CIHM Microfiche (■Monographs) ICMH Collection de microfiches (monographies) [Ml Canadian Instituta for Hiatorical Microraproductions / Inatitut Canadian da microraproductiona Matoriquaa Technical and Bibliographic Notes / Notes techniques et bibllographlques The Institute has attempted to obtain the best original copy . "ailable for filming. 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Opposing pages with varying colouration or discotourattons are flbned twioa to ensure the best possible image / Les pages s'opposant ayant des colorations variables ou des decolorations sont filmdes deiM tote afti tfobtarrir to maMauia knaga possibki. □ Adc^onricommams/ Commentakas n^iplimMilakas: This item It lilnMd at tht reduction ratio checlced below / €■ deeufflMrt Mt fiiin« au taux da rMuctien indiqu« ei^aaout. lOx 14x 18x 22x I I I I I I I 12x lix 20x 24x 26x 30x I I I li^l I I T 28x 32x Th« copy filmed h«r« hM bMn r»produc«d thanks to tho 8«n«'o«ity of: Ltgisiativt Librtry Victoria The Images appearing here are the best quality possible considering the condition and legibility of tho orlfbitf copy and in keeping whh tho fllmins eontroet specif ieations. Original copies in printed paper covers are (ilnned beginning with the front cover end ending on the last page with a printed or illustrated impres> sion. or the back cover when appropriate. All other original copies are filmed beginning on the first page with a printed or illustrated impres> sion. and ending on tho laat page with a printed or illustrated impression. Tho last recorded frame on each microfiche shell contain the symbol — (meaning "CON- TINUED"). or the symbol ▼ (meaning "ENO"J, whichever applies. Maps, plates, charts, etc.. may be filmed at different reduction ratios. Those too large to be entirely included in one exposure are filmed beginning In the upper left hend corner, left to right end top to bottom, as many frames as required. The following diagrams illustrato tho motfiod: L'sxsmplaire film« fut roproduit grteo * to 9in4rositi de: Ltgitlative Librery Victoria Les imago* sulvantos ont M reprodultos ovee lo plus grand soin. eompto tonu do la condition at de la nerteti de I'exemplaire IWmt, et en conformity avec les conditions du contrat de fRmago. Les exemplairas originaux dont Is couverture en pepier est imprlmee sent film^s en commenpant par la premier plot et en terminent soit par la dernMre page qui comporto uito empreinto d'impression ou d'illustration. soit par le second plat, salon le cas. Tous les sutres exempleires originaux sont filmis en commen^ent par la premiere pago qui comporto una empreinto dimpression ou dlRustrotloi) *t on tormlnant par la derniiro pago qui comporto imo toNo empreinto. Un des symboles suivants apparaitre sur la dernlAre image de chaque microfiche, selon le ees: le symbols — signifio "A SUIVRE". lo symbols ▼ eignifio "FIN". Les cartes, planches, tableaux, etc.. peuvent Itro f ilmAs i des taux de reduction diff' Of Dr. C. J. Fatten, Secretary of the Provincial Board of Health, who attended thV> SanHorinn Cunvestkm held al Ottawa on 14th Febraaiy, 1901. D. M. EBERTS, AUoriM^QtrM/ral. AUmmejf-OmtmPt Department, 83rd March, 1901. Tht Honourable D. M. Ehertt, A tfomey-General. Sig, In accordance with instructions, I attended the conference on tuberculosis, held at Ottawa on February 14th, 1901, and following days. Over three hundred delegates were present, consisting of representatives from eveij Province in the Dominion, eminent medical men as well as prominent business and pabM men. There were also delegates frem soieotifio sooietiea and manicipal corpt ratioM. His Excellency the GovemorCwwwl pmUti, mi WpiaiMd tba O ^ lrt i ot 1km ■ ■U lag, which briefly were as follows : — 1st The formation of a society for the prevention of tubercolMhi on Vmm dmSbut to sooietiea already formed in Great Britain and other countriea. 3nd. Topointoatandex|Jaintotlie pe^ oi Canada the nrgent aeeeaaity vt eombatting the dMgar wtneh beeeta then. Sid. To ihow Oct it k the dnty el every government, mnnieiMttty and individnal to ■iluiil fiipniwd mithwk fhr Inwnning thii tfrmH wf a ititrmt rWrtt it *»7 or indireetly, pnrtiaUy one^ifth ef Oe total dMtiw fai the Deaiaiett. In conformity wit' these suggestions a society baa been formed The Duke at Cornwall will be asked to become Patron. The GovemM^Oeneral ia Honorary Praaident; Sir Janaa Grant, PraHdwt; and the liertan nnKlo vemo wi of tha di fc iwrt ftevfaeea ace Viaa-PMii- dents. The duties of this Society are — (a.) The publication of literature— technical and popular — on tubercaloais. (6.) The enconra<{«aw at «t tite fa i Mittii a ef Mrti4i^«wieele n t Mm fa toarn aad raral monicipiditiea. («.) Hm poiatiog oat of the need sad advantages of saaitoria. IcL) Aasiating and obtaining the e»q>era^ of kieal gove mw ea t t, awmi^alitiea, philaa- thropio and charitable organiaationa and in^vktaab tawarda dM OMMtraetiea aad maintenance of consumption sanitoria. All of theae were fully discussed, and resolutions dealing with theia wera adopted. A tofj ei mm* ol the rearfatioaa gm i rl fa a p pei rf e d hereto. Facts Elicited. In considering the gross outcome of the meeting, it appears to me the greatest stress was laid on the want of knowledge by the general public as to the danger of their surroundings. It was pointed out that the'e are very few families who have not, or have not had, some members, friend or relation .ffected with tuberculosis, and it was freely admitted that little or no precautions were tak>>;i to prevent infection, and very little done towarda effecting earea. f Bwosr or Db. Faoaii oh tvtmmjom Comnumm. IWt That thia is tmo ia •vklwt wbM woo mt fc r ^ jrwrly mortality rt-turrm. Ib Onadft tlM deaths frogi oonaumptian hmw bMB ibr • awalMr «( ywn up to 0,000 a year. Ia OatMie, ia tlwywtr IWe, there were 3,391 rkOmt, ud ia Um PMvian tt Mtkk 0*uMt,tMbai^ ntann an very inoomplete, we liave a neoid ot nearljr 90O daatla. Ia tbe Vaileii BtaMa the coaditioae are do batter, for we And that every year tabercakwi* oUinm as many aa 100,000 ▼iotinMi In indMNtrial oecupatioDs it is the cause of nearly one-half of tlie mortality, and more than one-half of the invaliduw; of tliaae wito die between the ages ol 1ft aad 60, no leia than 37 % die ol thia disease, au that 37 penmns out of t very 100 erculoNiii. Since that discovery ntists have been working on the right liiie!i with bo much effect that now it ia accepted faet tliat consumption is not hereditary; thnt it is causetl tiiily by the introduction in sjwlaai of an organism known as the luicillus tul)er(iilosis: thnt it in contagious and in' js. This (lincovery places n new and vitally iniporlnnt phatie on the (|ueNtiijii of the con^idaia- tion and treatment of tulwrculosi.i. The late Professor Pasteur has said that "it is in tiw power of man to cause nil jinrnsitio diseases to disappear from the world." If this is true, aad there seeros to he no doubt it is, we arriu; at the fact thnt consumption is preventible. lV>iaai vp, we find the at-fepted facts of the present day are: - (a.) Cons ption is not hereditary, and not incural)!*. (6.) It is 1 1 mtagiouH. (e.) It ia preventible, and (cL) la aader certaia oobA^nm earaUe^ Thia, thooi^ eertaialy a bri^t oaUook, tbrowt wi^ij nqwaaifaili^ oa aoaie ahooUer^ for knowing and underatandinK the danger the m^oaaibility fdknra of tMa§ prevealiva action. It is conceded that the cause of tuberculosis in man or beast is the bacillus tulterculosis. Without the presence of this organism there ia ao coaaamption. The baoiiloa enters the humaa system through either the nifmtorjr or digeative tiaet, or, ttai^ rmnty, tluvagk aa abraaioa of ttte skin. . Hew TcaaacvLoau u SnuuD. An indiviilual suffering from advanced pulmonary tulierculosis is estimated to expectorate as many as seven billions of bacilli in twenty-four hours. Either fr . t ignorance or careleaa- ness he spits on the ground, on the floor, or in a handkerchief, ^^o long as thia remains moial not much harm can be done, but when it dries, and becoming pulverised, it floata ia the airor aettles on duat, it may be breathed by aome oniartunate in a cooditiMi aaitahle far thegrowtii of the baoiUna. These badlli if ezpoaed to direct sunlight for even a few houra are rendered faarmbaa, bat if allowed to ranailt in dark ]daeea will retain their vimhnee for months. It ia thereiDrB a|^rent that ill-ventUated and dailc homea, stores, warehonaea, work-shops, pnUie balb, riaeea cf annMenient and other public resorte are often moat tmitfal |daoes of infection. Milk bom tabeiealoaa cows is the greatest source of infection of the dilutive tract. There are, of conrae^ other aonroea of infectiiMi, bat tlie two cited, namely, apntom and milk, are the principal ofendera, and if Uwy coald be diminirted (hm a very derided i m pr o ven t eat waald ha effected. I have lightly touched on these subjects so that the suggestions I propose to advance in regard to preventive and curative measures will be more readily understood and af^reciated. Othrb Placu Vuitrd. After attending the Ottawa conference I visited the Consumption Sanitorium at Graven- hurst, in the Musquoka Mountains, and Haranac Lake, in New York. I gained a great deal of information at these places, especially at Saranac, where Dr. Trudeau presides. He is an enthusiast, and surrounds himself with earnest workers. The sanitorium, the equipment of which ia ap todate ia everjr pwtieabMr, ia boiit oa the eottagc pba, aad aooonaodatea one 1 Wo, 7 ■moot or Db. Imuji m TuiwhWiMmi umwwma s HaMlnii Mtimta, aad fa *im»yt ML BrtiMti not kept longw thm IbM live noatlMk Tkt Nevlti an verjr ntfaiMtorjr, •venginn 8ft % ol amated diieue; The Oravenhnnit Hanitorium acoominodates •liout Hfty patient*, and alio ihowa excellent lesalta. I intended visitinft th« 8t. Agathe Sanitoriuin, in Quebec, but waa unable to Mk Umnm account of inow slideH. I, huwevur, spent the greater part of a dav with Dr. HMMTt tiw MediM) Superintendent, and obtained from him some very valuable information. Th« coDHenaua of medical and public opinion in both Europe and America ia that sani- torium treatment of coniumption produces the beata reaulta. At the Congress of Berlin, in 1899, a resolution endorsing the sanitoria treatment of consumption was adopted. In Ger- many, where vompulHory life insurance is in force, where all receiving a wage lower than a certnin amount are obliged to hts insured, the growth of sanitorium treatment has been remarkable, owing largely to the action of life insttrsnce companies expending mucli money in the erection and muintenance of sanitoria, where thoy tend those of their insure eoM- anmption, and a hospital for advanoed CMW. I think thm two wontd bo onnq^ nt hMt ior the present. I adviae thfa disUnetion, beeanae it baa been fonnd that acre «n be done ior incipient caaaa; and it fa very depressing and injariooa to p atien ta to mo many Caihsrea, nee to aay di-.tha, in an inatitstioa. BwidM, advanced oaaw shooM ne* be sent to an in aen aaal M e film, or where it eoete mneh to get to^ beeaoie eritieal eonditiona are liable to arise at aiqp tiaiv «im1 frienib nataraUy wiah to be preaent. " « location for a aanitorium for incipient caaes fa where the air is pure, and free .ri ' , « the temperature is not liable to great chaogaa, and where there u no excetis CO <- pecially fogs ; the ground should be dry and porona, and above all there ahould iuj 1 "' .«« freedom from north and north- weat winda. The architectural aspect fa also most > ..:>nrl.int. The question of cost is, of course, one for consideration by the Government in :on!ie<'tion with cities and municipalities. I think that all patientn ahould pay, so that each should be on an equal footing. ▲ charitable fund could omtribute part or all the fees of poor patients ; a committee niaMgIng this charitable fund could determine who should, or should not, recieve help from it. It would be beneficial to enact laws against spitting in public places, in .-ailway or street cars, or on sidewalks, and rigidly enforce them, although the enactment of such measures would doubtless lie the duty, largely, of Municipalities. It M a debated question whether notification of tnberouloafa should be made conpal*oi7. I, mye^ ttiiA » woeld bo woB to pni enih mlmn mi an hti i it only —ler ee r ln l n SANITORIA Treatment of TuBBBcnuwia. OVTAWO^ B KMU Ii mW t. tiona. I i^wnd • eopgr «t the p^wr I read at the Ottewa CooiMoaae. I have the honour to be, Sir, Yoor obedient servant^ a J. MOAN, •Saeratery. 4 Birarr or Dn. Wmim on TraacmoHi Oemnmmm. im Hmr mid bt/mt tik TubtrtuloM Cot^/tnmt, hd4 t» ONwmi, Ftbnuum lllk and /oUowiny 4^ ly Dr. C. J. Aywi. Toim KscnuowT, Laoih aro OBmunn I Ml hoM OO • day's notin-, and did not know I wni expected to addreNii a meeting laM night ; I, thsref.ire, am not pr<>|>ared intentions, and I have no doubt they will be only too glad to join in with tin- other Provnu-es anil asiist in carrying ou^ tmf, the meaature* dwidMl on at the meetiiiji fi)r the prevention ami cure of tuberculoBis. A» you all know, tulierculosiH is responsible for the death» of a greater number of peopM than all the other contaxious and infectious diseases combined. Such theatrical diaeaaea M umall-pox, plague, etc., are so dreaded that the uenlect to pnivick aglrfM* tfctte ilMniOM would mean, and rightly too, the downfall of any (Jovernment. _j w_ A meeting, such as this, will educate the people; and when they moMMtaad MMlM dreaded c«>n!iuuipti>)n is as preventible as small-pox, they will deroand that aatim M teBMI — not only to prevent, but also to erect Huiitoria lor tha e«me scheme, such as that placed on the Hututes of OnUrio in 1900, whereVnr organised effort of the people may be assisted by Cuvernniental and Munici- pal aid in providing sanitoria or "nomes," where the curable may l