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 32 X 
 
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V REPORT 
 
 OF THE 
 
 ) 
 
 INAUGURAL MEETING 
 
 OF 
 
 The Toronto Association for the Prevention 
 
 and Treatment of Consumption and 
 
 Other Forms of Tuberculosis 
 
 '' 
 
 HELD IN 
 
 ASSOQATION HALL, 
 May 8th, 1900. 
 
 TORONTO: 
 WILLIAM BRIGGS, 29-33 RICHMOND STREET WEST. 
 
 i9oo. 
 
 ?»^i..-*>fS*>tf,«»«',»>«4*»j«;*»w,'"J«ji"^fc"?» ■• • » I 
 
^ -Che Hui^tg of fl,T\r **«**•' ^«'9^<ir» oar aim,^ 
 
 in 
 
1 *..■ 
 
 *0' the Pie. 
 ^<^ Tuber- 
 1,1900. 
 
 Powible for 
 
 wwthetwne 
 *«<»o«Mon. 
 ' and Dr. I. 
 
 INAUGURAL MEETING. 
 
 jreso. 
 
 In the absence of Sir Oliver ]\Iowat, Professor Clark took the chair. 
 
 The CiiAiKMAN — I am very sorry, indeed, to have to announce the 
 inability of Sir Oliver Mowat to be present at this nieetiiiji; this 
 evening. I am sure he would have been pleased to have been here 
 and to have taken part in the good work in which we are en;i;aged ; 
 but as it is impossible for him to be here, the duties of filling the 
 position of Chairman have devolved upon me. 
 
 1 am not going to detain you, ladies and gentlemen, by any exten- 
 sive setting forth of the objects of this meeting ; that will be done 
 by our Pi'csident, Dr. Barrick, who has mastere(J the whole subject 
 completely. You will also hear other speakers of eminence who are 
 familiar with the subject. I may just remind you that this is one of 
 the most .important undertakings in which men can possibly be 
 engaged, that of endeavoring to shut out and put down that awful 
 malady in the human family. You will hear from Dr. Barrick and 
 others that this terrible disease of consumption, which we once 
 thought was merely hereditary and incurable, is not always heredi- 
 tary, although the predisposition to it may be inherited. We lind it 
 is contagious ; we find to a large extent that it is curable. If that 
 be the case, it becomes an absolute duty for all men and women who 
 love their kin<l to do all in their power to remove this scourge fiom 
 the face of the earth. 
 
 With regard to the meeting to-night, it is a matter of great satis- 
 faction to see that so much interest is being taken in our enterprise. 
 You will be addressed by gentlemen belonging to all the churches. 
 We have here Anglicans, Roman Catholics, llebrews, Piesbyterians, 
 Methodists and representatives of almost every conceivable creed. 
 We do not come here to propagate any opinions which we may hold 
 as individuals; we come here engaged in a work for humanity with 
 one heart and mind. 
 
 I have very great pleasure in calling upon the President to deliver 
 his inaugural address. 
 
 The Presidknt, E. J. Bahrick, Esq, M.D. — Mr. Chairman, 
 Ladies and Gentlemen : Before commencing my address I wish to 
 read a short letter from one who has done more to advance this cause 
 than perhaps any person in this country, who has been instrumental 
 in introducing into the Legislature at the last session a Bill which 
 makes it possible to bring a Sanatorium within reach of every 
 consumptive in every municipality of this Province. I refer to the 
 Hon. J. R. Stratton, whom we expected to have had with us to-nignt. 
 
Wherever the caiiipai^n afj;aiiist consumption is pressed the 
 «' Stratton Sanatorium lUll " will be referred to as an up-to-date 
 measure, and worthy oi being copied in every Province and Territory 
 
 in this Dominion. 
 
 TouoN'TO, ^lay 8th, 1 900. 
 
 Dear Sii{,— I very greatly regret that pressure of otticial occupa- 
 tion deprives me of the pleasure of accepting your kind invitation to 
 be present at the meeting of your Association. 
 
 I can assure you, however, that my sympathy is with it, and my 
 best wislies for the success of the work of your Association accom- 
 pany my regrets at my inability to be with you to-night. 
 
 Yours sincerely, 
 
 J. K. Strattox. 
 
 Dr. E. J. Barrick, 
 
 GO Bond St., City. 
 
 On the 20th and 21st of May last year there was held in Berlin, at 
 the request of tlie Emperor of Germany, a congress of leading medical 
 men and scientists, who for two flays discussed the subject of con- 
 sumption and other forms of tulxn-culosis. 
 
 On the 25th of April of this year the International Tuberculosis 
 Congress opened in Naples in the presence of the King .and Queen 
 of Italy, tlie Prince and Princess of Naples, the Duke of Genoa, the 
 Premier the :\[inister of Public Instruction and other notables. 
 
 Nearly every country in Europe has had its Tuberculosis Congress. 
 In America a few weeks ago a Tuberculosis Congress was held in 
 Chica"o. The Prince of Wales is the Honorary President of the 
 National Association for the Prevention of Consumption and other 
 forms of Tuberculosis in England. 
 
 At the recent session of our Local Legislature a Bill was passed 
 encoura-^ing the establishment and maintenance of Sanatoria for 
 consumptives in this province. And to-night we have the inaugural 
 nieetin<r of "The Toronto Association for the Prevention and Treat- 
 ment of Consumption and Other Forms of Tuberculosis." In Guelph 
 a similar association has been formed, and steps have alreadv been 
 taken for the formation of an Ontario, and also a Canadian Association. 
 
 Why all these congresses ? Why all these associations 1 Why are 
 kings, queens, princes, princesses, dukes, knights, premiers and 
 <rov^rnments, etc., giving attention to this question 1 
 ° The Hon. G. W. Ross, on the 7th of March, in replying' to the 
 deputation, said: "The most valuable asset any nation can have is 
 its people, its men and women, its sons and daughters. The white 
 plao'ue is abroad among these people, the men and women, the sons 
 and" daughters are stricken down, the wail of anguish is heard in 
 every land. It comes from the cities and the country ; it comes from 
 the mansion and the cottage ; the king and the beggar are alike sub- 
 ject to its ravages ; premature graves are being filled ; the tramp ot 
 the orphans produced by this disease is heard in every orphanage ; 
 the poverty caused by this disease is heard knocking at the door ot 
 every philanthropic and charitable institution. This is why. 
 
 I 
 
 y 
 
3 
 
 f 
 
 ^ 
 
 lli.s.ismso produces more than twice as many cleatl.s as small- 
 pox, .iiphtheria scarlet fever, measles, whoopin- eouyh and typhoid 
 fever put toj^.-thcr ; in industrial occupations it is the cause of nearly 
 one-half of the mortality, an.l more than half of the invalidism : of all 
 the people who die between the ages of 10 and CO no less than ;{7 
 out ot every hundred die of this disease; 37 out of every hum I red 
 die at an a«e when their lives are of most value to the nation the 
 niunicipahty and the home ; 37 out of every hundred die of a disease 
 that IS contagious, infectious, preventible and curable, especially in 
 the earlier stages ; that in the United St/ites causes the death 
 annua ly of no less than 100,000; that in this Dominion claims each 
 year about i) 000 victims ; that in this Province in 18!)8cause<l the 
 death ot 3,-jyi— e.pial in number to more than the three contin-ents 
 senttoNouthAfrica; that in this fair city each year carries oft" 
 ..oout ;)00 of our people. This is why. 
 
 Add to this the popular error, that consumption is hereditary and 
 incurable an. you have a picture so dark, the contemplation of 
 which makes the stoutest lieart grow faint. To dispel this darkness 
 1 am glad to say that the star of hope has risen. Throu'di the dis- 
 covery oi Prof. Ivoch, some eighteen years ago, and subsequ(>nt 
 investigations, ,t is a generally accepted fact that consumption is 
 produced by a germ entering the body from without, mainly by the 
 inhalation of dried anrl pulve.ized particles of sputa Hoatiii" in the 
 air, and by food, especially milk from tuberculous cattle. " In the 
 later stages of the disease millions of these germs are said to be 
 thrown oti daily in the sputa. That while heredity may predispose 
 _ the systeni to the development of the disease, yet until tlie -erm is 
 introduce, trom without the person, there can be no consumption 
 
 It has also been clearly established that the disease is curable 
 Science and clinical experience have therefore! exploded the popular 
 error referred to. But it is only by a campaign of educaticm that 
 the public mind can be disabused of this deeply seated error To do 
 tins and to ciieck the spread of the disease, and save and proloii'' the 
 lives ot the people is the main object of this Association " 
 
 The concensus of medical and public opinion in both Europe and 
 America is that Sanatoria treatment of consumption produces the best 
 results. At the Congress in JJerlin, already referred to, all the dis- 
 courses led up to and culminated in a hearty endorsation of Sanatoria 
 treatment of consumption. In Germany, where compulsory life insur- 
 ance IS in force where all receiving a wage lower than a certain amount 
 are obliged to be insured, the growth of Sanatoria treatment has been 
 remarkable, owing largely to the action of life insur.tnce companies 
 expending much money in the erection and maintenance of Sanatoria 
 where they send their insured who are suffering from consumption, 
 hnding that, from a financial standpoint, it is economy to prolon^^ the 
 lives of their insured in this way and postpone the day of payin* the 
 deith claim. That while in 1895 there were only two of such Sana- 
 toria in Germany, at the present time there are over sixty, and more 
 being built each year. 
 
 While we find that Sanatoria have been built in various parts of 
 
tilt' world for the admission of those who are able and willing to pay, 
 and are in tlie early stage of the disease, the door is etVectively harred 
 against the groat mass of sufTei'ers who ai-e poor, and others where 
 the disease has passed the early stage. These outcasts for whom 
 there is no Sanatorium accommodation are left to roam abroad, ride in 
 our street cars, cough in the faces of our children, drink from the 
 same cup at t!ie fountain, expectorate in tlu^ pul)lic halls and con- 
 veyances. Some of them pass into the hospitals where little or no 
 isolation from other patients is adopted, others are confined for 
 months in small, unsanitory rooms, badly ventilated, and the whole 
 family exposed to the contagion, and there they die, followed later on 
 by other members of the family to a premature grave, and everybody 
 wondeis why so many people die of consumption. 
 
 In this Province in 18i)S, 3,29 1 persons died of tuberculosis. This 
 disease may e.xttmd over one, two, three, four (»r more years ; it is 
 therefore w"ithin the mark to say that we have continually in Ontario 
 eight to ten thousand atllicted with the disease— we have say <S,000 
 who should be Wiought within reach of Sanatorium treatment. 
 
 The Sanatoria accommodation of this Province is fifty beds at 
 Gravenhurst Saiuitorium— an excellent institution doing a good work 
 and a credit to its promoters. Here only those are admitted who are 
 in the early stage of the disease, and are able and willing to pay $6 
 or i?7 a week. 
 
 For the balance, 7,'jr)0, there is no Sanatorium accommodation. To 
 bring Sanatorium treatment within reach of these 7,950 is the problem 
 that this Association is trying to solve. 
 
 The only Sanatorium that seems worth contending for is one where 
 neither poverty nor advanced disease bars the door, where all those 
 who are curabh; may be cured, where all those who are improvable 
 may be improved, where all those who are incurable may be viived 
 for until they pass over to the great majority, and where each patient 
 may, if they wish, be under the care of their own family physician 
 To secure tliis ideal Sanatorium always has been, is now, and shall 
 continue to be the high aim of this Association. 
 
 After fully considering the (juestion from every standpoint, the 
 following plan was formulated and" placed before the puljHc in a paper 
 read before the Canadian Medical Association last August : 
 
 1. The establishment of a rural Sanatorium in connection with 
 each municipality or group of municipalities for the reception of such 
 cases as admit of a reasonable hope of cure or improvement. 
 
 2. The erection and maintenance in connection with the above 
 Sanatorium of suitable isolated buildings for the reception and treat- 
 ment of such advanced cases of the disease as are unsuitable for 
 Sanatoria treatment. 
 
 3. The co-operation of the Government, municipality, philanthropic 
 and charitable organizations and individuals, in providing the 
 necessary funds therefor. 
 
 On the 7th of March, a large representative deputation laid this 
 plan before the Local Government, and asked for legislation on these 
 lines. Within thirty days a bill was prepared, which passed the first> 
 
ely l)ui'red 
 lers where 
 tor wliom 
 (ul, ride in 
 tVoin the 
 ami coti- 
 ttlt' or no 
 iifincd for 
 the whole 
 (1 later on 
 everyljody 
 
 •sis. This 
 ■ars ; it is 
 in Ontario 
 
 say S,000 
 
 nt." 
 
 y beds at 
 
 Ljood work 
 
 sd who are 
 
 to pay $6 
 
 lation. To 
 16 problem 
 
 one where 
 ! all those 
 mprovable 
 ■ be oared 
 oil patient 
 physician 
 and shall 
 
 Ipoint, the 
 in a paper 
 
 3tion with 
 on of such 
 
 the above 
 and treat- 
 litable for 
 
 lanthropic 
 idinfi; the 
 
 I laid this 
 n on these 
 d the firsts 
 
 
 second, and third reading' without opposition. Surely in this 
 im|iortant matter it may truly l)e said that "none were for a party, 
 and all were for the State." Tlie |)aHsaj,'e of this liiii is tins hi<,'hest 
 compliiiieiit that could have been paid to the etlbrtsof this Association 
 toward the solution of this problem. It crystfdlizes into law the 
 leadinj; features of the plan, secures (Jovernmeiit co-operatioi), and 
 paves the way for the co-operation of the nmnicipality, pliil.inthropy, 
 and charity. This permissive lej,'islation (.n certain co operative lines 
 provides for the erection and maintenance of a Sanatorium for con- 
 sumptives in each municipality or group of municipalities in the 
 Province of Ontario. To put this permissive lej^'islation into force in 
 this city for the benefit of oui' own consumptives, is the first duty of 
 this Association ; its other objects are set forth in its constitution. 
 Havinj,' accoraplislied so nnich up to the present time under the name 
 of the Citizens' Sanatorium Committee, let us, under the new name, 
 and with renewed confidence and ener^ty press forward, complete the 
 co-operative plan, and tsrect and maintain for our people an ideal 
 Sanatorium that will be a credit to the (.^ueen City. 
 
 The first thing to be done is to increase the membership to at least 
 1,000— our enthusiastic Secretary says H.OOO. and our still more 
 optimistic friend, the Editor of the Christltin Guardimi, says --'5,000. 
 However, we should aim first at 1,000 and get it, then take a higher 
 aim. This iii itself will Ije a means of education, and will provide 
 the necessary funds to carry on the campaign. 
 
 The second is to ask for subscriptions, donations, legacies, beiiuests, 
 etc., on condition that a by-law for §50,000 is passed to assist the 
 Trustee IJoard, which will be formed under the provisions of this Act, 
 in the erection of buildings and the maintenance of the Sanatorium! 
 I might just say hei'e that this legislation provides that the Lieuten- 
 ant-Co vei-nor in Council may grant to the Trustees of any Sanatorium 
 one-fifth of the cost of the building and land up to 84,000, and a 
 further grant of 81.50 pei' week for each patient treated therein. 
 Now I think this is a very liberal stand for the Government to take. 
 (Applause.) And further, that the munic',:, '••.ty shall pay a like sum 
 of 81.50 per week. In this city we are w> v paying S'2.^0 a week for 
 the poor in the hospitals. I hope that my friend,' Dr. Sheai'd, when 
 we get tins Sanatorium in operation, may see his way to recommend 
 the payment of 83.00 a week by the municipality. That will bring 
 the income within perhaps 81.00 or 81.50 of the cost of maintenance 
 per week per patient. Now one object of this Association is to help 
 make up this deficiency, so that the door shall not be barred against 
 any poor person. For instance, here is John Smith who is ill with 
 consumption, and is able to pay in this Sanatorium the full pi'ice of 
 his maintenance. Then he should pay in full. We do not by any 
 means intend to pauperize the people. If John Smith is not able to 
 pay the 85.00 or more a week for his maintenance and can only make 
 up the deficiency, then he should do so and be no care to this organi- 
 zation. If he cannot do it himself, it will be the duty of this organiza- 
 tion thi'ough its counnittees to see whether his friends can help, or 
 his church— as every church has its poor fund, and to what bettei 
 
 5r use 
 
6 
 
 could this t'uiicl 1)1' put than to liolp its duisurnptivo pixir Id swuro 
 Saiiitoria trcatinciit. If hi' hclmij^s to no ehurt'h, perhaps his lodj^o 
 or t'latcriial scuicty will help to make u|) this balance; and when all 
 these fail this Assoeiatiim wants to stand ready to say, ".luhn Smith, 
 we will luit alK)W ytiur poxei'ty to bar tho dodi", and shall out (if our 
 funds, make up the deficiency, and securt^ for you the care and treat- 
 ment which you ought to have." (Apj)lanse.) 
 
 Ijast year in the County of ( )ntario, in connection with the erection 
 of a House of Refuge for the poor, .John Cowan, of Oshawa, otl'ered 
 t*r),COO cash, and his brother, \V. F. Cowan, offered 45 acres of land, 
 on condition that a by-law was endorsed by tlm (pialified ratepayers. 
 'Hw bylaw was sulMnitted and carried. Tiiis action also seemed the 
 81,000 from the (Government. 
 
 I believe there are many persons in this city who, when they under- 
 stand the comprehensive and co-o[)erative plan that has now become 
 law, will, like John and VV. F. Cowan, say that they will give a cer- 
 tain amount on con<lition that the by-law mentioned is en«Iorsed. 
 
 Thirdly, to secure the aid of the Council in preparing and submit- 
 ting the by-law and agreement at the next general municipal election 
 in accordance with the Act. 
 
 And fourthly, to carry on the campaign of education, until the 
 ratepayers, like the insurance companies referred to in Germany, are 
 convinced that it will bo cheaper and more economical to expend 
 money on the erection and maintenance of a Sanatorium foi" the 
 consum}itives of this city than to go on as we are now doing, expend- 
 ing about 880,000 each year for the care of orphans and other poor 
 persons who are largely produced by this disease. We ai-e paying as 
 it were the pound of cure when we should be applying the ounce of 
 prevention. 
 
 Our legislators are fully aware of the unparalleled natural 
 resources of this country, of the valuable assets we have in our 
 minerals, our fisheries, our forests and our fertile lands, and they also 
 recognize the important fact that the most valuable asset that this 
 province has is its people, and for them have established a national 
 school system that has brought a free school within reach of every 
 person of school age in eveiy municipality, have arranged by per- 
 missive legislation for bringing a house of refuge within reach of the 
 poor in every county, and a Sanatorium within reach of every con- 
 sumptive in every municipality, on a national basis. 
 
 Outside of this national pi-ovision for schools, houses of refuge and 
 sanatoria for consumptives, there are individual schools, refuges and 
 sanatoria. Upper Canada College is one, an institution ojien for 
 those who are able and willing to pay. This institution has been of 
 great value to the country, is presided over by a principal whose name 
 is a household word in this Dominion. Has any one heard Dr. 
 Parkin say one word in opposition to our national schools, or has he 
 indicated in any way that they are in opposition to the institution 
 over which he presides 1 
 
 In this city we have the House of Providence and the House of 
 Industry, both old and worthy institutions that have cared for many 
 
 I 
 
 & 
 
 
ti) secure 
 Ills lod^e 
 I when all 
 liii Smith, 
 »ut of our 
 iiikI trcat- 
 
 lO erootioii 
 II, oH'ert'd 
 8 of Itiiul, 
 iitt'payprs. 
 cuiihI the 
 
 lej'under- 
 iw JH'coine 
 ^ive a cer- 
 oi'sed. 
 1(1 suhiuit- 
 ^l election 
 
 until the 
 •miiiiy, are 
 to cxjjend 
 M for the 
 !,', expend- 
 itlier poor 
 
 payinj.^ as 
 3 ounce of 
 
 d natural 
 ve in our 
 I they also 
 i that this 
 :\ national 
 li of every 
 id by per- 
 ach of the 
 every con- 
 refuge and 
 efuges and 
 I open for 
 as been of 
 hose name 
 heai'd Dr. 
 or has he 
 institution 
 
 House of 
 1 for many 
 
 poor p«M\sons. Has any one iieard the friends of .>ithor of those 
 institutions py one word in opposition to the natiotuvl houses of 
 refuge in lIus province '. 
 
 At («rav<'nhurst there is a Sanatorium for Consumptives with fifty 
 beds, admitting oidy those who are in th(! early stages of the «liseaso, 
 and who are able and willing to pay .*G.OO or^•i^7.0(; per week. This 
 institution is a credit to the country and is worthy of gen(^rous support. 
 Has any one ever heard the friends or agents of that institution say 
 a word in opposition to this Association, which has been the life and 
 soul of the national movement to bring an ideal Sanatorium within 
 reach of every consumptive in every municipalit v, in accordan.'e with 
 the provisional legislation already refe.nd to ! ]i you have heard of 
 such opposition is it not time that a deaf ear should be turmnl towards 
 such ] 
 
 As I have had many incjuiries as to whether this Association was 
 in any way connected with Dr. Playter's Sanatorium in Moore Park, 
 [ think it is due to the public and to this Association to state that this 
 As.sociation is in no way, directly or indirectly, connected with that 
 enterprise. We are in opposition to no institution. Our object is 
 first to set in motion the provisional legislation, so as to bring an 
 ideal Sanatorium within reach of every consumptive in this city; 
 and secondly, to encourage every other municipality in this province 
 to take steps to secure a similar privilege for their people who are 
 suffering from this disease, hoping thereby to check the spread of 
 the white plague, and save and prolong many valuable lives. 
 
 Dh. Adam H. Wkiout, on being introduced to the audience to 
 supply the place of Sir James Grant, who was unavoidably prevented 
 from being present, saiij : 
 
 Mr. Chairman, Ladies and Centleraen : I ara embarrassed, in the 
 first place, at being called upon to speak for Sir James Grant, my 
 dear old friend ; and I am embarrassed in the second place by the 
 very pleasant remark made by the Chairman. 
 
 In the first place, I hardly know why I should be called upon to 
 speak for Sir James Grant. It reminds me of an occasion, many 
 years ago, when I was very much embarrassed by being called on to 
 respond to the toast of the ladies. I was perfectly innocent about 
 the matter, I had no idea why I should be called upon, but I was 
 told I was called upon because I was the youngest person present. 
 Well, I thought the matter over pretty carefully, and I told them 
 this : I said, " If you want to get hold of some person who is particu- 
 larly fond of the girls you could not find a more suitable boy in the 
 whole country than myself." I may say in the same connection that 
 if you wanted to find in this country a man who admired Sir James 
 Grant very highly you could get no better person than myself. I 
 admire him as ii, man ; I admire him for the views which he has 
 expressed on this very important subject of Tuberculosis. 
 
 Notwithstanding the fact that I have studied the matter of Tuber- 
 culosis for many years, I have learned much from the very able and 
 very interesting address that has been delivered oy the President of 
 
8 
 
 this Association. I can only take out of that address two or three 
 points. The very important points in connection with this subject 
 are these : In the first place, consumption is, at least to a large 
 extent, a preventable disease ; and second, consumption is a curable 
 disease. I do not mean to say that the mortality will not be high, 
 so far as we know now, for many years to come ; I do not mean to 
 say that consumption is a disease that can always be cured; but I 
 am very glad to be able to say that it is positively a curable disease. 
 I will not attempt to say what proportion may be cured. In the 
 whole of my professional career there is nothing that gives me more 
 pleasure than to be able to say to some poor unfortunate patient of 
 mine, " You may recover ; I cannot speak definitely, but you may be 
 cured." The third important feature in connection with it is, that it 
 infectious. 
 
 Now what have you, the people of this country and city who take 
 an interest in this subject, to conside. ? You have to consider this, 
 that it is your duty and our duty to try and proviile proper institu- 
 tions for these poor unfortunates. There is one thing, we have learned 
 that the consumptive patient properly treated in a well equipped 
 Sanatorium has a better chance than a wealthy consumptive patient 
 in any palace in Toronto. Therefore we want to get these places 
 established. We, in advocating this, are not opposed to any other 
 institutions or Sanatoria at present existing. I>ut, oh dear ! there 
 is room for so many of them, for so much more work in this field, that 
 I would like very much to have the public sympathise with the 
 address of our President, read it carefully, and work on the lines 
 recommended in it. (Applause.) I want you to think of these poor 
 unfortunates that are in hovels in this city. I want you to rembem- 
 ber that if you get hold of them and bring them out of these places 
 into a healthy Sanatorium, you may cure them. I want you to 
 understand this, that if you can get tiiem away from these places, 
 you will diminish the number of consumptives. T am really proud 
 of this city. I do think there is no place with its population in the 
 world where there are more generous instincts evidenced every day. 
 I think this — T know in fact that there are lots of good men in the 
 city of Toronto who are willing to give their dollars, their tens, or 
 hundreds, or more foi' the sake of suffering humanity. I know 
 beyond that, I know above all something that is far better still, T 
 know that in this city there is a grand army, if not a number of 
 grand armies, of good, generocS, magnificent women who are doing 
 great work in the interests of suffering humanity. I appeal to you, 
 men and women combined, of all kinds, to join in promoting this 
 good cause. (Applause.) 
 
 Mr. Thomas Crawford, M.L.A. — Mr. Chairman, T.adies and 
 Gentlemen : T am in rather an awkward i)osition because perhaps of 
 the subject under discussion. But you, sir, in your opening remarks 
 said one word which will, perhaps, justify my presence here, and inay 
 bu souiu fair reason to give why I should say a word on this occasion. 
 You said, sir, that this was largely a business meeting, and 1 suppose 
 
9 
 
 th.it is about the only feature of this question that I am at all capable 
 of discussing. 
 
 Now. I daresay I myself and yuu arc largely influenced liy what 
 we liear and what we see ; and we have heard from this platform to- 
 night, and we have heard through the press, statements made and 
 statistics given us as to the growth or development of this disease in 
 our midst, known, as Dr. Wright has said, by the plain word " con- 
 sumption." Now because of the advance in medical science and the 
 discoveries which have been made and backed up by these statistics 
 as given, we find that we have a number of gentlemen, and some 
 ladies I am glad to say, who interested themselves and formed them- 
 selves into a Citizen's Committee. Dr. Barrick has very nicely covered 
 the ground as to the operations and the work done by that committee. 
 They approached the Legislature, and the Legislature which is the 
 voice of the people, to carry out the voice of the people, was ready, 
 and did, we are glad to be able to say, place a law on the statute 
 book endorsing a movement such as we have collected together in 
 this hall tonight to discuss, perhaps it ma' ^ said, for inaugural 
 purposes. 
 
 Now the Legislature, whose sympathy is with this work, and every 
 right-minded man and woman in this city and in this province cannot 
 help but think, and stop seriously to think, from the statements that 
 we have heard to-night as to the great necessity there is for an insti- 
 tution where those who are perhaps less favored than we are and who 
 are called upon to suffer and to die, may be properly cared for. Now, 
 sir, I think it may l>e truly said that in the City of Toronto there is 
 suHicient human kindness in the hearts of the people of all classes, of 
 all creeds and denominations — and I am glad, sir, that you made that 
 statement in your opening remarks that we do not represent any 
 class or any denomination or ci-eed in connection with this great 
 work and in tiie formation of this society for the purposes wliich 
 have been set forth very clearly by Dr. Barrick. 
 
 Then, sir, we are now in a fair way to establish a Sanatorium such 
 as may be helpful to the many who are closed up in our cities and 
 who get this disease. When some of us were boys, and even of late 
 days we did not think so much of this disease known as consumption ; 
 we did not fear it so much as it had not been said that it was conta- 
 gious to the same extent that we have it now. Some of us, perhaps, 
 have been called upon to see some of our friends afflicted with this 
 disease. I may say that I have known in my own experience one 
 family in this city, with whom I was intimately associated and 
 acquainted, where the father took sick, and after being ill for about 
 a 3'ear he died, leaving eight children and his wife. During the seven 
 years following six of his children with his wife diefl, making 
 eight of that family that were taken over to the majority by 
 consumption. These things, together with the statements which 
 we have heard here to-night, are something, as I said before, 
 that should stir us up, and is stirring us up to active work, 
 and v.-n ■r\y(^ here to-niglit, and I do not think, sir, tliat for you or for 
 me or for any gentleman on this platform or for any lady or gentle- 
 
10 
 
 man in this audience there is any necessity for an apolo^'y for appcarinir 
 in tiiis liall in connection witii this great work. 
 
 Now, I do not iviiow, sir, tliat it has het^n clearly set forth as to 
 the conditions upon whicli you can become anuMuber. T understand, 
 sir, by payinj,' on(> dollar a year you may become a member ; you may 
 become a life member by payinji tw(>ntv dollai-s. Now, we llave the 
 endorsation of the Lefj;islature of the Province, and «(^ will base the 
 co-op(>ration of the Municipal Council of the City of Toronto. You 
 are tiie people. W'ti have the united etibrt of the peopl.>, whose reprtv 
 sentatives are in the Council, whose representatives are in the Legis- 
 lature, and 1 would ask you to join in this l)and— and I would say to 
 you you imvd not bi> asiiamed of it— enroll vours(>If as a member, and 
 if you can give ^-JO, or ^50, or !?100, whatever you feel disposed, do 
 so, and let us have as (juickly as possible this buiidini,' erected, so that 
 we may in some way be able to prevent the spread of this disease, 
 and as far as possible cure all who are curable, and those that may 
 be incurable that we may at least give them tlie necessary comforts 
 until they depart in peace. 
 
 Thanking you for the opportunity ycu have afforded me. and as 
 there are others to speak, T shall sit down. (Ai^plause.) 
 
 ^ Ukv. PiuNcu'Ar. Cavan, D D., LL.D.— Mr. Chairman, Ladies an.l 
 (..entlemen : 1 shall not trespass long upon yt)ur time to-night. This 
 very important (piestion has been fully and clearly presented to the 
 audience. 1 am glad to think that this cause has had a good .send- 
 otr ni Toronto. I should, indeed, have been greatly disappointed if 
 Toronto had not been able to do something on its behalf. Our city 
 IS, I think, fairly represented to-night. The ladies, as we would 
 expect from their sympathetic and benevolent nature, are, I see, in 
 the msijority, but tliere are a sufficient number of gentlemen here to 
 show that the movenuMit has taken hold of the conununity in general. 
 Dr. Parrick has, T think, said everything that needs to be" said in 
 exposition of the subject ; and not only so, "but he has dealt with the 
 moral, as well as tlw? physical and economic aspects of the case. He 
 has presented to us very clearly our duty, and has urged it upon us, 
 not e.vactly in the form of an exhortation, but in the very ajipropri- 
 ate and, I would say, touching statements which he has made regard- 
 ing consumption. Toronto is entitled to tak(> the lead in this matter. 
 I am very glad that Dr. Harrick has said what he has regarding the 
 Sanatorium at Gravenhu-st and some other institutions, which some 
 persons might unwarrantably regard as in competition with the 
 scheme which we represent. There is nothing of the Hnd. There is 
 abundant work for every good institution in this department ; and 
 nothing seems to be wanting now except a little money to supple- 
 ment what the Legislature, 1 am glad to think, has un.animously 
 pledged itself to do, and what. T am free to say, this municipality, and, 
 I trust, a great many other municipalities throughout our province 
 will be prepared to second. Of course, a government cannot do 
 everything for the people ; and there is a prevalent feeling against a 
 government undertaking to do everything in a counuunity. Now, I 
 
■ ) 
 
 11 
 
 believe (hat wlmtever is necessary for tli(! safety of a cominuiiity, if 
 it is in tli(^ govennnent's power to do it, ou^'lit to Ix; (ion(!. 'I'iio 
 safety of t-lin State is the supreme hiw, and T am sure that the adch-ess 
 made to night hy Dr. Jiariick shows tliat a case is l)efore us with 
 wliich the public, represented by the Legislature and our munici- 
 palities, ought to deal. 
 
 I am sure, Mr. Chairman, ladies and gentlemen, that Toronto will 
 not be wanting in its duty. We shall, in the first place, hav(; an 
 institution in this city that shall be worthy of Toronto, and our 
 example will influence the whole Province. I should supjjose, from 
 what Dr. Barrick has said, that there is room, that there is necessity 
 for perhaps a dozeji or a score of similar institutions throughout the 
 province of Ontario. 
 
 1 trust that the meeting which we have attended here to-night is 
 the begiiniing of a movement that will do a great deal of good, 
 that will remove a gnvit deal of sufF<n-ing, and that will bring joy and 
 comfort to many families and individuals in our country. (Applause.) 
 
 Presidknt Loudox— Mr. Chairman and Ladies and Gentlemen : 
 I presume the most important item on the programme is the part 
 relating to the business, and as that lias not yet Ijeen reached, I shall 
 not detain you more than a icw moments. 
 
 Let me say, then, in the first place, that in my of)inion there is no 
 citizen of Toronto who will not approve most heartily of the primary 
 object of this Association — the establishment of Sanatoria for the 
 treatment of consumption. I hope, however, tliat when this object 
 has been accomplished the Association will not imagine that its 
 whole duty has been done. The ultimate object of every member 
 .should be to preach the gospel of sanitation, and to see that others 
 practice what he preaches. To this end the; first step is to educate 
 the people in those preventive measures which have been reftsrred to. 
 The.se .should not be confined to Sanatoria. Every man's home should 
 be a sanatorium, and I ara glad t(j know that with the means now at 
 our command it is possible for one to have consumption fairly well 
 treated in the house. I suppose that many present knew the late 
 Dr. W. T. Aikins, who for a long time was my own phy.sician. As 
 many know, the prevention of consumption was a subject on which he 
 was never tired of talking, one of the remedies on which he insisted 
 being a proper system of ventilation in the home, to provide the 
 patient with pure air. So zealous was he in this matter that he 
 personally often devised a means of ventilating a room. Indeed, his 
 visits could be recognized by the ventilating devices he left behind 
 him. It would be a good thing if every member of this Association 
 had a 'little of Dr. vVikin-s' zeal in this particular matter. 
 
 Another dutj- devolving on us will be to strengthen the hands of 
 the Health Inspectors ; to encourage them when they do their duty, 
 and to give them reminders when tliey fail to do so. Perhaps the most 
 important of these duties, so far as consumption is concerned, is the 
 inspection of our milk supply, Milk, if it is pure, is perhaps the best 
 product we have. If it is not pure, it is, perhaps, the most dangerous 
 
12 
 
 thing wo have. Our Health liiS])ectors liave done inucli for us in 
 tliis matter, hut let them remember that continued success depends 
 on eternal vigilance. 
 
 There is still one other point that I wish to mention before taking 
 my seat. In this age, when science has made such progress, especially 
 in the direction of electricity, there is no excuse for our public 
 buildings not being properly ventihited. A few of thenj are admirably 
 ventilated ; most of them, however, not at all. Might I suggest to 
 our church othcials tiial a great deal can yet be done to improve the 
 ventilation of our churches. We have electric power all ovt^r the city. 
 The electric fan solves what was formerly a very dillicult problem. Let 
 us, tlien, be protected from the danger of physical tli.sease whilst we 
 are being treated for our moral ailments. 
 
 Dr. SnuAUD — Mr. Chairman, Ladies and Gentlemen: I venture to 
 think that the remark which the worthy Chairman has made in refer- 
 ring to me as being in any way eloquent, or that eloquence should be 
 necessary on an occasion like this, is very unfortunate. 1 am sure 
 tl'.at anyone who will critically examine the statistics anil tlu; details 
 of tuberculosis throughout the Dominion of Canada, or the civilized 
 world for that matter, will find these statistics are sulliciently elo- 
 <iuent to hold him spellbound. When we look at the history and 
 advance of sanitation throughout the world we find at the close of 
 the century the practical disappearance of many devastating scourges 
 which caused so nmch alarm amongst the people in the early part of 
 the century. There are many — some here I dare say — who can re- 
 member the visitation of the cholera in the '.'50's to the City of Toronto, 
 and its later reappearance some tifteen or tsventy years iifterwards. 
 The numbei" of deaths on these occasions was something beyond con- 
 templation ; and the advancement of sanitary science I may say has 
 been to such an extent that I very much fjut^stion the possibility 
 of such a stati' of affiiirs to(la3^ When we look back for a far briefer 
 period than thfit we can see what wonderful work is being done in 
 other diseases of an infectious nature, notably that of smallpox. It 
 is a fact that there has not been a death from smallpox in the City 
 of Toronto for upwards of fifteen years ; yet I can remember when I 
 was a medical student seeing smallpox attended in the General Hos- 
 pital here, side by side with other patients, or at all events, in wards 
 across the corridor. But with the advancement of science and the 
 true nature of contagion, with the education of the people, this has 
 become a thing of the past, and to-day we look upon a death from 
 smallpox or the widespread ilisseniination of the disease as a very 
 serious redection upon the authorities, and I venture to hope that ere 
 the close of the century upon which we are soon to enter we will find 
 that tulierculosis as a disease has been relegated to a bygone age, and 
 with the advancement, the enlightenn>ent and the education of the 
 masses it has ceased to be. 
 
 We do know that consumption is an infectious disease, and that it 
 is communicable. Dr. Barrick has already explained this in detail, 
 and it is not necessary for me to make any remark upon it. 
 
13 
 
 V- i 
 
 This was to Im; a l)iisin<'ss ineotiri;,', and I suppose I was askrd to 
 spiuik Ik^i'c in or(l(!r tliat I niij^'ht make some oflicial statcnncnt, prob- 
 ably cointnit myself to some recommendation which would conK^ within 
 tin; scope and work of this association. I do not luisitate to do so. 
 I hav(! luul occasion to report, 1 think, to Dr. Barrick and to the 
 membeis of the former Sanatorium (JonuMittct! re^^'ai'ding their i)lans, 
 and I am glad that I did so. I reported tlien somewhat critically, 
 because I said tliat the time liad not arrived when the education of 
 tlie peoi)l(i had come to such a statt; tliat they might l)e e.\[)e(;ted to 
 give it that (indorsation and encouragement which the work and the 
 subject so richly deserved. If you will make your plan broad (snough, 
 if you will open tlm door wide (uiough so that. ev(!ry one that is poor 
 and needy and infectcid with tul)erculosis will gain access without let, 
 hiiidrance or (piestion, you will I'eceive my su})port and endorsation 
 to the fullest [)f)ssible degree ; but you must be prej)ared to do tliis, 
 you must be prepared to remembiM- that the great trouljle with which 
 we have to deal to-day is not the consumptive in the incipient state. 
 IFe is willing and anxious to work : Ik; has Ins family to support, liis 
 wife dep(Mi(lent upon him ; it is under the most extreme circumstances 
 that he can be induced to fon^go his daily labor, and Ik; is kei)t in a 
 Sanatorium or at homt; with the greatest dilKculty. He works on while 
 the disease ])rogresses, until ulc(!ration of tlu; lungs and breaking down 
 of the tissues and the system gisnerally leaves him at the <ioor of some 
 charital)le institution, and a more mi.serable, sufTtM'ing piece of 
 humanity is nowhere to be found upon the top of our earth. And this 
 is the individual to whom the Sanatorium in a private sense, the Sana- 
 toria which are particularl}^ intenwtful in piling up statistics of cures, 
 closes its doors. That man is the very one tliat such an institution 
 would not touch uiuhir any circumstances whatever. lie is driven 
 into an hospital, he is put in a ward side b}' side with some other 
 poor unfortunate human being. Yet you say with your enlightened 
 ideas tliat consumption is a disease spread by contagion. Sanatoria 
 in its true idea is to help the poor man, it is to give accommodation 
 to those who cannot get nursing or food or medical attendance at 
 home. 
 
 I suppose one of the steps of the advancement will lie the education 
 of the public and the submission of a by-law to empower the munici- 
 palities to supply the necessary funds to start an institution here. 
 If you will build an institution upon the line of those which have 
 been constructed and carried on in Germany I am with you. Give 
 us large enough grounds, give us at least twelve acres of sjiace. We 
 do not want an institution that is going to be side by side with .some 
 other man's home. We want a place where there will be grounds 
 which can be cultivated, with a building upon it suitable for the 
 work which it intends to accomplish, with its conservatories and its 
 galleries, so that the consumptive can find occupation and gain air 
 and sunlight. We want to get all those benefits which the Sanatoria 
 in Germany give, and then when you have your plans enlarged and 
 put upon that basis, if yuu go to the Municipal T^nuncil of tlie City 
 of Toronto, and if I happen to be the Health Officer on that occasion^ 
 
u 
 
 T shall Ik. .,uite piepaml to support h l,y.hiw heing s«l„nitte.l to tho 
 
 . .1. o to .rant tlu, sun, of 850,000 to .arry it outran,! v.ly upon to 
 
 . toll.^.MK.. ot tlu. pcopl. and upon the ability of tins .Usoo^ i , 
 
 tor ho vot„,« ot tho nec-ossary n.oney, to soe what can h. .1 mi 
 
 lu-rt.o n.KH w. l.or.an./..< and vv„Il-...,uipp,.d institution with a wi, ' 
 
 ...loo,- that kn,.wsn.uhe.-o..e.,.l nor color, a fm. institution in 
 
 h . truest sons,, to do the work, a nol.le work and ono which will be 
 
 .1 hcncht to humanity wherever humanity exists. (Applause.) 
 
 '[»"•: Kk-.. I)|{. I':mv, Secretary-Or-ainV.er -Mr. Chairman lidies 
 and gent en.en : The first part of ,he business of th e '„ 
 conduced, nan.ely U,. President's i„auj,nnal ad.lress and .he '^te 
 ;;-"."""";•• ;-H'al, business an,l professional ,nen. setti -/f th 
 the lustoncal develop.uent and the sdentiile basis upon which Vi 
 enterprise has thus far moved, and an outline of what ue h ,e 
 I . uccomphshed It noWremains for n.e to en.phasize the imu.ci 
 s.de and .he tact that this moven>ent is a popular ,me, not on y 
 a.M.at.nv.n. these benefits to all the people, even to the poet 
 but n. the sense that this atteu.pt to cure consuu.ptives and sZ ess 
 -..Ksun.p nm ,s by a con.bination of all classes and (len m Es 
 and ,M-adat.ons of the people. Th.- fact that the nHMnb.M^shi i Z 
 U everyone who wd pay the nuxlest sun, of .^1 annuallv in. ias," ' 
 uth .Htluence to further the hunuu.itarian object which Ve h e h 
 Mew .nd.caes that none need be barred frou! co-operation K ve -v 
 "HMU her .s eh,nble for n.en.bership on the (l.neral Hoar ; a t^ 
 
 i:;:;:;!;:;:'.:/;,!:^;"^ ^"-"""^-^ '- ^^ ^^^' '•-- -^J'^ 
 
 As has already been intimated, this whole nu.vement n.ust first be 
 l.l^'el^ a ca>npa,,o:n ot educatmn and ,>f preparation, the ultimate 
 o ret ben.o. the entn-e e.xtinction of the scmrge of consun.ptio ot 
 only ui tins c.ty but in the wh,.l,> l),>n,inion. The un<ler.,al n" 
 sunp ly nnmense. Once smallpox carrie.l off people bv the h r,i ' 
 
 tor hfteen years, according to Dr. Shear,!, there has not been a tuJi 
 fn.m smallpox ,n tl,e City of Toronto. Tuberculosis slays 500 ic- 
 timsin loronto in one year; between one an,l two thousan.l are 
 wounded an, slowly ,lyi„., An,l yet this ,lisease is as p,"'t ab e 
 and as curable as smallpox. In twenty years it may be as rare 
 
 v..n ! f'''"" P •""'■'" ^^,^«, ^'^y"'^- of '"'OO lives in Toronto for many 
 years of usefulness; a,000 in Ontario ; nearly 10,000 in the Domn 
 
 "!) OmS'i^'rr";? '" ''''''''' ''^ •^20.000,000 in the Province and 
 an a tack with such disas.rous results should we not rally our forces ? 
 
 on^n.,' In] '"'''' ''n ^'^P'" ^"^ "^'^ '^"""- ^he few who know look 
 o in he plessuess But we are now organizing those who know in 
 order ( ) t,> enlighten those who do not. (2) to"combine all who wiTl 
 womtded. '''3's^emat.ze the effort to expel the enemy and save the 
 
 The way of advance is clearly marked out by science and experi- 
 ence in other lands. The plan of campaign is in capable Imnd 
 Preparations have been long and carefully made. 
 
15 
 
 \Vc (U(. now ()rj,')uii/in^' for a final adviincc nil alony tli(! line and 
 are making the City of T.jronto the .starting place. If we liave here 
 an Association that will gather the foires of the people into a solid 
 army as im (sxample of successful advance, we may expect the I'est of 
 the municipalities in the Province, and the rest of the Provinces in 
 the Dominion to follow our exainph;. 
 
 ^ In carrving on this campait,'!!, thrcje things have to be accomplished. 
 First, the <Mlucating of the mass of the peoph) to an understanding 
 of the facts of the case -of the inftjctious character f)f the disease ; ui 
 the curability of the disease, and tlu; possibility of its extinction. 
 J le second is, that we will have to bring the electorate into a state 
 of williiigiu'ss to vot(i a large sum of money which may mean an in- 
 crease 111 the rate of taxation. The third is, that in order to accom- 
 plish the purposes in hand and maintain the institution after it has 
 been erected, a larg(! amount of money will be re(|uired at once for 
 tlie campaign and then annually f(jr maintenance!. 
 
 All of these three purr>oses can be (iHectively reached on the simple 
 lines of securing a large membershij) for the Association. The appeal 
 to men and wonien to give !^1 to becoiiK; annual members will arouse 
 their interest. They must find out tli(! reason. Kv(;ry new member, 
 convinced sulliciently to join, will also be sutHciently interested to 
 talk and explain the matter to friends or to hand on the literature 
 needefl to give light. 'J'liiis by the increase of membership there will 
 be an increase of information until it reaches every home. The .sec- 
 ond point will also be gained if we reach a membershii) within the 
 next six month.'i of from 10,000 to 2r),000 in thiscitv, and why should 
 we not say .-)0,000 for such a cause as this ? The number of (pialified 
 ratepayers included will be naturally very large, and a popular move- 
 ment of this description will carry immense influence in Council 
 Chamber and on the hustings. The third point will also alreadv have 
 been secured, ff we have a membership that run.s up into tens of 
 thousands, that wilJ mean tens of thousands of dollars. A part of 
 this will be spent for campaign purposes and educative literature, for 
 a measure of missionary work in municipalities beyond, and a large 
 amount could be invested as a fund to lielp poor patients. Thus the 
 three-fold object will have 1)0(^1 gained, and the campaign will have 
 L-een successful. 
 
 It will then be very easy to ask men of larger means to contribute 
 .?r)0,000. The city will readily pass a by-law for $50,000, when the 
 mass of the people have done their part. When these things are ac- 
 complished the purpo.ses of tlie Association will be reached : an ideal 
 Sanatorium will be erected in the immediate neighborhood of Toronto, 
 under ideal conditions, and an irre.si.stible movement will have 
 started, not only for the practical purposes of this city and locality, 
 but also as a national impulse and example which will sweep the 
 Dominion of the plague. 
 
16 
 
 Letter from Sir James Crrmt. 
 
 mo PJLfiiN St., Ottawa, May 21, 1900. 
 Beau Dr. Bakkick,-! regn-t I was unal.le to bo present at the 
 Toronto meeting of the 8th inst., to take part in the\liscus.sion on 
 lul)ercu]os,s Ontlnscontnienl, raees have been born ami .lisap- 
 peared, of winch to-dav we know little except fronnnounds in the far 
 West and vestiges n, Florida, which point out at least two extinct 
 races, the causes so tar beiiu; undiscovered. Our duty now is to 
 secure as far as possible the perpetuation of the present race on this 
 con Hient, to meet successfully tlu* demands that our climate and 
 civilization make So important is the subject of Tuberculosis at the 
 present, that conferences are now being held, in various parts of the 
 wodd in order to ascertain what can really be accomj.lished to stay 
 Its fata progress. Last year in Vienna ovr 2,f)00 delegates from 
 many chief centres of England, Europe and America we^e present 
 In .(OI a conference will be held in London, to be presided over by 
 
 The White Plague." Doubtless there lurks in our country, our 
 homes and our places of business and pleasure a far more deadly 
 intluence tnan any other known <lisease. To Koch the world owes a 
 great debt of gratitude for the discovery of the Tubercle liaciUus as 
 tlie direct cause of this disease, known to be infectious and curable 
 Aow tliat sputa of the consum|.tive is the chief source of infection 
 great care is necessary to be exercised in this particular, and more 
 especiallv as, according to Xuttall, a patient well advanced in tuber- 
 culosis will expectorate one and a half billion tubercle bacilli in 
 twenty.four hours. Theatres, churche.s, school rooms, otlices, sleeping 
 cars, hotels cottages in health resorts, ship cabins, the drinking cup" 
 and ev(.n the telephone, may become conducting melia for the SMM-ead 
 ot tins disease. Abattoirs, creameries and dairies should be under 
 governmental or local municipal inspection, and the strictest c.uaran- 
 tine possible should be maintained against this disease, which is now 
 undoubtedly on the increase. Sanitariums are now the order of the 
 
 ^^!l-"'^ r ,'''1 ^'"" '''''''■^' '"''''^''' "^ y''''' effo'-ts to stay the progres,g 
 of this fatal disea.se. Sincerely yours, 
 
 J. A. GUAXT. 
 
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HISTORICAL RECORD. 
 
 In 1898. on a petition of eighty medical men of the City of 
 Toronto^ a public meeting was called, prodded over by the Mayor 
 which issued in the formation of the Toronto Citizens' Sanatorium 
 Committee. 
 
 After a series of educative and tentative meetings and statements, 
 appeals to the City Council and to the pobUc, a definite line of policy, 
 weking the ovoperation of Oovemment, municipality And the people 
 had grown into matured form and was placed before the public in a 
 paper read before the Canadian Medical Association in August, 1899 
 On the 7th of Mat«h, 1900, a krge deputation waited upon the 
 Government, asking for legislation whereby this policy could be 
 inaugurated and made to cover the province. 
 
 Qiithe 27th of Mardi, the ann«*l meeting of the Citizens' Sana- 
 toriumCommittw to which other interested citizens were invited, 
 waa hel** in City Hali, where it was determined to form a Torontd 
 Aswxaation for the prevention and Treatment of Consumption and 
 other Forms of Tuberculosis^ with a view to a Camidian Association 
 to cover the Dominion. A Provisional Committee was appointed to 
 frame a oMistitutiou and secure a membership. 
 
 On the 5th of April thefirst reading of the Stratton Sanatorium 
 A<jt» on the lines asked for by the above dtepntation, took phMse wicfc ; 
 the unanimous consent of both sides of the House. The second read- 
 ing occurred on the Uth of the same month. The Bill was greatly 
 improved in the committee of the whole House, on the suggestion of 
 the Hon. J. R. Stratton, and anally passed into law during the first 
 week of May. 
 
 ^. ,%>*»« 23rd ^ay of April the Assodatiouww fully organized in a 
 Mating held in the theatre of the Normal School, on the basis of the 
 oonstitttU<m as^publisfaed. 
 
 Kie inaugural me etin g was held on thA «feh rrf M&h. -na u..-^^^-^ 
 meetings hare been held every week since. 
 
OFFICERS OF THE ASS0CIA110N. 
 
 Hon. President, 
 
 President, 
 
 Vice-Presidents, 
 
 Treasurer, - - 
 Sec'y-Organizer, 
 
 Hon. Sir John A. Boyd, Chan. H.C.J. 
 E. J. Barrick, M.D. 
 Rev. Prof. w. Clark, D.C.L., Thos. 
 Crawford, Esq., M.I,. a., Albfrt 
 A. Macdonald, M.D., W. R. Brock 
 Esq., E. O'Keefe, Esq., Prfs. Jas.' 
 Loudon, ll.d., Rev. Father Ryan. 
 D. W. Alexander, Esq. 
 Rev. C. S. Eby, B.A., D.D. 
 
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