infection and treatment in the presence of the disease, should take the place of the inevitable cruelties of a panic. In case any city or town is infected, the same principles of isolation should in general be applied to the city as to the infected individual. Intercourse with other cities and places should be under sanitary supervision, substantially as set forth in the rules and regulations of the National Board of Health, respecting the inspection of travelers, disinfection of effects, vehicles, etc.

Your committee recommends that when this Conference adjourns it be to meet in Washington, D. C., the second Wednesday in December next; and that the Secretary of this Conference be directed to invite the attendance at that time of the quarantine officers and health officers of the principal cities in the United States and Canada, and that all delegates to that meeting be prepared to report the sanitary status of their States or localities, and what steps have been taken to improve the same and to prevent the introduction of disease.

All of which is respectfully submitted.

HENRY B. BAKER,
JOHN H. RAUCH,
H. P. WALCOTT,
P. H. BRYCE,
S. S. HERRICK.

The report was discussed at length, chiefly in a spirit of commendation, and especially as to the importance, and the best methods of securing action on the subject at an early day in the next session of Congress. After the discussion had been carried on for some time, Dr. Chancellor (Md.) said he believed in the majority ruling, and if it should appear that most of the States endorsed the recommendations of the committee, he also would vote for them. On a formal ballot being taken all the States voted for the approval of the report save Minnesota, the representatives of that State making the point that the paper was so important that more time should be taken for its consideration.

After making arrangements for the order in which the Conference and the individual Boards should make their reports to the American Public Health Association on the following day, the Conference adjourned to meet in Washington, D. C., on Wednesday, December 10th, next.

ENDORSEMENT OF THE AMERICAN PUBLIC HEALTH ASSOCIATION.

The draft of recommendations for practical work to be done to prevent the entrance and spread of cholera in the United States was presented to the American Public Health Association, on behalf of the National Conference of State Boards of Health, at the Wednesday afternoon session of the Association.

Drs. Hunt, of New Jersey, and Devron, of Louisiana, favored the adoption and publication of the recommendations by the Association.

Dr. Pinckney Thompson, of Kentucky, considered internal quarantine or sanitary cordons of very little use in stamping out cholera when the disease had once effected an entrance into the country.

Hon. Erastus Brooks, of New York, moved that the communication be endorsed by the Association, printed, and copies be forwarded to the President of the United States and his Cabinet, and to each of the Senators and Representatives in the National Congress.

Dr. Watson (N. H.) moved as an amendment that a sufficient number of copies of this report be sent to the health officers of the different cities, to the Secretaries of the various State Boards of Health, and to the officers of the Dominion of Canada and of the Provincial Board of Ontario.

The motion, as amended, was adopted.

ADJOURNED MEETING NATIONAL CONFERENCE OF STATE BOARDS OF HEALTH.

PURSUANT to adjournment from the St. Louis meeting the National Conference of State Boards of Health met at the Ebbitt House, Washington, D. C, on Wednesday, December 10, 1884. The meeting was called to order at 10 o'clock, a. m., by the President, the Hon. Erastus Brooks, of New York, and the following delegates answered to the roll-call:

CHARLES WM. COVERNTON, Government of the Dominion of Canada.
FREDERICK MONTIZAMBERT, Chief Quarantine Officer, Dominion of Canada.

A. B. LAROQUE, Health Officer, Montreal, Can.

WILLIAM CANNIFF, Health Officer, Toronto, Can.

C. A. LINDSLEY, State Board of Health Connecticut.

SMITH TOWNSHEND. Health Officer, District of Columbia.

J. T MCFARLAND. Health Officer. Savannah, Georgia.

JOHN H. RAUCH, State Board of Health, Illinois,

E. S. ELDER, State Board of Health, Indiana.

W. L. BREYFOGLE, State Board of Health, Kentucky.

J. N. MCCORMACK, State Board of Health, Kentucky; Secretary of the Conference. S. S. HERRICK, State Board of Health. Louisiana.

S. R. OLIPHANT, State Board of Health, Louisiana.

CHARLES W. CHANCELLOR, State Board of Health, Maryland.

JAMES A. STEUART, Health Officer, Baltimore, Md.

HENRY P. WALCOTT. State Board of Health Massachusetts.

S. W. ABBOTT, State Health Officer, Massachusetts.

A. F. HOLT, Surgeon General, Massachusetts.

S. H. DURGIN, Board of Health, Boston, Mass.

HENRY B. BAKER. State B ard of Health, Michigan.

CHARLES N. HEWITT, State Board of Health, Minnesota.

J. C. HEARNE, State Board of Health, Missouri.

JOSEPH SPIEGELHALTER. Board of Health, St, Louis, Mo.

W. B. OUTTEN, Representing Missouri Pacific Railway System.

J. W. JACKSON, Representing Missouri Pacific Railway System.
J. C. CRANE, Nebraska.

IRVING A. WATSON, State Board of Health, New Hampshire.

EZRA M. HUNT. State Board of Health, New Jersey.

ERA-TUS BROOKS, State Board of Health, New York; Chairman of the Conference. WILLIAM M. SMITH, Health Officer Port of New York.

J. H. RAYMOND, Commissioner of Health, Brooklyn, N. Y.

A. C. MERCER, Board of Health, Syracuse, N. Y.

THOMAS F. Woop. State Board of Health, North Carolina.

C. W. ROWLAND, Health Officer, Cincinnati, O.

A. H. IDDINGS, Health Officer, Dayton, O.

CROSBY GRAY, Health Officer, Pittsburg, Pa.

E. W. GERMER, Health Officer. Erie, Pa.

J. FORD PRIOLEAU State Board of Health, South Carolina.

H. B. HORLBECK, Health Officer, Charleston, S. C.

G. B. THORNTON, State Board of Health, Tennessee.
J. BERRIEN LINDSLEY, State Board of Health, Tennessee.
CHARLES MITCHELL, Board of Health, Nashville, Tenn.
WILLIAM PENNY, Board of Health, Galveston, Tex.
J. G. CABELL, Board of Health, Richmond. Va.

T. A. HARRIS, State Board of Health, West Virginia.
JAMES E. REEVES, State Board of Health. West Virginia.
J. T. REEVE, State Board of Health, Wisconsin.

At the request of the Chairman, the Secretary read from his official call for the meeting the following paragraphs:

"At the conclusion of the report on the Prevention of Epidemic Cholera in America during the meeting of this Conference at St.

Louis, Mo., on the 13th and 14th of last month, and after urging upon Congress in the strongest terms its duty to enact such legislation and to appropriate such funds early in its coming session as will prevent the importation of this disease to our shores, it was resolved, that when this Conference adjourns it be to meet in W shington, D. C., the second Wednesday in December next, and that the Secretary be directed to invite the attendance at that time of the quarantine officers and the health officers of the principal cities in the United States and Canada; and that all delegates to that meeting be prepared to report the sanitary status of their States or localities, and the steps taken to improve the same, and to prevent the introduction of disease.

"In accordance with that instruction, you are cordially invited to attend the meeting of the Conference, which will convene at the Ebbitt House, Washington, D. C., at 10 a. m., December 10th, and you are requested to be prepared to make such a report of the sanitary conditions and regulations of the territory under your jurisdiction as is contemplated by the above request of the Confer

ence.

"The gradual extension of cholera in Europe, the serious outbreak of the disease in Paris since the adjournment of the Conference, and the well-known fact that it has never prevailed in that country as an epidemic without reaching our Continent, coupled with the knowledge that our National government is taking no efficient precautions to prevent its importation, give great importance to the results of this meeting, and it is hoped will secure your attendance and coöperation."

In announcing the meeting open for the transaction of business in accordance with the above, the Chairman stated that the objects of the present session of the Conference were-First, To hear reports from states and cities as to existing sanitary conditions. Second, To consider the best measures for the prevention of cholera in the United States and Canada.

Concerning the latter he said that the record of mortality caused by the cholera, even in the past few months, was startling. Little or no preparation had been made to meet the disease in Paris or London, although it had prevailed for a whole season in the south. of France, and had swept away thousands of lives which might have been saved by proper precautions. What is done in the State and in the United States in the form of preparation for the worst should be done quickly. Every citizen in his own home and place of business should become at once a practical sanitarian. In the four cholera visitations at New Orleans, between 1832 and 1855, the deaths numbered 51,300. This fearful warning after a long time proved equal to the necessity of proper sanitary organizations to meet and fight the disease if it comes again. Whatever the causes or sources of this evil, public and private duties are now made so plain that they cannot be neglected, and must be enforced.

"We regret" he said, after referring at length to the importance of preparing to meet the cholera, "to read the statement of Dr. Hamilton, the supervisor-general of the marine hospital Service, made far in advance of the present meeting of this Conference, that the Health Boards now here in session in Washington, said all there was to