enforcing fumigation and 
 vaccin^ion ordinances, and will become more efficient in 
 protecting health and developing vitahty. 
 
 Two other laws of 1907 to which attention should be called 
 are those making improper expectoration in public places an 
 offence punishable by a fine of S20 (and permitting summary 
 arrest of such offenders without a warrant), and relievmg per- 
 sons suffering from tuberculosis from classification as paupers 
 by reason of any expenditure made for their relief from this 
 disease by their town or the Commonwealth. 
 
CITY LEGISLATION 
 
 Boston's system of government control of tuberculosis has 
 been materiall3^ broadened and strengthened this year; and if 
 the city can carry out its present plans it will become the world's 
 leader in municipal campaigns against tuberculosis. It placed 
 a medically trained physical director over its school gymnasiums 
 and playgrounds at the beginning of the current school year, 
 and is thus extending a new method of unified municipal guar- 
 dianship over the health of young citizens. Ranking this in 
 importance is the scheme of school nurses under one superin- 
 tendent which was instituted at the same time. The physical 
 director and the nm^sing staff will discover many iUs in incipient 
 stages when simple remedies may be effectively applied, and 
 children having tuberculosis, or other diseases, will be reported 
 and treated more promptly than has hitherto been possible. 
 
 The Boston Consumptives Hospital received an additional 
 appropriation late last suixuner, making a total of $225,000 
 with which to build and equip an ideally situated hospital 
 of 115 beds for advanced cases. Work is now being done on 
 the site acquired in Mattapan. Boston is taking the social as 
 distinguished from the individual point of \iew and is profiting 
 by the contrasting experiences of Germany and Great Britain 
 in providing first for the advanced class of tuberculous patients. 
 In Germany almost exclusive attention has been given until 
 recently to incipient or sanatorium cases with a net result of no 
 decrease in the general mortality from this disease during 
 the last decade. Great Britain, on the other hand, has taken 
 care of the hopeless cases in hospitals. These cases sow the 
 infection wherever they are not isolated in hospitals or at least 
 carefully supervised. The death rate in England from tubercu- 
 losis shows a marked decrease. 
 
 The Out-Patient Department of the Boston Consumptives 
 Hospital was opened at 13 Burroughs Place, on September 15. 
 
 WHAT 
 
 BOSTON HAS 
 
 SECURED 
 
 FIRST CARE 
 
 FOR 
 ADVANCED, 
 
 CASES 
 
 PROFITING 
 BY FOREIGN 
 EXPERIENCE 
 
This department maintains a registry of all cases reported to 
 the Board of Health, provides throat, nose and chest clinics, 
 and conducts classes for periodic re-exanunation, instruction and 
 treatment of all for whom a regime of home care seems desirable. 
 A corps of nurses has been provided to supervise such cases in 
 their homes and to investigate. Milk is furnished to these cases 
 on the recommendation of the attending nurses where the family 
 of the patient is unable to provide such special nourishment. 
 Both treatment and supervision are entirely free. 
 
 The city has lately made an extraordinary appropriation of 
 $11,000 for an open- ward shack sanatorium to care for from 
 forty to eighty advanced cases, and of $6,000 for a permanent 
 day sanatorium to accommodate from 100 to 180 patients. The 
 plan is adapted from that of the Day Camp conducted by this 
 Association, which also furnished the tables of costs and the 
 history of success used in the petition for these appropriations. 
 
 This summary of laws enacted, and of moneys given, marks 
 a parallel extension of the program of the Association, since 
 each law and each sum will discover to us some of those sick 
 or threatened persons who are now outside the sphere of 
 health and life-saving aid. Dr. R. W. Philip of Edinburgh, who 
 has made in that and other Scottish cities what are, as far as we 
 know, the most thorough studies of this subject, states that it 
 is conservative to measure the number of active cases in any 
 city of Western civilization by the annual number of deaths 
 from tuberculosis multiplied by ten. As there were 1,100 such 
 deaths in Boston last year we may reckon the problem of relief 
 and control on the basis of 11,000 cases — a number which warns 
 us that every rational measure must be taken to supplement 
 the safeguards of health. 
 
 SCHOOL 
 DENTAL 
 CLINICS 
 
 Addition of school dental clinics to our present school medical 
 and nursing work would be a rational measure towards com- 
 pleting the health supervision now generally recognized as 
 belonging to our educational system. 
 
 ''Defective teeth cause more physical deterioration than 
 does alcohol," said Dr. WUliam Osier in a recent address in 
 London. In their scholarly work "Dental Hygiene in School 
 and Army," Doctors Ernst Jessen, Loos, and Schlaeger state 
 
 10 
 
that foul teeth lead not only to then- own destruction, but the 
 decaying tooth is an unsurpassed culture medium for the germs 
 of other diseases. It is believed that nearly all mouth and 
 neck gland tuberculosis can be traced directly to infection 
 from neglected teeth. 
 
 Through photographs, descriptions and statistics gathered in 
 Strassburg and elsewhere, Dr. Jessen shows that the average 
 child's mouth looks like the "burnt district," and this diseased 
 condition of the teeth explains many of the sad pictures of pale 
 cheeks, dull eyes, antemia, and nervousness, to be seen in every 
 school. These little unfortunates cannot properly chew their 
 food; it is wasted and becomes a burden. They cannot even 
 learn to speak clearly and correctly; they become inattentive, 
 fretful and disturbing to those about them both night and day; 
 and the new teeth, forced to prematurity and consequent poor 
 quality, often become carious very shortly after they appear. 
 The grateful children whose suffering has been stopped at such 
 clinics frequently return tugging at the hand of a half-abashed 
 parent or brother, who has not been sought out by the provident 
 community, but who is suffering because this teaching and care 
 was not given during his youth. 
 
 The New York Committee on the Physical Welfare of School 
 Children brought to light the first facts in regard to the preva- 
 lence of disease among American school chOdren. This Com- 
 mittee reports that 73 per cent of all school children are badly 
 in need of dental care, while less than 10 per cent have any 
 such care. Six months after the original examination of 2,200 
 pupils, a second examination of 1,323 of these showed that but 
 two had been given relief after the Committee had called the 
 attention of the parents to the need. Very little of this neglect 
 was chargeable to poverty, and it seems fair to ascribe practi- 
 cally all of it to general ignorance of the grave importance of 
 dental hygiene. Nearly identical figures and results are shown by 
 the school dental examinations in Brookline. The almost uni- 
 versal prevalence of diseased mouth conditions, and the proven 
 inefficiency of mere information to parents on the subject, should 
 be sufficient evidence that any immediate and practicable pro- 
 gram of correction must have its beginning in the educational 
 system. 
 
 TUBER- 
 CULOSIS 
 AND 
 THE TEETH 
 
 11 
 
THE 
 
 INSPIRATION 
 
 IIS 
 
 GERMAN. 
 
 Professor Jessen succeeded, in 1902, in persuading Strassburg 
 to open tlie first public school dental clinic. During the school 
 year 1,543 children were examined. Of these childi'en only 104 
 had perfect teeth; 92h per cent had defective teeth, and the 
 defectiveness amounted to 31 per cent of the entire area. Strass- 
 burg now makes complete provision for the dental hygiene of 
 its school children at a cost of but seven cents for each examina- 
 tion and treatment and a total expenditure of only $2,000 per 
 year. Thirty-two German cities. New York, Brookline, and 
 thirteen cities in other lands have followed this lead. 
 
 RELIEF AND CONTROL NURSES 
 Good Samaritanism might be the title under which to describe 
 the intricate ramifications of the daily service of the Associa- 
 tion's trained nurses. In October, 1907, a second nurse was 
 engaged for four hours a day because the augmented number 
 of Day Sanatorium patients had increased the amount of work 
 beyond the capacity of one woman. She is detailed to attend the 
 Rutland Sanatorium examining clinic where she interviews 
 and advises all applicants. Those who are rejected because 
 they have no funds she places in touch with charitable societies 
 and she advises those who have been accepted regarding neces- 
 sary preparations and equipment. Her chief responsibility, 
 however, is the disposition of the two-thirds who are rejected 
 for physical reasons. Each one must be visited in his or her 
 home and placed, if possible, in a hospital or other institution; 
 the bad housing conditions which the nurse finds must be 
 remedied, and the family educated in hygiene and prophylaxis. 
 Another nurse is on duty daily from 8.30 to 5.30 o'clock to 
 investigate, instruct and assist all cases referred to our office, 
 or returned from the Rutland State Sanatorium. She has made 
 1,443 visits this year to given addi^esses and has interviewed 
 and helped 1,493 persons. She definitely disposed of 344 cases 
 by placing them in the proper institution or arranging for other 
 adequate care. Letters were "^Titten on behalf of patients, and 
 leaflets were left for the guidance of the patient or his household 
 group after personal instructions had been forgotten. Through 
 this nurse and the Boston Dispensary, over 1,000,000 paper 
 napkins and bags were distributed as a means to the proper 
 
 12 
 
A $10.32 Transformation from Darkness, Disorder, Dirt and Discouragement to 
 Sunshine, Sanitation and Simplicity 
 
 Two rooms, representing this one before and after our Nurse took the case, 
 are reproduced in the Traveling Exhibit 
 
disposal of sputum. Visits made to mistaken or false addresses 
 caused much loss of valuable time. 
 
 Our nurses regularly report cases and addresses to the board 
 of health for registration and fumigation, and check up its 
 reports against each other and our records so that pestilential 
 conditions are not allowed to slip through and continue. Over- 
 crowding and illegal housing are reported for remedy and quaran- 
 tine cases are pressed. New cases are reported to the Associated 
 Charities and the Boston Consumptives Hospital Out-Patient 
 Department. Duplication of work with the visiting nurses from 
 the Boston Dispensary, the Boston Consumptives Hospital Out- 
 Patient Department, or the District Nursing service, is pre- 
 vented through a weekly review of work and frequent con- 
 sultation. 
 
 It is not the intention of this Association to take charge of 
 any case that falls within the scope and resources of any other 
 society. But we are occasionally forced to act swiftly upon 
 such cases to relieve acute distress. We do propose to find 
 every gap in the proper care of every tuberculosis patient in 
 Boston and to bridge it until it is filled. We expect to pursue 
 consistently our past policy of utilizing all existing public and 
 private health and charitable resources to their capacity. 
 When these fail we will try to find the nature of the lack and 
 to devise a plan for supplying it through an extension of the 
 public functions. 
 
 An emergency relief fund of $250 given last January has paid 
 the board of three people at the state sanatorium, the car fares 
 of indigent patients, and it has clothed and fed some sick people 
 at a sharp crisis m their affairs. It was also used to pay the 
 salaries of a day and a night nurse, and other expenses involved 
 in providing comfort and care through several weeks for a brother 
 and sister dying at the ages of twenty-one and twenty-three. 
 They were discovered in the last stages of phthisis in a little 
 home they had striven with increasing difficulty to maintain 
 for each other after the death of their parents from the same 
 disease. Their devotion to each other was so deep, their fear 
 of separation so great that no one would subject them to the 
 misery of parting at a hospital door. They died peacefully on 
 the same dav. 
 
 SCOPE OF 
 RELIEF 
 
 EASING 
 DEATH 
 
 13 
 
30 NEW 
 
 HOSPITAL 
 
 BEDS 
 
 52 BEDS 
 SAVED 
 
 TUBER- 
 CULOUS 
 CHILDREN 
 
 CLINICAL 
 DISTRICTS 
 
 HOSPITAL AND SANATORIUM CARE 
 
 The generosity of one man enabled our Association to in- 
 crease by thirty beds the meagre hospital facOities for advanced 
 cases in and near Boston, through fitting out a ward in the 
 Holy Ghost Hospital. The trustees of the Boston Consump- 
 tives Hospital had been given authority by the General Court 
 of 1906, to hire 100 beds in private hospitals, pending the 
 erection of its own institution, at five dollars per week. At 
 that rate the hospital would have lost $3.00 per week on each 
 patient taken. In order to make these beds immediately 
 available, the Association offered to pay the difference until 
 the law could be changed. The offer was accepted, the beds 
 were filled with some of the worst suffering and most dangerous 
 cases, and in 1907 the law was changed so that the city could 
 pay the full sum. This piece of efficient gap filling cost 
 $3,539.88. 
 
 Fifty-two beds had long been provided for Boston cases in 
 the specially constructed tuberculosis ward of the Long Island 
 Hospital. It was learned late in the year that the trustees of this 
 hospital were preparing to close this ward, whereupon such a 
 presentation of the situation was made as will probably continue 
 to guarantee the rights of the sick as long as it is necessary. 
 
 We are encouraged to believe that provision will be made for 
 children suffering with tuberculosis in its later stages at one, 
 and perhaps aU, of the new state sanatoria. 
 
 Our Committee on Tuberculous Children and the Conmiittee 
 on Relief and Control, through our own nurses and the co- 
 operation of the Associated Charities and the children's societies, 
 have secured, since January, 1907, the examination of 1,250 
 members of families in which there was knovm to be a case of 
 the white plague. This precautionary measure revealed that 
 about 33 per cent of the children of this group were tuberculous 
 and that an additional 17 per cent were pre-tuberculous — that 
 is, weak and anaemic and less than normally able to withstand 
 infection when exposed to it. The Committee on Tuberculous 
 Children has worked out and secured adoption of a scheme of 
 clinical districts. Exposed children or others discovered through 
 its efforts are to be taken for examination and subsequent 
 observation to the clinic within the district where they live. 
 
 14 
 
It has made a great effort to secure adequate care for each class 
 of children's cases. If public relief fails today under the burden 
 of thousands and thousands of consumptives whom it cannot 
 help, it is because no remedy is applied before the evil has 
 passed its hidden development. In France a movement has 
 grown up under the leadership of the late Professor Grancher 
 for providing country homes and schools for all of these pre- 
 tuberculous children. Throughout Germany and in other parts of 
 Europe such children are sent to Schools-in-the-woods. Except 
 during storms all of the life is out of doors. Thus society dis- 
 places weakling by sturdy youth. Possibly our camp equipment, 
 released as it will be by the city's new provision, can be adapted 
 to demonstration of the value of these ideas in America. 
 
 GRANCHER'S 
 WORK 
 
 WALDSCHULE 
 
 THE DAY CAMP SANATORIUM AT MATTAPAN 
 
 Obvious as are the difficulties of caring for sick people where 
 one has charge and control over them for less than half of the 
 time, during the remainder of which they are at home, yet the 
 results to the community may eventually be as great, if not 
 greater, than by the isolation methods of hospitals and sana- 
 toria. There is a growing feeling among physicians and 
 social workers that except for acute and dangerously infectious 
 diseases there must be more treatment in the home, and recog- 
 nition of the economic impossibility of more general dependence 
 on hospitals; and since Boston, for example, is now straining its 
 resources to build a hospital for 115 patients, it is clear that 
 we must look for complementary methods of caring for the 
 11,000 of its residents who by conservative estimate are now 
 suffering from tuberculosis. 
 
 A distinctive virtue of day and home care of the sick is that 
 it recognizes the family relationship. To make the family the 
 unit of treatment is, it seems, especially desirable in dealing 
 with a scourge so general and insidious. The elements of 
 tuberculosis treatment are as valuable for heart and nerve 
 trouble as for the limgs, for they consist of hygiene rather than of 
 medication, are so simple and rational that mistake in their 
 apphcation is difficult. 
 
 The Day Camp Sanatorium estabhshed by the Boston Asso- 
 ciation for the Relief and Control of Tuberculosis three years 
 
 NOT AN 
 
 EXPEDIENT 
 
 BUT A NEW 
 
 KIND OF 
 
 RESOURCE 
 
 THE FAMILY 
 PRESERVED 
 
 THREE 
 YEARS IH 
 AMERICA 
 
 15 
 
\ 
 
 SALEM CAMP 
 
 HOUSE OF 
 THE GOOD 
 SAMARITAN 
 
 (DAY CARE 
 
 ON A 
 
 FERRY BOAT 
 
 ANEW 
 LOCATION 
 
 HIGH 
 ALTITUDE 
 
 NOT 
 NECESSARY 
 
 ago, after German precedents, has justified the boldness of its 
 promoters in attempting to cm^e on the sea level in a trying 
 climate with crude equipment and with home complications — 
 and compensations — as a background. It has proven practi- 
 cable, economical, and educative. An extended report of its 
 methods, costs, and results is here presented in the earnest hope 
 that it may lead to a rapid extension of work on similar lines. 
 The first outgrowth of our experiment was the Camp connected 
 wdth the Salem General Hospital, the second is that of the 
 House of the Good Samaritan Hospital in Brookline, and the 
 third is in New York. After looking in vain for a suitable plot 
 of ground the New York Tuberculosis Committee borrowed a 
 retired municipal ferry-boat which was tied to the end of a 
 pier where it was swept by the harbor breezes. The House of 
 the Good Samaritan Camp is run in conjunction with the hos- 
 pital and illustrates what imagination can do by way of in- 
 creasing the productiveness of hospital investment. Twenty- 
 five patients, half as many as are cared for in the wards, are 
 sheltered in the yard under the lee of the building the year 
 around. This is done practically without extra cost of equip- 
 ment and at a daily average cost of thirty-two cents per patient 
 per day. The Salem Camp has thus far been maintained 
 through the summer months only, and is not strictly for day 
 care, but like the others has been proven a notable success. 
 
 After two successful seasons on Parker Hill, in the heart of 
 Boston, the "Day Camp" was removed this year to the beauti- 
 ful Conness Estate in Mattapan. The trustees of the Consump- 
 tives Hospital of the City of Boston had recently acquired 
 these fifty-eight acres as a site for their institution. Not only 
 did they very graciously consent to our use of a portion of the 
 land but they put in the sanitary system and did everything 
 else in their power to assist and encourage us. The tract lies 
 within the city limits and consists of a southerly slope in two 
 terraces picturesquely divided by an escarpment of huge 
 masses and boulders of pudding-stone. The soil is light and 
 provided with an exceptional drainage system. Within sight 
 is the Neponset River. Our experience has been entirely 
 satisfactory and offers a partial confirmation of the judgment 
 used in selecting the property for this purpose. There has been 
 
 16 
 
The office and examining room, rest tents and dining tent of the Day Camp Sanatorium 
 
The Living Christmas Tree of the Day Camp patients 
 
no notable dampness, we were cooler than other parts of the 
 city in summer and the natm^al shelter of the spot has already 
 proved welcome this winter. We hoped that the Association's 
 demonstration of the practicability and efficiency of the day 
 sanatorium idea under American conditions would induce the 
 city's trustees to accept it as part of their general plan for 
 reUef and control of tuberculosis. It is gratifying that they 
 have done so. The average patient reaches the new camp 
 earlier and with less fatigue than was possible at Parker Hill; 
 although it is several miles farther from the congestion center. 
 
 Fourteen patients appeared on the first day, June 5, and 
 withia a month a waiting list was necessary. The Committee 
 voted to increase the capacity to seventy-five, which number, 
 plus the staff, taxed the full capacity of the cook and the stove. 
 The dining-tent could be made to seat but seventy-two patients 
 at one time. The rest of the equipment was increased to eighty 
 units. Our idea was to admit eighty-five applicants who could 
 not be placed elsewhere and by giving them good food and rest 
 in the open air, medical and nursing attention and supervision 
 of home conditions, strive for success with each case individually. 
 
 The patients at the Day Camp Sanatorium are of an ad- 
 vanced but still hopeful class. No one is admitted until after 
 rejection by the examining board of the Rutland State Sana- 
 torium, excepting persons on its waiting list who are admitted 
 to the Camp pending their opportunity at this sanatorium for 
 incipient cases. In addition we have persons barred from the 
 Rutland Sanatorium by age (under fourteen or over forty-five), 
 and a considerable number of cases who had previously been 
 to the Rutland Sanatorium and who on this account are not 
 re-admissible. No one is admitted to the camp who has a 
 regular temperature over IQl degrees, or whose general condition 
 is such that he or she would not gain at the camp more than the 
 cost in fatigue of getting back and forth from home. Where 
 there is any doubt about this, the patient is given the benefit 
 of it and is later discharged to a hospital if necessary. 
 
 Patients are expected to leave the Dudley Street terminal at 
 8.15 each morning, arriving at the camp at 8.45. During the 
 first month a special car was hired by the Association to carry 
 the patients to and from the camp each day. They objected 
 
 17 
 
 INCREASE IH 
 CAPACITY 
 
 CLASS OF 
 PATIENTS 
 
 HOURS 
 
TRAirSPOR- 
 TATIOn 
 
 REGIME 
 
 EQTJlPMENTj 
 
 PASTIMES 
 
 to using it, being delayed by so doing; and as there was no 
 popular objection to the location of the camp or prejudice 
 against its patients it was discontinued. 
 
 Car-riding does not induce coughing and this trained group 
 is more than ordinarily careful in regard to using napkins when 
 sneezing, coughing and expectorating. Throughout the summer 
 and fall months the crowd of Sunday travelers is so large and 
 the extra provision made so inadequate, that we could not 
 subject these sick people to the brutality and delay to which 
 they would be exposed by trying to return home on the ordinary 
 cars. For this reason a special Sunday evening car was suppUed 
 as long as the conditions warranted it. 
 
 After a short period of rest their temperature and pulse 
 records are taken. Between 9.30 and 10 a.m. a lunch of bread 
 and butter and milk is served, and eggs are given to patients 
 who require them. On the cooler days hot milk in the morning 
 and hot chocolate in the afternoon is served at the lunches. 
 At noontime a dinner consisting of meat or fish, two vege- 
 tables and a desert, usually made of milk and eggs, is served to 
 the patients as they file from the washstand by the kitchen to 
 the dining-tent. The pulse and temperatures are again recorded 
 just before the afternoon lunch. This is served at 4 p.m. and 
 is similar to the morning meal. On the average, patients are 
 given an egg and a half per day. All are instructed to have a 
 good breakfast and supper at home before and after their day 
 at the camp. Knowing the home conditions and watching the 
 pulse and temperature on arrival at the camp the physician 
 in charge of the patients is able to judge closely through ques- 
 tioning as to how far this requirement is hved up to. 
 
 Every patient is provided with a reclining chair and there 
 are in addition several hammocks for general use. Two rest 
 tents, each containing two cot beds, are provided for emergency 
 use and any patient showing a temperature above 100 degrees 
 is sent immediately to rest. In one instance a patient who had 
 a hemorrhage during the afternoon was kept at the camp over 
 night in order to avoid the danger of disturbance in returning 
 either to her home or to a hospital. The nurses very generously 
 took turns in constant attendance upon her. 
 
 Several of the daily newspapers contribute copies regularly; 
 
 18 
 
in addition magazines and books are provided for the patients 
 and they are allowed to use these as long as their condition 
 is normal. The women bring sewing and work upon it to a 
 limited extent. The men, with a few exceptions, are allowed 
 to smoke in the afternoon and to play cards, checkers and 
 dominoes. Ring-peg is very popular. 
 
 The sexes seem to segregate themselves quite naturally and 
 it is scarcely ever necessary to refer to the division of space 
 allotted to one group or the other. 
 
 Daily attendance at the camp is required of every one on 
 the rolls. Persons whose records are good are excused occa- 
 sionally for their Sabbath celebration. Where this privilege 
 results ia any apparent harm through increase in temperature 
 or pulse on the following day, or loss of weight, it is not renewed, 
 but such a patient is occasionally given permission to bring 
 some friend to the camp for the whole of or part of a day. 
 
 After one day's absence without excuse the nurse of this 
 Association makes a visit to find out the cause. The third 
 absence without acceptable excuse forfeits the patient's place 
 to someone on the waiting list whose desire for health is more 
 consistently shown. Persons thus discharged are referred to 
 the out-patient department of the Boston Consumptives 
 Hospital for observation. Any who become careless of infect- 
 ing public places or a nuisance to their families may be sent to 
 the Long Island or the Tewksbury hospitals under quarantine. 
 
 To complete this scheme of day care and to make it more 
 nearly approximate hospital care and control, we have sent 
 graduate nurses to the homes when admitting patients and 
 periodically afterward. We had to know at once whether the 
 home quarters were at all satisfactory and to have our own 
 basis of judgment as to the ability of the family to sustain it 
 without undue strain. We had also to know whether fumiga- 
 tion and general housecleaning were in order and whether there 
 were others in the family who ought to be examined and looked 
 after. Sometimes such a visit resulted in the discovery that 
 the family could afford to pay for the sustenance of the patient. 
 We needed disinterested testimony as to home life and its in- 
 fluence on the patient's peace of mind and rest of body. Families 
 being assisted by benevolent individuals or societies should be 
 
 19 
 
 REGULAR 
 
 ATTENDANCE 
 
 REQUIRED 
 
 HOME 
 SUPERYISIOH 
 
EDUCATING 
 
 THE 
 
 PATIENT'S 
 
 FAMILY 
 
 IN THE 
 
 EVENING 
 
 ALL ARE 
 
 TOGETHER 
 
 204 PATIENTS 
 IN FIVE 
 MONTHS 
 
 UP TO 83 IN 
 A DAY 
 
 COST 
 
 known as entities. Certain situations can only be dealt with 
 adequately by knowing and directly influencing every factor. 
 We cannot assume that directions are carried out regarding 
 early retirement, open windows, sleeping alone, cleanliness and 
 the general best adaption of home conditions to health 
 improvement. Prejudice against direct "night air," and behef 
 that tuberculosis is hereditary and incurable except under 
 exceptional conditions of high altitude and dry atmosphere, 
 are still all but universal. Because there is a general behef 
 that a true consumptive must be feeble and emaciated while, 
 in fact, most of those in the first and second stages, and a growing 
 percentage of those in the third stage, look robust, their stated 
 inability to work or request for a special costly diet is frankly 
 thought to be selfish by their families. 
 
 In order to enforce the necessary directions, sustain the sick 
 person before his family and remove prejudices, know the whole 
 family and see it as a group, we have adopted a plan of work 
 which permits the nurse to make one or more evening visits to 
 the patients in their homes. The results obtained amply maintain 
 this judgment. The sick are better understood and cared for by 
 their famihes; and encouraged by such visits at indefinite periods, 
 they foUow more faithfully that strict regime of life which is 
 necessary to upbuild the system and regain health. 
 
 Concrete figures in regard to institutions should be interest- 
 ing evidence as to efficiency. On October 31, the end of previous 
 seasons and of the fiscal year of the Association, 204 patients 
 had been admitted to the camp. From the middle of July 
 to the middle of October, 85 were kept on the rolls. This num- 
 ber of possible patients reduced by the average daily absences 
 due to periodic and occasional sickness, bad judgment and 
 family comphcations gave the maximum utility to the equip- 
 ment and force except on very stormy days. Omitting the 
 month of June during which we were assembling the patients 
 there has been a daily average attendance of 70^. Including 
 June it was 67 as compared with 46 and 31 in the previous 
 seasons. In 162 days, the total for last year, we have given 
 over 11,000 days' treatment as compared with 7,522 last sum- 
 mer, an increase of about 30 per cent. 
 
 The cost of maintaining the camp was 58 cents per patient 
 
 20 
 
« 
 
per day averaged for the fii'st five months. This compares 
 with 82.7 cents average for the first season, and 63.8 for the 
 second. As each month has shown a saving over the previous 
 one it seems probable that this cost can be stOl fm-ther reduced 
 when averaged for a year around. The figures given include 
 the cost of additions to and replacement of the equipment. 
 If these be eliminated the cost for this year's regular season 
 was 51 cents per patient per day. Of this 31J cents represents 
 the cost of the meals. The balance equals the cost of the 
 local administration and medical care. The cost has been met 
 by voluntary contributions from 167 people, plus 25 cents a 
 day from 7 patients who were able to pay this for a short time, 
 and small payments by two neighboring cities whose Boards of 
 Health sent patients to us. 
 
 The following social and medical statistics and information 
 were furnished by Dr. Townsend and Miss Gallagher. 
 
 The sexes were nearly equally divided. One-half of all were 
 native born, 33 were born in Ireland, 25 in Russia, 23 in Canada. 
 Fifteen were under 14 years of age, 173 between 14 and 45, and 
 16 over 45. 
 
 Housing and household conditions were not completely 
 recorded. The residence of 185 was in Boston and of 19 in the 
 suburbs. One hundred thirty-five lived in tenement houses 
 with their families, 64 boarded or lodged and 8 lived in their 
 own houses. One hundred sixty-four had separate rooms. 
 
 Eighty of the patients had been employed in factories or 
 shops, 138 had been employed in confining occupations, 20 had 
 been attending school, and only 21 reported outdoor work. 
 Forty-five had given their time to household tasks. 
 
 Medicine has been used only symptomatically. Sweet oil is 
 not used because we feel that the patients receive varied and 
 nourishing diet in sufficient quantities to render it unnecessary. 
 It has not been deemed advisable, after careful consideration, to 
 administer tuberculin treatment at the camp. The body weight 
 of each patient is recorded once a week. Every patient is 
 given a thorough chest examination once a month and a general 
 examination on request. The throat of each patient is ex- 
 amined on admission by a specialist, who also comes to the 
 camp twice each week to give necessary treatments. 
 
 21 
 
 THREE- 
 FIFTHS 
 FOR FOOD 
 
 AGE, SEX 
 
 AKD 
 
 NATIONALITY 
 
 HOUSING 
 
 OCCUPATION 
 
 MEDICINE 
 
 EXAMINA- 
 TION 
 
THROAT 
 CONDITIONS 
 
 75 PER; CENT 
 
 LOOKED 
 
 WELL 
 
 SOURCE OF 
 CONTAGION 
 
 14 GAINED 
 OVER TEN 
 POUNDS IN 
 20 WEEKS 
 
 THE REST 
 OF THE 
 FAMILY 
 
 EXAMINED 
 
 The throat examinations showed 126 normal and 56 with 
 definite evidence of tuberculosis. Twenty-two remained for so 
 short a time that they were not examined. 
 
 Three patients were determined after careful scrutiny not to 
 have tuberculosis. Twenty-five were suitable for hospital care 
 only. 
 
 Of the patients 25 per cent were well developed and nourished and 
 showed no outward signs of the disease. A further 50 per cent 
 were so well in appearance that they would escape the layman's 
 attention, while but 25 per cent presented the haggard appearance 
 and other indications usually thought to accompany the disease. 
 
 As to the source of the contagion nothing definite is known. 
 Tliere had been recorded cases of tuberculosis in recent years 
 in nineteen of the houses and in twenty- two of the family groups. 
 Five thought they caught the infection from fellow workmen. 
 
 Microscopic examination showed bacilli in the sputum of 
 42 per cent of the patients when they entered. 
 
 One hundred and twenty-two patients gained in weight, 59 
 lost and 43 were either weighed but once or showed no material 
 change. Slow and steady gain in weight and commensurate 
 improvement in strength and condition were sought. From 
 half a pound to a pound per week was more commended than 
 eleven pounds in three weeks or twenty-one in ten. 
 
 Ninety-six children and 36 adult members of families in 
 which there was known to be a case of tuberculosis were ex- 
 amined during the regular season. Of these 17 were found to 
 be tuberculous, 6 in suspicious condition, 11 had bronchitis, 
 10 had enlarged tonsils, or adenoids, 2 anaemia, 4 spinal curva- 
 ture — leaving a balance of 80 normal. Each of those needing 
 medical care was referred to the proper agency. 
 
 One of the most startling disclosures of the medical records was 
 the sources from which the patients were referred to our camp : 
 
 Rutland State Sanatorium 34 
 
 Massachusetts General Hospital (Social Service) ... 39 
 
 Boston Dispensary 43 
 
 Boston Consumptives Hospital, O.P.D 8 
 
 Children's Hospital 1 
 
 Mount Sinai Hospital 8 
 
 Boston City Hospital 9 
 
 Through our office, Ex-Camp cases 11 
 
 22 
 
From Tuberculosis Classes 7 
 
 Charitable Societies 6 
 
 Rutland Examining Clinic 10 
 
 Direct Application 5 
 
 Private physicians 23 
 
 Total 204 
 
 One hundred and thirty-four of these cases, or nearly two- 
 thirds, had been previously treated for tuberculosis in sana- 
 toriums, hospitals, or classes. In consequence a special study of 
 a group of such cases who had been in one of the best of our 
 sanatoriums is now being made. 
 
 The results have been highly encouraging. Within the five 
 months, of which account is here given, ten patients were dis- 
 charged with the disease arrested and they have resumed their 
 work and ordinary place in life. Fifteen who were at first 
 inadmissible have been secured places in the Rutland or other 
 sanatoria or hospitals. Twelve have died at home or at in- 
 stitutions to which they were sent. Eleven of these died from 
 tuberculosis. Fifty-six left against advice, 6 were discharged 
 as unmanageable and the balance, 95, remained on the roll on 
 November 1. 
 
 Eliminating the 42 patients who stayed less than a week, we 
 find that the average patient stayed at the camp for twelve 
 weeks up to November 1st. At that time there were 54 patients 
 who had been there for the full twenty weeks, 74 had been 
 there more than fifteen weeks, 96 more than ten weeks and 122 
 for five weeks or more. 
 
 The Day Camp Committee wishes to make very grateful 
 acknowledgment of its indebtedness to Dr. Townsend, physician- 
 in-charge, and to Drs. McCarthy, Houghton, Schmidt, and 
 Sullivan, his volunteer assistants, and to Miss Robbins, matron, 
 and the other members of the staff for their tireless efforts 
 which are so largely responsible for the continued success of 
 the Day Camp Sanatorium. The Committee also acknowledges 
 with gratitude the generous volunteer service of Miss TUeston 
 and Mrs. Carver; the constant kindness and good neighborliness 
 of the fellow tenants, the Conness and Meehan families; the faith- 
 fulness and cheerful performance of the nurses and the kitchen 
 help under trying circumstances; the gentleness, regularity, co- 
 
 23 
 
 ONE THIRD 
 
 HAD NOT 
 
 BEEN 
 TREATED 
 BEFORE 
 
 TEN 
 "ARRESTED' 
 
 FIFTEEN 
 GRADUATED 
 TO RUTLAND 
 
 AVERAGE 
 STAY 12 
 WEEKS 
 
operation and high courage of the patients, without which all else 
 would be vain; many lesser but appreciated gifts of services and 
 supplies from the Trustees of the Boston Consumptives Hospital, 
 the Boston Young Men's Christian Union, the Boston Elevated 
 Railway Company, Walter Baker Chocolate Company, Walter 
 M. Lowney Chocolate Company, Miss L. R. Little, Shepard & 
 Norwell, Houghton & Button, R. H. White, Jordan Marsh & Co., 
 Thomas Kelly & Sons, Mrs. WUliam L. P. Boardman, Mrs. 
 Skinaer, Mrs. J. S. Howe, Mrs. W. H. Smith, Mrs. E. D. Town- 
 send, Miss A.Tileston, Mrs. Edward L. Clark, Mrs. J. G. Brooks, 
 Mrs. Charles Gillis, Mrs. J. Button, Mrs. G. T. Baker, Miss A. R. 
 Townsend, Miss Alice Richards, Mrs. A. E. Hatch, Miss B. Stone, 
 Miss S. S. Watson, Mrs. Hodgden, Mrs. C. K. Cummings, Mrs. 
 William T. Bowles, Miss S. J. Elder, Mrs. J. E. Swan, Robert T. 
 Paine, B. J. McBonald, N. K. Wood, C. P. Jaynes, The Traveler, 
 The Transcript, Herald, Post, Journal, Globe, and American for 
 newspapers furnished for the patients, and to the press generally 
 for helpful publicity. Thanks are heartily given to each of those 
 whose generosity has made this the longest and most successful 
 season possible and especially to the three anonymous givers 
 of five thousand dollars. With these funds the work will be 
 continued until the city's buUding operations begin. 
 
 24 
 
WHERE CURE BREAKS DOWN 
 
 When a patient leaves Rutland for Boston, the Superintendent ex-patiekts 
 punctually sends us his name, prospective address, the next 
 friends' address, and his condition on discharge, i.e. 
 
 Apparently Cured, Improved, 
 
 Disease Arrested, Process Active, 
 
 Much Improved, Left Against Advice, 
 
 Not Considered (the stay being so short that there was no 
 
 basis for a report except the entrance card), and 
 Non- tuberculous (cases which remain doubtful after repeated 
 
 examinations at a clinic are admitted for observation during 
 
 an indefinite period). 
 
 The filing of this notice places the ex-patient on the office 
 books for after care which ought to take the form of a prompt 
 advisory and observation visit by the Association nurse. Few 
 of the patients have applied to us for advice or aid immediately 
 upon their arrival in Boston, but the number ultimately be- 
 coming dependent has reached proportions that demands serious 
 inquiry into the reason why the costly work of cure has to be 
 repeated. 
 
 In the division of labor at the office of the Association first 
 attention has been given to newly-discovered cases because 
 they are usually in the second and third, or the advanced stages, 
 and are ignorant of what to do for themselves, and how to 
 protect others from infection. The Day Camp patients are 
 next in turn, for we have sole medical control over them, and 
 the responsibility for the health of their family imit is also on 
 our shoulders. Our final concern has been with those who 
 presumably have learned how to take excellent care of them- 
 selves, and who should have been instructed concerning their 
 activities when they left Rutland. They should now, therefore, 
 rank among the assets and not the liabilities in the business 
 of cure. 
 
 25 
 
 THE THEORY 
 
ITS COLLAPSE But it was noted in October that 34 of the 91 patients on 
 the roll of the Day Camp had been treated at other sanatoria, 
 and that the period between discharge and the application to 
 us as reverted cases in. the second or third stage was surprisingly 
 brief. At this juncture the story of Mary Jones reached the 
 oflSce. She had been discharged from Rutland this summer 
 A FAILURE after twelve weeks of treatment, "disease arrested." Her small 
 savings had been drained of $55 and the State had spent 
 $74. for her maintenance besides an uncomputed amount in 
 interest, depreciation, and lost taxable values on its property. 
 
 Warned on leaving to "hve according to the rules of hygiene 
 learned at the sanatorium," she returned happy and hopeful 
 to her old work of scrubbing office floors on her hands and 
 knees with a brush. On the third day the severe exercise of 
 chest and back muscles caused a hemorrhage, which was followed 
 by renewed activity of the disease process. No one had talked 
 with her before it was too late, about her previous occupation 
 and the unwisdom of returning to it, and no one had assisted 
 her to select and obtain another means of livelihood. A second 
 arrest, if effected at all, must be in spite of broken faith and 
 advanced condition. She will also be treated by a different 
 group of doctors and nurses who must duphcate the wasted 
 acquaintance, time, energy and skUl. 
 
 The Committee on Relief and Control then decided to seek 
 in the records of this type of cases the answers to these questions : 
 
 To what extent is the reversion due to the occupation? 
 WHY? To home conditions? 
 
 To an inadequate period or character of treatment? 
 To lack of instruction or failure to understand instruction at 
 discharge? 
 
 The physician in charge of the Camp selected nine of the 
 thirty-four cases as "relapses probably due to industrial occu- 
 pation," during the interval between the discharge and the new 
 application. Four cases were added to these on information 
 subsequently obtained from the visiting nurse, which indicated 
 a similar cause for their relapse. The remaining twenty-one 
 have not yet been considered. Neither the social record at the 
 
 26 
 
METHOD OF 
 
 office nor the medical records at the Camp yielded satisfactory 
 data on the home life or occupation — a failure due in part to 
 the card form, and in part to the indifference with which we 
 have all regarded these subjects. The facts were, therefore, inquirt 
 sought directly from the patients in conversation carried on 
 informally without note taking or set questioning. Not more 
 than two or three histories could be taken each day by the 
 volunteer who gave all her time to it. Time and tact were 
 required to replace reticence by friendliness, and reach the 
 spontaneous natural point of view. When each story was 
 finally written the salient facts were checked against official 
 records and information given by the Camp physicians and 
 matron, and the visiting nurses. 
 
 The following cases are outlined in their most abbreviated 
 form and can, of course, convey little of the powerful impression 
 made by the detailed recital of hardships, courage, and defeat. 
 All lived outside of Boston, but within ten miles of the city. 
 
 Case No. 156. Age 29. He says that Rut- 
 land Doctors told him after three months' treatment, 
 three years ago, not to leave the sanatorium, but he had 
 to go to work to support his family, and a brother, who 
 remamed at Rutland. He left the sanatorium "im- 
 proved," but he said he "arrested himself" by taking 
 a place as freight brakeman and staying out of doors 
 all the time. He was examined at intervals, and al- 
 though he felt well, the trouble did not entirely dis- 
 appear. His brother was then dismissed from Rutland 
 to die. C. said that it was necessary to take care of his 
 brother, although he knew that he should not do so. 
 He worked all night and took care of his brother 
 during the day, and attributes his second infection 
 to this cause. He grew more and more tired, and 
 lost all that he had gained. He entered the Camp 
 July 30, 1907, "second stage active." 
 
 Case No. 141. Twenty-five years old. Was 
 
 discharged from Rutland after five months' treatment, in 
 September, 1906, "arrested." Says that she was told 
 that she must never work again, and she stayed at 
 home imder adnurable conditions for two months, and 
 then returned to her former occupation as telephone 
 operator. The hours were from eight to six, and the 
 
 27 
 
work nerve- wearing, but she did not miss a day during 
 nine months until too ill to go to work. She entered 
 Camp, August 13, 1907, first stage active. Hopes to 
 find a place as a switch board operator in a private office 
 near the window and with shorter hours. Discharged 
 from Camp, November 15, "arrested." 
 
 Case No. 76. Thirty-four years old. Admitted 
 
 to Rutland about December 1, 1906, discharged AprU 6, 
 1907 (twenty weeks), "arrested." The patient under- 
 ^ stood that she was cured and in the "best of health," 
 but ought not to work for a year or two. She is a 
 mdow with six stepchildren and three of her own, 
 only two of whom are wage earners. Returned to 
 house work, doing as little as possible, remembering 
 advice — and her household showed it. Admitted to 
 Camp, June 27, stage two, active. Discharged Novem- 
 ber 25, "arrested." 
 
 COHCLUSIONS 
 
 UNSCIENTIFIC 
 SOCIAL CARE 
 
 Time prevented the completion of this study before the 
 rendering of this report but the conclusion already seems clear 
 that: 
 
 Our knowledge of the patient ceases to be exact, scientific 
 or trustworthy when he leaves the sanatorium; and the social 
 study of the patient is at no time comparable in method to the 
 physical study of the case. 
 
 The theory of medical care is scientifically outlined and 
 accurately pursued. Social care, on the other hand, is neither 
 scientifically planned nor is the loose attention we do give to 
 it adequate to any one of the requirements of a patient suddenly 
 removed from a nearly perfect environment to one full of danger. 
 When a man asks for medical aid he is studied so thoroughly 
 that the color of his eyes and his mother's maiden name are 
 known before he enters the ward. What is known of him, 
 and by what responsible body, when he re-enters the city? 
 Yesterday it had been determined whether he could digest 
 eggs; today no one inquires whether he can be a bookkeeper 
 or a man-of-all work for twelve hom's a day. 
 
 Thirty years ago those who wished to know how to control 
 this disease were defeated in the medical laboratory; now we 
 fail hi the social gi'oup; and it is here that we must experiment 
 with researches as lavish, as patient and as daring as were 
 
 28 
 
those that discovered the bacillus. We have now to find the 
 method by which an ex-patient can five, and be as safe and 
 comfortable in his daily life as in the sanatorium. 
 
 Such reversions constitute defeat. How shall we proceed to 
 reduce their number? How shall we at least reduce the speed 
 with which they overtake ex-patients and nullify the expendi- 
 ture of time and effort and money? How shall the social 
 care be brought up to an efficient standard? 
 
 The average length of treatment at the New York State 
 Sanatorium at Ray brook is thirty- two and one-half weeks, 
 at Loomis and Sharon it is twenty-four weeks, approximately 
 the same as at Rutland. Should an attempt be made to lengthen 
 this in order to be surer of permanent results? 
 
 Can we not include in the hygienic and medical treatment 
 constant therapeutic use of various kinds of work? Con- 
 fidence and abihty would thus be incidentally constructed 
 while muscles are made firm, appetite created, and the system 
 regulated. Dr. Patterson, of the Brompton Hospital Sana- 
 torium, and other English physicians, have been showing aston- 
 ishing results from this method of dosing with measm-ed output 
 of activity and strength through time. Can we protect the 
 convalescent and economize for the state, insuring the pro- 
 ductiveness of its expenditure upon him, by estabhshing at 
 the Rutland Sanatorium, and at the other sanatoria soon to be 
 erected, a social service or after-care department? 
 
 Enghsh public and private sanatoria have had ten years of 
 beneficial work by after-care committees. American experience 
 with after-care for graduates from insane asylums and the 
 parole system is analogous. We befieve it could be built up 
 at very slight cost through centrahzing the responsibihty in a 
 developed graduate of a school for social workers. No patient 
 would then be discharged without this officer's knowledge 
 except upon one week's notice to her. In that time she should 
 be able to make at least temporary arrangements for the patients. 
 Through the use of present organizations and correspondents 
 she could assure proper housing and work, which, if not ideal, 
 would at least not be dangerous. 
 
 For the sake of society and the adjustment of its refief and 
 control measures we believe that we need as extended and 
 
 LONGER 
 TREATMENT 
 
 PRESCRIBE 
 WORK 
 
 AFTER CARE 
 
 29 
 
thorough an investigation into the after-history of sanatorium 
 patients as we now have into their case history at such scientifi- 
 cally governed institutions as the Phipps Institute in Phila- 
 delphia. These after-history facts have the same bearing on 
 control and relief measures as laboratory research and the 
 minute antecedent facts found at the clinic have on the medical 
 treatment of the individual. 
 
 EDUCATION 
 
 Pubhc education on the facts about pulmonary tuberculosis 
 or consumption has been sought through the use of our traveling 
 exhibit, public meetings and lectures, distribution of literature, 
 representation at hearings on aU matters affecting health before 
 the legislature, and furnishing the press with authoritative 
 information. We have constantly reiterated the truth that 
 the "white plague," and many other human ills are preventable 
 and curable through consistent observation of the laws of 
 hygiene, Consimiption is not hereditary, but gets its grip when 
 vitality is lowered by poor food, deficiency of fresh air and 
 sunhght, and drinking or other excesses. It will not yield to 
 anything-in-a-bottle asserted to "cure aU lung troubles." It 
 is, however, curable and preventable by homely means patiently 
 adhered to : by a concerted enforcement of the laws upon regis- 
 tration and disinfection of aU discovered cases and places; by 
 respect of the law against expectoration or spitting on sidewalks 
 and in theaters, churches and other pubhc places; by thorough 
 ventilation of home, factory and office; by hospital or other 
 medically supervised care of advanced cases; by sanatorium or 
 dispensary care for incipient cases; by efficient enforcement of 
 pure food, anti-smoke and dust, and clean street laws; and 
 finally, by extension of buUding regulations, and official examina- 
 tion into and care for the health of school children. 
 
 In practical demonstration of these truths, the Association 
 has arranged a traveling exhibit of maps, charts, models of tents 
 and shacks, sanatoria buildings, photogi'aphs and models of 
 consumption breeding tenements and of inexpensive model 
 housing conditions. Accompanied by a set of 200 stereoptican 
 slides, it has been set up this year in fifteen cities and has been 
 
 30 
 
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 be 
 
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TO LEA 
 
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 EXPERIl 
 
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 APPL 
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 X 
 
 \ 
 
seen by 92,000 persons. Three times it has passed beyond state 
 lines, to Providence, Pittsburg, ajid Syracuse. As a direct result 
 of its service in the latter city the New York Legislature made 
 an appropriation for a duplicate to be used by its State Board 
 of Health. Wherever shown it has either given great impetus 
 to the local anti- tuberculosis society, or it has caused one to be 
 formed through precipitation of the aroused public interest. It 
 can be used advantageously in every town of 5,000 inhabitants 
 or over. The whole expense can be kept within $100 for eight 
 days. The calendar and most economical route of travel is made 
 up months in advance. As the Treasurer's report shows, the 
 receipts from its rental ($5.00 per day), and the refunded ex- 
 penses relieve us from the burden of its support except when 
 in local use. Constant effort is made to improve it and add to 
 its effectiveness. The use of an Edison phonograph to explain 
 its lessons to visitors is now projected. 
 
 Encouraged by the great success of the main exhibition and 
 the extended schedule made out for its use in the larger cities, 
 we are now preparing material for minor or parlor exhibits. 
 These will consist of well-selected photographs and charts, a 
 few models, and collections of the best popular health literatm-e. 
 These will be lent to public libraries, settlements, church clubs 
 and similar organizations. 
 
 Forty public lectures were arranged in connection with the 
 five local situations of the exhibit last year. These were at- 
 tended by appreciative audiences of from one to nine hundred. 
 "A War Upon Consumption," a leaflet telling how to escape 
 the disease, and "Friendly Advice to Consumptives," telling 
 the rudiments of treatment and the way to protect others, are 
 distributed in large quantities to these audiences and through 
 the office. We will continue to arrange for lectures on health 
 protection before trades-unions, settlements, church clubs, 
 pubUc schools, and other bodies. 
 
 Special literature for factory managers has been issued to a 
 limited extent, and signs directing the use of cuspidors and 
 forbidding indiscriminate spitting are furnished on request. 
 Several factories have provided liberally for the examination of 
 their employees, for pensions while under treatment and guar- 
 antees of work when the disease has been arrested. 
 
 PUBLIC 
 LECTURES 
 
 31 
 
NEED OF 
 
 NEW 
 ENGLAND 
 ORGANIZA- 
 TION 
 
 Considerable of the Secretary's time is given to visitors 
 seeking information about these subjects and ad\T.ce in regard 
 to the inaugm-ation of special campaigns. This Association aims 
 to become, to an increasing extent, a source of information and 
 assistance in regard to every phase of health protective work. 
 The largest and most systematic distribution of tuberculosis 
 literature ever made was undertaken last January by the City 
 Consumptives Hospital Department, when it mailed a cncular 
 to every registered voter in Boston. In the preparation of this 
 circular the Secretary of the Association and some of its members 
 took an active part. The Committee on Education expects to 
 prepare and distribute a new edition of the " Directory of Institu- 
 tions and Resomxes in Massachusetts for the Relief and Control 
 of Tuberculosis." This has proven most useful and is in steady 
 demand. The question of including private boarding houses 
 brings up that of the desirability of having aU such "sanatoria" 
 and hospitals licensed and inspected by the State Board of 
 Health. 
 
 A general news campaign should be begun by wsiy of furnish- 
 ing the press of New England regularly with stories about 
 health protection. The principal cost of this enterprise would 
 be that of time and skUl in preparing the articles at the moment 
 when they have the greatest news value. The solidarity of New 
 England interests is such that this can be done economically 
 only if done for the whole, and no local society hke ours can 
 afford to bear the whole burden of this. It would seem to be an 
 excellent argument for the organization of an Association of 
 all of the health protective and disease preventive agencies in 
 these states. Progress requires a survey of the health field in 
 many communities now unorganized, and a re-ahgnment and 
 division of labor among existing agencies. The standard of 
 work of aU would be better defined. Volunteer agencies would 
 be measm^ed periodically b}^ theii- own pretensions and public 
 agencies by their responsibilities. 
 
 WALTER E. KRUESI, 
 
 Secretary. 
 
 32 
 
1905. 
 
 1906. 
 
 1907 
 
 123 
 
 162 
 
 158 
 
 ,914 
 
 7,522 
 
 10,580 
 
 31 
 
 46 
 
 67 
 
 58 
 
 72 
 
 83 
 
 DAY CAMP SANATORIUM 
 
 COMPARATIVE FIGURES FOR THE FIRST TWO SEASONS 
 AND PART OF THE THIRD SEASON 
 
 The Day Camp on Parker HiU was first opened July 6, 1905, closing for 
 the season on October 31. The second season of the camp opened May 23, 
 and closed October 31, 1906. The third season opened at the new situation 
 in Mattapan, June 5, 1907, and stiU continues as this report goes to press 
 (January 25, 1908). All figiires are taken to the end of the fiscal year — 
 October 31. 
 
 Number of days open 
 
 Total number of patient-days 
 
 Average number of patients per day . . 
 Maximum number of patients on one day, 
 
 Cost per day per patient: 
 
 Food, coal and medical suppUes . . . $0,375 $0,317 $0.3158 
 
 Carriage to top of Parker Hill .... .144 .093 .025* 
 
 Salaries of nurses and attendants . . .202 .147 .137 
 
 Office expenses, printing, postage, etc. . .106 .047 .031 
 
 Extensions, repairs and renewals . . .034 .071 
 
 Totals $0,827 $0,638 $0.58 
 
 First cost of camp $1,427.30 
 
 Cost of maintenance 3,240.74 $4,803.22 $6,000.69 
 
 Total disbursements $4,668.04 $4,803.22 $6,000.69 
 
 * At the new site no carriage is needed. This includes the cost of the special car for 
 the patients during the first month and on Sunday evenings, and the fares of two attend- 
 ing physicians. 
 
 SUMMARY OF THE WORK OF THE NURSES 
 
 1906. 1907. 
 
 Gave instruction and advice to 496 1,149 
 
 Sent to hospitals and sanatoria 37 188 
 
 Sent to Day Camp 58 45 
 
 Referred to the District Nursing Association 21 28 
 
 Referred to the Associated Charities 49 50 
 
 Referred to other charities 32 33 
 
 Referred to the Board of Health 23 f 
 
 Total number of patients visited 716 1,493 
 
 t Of the total number of patients coming under our nurses' care, 378 were referred to 
 the Board of Health for registration, disinfection, quarantine or on account of overcrowd- 
 ing or illegal housing conditions. 
 
 33 
 
REPORT OF THE TREASURER 
 
 George S. Mumford, Treasurer, in account with the Boston Association 
 FOR THE Relief and Control of Tuberculosis. 
 
 Nov. 1, 1906 to Oct. 31, 1907. 
 
 Dr. 
 
 Debit Balance November 1, 1906 $384.70 
 
 To Contributions to General Fund of 1907 6,408.24 
 
 Contributions to Day Sanatorium Fimd of 1907 6,373.96 
 
 Contributions to Day Sanatorium Fund of 1906, received after Nov. 1, 1906, 663.63 
 
 Contributions to special Holy Ghost Hospital Fund 3,539.88 
 
 Contribution for Special Relief Fund 250.00 
 
 Share Day Sanatorium in General Expenses 186.81 
 
 Interest on Bank Balances 36.21 
 
 Cash sale of Napkins, Pamphlets, etc 220.18 
 
 Rent of Travehng Exhibit 925.05 
 
 S18,988.66 
 
 Cr. 
 
 By Salaries 83,749.37 
 
 Office Rent 250.04 
 
 Office Expenses, postage, traveling expenses, etc 1,086.65 
 
 Printing and other Educational work 376.02 
 
 Traveling Exhibit 1,379.90 
 
 Relief, medicine, sputiun cups, etc 176.57 
 
 Cash transferred to Daj' Camp of 1906 account after Nov. 1, 1906 .... 663.63 
 
 Cash transferred to Day Camp season of 1907 account 6,373.96 
 
 Cash paid for board of patients at Holy Ghost Hospital 3,539.88 
 
 Cash to repay loan of October, 1906 1,000.00 
 
 Special ReUef Fund 101.19 
 
 Balance on hand October 31, 1907 291.45 
 
 $18,988.66 
 
 GEORGE S. MUMFORD, 
 
 Treasurer, 
 
 27 KiLBT Street, Nov. 29, 1907. 
 
 I hereby certify that I have examined the receipts and payments, with their vouchers, 
 of the Treasurer of the Boston Association for the Relief and Control of Tuberculosis 
 for the fiscal year ending Oct. 31, 1907, and have fovmd them correctly accoimted for 
 and agreeing with the bank balance. 
 
 H. A. LAMB, 
 
 Avditor, 
 Ltsbom Gordon, Accountant. 
 
 34 
 
OFFICERS AND COUNCIL FOR 1907-1908 
 
 Edward O. Otis, M.D., President. Mrs. Mart Morton Kehew, Clerk. 
 
 Arthur K. Stone, M.D., Vice-President. George S. Mumford, Treasurer. 
 Walter E. Kruesi, Secretary, Office, 4 Joy Street. 
 
 George S. C. Badger, M.D. 
 John G. Blake, M.D. 
 V. Y. Bowditch, M.D. 
 Arthur T. Cabot, M.D. 
 Herbert C. Clapp, M.D. 
 Miss EUzabeth P. Cordner. 
 Wm. T. Councilman, M.D. 
 Mrs. Charles A. Cumndngs. 
 Rev. Francis X. Dolan. 
 Rev. Charles F. Dole. 
 Miss Helena Dudley. 
 Samuel H. Durgin, M.D. 
 Miss Veronica Dwight. 
 Harold C. Ernst, M.D. 
 Mrs. William Faxon, Jr. 
 George W. Fitz, M.D. 
 Reginald H. Fitz, M.D. 
 
 COUNCIL. 
 
 Mrs. Helena N. Gargan 
 Miss Ahce L. Higgins. 
 Henry L. Higginson. 
 Mrs. John Homans. 
 Miss Isabel F. Hyams. 
 EUiott P. Joshn, M.D. 
 Mrs. Mary Morton Kehew. 
 Frederick I. Knight, M.D. 
 Babson S. Ladd. 
 Horatio A. Lamb. 
 Rt. Rev. WilKam Lawrence 
 Miss Ida Mason. 
 Edward F. McSweeney. 
 Prof. Henry C. Metcalf. 
 James J. Minot, M.D. 
 George S. Mumford. 
 Miss Mary Boyle O'Reilly. 
 
 Edward O. Otis, M.D. 
 Robert Treat Paine, Jr. 
 Wallace L. Pierce. 
 Joseph H. Pratt, M.D. 
 Miss Julia C. Prendergast. 
 Charles P. Putnam, M.D. 
 Miss Lilian V. Robinson. 
 Miss Maud M. Rockwell. 
 Miss Annette P. Rogers. 
 G. H. M. Rowe, M.D. 
 Fred'k C. Shattuck, M.D. 
 A. Shuman. 
 Arthur K. Stone, M.D. 
 Mrs. Paul Thomdike. 
 Miss Ellen Tower. 
 Henry P. Walcott, M.D. 
 Robert Winsor. 
 
 STANDING COMMITTEES 
 
 EXECUTIVE COMMITTEE. 
 
 Edward O. Otis, M.D., Chairman. 
 Rev. Francis X. Dolan. 
 Miss Alice L. Higgins. 
 Mrs. Mary Morton Kehew. 
 Babson S. Ladd. 
 
 James J. Minot, M.D. 
 George S. Mtjmford. 
 Charles P. Putnam, M.D. 
 Arthur K. Stone, M.D. 
 Robert T. Paine, Jr. 
 
 COMMITTEE ON EDUCATION AND HOSPITALS. 
 
 Arthur K. 
 Rev. Francis X. Dolan. 
 Miss Lilian V. Robinson. 
 Miss I. F. Hyams. 
 Mrs. Sylvia Knowlton. 
 Edwin A. Locke, M.D. 
 Miss Alice G. Chandler. 
 
 Stone, M.D., Chairman. 
 
 Mrs. John Homans. 
 William T. Councilman, M.D. 
 Mrs. Mary Morton Kehew. 
 Robert T. Paine, Jr. 
 Ralph C. Larrabee, M.D. 
 Miss Mary L. Strong. 
 
 35 
 
COMMITTEE ON RELIEF AND CONTROL. 
 
 James J. JiliNOT, M.D., Chairman. Cleaveland Floyd, M.D. 
 
 Arthur K. Stone, M.D. Miss Veronica Dwight. 
 
 Edward O. Otis, M.D. Babson S. Ladd. 
 
 Charles P. Putnam, M.D. Miss Eliz.'Vbeth P. Cordner. 
 
 Miss Julia C. Peendergast. Miss Alice L. Higgins. 
 
 Miss Ida Mason. Mrs. Helena N. Gakgan. 
 
 George S. C. Badger, M.D. Harry Linenthal, M.D. 
 
 FINANCE COMMTTEE. 
 Mrs. Mary Morton Kehew, Chairman. 
 Mrs. John Hoiians. Robert T. Paine, Jr. 
 
 HoRAyro A. Laj,ib. George S. MuiiFORD. 
 
 SPECIAL COMMITTEES 
 
 DAY CAJilP SANATORIUM COMxMITTEE. 
 Mrs. Mary Morton Kehew, Chairman. 
 George S. Muiiford. Mrs. Charles K. CuMinNGS. 
 
 Robert Treat Paine, Jr. Charles P. Putnam, M.D. 
 
 Arthur K. Stone, M.D., Vice-Chairman. Edwin A. Locke, M.D. 
 
 COlMiHTTEE ON TUBERCULOUS CHILDREN. 
 Charles P. Putnam, M.D.. Chairman. 
 Miss Alice L. Higgins. Rev. Francis X. Dolan. 
 
 Miss Lilian V. Robinson. Harry I. Bowditch, M.D. 
 
 Miss Helen Cheever. Channlng Stowell, M.D. 
 
 John B. Hawes 2d, M.D. , Fice-C/iairman Seymour H. Stone. 
 
 Edwin A. Locke, M.D. 
 
 COMMITTEE ON EMPLOYMENT FOR PATIENTS AND EX-PATIENTS. 
 Joseph H. Pratt, M.D., ChaArman. 
 Miss Alice L. Higgins. Walter E. Kruesi. 
 
 STAFF 
 
 Secretary Walter E. Kruesi 
 
 T7-. .^- Tvr ( Miss M. Alice Gallagher 
 
 Visiting Nurses -I ^^ . •,, t^ 
 
 ( Miss Annie McKay 
 
 Stenographer Miss Harriet I. Lawrence 
 
 Clerk Mrs. M. A. Curry 
 
 Caretaker of Exhibit Arthur C. Hunt 
 
 Medical Director of Day Camp Sanatorium . . . David Townsend, M.D. 
 
 ( F. P. McCarthy, M.D. . 
 Volunteer Assistant Physicians at the Day Camp J R. H. Houghton, M.D. 
 Sanatorium J R. D. Schmidt, M.D. 
 
 I J. T. Sullivan, M.D. (Throat) 
 
 Matron of Day Camp Sanatorium Miss Susane F. Robbins 
 
 Nurse " " " Miss Ella F. Edwards 
 
 Caretaker '' " " William J. Jutras 
 
 Cook at " " " Mrs. F. Benson 
 
 Kiichen Helpers at Day Camp Sanatorium ••.•<,, ..' ^ ^/ ' 
 ^ ^ ( Mrs. J. E. Voye 
 
 36 
 
DONATIONS 
 
 Contributions of one dollar, or more, within any fiscal year 
 to the general funds of the Association entitle the contributor 
 to membership. AVhere members have also contributed to the 
 STpecial fimd for the Day Camp Sanatorium it is here ac- 
 knowledged in combination with general gifts. Those who 
 have contributed to the Sanatorium only, and are, therefore, 
 not enrolled as members are incUcated by an asterisk. 
 
 Backup, Elizabeth E S2.00 
 
 Abbe, F. R., M.D , 
 
 *Abbott, Dr. and Mrs. Edward 
 
 Abbott, Gordon 
 
 *Abbott, Miss Katherine K. . . 
 *Abbott, Mrs. P. W 
 
 Achorn, Mrs. E. O 
 
 Adams, Mrs. Charles H. . . , 
 
 Adams, Miss Helen J 
 
 Agassiz, Mrs. Louis 
 
 *Ahlborn, Emily B 
 
 *Aldrich, Miss C. F 
 
 Alford, Edward B 
 
 Alford, Martha A 
 
 Alford, Mrs. Orlando H. . . . 
 
 Alford, Orlando H 
 
 Allen, Freeman, M.D 
 
 *Allen, Mrs. W. H 
 
 Allen, Mrs. W. L 
 
 Almy, Mrs. Charles 
 
 Ames, Prof, and Mrs. J. B. . . 
 *Ames, Miss Mary L 
 
 Amory, Arthur 
 
 Amory, C. W 
 
 Amory, Ingersoll 
 
 Amory, Miss Susan C 
 
 Amory, WilUam 
 
 Amster, Mrs. W. L 
 
 AnonjTnous 
 
 ♦Andrews, Edward R. . . 
 
 Andrews, Miss Ellen . . . 
 
 Anthony, Miss Annie R. . 
 
 Anthony, Mrs. S. Reed . . 
 
 Appleton, William, M.D. . 
 
 Armstrong, Mrs. George E. 
 
 Arnold, George F 
 
 Arnold, H. D., M.D. . . . 
 
 Arnold, Howard P. . . . 
 
 Atkinson. Miss E. B. P. . 
 
 Ayer, Mr. and Mrs. C. F. . 
 *Ayer, James B., M.D. . . 
 
 Sl.OO 
 5.00 
 
 11.00 
 5.00 
 
 10.00 
 1.00 
 1.00 
 3.00 
 5.00 
 5.00 
 5.00 
 
 10.00 
 5.00 
 
 15.00 
 
 20.00 
 1.00 
 5.00 
 1.00 
 1.00 
 
 50.00 
 
 25.00 
 6.00 
 
 25.00 
 1.00 
 1.00 
 
 50.00 
 
 10.00 
 100.00 
 5.00 
 1.00 
 3.00 
 5.00 
 6.00 
 1.00 
 5.00 
 - 2.00 
 5.00 
 
 10.00 
 5.00 
 1.00 
 
 20.00 
 5.00 
 1.00 
 1.00 
 
 25.00 
 1.00 
 
 16.00 
 5.00 
 
 Bacon, Francis E 
 
 *Bacon, Mrs. Louise C. . . 
 
 Bacon, Miss M. P 
 
 Badger, G. S. C, M.D. . . 
 
 Baker, Miss C. Alice . . . 
 
 Baker, Lorenzo D. ... 
 
 Balch, Miss Emily G. . . 
 
 Baldwin, George S. . . . 
 ♦Baldwin. William H. . . 
 ♦Bancroft, Mrs. C. F. . . . 
 
 Barbour, E. D 
 
 Barbrick, J. Eraser, M.D. 
 ♦Bartlett, Miss M. H. . . . 
 
 Bartol, Miss Ehzabeth H. 
 
 Bartol, J. W., M.D. . . . 
 
 Bates, George P 
 
 Beach, Mrs. E. H 
 
 *Beebe, E. Pierson .... 
 
 Beebe Mrs. J. Arthur . . 
 
 Beech, Mrs. Herbert . . . 
 
 Belches, Edward F. . . . 
 
 Bellows, Howard P., M.D. 
 
 Bemis, Albert F 
 
 Berlin, Miss Fanny . . . . 
 
 Bickford, Miss O. A. . . . 
 
 Biglow, Albert F 
 
 Bigelow, Mrs. Caroline T. 
 
 Bigelow, R. P 
 
 Bigelow, W. Sturgis, M.D. 
 ♦Billings, Ehzabeth C. . . . 
 
 Billings, Rev. Sherrard . . 
 
 Bird, MissM. D 
 
 ♦Bird, W. B 
 
 Blackmar, Mrs. Wilmon W. 
 
 Blake, Mrs. Arthur W. . . 
 
 Blake, J. A. L 
 
 Blake, Miss M. L 
 
 Blake, Mrs. S. Parkman . 
 
 Blake, William P 
 
 Blakeley. David N., M.D. 
 
 Blanchard, Miss 
 
 Blauchard, Sarah H. . . . 
 
 Bloom, William 
 
 ♦Boaman, James C. ... 
 
 Boardman, Miss E. D. . . 
 ♦Boardman, Mrs. W. D. . . 
 ♦Boland, E. J 
 
 25.00 
 
 20.00 
 
 1.00 
 
 2.00 
 
 1.00 
 
 5.00 
 
 1.00 
 
 2.00 
 
 3.00 
 
 3.00 
 
 5.00 
 
 2.00 
 
 5.00 
 
 6.00 
 
 1.00 
 
 15.00 
 
 26.00 
 
 25.00 
 
 200.00 
 
 10.00 
 
 1.00 
 
 1.00 
 
 7.00 
 
 1.00 
 
 6.00 
 
 1.00 
 
 35.00 
 
 2.00 
 
 20.00 
 
 1.00 
 
 1.00 
 
 3.00 
 
 2.00 
 
 6.00 
 
 5.00 
 
 10.00 
 
 5.00 
 
 40.00 
 
 10.00 
 
 1.00 
 
 5.00 
 
 5.00 
 
 1.00 
 
 5.00 
 
 1.00 
 
 5.00 
 
 1.00 
 
 37 
 
Boland, E. S., M.D Sl.OO 
 
 Borland, M. Woolsey .... 21.00 
 
 Bout well, Mrs. L. B 5.00 
 
 Bowditch. Charles P 10.00 
 
 Bowditch, Henry P., M.D. . . 11.00 
 
 Bowditch, Miss Olivia Y. . . . 1.00 
 
 Bowditch, Vincent Y., M.D. . 1.00 
 
 Bowen, John T., M.D 1.00 
 
 Boyden, Mrs. Charles .... 5.00 
 
 Brackett, J. R 5.00 
 
 Bradford, Cornelia H 3.00 
 
 *Bradlee, Mrs. J 5.00 
 
 Bradlee, Miss S. C 3.00 
 
 Bradley, J. Payson 1.00 
 
 Bradley, Susan H 1.00 
 
 *Bram4n, James C 5.00 
 
 Bramhall. Eleanor C 1.00 
 
 Brandeis, Mrs. Louis D. . . . 5.00 
 
 Bremer, Mrs. John L 50.00 
 
 Brewer, Miss Fannie R. . . . 6.00 
 
 Brindisi, R., M.D 1.00 
 
 Brooks, Fred 5.00 
 
 Brooks, Gorham 5.00 
 
 Brooks, John Arthur .... 3.00 
 
 Brooks, Mrs. Peter C 50.00 
 
 Brooks, Mrs. Shepard .... 300.00 
 
 Brown, Arthur M 1.00 
 
 Brown, Mrs. Mary E 1.00 
 
 *Brown, Samuel N 10.00 
 
 Brown, Miss Sarah N 1.00 
 
 *Browning, Ellen P 5.00 
 
 Bryant, Mrs. John D 2.00 
 
 Bryant, Nanna M 7.00 
 
 Bullard, Francis 5.00 
 
 Bullard, Mrs. William S. . . . 10.00 
 
 Burnham, E. A., M.D 1.00 
 
 Burnham, Mrs. J. A 11.00 
 
 Burr, Mr. and Mrs. Allston . . 12.00 
 
 Bushnell, Rev. S. C 1.00 
 
 Byerly, Prof. W. E 15.00 
 
 Byrne, Rt. Rev. William, V.G. 6.00 
 
 Cabot, A. T., M.D $16.00 
 
 Cabot, Charles M 10.00 
 
 Cabot, Mrs. J. S 5.00 
 
 *Cabot, Mrs. Louis 50.00 
 
 Cabot, Mrs. Walter C 20.00 
 
 Call, Emma S., M.D 1.00 
 
 Callahan, Bessie 2.00 
 
 Callanan, S. A., M.D 2.00 
 
 Campbell, William R 1.00 
 
 Capen, Samuel B 5.00 
 
 Carey, Arthur A 5.00 
 
 Carruth, Miss Ellen 2.00 
 
 Carson, Mrs. H. A 1.00 
 
 Cary, Mrs. Edward M 201.00 
 
 Gary, Miss G. S 51.00 
 
 *Case, Mrs. James B 20.00 
 
 *Cate, Mrs. M. L 10.00 
 
 Chamberlin, E. D 25.00 
 
 *Chamberlin, Miss E. E. ... 15.00 
 
 Chamberlain, Miss Melissa . . 6.00 
 
 Chamberlain, W. N 1.00 
 
 Chandler, Mrs. F. W S6.00 
 
 Charming, Dr. Walter .... 6.00 
 
 Chapin, Mrs. Henry B 11.00 
 
 *Chapin, Horace D 10.00 
 
 *Chase, Susan R 2.00 
 
 Chase, H. Lincoln. M.D. . . . 4.00 
 
 *Chase, Mrs. Theodore .... 10.00 
 
 Cheever, C. A., M.D 1.00 
 
 Cheever, Miss Helen 1.00 
 
 Cheney, Mrs. Arthur 11.00 
 
 *Chick, J. W 5.00 
 
 Chirurg, M., M.D 1.00 
 
 Christian, Henry A., M.D. . . 1.00 
 
 Clapp, Mrs. Charming .... 5.00 
 
 *Clapp, Mrs. George B 5.00 
 
 Clapp, Herbert C, M.D. . . . 1.00 
 
 Clapp, Mrs. W. W 11.00 
 
 Clark, Mrs. Frederic S 5.00 
 
 Clark, J. Payson 1.00 
 
 Clark, Mrs. John T 1.00 
 
 Clark, Miss Marion W. . . . . 20.00 
 
 Clark, Rev. William L 1.00 
 
 *Clarke, Mrs. Mary E 5.00 
 
 Clarke, Henry Martyn .... 4.00 
 
 ♦Clement, Mary D 5.00 
 
 Cobb, Andrew B 6.00 
 
 *Cobb, Mrs. Charles K., Jr. . . 10.00 
 
 Cobb, Elizabeth C 1.00 
 
 Cochrane, Alexander 6.00 
 
 Codman, E. A 1.00 
 
 Codman, Mrs. J. M 20.00 
 
 *Codnian, J. S 3.00 
 
 Codman, Mrs. R. S 4.81 
 
 Colby, Miss Jennie M 1.00 
 
 Cole, Samuel W 1.00 
 
 Coleman, Miss Emma L. . . . 1.00 
 
 Colfelt, Mrs. Rebecca 25.00 
 
 Collamore, Helen 10.00 
 
 Conrad, Mrs. David 1.00 
 
 Converse, Costello C 25.00 
 
 CooUdge, Ellen G 2.00 
 
 Coolidge, Ellen W 2.00 
 
 Coolidge, Mrs. F. S 1.00 
 
 CooUdge, J. Randolph .... 20.00 
 
 Coolidge, Sidney 10.00 
 
 Coolidge, T. JeSerson, Jr. . . 10.00 
 
 Cordner, Miss Elizabeth P. . . 5.00 
 
 Cornish, Mrs. Louis C 1.00 
 
 Getting, C. E 25.00 
 
 Cotting, Francis J 2.00 
 
 CottLng, Miss 3.00 
 
 *Courings, Mrs. W. H 10.00 
 
 Cowing, Mrs. Walter H. . . . 10.00 
 
 Crafts, Miss M. E 5.00 
 
 Crane, W. Murry 26.00 
 
 Crehore, Mrs. G. C 5.00 
 
 *Crocker, George G 6.00 
 
 Crocker, George U 10.00 
 
 Crocker, Mrs. Uriel H 5.00 
 
 Crosby, Mrs. S. V. R 10.00 
 
 Cross, H. B., M.D 1.00 
 
 Crowninshield, Francis .... 6.00 
 
 Cruft, Miss 10.00 
 
 38 
 
Cummings, A. M $1.00 
 
 Cummings, Mrs. C. A 100.00 
 
 ♦Ciimnnins, Charlotte W. . . . 5.00 
 
 Cummin, Mrs. H. H 1.00 
 
 Cunningham, Mrs. F 26.00 
 
 *Curley, James M 5.00 
 
 Currier, Guy W 10.00 
 
 ♦Curtis, Mrs. Charles P 25.00 
 
 Curtis, Miss E. A 1.00 
 
 ♦Curtis, Mrs. G. S 10.00 
 
 *Curtis, Mrs. H. G 10.00 
 
 Curtis, Miss I. P 6.00 
 
 Curtis, Mrs. James F 10.00 
 
 Gushing, Miss C. L 1.00 
 
 Cutler, E. G., M.D 1.00 
 
 Daland, Mrs. T $11.00 
 
 *Dalny, Miss O. Fredrica . . . 3.00 
 
 Dana, Samuel B 5.00 
 
 Dane, Ernest B 100.00 
 
 Daniels, E. A., M.D 2.00 
 
 Davenport, F. H., M.D. . . . 1.00 
 
 Davenport, Mrs. J. H 1.00 
 
 *Davis, Miss Helen G 5.00 
 
 Davis, Mrs. James H 1.00 
 
 Davis, Mrs. Joseph E 25.00 
 
 Davis, Lincoln, M.D 5.00 
 
 Day, Mrs. Caroline 2.00 
 
 Day, F. A 15.00 
 
 Day, Hilbert F., M.D 1.00 
 
 Dearborn, Miss Elizabeth K. . 1.00 
 
 De Boer, David H 1.00 
 
 Deland, M. W 2.00 
 
 Dennen, Rev. Ernest .... 5.00 
 
 Dennie, The Misses 2.00 
 
 De Normandie, 
 
 Rev. and Mrs. R. L. 12.00 
 
 Derby, G. S., M.D 1.00 
 
 Devine, William H., M.D. . . 1.00 
 
 Dewey, Charles G., M.D. . . . 1.00 
 
 Dewey, Miss M. H 1.00 
 
 Dewson, Mrs. George B. . . . 10.00 
 
 Dexter, George 20.00 
 
 Dexter, Franklin, M.D. . . . 10.00 
 
 Dexter, Miss Mary L 2.00 
 
 Dixon, L. S 2.00 
 
 Doherty, Helen I., M.D. . . . 1.00 
 
 Dolan, Rev. Francis X. . . . 5.00 
 
 Dole, Rev. and Mrs. Charles|F. 11.00 
 
 *Dole, Francis D ". . 2.00 
 
 Doliber, Mrs. Ada Ripley ... 1.00 
 
 Donovan, Walter J 1.00 
 
 Dove, Mrs. G. W. W 5.00 
 
 Draper, Frank W., M.D. . . . 1.00 
 
 Dresel, E. L 1.00 
 
 *Dresel, Miss Lotiisa L 5.00 
 
 Drummond, Mrs. James . . . 2.00 
 
 Dudley, L. Anna 1.00 
 
 Duncan, Mrs. Samuel W. . . . 1.00 
 
 Dunn, Miss S 1.00 
 
 *Dupee, Mrs. W. A 5.00 
 
 Dwight, Miss 5.00 
 
 Dyring, Miss Hilma 1.00 
 
 E. T. E $1.00 
 
 Eaton, Miss 5.00 
 
 Edwards, Mrs. John C 3.00 
 
 *Eliot, Mrs. J. W 10.00 
 
 Elliot, George B 1.00 
 
 Emmerson, D. R. and Co. . . 5.00 
 
 Emmons, Mrs. R. W. 2d . . . 35.00 
 
 Endicott, Henry 1.00 
 
 Endicott, William 26.00 
 
 E. S. C 25.00 
 
 Ernst, Mrs. C. W 1.00 
 
 Ernst, Harold C, M.D. . . . 10.00 
 
 Estabrook, A. T 51.00 
 
 Esty, Clarence H 1.00 
 
 Eustis, The Misses 6.00 
 
 Evans, Mrs. Glendower . . . 10.00 
 
 * Fabyan, Mrs. Francis W. . . $10.00 
 
 *Fabyan, Mrs. George F. . . . 10.00 
 
 *Fabyan, Miss Isabel 10.00 
 
 Fairbairn, Mrs. R. B 6.00 
 
 Farnsworth, Miss Alice .... 10.00 
 
 Farwell, Mrs. John W 5.00 
 
 Faulkner, Miss Fannie M. . . 71.00 
 
 Faxon, Mrs. William 5.00 
 
 Fay, Harry F.' 6.00 
 
 Fay, Mrs. H. H 10.00 
 
 Fay. WilUamE.,M.D 1.00 
 
 *Fearey, Mrs. M. L 10.00 
 
 *Fegan, Mrs. Fannie H 1,00 
 
 Fenno, Mrs. L. C 11.00 
 
 Fessenden,. R. G 6.00 
 
 Field, Edward B 10.00 
 
 Fields, Mrs. James T 5.00 
 
 *Fires, Anna M 2.50 
 
 *Firth, William 10.00 
 
 *Fish, Clara P 5.00 
 
 *Fiske, Andrew 5.00 
 
 Fiske, Mrs. Charlotte M. . . . 40.00 
 
 Fiske, Mr. and Mrs. E. W. . . 2.00 
 
 Fitz, G. W 2.00 
 
 Fitz, Miss Louise 1.00 
 
 Fitz, R. H., M.D 5.00 
 
 Fitzgerald, Mrs. Desmond . . 1.00 
 
 ♦Fitzgerald, Elizabeth .... 1.00 
 
 Fitzgerald, W. T. A. 1.00 
 
 Fitzpatrick, T. B 6.00 
 
 Flagg, Elisha, M.D 6.00 
 
 Flint, Baker, M.D 1.00 
 
 Folsom, Miss Amy 70.00 
 
 Folsom, Mrs. C. F 1.00 
 
 Foo & Wing Herb Co 1.00 
 
 Forbes, Francis B 10.00 
 
 Forbes, Mrs. J. Malcolm . . . 21.00 
 
 Forbes, J. Murray 5.00 
 
 ♦Forbes, W. B 2.00 
 
 Forbes, Mrs. William H. . . . 10.00 
 
 Foss, Edwin C 1.00 
 
 Foster, Mrs. Alfred Dwight . . 6.00 
 
 Foster, Mrs. Anna S 1.00 
 
 Foster, Miss Elizabeth .... 1.00 
 
 Francis, G. T 15.00 
 
 ♦Francis, Mrs. G. Y 6.00 
 
 39 
 
Frank, Mrs. Daniel 81.00 
 
 Frankenstein, Lena H 1.00 
 
 Freeman, Mrs. James G. . . . 5.00 
 
 ♦Freemaji, Mrs. L. A. 2.50 
 
 French, Miss C. A 5.00 
 
 French, Miss C. L. W 50.00 
 
 French, Mrs. John J 1.00 
 
 Friend 5.00 
 
 1.00 
 
 25.00 
 
 * " 25.00 
 
 10.00 
 
 * •• 100.00 
 
 1.00 
 
 * " 20.00 
 
 "^ 5.00 
 
 " for Holy Ghost Hospital. 3,539.88 
 " for Day Camp .... 2,089.18 
 
 Frothingham, Dr. and Mrs. L. 4.50 
 
 Frothingham, Rev. Paul Revere 5.00 
 
 *Fullarton, Mrs. Mary A. . . . 1.00 
 
 Fuller, Daniel H 18.00 
 
 Cahn, Joseph A S5.00 
 
 Gardiner, J. Pennington . . . 6.00 
 
 Gardiner, Mrs. R. H 4.00 
 
 ♦Gardner, George P 10.00 
 
 Gargan, Mrs. Thomas J. . . . 3.00 
 
 Gay, Ernest L 1.00 
 
 Gay, ilrs. F. L 5.00 
 
 Gerry, Dr. and Mrs. E. Peabody 2.00 
 
 Gibbs, L. D 5.00 
 
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 Giddings, Mrs. E. L 6.00 
 
 Gilman, Bradley 1.00 
 
 *Ginn, M. F. G 5.00 
 
 Goddard, G. A 5.00 
 
 Gordon, A. F 5.00 
 
 Gorham, Mrs. W. H 17.00 
 
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 Gray, Miss Isa E 10.00 
 
 Gray, Mrs. Reginald 10.00 
 
 Gray, Mrs. Samuel L 5.00 
 
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 Greenough, Mrs. C. P 3.00 
 
 Greenough, Mrs. D. S 5.00 
 
 Greenwood, Allen, M.D. . . . 1.00 
 
 Grew, Mrs. E. W 1.00 
 
 Grew, Mrs. H. S 50.00 
 
 Griffith-Stillings Press .... 5.00 
 
 Grinnell, Harold D 25.00 
 
 Grinnell, Miss M. R 11.00 
 
 Guild, Mrs. Charles E 1.00 
 
 Guild, Frederic 5.00 
 
 ♦Guild. Mrs. J. Anson 1.00 
 
 H. A. H., In memory of . . $51.00 
 
 Hagan, H. E 1.00 
 
 Hager, A. C 1.00 
 
 Hale, A. M 1.00 
 
 Hall, Mrs. J. W $1.00 
 
 Hall, Thomas, M.D 1.00 
 
 Hamilton, Annie Lee, M.D. . . 1.00 
 
 Hamlen, Miss E. P 15.00 
 
 Hamlin, Mr. and Mrs. C. S. . . 2.00 
 
 Hamlin, Mrs. S. P 6.00 
 
 ♦Hammond, Mrs. G. G 15.00 
 
 Hanks, Mrs. Charles Stedman . 51.00 
 
 Harrington, Mrs. F. B 1.00 
 
 ♦Harrington, Mrs. G. W. ... 4.00 
 
 Harris, Henry W 1.00 
 
 Hart, W. 1.00 
 
 Hartley, Mrs. Harry 6.00 
 
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 Haskell, iliss Mary E 2.00 
 
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 Heath, E. de C 3 00 
 
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 Hedges, Anna M 1.00 
 
 Helms, Rev. E. J 1.00 
 
 Hemenway, Mrs. Augustus . . 5.00 
 
 ♦Hemenway, Miss Clara .... 10.00 
 
 Herrick, Miss M. F 1.00 
 
 Hersey, Heloise E 2.00 
 
 Higgins, Miss Alice L 1.00 
 
 Higginson, Mrs. F. L 11.00 
 
 Higginson, Ida A 1.00 
 
 HilL Miss Frances A 5.00 
 
 Hill, Mrs. Hamilton 5.00 
 
 ♦Hill,- Mrs. L. C 5.00 
 
 Hills, E. A 5.00 
 
 HUls, Warren G 5.00 
 
 Hobart, Mary F., M.D. . . . 1.00 
 
 HoUingsworth, Mrs. G 10.00 
 
 Homans, Mrs. John 15.00 
 
 ♦Homans, Miss Marion J. . . . 10.00 
 
 Hoods, Mary G., M.D 3.00 
 
 Hooker, Miss S. H 1.00 
 
 Hooper, Mrs. C. H 1.00 
 
 Hooper, Mrs. Susan Thayer . . 1.00 
 
 Hopkins, Mrs. R. W 1.00 
 
 ♦Horton, Mrs. W. H 10.00 
 
 Hough, Theodore 2.00 
 
 Houghton, Clement S 20.00 
 
 Houghton, Miss E. G 1.00 
 
 Houghton, N. H 1.00 
 
 ♦Houston, James A 10.00 
 
 Howe, E. P 10.00 
 
 Howe, Mrs. George D 10.00 
 
 Howe, Henry S 26.00 
 
 Howe, James S 5.00 
 
 ♦Howe. Mrs. James S 10.00 
 
 Howe, Mrs. R. H 1.00 
 
 Howland, Mrs. Llewellyn . . . 6.00 
 
 Hubbard, Charles W 10.00 
 
 Hubbard, Mrs. Eliot 15.00 
 
 Hubbard, Mrs. Frances M. . . 1.00 
 
 Hubbard, J. C 1.00 
 
 Hugo, George B 1.00 
 
 H\miphreys, R. C 1.00 
 
 Himnewell, Mrs. Arthur . . . 25.00 
 
 40 
 
Hunnewell, Henry S S25.00 
 
 Hunnewell, Jane B 1.00 
 
 Hunnewell, Miss J. 11.00 
 
 Hunnewell, Walter 10.00 
 
 Hunt, Mrs. William D 10.00 
 
 Huntington, Miss 1.00 
 
 Hutchins, Mrs. Edward W. . . 2.00 
 
 lasigi. Mrs. Oscar S25.00 
 
 Ireson, Mrs. Ellen W 2.00 
 
 Jackson, Henry, M.D S5.00 
 
 *Jackson, Mrs. James, Jr. . . . 25.00 
 
 Jackson, Miss Marion C. . . . 150.00 
 
 Jameson, Miss Lillian .... 1.00 
 
 Jaques, Mrs. Francis 15.00 
 
 Jaques, Herbert 10.00 
 
 Jaques, Miss H. L 11.00 
 
 Jefferson, Sarah A 5.00 
 
 Jewett, Miss Sarah Orne . . . 5.00 
 
 Johnson, Arthur S 25.00 
 
 Johnson. Edward C 15.00 
 
 Johnson, Mrs. Samuel .... 6.00 
 
 Johnson, Wolcott H 5.00 
 
 *Jones, Miss Dorothy B. ... 5.00 
 
 *Jones, Mrs. Otis N 10.00 
 
 * Jones, Mrs. J. Edwin .... 1.00 
 
 Joslin, Dr. and Mrs. Elliott P. 5.00 
 
 Joy, Mrs. C. H 1.00 
 
 K. P Sl.OO 
 
 Kaffenburgh, Mr and Mrs. Isaac 7.00 
 
 *Keeler, Mrs. L. M 20.00 
 
 Kehew, Mrs. Mary Morton . . 10.00 
 
 *Keith, B. F 5.00 
 
 *Kennard, Mrs. C. A 10.00 
 
 Kennard, Mrs. C. W 1.00 
 
 Kennedy, Mrs. E. L 1.00 
 
 Kennedy, Dr. and Mrs. Harris. 10.00 
 
 Kepler, Charles Ober, M.D. . . 1.00 
 
 *Kidder, Mrs. A. M 25.00 
 
 Kidder, Mrs. Henry P 11.00 
 
 Kidner, Rev. R 1.00 
 
 Kimball, David P 100.00 
 
 Kimball, Mrs. Franklin R. . . 1.00 
 
 *Kimball, Mss H. H 20.00 
 
 Kimball, Miss H. P 1.00 
 
 *K. H. T 10.00 
 
 Kimball, the Misses 100.00 
 
 Knight, F. 1., M.D 1.00 
 
 Knight, Harry W 1.00 
 
 Knight, J. M 1.00 
 
 Kohan, Alexander, M.D. . . . I'.OO 
 
 *Kuhii, Mrs. H 20.00 
 
 Ladd, Babson S $20.00 
 
 Lamb, H. A 50.00 
 
 *Lamb, Mrs. H. A 25.00 
 
 Lamb, Miss Rose 1.00 
 
 ♦Lancaster, W. B 3.00 
 
 *Langley, S. S 5.00 
 
 Lavalle, Mrs $1.00 
 
 Lawrence, Rosewell B 5.00 
 
 Lawrence, Mrs. R. M 5.00 
 
 Lawrence, Mrs. William . . . 2.00 
 
 *Lawrence, Miss Sarah .... S5.00 
 
 Lawrie, Mrs. William .... 2.00 
 
 Laxton. John W. R., M.D. . . 26.00 
 
 Lee, Ellen M I.OO 
 
 Lee, F. W 1.00 
 
 *Lee, Mrs. George C 10.00 
 
 Lee, George C 10.00 
 
 Lee, Mrs. Henry 25.00 
 
 Lee, Mrs. John R 5.00 
 
 *Lee, Mrs. James S 10.00 
 
 Lee, Joseph 10.00 
 
 Leen, T. F., M.D 1.00 
 
 Lefavour, Henry l.QO 
 
 Leonard, John l.QO 
 
 Levey, Mrs. William M. . . . 1.00 
 
 Lewis, Miss Harriet G l.QO 
 
 Liebmann, Joseph H 2.00 
 
 *Lilly, Mrs. C banning 5.00 
 
 Lincoln, A. L 2.00 
 
 Lincoln, Mrs. Alice N 25.00 
 
 Linzee, Miss 1.00 
 
 Livermore, Miss Nellie B. . . 5.00 
 
 Locke, Edwin Allen, M.D. . . 2.00 
 
 *Lodge, Mrs. H. C 10.00 
 
 Lombard, M. Elizabeth . . . 1.00 
 
 Long, Harry V 5.00 
 
 Longfellow, Miss A. M 1.00 
 
 Longfellow, A. W 3.00 
 
 Lootz, Mrs. Selma 2.00 
 
 Lord, Frederick T., M.D. . . . 1.00 
 
 Lord, Mary B 1.00 
 
 Loring, Augustus P 45.00 
 
 Loring, Mrs. A. P 5.00 
 
 Loring, Miss Louise P 1.00 
 
 Loring, Miss M. P 6.00 
 
 Lothrop, Mrs. T. K 20.00 
 
 Lowell, Francis C 20.00 
 
 *Lowell, Frederick E 10.00 
 
 Lowell, Mrs. George G 10.00 
 
 Lowell, Miss Georgina .... 6.00 
 
 Lowell, Miss Lucy 12.00 
 
 *Lyman, Mrs. Arthur 55.00 
 
 *Lyman, F. 10.00 
 
 *Lyman, Mrs. George H. . . . 10.00 
 
 Lyman, Miss Julia 45.00 
 
 *Lyman, Miss Mabel 5.00 
 
 *Lyman, Mrs. Theodore .... 50.00 
 
 iVlacDonald, HenryP. . . . $1.00 
 
 McClure, M. M 5.00 
 
 McCleary, Miss Cornelia W. . . 1.00 
 
 McKey, Joseph 3.00 
 
 McNab, Miss Ada 1.00 
 
 Mack, Mrs. Thomas 1.00 
 
 Mackey, J. P 5.00 
 
 Madden, M. L 10.00 
 
 Mallory, F. B., M.D 1.00 
 
 Mann, William O., M.D. . . . 1.00 
 
 Marion, Horace E., M.D. . . . 1.00 
 
 Mason, Miss E. F 1.00 
 
 Mason. Miss Ida 60.00 
 
 *May, Miss Eleanor G 5.00 
 
 Means, Anne M 5.00 
 
 41 
 
♦Merriam, Arthur M S 5.00 
 
 ♦Merriam, Mrs. F 10.00 
 
 Merriam, Miss Mary L 1.00 
 
 Merrill, A. A 1.00 
 
 Merrill, Miss F. E 10.00 
 
 Meniman, Mrs. Daniel .... 10.00 
 
 Metcalf, Mrs. Theodore . . . 1.00 
 
 *Meyer, Mies Heloise 5.00 
 
 Miles, C. Edwin, M.D. . . . 3.00 
 
 Miller, Hugh 5.00 
 
 Minot, Harriet J 10.00 
 
 Minot, Mr. and Mrs. J. G.. . . 2.00 
 
 Minot, James J., M.D 126.00 
 
 Minot, Lawrence 10.00 
 
 Minot, Miss Mary 5.00 
 
 *Mibot, The Misses 10.00 
 
 Mixter, Miss M. C 6.00 
 
 Monks, Mrs. G. H 10.00 
 
 Moore, Miss M. S 4.00 
 
 Morison, George B 5.00 
 
 *Morrill, Miss Amelia 10.00 
 
 *Morrill, Miss Anne W 10.00 
 
 *MorrilI, Miss Fanny E 10.00 
 
 Morris, John G., M.D 1.00 
 
 Morse, C. Willis 2.00 
 
 *Morse, Miss E. C 5.00 
 
 Morse, Miss Ellen C 2.00 
 
 Morse, E. G., M.D 1.00 
 
 Morse, Mr. and Mrs. F. A. . . 2.00 
 
 Morse, Miss Frances E.. ... 16.00 
 
 Morse, Henry L., M.D 5.00 
 
 *Morse, Mrs. Robert M. . . . . 10.00 
 
 *Morse, Mrs. Samuel T 15.00 
 
 *Morse, Mary E 5.00 
 
 Morton, Miss Helen 4.00 
 
 Morville, R. W., Jr 5.00 
 
 *Moseley, F. S. & Co 10.00 
 
 Mossman, W. B 10.00 
 
 Motley, Mrs. E. P 25.00 
 
 *Motley. Mrs. Thomas, Jr. . . . 5.00 
 
 Mumford, James G., M.D. . . 1.00 
 
 Murdook, The Misses .... 2.00 
 
 Murphy, Mrs. Frank S. ... 1.00 
 
 Murphy, Fred T 1.00 
 
 Murphy, James R 1.00 
 
 "Nahant" SIO.OO 
 
 Nash, Frank K 1.00 
 
 Neilson, Emma C 5.00 
 
 Newell, Mrs. James M 6.00 
 
 *Newell, F. S 10.00 
 
 Newell, Mary A. M 5.00 
 
 Newman, Leon, M.D 1.00 
 
 Nichols, Mrs. J. Howard . . . 2.00 
 
 Nichols, Mrs. W. R 1.00 
 
 Nickerson, Andrew 11.00 
 
 *Norcross, Mrs. Otis 25.00 
 
 Norcross, Mrs. Otis, Jr 6.00 
 
 Norman, Mrs. Guy 20.00 
 
 Noyes, Susan P 1.00 
 
 *New Eng. Tel. & Telegraph Co. 15.00 
 
 ♦O'Brien, John F S5.00 
 
 Oliver, Mrs. S. Parkman . . . 6.00 
 
 Osborne, George A $1.00 
 
 Osgood. Dr. Hamilton .... 5.00 
 
 ♦Osgood. Mrs. J. F 10.00 
 
 Otis, Mrs. H. F 10.00 
 
 *Otis, Margaret S 10.00 
 
 Otis, Mrs. William C 20.00 
 
 Page, Calvin G., M.D 81.00 
 
 Paine, Ethel L 5.00 
 
 Paine, Rev. George L 5.00 
 
 Paine, Robert Treat 10.00 
 
 Paine, Robert T., Jr 45.00 
 
 *Paine, Misses S. C. and M. . . 10.00 
 
 Paine, Sarah C 5.00 
 
 *Palfrey, Mrs. John C 5.00 
 
 Pankman, Miss M. R 6.00 
 
 Parker, Miss C. V 1.00 
 
 Parker, Miss Eleanor S. . . . 5.00 
 
 Parker, W. Prentiss 1.00 
 
 Payne, Mrs. John H 1.00 
 
 Payson, S. C 1.00 
 
 ♦Peabody, Mrs. F. H 3.00 
 
 Peabody, Miss G. W 6.00 
 
 Peabody, Miss L. M 1.00 
 
 Peabody, Mrs. R. S 11.00 
 
 Peabody, Mrs. S. E 15.00 
 
 Peirce, Charlotte 2.00 
 
 Peirce, George 1.00 
 
 Penhallow, Mrs. D. P 5.00 
 
 Perry, Mrs. Annie Moseley . . 1.00 
 
 Perry, Arthur 5.00 
 
 Perry, G. W 6.00 
 
 Pfaelzer, Franklin T 5.00 
 
 Philbrick. Mrs. Edward S. . . 2.00 
 
 Phillips, A. V 3.00 
 
 Phillips, Mrs. J. C 60.00 
 
 Pickering, Mr. and Mrs. H. . . 100.00 
 
 Pickman, Mrs. D. L 50.00 
 
 Piehler, Otto J 15.00 
 
 Pierce, Miss K. C 6.00 
 
 Pierce, Wallace L 110.00 
 
 Pitman, Mrs. B. F 3.00 
 
 Pope, C. Augusta, M.D. . . . 3.00 
 
 Pope, Emily F., M.D 3.00 
 
 Pope, Mrs. W. C 2.00 
 
 Porter, Alexander S 11.00 
 
 Porter, C. B., M. D 1.00 
 
 Porter, Mr. and Mrs. G. M. . . 2.00 
 
 Post, Abner, M.D 1.00 
 
 Potter, Mrs. Murray A. ... 1.00 
 
 Potter, William H 6.00 
 
 Pratt, J. H., M.D 1.00 
 
 Pratt, R. M 50.00 
 
 Prendergast, James M 10.00 
 
 Prendergast, Miss Julia C. . . 5.00 
 
 Prescott, Oliver, Jr 1.00 
 
 Prescott, W. H., M.D 1.00 
 
 Prince, Mrs. C. J 1.00 
 
 Prior, Mrs. Isabelle A 1.00 
 
 Proctor, Miss Mary B 1.00 
 
 Proctor, Redfield, Jr 11.00 
 
 Punchard, Miss A. L 6.00 
 
 Putnam, Mrs. George .... 6.00 
 
 42 
 
Putnam, Miss Georgina Lowell So. 00 
 
 Putnam, Mrs. W. L 21.00 
 
 Rackennan, Mrs. Felix . . . $6.00 
 
 Rand, A. A 10.00 
 
 Ratchesky, A. C 5.00 
 
 Raymond, Mrs. H. E 2.00 
 
 Read, Sarah E 5.00 
 
 Reed, Arthur 3.00 
 
 *Reed, Ida Bartlett 10.00 
 
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 Rice, Cora L 3.00 
 
 Rice, H. L 1.00 
 
 Rice, Mrs. Wilbur P 2.00 
 
 Richards, Miss A. A 5.00 
 
 Richardson, Miss Elizabeth M. 1.00 
 
 Richardson, Mrs 250.00 
 
 Rines, R. Hight 1.00 
 
 Ripley, F. H 1.00 
 
 *Ripley, George 10.00 
 
 *Robbins, Miss Agnes F. . . . 25.00 
 
 *Robbins, Mary E 3.50 
 
 Roberts, Rev. W. Dewees. . . 1.00 
 
 Robey, Dr. and Mrs. W. H., Jr. 5.00 
 
 Robinson, J. C 5.00 
 
 Rockwell, Miss Maud M. . . . 1.00 
 
 Rodman, Miss Emma .... 1 5.00 
 
 Rogers, Miss Annette P. . . . 25.00 
 
 ♦Rogers, Miss Frances S. . . . 2.00 
 
 ♦Rogers, Miss Laura D 2.00 
 
 Rogers, Mrs. W. B 5.00 
 
 Rooney, Miss Anna A 2.00 
 
 *Ropes, Mary M 5.00 
 
 Ross, Mrs. Waldo 10.00 
 
 Rowe, G. H. M., M.D 1.00 
 
 *Rowley, Rev. Francis H. . . . 3.00 
 
 Ruggles. Daniel B 4.00 
 
 Russell, Mrs. H. S 1.00 
 
 ♦Russell, Mrs. Richard S. . . . 15.00 
 
 ♦Russell, Mrs. Robert S. . . . 100.00 
 
 Rutan, Charles H 5.00 
 
 Ryder, J. W., M.D 1.00 
 
 *S., E. A Sl.OO 
 
 Sabine, G. K., M.D 1.00 
 
 Saltonstall, Mrs. P. L 6.00 
 
 Saltonstall, Mrs. R. M 25.00 
 
 ♦Sampson, Eugenia 2.00 
 
 Sanborn, Caroline F 2.00 
 
 Sanborn, Mrs. Florence A. . . 5^.00 
 
 Sanders, OrrenB., M.D. . . . 1.00 
 
 ♦Sargent, Mrs. S. A 5.00 
 
 Savage, Catherine D 1.00 
 
 Schlesinger, Mrs. Mary .... 11.00 
 
 Schmidt, Arthur P 11.00 
 
 Scripture, Miss Bertha .... 1.00 
 
 Scull, Mrs. G 20.00 
 
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 Sears, Frederick R 10.00 
 
 Sears, Mrs. F. R 10.00 
 
 Sears, George G 1.00 
 
 ♦Sears, Mrs. K. W 25.00 
 
 Sears, Mrs. P. H Sl.OO 
 
 ♦Sears, Mrs. Richard D 25.00 
 
 Sever, Emily 1.00 
 
 Shapleigh, J. H 1.00 
 
 Sharp, Virginia G 1.00 
 
 Shattuck, F. C, M.D 5.00 
 
 Shattuck, George B., M.D. . . 1.00 
 
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 Shaw, Mrs. B. S 6.00 
 
 Shaw, Francis 5.00 
 
 Shaw, Mrs. G. H 75.00 
 
 Shaw, George R 1.00 
 
 Shaw, Henry L., M.D 1.00 
 
 Shaw, Q. A., Jr 25.00 
 
 Shaw, Mrs. R. G 35.00 
 
 Shaw, S 10.00 
 
 Sheebe, Miss Katherine H. . . 1.00 
 
 Shepard, Miss Emily B. . . . 10.00 
 
 Shepard, Mrs. Otis 10.00 
 
 Shepard, T. H 5.00 
 
 Sherwin, Thomas 10.00 
 
 ♦Shurtleg, Asahel M 5.00 
 
 ♦Shute, Katherine H 2.50 
 
 Skinner, Francis 15.00 
 
 Slade, Mrs. D. D 21.00 
 
 Slocum, William H 5.00 
 
 Smith, Miss Ellen \ 50.00 
 
 Smith, Mrs. J. N 6.00 
 
 Smith, Theobald, M.D 1.00 
 
 Smithwick, M. P., M.D. . . . 1.00 
 
 Sohier, Miss Elizabeth D. . . 6.00 
 
 Sohier, Miss Emily L 10.00 
 
 Souther, Mrs. J. K 1.00 
 
 ♦Sowdon, A. J. C 10.00 
 
 Spaulding, Mrs. Mahlon D. . . 26.00 
 
 Spaulding, William S 150.00 
 
 Spillane. Mary E 1.00 
 
 Sprague, F. P., M.D 10.00 
 
 Sprague, Mrs. S. E 1.00 
 
 Stackpole, F. D 6.00 
 
 Stackpole, Miss Roxana . . . 1.00 
 
 Staigg, Mrs. R. M 7.00 
 
 Stanwood, Edward 6.00 
 
 Stedman. Henry R., M.D. . . 3.00 
 
 Stedman, Joseph, M.D. . . . 1.00 
 
 Stephenson, Miss S. L 3.00 
 
 Stevenson, Misses 5.00 
 
 Stevenson, Mrs. Robert H. . . 10.00 
 
 Stone, Mrs. Edwin P 5.00 
 
 ♦Stone, Mr. and Mrs. Frederic . 15.00 
 
 ♦Stone, Mark 1.00 
 
 Stone, Nathaniel H 11.00 
 
 Stone, Mrs. P. S 1.00 
 
 Storrow, Charles 5.00 
 
 Storrow, Miss E. R 11.00 
 
 Storrow, Mrs. J. J 10.00 
 
 Strater, Francis A 1.00 
 
 ♦Sturgis, Charles R 5.00 
 
 ♦Sturgis, Mrs. H. P 5.00 
 
 Sturgis, Robert S 1.00 
 
 SulUvan, John J., M.D. . . . 1.00 
 
 Sweetser, Mrs. F. L 2.00 
 
 Swift, Walter, M.D 1.00 
 
 43 
 
Taft, Albert, M.D $1.00 
 
 Tainter, Mrs. Charles Wilson . 5.00 
 
 Talbot, Miss M. Eloise .... 1.00 
 
 Talbot, Mrs. Thomas .... 46.00 
 
 ♦Tapley, Miss Alice P 25.00 
 
 Tapley, Mrs. Amos P 31.00 
 
 Tapper, Mrs. T 5.00 
 
 *Teele, J. Mede 5.00 
 
 Thacher, Elizabeth B 5.00 
 
 Thacher, Mrs. H. C 5.00 
 
 Thacher, Miss S. C 5.00 
 
 ♦Thacher, Mrs. T. C 5.00 
 
 Thayer, Mrs. Ezra Ripley . . 10.00 
 
 Thayer, Mrs 5.00 
 
 *Thayer, Mrs. Nathaniel . . . 25.00 
 
 Thayer, Mrs. W. G 10.00 
 
 Thompson, Charles 5.00 
 
 Thorndike, Augustus, M.D. . . 5.00 
 
 Tileston, Mrs. and Miss . . . 2.00 
 
 Tower, Miss Ellen M 20.00 
 
 Townsend, D., M.D 1.00 
 
 Townsend, Mrs. William S. . . 5.00 
 
 Trule, Miss M. R 1.00 
 
 Tuckerman, Mrs. C. S 10.00 
 
 Tuckerman, Mr. and Mrs. L. S. 12.00 
 
 ♦Turner, A. N 20.00 
 
 ♦Turner, B. S 10.00 
 
 Tuxbury, Miss Cora 1.00 
 
 Tyler, George A 6.00 
 
 Underwood, H. O SIO.OO 
 
 Upham, Miss E. Annie .... 1.00 
 
 Vickery, Herman F., M.D. SI. 00 
 
 Vose, Robert C 2.00 
 
 Vorenberg, Simon 1.00 
 
 Wadleigh, Caroline E. . . . Sl.OO 
 
 Wadsworth, D. F 1.00 
 
 ♦Wainwright, Miss S. H 6.00 
 
 Walker, Charles C 11.00 
 
 Walker, E. S 5.00 
 
 Ward, Miss A. S 1.00 
 
 Ward, Miss Ellen M 6.00 
 
 Wards, Miss Sarah E 2.00 
 
 Ware, Charles P 3.43 
 
 Warren, Bentley W 5.00 
 
 Warren, Henry E 1.00 
 
 Warren, J. Collins, M.D. . . . 5.00 
 
 Waters, Mrs. Clement .... 5.00 
 
 Watson, Mrs. R. C 10.00 
 
 Watson, William 1.00 
 
 Watts, H. F. R., M.D 1.00 
 
 Waxman, Mrs. N 1.00 
 
 Way-Allen, Eleanor, M.D. . . 21.00 
 
 Webster, A. S $5.00 
 
 Webster, F. G 151.00 
 
 Webster, Marianne W 3.00 
 
 Weld, Mrs. A. Davis 5.00 
 
 ♦Weld, B. C 5.00 
 
 ♦Weld, Mrs. William F 20.00 
 
 Wells, David W., M.D 1.00 
 
 Wentworth, Mrs. Charles F. . 3.00 
 
 ♦Wesson, Mrs. Frank L 50.00 
 
 Wesson, Mrs. J. L 1.00 
 
 West, Mrs. Preston 5.00 
 
 ♦Weston, Mrs. Henry C. ... 25.00 
 
 Wharton, Mrs. Susan 6.00 
 
 ♦Wheeler, H. C 5.00 
 
 Wheelwright, Charles C. . . . 10.00 
 
 Wheelwright, Mrs. George W. . 6.00 
 
 Wheelwright, Miss Josephine M. 1.00 
 
 Wheelwright, J. W 10.00 
 
 ♦Whipple, Mrs. E. A 5.00 
 
 White, Dr. and Mrs. Charles T. 7.00 
 
 White, Miss Gertrude R. . . . 3.00 
 
 White, Henrietta H 10.00 
 
 White, James C, M.D 1.00 
 
 White, Walter H., M.D. . . . 5.00 
 
 Whiteside, Mrs. A. 1.00 
 
 Whiting, Anna M 2.00 
 
 Whitmore, William 50.00 
 
 Whitmore, Albion S 5.00 
 
 Whitney, Miss A 4.00 
 
 ♦Whitney, Ellen S 5.00 
 
 Whitney, Miss Kate A. ... 1.00 
 
 Whit well, Frederick A 1.00 
 
 Whitwell, Miss N. S 5.00 
 
 Wigglesworth, Mrs. E 5.00 
 
 Wigglesworth, George .... 70.00 
 
 Williams. John D 10.00 
 
 Williams, Susan J 10.00 
 
 ♦Wilson, Lilly M 15.00 
 
 Winkley, Mrs. S. H 6.00 
 
 Winslow, C. G 2.00 
 
 Winsor, Mrs. Henry 10.00 
 
 Winsor, Miss Mary P 1.00 
 
 Winthrop, Mrs. R. C, Jr. . . 26.00 
 
 Withington, Charles F., M.D. . 1.00 
 
 Wolcott, Grace, M.D 1.00 
 
 Wolcott, Mrs. Roger 5.00 
 
 Wood, Nelson M 5.00 
 
 Woodman, Stephen F 1.00 
 
 ♦Woods, Mrs. Henry 75.00 
 
 Woods, Robert A . 1.00 
 
 Woodworth, Mrs. Alfred P. . . 5.00 
 
 Wright, George H 6.00 
 
 ♦Wright & Potter 5.00 
 
 Wyzanski, Max E 1.00 
 
 ♦Young. Mr. and Mrs. B. L. . . $20.00 
 
 44 
 
J 
 
OBJECTS 
 
 The objects of this Association are to promote a careful 
 study of conditions regarding tuberculosis in Boston; to educate 
 pubhc opinion as to the causes and prevention of tuberculosis; 
 and to arouse general interest in securing adequate provision 
 for the proper care of tuberculous patients in their homes and 
 by means of hospitals and sanatoria. 
 
 FORM OF BEQUEST 
 
 / give and bequeath unto the Boston Association for 
 the Relief and Control of Tuberculosis, incorporated under 
 the laws of the Commonwealth of Massachusetts in the 
 year 1905, its successors and assigns, the sum of 
 
 We send this report to you with the belief that it will claim 
 your interest and attention, and in the hope that after reading 
 it you will become a member, if not one already, and give 
 whatever additional support you are able. The Association 
 is supported entirely by voluntary contributions. It is now 
 entering upon its fifth year of active work. 
 
 This blank may be sent to 
 
 George S. Mumford, Treasurer, 50 State Street, Boston. 
 
 I enclose $1.00, MEMBERSHIP FEE, for the year ending 
 October 31, 1908, and $ for promotion of the work. 
 
 Name 
 
 Address 
 
 Please give P.O. address for return of receipt. 
 
I 
 
 1 
 
^ A stage of civilization is marked b^ 
 rejection of the divine origin of disc? 
 doctrine and by attributing death from ^^te 
 ventable disease to a failure of governmenu 
 
 "Are you in the habit of estimating the 
 happiness and misery of your community by 
 the decrease or increase in its death rate 
 
 from preventable causes?" — Efficient Democracy. 
 
 LOOK FROM THIS POINT OF VIEW : 
 
 ^ Doctors and Health officers should 
 retained to exercise eternal vigilance 
 preserving the health that is natural af 
 be active in avoiding danger rather tha 
 in encountering it. The ways of avoiding 
 sickness are positive and clear, those of 
 overcoming it are devious and elusive. 
 
 OHIFFITH -STILLtHOS » 
 MS CO>«aftEa8*T., f