It seems that if the small amount of drill used in ical Association should hold its annual Convention in the American schools will cause curvature and asymmetry, the very the healthiest City upon Continent. As the official of the I extend to great amount in use at West Point and Military representative city, you a cordial greeting. The Municipal Government Schools and in at ' generally, regiments army posts bids you welcome, and says to you, If you seek a would bring about such a state of asymmetry that healthy city, look around you.' Our people have an- the whole United States Army would be one-sided, ticipated your coming with pleasure, and, with their have for en- and present a uniform lateral curvature. And if the characteristic hospitality, prepared your tertainment. Your brethren of the Association have normal effect of the drill is to cause asymmetry it heralded your advent with pride and exultation, and seems that the with which cadets are selected care have made every provision for your pleasure and en- is not only useless but absurd. But as, on the sug- joyment. The home of McDowell, Pope, Hodgen, gestion of Dr. Henry I. Bowditch, the discussion on and many other honored members of your profession, welcomes for own sake. The which this subject was adjourned for a future meeting of you your calling you have selected is a noble one. The science of the we may leave the matter for the Section, present, medicine has been revered from all ages, and its ex- and hope to present the subject more fully in a future pounders have been highly and worthily esteemed. issue of The Journal. The art of curing disease is co-ordinate with the ac- cidents and infirmities to which mankind is liable, and some rude forms of the art of were Notice to New Members of the American Med- applying healing practiced by the most barbarous of people. The ical Association.—We have letters from received early history of medicine is so mixed up with myth- l several who became members of the Association for ology that it is difficult to distinguish truth from fic- the first time at the meeting in St. Louis, expressing tion. The idea was prevalent in the early ages that disease was a indicted a that they have not begun to receive punishment by high power, disappointment its was to The after the and consequently treatment relegated Journal immediately adjournment. priests, and was attended with superstitious rites. To We would remind all such that we cannot know at what extent that idea prevails at the present day, and this office what new members are entitled to The how far those practices have been handed down from is none the less Journal until the Treasurer has had time to go over the past, it is difficult to say, but it true that he who ministers to the wants of the entire registration list and to furnish us with the physical man is many held in as esteem as he who names and addresses of all new usual- by high members,which ministers to his spiritual wants. The history of med- ly requires from one to two weeks. As soon as we icine is the history of science, religion, society, pro- receive the list from the Treasurer, the names are gress. No science is more worthy the attention of no nobler can be in. added to the mail list, and the journals are sent. mankind, and study engaged No brighter intellects have adorned history than those which grace the rolls of your profession. ' Peace hath her victories not less renowned than war.' M any AMERICAN MEDICAL ASSOCIATION. of the discoveries of your predecessors have been in advance of the age in which they lived, and have race. Chiron, Annual held at St. Louis, proved of untold value to the human Thirty-seventh Meeting, with his the father of May 4, 5, 6 and 1886. pupil ^Esculapiusj Hypócrates, 7, rational medicine; Praxagoras, the discoverer of the Official Report. relations between the pulse and the general condition The Association assembled in the Exposition Build- of the system ; the great Galen, whose doctrines were and until ing at 11 a.m., May 4, 1886, and was called to order implicitly accepted for twelve centuries, by Dr. LeGrand Atwood, Chairman of the Com- Esalius, the anatomist, joined issue with them; Har- mittee ofArrangements. The President, Wm. Brodie, vey, the discoverer of the circulation oí the blood; M.D., of Detroit; Vice-Presidents, Drs. S. Logan, I (aller, the physiologist; Jenner, with his discovery La., A. Y. P. Garnett, D. C., Chas. Alexander, Wis.; of vaccine virus, are a few of the immortal names the Permanent Secretary, Dr. Wm. B. Atkinson, Phila- which have honored your profession, and which you delphia; the Assistant Secretary, Dr. Wm. C. Glasgow, delight to honor. For the sake of your profession, and its we welcome Mo. ; the Treasurer, Dr. R. J. Dunglison, Phila- its achievements, objects do you, delphia, and the Librarian, Dr. C. H. A. Klein- and not alone for that. That is reflected light, and schmidt, D. C., occupied their respective positions. although soft, pleasant, and to a high degree illum- can not with the Prayer was offered by Rev. M. Schuyler, D.D., of inating, it long keep step rapid Missouri. march of the present day. To have done is to hang The Chairman, Dr. Atwood, introduced Hon. D. out of fashion. As your brethren have in the past R. Francis, Mayor of St. Louis, who welcomed the kept pace with the spirit of their times, so in the pro- Association as follows: gressive age of to-day is your profession abreast with the of science. The world is almost THE MAYOR'S ADDRESS. vanguard daily electrified by the discovery of some important princi- " It is highly appropriate that the American Med- ple or its application in some new branch, and in no

Downloaded From: http://jama.jamanetwork.com/ by a Simon Fraser University User on 06/16/2015 profession have these occurred more frequently than once Vice-President of the Association, and the first in yours. In no age of civilization or society have to deliver a lecture west of the Mississippi ; Charles the principles of your science been so and A. Pope, who during his life was first surgeon and generally and others so successfully taught, and put into effective practice first gentleman of the Mississippi Valley, as in the present. Hygiene is to-day more intelli- who had conferred immeasurable benefits on the pro- gently observed than ever before, and, thanks to your fession and the public. If the spirits of the illustrious thoughtfulness and advice, it is being enforced in the dead are permitted to revisit the scenes loved by them construction of our abodes, and in the rou- on earth, there were present in their midst the spirits practiced had tine of our daily life. You are continually discover- of these and of other illustrons surgeons who ing and disseminating information which preserves joined them on the other shore. If so, he had no health, prevents suffering and prolongs life. For your doubt their advice to members of the association own sakes, therefore, are you thrice welcome. We would be to preserve the National Code of Ethics as recognize among you many whose names are already the Palladium of their honor and to regard the open prominent in the world of science, and we trust that enemy of it as a Pandora with her box open, and the this Convention may result in bringing forward many secret enemy as a serpent which, with its deadly wiles, others. These annual assemblages of the medical had crept into Paradise. There was nothing left for profession can not but be productive of much good. him to do but to extend ten thousand welcomes to Besides promoting acquaintanceship and cultivating the members of the Association. friendship, it opens up new fields of research and di- Ex-Presidents Drs. N. S. Davis, J. M. Toner, D. verts thought into new channels. The ramifications W. Yandell, T. G. Richardson, H. F. Campbell, and of medicine are so extensive, and its possibilities are P. O. Hooper, by invitation, were seated upon the so great that specialties are daily becoming more platform. numerous. Occasions like this are valuable to you, The programme and other arrangements for the and of course are appreciated and taken advantage session were read and approved. of. I cordially welcome you here and trust that your It was announced that protests had been entered deliberations may be harmonious and satisfactory, against the delegates from the Philadelphia County beneficent to your association, promotive of science Medical Society, the New York Academy of Medi- and conducive to the good of the community." cine, the Tri-State Medical Society, the Mississippi Dr. Atwood on behalf of the profession, delivered Valley Medical Association, and the Davidson Coun- an address of ty Medical Society. Dr. D. J. Roberts, of Tenn., protested against WELCOME FROM THE PROFESSION. the Tennessee State Medical Society. Dr. Atwood said, after the excellent speech of the The Chairman offered a list of Members by In- he felt it difficult to add on behalf of vitation, who were, on motion, elected. Mayor anything then took the medical men of St. Louis, His Worship having Viciv President Dr. S. Logan the practically covered the whole ground. The local Chair, and The PRESIDENT, Dr. Wm. Brodie, de- profession had made public in every way the fact that livered the Annual Address. (See p. 505, Journal the association intended honoring the city by meeting of May 8.) in it, and the citizens had united with them in a de- On motion of Dr. j. H. Murphy, of Minnesota, tendered the sire to make their as comfortable as possible. the thanks of the Association were guests his able and the There was something exceedingly appropriate in the President for address, special points association visiting St. Louis during the presidency of in it were referred to a committee to be appointed Dr. seeing that years ago that by the Chair. Brodie, just thirty-two the Women's doctor was admitted to membership at that city. It A memorial from Christian Temper- was and on motion referred It was also highly apropriate because St. Louis had perance Union offered, witnessed the life labor of men distinguished in the to the Section on State Medicine. medical profession, whose reputation had become Dr. J. S. Lynch, of Baltimore, presented and read national, and in some instances cosmopolitan? Here the report of the Committee on had labored whose Beaumont, profound physiological preliminary organization OF THE INTERNATIONAL researches had resulted in so much, and also Joseph MEDICAL CONGRESS OF 1887. Nash McDowell, nephew of the great Ephriam Mc- Dowell, whose name was inscribed in the annals of Your committee on the preliminary organization medicine never to be erased, by his illustrious dis- of the Ninth International Medical Congress, to be covery and performance of ovariotomy, a man who held in Washington, D. C, in 1887, have the honor had saved the lives of thousands of women by demon- to respectfully report : the of this operation. Too much That your committee, in accordance with your in- strating propriety the was given to the p;uan of those who destroyed life, structions, after mature deliberation, adopted but a man who had made a discovery such as this had necessary rules for the organization ; nominated gen- and a done more toward ameliorating the condition of man- eral officers for the Congress and its Sections, kind than any General whose glories were sung. J. local committee of arrangements at Washington, with N. McDowell opened the first medical school west of power to increase its membership, and in accordance the Mississippi, and he (Dr. Atwood), although he with Rule 10, as heretofore published in The Jour- did not look as old as he was, was present on that oc- nal of the Association, they have constituted the pro- casion. Here also lived and labored John S. Moore, posed officers of the Congress, and the Presidents of

Downloaded From: http://jama.jamanetwork.com/ by a Simon Fraser University User on 06/16/2015 it on its Sections, as an Executive Committee, for the fur- A motion by Dr. E. Smith, of Mich., to lay ther prosecution of the work of organization, and the table, was lost. your committee herewith submit a list of the mem- A motion by Dr. W. Bishop, of Pa., to postpone bers of the organization. it until after the report of the Committee on the Pres- ident's Address, was declared out of order; the point OFFICERS OF THE CONGRESS. of order raised Dr. I. N. Quimby, of N. J., S. of being by President—Nathan Davis, Chicago. that it was not germane to the subject. Vice-Presidents—Wm. O. Baldwin, of Alabama; A number of other amendments to the amendment William of W. W. x>f Brodie, Michigan ; Dawson, were proposed and discussed by Drs. E. Smith, Dud- Ohio; J. A. Grant, of Ottawa, Canada; E. M. Moore, ley S. Reynolds, F. Staples, J. H. Murphy, J. B. of New York; Tobias G. Richardson, of Louisiana; W. Allport, and others, when the amend- Lewis A. of New York M. of Wash- Murdoch, Sayre, ; J. Toner, ment was adopted as follows, by a large majority : ington, D. C. ; The President of the American Med- Amendment.—"Strike out the whole of the third The U. S. ical-Association; Surgeon-General Army; paragraph of Section 2 of the By-laws, and substitute The Surgeon-Ceneral U. S. Navy; The Supervising the following: On the second day of each annual Surgeon-General U. S. Marine Hospital Service. each Section shall nominate its own officers B. of Wash- meeting Secretary-General—John Hamilton, to serve for the next ensuing year, their duties to D. C. ington, commence with the close of the annual meeting at Treasurer—E. S. F. of New York. Arnold, which they are nominated, and to continue until their Chairman of the Finance Committee—Richard J. successors are of appointed." Dunglison, Philadelphia, Pa. A division being called for, a vote was again had, PRESIDENTS OF SECTIONS. and the President decided that it had been adopted. select GeneralMedicine—A. B. Arnold, of Baltimore, Md. The various delegates were requested to T. of their for the Committee on Nomina- General Surgery—Wm. Briggs, Nashville, representatives in Tenn. tions, and to report to the Permanent Secretary Military and Naval Surgery—Henry F. Smith, of the morning. On motion the Association adjourned Philadelphia, Pa. until Wednesday at io a.m. Obstetrics—De Laskie Miller, of Chicago, 111. Gynœcology—James F. Harrison, of the University Wednesday, May 5.—Second Day. of Virginia. and H. The President, Dr. Wm. Brodie, called the As- Therapeutics Materia Medica—F. Terrill, the of San Francisco, Cal. sociation to order at 10 a.m. He announced as Anatomy—Wm. H. Pancoast, of Philadelphia, Pa. spf:cial committee on the president's address, H. of Tenn. Physiology—J. Callender, Nashville, H. of A. L. U. S. N., B. Palmer, of the of Drs. J. Murphy, Minn., Gihon, Tafho/ogy^-A. University and Alonzo (¡areelon, of Maine. Michigan. of the of Diseases Children—1. Lewis Smith, of New The Chairman Committee Arrangements of the names of some members invitation, York, N. Y. offered by of Ohio. who were on motion elected. Ophthalmology—E. Williams, Cincinnati, Permanent then read the names Otology—S. J. Jones, of Chicago, 111. The Secretary Laryngology—W. H. Daly, of Pittsburgh, Pa. of the / Dermatology and Syphilis—A. R. Robinson, of nominating committee. (New York City. Ark., P. O. Hooper; Col., J. W. Graham; Conn., Public and International Jones, W. C. Wile; D. of C, J. W. Bnlkley ; Lia., T. O. Hygiene—Joseph E. Ind., of New Orleans, I ,a. Summers; Ca., J.W. Bailey; 111., J. Owens; Collective Investigation, Vital Statistics and Cli- T. B. Harvey; Iowa, W. Watson; Kan., C. V. Mot- L. U. S. tram; Ky., W. H. Wathen; La., Jos. Jones ; Me., matology—Albert Gihon, Navy, Washing- G. ton, D. C. Chas. E. Webster; Mass., E. W. Cushirig; Md., Psychological Medicine and Nervous Diseases— H. Rohe"; Minn., H. H. Kimball; Mich., H. O. Walk John' I'. Cray, of Utica, N. Y. er; Miss., P. W. Rowland; Mo., J. F. Dudley; Neb., Dental and Oral Surgery—Jonathan Taft, of Cin- W. M. Knapp; N. )., EL. B. Codfrey; N. Y., E. cinnati, 0. S. F. Arnold; N. Ca., C. J. O'Hagan; Ohio, 11. J. H. R. S. Ca., On motion of Dr. A. L. Gihon, U. S. N., it was Sharp; Pa., J. C. Lange; R. L, Storer; and R. A. Kinloch; Tenu., Duncan Eve; Texas, J. F. Y. unanimously accepted adopted. B. McCor- Dr. Henry H. Smith, Pa., offered a motion to re l'aine; Ver., A. T. Woodward; Va., G. consider this vote. kle; W. Va., G. W. Baird; Wis., W. T. Galloway; On motion of Dr. A. L. this motion was U. S. A., Ely McClellan; U. S. N., J. C. Speir; U. Gihon, Dakota Van- laid on the table. S. M. Hosp., W. Wyman; ter., J. B. Velsor; New Mexico, W. R. Tipton. TO CONSTITUTION AMENDMENTS THE It was announced that they would meet at 11 a.m. being in order, Dr. N. S. Davis brought up that re- Dr. Nicholas Senn, Chairman of the Section on lating to Officers of Sections. Anatomy and Surgery, then delivered the Address Dr. D. J. Roberts moved to amend it by substi- in Surgery. (See p. 589.) tuting "first day of the session, at 3 p.m." A protest was made by a delegate from Tennessee

Downloaded From: http://jama.jamanetwork.com/ by a Simon Fraser University User on 06/16/2015 against Dr. Eve serving on the Nominating Commit- taining subscriptions, which have been limited by tee from Tennessee, as the Society from which he resolution of the Association to one dollar from each came had been protested against. member of the profession of medicine in the United Dr. S. C. Gordon, of Portland, Me., Chairman of States, and receiving such voluntary donations as the Section on Obstetrics and Diseases of Women, may be made by persons interested in this great un- then delivered the Address in Obstetrics. (See p. dertaking. 561, Journal of May 22.) All of which is respectfully submitted. Vice-President A. Y. P. Garnett then took the For the.Committee: Chair, and Dr. A. L. Cihon, Chairman of the Albert L. Gihon, M.D., Ch'n. George H. Rohé, M.D., Sec'y. rush monument committee, J. M.-Toner, M.D., Treasurer. read the : report I am directed the Rush Monument Committee Your Committee to that in obedience by begs report to to the Association the election of Dr. Geo. to resolutions on the of at the report your 30th April, 1885, H. of to be and of Dr. annual of the at New Rohii, Maryland, Secretary, thirty-sixth meeting Association of the District of to be Rush has Joseph M. Toner, Columbia, Orleans, La., the Monument Committee Treasurer. been instituted the of one member by appointment In accordance with the resolution the from each of the Territories and National ser- instituting States, resident in and near vices in the Association and the Stand- following members, Washington, represented ; with the an Com-* Committee thus will forthwith constitute, Chairman, Executive ing organized proceed mittee: the intrusted to it the to Upon duty by Association, Albert L. U. S. H. wit: the collection of etc., for the erection of Gihon, N., Chairman; George funds, Mil. ; M. 'Loner, a statue to Dr. in the of Wash- Rohé, Baltimore, Joseph Washing- Benjamin Rush, City D. C. H. Pa. Chas. the members of the of medicine ton, ; Henry Smith, Philadelphia, ; ington, by profession Smart, U. S. A., Washington; Preston H. Bailhache, in the United States. Samuel in U. S. M. H. Service, Baltimore; J. Jones, Your Committee, appointed at Washington, 111. the lamented Dr. Austin in its Chicago, 1884, by Flint, report I am also directed to that the Committee enumerated monu- report presented at New Orleans, the has rules for the collection and ments which have been erected at the Na- adopted responsible already of the funds collected for the of tional in commemoration of the men who expenditure purpose Capital the and has determined upon have contributed to the National and stated monument, Riggs' renown, at as the of said funds. that appropriations had also been made by Congress Bank, Washington, depository and Carfield. Since that Respectfully submitted. for statues to Lafayette Albert L. Chairman. report, and doubtless in consequence of it, various Gihon, bodies have similar memorials to On motion, the report was accepted. public proposed Dr. I. N. the amendment to the their great leaders. The Church, represent- •Quimby called up already amendment to the a ed in the person of Martin Luther, is to have its By-laws creating statue to The deaf mutes have taken ac- Wesley. section on medical jurisprudence, tion toward the erection of a monument on their a motion it beautiful Kendal Creen to their eminent teacher, and offered that be adopted. Gallaudet. Philanthropy is to have its marbly effigy After some debate it was adopted. of Peabody, and the intrepid explorers, who have The Committee of Arrangements presented a num- of which were read and lifted the curtains of dense jungle and moun- ber invitations, accepted. rugged A communication from the Texas State Medical tains upon new lands, are to be personated in him of them led the to this New Association was received and ordered on file. who, greatest all, way of that the while dan In and McClellan, Hancock and Dr. W. Bishop, Pa., moved President World; be to with the title of a Shields, and are to be a/lded to requested announce, paper McDonough Barry, name of its the time its the already long array of Presidents and military and and the author, allowed for naval heroes. reading. Rejected. to American With statesmen, rulers, soldiers and sailors, the An invitation meet the Climatological scientist and the philanthropist, the discoverer and Association next week in Philadelphia was read. the the and the all On motion of Dr. N. S. Davis the Association ad- teacher, jurist divine, given prom- until inence among the adornments of this beautiful Capi- journed Thursday morning. tal City, no further time should be lost by the medi- cal profession in completing its enduring testimonial of one who was not only a great physician and teach- Thursday, May 6.—Third Day. er of medicine, philosopher, philanthropist, and ac- complished writer, but a fearless patriot and founder The President called the Association to order at of the Republic, a signer of the Declaration of Inde- io a.m., prayer being offered by Rev. R. C. Brank, pendence, an officer of the army of the Revolution, D.D. and one of the authors of that Federal Constitution The Committee of Arrangements reported invita- under which we now happily live. tions to visit places of interest. With this announcement, the Rush Monument The Committee on Nominations then nominated Committee will at once undertake the work of ob- the following

Downloaded From: http://jama.jamanetwork.com/ by a Simon Fraser University User on 06/16/2015 the Tues- OFFICERS FOR 188 7 : Place of next meeting, Chicago, 111., first day in June, 1887; Chairman of the Committee of President—Dr. E. H. Gregory, St. Louis, Mo. Charles Cilman of Chi- Stillwa- Arrangements, Smith, M.D., jst Vice President—Dr. E. H. Miller, of 111. Minn. cago, ter, On motion the report was adopted. 2d Vice-President—Dr. W. B. Welch, of Boones- unanimously boro, Ark. officers of sections. jd Vice-President—Dr. William H. Pancoast, of Surgery and Anatomy.—Chairman, H. H. Mudd, Philadelphia. St. Louis; Secretary, John B. Roberts, Philadelphia. 4th Vice-President—Y>\. William C.( Wile, of N.ejy Practice of Medicine.—Chairman, j. S. Lynch, London, Conn. Md.; Secretary, J. B. Marvin, Ky. Permanent Secretary—Dr. William B. Atkinson, of Obstetrics and Diseases of Women.—Chairman, F. W. W. 111. Philadelphia. , M. Johnson, Mo.; Secretary, Jaggard, Assistant Secretary—Dr. J. Nevins Hyde, of Chi- Ophthalmology, Otology, and Laryngology.— cago, 111. Chairman, X. C. Scott, Ohio; Secretary, J. H. Treasurer—Dr. R J. Dunglison, of Philadelphia. Thompson, Mo. Librarian—Dr. C. H. A. Kleinschmidt, of Wash- Diseases of Children.—Chairman, DeLaskie Mil- ington, D. C. ler, 111. ; Secretary, W. B. Lawrence, Ark. Committee on Necrology,—Dr. j. M. Toner, of Dis- Oral and Dental Surgery.—Chairman, T- S. Mar- trict of Columbia, Chairman ; Ala., Jerome Cochran ; shall, 111. ; Secretary, E. S. Talbot, 111. Ark., C. Watkins; Cal., Beverley Cole; Col., T. H. State Medicine.—Chairman, G. H. Rohe, Md. ; Hawkins; Conn., Frank H. Whittemore; D. Colum- Secretary, Walter Wyman, U. S. M. H: S. bia, C. H. A. Kleinschmidt; Del., Lewis P. Bush; Vice-President Logan took the Chair, and Dr. A. Fia., R. B. Burrows; Ca., R. Battey; 111., L. 11. Mont- L. Gihon read the following gomery; Ind., J. F. Hibberd; Iowa, J. Williamson; REPORT ON THE PRESIDENT'S ADDRF.ss. C. V. R. M. Kan., Mottram; Ky., Farleigh; La., to whom was referred those A. M. G. Par- Your Committee por- J. W. Dupiè; Me., J. Fuller; Mass., tions of the address of the President of the Associa- T. B. S. S. H. ker; Md., Evans; Mich., French; tion of action on your part Miss., B. F. Mo., L. Bremer; Minn., W. W. embodying suggestions Kittrell; to report : Neb., E. M. Whitten ; N. H., 1. j. Berry; beg Mayo; /. That in their opinion it is proper and desirable N. J., L N. Quimby; N. Y., John Shràdy; N. C, shall without memorialize F. Pa., D. G. that this Association delay Eugene Grissom; Ohio, J. Baldwin; Congress in behalf of the pending resolution to ap- Brintonj R. L, C. W. Parsons; S. C, R. A. Kinloch; commission of three members of the Y. W. point a scientific Tenn., J. Crawford; 'Pcx., J. McLaughlin; of to visit the habitats of B. W. profession medicine yellow Ver., E. F. Upham; Va., George McCorkle; and with a view to S. S. S. fever in Cuba, Mexico Brazil, Va., J. H. Pipes; Wis., Riddell; U. Navy, the of the claims of Drs. Carmona U. S. M. K. U. S. Mar. determine validity J. C. Speir; Army, Taylor; Freiré to have discovered a means of H. S. Austin; Dak. Ter., J. B. Van and preventing Hosp. Service, or attacks of that disease. N. G. W. Hansom. modifying Velsor; M., 2. That committee are not among G. A. your agreed Commit/ce on State Medicine.—Ala., Kitchen ; themselves as to the recession from the I'-. H. P. suggested Ark., J. A. Dibrell, Jr. ; Cal., Terrill; Col., recommendation of the use of the metric system in R. Thomas; Conn., Ceo. B. Porter; D. Columbia, medicine. E. T. A. Mc- J. D. Patterson; Fla., Sabal; Ga., J. j. That they heartily approve of the suggestion of Gaston; 111., j. H. Hollister; Ind., J. H. Beasley; the President that the Association having created Wm. Iowa, P. W. Lewellyn ; Kan., S. Schenck; Ky., a Section on Medical shall further C. W. M. C. Ledwood, Jurisprudence, Bailey; La., Day; Mass., establish a Section on Dermatology and Syphilis, H. B. Baker ; Ira Russell; Md., fohn Morris; Mich., 4. That they concur with the President as to the Miss., M. S. Grafft; Mo, J. M. Allen; Minn., W.A. wisdom of the that the several Sections R. N. C. P. provision Stenchfield; Neb., A. Mitchell; H., shall elect their own officers from among the men of Conn; N. J., E. L. B. Godfrey; N. Y., K. S. K. Ar- recognized authority and experience in the special nold; N. C, C. |. O. Hagan; Ohio, H. |. Sharp; work of such Sections, and they are further of the Pa., W. Sniveley; R. L, W. T. Parker; S. C, C. opinion that the efficiency of these Sections will be Kolbrock; Tenn., J. B. Nowling; Tex., C. H. Wil- enhanced the continuance in office from year to kinson D. P.. Chancellor by ; Ver., 11. Holton; Va., |. j year of the Secretaries of said Sections. W. Va., S. D. Wilson; Wis., C. Alexander; U. S. N., That they endorse the views of the President S. E. S. M. H. 5. A. L. Gihon; U. A., McClellan; U. respecting The Journal of the Association, and Service, W. H. Long; Dak., J. B. Van Velsor; N. the exclusive proprietary interest of this Association M., W. R. Tipton. in the papers and reports which are made part of its Members of finfició/ Council.—-N. S. Davis, 111.; transactions. H. Brown, Ky. ; William Brodie, Mich.; D. J. Rob- 6. That the Association should emphatically de- erts, Tenn.; R. C. Moore, Neb.; T. A. Foster, Me.; nounce the endorsement by certificate, advertise- James A. (¡ray, Ca. ment, testimonial or indirect approval in any form, Trustees of The Journal.—P. O. Hooper, Ark.; of proprietary remedies and appliances, and should A. Garcelon, Me.; L. S. McMurtry, Ky. instruct the judicial Council to take action in all

Downloaded From: http://jama.jamanetwork.com/ by a Simon Fraser University User on 06/16/2015 such cases without formal presentation of charges, over Europe and perhaps reach this country, it has that, in the words of the President : " The stigma of been thought desirable to continue the observations professional disgrace shall rest upon any. regularly and records undertaken until the apparent cholera educated physician who allows his name to be adver- season has passed by. A full report may be expected tised as the endorser of any patent, secret or propri- at the next annual meeting of the Association. etary medicine. In relation to Collective Investigations of Disease 7. That it is desirable that the Association shall in connection with the Committee of the British appoint a Committee at this meeting to consider the Association, it is proper to state that your Committee advisability of amending the organic law of the As- acting in harmony with both the Committee of the sociation by the establishment of Branches or in British Association and the Committee of the Eighth whatever other way may be deemed best, and to International Medical Congress appointed at Copen- report thereon at the next annual meeting of the hagen, have had a large number of convenient blanks Association. with necessary instructions, asking for observations S. That they earnestly re-echo the wish of the and records concerning the more important diseases, President that the members of the profession will selected jointly by the Committee of the British As- cordially cooperate in the effort to make the Ameri- sociation and that of the International Congress, dis- can session of the International Congress creditable tributed to members of the profession in this country, to the country and attractive and instructive to the asking them to fill the blanks as far as possible and foreign visitors, sacrificing their personal and private return the same to the Chairman or Secretary of the piques and disappointments in generous emulation Committee on or before January, 1887, for the pur- to contribute to that success, which had been uncon- pose of enabling the Committee to tabulate and ana- ditionally pledged in the invitation tendered the for- lyze the results for both the next meeting of this eign members of the Congress to meet in the United Association and for the Ninth International Congress States. at Washington, September, 1887. The foregoing All which is respectfully submitted. statement of progress is respectfully submitted. John H. Murphy, Minnesota, By N. S. Davis, Albert L. Gihon, U. S. Navy, Chairman of Committee. Alonzo Garcelon, Maine, On motion the report was adopted. Committee. Dr. Gihon moved its adoption. Dr. James M. Keller, of Arkansas, Chairman of Dr. J. F. Hibberd, Ind., objected to its adoption, the Committee, read the and Dr. J. B. Murdoch moved that it be read in sections. REPORT ON CREMATION. Dr. W. T. Bishop, Penn., moved that it be post- It will be remembered, Mr. President, that at the poned, and made the first special order under new meeting held at St. Paul four years ago, I firs! brought business. the subject of cremation before the Association in the After some further discussion Dr. E. Smith called shape of a resolution, asking its reference to the the previous question, which was sustained. The Committee on State Medicine. Each year since it question, " Shall the main question now be put," was has been called up and purposely referred back with- adopted by a large majority, and the vote being out discussion, until at New Orleans it was referred taken the report was adopted as a whole. to a special Committee to report to-day, and your The President then resumed the Chair. Committee respectfully submit this paper. Since the Dr. Edward Jackson, of Philadelphia, called for subject was first mentioned it has become one upon the report of the judicial Council on the Philadel- which much thought and deliberation have been given, phia County Medical Society. The President an- not only in this, but in other countries, and much has nounced that it was now in the hands of the Council. been written in advocacy of it, not only by the med- Dr. N. S. Davis, Chairman, then read the Re- ical profession, but by people in all the walks of life. port of the Standing Committee on Meteor- Secular and religious journals, as well as medical, ological Conditions and their Relations to the have all discussed it. Indeed, so much has been Prevalence op Diseases, also Concerning the written about it, and all in its favor, that your Com- Subject of Collective Investigation of Disease mittee deem it unnecessary to do more than offer one in Cooperation with the Committee of the Brit- or two reasons why fire should be substituted for ish Medical Association. earth burial—why immediate and complete destruc- In behalf of the Standing Committee on Meteor- tion of disease germs should supplant their dangerous ological Conditions and their Relations to the Preva- planting and propagation. We believe that the hor- lence of Diseases, the undersigned would respectfully rid practice of earth burial does more to propagate report progress. The Signal Service of the General the germs of disease and death, and to spread desola- Government has kindly continued to furnish the tion and pestilence over the human race, than does reports from the several stations originally selected, all man's ingenuity and ignorance in every other and as far as practicable all the other elements of custom or habit. the investigation have been continued. Sufficient Not satisfied with doing all the evil we can in life, materials have been accumulated for a valuable and custom up to the present time makes us do a thous- interesting report, but on account of the apparent and fold more after death. tendency of epidemic cholera to extend westward From the moment the heart ceases to beat and vi-

Downloaded From: http://jama.jamanetwork.com/ by a Simon Fraser University User on 06/16/2015 tality leaves the body of man or brute, decomposition, of all objectionable features. At an early day only inexorable in its laws and hideous and horrible to a few minutes of time will be necessary to give back contemplate, begins—in every phase of its decay, to loving survivors all that is worth preserving—a few slow, repugnant and dangerous even to beasts of the pounds of harmless pure, clean, white ashes. A pro- field ; and in no way does earth burial check or im- cess (the only safe one) the quickest, simplest and pede, but on the contrary, under certain atmospheric cheapest) leaving no vestige that is repugnant, offen- anil climatic conditions rapidly aid and nourish the sive or injurious—strictly in conformity to nature's death-dealing germ. It only hides from sight the laws—accomplishing in a few moments what putrefac- danger that sooner or later we take into our stom- tion after burial never does. achs with each draught of spring or well-water, or into In conclusion your Committee begs to amend the our lungs with each inspiration. Mr. Darwin, in a original resolution so that it may read ; paper written on the formation of mold, proved that Resolved, That cremation or incineration of the in many places the whole superficial layer of earth dead has become a sanitary necessity in all populous has passed through the intestines of worms. In some cities, and that this Association advise its adoption cases more than three inches of it had been deposited as far as practicable. J. M. Keller, in fifteen years, and in another the depth in eighty S. Logan. years had reached thirteen inches. A motion having been made to adopt the report, Strongly confirmatory of these conclusions are the Dr. A. Y. P. Garnett moved to lay it on the table, investigations of Pasteuron the Etiology of Chorbon, which was negatived. in which he shows that this earth mold, brought up Dr. I. N. (¿nimby called for the previous question, by worms over the graves of its dead, abounded with which was sustained, and having been agreed to the the same specific germ which propagated the disease, report was adopted by a miiority of 159 to 106. and these same organisms filled the intestines of the Dr. T. A. Reamy, of Ohio, moved a reconsidera- worms. Who dares deny the assertion that the earth tion in order that the report, which was in some sense burial of any body, dead of a zymotic disease, is objectionable, might be more fully discussed. The simply the planting of the seeds of such disease, motion for reconsideration was carried by 198 to 70. sooner or later to grow and reproduce itself and other On motion of Dr. John Morris, of Md., the report pestilential troubles among survivors? Dr. Friere in with its conclusions was referred to the Section on his investigations of the cause of yellow fever in Rio State Medicine. de Janeiro found the soil of cemeteries in which its Dr. J. B. Roberts, of Penn., offered a motion that victims had been interred, absolutely filled ,with mi- the Permanent Secretary be instructed to give official crobism organisms, identical with those found in the information why the report of the Judicial Council vomit and blood of his patients who had died with it. was not given on Wednesday. The motion was de- Mother earth a foot below the surface, indeed from clared out of order. the surface to the body, swarmed with the character- 1 )r. Roberts then appealed from this decision, and istic germ. Hence his justification in characterizing the vote being taken the Chair was sustained by a those cemeteries as the nurseries of the disease. vote of 191 to 25. The fatal delusion that the earth renders harmless Dr. James T. Whittaker, Chairman of the Section and innocuous the corpse must be dispelled. Incon- on Practical Medicine, Materia Medica, and Physi- trovertible proof of the fact that the vicinity of grave- ology, then delivered the Address in Medicine. (See yards is unhealthy is superabundant. That the dead Journal of May 15, p. 533). do kill the living is equally true, and that cholera, On motion of Dr. J. M. 'loner it was resolved that yellow fever and the whole list of zymotic and infec- the Association be requested to return to the Judicial tious diseases are propagated by contaminating the Council the report in the case of the Philadelphia earth and air and water supplies, is as true as that County Medical Society, for the purpose of hearing sewer gas or sewage water do propagate disease, additional testimony, and all interested were invited l'oint to a city if you can, whose growth has demanded to appear before the Judicial Council then in session. the removal of the dead from its cemetery, that will Dr, John LI. Ranch, of Illinois, Chairman of the not attest the truth of the rapid production of disease Section, then delivered the Address in State Medicine, and death in all neighboring localities. God's half- which was referred for publication. acre must become a of the past. The grave- thing ENTERTAIMENT OF THE INTERNATIONAL must be adandoned. The time has come for us CONGRESS yard IN to face squarely the problem, how to dispose of our 1887. dead with safety to the living. And your Committee On motion of Dr. A. Y. P. Garnett, seconded by has an abiding faith that you will earnestly and at Dr. D. W. Yandell, it was once say, that the " earth was made for the living, not Resolved, That the delegates to this Association for the dead," and that " pure air, pure water and pme be requested upon their return to their homes to soil" are absolutely necessary for perfect health. ( >nly adopt such means as may to them seem best to call skeptics deny that the dead do poison these three es- the attention of their respective delegates to the sentials of human life. Congress of the United States to the desirability of Embalming and mummifying are equally as unsafe, making an appropriation to assist the medical profes- and surely far more disgusting than earth burial, and sion of this country in properly receiving and enter- equally as repulsive was the ancient German custom taining the International Medical Congress in Wash- of " fire burial." Modern cremation alone is stripped ington in 1887.

Downloaded From: http://jama.jamanetwork.com/ by a Simon Fraser University User on 06/16/2015 Dr. R. J. Dunglisorkthen read the way, said Committee to report at the next annual what measures of treasurer's report. meeting reorganization, if any, may be desirable. Dk. Richard J. Dunglison, Tricasukkr, in Account with tub Amer- On motion the Association ican Medical Association. adjourned until Friday 1885. Da. at io a.m. May 5, Tu cash balance, as pur report at New Orleans meeting. $933 xx " id cash received at New Orleans meeting from delegates and permanent members, less Friday, May 7—Fourth Day. exchange. 2,87a 25 1886. The President called the Association to order at from animal dues and April 30, to cash subscriptions 10 and was offered Rev. W. V. paid Treasurer to date. 8,305 00 a.m., prayer by " to cash from subscriptions, advertisements, Tudor, D.D. &0., paid at Office of publication. 6,358 34 " W. the room 10 cash from sales of Volumes of Transac- General T, Sherman having entered tions, etc. 99 69 was invited to a seat on the platform, in -$18,567 39 accepting Cr. 1885. s which he made a few appropriate remarks. May 16, By cash paid pr, Samuel Logan, Chairman The announced the as the Committee of Arrangements New Or- President following leans meeting, for expenses rental, COMMITTEE ON BRANCHES : printing, etc. $461 25 May 22, by cash paid Ur.W, It. Atkinson, Permanent The the four Vice-Presidents Secretary, expenses of travel, postage, President-elect, elect, expressage, as per order of the Assoc'n 127 00 Drs. N. S. M. and A. L. Gihon. " Davis, J. Toner, by cash paid Dr. R, J. Dunglison, Treasurer, The Permanent read the expenses of travel, postage, etc., as per Secretary following on order of the Association. 123 57 behalf of J. McF. Gaston, of Atlanta, June 13, by cash paid Win. F. Fell & Co., printing, Georgia. postals, etc. 22 75 WHEREAS, Authentic reports have been published, July xo, by cash paid Wm. F. Foil & Co., printing that inoculation with the attenuated virus slips, postage, etc. xo 75 indicating July 29, by cash paid postage, stationery, printing, of yellow fever has afforded protection from this dis- addressing circulars. 8a 75 " ease in more than in the same by cash paid Attemus & Co,, printing, etc... 4 70 6,000 persons, residing " by cash paid Dunlap & Clarke, printing. 2 50 localities with others not inoculated who died " by cash paid J. S. Hrownus, packing and during expressing Vols, of Transactions from an epidemic of yellow fever in Rio de Janeiro, Bra- New York. 2 59 zil, and Aug. 17, by cash paid Dunlap & Clarke, printing cir- culars and stamped envelopes. 45 05 Whereas, Other evidence of the efficacy of yellow Oct. 3, by casli paid envelopes, postage, addressing fever inoculation is corroborated the of circulars, etc. 45 47 by statements " by cash paid N. 'J'. Humes, cash advanced Dr. Horace M. Lane, a member of this Association for and postage on Volumes of freight now to the effect that he was Transactions . 4 74 present, inoculated by Nov. 13, cash paid Win. I1', Fell & Co., printing... 12 50 Dr. Freiré in Rio de " by Janeiro and remained by cash paid stamped envelopes am] postage. 22 70 Domingos 1886. in that city without contracting the disease, while Mar. 9, by cash paid postage, stationery, etc., to date 39 84 many others who were not thus inoculated were at- Mar. 21, by cash paid Wm. J1'. Fell & Co., printing circulars, postals, etc. 9 00 tacked and died ; and further, that he had the April 30, by cash paid postage, expressage, envel- of the of opes, etc., to dale. 25 70 opportunity verifying protective influence 11 by cash paid Dr. N. S. Davis, publication inoculation against yellow fever in numerous other expenses to date.12,535 65 " by cash paid Dr. N. S. Davis, editorial cases under his observation, and work to date. 4.561 30 The facts in to the results of this " by cash paid exchange and commissions tO Whereas, regard collectors. 49 28 prophylactic against yellow fever warrant the convic- " balance. 378 39 tion that it is and safe in -$18,567 39 trustworthy practice, 1886. therefore (Copy.) _ , May 7, This certifies that we have examined the accounts of receipts ami r\ That the American Medical Association penditures of R, J. Dunglison, Treasurer of the Association, and nod Resolved, the same correct. recommends prompt action by the United States AlONZO GarCELON, I Auditing Government for the of the claims of L. S. McMurtrv, Ç Committee, investigation inoculation against yellow fever; and the appropria- H. A. Kleinschmidt the Dr. C. read m tion of the means requisite for the expenses of the librarian's report, same, with the appointment of a medical and scien- tific commission to undertake this which was its recommendation of inquiry. adopted, including That a committee of three be an of for the Index Médiats. Resolved, appointed appropriation $10 the President to memorialize in accord- the of the Committee on Publi- by Congress By request report ance with this recommendation at the earliest cation was made the first special order of business .day for practicable. Friday. The President announced the as the Dr. A. offered an to the following L. Gihon amendment Committee: Drs. McF. of to create a SECTION on DERMATOLOGY and J. Gaston, Atlanta, (¡a., By-laws P. O. of Little and T. Diseases. This must over until Hooper, Rock, Ark., G. VENEREAL lay 1887. of New La. On motion of Dr. Gihon it was Richardson, Orleans, Resolved^ That a committee of nine members, in- THE SECTION ON MEDICAL JURISPRUDENCE, cluding the President elect and the four Vice-Presi- as organized under the amendment adopted at this dents elect, shall be appointed by the Chair to session, announced that they had chosen the follow- consider the various proposition! looking to the ing officers: President, I. N. Quimby, of New Jer- amendment of the organic law of the Association by sey; Secretary, H. H. Kimball, of Minnesota. the ESTABLISHMENT of BRANCHES, or in any other Dr. Chas, K. Mills, of Philadelphia, moved that

Downloaded From: http://jama.jamanetwork.com/ by a Simon Fraser University User on 06/16/2015 the order of business be suspended to allow the Judi- Receipts.—The receipts at the office of publica- cial Council to report, and for other business. On tion relate to receipts from subscriptions, ad- Hamilton only motion of Dr. J. B. this was laid on the vertisements, reprints, and extra Journals; all mem- table. bership dues being sent directly to the Treasurer, and Dr. J. M. Toner, Chairman, then read the will be accounted for in his annual report. From the sources indicated there has been received at this office report of the trustees the of journal. during the year ending March 31st, 1886, the sum of The Board of Trustees for the publication of The $5,330.46; of which $2,738.29 were from subscrib- from and from Journal of the American Medical Association ers, $2,165.07 advertisers, $427.10 submit the as their Annual Re- those ordering reprints and extras; all of which has respectfully following been to the Treasurer. port for the year ending March 31, 1886: paid the three there has ac- For reasons fully stated in the last report the finan- Assets.—During past years cumulated at the cial year is made to include the receipts and expend* unpaid subscriptions amounting, tures of The for the fourth of the date of this report, to the sum of $5,435.00. One- Journal quarter half of this will be reasonable second year and the first three quarters of the third paid with certainty by the end of the The remain- year of its publication. present Journal year. At the earnest solicitation of the Prof. ing half, however, is due from parties who became Trustees, subscribers and Davis consented to continue his labors as editor-in- by signing returning the original that were sent out before the commencement chief during the last year, and under his general su- pledges The has been issued and of the publication, and who, in answer to the many pervision Journal regularly made without a either at or before the date bills sent, have many fair promises and yet single exception far. I had of its publication has been mailed to members. At paid nothing thus intended to erase all the last annual the Trustees instructed the the names of those who had paid nothing at the meeting commencement of this But the Business Committee to commence the publication of year. during last a number have remitted for the whole The Journal upon the account of the Association quarter $15 when the then existing contracts should expire. Ac- three years, and it encouraged me to let the list re- for the last nine months The has main to the end of the present volume, in hopes that cordingly Journal them succeed in been so The details of this work were many more of might fulfilling their published. in the manner. committed to the and are so set forth in promises same None of the receipts editor, fully for the third his annual report to the Trustees that we desire to .advertisements during quarter of the March it in our report to the Association. It is present Journal year, ending 31st, amount- incorporate to in as follows : ing about $700, is included this report, for though all good, it is not all paid until after the close The undersigned respectfully submits the following of the quarter. statements in regard to the progress of The Jour- Expenses. The total cost of publishing The nal of the American Medical Association and Journal, 4,500— copies weekly, during the year end- its present status, financially and otherwise: ing March 31st, 1886, not including editorial salary Weekly Circulation.—At the date of my last annual and expenses, is $11,410.77, of which $2,906.76 was report, March 31st, 1885, the total regular weekly for the fourth quarter of the second year of publica- circulation of The Journal was 4,020, of which tion, leaving $8,504.01 for the first three quarters of 3,050 were members of the Association as reported the third year of publication. But it should be stated to this office by the Treasurer, 850 were subscribers, that in this amount, for the three quarters of the cur- and 120 to exchanges and advertisers. rent year, is included the paper and press-work of At this date, March 31st, 1886, the total weekly reprints, amounting to $427.10, which was returned circulation is 4,271, of which 3,374 are members of to the treasury in full by those for whom the reprints the Association as returned by the Treasurer, 645 were made. Deducting the sum received for the subscribers, and 252 to foreign and domestic ex- reprints, it makes the cost of publication of The changes and advertisers.- The net increase in the Journal for the first three quarters of the current membership during the year has been 324, the net year, $8,076.91, and a total for the year ending decrease in subscribers 205, and the increase of ex- March 31st, 1886, $10,983.67; which is $1,136.51 changes, chiefly foreign, and foreign correspondents, less than the cost of publication the preceding year, 132; thereby giving a net increase in the regular and yet the weekly issue this year is 300 more than weekly mail list of 251 during the year. The num- last year. The saving, however, belongs entirely to ber of Journals printed each week during the year the last three quarters of the year, and is to in owing has been 4500, being 300 excess of the previous two causes : First, the reduction of postage on sec- year, and 229 in excess of the regular mail list. Part ond-class mail matter has reduced the aggregate of for as of these have been required use sample copies postage during the last nine months about $300, or and extras to contributors, leaving on hand about 75 at the rate of $400 per annum. Second, the change copies of complete files. The decrease in the num- from the publication by contract, to the publication ber of subscribers is occasioned almost entirely by in our own printing office, which was commenced deaths and the change to members by application. last June, effected a saving of $836.51 since the first Regarding it preferable to increase the permanent of July, 1885, or at the rate of $1,115.34 for the year membership rather than the list; of simple subscrib- ending June 30th, 1886. If we make the proper al- ers, we have uniformly encouraged the change. lowance for the 300 additional copies weekly printed

Downloaded From: http://jama.jamanetwork.com/ by a Simon Fraser University User on 06/16/2015 this year, it increases the amount of actual saving for office and in more regular and extensive foreign and the year to $1,500. domestic correspondence. The total amount drawn from the treasury for the The only department of The Journal work which payment of editorial work, which includes foreign and has disappointed us during the past year has been in domestic correspondence, reports of medical society the receipts from advertising. We committed this proceedings, clinical lectures, etc., and for assistant department to the management of a general agent editorial work proper, during the year ending March who was familiar with medical advertising, and who 31st, 1886, is $3,115.10, making the total expenses agreed to pay The Journal a uniform price for each for The Journal for the year ending March 31st, page that he could fill, and make all his own collec- 1886, $14,098.77, and the total receipts, as shown by tions. He was confident that he could much in- the report of the Treasurer, $18,567.39. crease our revenue from that source. But such has At the last annual meeting of the Board of Trus- not been the result, and a better arrangement must tess I was authorized, on the expiration of the then be effected for the future. existing contracts for printing The Journal, to pur- Some may be disappointed at the moderate in- chase the necessary amount of type and fixtures and crease in the aggregate of members and subscribers establish a printing office owned and conducted ex- receiving The Journal the past year. But if it is clusively in the interest of The Journal, and super- remembered that since The Journal was established intended by a competent foreman. Accordingly, in less than three years since, The Journal and the As- June, 1885, I purchased of the Illinois Type Foun- sociation have encountered first the defection of the dry Co. type and fixtures for direct use in printing New York New Code party, followed during the last The Journal to the amount of $668.87, and paid year by the extensive opposition on account of the for carpenter work and labor in fitting up the office controversy about the International Medical Con- and placing the printing material in position, $101.15. gress, it will rather be a matter of surprise that we In August it became necessary to reprint the whole have had any increase whatever. But the figures mail list for directing wrappers, and I purchased of show that the aggregate increase of members and Marder, Luse & Co., Chicago, plain, cheap type, so subscribers has considerably exceeded the discontin- that the whole mail list, when set up, could be kept uances, and with the disappearance of these témpora permanently on the galleys and permit all changes ry subjects of controversy the increase will be much and additions to be made with the same facility as in greater annually. correcting proof. This cost $274.86, and will serve Respectfully submitted. N. S. Davis, the purpose for several years at little cost. The ag- Editor of Journal of American Medical Association. gregate amount thus expended to fully equip the In reviewing this report and the enterprise it is of printing office for good work was $1,044.88, which is interest to note that contrary to what might have not included in the foregoing figures in regard to the been expected, owing to differences among our pro- cost of publication of The Journal during the past fessional brethren, the circulation of The Journal year, because these materials constitute permanent has not fallen off, but has increased so that the list property, and with trifling additions fiom time to time has increased 251. The weekly issue of The Jour- will serve their purpose for several years. nal during last year was 4,200. During the present An accurate inventory of the value of the property year it is 4,500. The cost of publication, not includ- now on hand in good order is as follows: ing Editor's salary, for the former year was $ 2,120.18; for the present year it is $11,410.77, showing. a net Printing material in use for The Journai. $722.42 decrease of of To this should be Printing material in use for the mail list. 253.52 expenses $709.41. Office fixtures and gas fitting. 108.00 added amounts received during the present year from the sale of reprints, etc., which give a net saying to Total. $1,083.94 the Association, by its publication of The Journal I hold an insurance policy on this property for of $1136.51, although 300 more copies were published. The entire cost of the for The $800.00. a plant publishing In an earlier part of this report it has been shown Journal and all expenses on its account to this date that by the establishment of The Journal's own have been $1,044.88, so that in the savings of the printing office, the publication expenses of The last nine months, the entire outlay has been paid, Journal during the year ending March 3 st, 1886, leaving a balance of $91.63 as compared with last have been $1,136.51 less than under the contract year. With regard to editora] salary, your Trustees system of the [¡levions year, being a saving of $52.57 are authorized to expend a sum annually not ex- more than the entire cost of the printing materials ceeding $6,000. But they have been unanimous in now on hand and in good order for future use. the opinion that no debts should be incurred on ac- During the last nine months that Tin: Journal count of the publication of The Journal, which its office has been in operation and .under the care of receipts would not warrant. Much to their regret, Mr. J. Harrison White, our foreman, every number they have been compelled to limit the amount paid issued has been committed to the United States mail for all editorial work, including foreign and domestic on or before the date of its publication, and in much correspondence to the sum of $3,115.10 for the past better order than formerly. year. About $350 more has been expended for editorial We are not unmindful of what The Journal labor the year just closed than during the preceding, should be, or of what it will be, whenever its receipts owing to the employment of more writers, both in the will warrant such outlay as is made in the develop-

Downloaded From: http://jama.jamanetwork.com/ by a Simon Fraser University User on 06/16/2015 ment of medical journals published in the interest of Dr. Edward Jackson, of Philadelphia, as a ques- private parties. The Trustees are confident that the tion of privilege, asked the President to r^ule as to success of the experiment of publishing The Jour- the present status of the Philadelphia County Medi- nal on the account of the Association fullv war- cal Society. The President decided this to be out rants the continuance of the same general policy, of order. and while they will summon to his aid all the A communication from the California State Medi- editoral help which the finances of the Association cal Society was received and ordered on file. will warrant, they have solicited Dr. Davis to con- Dr. Eugene Smith, of Michigan, Chairman of the tinue his present relations with The Journal, and Section, then delivered the Address on Ophthalmology, we are happy to state that he has consented to re- Otology and Laryngology. Referred. main its Editor. Dr. W. D. Haggard, of Tenn., Chairman, deliv- Dr. A. Garcelon announced that the accounts ered in brief the Address on Diseases of Children. had been audited and found correct. Referred. Dr. S. Marshall, of Chairman, read Dr. M. Toner then read the John Chicago, J. by title the Address on Oral anil Dental Surgery. Referred. of report the judicial council. The Committee on Necrology reported that as usual most of the notices had been St. necrological pub- Louis, May 6, 1886. lished in The Journal, as others would be. In the case of Protest against the admission of The Section on State Medicine sent in the follow- delegates from Tri-State Medical Societies, the Coun- ing resolutions : cil would state that our constitution recognizes only The memorial of the West End Woman's National State Societies, and County, District and local Soci- Christian Temperance Union having been referred to eties which are affiliated with the State Society. the Section for consideration, the following resolu- Delegates from Tri-State Societies are therefore not tion offered by Dr. John Morris, of Baltimore, Md., entitled to admission. was adopted and directed to be reported to the As- In the case of Protest against the registration of sociation : delegates from the Davidson County Medical Soci- Resolved, That we reaffirm the utterances of the ety, of Tennessee, after careful examination of printed, American Medical Association concerning the use written and oral testimony and thorough consideration and abuse of alcohol and its effects upon the body, of the same, the Council decide that sufficient evi- and recommend the study of hygiene in all our pub- dence has not been presented to warrant denying lic schools. To facilitate this study we urge the registration to said delegates, but it also hereby ad- speedy passage by the House of Representatives of monishes the Davidson County Medical Society, as the Senate Bill now before it, requiring instruction in soon as practicable, to place itself in more explicit the effects of stimulants and narcotics in schools affiliation with the Tennessee State Medical Society. under Federal control. The Protest against the registration of delegates The report of the Chairman of the Committee on from the Mississippi Valley Medical Association is Crémation, Dr. James M. Keller, of Arkansas, having accompanied by no charges or specifications, and been referred by the Association to the Section for therefore the Council, in accordance with its rules, consideration, the following resolution offered by Dr. can take no action upon it. G. S. Franklin, of Ohio, was adopted and directed A protest against admission to membership of Dr. to be reported to the Association : W. Dixon, of Henderson, Ky., is also presented with- Resolved, That a committee of this Section be ap- out any evidence accompanying it, and its treatment pointed to further consider the subject of cremation, must be the same. with instructions to report their conclusions to the In the case of Protest against the registration of Section at the next annual meeting of the Association. delegates from the Philadelphia County Medical The address of Dr. John H. Rauch, of Illinois, Society, which upon petition was reopened to admit Chairman of the Section, before the Association in new testimony, after a long and careful re-examina- general session, Thursday, May 6, having been re- tion, including evidence not before presented, the ferred to the Section for consideration, the following Judicial Council decide that, notwithstanding the fact resolution offered by Dr. Albert L. Gihon, U. S. that said delegates hold documents usually entitling Navy, was adopted and directed to be reported to to registration, it also appears, in evidence, that the the Association : methods employed at their election were of such an Resolved, That in accordance with the suggestions irregular character as to compel their rejection as of the Chairman in his address before the Associa- delegates by the Council. tion, the American Medical Association direct the The Council would also suggest the return of any Section on State Medicine to prepare and report at dues which may have been paid to the Treasurer by the next annual meeting, a form of law regulating said delegates. the conditions requisite as preliminary to the study The Council also refers the Protest and all the of Medicine, the requirements for graduation, and papers accompanying it to the Philadelphia County for the license to practice medicine, to be urged upon Medical Society for adjudication. the several States in order to secure uniformity in J. K. Bartlett, methods and results throughout the United States. Secretary of Judicial Council. These resolutions were adopted.

Downloaded From: http://jama.jamanetwork.com/ by a Simon Fraser University User on 06/16/2015 The President announced as the tertainments we have enjoyed at their hands, and as an acknowledgement we can only say, God bless SPECIAL COMMITTEE ON CREMATION the ladies of St. Louis. Drs. J. M. Keller, Ark., John Morris, Md., F. For- Dr. J. M. Keller offered an mento, Samuel G. S. Franklin. La.; Logan, La.,and AMENDMENT TO THE On motion it was BY-LAWS, Resolved, That hereafter the Committee of Ar- making the officers of the Sections again nominative rangements be requested to place the report of the by the Committee on Nominations. To lay over Publication Committee in the order of the first day's until 1887. proceedings. Drs. N. S. Davis, 111., and J. B. Johnson, Mo., Dr. John B. Roberts having offered a series of having been appointed for the purpose, conducted questions, on motion of Dr. A. Octerlony, of Ky., the President-elect, Dr. E. S. Gregory, of St. Louis, they were laid upon the table with but one dissenting to the Chair. He was introduced by the President, voice. A motion by Dr. j. B. Hamilton to recon- and in taking his place returned thanks to the As- sider was also voted down. sociation for the honor conferred upon him. The Permanent Secretary read the following list of The President then bade the members farewell in a felicitous manner, and declared the Association DELEGATES TO FOREIGN SOCIETIES: adjourned. W. B. Atkinson, M.D., 10 medical organizations of Europe, Drs. N. S. Permanent Secretary. Davis, 111.; W. W. Dawson, Ohio; Donald McLean, Eugene Smith, and Wm. Brodie, of Mich. ; B. A. Watson, of N. J. ; W. T. Briggs, Tenn. ; W. H. Pan- coast, James C. Wilson and John V. Shoemaker, of Penn. L. H. and L. E. ; Montgomery J. Gray, 111.; FROM PARIS. H. M. Sell and E. N. Y. S. C. Me. LETTER Cutter, ; Gordon, ; OUI* OWN COKlïICHl'ONDKNT.) and G. C. Catlett, Mo. (FKOM Ontario Medical Association, H. O. Walker, Mich. Bad Effects of Cocaine in Glaucoma\p=m-\Soci\l=e'\t\l=e'\Fran- Canadian Medical Association, Wm. Brodie, Mich. \l=c;\aised'Ophthalmologie\p=m-\Henri Legrand du Saulle. Dr. John B. Roberts then offered his resignation Like most good things in this world, cocaine, which as Secretary of the Section on Surgery; accepted. has been so enthusiastically adopted in ocular thera- On motion of Dr. W. B. Atkinson the Chairman peutics, has proved to have had its reverses, as point- of the Section was authorized to fill the vacancy. ed out by Dr. Javal, at a recent meeting of the Acad- On motion of Dr. A. E. Baldwin, 111., that as the emy of Medicine. It is known in ophthalmic resolution introduced by Dr. Roberts are a reflection practice that the instillation of atropine into an eye upon our excellent President and Secretary all refer- affected with glaucoma, or even predisposed to that ence to them be expunged from the minutes. affection, produces a most disastrous effect, and often Dr. Edward Jackson, Penn., having offered a pro- brings on paroxysms of violent pain in the eye. Al- test, it was objected by Dr. Brinton, Penn., that he though this fact is known, yet atropine continues to was not a regularly accredited delegate, and the pro- be applied in glaucomatous affections, but it is pre- test was unanimously laid upon the table. sumed only in cases where there has been an error Dr. N. S. Davis offered a resolution of cordial thanks in diagnosis. According to Dr. Javal, cocaine pro- to the Chairman of the Committee of Arangements, duces the same deplorable results, for in many cases the local officers, and the people of St. Louis from that came under his own observation the condition whom the Association had received such kind treat- of glaucomatous eyes had become aggravated by the ment. By the suggestion of Dr. Octerlony the vote use of this agent, and that in certain cases in which was taken standing, and was unanimous. the symptoms of glaucoma were scarcely perceptible, On motion of Dr. A. Garcelon, seconded by Dr. cocaine rendered them more marked. These symp- L. B. Todd, Ky., it was toms, however, may be successfully combated by the Resolved, That the thanks of the Association is employment of eserine. Dr. Javal prefers the latter hereby tendered the medical profession and citizens in the form of gelatine discs to that of solution, as of St. Louis for the cordial and generous reception being more convenient. These remarks offer a very we, as members, have received at their hands, and great interest in ophthalmic practice, and also as re- we take this occasion to assure them that we take gards the pathogenesis of a malady concerning the our departure with regret, bearing with us the highest nature of which there is still such a diversity of opin- estimation of the generosity and liberality of its citi- ions. Divers theories have been proposed to explain zens, the beauty and healthfulness of its location, at the action of cocaine, and while certain authors, as the junction of the two longest and largest navigable Pflüger, attribute the anœsthetic effect to direct ac- rivers of our continent, in the centre of one of the tion of the drug on the terminal fibres of the fifth most extensive and fertile agricultural regions of the pair of nerves, others, like Eversbusch, think that the world, rendering it one of the great commercial and contraction of the smaller arteries and the capillary manufacturing centres of the nation, as well as a anemia which results are probably the essential cause seat of education, refinement, and the fine arts. of the loss of sensibility. Resolved, That our especial thanks are extended The practical fact on which attention should be to the ladies of St. Louis for the elegant social en- directed, is that the nutritive activity of the parts af-

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