That among his duties shall be to perfect the organization of County Societies, to stimulate such societies to greater activity along public health lines; to effect cooperation between such societies and other organizations in the community; to cement the relationship between County Medical Societies and the State Society; to establish a better means of communication between the State Society and the County Societies; to prepare publicity matter, and to secure proper publicity along public health lines and matters of general policy and legislation; and to act as agent for the legislative committee of the State Society in securing needed legislation both on public health matters and strictly medical questions and in preventing the enactment of harmful measures.

And be it Further Resolved, that we hereby recommend to the House of Delegates that at its meeting on Friday, May 13, it authorize the incoming President to appoint a special committee, of which he shall be one member, such committee having power to act in carrying out the above purposes including the selection of a suitable man either on full time or on part time, and he to work under the direction of the Committee.

A motion to adopt was made, and seconded.

Dr. Duhigg moved that the resolution be amended by striking out the words "matters and strictly medical questions" and by inserting the word "education," in the last lines of the fifth paragraph, that the reading may be "both on public health and education" in preventing the enactment of harmful

measures.

Seconded and carried.

The President then put the motion on the adoption of the resolution as amended.

Motion carried unanimously.

A discussion on providing means for the carrying into effect the resolution adopted was entered into by many of the delegates.

Dr. Duhigg moved that an appropriation of an amount not to exceed $5000 for the carrying out of the resolution be made.

Seconded by Dr. Throckmorton.

Dr. W. B. Small moved that Dr. Duhigg's motion

be laid upon the table.

Seconded by Dr. M. N. Voldeng.

The motion was lost.

Dr. Duhigg's motion was then put and carried. Dr. J. F. Herrick moved that the date of the next meeting of the Iowa State Medical Society to be held in Des Moines be May 10, 11, 12, 1922.

Seconded and carried.

Dr. J. F. Herrick moved that the Medical Library Committee be made a Standing Committee, and that the By-laws be so amended, the amendment to be laid upon the table until next year; and suggested the following names for members of the Committee: Dr. D. S. Fairchild, Sr., Dr. Oliver J. Fay, Dr. Walter L. Bierring, Dr. C. E. Holloway, and Dr. Gershom H. Hill.

Dr. W. B. Small moved that the Secretary be in

The Butler County Medical Society, held its regular spring meeting at the office of Dr. Reeve in Allison Tuesday afternoon, April 26. Plans were made for tuberculosis clinics at Parkersburg and Greene. A committee composed of Doctors Hobson and Bruechert will be in charge of the clinic at Parkersburg, and Doctors Nevins, Bigelow, Groom and Call will be in charge of the Greene clinic.

Dr. B. Ensley of Shell Rock was elected as the society's representative on the Red Cross Nursing Activities Committee. The work of the County Red Cross Nurse and Anti-Tuberculosis Society were endorsed by the society.

Officers of the society were elected as follows: Dr. Reeve, president; Dr. Nevins, Greene, vice-presidnt; Dr. Roder, Aredale, secretary-treasurer. The name of Dr. Lambert of Bistow was proposed for membership at this meeting and Dr. Roder of Aredale was elected to membership.

Cerro Gordo County Medical Society

The Cerro Gordo County Medical Society held its monthly meeting at the Chamber of Comerce on April 27th. It was featured by talks from Dr. F. T. Scanlon, formerly of Clear Lake, who has been taking special study in New York for the past six months, and Dr. Stella Mason of Mason City who recently returned from a trip around the world

Dr. Scanlon gave an interesting talk of matters of interest to the physicians, while Dr. Mason told of the sanitary and hospital conditions in the foreign countries she visited.

Dr. George M. Crabb and Dr. C. E. Dakin also spoke. Discussion pertaining to each of their subjects followed.

Twenty-five members were in attendance.

Members of the Cerro Gordo County Medical Association held an interesting and largely attended meeting at the Chamber of Commerce Tuesday evening, May 31, with Dr. T. A. Burke, president of the organization, presiding.

Dr. L. R. Woodward read a well prepared paper on "Heart Block."

Dr. Chester Franchere read an interesting paper on "Heart Disease and Pregnancy."

Dr. W. E. Long, county coroner, made a report on the state medical meeting held in May at Des Moines, to which Dr. Long was sent as a delegate from the association.

Following the papers and a session of scientific discussion a social time was enjoyed.

Des Moines County Medical Society Burlington needs a modern, efficient health department. This is the time to establish one.

A department where the position of health officer is sold at auction and the lowest bidder getting the job for $600 a year will not protect the health and welfare of Burlington.

There are two propositions that the Des Moines County Medical Society will place before the Burlington city council. The first public step will be taken when Dr. George H. Steinle, the present health officer, will go before the council and present a statement showing the unfavorable condition of the city health department, at present, and a formal request that the council meet with a committee from the Des Moines County Medical Society to devise plans for a new and more efficient health department.

The first action to secure greater protection for the health of Burlington was taken in a meeting of the medical society. At that time a committee was appointed to determine what should be done.

This committee of three leading Burlington physicians met in the Elks club rooms, and requested Dr. Steinle to offer suggestions for reforms that experience has shown are necessary.

In conjunction with Dr. Steinle the statement, or petition for a reorganization of the health work was prepared. It relates that some years ago the health department functioned on a fair basis but that following a decrease in city revenues a mistaken economy was inaugurated at the expense of the health department and the system of peddling the position of health officer was begun.

Attention is called to the fact that if Burlington desires to join progressive cities in protecting the health of its citizens and particularly the children in

schools, aid must come primarily from the city council.

Members of the Des Moines County Medical Society are thoroughly aroused to the necessity of creating an efficient health department, absolutely divorced from politics. They want appointments made on merit, not pull, and salaries that will provide sufficient remuneration to attract a competent physician for full time work. There is no criticism of the work of Dr. Steinle and his efficient assistant, W. F. Schroeder, assistant health officer. In fact the work of Mr. Schroeder, who does hard conscientious work, at a meager salary, is highly commended.

What the medical men want is a department reorganized on modern lines that will enable its officers to adequately protect the health of the community and eradicate evils and diseases that are now beyond the resources of the present under-officered, ill-paid department.-Burlington Hawkeye.

Fremont County Medical Society

The Fremont County Medical Society held a meeting in Hamburg which was well attended and many visiting doctors being present from other towns outside the county, two doctors coming from as far East as Blanchard. Many of the physicians were accompanied by their wives. A short session was held at the Masonic lodge rooms, after which they attended the lecture given at the Colonial, which was the feature of the meeting.

Through the efforts of Dr. A. E. Wanamaker, secretary of the association, and the local physicians, Dr. Palmer Findley and Dr. Clyde Roeder, of Omaha, gave two addresses. to Hamburg audiences. The first lecture was given at 1:30 p. m., and was for ladies only, at which time the cancer question was discussed and illustrated with lantern slides. One hour later another session was held, to which the general public had been invited. The attendance at both lectures was good, and the interest keen. The subject was discussed in such a way as to make this dread disease much better understood by the layman. The use of the Colonial was kindly donated by Mr. Colon for the meeting. This service on the part of the doctors to the community is very commendable, and is appreciated by those who had the opportunity of hearing the lectures.

At five o'clock a banquet was given by the local physicians to the visitors, and the ministers and editors and their wives, at the Loyal Hotel.

Henry County Medical Society

Dr. Mackin, superintendent of the state hospital for insane, located at Mt. Pleasant, was host Thursday, April 28, to the physicians of Henry county and several guests from Fairfield, Burlington and Ottumwa. The meeting resulted in the organization of the Henry County Medical Association. The dentists of the county were also present.

The physicians are in full sympathy with the new hospital and a committee consisting of Drs. Geeseki

and Sternberg of this city, and Dr. McConaughey of Winfield, was appointed to confer with the hospital board in regard to furnishing the operating room, the x-ray room and the laboratory. At noon a luncheon was served by Mrs. Mackin.

Poweshiek County Medical Society

This was the annual meeting of the society at which time the following officiers were elected for the ensuing year: President, E. J. Ringema, Brooklyn; vice-president, J. R. Ravitts, Montezuma; secretary, E. E. Harris, Grinnell; censor, Dr. Crain, Deep River; delegate, E. E. Harris, Grinnell; alternate, E. F. Talbott, Grinnell.

The secretary reported $70.24 in the treasury. The publication of a roster of the officers and members of the society was authorized.

Dr. E. M. Medlar of Iowa City gave a very excellent paper on "Chronic Mastitis and its Relation to Cancer of the Breast," illustrated by lantern slides. Dr. Medlar is the pathologist at the medical school of the State University.

The physicians present were: Williams of Montezuma; Wilcox of Malcom; Busby, Simeral and Ringema of Brooklyn; Talbot, Lewis, Paris, Evans, Lauder, Somers, Hill, Hopkins and Harris of Grinnell.

The society was the guest of Dr. C. D. Busby, who entertained with great pleasure to all those present. The next meeting is to be held in August at MonteE. E. Harris, Sec'y.

zuma.

Union County Medical Society

The Union County Medical Society in capacity of General Medical and Surgical Staff of the Greater Community Hospital held the regular monthly clinic at the hospital. It was well attended despite the inclement weather.

Those present were: Drs. Jas. Macrae, W. K. Keith, H. M. Stanley, H. A. Childs, A. S. Beatty, Cleve Coakley, C. B. Roe, J. W. Lander, F. E. Sampson, A. F. Watts.

Besides the very interesting scientific program provided by Drs. Beatty, Watts and Stanley, some matters of interest and importance to the general public were discussed and a movement initiated by which the County Medical Society may render valuable and long needed service to the community.

The Union County Medical Society offers the services of its members.

The census bureau report on causes of death for 1919 shows that tuberculosis which only a few years ago lead, has dropped to third place. Under continued pressure of education and training in health habits such as the Health Crusade movements, etc., and with improved facilities for early diagnosis and care of tuberculous persons the death rate from this disease will continue to fall with accelerating speed.

While the causes of heart disease differ in some respects from those of tuberculosis, the general plan

of campaign against this now leading agency of destruction is essentially the same as that which is making such splendid headway against tuberculosis. Early recognition and correction of conditions that breed disease finding the susceptible persons before they get it and so far as possible correcting the conditions that pre-dispose to heart disease and finding the diseased hearts before the damage has so far advanced as to send the sufferer in search of relief. Just common sense community co-operation for conserving community health.

Creston folks are pretty generally committed to the proposition that it is the right of every child to have at least a fairly decent education. Are we any less concerned that he should have a fairly dependable circulation?

In recognition of the importance of this matter and of its responsibility as a guardian of community health, the Union County Medical Society has declared its willingness to serve gratuitously as individuals and local groups in cooperation with health authorities. Boards of education, community service committees of the various organizations affiliated with the Greater Community Association, and Public Health Nursing Service of the county in examining all children of school age.

A committee was appointed to confer with the various agencies that would be concerned in such a movement with a view to developing a practicable and efficient plan.

MEDICAL NEWS NOTES

Medical Science and War

The president of the Kansas board of health, addressing the Kansas Medical Association Convention at Wichita the other day, said:

"The greatest compensation from the war was the forced progress in medical science and surgery, which in a few generations will benefit the human race more than the loss it suffered in the cost of human life."

The statement may be true.

But if the money expended for war were to be expended for hospitals and clinical laboratories, might the world not be able to accomplish in medical research all that it accomplished under the stimulant of war without anything like the cost in life and property.-Des Moines Tribune.

New Telephone System for Locating Physicians and Surgeons to be in Operation July 1 Keeping pace with its metropolitan sisters, Sioux City will have in operation by July 1, the next directory period, a physicians' and surgeons' telephone exchange. The special committees composed of Dr. J. A. Thomson, Dr. I. E. Nervig and Dr. W. Z. Earl, appointed by the Woodbury County Medical Society to make a thorough investigation of the experience of medical societies in Omaha, Des Moines, St. Louis

and St. Joseph, operating under the same copyright system, unanimously endorsed and recommended the exchange for Sioux City.

Charles J. Wisser, representing the St. Louis Operating Company, announced recently that the membership charges of $4 per month and 25 cents extra for the extra line in the telephone directory under each member's name, would be guaranteed so long as the present toll charges for business and residence phones are in effect.

The value of this service is best exemplified as follows: When an emergency arises and you want to locate your family physician who is a member of the exchange, and cannot get in touch with him either at his office or residence, by referring to the telephone book under his residence number you will find the simple line, "if no answer call 56222," and the exchange immediately gets in touch with your physician either by phone or messenger.

HOSPITAL NEWS

Financial assistance for the Eleanor Moore County Hospital to the extent $5,000 was voted by the board of supervisors at their session Thursday, May 12, after the situation of the institution had been explained by members of the board of trustees who met with the supervisors.

A class of eighteen nurses graduated from the nurses' training school at the Iowa Lutheran Hospital recently. Graduation exercises were held at the First Lutheran church, East Fifth and Des Moines

streets.

Dr. Peter Peterson, president of the Illinois conference of Lutheran churches, delivered the graduation address. Dr. J. W. Martin of Des Moines spoke on behalf of the medical staff of the hospital, and the Rev. F. O. Hansen, superintendent of the hospital, presided.

The diplomas were presented by the Rev. A. Norbom, president of the board of directors. Hospital pins, signifying the office of nurse, were also presented by Miss Mary Tagel, superintendent of nurses at the hospital.

The graduating class is composed of the following members: Edna Olsen, Mildred Romedahl, Marie Kissel, Ingebory Due, Edna Swanson, Ella Curry, Elna Stendal, Signe Selander, Henrietta Danielson, Signe Cathony, Gean Woolford, Kathryn Johnson. Helen Liljequist, Lucile Mordahl, Leola Powell and Anna Bergstad.

Decision to urge the organization of a corps of staff physicians for each of the three Burlington hospitals was made in a meeting of the Des Moines County Medical Society, May 10. The detail plans for these organizations as outlined by the committee; Dr. G. H. Steinle, Dr. G. B. Crow and Dr. A. C. Moerke, were approved and the committee author

ized to take the matter up with the official boards of the hospitals.

The staff physicians will act as an advisory board, in the hospitals, where they practice, and will have influence regarding conditions and improvements in the institutions. In the majority of large cities, each hospital has its staff, and the organization has proved not only satisfactory but a great contribution to hospital efficiency.

The committee from the Des Moines County Medical Society will also suggest names for the hospital staffs. A physician may be a member of each staff, since the staffs are generally composed of a number of practitioners.

Finley Hospital was founded in 1890. Dr. John M. Finley, who was a pioneer surgeon and one of the most eminent in his profession, had agitated it, and had further projected the establishment of a medical college in connection with it, and had the building erected for the same when his death cut short the project. Nothing was definitely accomplished untii the summer of 1889, when his widow, Mrs. Ellen Finley, died, and with the view of perpetuating the memory of her husband, made provision in her will that her estate should go to a non-sectarian hospital in Dubuque and that the name should be "Finley." Several interested themselves in the project. Mr. James H. Stout and Mr. F. H. Rumpf took a leading part in securing $15,000 for the establishment of the present hospital. Dr. Finley's former home was selected for the hospital, because of its desirable location. The hospital was opened for patients in the summer of 1890. Mr. Abraham Slimmer in 1896, generously made a proposition to subscribe $50,000 on condition that the people of Dubuque would raise a like sum. Mr. H. L. Stout subscribed $25,000 and the remainder of the fund was raised amid great enthusiasm of all Dubuque people.

Then began the building of the new hospital in the summer of 1897. It was opened for patients in September, 1898.

In line with its progressive policy, and in order to function to the highest degree possible in the development of curative methods, Mercy Hospital, Cedar Rapids, has organized a staff. A closer cooperation between physicians and hospital, it is thought, will thus be inculcated, working out to the betterment of the hospital system.

Dr. W. J. Neuzil was chosen chairman. Dr. H. J. Jones is vice-chairman and Dr. Florence Johnston, secretary.

On the executive committee are Dr. C. S. Krause, Dr. J. J. Murphy, Dr. B. L. Sheldon, Dr. L. E. MacLaughlin, Dr. William Redmond and Dr. E. J. Neal. Dr. J. C. Petrovitsky, Dr. A. R. Zuercher and Dr. W. J. Foster are on the committee on records.

The organization was perfected at a luncheon served to the doctors in the dining room of the hospital.

Le Mars' new hospital will be standardized by the plan recommended by the American College of Surgeons. Standardization involves the following regulations.

1. That the physicians and surgeons privileged to practice in the hospital be organized as a definite group or staff.

2. That membership upon the staff be restricted to physicians and surgeons who are (a) competent in their respective fields, and worthy in character and in matters of professional ethics; that in this latter connection the practice of the division of fees, under any guise whatever, be prohibited.

3. That the staff initiate and, with the approval of the governing board of the hospital, adopt rules, regulations and policies governing the professional work of the hospital; that these rules, regulations and policies specifically provide: (a) That staff meetings be held at least once each month. (b) That the staff review and analyze at regular intervals the clinical experience of the staff in the various departments of the hospital, such as medicine, surgery, and obstetrics; the clinical records of patients, free and pay to be the basis for such review and analyses.

4. That accurate and complete case records be written for all patients and filed in an accessible manner in the hospital, a complete case record being one, except in an emergency, which includes the personal history; the physical examination with clinical pathological and x-ray findings when indicated; the working diagnosis; the treatment, medical and surgical; the medical progress; the condition on discharge, with final diagnosis; and in case of death, the autopsy findings when aavilable.

5. That clinical laboratory facilities be available for the study, diagnosis, and treatment of patients, these facilities to include at least chemical, bacteriological, serological, histological, radiographic and fluroscopic service in charge of trained technicians.

The establishment of such a hospital, it is pointed out, means that the sick will get well quicker and that the lives of some patients will be saved where it would be impossible without such equipment.

Sister Mary Ursala, R.N., of Dubuque, but who spent several years in the Mercy Hospital in Clinton, was given a great honor recently in Dubuque when she was chosen superior of the Mercy order, succeeding Mother Pius. Sister Mary Ursula, who is a former DeWitt girl, will have under her supervision twelve hospitals and has for the last six years been superintendent of nurses' superior at Ann Arbor, Michigan.

Miss Carrie Propp, a trained nurse of Hamburg, who is to build a hospital in Hamburg, let the contract to Zutz & Zutz, contractors of Hamburg.

The Mary Frances Skiff Memorial Hospital, Newton, was dedicated with appropriate ceremonies Monday morning, May 2, at 10 o'clock. V. W. Skiff, pre