H. P. Cole, Major M. C., Mobile, presented a paper entitled, "Surgical Procedures in Evacuation Hospitals."

Major Cole: In selecting a subject at Dr. Watkins' request I unfortunately selected one that covers a very large field, and I have had to condense the paper in an effort to discuss the most important things in the way of surgery, and simply touched upon the major problems. (Dr. Cole then read his paper.)

(For papers see Part II.)

Dr. T. H. Frazer, Mobile: As the hour is very late I move that the discussion of Dr. Cole's paper be deferred to the morning session.

Dr. Cole: I shall be unable to be present at the morning session, but I will second Dr. Frazer's motion and ask Dr. Harper to answer any question that anyone may care to ask. Motion carried.

Dr. B. L. Wyman moved that a rising vote of thanks be extended to the Honorable Stewart Brooks for his very able exposition of the Public Health System in the State of Alabama, and for his kindness in addressing the Association. Seconded and carried unanimously.

Dr. B. B. Simms, Talladega, moved that the annual meeting be extended to four days instead of three. Seconded. (Motion to be referred to the Board of Censors.) On motion the meeting adjourned at eleven P. M.

SECOND DAY, WEDNESDAY, APRIL 16.

MORNING SESSION.

The meeting was called to order at 9:20 A. M., Vice-President Betts in the chair.

Miscellaneous Business.

Dr. W. W. Harper, Selma: A few years ago we elected Counsellors by appointing a Nominating Committee, and then the friends of the candidates went before this committee and suggested men for those vacancies. In the last few years we have been doing differently. That is, the Counsellors and dele

gates from each district get together and nominate a man from that district and that went before the Association and they were elected. I think that is very unsatisfactory and I move that we revert to the former method for electing Counsellors. Second, following the suggestion made by the President that each county society when they elect delegates for the annual meeting also elect a Counsellor, and that when vacancies occur those men will be put in. I believe this will give us a more satisfactory result.

Dr. Hill seconded the motion. (To be referred to the Board of Censors.)

Dr. H. G. Perry, Montgomery: The Constitution requires the Secretary to make announcement before the close of the morning session on the second day concerning the vacancies in the College of Counsellors, and I take this occasion to do it.

Probable Vacancies in the College of Counsellors By Districts.

Counsellors and delegates from these districts should meet at a fixed hour and select men for these vacancies. This should be attended to immediately after the close of the afternoon session. We expect to get through with our morning session, go on the boat ride, and convene immediately upon return to carry out the program of the afternoon session. As soon as that session adjourns the Counsellors and delegates should meet in the various parts of the hall and attend to this matter. I will supply them with lists and all the information necessary for them to have in order to go about the business of the nomination of the Counsellors intelligently. I hope there will be a full meeting of various committees.

Dr. W. W. Harper then discussed the paper of Dr. Cole. Dr. J. N. Baker, Montgomery, who was to have read a paper on "The Diagnosis and Treatment of Empyema in the Army," could not be present, so his paper was passed.

Dr. Seale Harris, Lieutenant-Colonel M. C., Birmingham, discussed "Food Conditions and Nutritional Diseases in Europe." Discussed by Dr. J. S. McLester, Dr. Harris closing.

The Chairman: We are fortunate in having with us today a man with world-wide authority on Bone Surgery. It is my pleasure to introduce Major Joseph C. Bloodgood, of Baltimore, who will speak to us on "The Differential Diagnosis of Giant Cell Tumor, Benign Bone Cysts and Hemorrhagic Bone Cysts of the Central Cavity of the Long Pipe Bone."

Major Bloodgood then presented his paper and showed an interesting series of lantern slides.

(For paper see Part II.)

The Chairman: The time has now arrived in our program for the Jerome Cochran lecture. The achievements of a few men have marked advance in every line, whether it be history or scientific research. The majority of people live and die and walk in the paths laid out for them by their forbears. Only a few are given the broadness of vision and the brilliancy of intellect that enables them to mark new paths and carry forward new ideas. In the past years this has been done in a marked degree by the man who is now to address. It gives me much pleasure to introduce to you Colonel George W. Crile, of Cleveland, Ohio.

Colonel George W. Crile: It would have been very well worth my while to have been here this morning to have heard the papers, and I pause for a moment to recognize the services of Dr. Seale Harris, particularly in his publication of "War Medicine" in France. This will probably be officially recognized later, but it certainly was a very good thing for those of us over there. Then my good friend, Dr. Bloodgood, who has been a leader of the profession in the United States all these years, especially we owe him a great debt for his correlation of clinical symptoms and pathology and the general conception of surgery and pathology which he has given to us today.

Colonel Crile then delivered the Jerome Cochran lecture entitled, "Abdominal Surgery in Ciivl and Military Hospitals." (For paper see Part II.)

The Chairman: Gentlemen, I am sure we have all enjoyed this splendid lecture given us as a resume of the past several

months' experience in the great war and we are under many obligations to Dr. Crile.

Dr. S. W. Welch: I feel sure that Dr. Betts and I voice the sentiment of the entire Association in feeling under profound obligations to Dr. Crile for the splendid message he has brought to us today, and for the pleasure we have taken in his talk. I move that we give him a rising vote of thanks. Unanimously carried.

We are also under equal obligations to the distinguished man from Baltimore for making us this visit and for the paper which he has given us. I move that we give him a rising vote of thanks. Unanimously carried.

Dr. James S. McLester, Colonel M. C., Birmingham, presented a paper on "Internal Medicine in the American Expeditionary Forces." No discussion.

(For paper see Part II.)

The authors of the following papers were not present: "War Neuroses," E. D. Bondurant, Lieutenant-Colonel M. C., Mobile.

"Observations of the Surgery of the Great War," Wm. D. Haggard, Lieutenant-Colonel M. C., Nashville, Tenn.

SECOND DAY, WEDNESDAY, APRIL 16.

AFTERNOON SESSION.

The session was called to order by the Chairman at 4:30 P. M.

Dr. S. W. Welch, State Health Officer, read his annual report.

REPORT OF HEALTH OFFICER.

The events which have transpired since the last report have been less spectacular than in the preceding year, but have been of no less far-reaching importance to the people of the State.

After a careful study of the public health problems confronting us in Alabama, the conclusion was reached that a business organization with the unit of operation corresponding with the political unit was the first step to be taken. Observation of the results in counties where all-time health officers had been established without suf

ficient means to employ assistants disclosed the fact that we had expected too much of the system which provided all-time health officers. The conclusion was reached that we would recommend to each county that a sufficient appropriation be made to supply a minimum personnel of a health officer, a rural nurse, a rural inspector and someone to keep the office and do microscopical examinations. We have to report, in addition to the counties of Walker, Tuscaloosa, Elmore, Jefferson, Talladega, Madison, Choctaw and Pickens, Colbert, Lauderdale, Mobile, Calhoun and Montgomery have adopted the all-time health officer system and made appropriations sufficient for the support of an organization. Five other counties are being organized under a co-operative scheme with the International Health Board, under the supervision of a Field Director. It is contemplated to build a health organization in each of these counties, turning it over to the authorities as soon as it is capable of independent function.

It is proposed to put another man over five other counties in a similar work as soon as money can be obtained from the Legislature to finance it. The International Health Board has advanced the money to the State Board of Health to operate the first five months, on reliable assurance that the State would assume its part of the burden in July.

During the summer of 1918 Congress appropriated $1,000,000 for State aid in the control of venereal diseases. Alabama's share of the appropriation was $23,247.15. The appropriation was made contingent upon the State's putting up a like amount, but was immediately available for Alabama, pending the meeting of the Legislature. Mr. Blasingame was elected by the Board as Field Representative. He represents the U. S. Public Health Service in the work but is per se a member of the force of the State Board of Health.

The work of organizing venereal clinics has gone on as rapidly as is consistent with stability. Mr. Blasingame is a tireless worker, a most capable and loyal helper to the Board. Reliable assurances have been given the Board that the $23,000 and odd dollars necessary to secure a similar appropriation from the Interdepartmental Social Hygiene Board to prosecute this work next year would be available in July. It is planned to establish free clinics for the treatment of venereal diseases in every county in Alabama as rapidly as is consistent with stable administration.

I would pause just long enough here to express the conviction that any public health work undertaken without a stable business organi