es will be offered an exanity to develop a pracical station will be estab

rri, Luzon, where 250,000 erly waiting for a doctor; De at Dagupan, the largest nter outside of Manila, a population of 1,000,000. e scourge, leprosy, is still world. In India fifty-one ateen females per 100,000 e lepers. Until the coman missionaries, practicals done to separate these he rest of the population. Drous parents were left to them and thus contract hereas, if they had been n their parents, many of ave grown up into sound,

nens.

here are only 75 hospitals all India, which can care cent of the total number o of the fifteen hospitals ies which the Methodist rch supports in India are e care of lepers. There to be done in this line, t the present time 2,000,the world. The Methodist end about $80,000 on the pment of its present mediIndia. Hospital Manage

Chicago, April 8, 1919. Malsbary, les, California. sbary:

that as far as laws for the public good are concerned our position should be that of technical advisers to the people rather than active participants in political activities for the passage of such laws. The attitude that the medical profession has taken in most of the states for many years past that it is our duty to engage actively in efforts to secure the passage of a measure purely for the public good has not only brought our efforts into disrepute but it has also developed the belief among the people that the securing and defending of pub lic health laws is a function of the medical profession and that the general public has no responsibility in the matter.

I am sending you, under separate cover, three reprints of mine along this line that may perhaps be of interest to you.

Very truly yours,

(Signed) Frederick R. Green, Secretary Council on Health and Public Instruction, American Medical Association.

RABIES IN ENGLAND

An outbreak of rabies in England, the first in twenty-one years, is reported to have reached almost epidemic proportions, and has caused the authorities to issue a muzzling order affecting 700,000 dogs, which went into effect on April 24. England has for many years enjoyed practical immunity from hydrophobia, and it is assumed that preoccupation with the war has led to carelessness in enforcing the regulations which have hitherto enabled them to control the disease so successfully.

Capt. Fred C. Shurtleff, of Los Angeles, is on duty in a Virginia camp. We miss his picturesque figure.

cians serve chiefly the wealthy people in the large cities. Thousands of people in the country districts become the victims of patent medicines and medical quacks, or else go without service of any sort. At present the Methodist Church has one hospital in Mexico, at Guanajuato, serving a population of 1,100,000. The native hospital nearest it is 200 miles away. The Centenary will put about $70,000 into the extension of hospital work in Mexico.

In South America, where the state hospitals are inadequate to care for even 10 per cent of the population, the board will establish hospitals, nurses' training schools and organizations of visiting nurses in the capital cities of five of the republics. Infant mortality is a special South American problem, the percentage in some states being as high as seventy-five.

Africa offers a tremendous field for the development of medical work, as so far a mere beginning has been made. The Methodist Episcopal Church has two physicians and two small hospitals, one in Rhodesia and one in Portuguese East Africa. In the latter place the missionary doctor is the only medical man for an area containing 3,500,000 people. Ignorance, superstition, poverty and neglect, added to the ailments common in tropical climates, make the death rate appalling. The Board proposes to increase the number of hospitals from two to six, each to have missionary physicians and an adequate staff.

Another fertile field of ignorance and superstition is found in China, where surgery, public sanitation, and personal hygiene are comparatively new "fads.” The value of bathing and deep breathing is just beginning to dawn on the Chinese. It is reported that 60 per cent of the diseases which are brought to the mission hospitals have been caused by lack of cleanliness.

Hospitals on the various islands of

medical help, are part of the Ce
program. In the Philippines tw
cal missionaries will be offered
cellent opportunity to develop
tice. One medical station will b
lished at Apparri, Luzon, where
people are eagerly waiting for a
the other will be at Dagupan, th
commercial center outside of
and will serve a population of 1
That terrible scourge, leprosy
abroad in the world. In India
males and eighteen females pe
inhabitants are lepers. Until
ing of Christian missionaries,
ly nothing was done to separ
people from the rest of the po
Children of leprous parents we
grow up with them and thus
the disease, whereas, if they
separated from their parents,
them might have grown up in
healthy specimens.

Even now there are only 75 for lepers in all India, whiel for only 4 per cent of the tot of cases. Two of the fifteen and dispensaries which the Episcopal Church supports in devoted to the care of lepe is much still to be done in as there are at the present t 000 lepers in the world. The Board will spend about $80 further development of its pr cal work in India. Hospit ment.

Dr. Geo. E. Malsbary,

Chicago, Apri

Los Angeles, California.
Dear Dr. Malsbary:

I have just read with m
your editorial in the March
the Southern California Pra

titled "Medical Laws and Profession." I think you right in the position tha namely, that the organized

Malaysia, now almost entirely without medical help, are part of the Centenary program. In the Philippines two medical missionaries will be offered an excellent opportunity to develop a practice. One medical station will be established at Apparri, Luzon, where 250,000 people are eagerly waiting for a doctor; the other will be at Dagupan, the largest commercial center outside of Manila, and will serve a population of 1,000,000.

That terrible scourge, leprosy, is still abroad in the world. In India fifty-one males and eighteen females per 100,000 inhabitants are lepers. Until the coming of Christian missionaries, practically nothing was done to separate these people from the rest of the population. Children of leprous parents were left to grow up with them and thus contract the disease, whereas, if they had been separated from their parents, many of them might have grown up into sound, healthy specimens.

Even now there are only 75 hospitals for lepers in all India, which can care for only 4 per cent of the total number of cases. Two of the fifteen hospitals and dispensaries which the Methodist Episcopal Church supports in India are devoted to the care of lepers. There is much still to be done in this line, as there are at the present time 2,000,000 lepers in the world. The Methodist Board will spend about $80,000 on the further development of its present medical work in India. Hospital Management.

Chicago, April 8, 1919.

Dr. Geo. E. Malsbary,

Los Angeles, California. Dear Dr. Malsbary:

I have just read with much interest your editorial in the March number of the Southern California Practitioner entitled "Medical Laws and the Medical Profession." I think you are entirely right in the position that you take, namely, that the organized medical pro

fession should interest itself actively regarding any proposed laws that may affect us personally and directly and that as far as laws for the public good are concerned our position should be that of technical advisers to the people rather than active participants in political activities for the passage of such laws. The attitude that the medical profession has taken in most of the states for many years past that it is our duty to engage actively in efforts to secure the passage of a measure purely for the public good has not only brought our efforts into disrepute but it has also developed the belief among the people that the securing and defending of pub lic health laws is a function of the medical profession and that the general public has no responsibility in the matter.

I am sending you, under separate cover, three reprints of mine along this line that may perhaps be of interest to you.

and Arizona.

1414 South Hope Street, Los Angeles, Cal.

THE RETURNED MEDICAL
OFFICER

The Los Angeles Examiner of April 18th editorially says: "Don't Let Our Devoted War Medicos

Lack Honor Due Them"

The other night fifty Los Angeles physicians and surgeons, recently returned from war service, were entertained at dinner by a couple of their professional brethren. They were men who, after the American declaration of war, left comfortable homes and dropped good practices to serve the flag and the cause of suffering humanity at first-aid battle stations and in field and base hospitals.

But for the devotion, skill and tireless labor of the physicians in succoring our wounded fatal casualties among our troops would have been many times multiplied. But for their ceaseless hospital work back of the lines thousands of living soldiers now restored to their families would be lying cold in the soil of Northern France and Flanders. And yet it has been the habit to class them among the non-combatants attached to

A noble quota of able men, many of them beyond draft age or entitled to exemption on family and other grounds, left this city at the call of their country and hurried into the thick of the fighting overseas. A number of them will never come back, having paid the supreme price of devotion to duty.

Upon the shoulders of the loyal comrades left behind soon fell the double burden of doing the work of the absent ones as well as their own during the frightful influenza epidemic. Nobly they rose to the test, giving freely through crowded days and sleepless nights of their valued services, in many cases without hope or desire of reward