- _" = my »* aaNet, ¢: pn > PPD Me iN pee. Cette aN . are a wr ee Armen en pet marianne J ee Ls At 2 Reem” x BSR Hoar seg epariyd os Po a ce ep eee Se gine on pl ‘ vs ie 3 4) i Cece retain Guistem ts jf gen patceteiabor oth Aon HA hes mre pened Nahe ohiny he Cia ene A em i Yiresented to Che Library of the University of Coronta by The Ontario Research Foundation ant oy ’ NT RNS ie PMO ee eer th ved i WHPRE LM oy RUMEN “ * AS Getbennl NGrmmbateed Yeptygtat 4 cite Pipl Mie: OP ae hd Phe in i, om , a il Nanihchi Wasnt a) PA Mie, dione ene: 4 } ' cr v" eet ale, >, AL, By ty ee Ree ets ye ; bt A 24.8 rf 10 yy a i ey . € ’ | te Do ay — n ; ‘s ‘ a + a, By ie | x, rye a) Ts Pe | AION iM DA ~C er. Pe ee Y Career: |. wis me ge! NAW iw a ey" he ‘ Ay = nse ae a , a id or. ne : ‘ f weed A 5 , adil pra mm. / a A d ae , ‘4 i - ‘ rn ; Se i ; 7 a att ‘ “a e¢ Ei) {i i 7 < ie a ae ee VP JOURNAL OF THE American Veterinary Medical Association FORMERLY AMERICAN VETERINARY REVIEW Original Official Organ U. S. Vet. Med. Ass’n. Edited and Published for THE AMERICAN VETERINARY MEDICAL ASSOCIATION : Be J. R. MOHLER, WASHINGTON, D. C. AND H. PRESTON HOSKINS, DETROIT, MICH. . 7 EXECUTIVE BOARD George Hilton, 1st District; T. E. Munce, 2d District; S. E. Bennett, 3d District; J. A. Kiernan, 4th District; C. E. Cotton, 5th District; B. W. Conrad, 6th District; Cassius Way, Member at Large SUB-COMMITTEE ON JOURNAL S. E. Bennett J. A. Kiernan Volume LXIl NEW SERIES VOLUME 15 October, 1922 to March, 1923 DETROIT, MICH. 1923 69'7334 Lo 4-87 : Lut - ais - . ' y ® yy . - Ai Mee 1 CaRt fees: hae ye VCC Gy ; ; Pe sie 5, Wolpe r a im i A AKA \ ‘ PARA Ra LIST OF ILLUSTRATIONS PorTRAIT OF Dr. Wi1LL1AM HENRY WELCH, 9. A CAsE OF TRUE OSSIFICATION OF THE AORTA IN A BOVINE. THORACIC PORTION OF AORTA, 71. MEMORIAL TABLET AT WALTER REED HospiTAL, 78. EqQuINE INFECTIOUS ANEMIA. Fig. 1. Much enlarged spleen, showing petechiae, 322. Fig. 2. Visceral Surface of spleen, showing rupture, 322. Fig. 3. Proximal end of femur, showing bone marrow, 325. Fig. 4. Section through femur, showing bone marrow, 325. Fig. 5. Section through femur, showing bone marrow, 325. Fig. 6. Section through femur (unthriftiness), 326. Fig. 7. Section through femur (unthriftiness), 326. Fig. 8. Section through femur (chronic lameness), 326. Map SHowinG EXTENT OF BOVINE TUBERCULOSIS IN UNITED STATES, 372. PorTRAIT OF Dr. H. Preston Hoskins, 417. Srupies OF COTTONSEED PoIsoNING. 1. THE PATHOLOGICAL TISSUE CHANGES RESULTING FROM CONTINUOUS FEEDING OF COTTONSEED MEAL. Fig. 1. Healing of hemorrhage. Sinus of lymph-node, 452. Fig. 2. Organization of subpleural edema, 452. Fig. 3. Organizing peritoneal coagulum, 452. Fig. 4. Thyroid, showing marked perifollicular hyperemia, 452. Fig. 5. Normal thyroid after change of diet, 452. Fig. 6. Lymphoid nodules surrounding a small bronchus, 452. PROGRESSIVE PNEUMONIA IN SHEEP. Fig. 1. Sheep Nos. 281 and 301, 462. Fig. 2. Longitudinal section of lung of Sheep 281, 462. Fig. 3. Section of lung of Sheep 186, 464. Fig. 4. Portion of section shown in Fig. 3, 464. Fig. 5. One of the tubercle-like areas, 466. Fig. 6. Section of slightly affected portion of lung, 466. Fig. 7. Consolidated areas in lung, 468. Fig. 8. Higher magnification of bronchus, 468. PorTRAIT OF Dr. Orro Faust, 484. SARCOMATOSIS IN A Cow. Small, round-cell sarcoma. Heart of cow, 492. A GRANULOMATOUS CONDITION CLINICALLY SIMULATING GLANDERS. Fig. 1. Colt, showing depigmented and depilated areas, 644. Fig. 2. Section of lymph-gland, 644. Fig. 3. Section of lymph-gland, 645. Fig. 4. Dilation in small intestine, 646. Fig. 5. Liver, showing fungoid masses on the surface, 647. Fig. 6. Spleen, showing fungoid masses, 647. Fig. 6. Spleen, showing fungoid masses, 647. INTUSSUSCEPTION OF INTESTINE OF DoG. Intussusception of intestine of dog, 653. PorTRAIT OF Dr. Wm. HERBERT Lowe, 705. GLANDULAR GROUP ANTAGONISM. ITs APPLICATION TO VETERINARY PRACTICE. PHysIo- LOGICAL STANDARDIZATION. Fig. 1. Feti, 742. INTERESTING CASE OF TUBERCULOSIS WITH LESIONS IN THE SUBCUTANEOUS TISSUE AND EPIDIDYMEs. Fig. 1. Shows location of subcutaneous nodules, 751. Fig. 2. Shows lesions found in epididymes, 752. TUBERCULOSIS CONTRACTED BY A FAMILY FROM A TUBERCULOSIS Cow. Bovine tuberculosis is a menace to human health, 764. SomE OF THE ATTENDANTS AT THE First SHORT COURSE FOR VETERINARIANS OF WISCONSIN, HELD AT THE UNIVERSITY OF WISCONSIN, MADISON, JANUARY 24-25-26, 1923, 816. Srarr OF THE NATIONAL VETERINARY SCHOOL OF Mexico, 834. Portrair oF Dr. A. M. McCotivm, 830. PortTrRAIT OF Dr. Davip CumMMING, 827. ili INDEX OF AUTHORS Allen, J. A., 349 Kimball, V. G., 751. Beaver, Donald C., 52. King, Jr., E. D., 763. Bell, G. A., 703. Klein, Louis A., 25. Bemelmans, E., 52. Koon, G. H., 193. Benner, J. W., 148. Lamson, Jr., G. H., 556. Berg, William N., 607. Lentz, W. J., 746. Birch, R. R., 148. Lothe, Herbert, 755. Boardman, Don. A., 493. McBryde, C. N., 162. Boerner, Jr., Fred, 751. Marsh, Hadleigh, 217, 459, 648. Bower, Charles W., 39. Marshall, C. J., 654. Brumley, O. V., 200. Maynard, L. A., 450. Butler, Tait, 20. Mayo, N. S., 653, 769. Cameron, A. E.,332. Meck, C. L., 736. Clark, W. L., 641. Milks, H. J., 310. Connaway, J. W., 719. : Miller, W. F., 50. Conrad, B. W..,37. Mohler, J. R., 592. Cotton, W. E., 179. Moore, V. A., 283. Cross, Floyd, 759. Muldoon, William E., 297. De Boni, Antonio, 72. Newson, I. E., 759. Dorset, M., 162. Niles, W. B., 162. Doyle, L. P., 643 Ostrander, E. Mildred, 52. Eichhorn, A., 420 Ousley, Clarence, 13. Ferneyhough, J. G., 481. Quarll, J. T., 215. Foster, Robt. J., 570. Roberts, G. H., 643. Frick, E.-J., 34. Roderisk, L. M., 343. Frink, W. E., 474. Rubino, Miguel C., 70. Frost, George P., 197. Runnells, R. A., 490. Galbraith, A. R., 213. Schalk, A. F., 343. Gallagher, Bernard A., 435. Schreck, Oscar, 631. Giltner, Ward, 172. Goldberg, S. A., 450. Guberlet, John E., 362. Hardenbergh, J. G., 731. Shigley, J. F., 736. Shillinger, Jacob E., 353, 623. Smith, E. I., 771. Hall, Maurice C., 353, 623. Smith, Howard R., 486. Huddleson, I. F., 172. Steel, E. R., 766. Jacob, M., 42. Turner; J. P./ 652: Jorgenson, G. E., 442. Tweed, R. L., 172. Kelser, R. A., 319. Welch, W. H., 140. INDEX OF SUBJECTS S Papers: Abortion, The Role of the Udder and its Secre- tion in Bovine Infectious, 172. Abortion in Cattle and Swine, and Their Prac- tical Application, Facts Relating to, 719. Abortion Bacillus that Attacks Swine, The Character and Possible Significance of the Bang, 179. Abortion in the United States Army, The Control of Equine Infectious, 193. F Acriflavine and Proflavine Preparations in Bovine Practice, The, 34. Agriculture, The Veterinarian’s Relation to, 13. Anaphylaxis, Bot, 332. Anemia, Equine Infectious, 319. Blackleg Immunization, PracticalA spects of ,607 Cases Met in Practice, A Few, 755. Constipation in the Dog: Its Causes and Treatment, 631. Cornea, Diseases of the, 310. Cottonseed Poisoning, Studies of. The Patho- logical Tissue Changes Resulting from Continuous Feeding of Cottonseed Meal, 450. Curriculum, The Veterinary, 283. Dispensing as an Asset to the Veterinary Practitioner, 39, 209. Distemper, Sequelae of Canine, 297. Experimentation to Veterinary Medicine, The Value of Animal, 731. Fistula of the Withers in Practice, The Hand- ling of, 37, 207. Gastroenteritis in Small Animals, 200, 357. Glandular Group Antagonism. Its Applica- tion to Veterinary Practice. Physiological Standardization, 736. Hemorrhagic Septicemia in Sheep, An Out- break of, 759. Heterakids from the Ceca of Chickens by Rectal Injections of Anthelmintics, The Removal of, 623. “Hog Flu,’’ Remarks on, 162. Lesions of Disease and the Importance of Such to the General Practitioner, A Review of the Basic, 442. Mastitis in the Cow, Clinical Observations on Catarrhal, 25, 211. Necrobacillosis in Swine, 641. Observations of Practical Interest, Some, 42. Obstetrics in Small Animals, 746. Organization, Need for, 474. Pleuropneumonia of the Horse (Equine Grippe), A Comparative Study of Human Grippe and Contagious, 52. Pneumonia in Sheep, Progressive, 458. Poultry Practice, The Veterinarian in, 435. Practitioner, the Salt of our Profession, A Private, 481. Problems of Our Animal Industry, Present, 592. Profession as Observed in Various European Countries, The Veterinary, 420. Purpura Hemorrhagica, Observations on the Treatment of, 766. Public, The Veterinarian in his Relation to the, 20. Reserve Corps, The Veterinary, 570. Strongyles in Aneurisms by Means of Intra- venous Injections of Drugs, Some Attempts to Control, 353. Suisepticus for Hogs, Pathogenicity of Bac- terium, 343. Swine Plague, Investigations on the Immun- ology of, 148. Tetanus, The Treatment of, 769. Trend of Veterinary Practice, The, 140. Tuberculin Testing the Dairy Cow, 50. Tuberculosis Contracted by a Family from a Tuberculous Cow, 763. . vil Tuberculosis in its Relation to the Feeding and Marketing of Livestock, 486. Tuberculosis with Lesions in the Subcutaneous dissue and Epididymes, Interesting Cases of, ol. Vajda’s Method to the Examination of Fox Feces, The Application of, 349. X-Ray in Canine Practice, The, 197. Clinical and Case Reports: Abortion Disease of Cattle, 493. Blackleg in Sheep, Another Case of. 217. Canker of the Ear of the Dog, Moist Eczema or, 652. Coccidiosis in Cattle in Montana, 648. Glanders, A Granulomatous Condition Clini- cally Stimulating, 643. : Intussusception of Intestine of Dog, 653. Obstruction of the Duodenum of a Horse by a Biliary Calculus Followed by Rupture of the Stomach, 72. Obturator Paralysis, 213. Ossification of the Aorta in a Bovine, A Case of True, 70. Pervious Foramen Ovale, 654. Poisoning in Chickens, with a Note on its Toxicity, Potassium Nitrate, 362. Rabies, An Outbreak of, 215. Ringworm to Humans, Kitten Transmits, 771. Sarcomatosis in a Cow, 490. Stomach-Worm, Control of Sheep, 555. Abstracts: Abortion and Malta Fever, A comparative Study of Bovine, 223. Abortus, The Relationship Between B. Meli- tensis and B., 224. Aphthous Fever (Foot-and-Mouth Disease), The Duration of the Infectious Period in, 219. Black Tongue, The Probable Identity of the Chittenden-Underhill Pallagra-Like Syn- drome in Dogs, and, 369. Botulism, Grass Disease and, 369. Carbon Dioxide Content of Blood Plasma in the Horse, Combined, 74. Cowpox and Sheep-Pox, 498. Diphtheria, Cats and Human, 367. Distemper in Dogs, New Treatment for the Nervous Form of, 498. ; Distemper with Formine, The Treatment of Nervous Localizations of Canine, 497. Foot-and-Mouth Disease, On the Immune Serum Against, 76. Glanders, The Value of Complement-Fixation and Agglutination Tests in the Diagnosis of, 499. Hemorrhagic Septicemia with Attenuated Virus, Vaccination Against Bovine, 498. Licking Habit in Cattle and its Causes, The, 221. Livestock Services in the United States, The Veterinarian and the, 221. Lymphangitis, Epizootic, 366. Phenol and Cresol as Preservatives in Biologic Products, 499. Py ovebbicomie Infections in New-born Animals, 497. “Rouge’’ of Salted Meats. Specific Agent, 500. Trichinae in American Bacon and Hams, The Vitality of, 368. Tubercle Bacilli Present in the Sample, Keep- ing Milk by the Addition of Potassium Dichromate without Injuring, 225. Tubercle Bacilti, Studies on Virulence of, 655. Tuberculin, The Keeping Qualities of Diluted, 222. Isolation of the INDEX vil Army Veterinary Service: Army Veterinarians Meet, 693. British Army Course of Instruction, 81. Horses, A British Army Veterinarian on American, 228. Memorial Tablet at Walter Reed Hospital, 78. Supplies, Army Medical, 79. Veterinary Corps, The Army, 717. Association News: American Veterinary Medical Association Appointments, 686. Committee Reports: Abortion, 245. Anatomical Nomenclature, 101. Badge, 298. Bovine Tuberculosis, 371. 7 Closer Affiliation with State and Provincial, Associations, 100. International Veterinary Congress, 105. Legislation, 118. Liautard Memorial, 241. Narcotic Law Revision, 116. Necrology, 241. Prevention and Control of Animal Diseases, 248. Revision of National Formulary, 386. Salmon Memorial, 233. Saban Medical Congress, Report of Delegate to, 100. Editor, Report of, 91. Election of New Members, 88. Executive Board, District No. 1, 687, 786. Officers, 234, 240. eneeutive Board, Report of, 87, 117, 231, 505, General Session, 82, 87, 230. Greeting, Messages of, 90, 234 Horse Association of America, Report Regard- ing, 106. Large Animal Clinic, 521. Reproduction, Organs of, 522. Sheep, Diseases of, 681. Sterility Demonstration, Bovine, 658. Tuberculin Reactors, 521. Minutes, Approval of, 87. National Research Council, Report of Repre- sentative on, 112, 120. Next Meeting, Place of, 237, 240. Ousley, Address of Hon. Clarence, 518. Papers, Presentation of, 520. Poultry Clinic, 668. Botulism in Chickens, 671. Fowl Typhoid, 678. Poultry Diseases, 668. Vitamins in Poultry Feed, 673. President’s Address, 86. Revision of Constitution, Committee on, 687. Appointment of, 110. Meeting of, 777, 780. Sanitary Science and Police, Section on, 787. Secretary, Report of, 92. Secretary, Editor and Business Combining Offices of, 506. Small Animal Section, 393. Anesthesia and Cesarean Operation, 397. Clinical Cases, Other, 402. Parasites of Dogs, 395. Treasurer, Report of, 97. Welcome, Address of, 82. Response to, 84. Other Meetings Arkansas Veterinary Association, 404. Baitiah Columbia Veterinary Association, 406, B. A. I. Veterinary Inspectors’ Association of Chicago and Illinois, 545, 692. Bureau of Animal Industry Veterinarians, National Association of, 698. California Practitioners’ Week, 407, 794. patos ete Veterinary Medical Associa- tion, 5 Manager, Central New York Veterinary Association, 543. Colorado Veterinary Medical Association, 549, 810. Connecticut Veterinary Medical Association, 405. Dallas-Fort Worth Veterinary Medical Society, 550 Delaware Veterinary Medical Association, 793. Florida State Veterinary Medical Association, 549 Iowa Conference for Veterinarians, 808. Iowa Veterinary Association, 807. Kansas Veterinary Medical Association, 809. Maryland Veterinary Medical Association, 699. Michigan State Veterinary Medical Associa- tion, 819. Minnesota State Veterinary Medical Associa- tion, 551, 799. Mississippi State Veterinary Medical Associa- tion, 797. Mississippi Valley Division of Bureau Veterin- arians, 265. Montana Veterinary Medical Association, 258. Nebraska Veterinary Medical Association, 694. Nevada State Veterinary Association, 406. New Jersey, Veterinary Medical Association of, 255, 801. New York City, Veterinary Medical Associa- tion of, 265, 539, 689, 792. New York State Veterinary Medical Society, 123. New York Conference for Veterinarians, 408, 802 North Central Ohio Veterinary Association, 121 Ohio State Veterinary Medical Association, 408, 817° Oklahoma 814. Ontario Veterinary Association, 260. Pennsylvania, Conference of Veterinarians at, 700 Veterinary Medical Association Pennsylvania State Veterinary Medical Associ- ation, 549. eon South Carolina Association of Veterinarians, 822. Southeastern States Veterinary Medical Asso- ciation, 690. Tick-Eradication Forces, Conference of, 699. United States Live Stock Sanitary Association, 547. Washington Post-Graduate Course for Veter- inarians, 798. d : West Virginia Veterinary Medical Association, 123. Western New York Veterinary Medical Asso- ciation, 697. Wisconsin Short Course for Veterinarians, 815. Editorials: Against Life-Saving, 281. Amendments, Proposed, 711. Anthrax Prevention, Many Countries Study, 567. Army Veterinary Corps, 717. Associations, Additional, 137. Change, in Editorship and Management, A, 414. Change in our Plans, A Slight, 563. Consistency, Thou Art a Jewel, 280. County Agents Limited, Duties of, 277. Distemper, What is Canine, 715. Editor, Our New, 417. Education, Veterinary, 713. Foot-and-Mouth Disease in Guatemala, 568. Foreign Drugs, Victory for, 280. Interest and Enthusiasm Largely Dependent upon the Attitude of a Presiding Officer, 415. Meetings, The Winter, 717. Montreal, A Convention City, 418. Montreal, Plan to Go to, 716. Names for Old Friends, New, 564. New Year, On the Threshold of a, 413. Order Changeth, The Old, 138. Ousley’s Address, Colonel, 10. Vili INDEX President of the A. V. M. A., Dr. W. H. Welch, New, 8. Rabies in Washington, D. C., 135. St. Louis, A Practitioner’s Convention, 1. _ Tuberculosis Eradication Stimulates Dairying, i Book Reviews: Bacteriology, Veterinary. A Treatise on the Bacteria, Yeasts, Molds and Protozoa Pathogenic for Domestic Animals, 656. Carriers of Infectious Diseases, 502. Distemper, Its Complications, Sequelae, and Treatment, Canine, 370. Hog Cholera, Its Nature and Control, 504. Oksebremsens Bekaempelse,Om,( Fight Against the Ox Warble), 501. Poultry Diseases, 226. Tuberculosis, Diagnosis and Treatment of, 226. Communications: Correction, A, 409. Cuba, Greetings from, 409. Endurance Test, More pee the Horse, 269. Goodman Improved, Dr., Norway and Sweden, V eee Conditions in, 267. Smith Memorial Fund, Andrew, 552 Tabby, A Persian, 823. Necrology: Ee James B., 831. Bolser, F. A., 701. Branson, R. A., 271. Carter, George H., 833. Cherry, Allen E., 130. Cumming, David, 827. Horstman, Edward, 824. Howard, C. H., 825. Klotz, Joseph W., 702. Lewis, Lowery Lamont, 828. McCollum, Andrew, 830. Martinez 8, Jorge, 829. Maynard, Lee H. P., 832 Oliver, John, 826. Paige, James Breckenridge, 271. Richards, George L., 832. Schaffter, William A., 553. Troy, Mrs. O. E., 553. Waugh, Wm. J., 130. Miscellaneous: Africa, Livestock Development in Central, 36. Aloha-land, Rotarian Welcome to, 768. Arab Horse Test in England, 560. Beef Production, Marked Changes in, 296. Birthday, Dr. Hoskins’, 688. Botulism in Scotland, 279. Brahman Cattle for the Gulf Coast, 49. Carbon Tetrachlorid Effective Against Hook- worms, 73. Cause and Effect, 654. Chemical Die-t, A, 630. Christmas in the Stable, 554. Convention, British Veterinarians Hold Suc- cessful, 561. Diary Cow Now Big Factor in Prosperity of Oklahoma, 318. Degrees, French Veterinary, 496 Doping of Race Horses, The, 81. Dorset Goes Abroad, Doctor, 457. Embargo, Lifting the, 706. Endurance Ride, Thoroughbred First, Morgan Second in, 410 Estabrook Signs Argentine contract, L. M., 538. Finger Prints, Bovine, 770. Foot-and-Mouth Disease in Jamaica, 274. Germany Admits American Cattle, 318. Graduates, Veterinary, 434. Hair Tonic, 12. Hairless Pigs and ‘‘Rain-Water,” 77. Health Activities, Uncle Sam’s, 19. Hookworms in Fiji, Unhooking the, 212. “Horse in Motion,’ New Film, Analyzes Movements, 708. Horsehair for Hypodermic Needles, 130. aes eee Declines But Quality Improves, Hospital, New Veterinary, 218. Jamaica, A Suspicious Disease in, 131. Kentucky, In, 657. Law, British Veterinarians go to, 560. : Lime and Phosphorus are Vital to Dairy Ani- mals, 558. Little—But O My!, 630. MacKellar Goes to Washington, 489. Milk for School Children, Use Ample Supply of Pure, 559. Milk Lessons from America, 134. Montreal Meeting of A. V. M. A., Plans for, 569. Noah do it, Did, 591. Ontario Veterinary College, The New, 407. Pasteurize Creamery By-Products, 557. Pictures, Foreign Countries Request Livestock, 551. Pig Survey to Cover Whole Country, 411. Post-mortem Settles Scottish Controversy, 622. Race, The Last, 331. Reactors, Packers Induced to Pay Better Prices for, 273. Reindeer Herds, Improvement in, 441. Rickets, English Research on, 24. Riding-Horse Shortage, 703. Russia, Livestock in, 352. St. Louis Sayings, 133. Scholarships, Scottish Veterinary, 496. Secretary’s Office, From the, 403. Sires, Florida Ranch Demonstrates Value of Superior, 606. Statistics, Livestock, 707. Tuberculosis in Cattle, 642. Tuberculosis, Dairymen Finance Local Fight on, 412. Tuberculosis Cure, Approve, 196. Virus, The Definition of Bovine, 229. Wisconsin has One-Fourth of Cow-Testing Associations, 227. Woman Veterinarian, England’s First, 745. JOURNAL OF THE American Veterinary Medical Association FORMERLY AMERICAN VETERINARY REVIEW (Original Official Organ U. S. Vet. Med. Ass'n.) J. R. Mouser, Editor, Washington, D. C. A. T. Kinsey, President, Kansas City, Mo. N. S. Mayo, Secretary, Chicago, III. M. Jacos, Treasurer, Knoxville, Tenn. Executive Board Gro. HILTON, Ist District; T. E. MuNcE, 2nd District; S. E. BENNETT, 3rd District; J. A. KiErNAN, 4th District; C. E. Corron, 5th District; B. W. Conrab, 6th District; Casstus Way, Member at Large Sub-Committee on Journal S. E. BENNETT J. A. KIERNAN The American Veterinary Medical Association is not responsible for views or statements published in the JourNaL, outside of its own authorized actions. Reprints should be ordered in advance. Prices will be sent upon application. Vol. LXII, N. S. Vol. 15 October, 1922 No. 1 ST. LOUIS, A PRACTITIONER’S CONVENTION AS PLANNED, the fifty-ninth annual meeting of the American Veterinary Medical Association, which was held at St. Louis, Mo., August 28 to September 1, 1922, was truly a convention for the entertainment and instruction of the private practioners of North America. The interest manifested in this convention is evidenced by the fact that there were members present from South America, from the Philippine Islands and from Canada, as well as from almost every State in the Union. President A. T. Kinsley called the convention to order m the ballroom of the Planters Hotel promptly at 10 a. m., August 28. The invocation was made by Rev. Dr. William Crow, pastor of the Westminster Presbyterian Church of St. Louis. Hon. Henry W. Kiel, Mayor of St. Louis, officially weleomed the Association to the city and related many interesting ex- periences and spoke encouraging words as to the future of our profession. A happy and entertaining response to the Mayor’s welcome was given by Dr. Tait Butler in his usual forceful manner. President Kinsley then presented an optimistic and well considered address, which was published in last month’s JOURNAL. In the afternoon the first business session was opened with a report of the Executive Board, followed by the election of 1 2 EDITORIAL new members, reports of the various officers and of the differ- ent committees. In the evening Dr. Kinsley held the customary presidential reception in the ballrom of the hotel, following which dancing, interspersed with vocal selections by the Armour Quartet, was indulged in. LITERARY PROGRAM Tuesday morning was given up entirely to the meetings of the various sections of the Association, the Section on General Practice being without doubt the best attended of the three. As the papers of Drs. Conrad and Klein will appear in this num- ber, further mention will not be made of their interesting con- tents. Dr. W. L. Boyd gave a very instructive lecture on the pathology of sterility and illustrated it with many slides show- ing the various lesions under discussion. Dr. J. G. Ferneyhough described the practicing veterinarian as ‘‘the pillar of the profession.’’ He urged cooperation between practitioners and those holding public offices or college chairs in order to im- prove not only the profession but the individual himself. Vet- erinarians were also urged to go before the legislature of every State and obtain legislation that would prevent unqualified men from practicing as veterinarians. Drs. C. H. Honeywell and E. J. Frick also presented very instructive practical papers on necrotic enteritis of swine and the proflavine preparations in bovine practice, respectively. The Section on Sanitary Science and Police was likewise well attended. The subject of ‘‘flu’’ in swine was presented by Dr. W. B. Niles in the absence of Dr. Marion Dorset and brought about some animated discussion in which Dr. Cahill and Dr. A. H. Quinn took a prominent part. This was followed by a paper on equine infectious anemia by Captain R. A. Kelser, which was illustrated with lantern slides. The subject was thoroughly discussed by Drs. C. E. Cotton, E. A. Watson and others. Dr. Cotton brought out the point that many cases of parasitism are often diagnosed as swamp fever and warned that a diagnosis should never be made without a postmortem ex- amination. Dr. Watson called attention to the difficulty of con- trolling the disease since certain animals were known to be carriers of the infection for as long as ten years without show- ing any symptoms. The reading of a paper on the control of equine infectious anemia, by Captains Koon and Kelser of the —=- EDITORIAL 3 United States Army, was omitted, the members present voting to have the paper appear in the JourNaL. Dr. J. G. Harden- bergh of the Mayo Clinic, Rochester, Minn., presented an ex- cellent paper on the value of animal experimentation to vet- erinary medicine, which was well received. The paper on tuber- culosis in its relation to the feeding and marketing of livestock, by Prof. H. R. Smith of Chicago, Ill., was a strong plea for tuberculosis eradication. The author pointed out that there was a very large amount of tuberculosis, especially among the hogs of this country, and stated that it would be profitable for the packers to pay a premium for hogs coming from areas in which the cattle were free from tuberculosis. He also referred to the fact that the American Institute of Meat Packers was working out a plan by which its members could pay a premium of 10 cents per hundred on hogs coming from such areas. Dr. J. W. Connaway of Columbia, Mo., spoke on ‘‘Facts and Interpreta- tions Relating to Infectious Abortion in Cattle and Swine.”’ The author enumerated all the important facts that are known about the disease and pointed out in a clear, concise manner their application for its control and eradication, favoring cer- tain regulatory measures, based on serological tests. In the discussion of Dr. Connaway’s paper in which Drs. Kiernan, Simms and W. E. Cotton took part, some of the important facts which had been presented were emphasized. Much interest was manifested in the meetings of the Section on Edueation and Research, which were presided over by Dr. E. M. Pickens of College Park, Md., in the absence of Chair- man Chamberlain. The first paper was illustrated by lantern slides and consisted of a preliminary report on the differentia- tion of the various organisms belonging to the hemorrhagic septicemia group, by Drs. C. P. Fitch and E. N. Nelson. The authors studied 28 strains of organisms belonging to this group isolated from several species of animals and found that there was little variation in their behavior toward the sugars, all falling into Group IIT of the Jones classification, but serologi- cally they separated into distinet groups which bore no relation to the species of animals from which they were derived. Dr. W. E. Cotton of Bethesda, Md., read a paper on the character and possible significance of the Bang abortion bacillus that attacks swine. He pointed out that this bacillus causes dis- tinetly different lesions in guinea-pigs than does the Bacillus 4 EDITORIAL abortus which attacks cattle only, and that it is probably per- petuated through both swine and eattle. Although it is as- sumed that the Bang bacillus which attacks swine originated in cattle, the abortion bacilli commonly isolated from cattle have not been proved pathogenic for swine. The paper by Dr. R. R. Birch and Dr. J. W. Benner of Ithaca, N. Y., on investiga- tions on the immunology of swine plague was read by Dr. Benner and illustrated by lantern slides. The investigations showed that while a certain amount of immunity could be produced by vaccination with B. suisepticus, the immunity was uncertain and the animals were apt to become stunted. Im- mune serum was found to be somewhat more efficient, but the chief reliance should be placed in the protection of the herd against predisposing causes. The foregoing papers were dis- cussed by Drs. Connaway, Cahill, Eichhorn and Hadley. Dr. V. A. Moore of Cornell presented an interesting paper on “The Veterinary Curriculum; Some Suggested Changes.’’ The essayist emphasized the importance of a thorough preliminary education and pointed out certain desirable additions to the curriculum that would round it out and correlate it with agri- culture, although it would be difficult to find room for them in a curriculum already crowded. He also directed attention to the need for more uniformity in veterinary courses, making it easily possible for a student who wished to specialize in given subjects to transfer to schools giving the best instruction in them. In the discussion Drs. White and Stange explained the combined agricultural and veterinary courses given at the Ohio State University and the Iowa State College, and Dr. Klein pointed out the desirability of placing all the basic scientific subjects in the first part of the course, leaving the latter part free for the applied sciences. Dr. A. Eichhorn, who had just returned from Europe, gave an admirable report on the status and the future of the vet- erinary profession in various European countries, while Major Robert J. Foster gave an instructive explanation of the Vet- erinary Reserve Corps. Dr. W. H. Welch, the newly elected President, read an entertaining paper on the present trend of veterinary practice, and Dr. Tait Butler discussed the rela- tion of the veterinarian to the public. The most noteworthy address of the convention was that of former Assistant Secretary of Agriculture Ousley, which is referred to elsewhere. - EDITORIAL 5 Space will not permit abstracts of the many other excellent papers presented at the convention, but they will all be printed in the JoURNAL as they become available. ELECTION OF OFFICERS Tuesday afternon the convention again met in general session and proceeded with the interesting feature of electing officers for the coming year. Dr. W. H. Welch of Lexington, IIl., was unanimously selected as President. The following Vice-Presi- dents were next elected: First, Col. J. A. McKinnon, Director of the Army Veterinary Corps, Washington, D. C.; Second, Dr. J. H. Ferguson, Lake Geneva, Wis.; Third, Dr. M. C. Baker, Montreal, Quebec; Fourth, Dr. Geo. H. Hart, University of California, Berkeley, Calif.; Fifth, Dr. John H. McNeil, State Veterinarian, Trenton, N. J. Dr. M. Jacob, of Knoxville, Tenn., was unanimously re-elected as Treasurer, and Dr. Cassius Way of New York City was selected as member at large of the Execu- tive Board. The positions of Secretary and of Editor and Business Manager of the JoURNAL were amalgamated and Dr. H. Preston Hoskins of Detroit, Mich., was selected for the com- bined position effective January 1, 1923. ENTERTAINMENT On Tuesday evening a number of banquets were held by alumni of the various veterinary colleges as well as by several other associations. Those who were not occupied otherwise were given an excellent evening of entertainment by the local com- mittee at Forest Park Highlands, where dancing, swimming and similar pleasures were indulged in. Additional entertain- ment was furnished the wives and families of the delegates by shoping tours, a trip to the Observation Tower in the Railway Exchange Building, luncheon at the Hotel Statler, theater parties at the Capital Theater and the Orpheum Theater, lunch- eon at the Planters Hotel, and a boat ride on the Mississippi River in the steamer Erastus Wells. An interesting diversion was afforded the delegates themselves on Wednesday evening at the Planters Hotel in the form of a smoker and round-table conference, which was followed by a cabaret entertainment in which the Barbary Coast was temporarily transferred to the banks of the Mississippi. - 6 EDITORIAL WoMEN’s AUXILIARY The Women’s Auxiliary of the Association held its sixth an- nual meeting at the Planters Hotel, August 29. More than fifty ladies were present to enjoy the program. The meeting was opened with a prayer; the address of the President, Mrs. A. T. Kinsley, followed, after which the ladies were delightfully enter- tained with readings by Mrs. F. A. Lambert. Beginning July 1, 1922, the Auxiliary will loan each year $350 to a senior stu- dent in a recognized veterinary college. The 1922 loan was applied for early in the spring by a young man who easily fulfilled the necessary requirements, and the loan was made as soon as the funds were available. After placing this loan the treasurer’s books showed a balance on hand of $335. Following the regular business meeting, the biennial election of auxiliary officers was held and the following newly elected officers were presented: President, Mrs. G. A. Johnson, Kansas City, Mo.; Vice-President, Mrs. R. P. Marsteller, College Station, Texas; Vice-President, Mrs. W. B. Aulgar, Paxton, Ill.; Secretary, Mrs. F. A. Lambert, Columbus, Ohio; Treasurer, Mrs. H. P. Hoskins, Detroit, Mich. SECTION OFFICERS On the completion of the literary program of the three sec- tions of the Association, the following officers were elected: Section on General Practice: H. E. Kingman, Chairman; Harry Caldwell, Secretary. Section on Sanitary Science and Police: R. C. Reed, Chair- man; Orlan Hall, Secretary. Section on Education and Research: L. W. Goss, Chairman; E. M. Pickens, Secretary. MONTREAL FOR NEXT MEETING Invitations were extended to the convention to hold its next meeting at Des Moines, Iowa; Omaha, Nebr.; New York City; Montreal, Canada, and several other points. The Canadian mem- bers in attendance presented strong reasons for holding the 1925 conference in Montreal and in consequence the Association voted its acceptance of the invitation so courteously extended by Drs. Fred Torrance, M. C. Baker and others. The exact time of the Montreal meeting has not been decided upon, but it is presumed that it will be held during the last half of August. ~ EDITORIAL ATTENDANCE The last figures available showed that 503 persons had regis- tered, about 350 being members of the Association. Undoubtedly a much larger number would have availed themselves of the opportunities afforded by such an international convention had it not been for the acuteness of the railroad strike which, with its added risks of travel, deterred many from attending. Despite the drive which was inaugurated last year for increasing our membership, there were slightly less than 200 new members elected at St. Louis. CLINICS Probably the most outstanding feature of the convention was the interesting and diversified series of clinics which covered two full days. Those for large animals were held at the Na- tional Stock Yards at East St. Louis and were under the diree- tion of Dr. H. E. Kingman of Fort Collins, Colo. Sterility work was demonstrated by Drs. DeVine, Bemis and Boyd, while the poultry demonstrations were conducted by Dr. B. F. Kaupp of Raleigh, N. C. The sheep clinic was in charge of Dr. I. E. Newsom of Fort Collins, and Dr. H. B. Raffensperger conducted demonstrations of parasites common to hogs and sheep. No matter how many columns may be pub- lished, unless the matter is such as the public will read, unless it is matter of public interest, unless it is put in a form which the public can understand and appreciate, it is not real pub- licity. The veterinary profession owes it to itself and the public, whose influence, respect and confidence it should have, to do more writing, more speaking and more advertising; for no in- formation it can give out, no increase in the publie’s knowledge of veterinary facts, will lessen its compensations, but will add immeasurably to its opportunities for a larger public service and greater personal remuneration. My plea, therefore, is for a broader education or greater cul- ture and a more thorough training in agriculture and in live- stock husbandry. The veterinarian will not obtain his greatest opportunities for service to the public and himself until he gives himself, as the basis for his technical and professional veterinary training, a thorough knowledge of the sciences underlying crop growing -and animal husbandry. In other words, he must be more broadly educated than those he is to serve, at least to the extent of being familiar with their business and then adding his own specialty as professional training. i Only by a broader general culture which will enable him to render a better service in the social, political and other activi- ties of good citizenship will he be able to meet the general pub- lic on ground where interests and sympathies are in common, and this is the only ground on which he can ever reach the gen- eral public. Only by a knowledge of livestock husbandry can he meet his clients on a common ground of interest and knowl- edge, and secure that respect and confidence which common interests and knowledge beget. Rend asunder the shroud of mystery, in which ages have en- 24 Tarr BUTLER veloped it; in its public utterances divest it of the technical language which has maintained it in isolation, and clothe it with a knowledge of and interest in matters of common interest, if you wish to exalt the veterinary profession to that high plane of public service of which it is capable. The public does not and can not know the veterinary profes- sion and its tremendous services to present-day civilization, be- cause you will not let them. They can not come to your special field, and you have either refused to go or could not go to theirs, because of a lack of education, or a lack of an inclination and desire to do so. ENGLISH RESEARCH ON RICKETS Announcement has been received of highly important discov- eries by the Medical Research Committee of England during an extensive study of rickets. The report of the -committee, based largely on the work of Dr. E. Mellanby, emphasizes that rickets is not due to a single cause but to a combination of unfavorable conditions as to food and surroundings. Dr. Mellanby found as a result of feeding experiments with more than 200 puppies, that the following factors tend to pre- vent rickets: (1) plenty of calcium and phosphorus in the diet, (2) the anti-rachitic vitimin (found most abundantly in cod- liver oil), (3) meat, and (4) exercise. A lack of these factors, and an excess of bread or other cereal food or carbohydrates, were found to produce rickets. The presumption is, naturally, that these same factors are important in relation to human nu- trition. fate = ale anti-rachitic vitamin was found to be much more ef- fective if the diet contained the necessary amount of meat, and of calcium and phosphorus; and if exercise was allowed. It is Mellanby’s idea that an important factor in the effect of meat to prevent rickets is its well known and characteristic stimulating action, which increases the effectiveness of the vita- mins present. Dr. Alfred F. Hess, of New York, has shown that exposure to sunlight also is very effective as a curative measure in the treatment of this disease. CLINICAL OBSERVATIONS ON CATARRHAL MASTITIS IN THE COW‘: By Louis A. KLEIN School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pa. THREE TYPES of mastitis may be observed in the cow: (1) Parenchymatous mastitis, which affects the glandular strue- ture of the udder; (2) catarrhal mastitis, which involves pri- marily the mucous membrane of the large milk canals, milk cistern and teat canal, and (3) interstitial mastitis, which is an inflammation of the connective tissue situated between and around the glandular structures and the excretory channels. Every case of mastitis, however, can not be placed within one or the other of these divisions. . Inflammation beginning in the parenchyma may extend downward to the milk canals, milk cistern or teat canal; catarrhal mastitis may invade the paren- chyma; and either of these forms may involve the interstitial connective tissue secondarily, while primary interstitial masti- tis may break into the parenchyma. Nevertheless, a knowledge of the characteristics of each of the three types is essential in diagnosis, prognosis and treatment. Catarrhal mastitis occurs more frequently than either of the other forms in herds maintained under a system of intensive milk production. This frequency of incidence together with a tendency to run a subacute or chronic course and to termi- nate in atrophy and loss of function of the affected quarter makes the disease of considerable economic importance. Many good dairy cows have been sent to the butcher because catarrhal mastitis has rendered them unsuitable for milk production, and a large proportion of the three-teated cows in our dairy herds owe their present condition to this disease. The successful treatment of catarrhal mastitis depends very largely upon its early recognition and the prompt application of suitable curative measures, but as the first symptoms are usually slight and insignificant the prompt discovery of each case as it appears can be assured only by keeping the herd under close supervision. The disease may occur at any time 1Presented at the fifty-ninth annual meeting of the American Veterinary Medical Association, St. Louis, Mo., August 28 to September 1, 1922. Pe 20 26 Louis A. KLEIN during the lactation period, consequently the supervision of cows in milk must be continuous. SyMptTomMs, CouRSE AND PATHOLOGY In two-thirds of the cases of catarrhal mastitis there is no swelling of the udder apparent at the beginning of the disease, and the other third shows only slight swelling, with little heat and not much pain. Generally only one-quarter of the udder is affected. On of the first symptoms observed is the presence of small white flakes in the first few streams of milk from the affected quarter. These flakes are often quite small, frequently no larger than a pin head, and may not be very numerous. Un- less the milk is drawn into the palm of the hand or on a finely meshed wire strainer and closely examined, they will not be noticed. In ordinary milking they are almost certain to escape detection. Milk from a quarter which is not diseased may show a flake or two now and then, but this does not happen often and does not oceur at successive milkings. Another early symptom is difficulty in expressing the first stream or two of milk. It is usually stated that the cow ‘‘milks hard,’’ although formerly an ‘‘easy’’ or ordinary ‘‘milker.’’ Sometimes it is reported that the cow kicks when milking is begun, whereas formerly it submitted quietly to the process. These symptoms are due to obstruction of the teat canal re- sulting from swelling of the mucous membrane or collection of exudate. The stream of milk expressed from the teat may be split or deflected from the normal direction when particles of exudate collect and dry around the outlet of the teat canal. If the end of the teat is examined in such eases before milk is expressed, small yellow crusts will be seen around the orifice of the teat canal. Sometimes, however, dried crusts of milk collect at the same point and change the direction of the stream in a similar manner when no disease is present, probably be- cause of fatigue of the sphincter between the lower end of the milk cistern and the upper end of the teat canal. Splitting or deflection of the first few streams of milk, in the absence of any other changes, is therefore not necessarily an indication of the presence of catarrhal mastitis. Another of the early symptoms is that the stream of milk is not eut off completely when pressure is removed from the teat, with the result that CATARRHAL NASTITIS IN THE Cow 27 the end of the teat is smeared with milk. This is caused by the mucous membrane being swollen and interfering with the closing of the sphincter. In the early stages of the disease, a drop of mucus or pus may be squeezed out of the teat canal by pressure on the end of the teat. While catarrhal mastitis is primarily an sadlannistine of the mucous membrane of the large milk canals, milk cistern, and teat canal, the inflammation, if not checked, extends into the submucous connective tissue, producing proliferative changes. In this way the mucous membrane of the milk cistern becomes thickened and may then be felt as a hard cord about as thick as a lead pencil running through the middle of the teat when the teat is rolled between the thumb and fingers. Flat disc- shaped thickenings and nodular indurations may be felt in the upper limits of the milk cistern around the terminations of the large milk canals. Growths appear upon the wall of the milk cistern and teat canal as a result of hyperplasia of the epithelium and may be detected by palpation. These often interfere with the withdrawal of the milk. This particular con- dition is known in some dairy sections as ‘‘spider in the teat.”’ The proliferative process, when once started in the submucous connective tissue, may extend upward into the interstitial con- nective tissue of the glandular part of the udder, producing indurated areas of greater or less extent, and the newly formed connective tissue, subsequently contracting, causes atrophy of the gland cells with permanent loss of function in the area affected. The entire quarter may be involved, in which case the cow becomes a three-teater. Catarrhal mastitis does not affect the secreting cells of the udder, and therefore the milk does not show any marked changes, at least not in the first stages of the disease. It has been men- tioned that the appearance of small white flakes in the milk is one of the first indications of catarrhal mastitis. These flakes are usually present in the first few streams from the teat of the affected quarter, but sometimes they appear in the middle or at the end of the milking. But to the casual observer, the secretion at this time has the general appearance of normal milk and throughout the entire course of mild cases may not show any marked change. As the disease progresses, however, the careful observer will detect clumps of mucus or pus, usually in the first few streams of milk, or the first expression may con- 28 Louis A. KLEIN sist entirely of pus followed by milk of normal appearance. The first few streams from the teat may gradually assume more and more the appearance of pus, but the secretion subse- quently drawn from the udder will have the appearance of nor- mal milk unless the disease extends upward into the secreting structures, and then a turbid fluid resembling whey, or a fiuid resembling serum, containing clots of fibrin and clumps of pus, will be obtained from the affected quarter. In cases of severe mucous catarrh the secretion from the affected quarter becomes gradually more and more slimy and viscid and takes on a gray- ish tint. By carefully observing the changes in the secretion the extent and character of the disease may be judged, and these changes are also of assistance in making a prognosis. When the whey-like or serum-like fluid is present or the secretion contains much pus, the prognosis is unfavorable. ETIOLOGY Streptococci are nearly always found in the secretion from a quarter affected with catarrhal mastitis. Staphylococci are present sometimes, streptococci being absent, but in most. cases streptococci are present. F. S. Jones (1)! has isolated both hemolytic and nonhemolytie streptococci from cases of mastitis. The hemolytic streptococci could be classified in two groups on the basis of their action on carbohydrates, 19 strains in one group and 10 in the other, but all strains except 3 were ageglu- tinated by antiserum from a rabbit immunized with a single strain. On the same basis the nonhemolytic streptococci could also be divided into two groups, one containing 34 and the other 5 strains, while all the strains were agglutinated with an anti- serum prepared from one typical strain. On rare occasions the disease spreads rapidly through a herd, attacking one cow after another. This has occurred when the cows were in good physical condition, properly fed, and kept under good sanitary conditions, the infectious character in such instances being due apparently to a highly virulent strain of streptococci. But ordinarily, cases of the disease appear in a herd at irregular intervals, one case at a time or sometimes sev- eral at about the same time, cows standing in different parts of the stable and often those milked by different milkers being attacked. 1 Figures in parentheses following au_hors’ names refer to list of literature at end of paper. CATARRHAL MASTITIS IN THE Cow 29 Considering the opportunity for bacteria to be transferred from the udder of one cow to that of others by the hands of the milker, the manner in which cases of this disease ordinarily appear in a herd justifies the conclusion that other factors are concerned in addition to bacteria. On one oceasion the appear- ance of an unusual number of cases of catarrhal mastitis in a large dairy herd was found to be due entirely to washing the udders with water and permitting them to be exposed in a wet condition to a wintry atmosphere (2). The water flowed down the surface of the udder and collected at the point where the teat and udder join, dropping thence to the ground. The skin at this point was found to be inflamed, swollen, and in many eases cracked. As the skin is here separated from the mucous membrane of the milk cistern by only the subcutaneous and submucous tissue, the inflammation in the skin could readily extend to the mucous membrane. No streptococci or staphylo- cocci were present in the milk from the affected quarters, and when the plan was adopted of wiping the udder dry after wash- ing no new cases appeared, while all the affected cows recovered except several of those first affected in which induration had begun, and these were sold for slaughter. There is no informa- tion as to what extent, if any, catarrhal mastitis is associated with the ordinary chapped and cracked teats which are more or less common in cold weather. The udder may be subjected to the effects of cold in other ways, as when the cow is compelled to he upon a cement floor without sufficient bedding or is ex- posed to cold drafts. In a number of instances which have come under observation the circumstances have pointed to overfeeding as a factor in causing catarrhal mastitis. In one herd a number of cows began to give milk containing flakes and the feces of some of them were quite soft. On inquiry it was learned that the ensilage had been used up about ten days before and then the feeding of new hay, put up about three weeks earlier, was begun. As the cows seemed to like the hay and gave more milk, the quan- tity fed was gradually increased until a number were scouring. About this time the ‘‘flaky’’ milk began to appear and some of the other early symptoms of catarrhal mastitis were present. The hay ration was changed to two parts of old hay and one part of the new, and new cases soon ceased to appear, while those already existing recovered and the feces of the cows which 30 Louis A. KLEIN were scouring became normal. On several occasions the ap- pearance of a number of cases of catarrhal mastitis has been observed in a herd following a general increase in the amount of concentrates being fed. In one instance milk from the af- fected cows was examined but neither streptococci nor staphy- lococci were present. Certain cows have been under observa- tion which developed catarrhal mastitis whenever their grain ration was increased beyond a certain limit. These observations have led me to conclude that overfeeding and the effects of cold on the udder, but especially the former, play a very pronounced part in causing ecatarrhal mastitis, and that, while the bacteriology of the disease is important, these factors which appear to operate usually as accessory causes but which may cause the disease when operating independently must receive due consideration when treatment is prescribed. Several cases have been observed in which one quarter was slightly swollen and firmer than normal but not hot or painful, while flakes and sometimes clumps of mucus were present in the milk from the affected quarter, and the herdsman has ex- pressed the opinion that the quarter was not milked out thor- oughly at the previous milking. The milker has denied the charge and it has not been possible to arrive at the facts. Hot water bathing followed by massage usually restores these cases to normal in 12 or 24 hours. Incomplete milking and delayed milking are believed to favor the development of catarrhal mastitis by those who have had extensive clinical experience with the disease, and the practice of delaying or omitting milk- ing in order to ‘‘bag up’’ a cow which is to be exhibited or offered for sale is generally considered harmful. TREATMENT In general practice the treatment of catarrhal mastitis often fails to give satisfactory results. One of the principal reasons is that the veterinarian is not given an opportunity to apply treatment until the disease has made considerable progress. The best results can be obtained only when treatment is begun early and is based on proper consideration of all the etiological factors. But, unfortunately, the early symptoms are very slight or insignificant and under ordinary conditions most cases are likely to be overlooked until they have been under way several days. The first requirement, therefore, is some arrangement _—— CATARRHAL MASTITIS IN THE Cow 31 which will place all milking cows in the herd under close obser- vation for the initial symptoms. The treatment must be planned for the herd rather than for the individual cow. In herds operating under milk regulations requiring the fore-milk to be drawn into a special vessel and discarded, this close super- vision is easily arranged for. It is only necessary to have the vessel in which the fore-milk is drawn covered with a finely meshed wire strainer and to instruct the man who draws the fore-milk to watch carefully for flakes or clumps and to report any cow immediately when flakes or clumps appear on the strainer, or when there is difficulty in drawing the milk, or when any of the other early symptoms of catarrhal mastitis are observed. At the same time such provision as is possible should be made to guard against overfeeding, exposure of the udder to cold, and careless milking. Overfeeding is avoided with greater difficulty than the other conditions because the herdsman is naturally ambitious to obtain a high production. Upon the appearance of the first symptom of catarrhal masti- tis the grain ration should be immediately withdrawn and the feeding of ensilage or any other succulent material stopped, the cow being fed only hay; timothy is better than clover or alfalfa. At the same time the cow should receive a full cathartic dose of Epsom salts to deplete the inflamed area, and this should be followed by a diuretic to keep up the depleting effect. Sali- eylate of soda is a good diuretic for this purpose, as it is elimi- nated in part in the milk in the form of salicylic acid, which exerts an antiseptic effect upon the interior of the udder. Several years ago, in a paper (3) read before this Association, I recommended the administration of hexamethylenamina, a formaldehyde preparation, in solution by the mouth for the purpose of disinfecting the udder, and subsequently Frost (4) suggested the use of formaldehyde solution or formalin. Desir- ing to increase the disinfectant action on the udder, and believ- ing that the quantity of formaldehyde eliminated through the udder could not be increased very much by increasing the dose, I have endeavored to obtain a more powerful disinfectant action by administering salicylate of soda and boric acid in addition to the formaldehyde, boric acid also being partly eliminated through the udder. A half-ounce of sodium salicylate and 2 drams of boric acid! are given in solution in a quart of water 1 These two drugs should be kept separate until they are dissolved in the water. If mixed together in the dry state they ‘cake’ and form a more or less solid mass. 32 Louis A. KLEIN morning and night, and in the middle of the day a half ounce of formaldehyde solution in a quart of water is administered. From the beginning the affected quarter should be milked out at short intervals—every hour or two if possible. This is an important part of the treatment. A portion of any antibodies which may be found in the blood will pass over into the milk, and these, together with the antiseptics eliminated in the milk, will exert an inhibitory or destructive action on bacteria pres- ent in the udder, while the passage of the milk through the milk channels will wash the exudate from the diseased mucous membrane and carry out bacteria and their products. All of the beneficial effects which may be derived from the injection of antiseptic solutions into the udder may be obtained by fre- quent milking without the irritant effects which such solutions have upon the tissues and without danger of infected material being carried up into the unaffected parts of the udder by the injection. To obtain the best results this method of treatment should be made a part of the routine management of the herd and the veterinarian should supply the drugs in such form and with such directions as will insure their proper use in his ab- sence. No cow should be put back into the milk line and placed on full feed, however, until the veterinarian has had an oppor- tunity to examine the udder and to assure himself that resolu- tion has occurred. If induration appears, the affected part should be painted with a mixture of 2 parts of tincture of iodin and 5 parts of oil of turpentine two or three times a day until the skin becomes tender. This same treatment is also indicated when the catarrhal condition exhibits a tendency to persist. No local treatment is applied in the early stages of the disease unless the affected quarter is swollen, and then it is bathed in hot water for 20 to 30 minutes, rubbed dry and massaged with an ointment containing camphor, iodin or salicylic acid. This treat- ment is applied twice daily until the swelling subsides and the udder regains its normal consistency. At the time of writing, 44 cases of catarrhal mastitis have been treated under the system described. Of these, 36, or over 81 per cent, recovered, one-half of them by the fourth day and all but two by the seventh day. One of these two recovered on the tenth and the other on the twelfth day. The other 8 CATARRHAL MASTITIS IN THE Cow 33 cows included in the total number treated were sold for slaugh- ter. One was under treatment for 16 days and one for 17 days, and these were sold because the disease of the udder was considered incurable, but of the other 6 cases 1 went to the butcher on the second day after being discovered and placed under treatment, 2 on the third day, 2 on the fourth day, and 1 on the fifth day. These 6 cows were sold because of age, ~ poor productivity, or for some reason other than the disease in the udder. After recovery has occurred the cow should be kept on the hay ration for at least two days and then should receive not over 2 pounds of grain a day for the first week, and after that a gradually increased quantity until on full feed. If the cow is put back into the milk line and fed to force milk production too soon the disease will recur. I fully realize that the practitioner is called on to treat ca- tarrhal mastitis under conditions which make the adoption of this system difficult or impossible, but the principles upon which it is based apply with equal force to the treatment of all cases of this disease, and they should therefore be given all the - consideration that circumstances will permit. There are many dairy herds, however, in which the system can be introduced without any considerable change in the routine management. The infectious type of catarrhal mastitis calls for a different method of treatment. REFERENCES TO LITERATURE 1. JonES, F. S. Studies in bovine mastitis, I to IV. Jour. Expt. Med., vol. 28 (1918), no. 2, pp. 149-167; no. 3, pp. 253-267; no 6, pp. 721-733, 735-748. 2. KLEIN, Louris A. An unusual cause of udder disease. Amer. Vet. Rev., vol. 41 (1912), no. 1, pp. 30-87. . KLEIN, Louis A. Therapeutics of parenchymatous mastitis. Proc. Amer. Vet. Med. Assoc., 1913, pp. 395-399. . Frost, J. N. Formalin in the treatment of mastitis. Jour. Amer. Vet. Med. Assoc., vol. 4, n. s. (1917), no. 1, pp. 85-88. (oe) iN Prof. Charles Laveran, a leading French scientist, has died at the age of 77. He did notable work on microparasites and on diseases transmitted by insects. He was a member of the Academy of Sciences and the Academy of Medicine and asso- ciate director of the Pasteur Institute. In 1907 he received the Nobel prize in medicine. THE ACRIFLAVINE AND PROFLAVINE PREPARA- TIONS IN BOVINE PRACTICE * By E. J. Frick Manhattan, Kansas PREVIOUS TO THE WAR the flavine products were made only in Germany and their value as antiseptics was but little known. During the war they were made by British chemists and their solutions were much used in wound treatment. Acriflavine is diaminomethylacridine. Proflavine is diamino- acridine sulphate. There are many other compounds of the yellow dye group such as agroflavine, trypaflavine, ete., that are coming into general use. In human medicine acriflavine today is almost completely replacing the argyrol and protargol treat- ment in gonorrhea. The use of acriflavine and proflavine in bovine practice at the Kansas State Agricultural College clinic has extended over two years. The solution that apparently gave best results and was the most often used consisted of 1 gram of acriflavine and 5 grams of proflavine to 1 gallon of normal saline solution. This is about 1 to 4,000 of acriflavine and 1 to 800 of pro- flavine solution. It should be kept in amber-colored bottles, as strong light tends to decompose it. For intravenous use fresh warmed solutions should be used. To remove the stains on the hands wash with 1 per cent bichlorid soap. The flavines are antiseptic, not disinfectant, in action. In- hibition of bacterial activity is the marked property of these compounds. The high bacteriostatic power and low toxicity to living tissues of the flavines is of great value in the successful treatment of local infections. There is complete absence of evidence of damage to tissues where the acriflavine and proflavine salts are used in solution not stronger than 1 to 1,000. They are not neutralized by ad- mixture with body fluids such as serum, urine, ete., therefore they do not require frequent renewal. They possess a high diffusibility and will penetrate through the submucosa of the urethra and bladder. They are relatively nontoxic and non- irritating. 1 Presented at the fifty-ninth annual meeting of the American Veterinary Medi- eal Association, St. Louis, Mo., August 28 to September 1, 1922. 34 ACRIFLAVINE AND PROFLAVINE ao Regarding the clinical use of the flavine solution on bovines, we have had very good results in the treatment of vaginitis, cervicitis, metritis and retained placenta, thoroughly washing out the horns and body of the uterus, using the return flow irri- gation method with a solution of one ounce of our flavine solu- tion to a gallon of clean normal saline water. Where infection is severe a stronger solution can be used without danger of irritation. In conditions of septicemia such as metastatic pneu- monia following metritis, ete., intravenous injections of the stock flavine solution are administered. The dosage will be dependent on the condition. Thirty ecubie centimeters every two hours for two days showed marked beneficial results in our hands. Local injection of infected quarters in eases of puru- lent mastitis, with the regular flavine solution, together with the internal administration of one ounce of formalin per os have given prompt recoveries. Puncture wounds of the udder re- sponded well. As a wound dressing, wet flavine packs have given excellent results in recent wounds. There is an absence of toxicity in large wounds, prevention of suppuration and spreading of sepsis, and the primary dressing need not be changed for two or three days, and then is easily and pain- lessly removed. The yellow staining property is proof of its penetrating power and has its effect on the owner. In long-standing, stagnating wounds and in infections caused by Bacillus necrophorus we have found iodin and potassium permanganate solutions to be more effective than the flavines. For washing out wound cavities, open joints, ete., one ounce of flavine solution to a quart of normal saline has worked ad- mirably. When administered by mouth or intravenously, acriflavine and proflavine appear in the urine in less than one hour and continue for 24 hours. We have not had an opportunity to test their value clinically in purulent nephritis or cystitis, but favor- able case reports in human medicine are not lacking. In Belgium an acriflavine paste prepared by mixing 0.1 per cent of acriflavine with sodium stearate is commonly used. Also a gelatin or starch mucilage containing 0.1 per cent of acri- flavine is extensively used. The flavines seem to have a selective action against the cocci group of organisms, as best results are obtained when treat- ing that type of infection. Subcutaneous or intramascular in- 36 E. J. Frick jections of dilute proflavine and acriflavine 1:1,000 solutions may be given in conditions where indicated. The flavines are not expensive when properly used, as a gallon of the combined 1 to 5 mixture costs about $1.80 and will go a long way. It leaves no disagreeable odor on the hands, and the stain is easily removed by means of bichlorid soap or solution. In conclusion we wish to state that we have found solutions of acriflavine and proflavine to be decidedly beneficial in recent wound treatment in uterine and other body cavity infections and when used intravenously in conditions of septicemia, pyemia, pneumonia, etc. These preparations, like some few new friends, wear well and improve on further acquaintance. LIVESTOCK DEVELOPMENT IN CENTRAL AFRICA A recent report on government agricultural operations in the eastern province of the Belgian Congo, in the heart of Africa, shows that veterinary science is playing an important part in the development of a region that was first made known to the outside world by Stanley’s explorations less than thirty-five years ago. Good pasturage affords a favorable condition for stock raising, but livestock are not numerous. The Belgians are introducing good breeding animals and are taking steps to breed up the native stock by crossing. Dipping tanks are being installed. Bovine ‘‘sleeping sickness’? (nagana?) and a disease known locally as ‘‘bitaka’’ are reported. Rinderpest has been excluded. Buttermaking and cheesemaking are being developed, and churns are being introduced, as the native products ‘‘do not present guaranties of necessary cleanliness.’’ Goats are numer- ous in some districts. Orpington chickens have been introduced and are doing well. It is interesting to note that the Belgian Government is carry- ing out its promises to the natives by turning over to them breeding animals in payment for their aid in furnishing food and porters for the Belgian African forces during the war. In the more fully developed region to the west the Belgians have a veterinary research laboratory. Among other work, in- vestigations in vaccination against rinderpest are being carried on. This disease causes a mortality of 80 to 90 per cent in the native cattle which it attacks. THE HANDLING OF THE FISTULA OF THE WITHERS IN PRACTICE + By B. W. Conravd Sabetha, Kansas IN ALL VOCATIONS there are unpleasant phases of use- fulness. Human tendencies are to criticize and lay stress on disappointments. Veterinarians fail to perform the necessary surgical interference to make recovery possible in cases of fistula of the withers. Hoping to assist brother practitioners in their field of endeavor, I offer the result of seventeen years of ex- perience in country practice, covering many cases of this disease. The cause of fistula is immaterial. The fact that it exists is all sufficient. The essential thing for our profession is its cure, and as promptly as possible. The history, nature of swelling and location are of importance as showing the treatment neces- ary and in giving prognosis. Many cases are made incurable by the treatment of owners and empirics. Blistering seldom repairs the condition and must be approached with caution. Structures involved are too deep-seated to gain relief by exter- nal medication. My experience in the use of caustics has been disappointing. For twelve years [ have followed surgical in- terference, and the longer I practice it the more convincing is its efficiency. The use of the Williams operation for poll evil and fistula has been followed for years. For the poll evil, it is good, but for the fistula I modify the operation and avoid the long incision on the crest of the withers, thus doing away with the possible large gaping wound and the unsightly conditions that my clientele resents. True, my treatment is more difficult and requires a more careful procedure, but its advantages war- rant its continued use. Manner of restraint is by twitch, local anesthesia, complete anesthesia and casting harness. Complete anesthesia is the ideal condition, but local conditions often make it impossible. Any other condition is courting censure from the humane society and lovers of animals. The instruments needed are clipping shears, scalpel, retractors, blunt-pointed bistoury, artery forceps, dressing forceps, curette, bone saw and bone forceps. 1 Presented at the fifty-ninth annual meeting of the American Veterinary Medical Association, St. Louis, Mo., August 28 to September 1, 1922. Ot 38 B. W. Conrap The affected part in the adjoining area is clipped and painted with tincture of iodin. Be sure that the iodin covers not only the field of operation but also that area liable to give added in- fection during the operation. I take double precaution by wash- ing the area above described with antiseptie solution, then let it dry. Another application of iodin is then applied. With the scalpel I make two incisions on each side, one anteriorly, one posteriorly, to enlargement. The anterior one is made obliquely downward and forward. The posterior one is made downward and backward. With the retractor lift the skin from each opening, and by use of the scalpel separate the skin from the enlarged area. Through the four openings dissect out the ligament and all necrotic tissues. In case the part to be removed is larger than the opening, divide the tissue into sections and thus remove it. Examine the spinous processes carefully; if injured, curette; if broken, remove with bone saw or bone eut- ters. Curette the whole cavity. With dressing forceps and pledgets of cotton remove all remaining tissues. Apply tincture of iodin to inside of cavity. Pack cavity with iodiform gauze. Remove in twenty-four to forty-eight hours. Then apply zine oxid ointment or 00 capsules filled with iodiform every two or three days. The great enemies of fistula are, first, the old-time quack with his bluestone, corrosive sublimate, butter of antimony, and caus- tics. Next is the officious neighbor advising some form of aqueous solution to irrigate the wound. Last, but not least, is the pharmaceutical house with its sure cure of fistula for two dollars. The added use of bacterin in many cases assists the healing process, but all necrotic tissue once removed, very little after treatment is needed. The National Veterinary Medical Association of Great Britain and Ireland held its fortieth annual general meeting at Bath, a noted English watering place, August 1 to 4. A British veterinarian, according to The Veterinary Record, has executed an unusual commission in killing in a humane manner 27 cats belonging to an octogenarian spinster. The old woman’s pets had overrun her establishment, and a relative ordered a wholesale clearance. DISPENSING AS AN ASSET TO THE VETERINARY PRACTITIONER ' By CHARLES W. BowErR Topeka, Kansas IN PREPARING THIS PAPER it was not the writer’s atti- tude to create any antagonistic feeling among our coworkers and friends the druggists. They have vast fields in which to work, and we are proud when we have several good pharmacists in our eity with whom we can cooperate. In selecting this subject I have in mind six main topies that I wish to bring out and upon them express due emphasis. 1. Dispensing as an asset (a) to veterinary practitioner, (b) to the clientele. 2. Accuracy. 3. Brings business back to you. 4. Purely professional. 5. A unique system in practice. If a proper system of dispensing is followed it will be readily noted that the drugs dispensed will mean a great asset every month. From records cf the writer’s practice it will be found that in a month’s business that has a gross income of $800 there will be from $150 to $200 of dispensing. This is not at all out of the ordinary, and it may be had in any practice if only a little time and care are given to this branch of our profession. Another asset to the practitioner from dispensing is busi- ness that you would not get if it were not that your client wants a certain medicine. It happens many times that a per- son will come for a certain drug or combination of drugs to treat a case that he has diagnosed himself and doubtless cor- rectly, too. He could just as easily go to the drug store, where he would purchase some patent concoction, but he knows that you will dispense, and thus he will give the business to the one to whom it rightfully belongs. As an asset to the clientele I find that I can save my clients at least 66 2/3 per cent on their prescriptions and then make a very desirable profit myself. As another asset to the public, let * Presented at the fifty-ninth annual meeting of the American Veterinary Medical Association, St. Louis, Mo., August 28 to September 1, 1922. 39 40 CHARLES W. BOWER us take the man that came to you instead of going to the drug store. In this ease let us imagine that he did not make a correct diagnosis. When he comes to you and asks for a certain medi- cine and tells you what he wants it for, you have the oppor- tunity to prescribe and dispense for his exact needs and thus avoid the expense of his experimenting and injuring his animals. As a second general topic, let us consider accuracy. Do not misunderstand me. I do not wish to imply that we as prae- titioners are much more accurate than a pharmacist, but it has come to pass many times in my practice and in yours that a pharmacist would get a certain prescription and if he didn’t happen to have just exactly what was ealled for he would do a little substituting, and then if we didn’t get the desired re- sults our clients would blame us and we would not know why. If there is any substituting to be done the practitioner should be the one to do it. We are trained in our various veterinary colleges to com- pound formule and to dispense in a professional way, and it is no more than right for us to exercise this training. Further- more, it keeps our minds keen on materia medica, and causes us to look up and study medicine and materia medica more than we ever did in college. In conclusion of this paper the writer wishes to bring before this group of practitioners a system that has been worked out in his practice. A great deal of dispensing is done, but a prescrip- tion is written for all medicine dispensed. The prescription is written just the same as if it were going to the druggist, but instead it is numbered and the corresponding number is placed on the label and the prescription is filed for further use and reference. At first thought you will probably think that this is a lot of needless work and expense. In fact, perhaps many of you are telling yourselves that ‘‘I dispense as much or more medicine than that fellow, and I don’t keep such a record either.’’ That is doubtless true, but you should consider that with this system you not only have a complete record for refillmg, which may be done absolutely accurately, but you also have a record of. your good prescriptions that really hit the pomt. You also have the price you charged your clent, so that there will be no dispute when a refill is made; and furthermore it will aid you to render better service. For example, suppose a client DISPENSING AS AN ASSET 41 would come into your office a year or two from the time he had a certain prescription filled and say to you: “Doctor, I want some of that medicine you gave me for my horse some time ago.”’ It would take a good memory for a busy practitioner to remem- ber what the man wanted. Whereas with the number on the old container the prescription may be readily found and refilled in proper and professional manner and accuracy. A neat label and a suitable container should be provided and the package should be neatly wrappped. When your clients see you dispense and keep your record in such a manner they will doubtless ask many questions, but they will believe in you because they will readily see that you are putting in some extra effort really to help them and that you are making professionalism and accuracy paramount. The appointment of Dr. Ernest B. Forbes, of Chicago, as director of the Institute of Animal Nutrition at Pennsylvania State College, was announced by President Thomas. He will assume charge of the institute at once. Dr. Forbes received degrees in science and agriculture from the University of Illinois in 1897 and 1902 and the doctorate degree from the University of Missouri in 1908. At one time he was acting entomologist for the State of Minnesota and taught entomology and animal husbandry in the Universities of Illinois and Missouri before undertaking nutrition work at the Ohio experiment station. He is a member of the National Research Council, the American Chemical Society and other similar or: ganizations, and his specialty is work with mineral elements in animal nutrition. In Memphis, Tennessee, on July 28, a number of enthusiastic veterinarians from Arkansas, Kentucky, Mississippi, Missouri and Tennessee took steps toward organizing a new association to be known as the ‘‘Dixie Veterinary Medical Association’’ with a permanent home in Memphis. Officers were elected and a committee appointed to draft a constitution and by-laws with the understanding the first meeting to be held some time in October, 1923. SOME OBSERVATIONS OF PRACTICAL INTEREST! By M. Jacos University of Tennessee, Knoxville, Tenn. IF ONE were to attempt a review of experiences extending over a period of more than twenty years, giving due considera- tion to those things having both useful and practical bearing, it would occupy more time and space than one could reason- ably expect on an occasion of this kind. However, if one is so inclined with his work, it is easily possible to present at least a few observations that may be of interest to those engaged in a similar vocation. The important problems confronting the veterinarian in one section of the country may be of lesser im- portance in another. As a matter of fact, they vary from an all-important to a negligible factor regarding their influence toward successful animal husbandry. This no doubt has in a measure been responsible for a difference in viewpoint regard- ing many important problems involving the activities of the veterinary profession. This is true also of many other lines of endeavor and should not be interpreted as lacking in pro- fessional efficiency. It is perfectly natural that one should become more conversant with problems that with him are more or less continual than those he has to deal with only now and then. However, as time goes on, every problem is becoming more universal, this through the influence of our modern sys- tem of education and a desire on the part of the veterinarian to familiarize himself beyond the confines of his immediate work. Then again, our commercial activities are such that a problem*which is vital in one State, county or section today may be equally so in an entirely different one tomorrow. This is applicable especially to the livestock industry and therefore ~ of interest to the veterinarian. With these few basic thoughts in mind, it is my purpose to review a few observations. which I trust may be of some interest. PowpEery MimpEew or RED CLOVER During the early part of last May we began receiving let- ters of inquiry at the University of Tennessee regarding a pecu- 1 Presented at the semi-annual meeting of the Virginia Veterinary Medical Asso ciation, Blacksburg, Va., July 13, 1922. 42 OBSERVATIONS OF PRACTICAL INTEREST 43 liar clover disease appearing in some sections of the State. As time went on these inquiries became more numerous, and by the latter part of May we were receiving enormous numbers of inquiries by every means of communication, seeking informa- tion regarding this new clover disease and especially as to whether or not it was harmful to livestock. In the meantime, however, it had become prevalent on each one of our Experi- ment Station farms, and, as in every other section, was con- fined entirely to red clover. When submitted to our plant pathologist he identified the mildew as Erysiphe polgoni, which had occurred the previous year in some of the Eastern States, but further than that could give little or no information about it. Our Federal authorities could add nothing more other than that in Europe, where it has previously been seen, vet- erinarians had reported the occurrence of inflammatory condi- tions affecting the mucous membrane of the mouth, throat and stomach when red clover affected with this disease was fed to livestock. In order to give our farmers dependable information regard- ing the advisability of feeding this mildewed clover, a prelimi- nary feeding and grazing experiment was undertaken. This was considered very urgent, as many were reluctant in cutting their red clover for hay, and if it were not so used an enormous loss in feeding material for this year would have been entailed. Fortunately we had one field of about ten acres on the Station farm at Knoxville sown almost entirely to red clover and which was admirably adapted to conduct the experiment, which was started May 31. The field at this time had the appearance as though limestone dust or ashes had been broadeasted, which gives an idea as to the prevalence and extent of the mildew. A part of the field was inclosed, on which we placed four hogs and four sheep. They grazed on this area without anything else ‘except water for a period of 14 days. From the other part of the field the clover was cut and cured for hay in the usual man- ner. This was fed to four Percheron colts, from one to two years old, and four Holstein heifers, each receiving only a small amount of grain. The hay was fed in quantities of about as much as they would consume, extending over a period of 14 days for the heifers and 35 days for the colts. Dur- ing the entire period the animals were under close observation, and they gave no evidence that the clover so affected was un- 44 M. JACOB palatable and, as a matter of fact, seemed to consume it with the usual relish. At the close of the experiment the interior of the mouth of each animal was closely examined, but no evi- dence of any irritation could be detected. Furthermore, they all came out of the feeding and grazing experiment without any ill effect whatsoever. Our conclusion, therefore, was that powdery mildew of red clover (Erysiphe polygont) is harmless to livestock. However, in giving these results to the farmers and veteri- narians of the State, we drew attention to the fact that the spread of this red clover disease could be partly accounted for by the unusual amount of rain during the spring and early summer, with the result that it was a very difficult matter on many farms to cure the hay properly before it was stored or stacked. We therefore may expect to see more or less forage poisoning if moldy hay of this kind is fed promiscuously, espe- cially to horses and mules, which might incorrectly be attributed to the powdery mildew disease, which of itself has been found to be harmless. ~ Epizootric oF CANINE PSsEupo-EPILEPSY During the early part of the past winter I received a few letters from the western section of the State asking for advice regarding a peculiar disease occurring in a dog which the owner always described as ‘‘fits.’? At that time I attributed the condition either to a complication of distemper or to some diges- tive disturbances brought on by the presence of intestinal parasites. But before long I began to realize that a condi- tion existed which was entirely new to me and which differed very decidedly from the usual line ‘of nervous disturbances in dogs with which we are all more or less familiar. By the be- ginning of April it had become so widepsread that the laity had _ already determined upon its nomenclature and referred to it as ‘‘fright disease,’’ ‘‘running disease,’’ ‘‘fit disease’ or “run- ning fits,’’ based, of course, upon the most pronounced symptoms. Since then I have had an opportunity to observe a great many of these cases and have endeavored to draw some conclusions based upon clinical characteristics. I have made a careful search of available veterinary literature, but as yet have been unable to find anything which in its description bears any re- semblance to this disease unless it is tetania or tetanus inter- OBSERVATIONS OF PRACTICAL INTEREST 45 mittens, referred to but very briefly by Hutyra and Marek. So far as I have been able to learn, it has made its appearance in practically all of the Southeastern States. Whether it has oe- curred in other sections of the country I am not at this time prepared to say. As in true epilepsy, the onset is very sudden, with no ap- parent premonitory symptoms. The dog goes into a state of extreme excitement, and unless confined will run and howl as if terribly frightened. At times the attack is more typical of the ordinary convulsion, although a complete loss of conscious- ness is not characteristic, in which respect it differs from true epilepsy. The attacks are usually of short duration, lasting as a rule for only a few minutes, following which the dog again assumes its normal composure. In the majority of cases there is a recurrence of the attacks within a few hours, days or weeks. I personally know of cases that have developed these paroxysms at varying intervals for a period of more than two months. Then again, I know of others that had only one attack and suf- fered no further inconvenience. In a few eases, following re- peated attacks, the dog manifested considerable depression. During the periods of excitement there is frequently noticed involuntary movement of the bowels and kidneys. There is no change in temperature other than a slight elevation during or immediately following the attacks. It affects dogs of any age or breed. The history of these cases does not indicate an asso- ciation or complication with any other disease, the owner in- variably stating that the dog appeared absolutely normal pre- vious to the attack. In a few cases upon which a postmortem was held there were no visible lesions other than a hyperemic condition of cranial meninges, varying somewhat in intensity. The mortality from this disease is comparatively low, although a large number of dogs so affected have been destroyed, on account of the faulty impression that it was a form of rabies. I have heard of com- munities where the dog population has been practically wiped out, the people having become panic stricken when a few of these cases occurred, which resulted in destroying not only the affected dogs but the exposed or others of the community as well. Then again in some instances the owner or attendant has been bitten while trying to control the dog during these violent 46 M. Jacos attacks. This was due, however, to the fact that the dog was biting for freedom instead of with malicious intent. Neverthe- less, as is usually the case under conditions of that kind, the guilty dog as well as others in the neighborhood must submit to destruction. The treatment as carried out by myself has been relatively simple, consisting of a hypodermic of apormorphia in one-tenth to one-eighth grain doses administered during or immediately following an attack, and in one or two hours later give a large dose of castor oil, the latter to be repeated in four or five days. In addition the dog should be fed very lightly for at least two weeks and should be confined in the meantime. Fol- lowing the initial dose of apormorphia, nerve sedatives in the form of bromides may also be indicated. This line of treatment has given satisfactory results. Now the question comes up, what are we dealing with? As previously stated, until the beginning of the present epizootic this disease, in its present form at least, was entirely new to me, and the fact that no dependable reference could be found in any veterinary treatise is further evidence that it is new or has passed unobserved by the profession. Although having no laboratory proof, I am of the impres- sion that it is an infectious disease with the probable localiza- tion of the organisms in the region of the eentral nervous sys- tem and manifesting itself by the psychic disturbances already referred to. It would be difficult to conceive of a disease be- coming so widespread in such a short period of time, presenting such well-defined symptoms, unless there existed a specific etio- logical factor. There may, of course, be certain secondary con- ditions essential for its occurrence, which, to me, however, have not become apparent. From the fact that dogs in the pink cf physical condition seem especially susceptible, the disease bears considerable resemblance to many other infectious diseases with which we have to deal. The future no doubt has in store for us considerable interesting information regarding this disease. In the meantime, however, we might at least adopt a name suit- able to the condition. I would suggest canine pseudo-epilepsy, to which the term ‘‘infectious’’ might be added whenever subse- quent. pathological study establishes this fact. bp OBSERVATIONS OF PRACTICAL INTEREST 47 UppER INFLATION Another thing which has been of more than ordinary interest to me is the effect of udder inflation in the treatment of animal diseases. For a number of years we have been more or less familiar with results that at times seem marvelous in the treat- ment of parturient paresis when the udder is inflated with air or oxygen. There was a time when I gave no consideration to this method of treatment unless the case was typical of partu- rient paresis and occurring within a few days of or soon after calving. But as time went on, I found myself using this method of treatment in milk cows in many eases that could not right- fully be called parturient paresis or milk fever, if we consider its relationship to calving as an essential in making our diag- nosis. Such cases as I refer to are characterized by normal or subnormal temperature, incoordination of gait or else the cow being unabble to stand, and marked depression going on to a state of complete coma, the bowels in some cases being inactive and in others decidedly loose. While in a recumbent position, the cow usually maintains a posture typical of the ordinary ease of milk fever. These symptoms may be present at any time during the gestation period or even when she has not been carrying a calf for several months. Usually such cases are referred to as toxemia and the history is such that the condi- tion may rightfully be attributed to some dietary cause. At any rate we are safe in saying that parturition in many of these eases is not a factor. Yet my experience has been that a very large percentage of these cases readily respond to the ordinary milk-fever treatment. This with me has become so firmly estab- lished that whenever, to use the common expression, “‘the cow is down or nearly down,’’ and the case is acute and not of traumatie or infectious origin (specific), the inflation of the udder becomes the important part of the treatment. This may appear to some as being on the verge of empiricism. However, I ean answer this by asking whether the pathology of partu- rient paresis and its treatment have ever been explained to your entire satisfaction ? Another observation along this line which I believe has some practical virtue is the ability to prevent typical parturient paresis by maintaining the udder in a partially distended con- dition both before and for several days following parturition. 48 M. JAcos This, of course, is accomplished by not milking at all a short time before and only partly for a few days after the calf is born. It is only reasonable that this should be so, as it is simply a natural instead of an artificial means of distending the udder. Another condition in cows which has responded with at least a fair degree of success are strictures or fibrous teat ob- structions. By repeated inflations bringing about a continuous stretching of the lumen of the teat gradual but satisfactory improvement has occurred. When we take into consideration that ordinary surgical interference in cases of this kind is far from satisfactory, we have reason to expect far better results from the inflation method. In my experience this form of treatment has served a very useful purpose in the treatment of eclampsia in bitches. The teat orifices in bitches can not readily be entered, consequently the inflation apparatus is adjusted with a fine hypodermic needle and inserted deep into glandular tissue for the inflation of each section of the mammary glands. This treatment is further supplemented by the administration of hypodermic in- jections of apomorphia. I should state in this connection, how- ever, that in a few instances I have observed sudden deaths, which I attributed to a puncturing of the blood vessel, bringing about emboli with fatal results. In order to avoid this, instead of inflating the mammary glands, I have more recently resorted to the inflation of the uterus. This can be done by introducing a suitable tube through the vagina directly into the neck of the uterus and then holding the lips of the vagina firmly with the fingers for a period of fifteen or twenty minutes. I will cite a case incidentally coming under my observation several years ago—to be more specific, in the spring of 1913— which I consider interesting from the standpoint of the subject under discussion. The wife of a very close friend of mine was confined and subsequently developed a very severe case of puerperal eclampsia. In spite of the efforts of several good physicians, she gradually became worse and a fatal termination was anticipated at any moment. The physicians, who were also my personal friends, stated that they had exhausted every method of treatment. I availed myself of the opportunity to suggest that they try the inflation of the breasts with oxygen. Within twenty minutes they had the oxygen tank ready and were administering the treatment. Within 30 minutes more OBSERVATIONS OF PRACTICAL INTEREST 49 the afflicted woman showed marked signs of improvement, which continued to a rapid and uneventful recovery. I believe that I have brought out enough to emphasize the rather wide range of usefulness for this method of treatment. There are, however, a few things that should not be under- estimated. First, the importance of an absolutely aseptic tech- nique, and second, discard air and use only oxygen. I am an advocate of oxygen because it lessens the possibility of con- tamination, the cost is not prohibitive, and it is much easier to administer and gives more satisfactory results. The greater respect which it commands from your client should at least make the use of oxygen worth while. BRAHMAN CATTLE FOR THE GULF COAST A Brahman bull has been purchased for the Iberia Live Stock Experiment Farm which is conducted by the United States Department of Agriculture at Jeanerette, La. There is a general belief among some cattlemen in certain sections of the southern coastal region of the United States that the progeny of grade Brahman bulls of desirable type have certain out- standing merits that make the use of these bulls on native and grade cows preferable to the use of sires of better-known beef breeds. Several points favoring Brahmans are claimed by the pro- ducers. Among the more important ones it is claimed that Brah- man eattle withstand the insect pests and diseases prevalent in the low and damp areas and that they withstand the heat during the summer season better than the recognized beef breeds. It is also claimed that fewer bulls per hundred cows is necessary where Brahman bulls are used, and the basis for this statement is attributed to the vigor and vitality of Brah- man bulls. The work at present is to compare the merits of a purebred bull of a breef breed and a Brahman bull as sires for a herd of grade beef cows in the South. BEFORE AND AFTER As the old darkey said, ‘‘ A chicken am de most usefullest ani- mule there be. Yo’ can eat him befoah he am bohn an’ aftah he am dead.’’—Lvfe. TUBERCULIN TESTING THE DAIRY COW + By W. F. Mier Stuttgart, Arkansas THE EXTENT and rapid increase of bovine tuberculosis has, during recent years, caused alarm, and rightly so, because of its effects in reducing the general food supply and its great danger to human health. Admitting, as we must, the increase of this disease among our food-producing animals, particularly cattle and swine, it appears that this fact should cause as great concern from a practical health standpoint, irrespective of the direct communicability of tuberculosis from animal to man. The im- portant question as to whether bovine tuberculosis can be di- rectly communicated to man has attracted considerable atten- tion in this country for several years and has been discussed at several medical meetings and by scientific men generally for the past several years. The conclusion has been reached by the most advanced thinkers and writers that bovine tuberculosis is readily transmitted to man. Of all the diseases that affect humanity, tuberculosis is the most fatal. It has been conservatively estimated that each year there are 1,095,000 deaths from this disease throughout the world, representing 3,000 each day, two for each minute. In the United States there are, according to Dr. Frederick L. Hoffman, Actuary of the Prudential Life Insurance Company, 150,000 deaths annually at an average of 35 years of age. A pamphlet issued by the Prudential Life Insurance Co. says: ‘‘Each of these deaths represents a loss of 32 years, so that the loss of life, if measured in time units, annually amounts to the startling total of 4,800,000 years. In terms of earning capacity the loss ean not be set down at less than $240,000,000 annually from this disease in the United States alone.’’ In Arkansas there is a loss of approximately 3,000 human be- ings from tuberculosis annually, affecting chiefly young men and women between the ages of 20 and 30, and at any time approxi- mately 25,000 people in the State are totally or partly incapaci- 1Presented at the meeting of the Arkansas Veterinary Medical Association, Little Rock, June 9, 1922. 5) TUBERCULIN TESTING 51 tated by reason of the prevalence of tuberculosis. “fen per cent of the patients in one sanitarium at Denver are from Arkansas. Tuberculosis kills as many people, young and old, as diphtheria, croup, whooping cough, scarlatina, measles and typhoid fever taken together. Therefore, it is a social problem worthy of our serious consideration. During the past few years this problem has been receiving an increased amount of earnest attention. Only a few years ago it was neglected, and there was, in fact, no social effort being made to combat its ravages, whereas at the present time there is a well-organized movement looking to the eradication and prevention of this terrible disease. People are being educated and instructed how by proper precautions the afflicted may be cured and the well prevented from contracting tuberculosis. ; It is an undisputed fact that tuberculosis can be acquired by ingestion as well as by inhalation and inoculation, but until re- cently the part played by cow’s milk in the transmission of this disease has not begun to receive serious consideration. That many persons, both old and young, have been infected with tubercle bacilli through the milk of cows suffering from this disease is one of the best attested facts in modern pathology, but the extent to which children are the victims of this plague is only now being recognized. Many of the leading conservative authorities have long held that feeding upon milk from tuberculous cows is one of the causes of infection to which close attention should be given. Prof. von Behring goes very much further and says that the milk fed to infants is the chief cause of infection. Dr. E. F. Brush, one of our best authorities, regards all tuberculosis as be- ing of bovine origin. In conclusion, I appeal to every veterinarian in the State of Arkansas to urge the tuberculin testing of dairy cattle. Dr. Mason Weadon of Washington, D. C., who graduated from the University of Pennsylvania in the class of 1922, has located at Vero, Florida, where he states a better opportunity is offered for veterinary work than one would imagine. Dr. Weadon is also interested in a large citrus fruit grove and a chicken ranch and is optimistic about the rapid develop- ment of his locality. A COMPARATIVE STUDY OF HUMAN GRIPPE AND CONTAGIOUS PLEUROPNEUMONIA OF THE HORSE (EQUINE GRIPPE) By Dr. E. BemeutmMans, Tilbourg, Holland Translated by BE. Muprep OstraANDER and DoNALD C. BEAVER Department of Pathology, Detroit College of Medicine and Surgery, Detroit, Michigan (Continued from the September JOURNAL) III. BaActTERI0oLoGyY In spite of bacteriological researches undertaken on many sides since the beginning of the twentieth century, no one has succeeded in establishing the etiology of the so-called contagious pleuropneumonia of the horse. Before Schiitz, who, as a result of his researches in 1887, con- sidered the diplo-streptococeus as the cause, Friedberger in 1874, as well as Siedamgrotsky, appear to have already deter- mined the presence of a coccus by the microscopic examination of the pleural exudate. Peterlein, Perroncito and Brazzola, and also Mendelsohn, found in the hepatized lungs of horses diplocoeci analogous to those of man. The investigations of Rust (1887), Hell and Foth (1888), Chantemesse and Delamotte (1888), Cadéae (1889), Fiedler (1891), Falke and Silvestrini and Antonini (1899) confirmed the opinion of Schiitz. Some experimentalists succeeded in provoking a pneumonia in horses by means of an injection of cultures of diplo-strep- tococci into the lung (Schiitz), as well as in the trachea (Hell). Cadéac succeeded equally with donkeys, while Fieldler, accord- ing to his writings, provoked typical pleuropneumonias with pure cultures. In opposition to this group of investigators are those who at- tach a greater importance to the ovoid bacillus as the etiologic factor of the disease. The high mortality among horses of the Parisian Omnibus Company was the cause of Pasteur himself directing his atten- 52 HUMAN AND EQUINE GRIPPE 53 tion to the disease in 1881. Pasteur inoculated guinea-pigs with the nasal secretion. These suecumbed, and from various organs he obtained oval bacilli in pure cultures and which pre- sented a great analogy with the bacillus of fowl cholera. How- ever, Pasteur never considered these ovoid bacteria as the cause of the affection. In 1890 there were published the results of Babes’ investi- gations, which he considered as the continuation of those of Pasteur. Babes found in the lungs of horses, in addition to diplo-streptococci identical with those determined by Schiitz, some oval bacilli whose morphologic and pathogenic characters conformed largely to those of the oval bacillus of rabbit sep- ticemia and fowl cholera (of the hemorrhagic septicemia group). Direct injections of these oval bacilli into the lungs seemed to provoke pneumonias with necrotic foci and which were fatal. Ligniéres interprets in the following fashion the action of oval bacilli associated with the diplo-streptococei of Schtitz: The oval bacilli invade the equine organism only at the beginning period of the disease, preparing the ground for the action of the diplo-streptococei of Schiitz and then quickly disappearing. As is known, the absence of Pfeiffer’s bacillus of influenza in fatal cases of human influenza is explained in an analogous way. As for the significance of the oval bacillus (coceus) of equine erippe, my bacteriologic researches have proved that these germs are found in the course of this affection in the respiratory ap- paratus; their presence, without any doubt, is sporadic. The researches of Ostertag and Troester, of Bongert and Grabert, of Pfeiler, of Robert Koch, of Gaffky and Luhrs, have shown decisively that one must not attribute to the oval bacilli of Ligniéres any causative role, either for the malady called con- tagious pleuropneumonia with a normal progress, or for the pneumonia with complications. From what precedes it follows that until 1900 investigators did not aim to discover the germ which essentially provoked the affection, but their chief aim was to discover what microbes were the cause of the pulmonary complications. Generally this sec- ondary pulmonary inflammation was considered as a primary contagious pneumonia and not as a complication. After 1900 reaches were instituted, especially in Germany. It is interesting to state that since that time it has no longer been 54 EK. BEMELMANS a question of the oval bacillus as a cause of the secondary pneu- monia. It may be admitted as proved that in different regions the secondary infections of the lungs, which occur in the course ot equine grippe; are provoked chiefly by two germs—the diplo- (pneumo)-streptococcus and the oval bacillus. The presence of the first is always more frequent. If the second bacillus is ob- served, diplo-streptococci will be noticed at the same time. At the end of the twentieth century the study of the affection was entrusted chiefly to Professors Ostertag and Troester. Troester’s investigations, treating especially the experimental production of contagious pneumonia, were negative. Ostertag likewise obtained no results. As contagious pneumonia always presented a great danger to the combative force of the army, Robert Koch received the gov- ernmental commission to begin research on the cause of this affection. It was hoped that the question would then be cleared up. However, such was not the case, for the results obtained by Koch contributed nothing new concerning the nature of the disease. In particular, Koch was able to attribute to diplo-streptococei only a causal role of the secondary affection, although frequently found in the respiratory tract and the lungs, because— 1. It was impossible to produce the so-called pneumonia with a pure culture of diplo-streptococcus; 2. In some eases, which moreover were very acute, their pres- ence in the lungs could not be detected. Likewise the disease could not be provoked with other bac- teria, particularly the oval baccillus found in the affected lungs. This eminent experimenter also carefully investigated, as was his custom, whether other animals might eventually be taken into consideration as carriers or transmitters of the virus, as had been previously supposed. Mice and rats treated with the excrement of pleuropneumonia sufferers never became ill. It was the same with healthy horses receiving with their rations the excrement of mice and rats, as well as insects taken in the contaminated stables. hes, gnats, spiders, coleopteras, bugs and other insects found in the infected stables were transported, together with some dust, into other stables which were not con- taminated and were placed on healthy horses, without a single infection being produced. The results were likewise negative HUMAN AND EQUINE GRIPPE ays) with the only insect which sucks the blood, Hematopinus macrocephalus, an insect commonly found on horses. At the end of his report Koch declared that the question of the nature of contagious pneumonia remained absolutely unsolved. After the death of Koch, Prof. Gaffky received the commission to continue the research. This investigator, in collaboration with health officers and military veterinarians, instituted new, ex- tensive microscopical researches, utilizing the most recent meth- ods. He examined 523 organs and more than 4,000 microscopic preparations fixed and stained by different methods. Cultures executed in different ways and on a large scale gave no result at all. The cultivated germs did not differ from those found in healthy horses and were not in a condition to provoke the disease. For his investigations Gaffky utilized young horses which had never had an attack of contagious pneumonia. Like Koch, Gaffky arrived at the conclusion that it was impossible to infect rabbits, guinea-pigs or colts by the administration of secreted products or the organs of horses which have succumbed to the disease; neither could it be done by utilizing rats or mice as intermediary animals. Experiments with insects and parasites found in the stables also gave negative results. As for my opinion, I am certain that the infection is not produced by the intermediation of insects. Fleas or bugs are found seldom or not at all on the horse. Or HUMAN AND EQUINE GRIPPE ascertained the following: The first cases of pharyngeal catarrh without general symptoms are found in the weakest subjects. It is only a little later, when the virulence of the microbian agent has been enhanced by several passages, that examples of trans- mission are observed in vigorous subjects. Then the manifesta- tions increase, general phenomena are added to local symptoms, and the nervous determinations predominate. The largest number of cases of the disease are noticed during humid, rigorous weather, with a great amount of wind or storm. Sundays and holidays, when the horses remain in the stables and when the temperature and ventilation are less supervised, are marked by a renewed outbreak of the disease. As a general rule, horses in the corners of the stables are the first to be at- tacked, because they are in the least favorable hygienic condi- tions in regard to light and air; they are also more exposed to currents of air. The number of cases of grippe under treatment is reduced according to the thoroughness of ventilation. In recently built stables, complying with the legitimate exigen- cies of hygiene, the progress of the disease is slower and the malady continues to prevail for months; a long time elapses before all have been attacked. It is known that the extension of the epidemic of 1889 was very slow in rural communities and that the inhabitants of scattered farms, if they did not remain free from disease, were attacked very late. The horses which had been suffering from nasal or pharyngeal catarrh in the pasture were not attacked with grippe at the depot. To this fact must be attributed the transmission by leaps of the affection in the stables. The progress of the malady is more rapid among native horses which are brought to the stable directly after purchase from the grazier. If these subjects are placed too near each other, in a rather small and less airy stable, then we see them successively attacked in a very short time. In one ease, in fourteen days all the animals of a certain stable had been infected, with the exception of a single animal which showed himself impervious to all contamination. Thus we observe a perfect accordance with human influenza. The denser the popu- lation and the more rapid the extension of the disease, the sooner it reaches its height and the more promptly it ceases its ravages. When no more cases were to be found in the larger cities (Feb- 66 EK. BEMELMANS ruary, 1890) new cases developed in the country for a long time. As we have just specified, the number of cases of grippe is increased during humid and cold weather, especially when the animals remain in the stable for a few days. As far as differ- ences in breed are concerned, from my observations I believe that the neural symptoms are more predominant among Irish horses, due to the sensitiveness of their nervous systems, than among native, more lymphatic subjects. As to human influenza, it is established that middle age is more receptive than youth and old age. Individuals in full vital power, healthy and strong, are more frequently attacked. In this also there exists a remarkable concordance with contagious pneumonia of the horse. Among colts I have observed a rapid and typical progress (for a few days only, an elevation of temperature), while the largest number of victims was among horses between 4 and 8 years of age. In the epidemic of 1889-1890, as well as in that of 1918, re- lapses were comparatively rare. At the time of the first epi- demic they occurred in the proportion of 8 per cent of the cases treated. The majority of doctors believe that they are due to reinfection. They have never observed among their numerous diseases a single new cast of influenza. Egon Frey (12) said that persons who had been affected with the disease in the sum- mer of 1918 were generally spared during the autumn epidemic. From this it is reasonably concluded that the two epidemics depended upon an identical infection. Hamilton and Leonard (12) declared that in a boarding school where two epidemics had raged none of the pupils were attacked twice. More often an immunity against a new infaction existed for a comparatively long time. This is also true of the analogous disease of the horse. Of the 46,431 cases which were noticed from 1893 to 1913 among German army horses, only 0.04 per cent were taken ill a second time. During the sojourn of young horses in the remount depot, relapses occurred very rarely. About 200 three-year-old horses were there two years. If they were attacked with contagious pneumonia the first year, as a rule none of them were attacked HUMAN AND EQUINE GRIPPE 67 the following year. An absolute immunity does not always exist for the rest of their lives, but certainly a partial immunity. A proof of this is found in the rudimentary progress.of the affee- tion among old horses. These suffered from contagious pleuro- pneumonia in their youth in the remount depot. In this respect, again, there is an analogy with human grippe. In regard to the immunity against grippe Netter says: ‘“‘It seems, nevertheless, that a first attack procures a relative im- munity. The employees of the customhouse and postal service of London who were attacked in 1890 were attacked in 1892 in a proportion two times less than those who had escaped the first epidemiec.”’ As I have said, I also have noticed a partial immunity from this disease among colts. By taking the temperatures of all the horses regularly, it results that the sudden fever of 40°C. more or less is maintained for only a short time with some subjects, to return to normal after twenty-four hours. This is observed in the absence of other pathological symptoms. A little later, sometimes even a few days, the horses again appeared infected and suffered from contagious pneumonia. During the epidemic of 1889, 372 per cent of the population were attacked with influenza. Of this number 2.67 per 1,000 succumbed, which places the total mortality at about 1 per 1,000. The mortality is also low for contagious pneumonia if the affection is diagnosed early and the sick are isolated and placed in the most favorable hygienic conditions. Then the chances are great that the disease will progress normally and no complica- tions will be produced. The mortality is greatly reduced by the use of salvarsan; by its early utilization the losses have even fallen to 0.3 per cent. Just as in man, the majority of the fatal terminations are the consequences of disturbances of the respiratory and circulatory systems. I have already emphasized that in recently built stables of the remount depot, presenting good hygienic conditions, particularly in regard to dimensions, ventilation and lighting (sunlight), the affection appeared only tardily, its progress was rather slow, and it was a long time before all the animals had been attacked. 68 EK. BEMELMANS In crowded stables, on the contrary, where the animals did not have the necessary amount of air, the affection appeared sooner : the progress was more rapid and it brought more severe pulmo- nary complications. Before my arrival at the remount depot it was the custom to place the first horse taken ill in the box stalls of the stable. Many succumbed there in consequence of insufficiency of aera- tion and lighting. For such affections I consider boxes as tombs. Cases were found in the stables of the field hospital units of the countries at war, and often where the horses were crowded together the mortality rate rose greatly. On the other hand, at the front, where the horses were in rustic conditions and thus toughened, the malady raged with only a very weak intensity. These assertions are to be compared with those made concern- ing human grippe. Head (14) has shown that in a group of patients treated with windows open and in the cold the mor- tality was more than half lower than that computed for another group of patients cared for in closed, warm rooms. Frey (12) recommends not crowding severe cases of influenza in the hos- pitals in such a way as to transform them into mortuaries. The crowding in hospitals of influenza patients with severe complications results in an augmentation of the virulence of the influenza germs; to this should be attributed the death of so many hospital attendants. Proportionally the number of victims is much less among physicians, although they may have been in contact with severe cases. ‘The resistance of doctors must be explained by their intermittent stay in the open air. Thus it is not doubtful that human influenza and contagious pneumonia of the horse are contagious diseases. The reasons upon which this opinion is based are identical for the two dis- eases: Typical symptomatic picture; acute progress, sometimes very acute, among men and horses living in crowded conditions (large cities, remount depots, trading stables); great depres- sion follows a short attack of the disease; subsequent immu- nity, ete. | It must always be remembered that the infection often pro- gresses in a very strange manner. Thus at the remount depot months sometimes passed before contagious pneumonia made its appearance in a stable situated between others where the af- HUMAN AND EQUINE GRIPPE 69 fection raged intensely. Moreover, the malady did not become extended to the horses of farmers near the depot, and yet a very large number brought fodder and feed there every day. We also know that it has not been possible to transmit the disease experimentally. Likewise, infecting a stable by intro- ducing some sick animals there has not succeeded at all. But as to this subject I have noticed a very remarkable fact. A sick horse with severe complications is placed in a stable where no case has been observed. The horses quartered in this stable remain well. A few months later when the depot no longer contains a single sick horse, a case of pneumonia is found in one of these nonreceptive horses, soon followed by 25 other cases. As for'the treatment, it is useful to emphasize the excellent effects of salvarsan. Thanks to this product, the disease has almost always a short and benign course, but its use, even very early, does not prevent the spread of the disease. Experimentally, contagious pneumonia of the horse seems to be of an autochthonous nature. It may be provoked. For this it is enough to assemble young horses in a stable, ignoring hygienic conditions, especially lighting, aeration, ventilation, orientation, ete. Upon the whole, I believe I have demonstrated that human influenza and contagious pneumonia of the horse are epidemio- logically identical. REFERENCES TO LITERATURE _ BEMELMANS. Revue Hollandaise de Méd. Vét., Jan. 1, 1916. . ORTICONI, BARBIER and AUGE. Presse Méd., May 8, 1919. Soper, G. A. N. Y. Med. Jour., Apr. 26, 1919. _ HirscuprucH. Ueber die ansteckende Lungenentsundung—span- ische Krankheit. (About the contagious inflammation of the lungs—Spanish grippe.) Deut. Med. Wchnschr., 1918, No. 34. 5. Swicky, H. Grippe, similar to the disease of the mule. Schweiz. Arch. Tierheilk., Bd. 51, H. 9-10. 6. PFEILER. Ztschr. Infectionskrank., 1910, H. 2-8. 7. PRITSCHETT and STILMAN. Jour. Expt. Med., No. 3, 1919. 8. KENSELLA. Jour. Amer. Med. Assoc., Mar. 8, 1919. 9. Horst. Tijdschr. Vergel. Geneesk., 1920. 10. YAMANOUCHI, SAKAKAMI and IwasHIMA. The Lancet, June th 1919. 11. McConNELL. Jour. Amer. Med. Assoc., May, 1919. 12. Frey, Econ. Wiener Klin. Wehnschr., 1918, No. 52. ® HAMILTON and LEONARD. Jour. Amer. Med. Assoc., Mar. 22, 1919. 14. Heap. Jour. Amer. Med. Assoc., May 3, 1919. tH CO DN CLINICAL AND CASE REPORTS (Practitioners and others are invited to contribute to this depart-— ment reports of unusual and interesting cases which may be helpful to others in the profession.) A CASE OF TRUE OSSIFICATION OF THE AORTA IN A BOVINE? By Micuet C. Rusino Technical Veterinary Inspector and Delegate to the Institute of Pathological Anatomy and Parasitology of the Veterinary School of Montevideo THE PRESENT CASE as described, although it ince prac- tical interest, because we have not been able to obtain data on the subject and because it may furnish a new observation, may also be of importance in future investigations. At the same time the alterations that we describe not only on account of their nature but their extensions, we believe have not been reported in veterinary medicine. This case was a grade Hereford, seven years of age, examined August 12, 1917, in the corrals at Durazno. Dr. Felipe Cas- taeda was present at the autopsy and supplied the following data: The general condition of the animal was good, but on being exercised the animal became fatigued by the least exertion. Autopsy: There was great resistance in the cutting of the carotid. Cardiac dilation was pronounced, particularly in the left venticle, which appeared flaccid, its very thin walls forming folds. The arterial aorta in the thoracic extension was rigid. This rigidity, though in a lesser degree, continued in the ab- dominal aorta and in the thoracic branches of the brachio- cephalic. It was difficult to delimit definitely the extension of the infection. The thoracic portion of the aorta, which is illustrated, was taken for study. At the beginning it was thought to be a very extensive calcification of the aorta, but it was observed that in the external tunic there were calcareous concretions, and a eare- Translation by N. S. Mayo of an article from the Annals of the Veterinary School of the University of Montevideo, as reported in the Revista Medicina Veterinaria, the official organ of the Veterinary Medical Society of Uruguay. 70 CLINICAL AND CASE REPORTS (1 Thoracic Portion of Aorta ful examination demonstrated that we were dealing with a true ossification. The artery that was presented: showed complete rigidity to pressure; only some small portion appeared rela- tively flexible. Throughout the external tunic was observed some small white concretion of a calcareous nature. The inter- nal surface covered by a heavy lining presented a whitish red appearance and was seeded with small rigid projections, many of them pointed. The trunk of the aorta was totally ossified, as much as was separated, and we found large rigid plates in contact with others, except in some portions there were observed small zones that were not ossified or that were ossified incompletely. In the internal surface could be clearly observed the process of ossification by plates, because the inner surface was trans- parent and one could see the orders of the plates, some cover- ing parts of others. A microscopical examination showed that ossification took place in the middle tunic, involving its whole thickness. The AZ CLINICAL AND CASE REPORTS structure of the tissue is analogous physiologically to planes of flat bones. The parts that go toward the external and internal surfaces is a layer of tissue compact and is united by a spongy tissue, osteoplasms having many zones of orientation in the Haversian system. OBSTRUCTION OF THE DUODENUM OF A HORSE BY A BELIARY CALCULUS FOLLOWED BY RUPTURE OF THE STOMACH * By Antonio DE Bont Chief of Technical Work in Pathological Anatomy and Para- sitology in the Veterinary School of Montevideo TAKING INTO ACCOUNT the various causes that intervene in the production of rupture of the stomach of a horse, I be- lieve this case will be of interest, and in the description I will refer only to the most important part of the autopsy, registry No. 54, March 9, 1918. The body of a male horse eight years old was brought to the Pathological Anatomy Institute of the Veterinary School for autopsy. The only history was that the animal had suffered from severe colie. = On opening the abdominal cavity, watery, bloody fluid mixed with food and blood clots came. Over the peritoneum were particles of food-and blood clots, particularly on the mesentery, where there were large quantities. The serous membranes of the intestines contained some petechiw. The stomach presented a rupture of 20 centimeters in its Jargest curvature, extending nearly to the pylorus, the irregular borders festooned and in- filtrated and with coagula. There were hemorrhagic affusions in the submucous coat and the muscular coat was retracted. The mucosa on the edges of the rupture was spotted with violet and along the edges was a blood infusion and particles of food. A small quantity of food remained in the stomach; mixed with it was a rounded calculus of a green color. On palpating the duodeneum a hard mass was felt and on opening this organ one could see a dark green calculus, in front of the opening of the bile and pancreatic ducts (ampolla Vader), closing the opening of the same. The intestine was contracted, 1Translated by N. S. Mayo from the Revista Medicina Veterinaria, official organ of the Veterinary Medical Society of Uruguay. CLINICAL AND CASE REPORTS 73 making a mass in which was the calculus. The intestinal mucosa was intact. In the folds of the pocket were small calculi with facets held in position by the large calculus. The color of the liver was gray with a faint olive tint. The liver was greatly increased in volume and very hard and diffi- eult to cut. It could not be broken with the finger. The ap- pearance of the surface was netlike, with a light color. In the central part of each cell was a depression with a darker color. The lighter part could be recognized as interstitial tissue, ereatly increased, forming a mesh, surrounding small islands of the parenchyma; this had a reddish color. A microscopic examination revealed the classical lesions of chronic interstitial hepatitis. CARBON TETRACHLORID EFFECTIVE AGAINST HOOKWORMS A telegram has been received from Fiji reporting the suc- cessful treatment of more than 12,000 hookworm cases by carbon tetrachlorid with 90 per cent of cures with one dose, and the removal of 98 per cent of the worms. This method was tried first on dogs by Dr. Maurice C. Hall, of the United States Bu- reau of Animal Industry, who found that 0.3 ¢. ¢. of the drug for every kilogram of live weight expelled all the hookworms of those animals, a result he had never previously obtained by any other method of treatment, while it could be given after fasting in hard gelatin capsules without purgation being neces- sary. As the new drug is much less toxic and far cheaper than either thymol or oil of chenopodium, the last of which has given rise to a number of fatalities owing to the uncertain amount of the active principle in different samples, these are matters of ereat practical importance, and the remarkable success of the trial now reported will, if confirmed by further observations, prove a notable advance in dealing with this the most widespread health and labor-destroying scourge of immense areas of the world.—Nature, London, No. 2743, v. 109, May 27, 1922, p. 688. Drs. Brock and Williams of Dallas, Texas, suffered a heavy loss when their canine hospital was burned to the ground on August 3, 1922. ABSTRACTS CoMBINED CARBON D1oxipE CONTENT oF BLOop PLASMA IN THE Horse. Nagaoki Ijichi. Jour. of Jap. Soc. of Vet. Science, voL,.1. (1922); no. 2,.p. 10. Studies in acidosis have recently made a remarkable progress and many valuable reports in connection with it have already been published. The subject is, as is widely known, of great interest both from a physiological and pathological point of view. It would be of no benefit, however, to describe here what acidosis is or what kinds of researches have hitherto been made on the subject. For three years I have devoted myself to the study of this subject with the view of finding out its practical value in veterinary science. As a first step in my experiments, I have measured the CO, content of horse blood plasma by means of Van Slyke’s method which was published in 1917 and is now generally recommended as the best method for diagnosing acidosis. The blood used for my experiments was obtained from the jugular vein of the horse, care being taken in doing so not to allow the blood to come in contact with the air. According to the studies of Stadi and Van Slyke, it is not necessary, for the measurement of the CO, content, to saturate the venous blood with CO, at the same tension as in alveolar air, if the blood is drawn from a vein without any stasis. The venous blood em- ployed in my experiments, therefore, is not subjected to any process which was to be carried out for the purpose of saturat- ing the blood with CO,. The results obtained from a number of experiments are as follows: (1) CO, content of blood-plasma in the normal horse. Experiments in 30 horses (military) show that the CO, con- tent of blood-plasma varies from 72.1 to 52.8 vol. %, that is, 62.6 vol. % on the average. It must be noticed here that even in one and the same horse there is a difference between the CO, content measured in the morning and that obtained in the evening. (2) CO, content of blood-plasma in the horse under abnormal conditions. 74 ABSTRACTS 75 (a) Fatigue. In horses which have taken a run of about 390 km. the CO, content has fallen below normal, all of them being in a condi- tion of acidosis; the content of CO, in 8 tired horses averages 47.0 vol. % (53.2-38.1). Comparing the condition of some ex- cessively tired horses with that of horses in a state of slight fatigue, I have found that the CO, content in blood-plasma, that is, the lowered alkaline reserve, decreases according to the degree of fatigue, so the blood-plasma of the most severely tired horse contains the least volume of CQ,. (b) Podophyllitis, colic, influenza, pectoralis, and morbus maculosus. In podophyllitis caused by severe exercise, the CO, content of blood plasma decreases considerably. An examination of the blood-plasma obtained from 7 horses suffering from an at- tack of podophyllitis showed that the CO, content averages 54.1 vol. %, which means that almost all of them were in a condition © of acidosis. It is no unusual matter to find acidosis is proved in a case of severe colic. According to my measurements, the CO, con- tent of the blood-plasma taken from a horse which has been suffering from colic so severely that he died several hours later, was 32.7 vol. %. In influenza pectoralis I have found that the CO, content of the blood-plasma is 27.1 vol. % in its severe form and 50.0 vol. % when mild. The blood-plasma taken from a horse affected with morbus maculosus contains 45.7 vol. % of CO,. (3) Chlorine and phosgen gas poisoning. In a room which was tightly shut up, a horse was exposed for 10 minutes to chlorine gas, the concentration of which was 0.2 vol. %. The CO, content of the blood-plasma taken from the animal decreased from 67.3% to 49.4%, and when the blood concentration increased to its maximum the symptom of pul- monary edema was most remarkable. After 10 minutes exposure to 5 vol. % of phosgen gas, the CO, content of the blood-plasma of a horse suddenly decreased from 65.2% to 20.7%. The subject died in 30 minutes from the beginning of exposure. (4) Decrease in the CO, content in the case of experimental acidosis. 76 ABSTRACTS The appleation of HCl or H,PO, per os gives rise to a eon- dition of acidosis. i 1000 ¢.c. of 5% HCl solution was given to a horse every day by means of a stomach catheter. On the 3d day it was noticed that the CO, content decreased from 63.3% to 27.7%. The horse died of rupture of the stomach on the 4th day. A 10% solution of H,PO, was given per os to another horse, the doses being as follows: Ist day 500 ¢.¢., 2d day 500 ¢.e. and 1,000 ¢.c., 3d day 1,500 ¢.c. On the last day, the CO, content of the blood plasma of the animal decreased from 68.3% to 30.0%. By applying the Michaelis solution and a 1% solution of sodium bicarbonate, the CO, content of the blood plasma began to increase gradually and on the 9th day the horse recovered entirely from hyperalkalinity. (5) Limited feeding. A horse was fed only with water for 4 days and during the next three days with a daily allowance of 2 kg. of hay in addition. No decrease of the CO, content was observed. (6) CO, intoxication. A horse was shut up in an almost air-tight chamber and a certain amount of CO, gas was allowed to flow into it. After 17 hours when the CO, concentration became 7.8%, the horse manifested the symptom of severe dispncea, but there was no de- crease in the CO, content of the blood plasma.—(Author’s Ab- stract. ) ON THE IMMUNE SERUM AGAINST FootT-AND-MoutH DISEASE. Susumu Kuragano and Tatsuo Mogami. Jour. of Jap. Soe. of Vet. Science, vol. 1 (1922), no. 2, p. 111. The following is a summary of this paper :— 1. Calves subjected to a natural infection proved to be im- mune against subcutaneous inoculation of virulent blood carried out 20 to 34 days after their recovery. To determine the dura- tion of the immunity produced by the natural infection further investigations are necessary. 2. Subeutaneous inoculation of blood, saliva, vesicular con- tent, and emulsion of spleen and lymphatic gland from an in- fected animal produced the disease in the calves experimented on. The minimum dose of virulent blood for a ealf was 2 ec. ABSTRACTS a 3. The blood-serum taken from the animal recovered from one attack of this disease was found to have a protective action which ean be intensified by repeated injections of the virulent blood (100, 500, 1,000 e.c.). 4. The period of incubation in this disease is sometimes as short as 24 hours. To test, therefore, the protective action of an immune serum, injection of serum first and of virus one or © two days later is preferable to the injection of both at the same time. 5. The animals treated with the immune serum in a dose of 0.53 ¢.c. per kilo body-weight proved to be immune against in- jection of 10 e.c. of virulent blood carried out 3 weeks later. To determine the relation between the dose of serum and the duration of immunity further investigations are necessary. HAIRLESS PIGS AND “RAIN-WATER” The Research Station of the Canadian Health of Animals Branch, located at Agassiz, B. C., reports that in the Agassiz valley ‘‘hairless pigs’’ are only known to have occurred on one farm, and only during the occupancy of the present tenant. This man has been on the farm in question for two years, and during that time has lost five out of six litters from four sows. The surviving litter, born this spring, were decidedly weak and were only saved through careful nursing. The sow was one that came from the Experimental Farm last fall and consequently had not been on the place very long. Inquiry showed that the owner had been in the habit of giving his pigs rain-water and that no other water was used for the sows. In view of the fact that previous tenants could raise pigs on the farm in question, there appears to be no doubt that the pecular mode of watering used by the present owner was responsible for the thyroid deficiency shown. The trouble is quite preva- lent in some parts of the province, and the view is quite widely held that it has some connection with snow-water; judging from the effects resulting from the persistent use of rain-water, the snow-water theory may not be without some foundation. In affected districts the use of 5 to 10 drops of B. P. tincture of iodine twice a week to pregnant sows for the duration of preg- nancy will ensure normal litters. ARMY VETERINARY SERVICE MEMORIAL TABLET AT WALTER REED HOSPITAL. In the new Army Medical School building, which is now in course of construction at Walter Reed General Hospital, Wash- ington, D. C., a large bronze memorial tablet will be erected.. Necessary funds for this purpose will be received by popular subscription, each subscription being limited to $1.00, and the list of subscribers restricted to those who saw service as offi- 78 — - — - ———- ARMY VETERINARY SERVICE 719 cers, nurses or enlisted men of the Medical Department of the Army during the recent World War. Each subscriber will re- ceive an official acknowledgment and receipt. Fellow-workers desiring to subseribe for this tablet which commemorates the service of their conrades who fell while engaged in Medical De- partment work, are invited to forward $1.00 to Lieut. Col. Paul C. Hutton, M. C., Office of the Surgeon General, Washington, DC: The placing of this tablet in this great building which is lo- cated in a great medical center, can not fail to prove of vital interest to the thousands of physicians, dentists, veterinarians, nurses and enlisted men who took part in the World War, and - the fact that the cost of this bronze is to be borne exclusively by those who engaged in Medical Department activities, and further it is in memory of those who fell while so engaged, should incite the feeling that a contribution of one dollar toward this worthy object is more of a privilege than a duty. ARMY MEDICAL SUPPLIES As part of a comprehensive study under the direction of the Assistant Secretary of War, the Medical Department of the Army is undertaking a study of the sources from which the - supphes which it procures and uses can be had. The Medical Department is not only concerned with the provision of the personnel necessary to the treatment of the sick, but is also charged with the supply of those things which are required by such personnel. The armamentarium of modern medicine is exceedingly in- tricate, but without it the wonderful advances made in medi- cine are not available to the sick and injured, however skillful the personnel. The difficulties encountered in providing such elaborate equipment in time of war for the large number of new hospitals, infirmaries and first-aid stations necessary, and particularly in providing it at those institutions in the advance area, are manifest, and yet if the soldier is to be given the service that he is entitled to, it must be provided. In a war of any magnitude the burden thrown upon industry for the production of these supplies is enormous. Any infor- mation that could be made available beforehand to industry as to type, number and quality would obviously be of great 80 ARMY VETERINARY SERVICE advantage to industry in its plans. The Surgeon General is, therefore, side by side with his plans for the extension of the Officers’ Reserve Corps, with his plans for instructing medical students through the R. O. T. C. in those duties of a medical officer which differ from those of the civilian physician, deter- mining where the supplies needed by these officers may be had, should any grave emergency arise. This effort is an attempt to do beforehand what was necessary after the declaration of war in the recent World War. It is done in recognition of the fact that the forces of the Medical Department, however numerous and skillful they may be, will be but half prepared without the necessary equipment. In brief, the program contemplates (1) that a careful determina- tion shall be made, not only of the items needed, but of the quantity thereof. With a close liason established with industry, it is probable that often final decision as to the type of an article selected will be determined by the facilities of industry to produce it in large quantity. (2) The plan contemplates also a roster of personnel skilled in the manufacture, inspection and purchasing of the various commodity groups. It is desired to secure from industry itself men who are eligible and will accept reserve corps commissions with a view to their assignment in time of emergency to the procurement of the commodity in which they are specialists. It is purposed that upon these men reliance will be placed in time of peace for advice and assistance in the study of industrial facilities and that in time of war they will be assigned to the centers of industry or to Washington for procurement duty. (38) The plan further contemplates that a thorough study be made of the facilities of the country to produce the essential and important items of the supply table and to have on file in the Office of the Surgeon General such reports as will enable the immediate placing of contracts in the event of any national emergency. In this work the Surgeon General realizes that he must rely upon industry itself, and it is hoped to secure definite and com- plete information from the manufacturers as to aid they can render. It is probable that in an emergency of any magnitude Congress would again establish control of raw materials, labor, transportation and installations, and the Medical Department expects that with the information to be obtained from the study on file it will be in a position to render great assistance to the ARMY VETERINARY SERVICE 81 firms making medical supplies for the War Department. It. can prevent the drafting of skilled labor, the taking of key men; it can assure the supply of material, of coal and of trans- portation, and thus obviate difficulties in the operation of the plant. BRITISH ARMY COURSE OF INSTRUCTION Special courses of instruction for members of the British Army Veterinary Corps at the Veterinary School at Aldershot are provided for in recent regulations. Classes of three months’ duration are given for majors and captains. Other officers may attend by permission of the Director General, either for in- struction or for work in the laboratories. There are also classes of similar duration for lieutenants on probation, classes of one month for veterinary officers of the Militia, classes of twelve days for veterinary officers of the Territorial Army, and six months’ courses to train noncommissioned officers and men of the Veterinary Corps as laboratory attendants. THE DOPING OF RACE HORSES The “‘doping”’ of race-horses is the subject of a paper by Prof. F. Hendrickx, in the Belgian journal Annales de Médecine Vétérinaire. This practice he says has spread from American training stables to those of Europe. Doping is defined as the administration in any manner of drugs capable of provoking an artificial excitation which permits the animal to put forth an effort of such intensity as would be absolutely impossible under normal conditions. The practice is characterized as being ‘‘con- trary to the rules of honor which alone should prevail in true sport.’’ Among the medicaments employed the author names heroin, strychnin, caffein, morphin, cocain and atropin. The action of these various drugs is discussed at length. As a means of de- tection he points out that the alkaloids may be found in the saliva and other discharges of a doped animal soon after admin- istration, and he proposes that any horse whose saliva taken at the time of the race shows such an alkaloid on chemical: exami- nation should be considered as doped. ASSOCIATION NEWS AMERICAN VETERINARY MEDICAL ASSOCIATION Proceedings of Fifty-ninth Annual Meeting, St. Louis, Mo., August 28 to September 1, 1922 MONDAY MORNING, AUGUST 28, 1922 GENERAL SESSION The first session of the fifty-ninth annual meeting of the American Veterinary Medical Assoéiation convened at the Planters Hotel, St. Louis, Missouri, at 10:30 o’clock, President A. T. Kinsley presiding. The invocation was delivered by the Rev. Dr. William Crow, of the Westminster Presbyterian Church, St. Louis. PRESIDENT KINSLEY: Next we will be favored by an address of welcome to this wonderful city in the Mississippi Valley by Mayor Kiel of St. Louis. (Applause.) ADDRESS OF WELCOME Mayor Kiet: Mr. Chairman, Ladies and Gentlemen: It is my pleasure to be here with you this morning. This is one part of the official duties of the chief executive that I like, because it enables me to get away from work a little, and then I have the opportunity of greeting and meeting such people as you. St. Louis is noted for its hospitality, and it is always glad to extend this hospitality to those who come within our borders. St. Louis has made considerable progress as a convention city, and we are proud of the fact that the delegates to the conventions come back. We are glad to impress you with the hospitality of St. Louis, because we want you to feel that you are among home people and among good citizenship. There are many things about St. Louis that I might tell you about, but I am not going to infringe upon your time because I know that you have lots of things to do, and then after you do your work I know you want to play a little, and we have lots of playgrounds around St. Louis. I know that these men folks can find almost anything they want to attract them, and I know the ladies will see many things that will impress them. There was a time when I might have invited you to visit some of the industries of St. Louis that have now been discontinued, but of course you will find lots that will take their places. When men and women congregate as you have done to ex- change thoughts and ideas, you accomplish many good results. Your profession is one that many people think is becoming ob- solete. That is not true. Just as much responsibility devolves 82 PROCEEDINGS OF A. V. M. A. ANNUAL MEETING 83 upon you today as at any other period in the history of this: Nation. More attention is paid today to curing the ills of an animal than there ever was in the past, and it is just as important that you devote your time and your energy to doing that kind of work, because the day will never come when your profession will be obsolete so long as the red blood flows through the veins: of the American people. There isn’t any one who doesn’t ad- mire the dumb animal; there isn’t any one who hasn’t a kind feeling for the dumb animal. Today we are paying more attention to a little eruption or a little sore on a horse’s back than they did in my boyhood days. I remember when I was a lad, and when I used to drive a horse to pull the heavy dray, if there was a sore shoulder or something the matter with the horse, we would get a little axle grease and rub it over and expect that to cure it. Those days have gone by, because it is necessary for science to take its part in your pro- fession the same as it does in any profession. Again, we have an admiration and love for house animals. Twenty-five or thirty years ago if a pet dog got sick they would call in the police and shoot the dog. That was the best way to eure his ills. That isn’t the case today. We have a little dog around our house, and that dog visits the veterinarian probably three or four times a year. I don’t know whether there is any- thing the matter with the dog, but everybody feels better after he has been down there. It is just as important to have your profession as it is to have any other profession or commercial business, because you meet a need of the community and are a necessity. I know that the results of this convention will mean very much to you, because you can absorb knowledge from one another that you can’t get out of a book. When people get together and discuss questions they eliminate friction. Here we are today right in the midst of a erisis—the railroad strike and the coal miners’ strike—that has disorganized the entire Nation. Everybody, the innocent as well as the guilty, is suffering as a consequence of that difference of opinion, and a difference of opinion is all it is. There never was a problem so great that men couldn’t get their heads together and settle it. There never will be a problem that can’t be settled that way. We hoped that it could have been done three or four months ago, before the friction occurred, before this controversy originated. If men had yielded, if they had been in a reasonable attitude, the same thing could have been adjusted four months ago that will be adjusted within the next two or three weeks, pos- sibly in a shorter time, because of the conditions of the country. The people who are dependent upon these commodities can’t exist unless that difference of opinion is eradicated. By this method of meeting here together, many of you S4 PRocEEpINGs oF A. V. M. A. ANNUAL MEETING strangers, you become friends, you become acquaintances, you 20 away after having obtained know ledge that you couldn’t get otherwise, and I congratulate you for being here. I am glad you selected St. Louis for your meeting place. You have made no mistake. We are right in the heart of the Mississippi Valley. We are proud of our city. We lke it. A great deal of civie pride will be found in St. Louis because everyone feels that he is a part of the big plan, a part of that machinery that makes things worth while. We have many interesting places in St. Louis. I know you will spend a very interesting hour or two at our Zoological Gardens, where you will find every species of wild animal. This is an institution established by the people of St. Louis them- selves. They impose upon themselves a tax of two cents upon every hundred dollars for the purpose of maintaining these Zoological Gardens. You will find some chimpanzees out there. One is named after me. I said after I was through being mayor I hoped he would succeed me, because he is a very bright young fellow. I want you to see him. The $200,000 that we spend there is well spent and enlightens the children and a lot of the older folks. We also have the Municipal Theater in Forest Park. I am sorry you were not here thirty days ago. You would have ob- served one of the greatest productions ever placed upon the American stage. Community work. It isn’t a commercial propo- sition; it is simply the getting together of a lot of talent of St. Louis people, and then the audiences come and witness the eftorts and the good work of that talent, which played to more than half a million people last year. I want you to know that you are here as our guests, the guests of the city of St. Louis. We want to make it pleasant for you; we want to extend you every courtesy ; we want to send you home feeling satisfied that you came and w ‘ith a desire in your hearts to come to St. Louis again. We are always glad to have you, and you are just as welcome as the flowers in May. (Applause.) PRESIDENT KINSLEY: I am certain that I voice the sentiment of the entire assemblage when I say that we appreciate the re- marks of Mayor Kiel. He who responds to the welcome address needs no formal introduction to this organization—Dr. Tait But- ler. (Applause. ) RESPONSE TO ADDRESS OF WELCOME Dr. Tarr BurLer (Memphis, Tenn.): Mr. President, Ladies and Gentlemen—and to you, our Mayor Kiel, for we are all loyal St. Louisians this morning—you who have so graciously and cor- dially welcomed our organization this morning, let me express as fervently as I can our most sincere thanks. The cordial greet- ing we have received from all assures us that our stay within PrROocEEDINGS oF A. V. M. A. ANNUAL MEETING 85 this city and our meeting here will be as pleasant and profitable as you have so generously wished. But, my dear Mayor, this is no ordinary body of men and women that you have so hospitably taken into your home this morning, and this is no ordinary Association in its past record of service. This Association has passed beyond the youthful or formative stage and has achieved a splendid record of progress and service. For, gray as is my head, I am less than a year older than this Association, this being its fifty-ninth annual meeting. At first its membership was confined to a few stalwart pioneers in the then young American veterinary profession, located in those cities near the Atlantic seaboard, New York, Boston and Philadelphia. The membership grew but slowly for many years and the territorial range of its influence was restricted to the Northeastern States. Even after 25 years, in 1887, when your humble servant became a member, only a scattering few west of the Allegheny Mountains had broken into the rather ‘‘close corporation’? which up to that time had been maintained. In 1884 the first meeting (two meetings a year were then held) was held outside of New York, Boston and Philadelphia, in Cincin- nati, Ohio. But not until 1890, or 32 years ago, and 27 years after the organization of the Association, was the conservatism of the organization broken down by a persistent effort on the part of a few western members and the meeting of that year secured for Chicago. That meeting really marks the beginning of the Association’s national and international character and activities. Since then its membership has grown rapidly, gath- ered from all parts of the United States and Canada. And the range of its territorial influence is indicated by meetings held in Toronto and Ottawa on the north, New Orleans at the south, and in all the larger cities from New York on the Atlantic to San Francisco on the shores of the Pacific. But I must not reminisce, for that is a sure sign and one of the weaknesses of advancing years, and none are old this morn- ing. This morning, under your cheering words and genial radiance of hospitality, all are young, and this Association has renewed and added to its giant strength and dedicated its powers to a better and larger service with all the enthusiasm and irre- sistibility of youth. But let me state that today you have welcomed the largest and probably the most influential organization of veterinarians the world has ever seen, the greatest any other Executive ever wel- comed to his city. Not alone in its splendid history of progress in service and scientific growth is this Association noteworthy. Its members, individually and collectively, and privately and officially, guard the health of 250 millions of farm animals and conserve thereby a property value which reaches around the incomprehensible amount of ten billion dollars. 86 Proceepines oF A. V. M. A. ANNUAL MEETING But I am dealing in material things in such remarks, and I wish, therefore, to also call your attention, as modestly as I may, to the fact that the membership of this organization are also in no small or unimportant way the conservators of the health of all the 125 millions of people of the United States and Canada, in so far as afiected by livestock and the consumption of livestock products. By the control of animal diseases, some of which are communicable to man, by the inspection of meat, dairy and other livestock products, not alone do veterinarians. conserve the material wealth of these nations, but they also pro- tect the health of every man, woman and child within the broad bounds of this North American continent, yea, and also of those of other countries, who are consuming our livestock products in increasing quantities. But in conclusion permit me to state again that we accept your proffered hospitality of the great and splendid city of St. Louis, with humility and grateful appreciation. We are not unmind- ful of the material and historical greatness of the State and this magnificent metropolis. This State and city have given our profession and this Association many esteemed members who have served their State and their Nation valiantly for many years. We have read and committed to memory all of the hun- dred or more claims this city makes, I have no doubt accurately, to be or have ‘‘the largest in the world,’’ including the largest horse and mule market, in which we are vitally interested; ‘‘the largest fur market,’’ in which we are not interested just at this time; ‘‘the largest (bird) cage in the world’’ and the larg- est blow (pipe) factory in the United States. To you, Sir, personally and as the Mayor of this great city, who have left your executive duties to come here to bid us welcome, and through you to the veterinarians and other citi- zens of St. Louis, we wish sincerely to tender our thanks for the splendid welcome you have given us this morning. We know we are going to have a good time while here, and we wish you and those you represent the fullest measure of the very best that this life affords. PRESIDENT’S ADDRESS President Kinsley delivered his address. It was published in the JourNAL for September, 1922, page 596. After announcements the meeting adjourned. ProcEeEeDInGs or A. V. M. A. ANNUAL MEETING 87 MONDAY AFTERNOON, AUGUST 28, 1922 GENERAL SESSION The meeting was called to order at 1:35 p. m. by President Kinsley. APPROVAL OF MINUTES PRESIDENT KiInSLEY: The first business is the presentation and adoption of the minutes of our last annual meeting. SecreTARY Mayo: I herewith present a stenographic report of the proceedings as published in the official journal of the Association and recommend they be accepted. (The motion was seconded and carried. ) REPoRT OF EXECUTIVE BoaARD PRESIDENT KINSLEY: The next order of business is the report of the Executive Board. Dr. Cassius Way (New York City): It is with a great deal of regret that the Executive Board have to report that Dr. Hilton is unable to be with us at this meeting on account of impaired health. The members of the Board have done me the especial honor and the compliment of asking that I serve as chairman for this meeting. We will endeavor to report to you from time to time the activities of the Board and present matters which should come before the Association for consideration. It is a great misfortune to all of us that Dr. Hilton is unable to be with us. I recommend that this Association, through its Secretary, send a telegram to him extending the best wishes of the Association and the hope for a speedy and rapid recovery of his health. From time to time there have been presented names of veteri- narians from foreign countries for membership in this Associa- tion. At a meeting of the Executive Board in December in Chicago, the Secretary was instructed to secure data, catalogs, requirements for admission and requirements for graduation from various European and foreign schools. The reports that the Secretary has received have been considered by the Asso- ciation with a recommendation that this matter be referred to the Committee on Intelligence and Education, and that they com- pile or assemble for the Association such data as will be neces- sary in reference to making recommendation of schools whose graduates may be eligible for membership in the Association. There are some 150 or 160 applications for membership up to the present time. These will be presented by the Secretary. Dr. C. P. Fircn (St. Paul, Minn.) : I think that some action by the Association should be taken in regard to the report, espe- cially in relation to Dr. Hilton, and I therefore move that the Secretary be instructed to compile a telegram to Dr. Hilton ex- pressing the views as given in the report. 8 Proceepines or A. V. M. A. ANNUAL MEETING [o.8) ELECTION OF NEW MEMBERS (The motion was seconded and carried.) PRESIDENT KINSLEY: The next order of business is the election of new members. Secretary Mayo: The following applications have been favor- ably recomended by the Executive Board: J. E. Aghion, Sakha, Egypt. A. L. Alton, Manitoba, Canada. Mostre Arangoy, Havana, Cuba. C. D. Arias, Marianao, Cuba. W. E. Armstrong, Cumberland, England. J. S. Barbee, Kansas City, Mo. Edw. V. Beaumont, Kansas City, Mo. S. Bengston, Chicago, Ill. . E. Biester, Champaign, III. Bilikam, Tacoma, Wash. . J. Bird, Centerburg, Ohio. A. Bogue, Lawrence, Kans. . R. Bolton, Burlington, Vt. O. Booth, Oklahoma, Okla. Bricault, Haverhill, Mass. . A. Clark, Toronto, Canada. W. Clark, Yakima, Wash. E. Cloud, San Diego, Calif. M. Cashell, Leesburg, Va. W. Coons, Lisbon, N. Dak. M. Cockery, Argenta, III. . B. Crawford, Bethesda, Md. I. Crawford, Overbrook, Kans. . W. Curtis, Breckenridge, Mich. C. Davis, Carrollton, Mo. . B. Davis, Hartford, Conn. F. DeLap, Springfield, Tenn. . E. Dufresne. Quebec, Canada. . C. Edewaard, Holland, Mich. W. H. Erwin, Howell, Mich. F. Etchegoyhen, Havana, Cuba. R. W. Falk, Canton, S. Dak. R. W. Finley, Rockford, Il. E. E. Flory, Aberdeen, 'S. Dak. Harry J. Fry, Kalona, Iowa. I. C. Gladish, Carlisle, Pa. A. J. Gregg, Salina, Mich. Hare, Nevada, Mo. R. Harsch, Brownsville, Tex. E. Hart, Kansas City, Mo. Henriquez, Pinar del Rio, Cuba. A. Hermann, Denver, Colo. P. Hust, Jeersonville, N. Y. C. Iduali, Havana, Cuba. E. Jacobi, Ames, Iowa. F. Jardine, British West Indies. C. Jesperson, Ionia, Mich. . R. Kleinschmidt, Merrill, Wis. L. Langland, Cambridge, Iowa. B. Lentz, Amherst, Mass. . W. Lobach, Easton, Pa. . W. Lupfer, Galva, II. QOS gS VOMMUAPAHHSA ee El > D> at MOU Proceepines or A. V. M. A. ANNUAL MEETING 89 J. H. Lynch, Fonda, Iowa. H. M. McConnell, Independence, Mo. J. P. McDonough, Richmond, Va. J. T. McGraun, Trenton, N. J. K. G. McKay, Colville, Wash. A. Maurique, Mexico, D. F. H. E. March, Cooperstown, N. Y. F. H. Melvin, Kansas City, Mo. A. K. Merriman, Williamsville, Ill. John J. Mitchell, Lansing, Mich. J. P. Mockford, Greenville, Tex. Jos. C. Nullineaux, Hagerstown, Md. C. C. Nickel, Nowata, Okla. J. P. Niederauer, Pierre, S. Dak. V. P. Norton, Wisconsin Rapids, Wis. L. T. Oberheim, Elizabeth, Il. Z. A. Oviatt, Hubbard, Iowa. I. W. Perry, Warren, Ill. L. H. Phipps, Winnebago, Minn. Jose del Pozo, Mexico, D. F. H. A. Renor, Kearney, Nebr. J. P. Rimstidt, Howell, Mich. F. F. Saint, Calgary, Canada. J. E. Sargeant, Fairbury, Il. J. W. Scheibler, Jr., Memphis, Tenn. A. F. Schrage, Plymouth, Wis. R. E. Simonsen, Marcus, Iowa. R. W. Smith, Concord, N. H. W. A. Smith, Sparland, II. J. R. Sperry, Schofield Barracks, Honolulu, Hawaii. F. L. Stevens, Portland, Me. J. Stokes, Elmhurst, Il. G. E. Stanley, De Soto, Nebr. John W. Taylor, Roodhouse, IIl. L. W. Thiele, Galien, Mich. E. G. Thorn, Kenosha, Wis. G. W. Thurber, Loyal, Wis. Harry Ticehurst, Tenafly, N. J. George W. Todd, Fort Dodge, Iowa. W. S. Tomlinson, Galesburg, III. W. E. Turner, Lincoln, II. C. F. Tuthill, Onsted, Mich. C. C. Wang, Nanking, China. Earl S. Warner, Canada, Ontario. C. H. Wright, Jackson, Tenn. R. P. Wiese, Carretson, S. Dak. Henry Wild, Hartland, Wis. H. F. Wilkins, Lewistown, Mont. George B. Winch, George, Iowa. R. S. Youmans, Lawrence, Mass. W. B. Wise, Sheffield, II. C. B. Weagley, Middletown, Md. F. C. Shake, Hutsonville, Ill. O. B. Gray, Williamsfield, Il. F. R. Smith; Kansas City, Kans. H. Adams, Bellows Falls, Vt. R. O. Biltz, Georgetown, Del. J. A. McCampbell, Williamsfield, Ill. G. M. Dorman, Sioux City, Iowa. A. C. Etchison, Assumption, III. H. A. Gastfield, Deerfield, Ill. 90 PROCEEDINGS OF A. V. M. A. ANNUAL MEETING J. Patterson, Hedrick, Iowa. A. H. Quin, Cedar Rapids, Iowa. J. E. Warner, Waco, Tex. A. K. Monroe. T. W. Bowman. W. D. Price. W. F. McDougall. C. W. J. Haworth, Camrose, Alberta, Canada. On motion of Dr. E. P. Flower, Baton Rouge, La., seconded, the persons above named were elected to membership in the Association. Secretary Mayo: With reference to the application of Charlie Mangrecock, of Haverhill, Mass., a graduate the Ecole de Médecine de Montreal in 1891, the Executive Board recom- mends that the rules be suspended and that he be elected to membership. This school was never recognized by the Ameri- ean Veterinary Association and is not in existence now. I would say that incidentally there are some very complimentary things regarding the doctor and his training. Dr. J. A. KTtERNAN (Washington, D. C.): I move that the rules be suspended and that he be elected to membership in the Association. (The motion was seconded and carried.) MESSAGES OF GREETING SEcRETARY Mayo: I have a letter from Dr. W. H. Dalrymple of Baton Rouge, La., that I was requested by the Board to pre- sent. It is a personal letter that you will doubtless be inter- ested in. (Secretary Mayo read the letter.) Dr. KIERNAN: It is a matter of very deep regret that we learn that sickness has laid its heavy hand upon one of our most pre-eminent members, an Ex-President of this Association. We are all his friends, and everybody in the Association misses his congenial companionship. As a mark of respect to our Ex- President, I move that the Secretary be requested to send a telegram of good cheer to Dr. Dalrymple and ask that he come to the next meeting. (The motion was seconded and carried unanimously. ) SEcRETARY Mayo: I have one or two other messages that I will read. ‘‘Havana, Cuba, August 28, 1922. ‘‘Most cordial greetings and best success to your convention. : ‘‘B. J. CRESPO, ‘‘Cuban National Association.”’ I suppose that most of you know that Dr. and Mrs. Blatten- berg are the proud parents of a little daughter a few months old. (Applause.) This is from Dr. Blattenberg: PROcEEDINGS OF A. V. M. A. ANNUAL MEETING 91 ‘‘Best wishes for most pleasant and profitable meeting. Un- able to come. Wash out on line.’’ (Laughter.) PRESIDENT KINsLEY: Do you care to take any action regarding either of these telegrams? Dr. E. L. Qurrman (Chicago, Ill.): I move that a telegram from this Association be sent to the young lady congratulating her on accruing to such nice parents, as I know personally she has accrued. (The motion was seconded and carried.) Report oF Eprror PRESIDENT KINSLEY: We are ready for the report of our Edi- tor, Dr. J. R. Mohler. ; (Dr. Mohler presented his report as Editor, as follows:) Report of the Editor of the Journal to the Executive Board Volumes 13 and 14 (new series) of the JOURNAL, covering the year from October, 1921, to September, 1922, contained a total of 1,396 pages of reading matter, a monthly average of 116 pages. The contents comprised 101 papers-on a wide range of subjects, 36 clinical and case reports, 80 abstracts of research papers (practically all foreign), 8 book reviews, 107 reports and notices of meetings of veterinary associations and other gatherings, 35 editorials, and numerous miscellaneous articles and items. Although the quantity of material relating to general practice has been well maintained as compared with previous years, and we have made every effort to bring about a further increase, I feel that we are still not covering this field adequately. It is very difficult to get a good supply of papers and reports on subjects relating to practice. The research worker appreciates the importance of placing his results on record and is a fertile source of contributions to veteri- nary literature. The educator, too, as a rule is a ready writer. The veterinarian in the public service understands the value of the printed page as an aid to the efficiency of his work. But the practitioner, the most numerous class of all, is not given to much writing. He is anxious to read what others have written that will help him in his professional work, but he does not always realize that he can render a reciprocal service by putting into print the results of his ex- periences that may be helpful to others. If practitioners could be induced to furnish fragmentary notes on their cases or methods of practice, jotted down on a piece of note paper, little effort would be required and much benefit would result. Our department of Clinical and Case Reports is intended to cater esnecially to the practitioners. It is for them to supply the bulk of the material. Special articles on problems of practice are also invited. Our Resident State Secretaries and the secretaries of State and local associations can assist greatly in increasing the sup- ply of such papers and reports. Some of them are already doing this, and their cooperation is greatly appreciated. With a view to stimulating a larger supply of material of a practical character I venture to repeat -a suggestion made in my report to the Executive Board a year ago, but which was not acted upon. It is that small prizes be offered for brief essays on certain subjects which are announced in advance. Some disease or ailment of general interest should be chosen as a subject and announced, with an invitation for brief articles (not exceeding, say, 500 words) to be submited by a certain date (at least three months ahead), 92 PROCEEDINGS OF A. V. M. A. ANNUAL MEETING cash prizes to be awarded to the best three, the prize-winning articles to be published. Prizes of $15, $10 and $5 are suggested, and the Subcommittee on JOURNAL should make the awards. The papers should present effective methods of treatment rather than describe diseases. I trust that this plan may be approved and put into opera- tion. Our deparment devoted to the Army Veterinary Service has dwindled to small proportions in recent months. Our confréres in the military service are invited to support this department with con- tributions of interest in their particular field. In other respects the contents of the JOURNAL have been satisfac- tory in volume and of good quality on the whole. Several papers of outstanding excellence were published. The increasing extent to which our original articles are reprinted or abstracted in foreign journals is an undoubted influence in raising the standing of the American veterinary profession in the eyes of the scientific world. Our acknowledgments and thanks are hereby tendered to all our collaborators who have furnished valuable assitance in making the JOURNAL a success. The following comparison may be of interest in reference to the income received by the JOURNAL. From September 1, 1920, to August 31, 1921, the collections were $7,757.82 for advertising and $2,111.53 for subscriptions, or a total of $9,869.35. From September 1, 1921, to August 25, 1922, with similar rates obtaining for adver- tising and subscriptions, the JOURNAL received $8,317.16 for adver- tisements and $2,325.61 for subscriptions, or a total of $10,642.77. This shows an increase of $559.34 in collections for advertisements and $214.08 for subscriptions. Dr. Jacob, our Treasurer, advises me that he has received this year from Secretary Mayo and myself for the JOURNAL account $21,728.90, as compared with $21,372.15 for last year and $12,748.24 for 1920. Although the expense for advertising is being closely watched by advertisers, the JOURNAL has noted with gratification that most of the bills for this service are paid promptly, showing that business conditions are improving, which should be reflected in the veterinary profession. All my records, bank book, check book, letter files, duplicate deposit ships, monthly statements from the bank, quarterly statements to the Executive Board, etc., were turned over to a qualified acountant for review, and his certificate of examination and audit is attached for your information. J. R. MOHLER, Editor. ( Applause. ) PRESIDENT KINSLEY: You have heard Dr. Mohler’s report, a complete, comprehensive report. What is your pleasure ? Dr. QuirMAN: I move that it be accepted. (The motion was seconded and carried. ) REPORT OF SECRETARY PRESIDENT KINSLEY: The next order of business is the report of the Secretary, Dr. Mayo. (Secretary Mayo read his report, as follows:) It is gratifying to report a gradual increase in membership, al- though members alone are not the measure of progress. It is the active interest of all the members and constructive work that counts. There are about 4,185 members on the rolls at present. Seventy- one former members who had dropped from the Association have PROCEEDINGS OF A. V. M. A. ANNUAL MEETING 93 been re-instated. Twenty-one members have died. Eight have re signed. There are about one hundred and seventy applications for membership. I wish particularly to call your attention to the fact that a number of applications are being received from veterinarians in foreign countries and a recent letter from the Secretary of the Australian Veterinary Association stated that the American Veterinary Medical Association was considered the leading Veterinary Association in the world. We now have active members scattered all over the world. The extension of the influence of our association in foreign countries should be encouraged. I would recommend that a special committee be appointed to consider and report upon this subject at the next meeting. : The Special Committee on Membership composed of President Kinsley, Editor Mohler and the Secretary in making plans for getting new members also considered the matter of reinstating members who had been compelled to drop out during the war or for financial rea- sons. It was decided by the committee that a special dispensation should be made and that members who were warriors and who would have been dropped for non-payment of dues could be reinstated upon the payment of $5.00. The recommendation of the Committee on Membership was approved by the Executive Board as it was felt that it would be a very desirable plan in every way. As a result of this action more than 150 delinquent members have been reinstated, a number of them writing letters of thanks for the opportunity given them. I would recommend that the By-Laws be changed so as to permit the Executive Board to make special arrangement for reinstatement of members who are back in their dues and also to provide for a few cases where members do not require the JOURNAL. Cases are frequently occurring where the Association is likely to lose members on account of some complication. This would be a practical arrange- ment for the Association in every way, and the following amendment to Article 7 of the By-Laws is proposed: “Section 3.—The Executive Board may in exceptional cases make special arrangement for reinstatement and remission of dues.” Some years ago our Association had an Honor Roll. Those who had been active members of the Association for 25 years were placed on this Honor Roll and were not required to pay any dues. This ‘condition prevailed before the Association published an Official Jour- NAL. Later, at the time of the adoption of the present Constitution and By-Laws, the Honor Roll was eliminated, and all were placed on the same basis. A number of the older members thought that this was not right and have dropped their membership in the Association. Whether it is desirable to make some sort of provision for these long time members, is for you to decide. The expense of the Secretary’s office for the past year may be classified as follows: rite ang “SbatiOnery =.=." se Clerical ee ee |S ee Ec BO Stet eet ee ee, Bee es ihe ees GI ake BM OMENS uD PVs wes ree eee Sere cs One a eae 90 © PHCIGeTHUAIS) oo 2 es eee oes E MMS ak heen lea bath PLCle Oras eer ee ee Reporting Denver meeting MER SERCO ULEN Pe XI CIS OS le sec ren . 273.03 EERE IN GNF TS) a cae ee eee Ne Dee 429.75 ANU TEINE | SCCTCEALY,S, DOOKS x ieee: pees ersten cnn 25.00 Buttons, for st. Lonissmeeting® 222. so 19.80 94 PROCEEDINGS OF A. V. M. A. ANNUAL MEETING There is no question that the veterinary profession does not re- ceive the publicity that it should, particularly with reference to the interests of the practitioner. At the present time campaigns of pub- licity are being carried out by various interests and a certain amount of time is often advertised to be dedicated to certain topics of inter- est to the public. The campaign of publicity for preserving the teeth has undoubtedly done a great deal of real good, so far as the public is concerned, and incidentally has brought the dental profession deserved publicity. Campaigns for purebred livestock have been successfully carried out. It has been a benefit for not only the average farmer and stockman, but also to the breeder of purebred stock. Could not a campaign for healthier livestock be carried out in cooperation with the breeders of the country? This would not only help the movement that is on foot to control tuberculosis and other transmissible diseases, but should include all diseases of ani- mals, those that are due to faulty diet and lack of proper care. It is possible that some judicious advertising in some of the leading agricultural and livestock papers of the country might be of great Devel not only to the livestock industry, but to our profession as well. I would recommend that a committee be appointed to consider this question, particularly with a view to cooperating with the various Breeders Associations. It is evident to all that the lines of demarcation that have existed between veterinary and human medicine are disappearing. The American Veterinary Medical Association, as representing the veteri- nary profession in America is being called upon more and more to take an active part in solving problems that effect medical science as a whole and also various scientific organizations whose work has a bearing on medicine—both the human and comparative. The American Veterinary Medical Association should take an active part in all measures looking to a closer cooperation with those agencies working for the preservation of life, both human and animal, and I would recommend that a committee be appointed to prepare some plan for cooperation service between the A. V. M. A. and human medi- cal and sanitary associations. Some four years ago I recommended to the Association in my an- nual report that closer cooperation between the A. V. M. A. and State and local associations should be given special consideration and a committee was appointed. This committee presented an ex- cellent report at the Columbus meeting, but they did not think the conditions warranted the adoption of a plan similar to that of the American Medical Association. During the past year this matter has again been presented to the Executive Board and President Kinsley has appointed a special committee that will report at this meeting. There is need of some definite organization in each State and Province to represent and look after the interest of the National Association. At present the only representation is the Resident Secretary and these are frequently changed. At the last meeting of the Association an official automobile em- blem was adopted. The price fixed by the Executive Board for this emblem was $1.25, postage paid. Five hundred seventy-three were purchased in the first order and about four hundred have been sold. This emblem is a very attractive one, and the price is very reason- able. Several orders have been received from non-members, but these orders have been returned. The question of changing the date for the annual meeting of this Association has been raised by a number of members. At the pres- ent time the meeting comes at a period when many practitioners in the Central West are busy vaccinating hogs, and it is a period in their practice that they can not afford to neglect. PROCEEDINGS OF A. V. M. A. ANNUAL MEETING 95 In addition to this, another objection that has been raised is whether the last of August is likely to be uncomfortably warm. Some mem- bers have suggested it would be more satisfactory to have the annual meeting the latter part of June. This is. presented for your con- sideration. In the past few years there have been a good many suggestions made to the Secretary by members of the Association, that pro- grams should be made as practical as possible, and quite a good many have urged that a clinic be provided for. This year, owing to the favorable location. it has been decided to see if it was practical to have a rather elaborate clinic. You will all recognize the difficulties in presenting a clinic where the attend- ance is so large, as it makes it difficult for but a few members to get any real value from the clinic. These problems have been considered by those in charge of the clinic, and it has been the endeavor to pre- sent a clinic in such a way that practically all those who attend can get the benefit of it. On the other hand, some members have expressed the opinion that clinics and practical demonstrations are more properly within the sphere of local and State associations, and that the National Asso- ciation meeting program should be made up largely of presentation and discussion of more general problems, that affect the profes- sion as a whole, not only in America, but in other countries as well. There is no question but what the program should include not only the latest scientific researches and also discussion of practical nrob- lems, and as a rule an endeavor has been made to present a well- balanced program along these lines. This year an effort has been made to present a proeram in which clinics and practical problems predominate. With these facts and with the results of the present program before you, an expression of the opinion by the Association as the general plan to be followed for future programs, would be of great value to those upon whom the responsibility for program rests. It has been the earnest effort to present a program that will meet the needs and approval of a majority of the members of the Association. I have notified the Executive Board that because of the pressure of other duties, I wish to retire as your Secretary. In severing my official connection, you will pardon me if I review briefly some phases of the progress of the Association during the past ten vears. The Association membership has increased from 1.809 to 4.100. Ten years ago the income of the Association just pxid the running expenses. Now the Association has a reserve fund of more than 30.000. Upon my recommendation, an official monthly journal was estab- lished that has proven a powerful factor in promoting the interests of the Association and our profession in this and other countries. The influence of the American Veterinary Medical Association has increased greatly, not only in America, but in foreign countries. and . I believe the A. V. M. A. is recognized as being the leading veteri- nary association in the world. Some four vears ago I presented, and the Association adonted a motion to combine the offices of Editor and Secretary and establish a fixed office where all the business activities of the Association should be centered. I am firmly of the opinion that no more pro- gressive step can be taken at the present time. The need of a per- manent centrally located office for carrying on the routine business of the Association is greater than ever before and should be put into effect at once. The American Veterinary Medical Association has been one of my pet hobbies, and I have endeavored to promote the interests of the Association in every way possible in the thirty years I have 96 PROCEEDINGS OF A. V. M. A. ANNUAL MEETING been a member, six years of which I have had the pleasure and honor of serving as your Secretary. I am proud to have had the opportunity of doing some constructive work for our Association and profession, and I shall always be ready to do anything in my power to help to make the A. V. M. A. bigger, better and more useful. I wish to express my appreciation for the hearty cooperation and support to all the officers, committees and individual members, par- ticularly to President Kinsley, who has worked so hard to make the work the past year and this meeting successful. I also take this opportunity to publicly express my thanks for the faithful and efficient services of my Secretary, Miss Apeland, who has done all the routine work of the Secretary’s office. N. S. Mayo. PRESIDENT KINSLEY: What is your pleasure with the Secre- tary’s report? SrcreTary Mayo: It is customary to receive it and refer it to the Executive Board for consideration. Dr. A. H. Baker (Chicago, Ill.) : I move it be received and reterred to the Executive Board. (The motion was seconded and carried. ) DISCUSSION OF SECRETARY’S REPORT Dr. HAMLET Moore (New Orleans, La.): There are several things in Dr. Mayo’s report that eall for considerable discussion. There is a roll of honor, and a man that had been in this Asso- ciation twenty-five years was placed on the roll of honor, and then because the JOURNAL was included in the fee he was taken off that honor roll. Now to be born with a silver spoon in your mouth —and every one of the gentlemen might have been (I wasn’t )— and have it yanked out is a pretty tough proposition. It seems to me that there ought to be some provision made whereby the men that have been placed on the honor roll could be placed on there with the fee for the JoURNAL subscribed. PRESIDENT KINSLEY: There is no honor roll now. Dr. Moore: I realize that, but it was abandoned because the JOURNAL was included in the fee. If you have been working for twenty-five years, honestly, intelligently and energetically, and the reward has been given you and then taken away, you wouldn’t appreciate it very much. Do you remember how many members we had on that honor roll? SECRETARY Mayo: I can’t tell you offhand, but I think there is a matter that will be referred to the meeting in regard to changing the Constitution and By-Laws with reference to giv- ing the Executive Board authority to provide for these few cases in another place. A majority of these old members prefer to be considered active members and go on. I see half a dozen here who don’t want to be put on the honor list. There are a few, however (I don’t believe over a half a dozen), that are hurt. They are old stand-bys that have been members of this Association for many years, and their feelings were hurt when the Constitution and By-Laws were changed, and they were put Proceepines or A. V. M. A. ANNUAL MEETING 97 back after being carried for some years on the honor roll, and they have dropped out of the Association. A little later I have a matter coming up that almost bears on this. Dr. Moore: It was in the behalf of the few that had dropped their membership that I asked this question, and I don’t think that this Association can afford to have a man drop his mem- bership for a thing of that kind. It isn’t a question of their being placed actively on the list; it is an honor to be on that honor roll; that is why it was termed an honor roll. It isn’t a question of a few dollars that is really donated to them or they are spared from paying, and I believe there should be a provision whereby the members that have been dropped should be appealed to to restore their membership in this organization as members of the honor roll. The emblem was mentioned in the report. The emblem is the national and authorized emblem of the Association, and I don’t see where any nonmember should have an emblem of a recognized association if he is not a member. I think by all means that has been the proper course. SEcRETARY Mayo: This report will be referred to the Execu- tive Board, and I think they will formulate recommendations on all the recommendations that I have made, and they will be presented separately to the association later on for their consideration, so there will be an opportunity to discuss them. Report oF TREASURER PRESIDENT KinsLEY: The next order of business is the report of the Treasurer, Dr. M. Jacob. Dr. M. Jacos (Knoxville, Tenn.): As is the usual custom, the Treasurer’s report has been prepared in pamphlet form and has been distributed to the seats so that it will become available to all of you. I wish, however, to supplement the written re- port with a few remarks in order to bring out some points with reference to the financing of the Association which might be of interest to you. The balance on August 4, 1922, was $33,313.68. The balance on August 4, 1921, was $27,341.36, showing a net gain for the year of $5,972.32. Of this balance, $470.56 applies to the Asso- ciation Fund, $53.33 to the Relief Fund, $5,448.43 to the JoURNAL Fund. The total amount of interest collected during the past year was $1,222.49, showing a net gain other than from interest of $4,749.83. As to our bond holding and par value, we have $27,000 worth of bonds, which cost $25,886.10. Now as to some comparison regarding the gains of the differ- ent funds. For the year ending August 4, 1921, the Associa- tion Fund showed a gain of $47.31. On August 4, 1922, it show- ed a gain of $470.56 for the year. The Relief Fund on August 4, 98 PROCEEDINGS OF A. V. M. A. ANNUAL MEETING 1921, was $18.68. The gain for the past year was $53.33. For the JouRNAL Fund our gain for the year ending August 4, 1921, was $912.57, while our gain for the year ending August 4, 1922, was $5,448.43. This, I think, is an elegant showing for the management of the JOURNAL. I believe the report shows very clearly that our financial status at the present time is very much healthier than it was a year ago. (Applause.) (The Treasurer’s formal report will be printed later.) Dr. H. P. Hoskins (Detroit, Mich.) : I move that the Treas- urer’s report be accepted and referred to the Audit Committee. (The motion was seconded and carried.) REPORTS OF COMMITTEES PRESIDENT KINSLEY: The next order of business is the report of the Salmon Memorial Committee. I understand that com- mittee is not yet ready to report. Following that is the report of the Special Committee on Closer Affiliation with State and Local Associations. If that committee is not ready I will call for the report of the Committee on Badge. REPORT OF COMMITTEE ON BADGE SecRETARY Mayo: Your Committee on Badge recommends that an official A. V. M. A. badge or button be adopted. See- ond, we recommend a design somewhat similar to the official automobile emblem—a crimson center with caduceus and super- imposed ‘‘V’’ in gold. Surrounding the crimson center a white circular ring bearing in gold letters the words ‘‘ American Vet- erinary Medical Association.’’ A sketch of design is here- with submitted. If desired this design could be embossed on stationery. Dr. QuirmMAaN: Before moving the adoption of that report I want to comment on the diagram of that button. I believe it said it was to be in gold, did it not? That is in keeping with the automobile emblem, is it not? SECRETARY Mayo: It is a little different from the automobile emblem in that there is a wider band of white around the crimson center, and in this band of white is put the caduceus with the superimposed ‘‘V.”’ Dr. QuirMAN: I want to suggest that that ‘‘V’’ be enameled in some color, preferably white, because in gold in the same color as it is on the automobile emblem, after it turns a little bit, no one can make out that ‘‘V’’ unless he gets right down to it and studies it. I have been contemplating seriously taking my emblem off my machine because no one can see the letter ‘‘V,’’ and they take it for a medical emblem, and I never cared to sail under false colors. That same change should also be made on the automobile emblem. That ‘‘V’’ should be in a color, pref- PROCEEDINGS. oF A. V. M. A. ANNUAL MEETING 99 erably, I think, white, because just as soon as it turns it is hard to pick out the ‘‘V’’ even when you know it is there. PRESIDENT KINSLEY: Do you make that as a motion? Dr. QuirMaAN: I move that we adopt Dr. Mayo’s recommenda- tion, and that the ‘‘V’’ be enameled in white. SecRETARY Mayo: I don’t know whether that can be done. There is a question of manufacture there that I couldn’t decide. Dr. Quitman: It can be done because you have enameling on the bottom. PRESIDENT KiNsLEY: I should like to ask the Secretary, if this motion prevails, if it carries with it that the Secretary provide these emblems. SECRETARY Mayo: No, it doesn’t. This is just the report of the committee that was appointed to consider an emblem for a button for the Association, an official button or badge. PRESIDENT Kinsey: Dr. Quitman has moved, and it has been duly seconded, that this report be received and that the ‘“‘V”’ on the emblem be enameled in white. It would seem that there is no instruction in obtaining these emblems, but that is the motion before the house. Dr. JoHN Eacue: I don’t see why that ‘‘V’’ should be changed. We had an emblem with a ‘‘V’’ and it showed up very nicely. I think if we put a white one there that it would simply bring out the ‘‘V.’’ I don’t think that would be right. This is the A. V. M. A. It is uniform and I don’t see why you should want to bring out the ‘‘V.”’ SEcRETARY Mayo: There is no inscription on here at all ex- Cope thes Vin” (The motion was put and lost.) Dr. Caniuu: I move that the report be adopted. (The motion was seconded. ) Dr. EactE: Dr. Quitman tells me that that emblem tarnishes, and there is no reason why that ‘‘V’’ should tarnish. SECRETARY Mayo: It depends altogether on what it is made of, whether it will tarnish or not. This is brass, and after the lacquer wears off it will tarnish unless you polish it up. These ean be made in gold plate and will cost in quantities about 15 cents each. The gold plate will not tarnish until the gold wears off, and you ean get solid gold if you want to. Dr. Hamier Moore: How much will these cost in the gold for a button? SECRETARY Mayo: I couldn’t tell you what a gold’ button would cost, but these gold-plated ones would cost about 15 cents aplece. Dr. Moore: The life of a gold-plated button would be several years. (The motion was carried. ) 100 PROCEEDINGS OF A. V. M. A. ANNUAL MEETING REporRtT OF SPECIAL COMMITTEE ON CLOSER AFFILIATION WITH STATE AND PROVINCIAL ASSOCIATIONS PRESIDENT KINSLEY: The next order of business is one that I consider very important. It has to do with the recommenda- tion on revision of our Constitution. I am very desirous that you get the import of this report. I call for Dr. McLeod, who is chairman of the Committee on Closer Affiliation with State and Local Associations. (Dr. McLeod read the report, as follows:) This committee was selected by President Kinsley to study plans suggested for reorganization, submitted to the Executive Board in Chicago. The plans and suggestions were offered by a committee representing the North Central Iowa Veterinary Association, which in brief had for its object the possibility of making the A. V. M. A. a more representative association. 1. It is the unanimous view of this committee that the Constitution and By-Laws be revised in order to assure a just and democratic representation of the members of the profession. 2. We believe that there should be an intimate relation established between this Association and. the State and Provincial associations, and that representatives from the State and Provincial associations should constitute the governing body. 3. A number of State associations have voluntarily signified their approval of these plans by resolutions. 4. Therefore, we recommend that a special committee, consisting of the President of the Association and four other members, be im- mediately appointed to study the details of the plans herewith sub- mitted, in conjunction with the Executive Board, and that this report shall be considered as a written notice to the Association of a pro- posed revision of the Constitution and By-Laws at the next annual meeting. = 5. We further recommend that provision be made for the publi- cation of the Constitution and By-Laws and distribution to each member, and that funds be appropriated to defray the necessary ex- penses of the committee. J. H. McLeEop, Chairman. L. A. MERILLAT, Secretary. CHARLES E. COTTON. Dr. J. H. McLeop (Charles City, Iowa) : I move the adoption of this report. Dr. Corron: I second the motion. Dr. F. Torrance (Ottawa, Canada): The report of this com- mittee being as brief as it is, it is difficult to understand it, and I would be unwilling to commit the Association to amend the Constitution without understanding it a little further. I would like the President or the chairman of this committee to explain a little more in detail what it is proposed to do. PRESIDENT KINSLEY: In this committee report the notice is given for the adoption one year hence, and this committee’s find- ings in conjunction with the Executive Board will be published so that every member will have an opportunity of studying this prior to the next annual meeting when it is up for adoption. Dr. TorRANCE: I understand, then, that an affirmative vote does not commit us to adopt this. PROCEEDINGS oF A. V. M. A. ANNUAL MEETING 101 PRESENT KINSLEY: Absolutely not. We are just accepting this report. Gentlemen, you understand that if this motion is carried you simply adopt the report of this committee, and that a future committee will be appointed to confer with the Execu- tive Board and bring up the proposed revision for adoption one year hence. (The motion was carried. ) REPORT OF COMMITTEE ON ANATOMICAL NOMENCLATURE PRESIDENT Kinstey: We will call for the report of the Com- mittee on Anatomical Nomenclature. The report is in the hands of the Secretary. (Secretary Mayo read the report of the committee, as follows :) This report consists of three parts: I. A brief résumé of work done by previous committees. ITI. A statement of the present situation. III. Recommendations. I. At the Toronto meeting in 1911 the Association ordered the ap- pointment of a committee to revise our anatomical nomenclature. The duty of this committee was to prepare a uniform and workable terminology to replace the chaotic accumulation of names which had become an unbearable burden to instructors and students and a serious impediment to the interchange of ideas which involved the use of anatomical names. This committee found it necessary first to formulate the general principles which should govern the work of specific revision. The report embodying these principles was re- ceived at the Indianapolis meeting in 1912. The committee was continued and at the New York meeting’ in 1913 presented a report which included the revised lists of names for the bones, joints, muscles and viscera. This report was received and published in the Proceedings of the year 1913. No expense ac- count was presented by the committee. The committee continued its labors and in 1914 the chairman for- warded to the Secretary of the Association for presentation at the New Orleans meeting the revised lists of names for the remaining structures. This meeting was not held. The complete report was in the hands of the Secretary to be sub- mitted at the Oakland meeting in 1915. It was accepted and re- ferred to the Committee on Publication. The report was not pub- lished. What appeared in the Proceedings of the A. V. M. A. in the JOURNAL, pp. 636, 637, as the report of the Committee on Anatomical Nomenclature was merely the chairman’s letter of transmittal, to- gether with a few terms which were inadvertently omitted from previous lists. Evidently this was all that was actually presented to the Association. Dr. Newsom, a member of the committee, made an effort to have the actual report presented and acted upon, but without success. He gave notice that after its publication, presumably a year hence, a motion for its adoption would be made. Subsequently the chairman endeavored to have the report published, but without success; it had apparently disappeared. On June 1, 1916, the committee sent to Secretary Haring for pre- sentation at the Detroit meeting a report stating that they had been unable to make any further progress, and explained that they were in no way responsible for this unfortunate situation. The impasse was due to the fact that the terms presented in the preceding report had not been published as ordered by the Association. It is obvi- ous that a matter of this kind can not be intelligently dealt with without publication. The committee therefore recommended that 102 Proceepines oF A. V. M. A. ANNUAL MEETING the (preceding) report be printed and that the committee be con- tinued and authorized to obtain the views of their colleagues in order that the whole matter might be put in final form for submission to the Association. On December 1 the chairman inquired of Secretary Merillat as to the status of the committee and its work. The reply was to the effect that the report apparently was not laid before the Detroit meeting, although it was duly signed and filed with the Sec- retary for presentation. There was no excuse for the failure to read this report, since it could be done in less than five minutes. The report of the committee filed with the Secretary for the Kansas City meeting in 1917 quoted in toto the unread and un- published report of the previous year and repeated the recommenda- tions made therein (JOURNAL OF THE A. V. M. A., Vol. 52, p. 229). The executive board recommended that the Secretary be instructed to multigraph the report of the committee on anatomical nomencla- ture for distribution among anatomists of the veterinary colleges. This recommendation was adopted. The new chairman of the committee (Dr. H. S. Murphey) wrote to the present and former chairman that he was unable to obtain the completed list of terms which had been filed by the original com- mittee with the Secretary in 1914; as before stated, it seemed to have disappeared. At the Philadelphia meeting in 1918 the committee reported little progress, due chiefly to the disappearance of the completed list of terms filed in 1914, and .the consequent necessity of preparing an- other list. A brief history of the work was appended. The com- mittee recommended (1) that the committee be continued; (2) that the provision regarding multigraphing of the report remain in force; (3) that the history of the work of the committee be published with this report. This report was received and the committee continued (JOURNAL OF THE A. V. M. A., November, 1918, and January, 1919, p. 464). During the succeeding year the chairman prepared a new second list of terms which was almost identical with the list submitted by the original committee in 1914. Multigraph copies of this list were sent out to the veterinary anatomists as a referendum. This list was included in the report of the committee at the New Orleans meet- ing in 1919. In addition the committee moved (1) the adoption and publication of the terms by the Association, (2) that the committee be continued to prepare and submit a table of suggested English equivalents, together with such additions and corrections as are neces- sary to conform to the lists of the American Association of Anato- mists, and that the Committee be directed to cooperate with the veterinary anatmosists of other English-speaking countries in the preparation of said lists of anatomical terms. The report was signed by three members of the committee. After some discussion, which was apparently due to the unusual action of the committee in in- cluding motions in their report instead of the usual procedure of making recommendations, the report was adopted (JOURNAL OF THE A. V. M. A., February, 1920, p. 541). In spite of the foregoing action of the Association adopting the report, the second list of terms was not published. At the Columbus meeting in 1920 the then chairman and one member presented a report, stating that the Executive Board had disapproved the adoption of the list of terms submitted and the publication of the list. The report contained two motions: A. That the committee be continued to prepare a table of English equivalents together with additions and corrections, and that the committee be directed to cooperate with the veterinary anatomists of other English- speaking countries. B. That the Latin terms previously submitted be adopted. This report was adopted. PROCEEDINGS oF A. V. M. A. ANNUAL MEETING 103 The committee made no report at the Denver meeting in 1921. The present chairman was called upon to make a verbal statement and suggested the continuation of the committee, which was agreed to. The committee desires to direct attention to some outstanding features of the preceding brief historical review. 1. The original committee of three completed in 1914 the work assigned to them by the Association in 1911. In justice to the other two members, I. E. Newsom and S. L. Stewart, the chairman, as the surviving member, feels that the Association should know that the committee was in no way derelict in its duty, but completed its task in as short a time as the magnitude and inherent difficulties of the work permitted. It involved the sifting of thousands of terms, study of related literature in several languages, and some laboratory inves- tigations to settle controversial points. Furthermore the work of the committee had to be done very largely by correspondence. 2. The first action which effectually blocked the progress of the work was that of the Executive Board, which voted not to carry out the resolution passed by the Association that appropriated $300 for the use of the Committee on Nomenclature to publish its report and send copies to those interested thirty days before the next meeting. ‘In this action the Executive Board undoubtedly arrogated powers which had no sanction in the Constitution or By-laws and thereby defeated the purpose of the Association embodied in the said resolu- tion. The plea of lack of funds was beside the point. It is the business of an Executive Committee promptly to set aside funds sne- atcally appropriated, precisely as a bank does relative to a certified check. Another serious and unnecessary obstacle to progress consisted in the failure to publish in the Proceedings the report presented at the Oakland meeting. It was, of course, the expectation of the com- mittee that all who were interested would have an opportunity to examine the lists of names and thus be enabled to criticize the work of the committee and vote intelligently upon it. The statement of the chairman of the Committee on Nomenclature at the Columbus meeting that the Executive Board had disapproved the adoption of the list of terms and the publication of the list is an astounding one to those familiar with correct procedure in such cases. II. The present situation is briefly as follows: 1. All of the anatomical terms in the lists prepared by the Commit- tee on Nomenclature have been submitted to the anatomical teachers of the various colleges for their consideration. 2. These lists have been twice adopted and ordered published by the Association. 3. The first list, comprising about half of the terms, was published in the Proceedings of the A. V. M. A. for 1913. This list contains printer’s and other errors, and omissions. Furthermore it is practi- cally buried from the standpoint of utility. The second list is yet unpublished. III. In view of the foregoing facts your committee respectfully makes the following recommendations: 1. That the committee be continued and that it be and hereby is authorized to edit the lists of terms in reports previously adopted, to publish said lists of terms as edited in book form, and to prepare for such publication a brief introductory statement. 2. That the Executive Board is hereby directed to conform to the terms of the preceding recommendation. SEPTIMUS SISSON, Chairman. F. W. CHAMBERLAIN. MARK FRANCIS. E. SUNDERVILLE. 104 PROCEEDINGS OF A. V. M. A. ANNUAL MEETING Dr. Canim: I move that the report be accepted and laid on the table. (The motion was seconded by Dr. Hoskins.) SecrETARY Mayo: For your information I would say that the list referred to in the report of this committee is in the hands of the Secretary. It is about two inches thick and consists en- tirely of anatomical names. It would be of interest only to teachers and students of anatomy. I am not criticizing this at all, for I believe this committee has done a splendid work and a very much needed work. I believe a limited edition of this ought to be published. We can’t very well publish it in the official JouRNAL of the Association, because it will take up too many pages; it would kill the JouRNAL to attempt to put it in there. I think it would be very proper to publish this in pamphlet form. I don’t believe it ought to be published in book form. If anyone wants to have it bound for preservation he could have it bound at his own expense. I do believe the Asso- ciation should have this committee. I believe they have some further revisions on these anatomical names. I think these names should now be gone over for a final revision by the com- mittee, and there should be a limited number published, and a definite amount should be appropriated for that purpose. We have no idea as to how many should be published. How many will be needed? Five hundred? A copy for each mem- ber of the. Association? I confess that personally I don’t feel qualified to say what should be done. Here is a long report of purely anatomical names that has a value to teachers and stu- dents of anatomy. It ought to be in shape for those who want it. Dr. Eacur: There is only one question, I think, that comes up there. If this report is going to be laid on the table, that is going to kill it forever. The question rolls around in my mind, if this was not an important procedure, why in the world have they allowed it to go on from 1913 up to the present time, and allow these men to go to all the trouble and do all the work that they have done, and then’ come up here today and lay their work on the table? I think if we were going to kill that work we should have killed it i 1913 and stopped it. These men have put in their time and they have put it in gratis, as T understand it, with very little expense to the Association. If this doesn’t do any one else any good but teachers, the work of these men should be appreciated enough to adopt the report and make a few copies of it at least. Dr. Quirman: I would like to ask, as a matter of information, inasmuch as Dr. Sisson is the chairman of that committee, does this report of these anatomical names differ materially from Sisson’s Anatomy ? SECRETARY Mayo: I don’t know. Dr. QuirmMAN: I would imagine they would be in keeping with Dr. Sisson’s ideas, and perhaps if a comparison were made PROCEEDINGS oF A. V. M. A. ANNUAL MEETING 105 there would be no necessity for publishing the report. A ighave an idea that to adopt that report would be to certify Sisson’s Anatomy as an anatomical verbiage for the profession. I fully agree with Dr. Eagle, that it would not \be fair nor courteous to this committee to table this report, and I certainly think the Association should at least vote against tabling the report. Dr. C. A. Cary (Auburn, Ala.) : I would like to tell the men who made this motion and seconded it to lay this on the table, that that kills it, and it ought to be left for the Association to decide in a separate motion. It is irregular to have a motion to accept and lay on the table in the same motion. It is not permissible by parliamentary usage. I would like to see a mo- tion made to accept this, and then if you want to make a motion to lay it on the table, make that motion. Dr. Canin: It isn’t my intention to discredit the work of this committee. Far be it from me to belittle their work. But I am anxious, and I think everybody else is anxious, that we don’t see our anatomical nomenclature get into chaos—and it will soon be a hopeless chaos if this is going to be allowed to stand. If I am correctly informed—I may not be—this com- mittee’s work is not finished. I can see no sense in publishing such a vast amount of material which has no standing at this time until this committee’s work is finished. If the majority of the representatives of the schools here say that they need that, I not only would be willing to withdraw my motion to table the report, but I would be pleased to see a limited number of these published if the veterinary schools want that done. My idea was simply to try to prevent this thing being thrown out in the JOURNAL or otherwise published to add to the confusion and chaos. SECRETARY Mayo: I don’t think anyone here is well enough posted on the work of this committee to say really what ought to be done with it. I think that the report of the committee ought to be received and the committee continued, and at the other meeting let them come before us. This is mostly eriti- cism of what has happened before; but let them come before us and show us what the need is, and I feel sure that the Asso- ciation will do what it thinks is right. Pres went Kinstey: I would like to ask Dr, Cahill to amend that motion that we accept the report and the committee be continued. (Dr. Cahill agreed to this, with the consent of the second. The motion was then put and carried. ) REPORT OF COMMITTEE ON INTERNATIONAL VETERINARY CONGRESS PRESIDENT KinsLEY: Next I will call for the report of the Committee on International Veterinary Congress. Dr. Mohler is chairman of that committee. I believe Dr. A. Eichhorn is to make the report. 106 Proceepines oF A. V. M. A. ANNUAL MEETING Dr. A. EicHuHorn: At the request of the committee I have visited various countries and have interviewed quite a number of veterinarians who have been previously interested in inter- national congresses. The impression J have is that at the pres- ent time there is hardly an opportunity of organizing a congress and deciding upon a place where such a congress should be held. This condition primarily is due to the political and eco- nomie conditions in Europe, and it will take a considerable time before it will be possible to establish normal conditions or such situations which will enable the scientific organizations to get up and deliberate on problems which are of an international character. This condition is unfortunate and is probably pri- maily due to certain countries not desiring to enter into cor- respondence with alternative organizations of other countries. For this reason I believe that at the present time it is im- possible for this country to issue an invitation to the various countries for the holding of such a congress in the United States. I therefore recommend, in agreement with the commit- tee, that for the present time the idea should be given up until later when we might be in position to invite the veterinary or- ganizations to come to the United States for an international gathering. (Applause.) Dr. V. A. Moore: I move that the report be received and the committee continued. (The motion was seconded and carried.) Report REGARDING Horse ASSOCIATION OF AMERICA Pres WENT KinstEy: Next we will have the report of the rep- resentative on the Advisory Board of the Horse Association of America, Dr. G. A. Dick. ; Dr. G. A. Dick (Philadelphia, Pa.): The report is in the hands of the Secretary. (Secretary Mayo read the report, as follows:) As representative of the American Veterinary Medical Association on the Advisory Board of the Horse Association of America, I pre- sent the following report. Last year the work of the Horse Association of America up to that time was presented quite fully. It was found that many lines of investigation had been completed, all of which were favorable to the horse. Among those were comparative figures on the cost of hauling heavy loads and light delivery packages by horses and auto- motive power; overhead expense on auto trucks standing idle; plow- ing, harrowing and seeding on large and small farms; investigations in the production of new horses, etc. During the past year the Horse Association has been endeavoring to put this information into the hands of the users of horse and automotive power. They have also been making other extensive investigations and have been very active in promoting the use and production of horses. Many new booklets, setting forth the advantages of the horse in various kinds of work, have been published and distributed where they will do the most good. To make this report complete, I can PROCEEDINGS OF A. V. M. A. ANNUAL MEETING 107 not do better than quote from Mr. Wayne Dinsmore’s recent address before the Wholesale Saddlery Association of the United States: “We have reached, directly, with letters personally addressed, and with facts and figures bearing on their own problems of haul- age and delivery, the principal city users of transportation. We have done this over and over again, sometimes by cities, sometimes by industries, nation wide, with the result that virtually all firms now know of our work and have had the opportunity to compare their own costs with those of others in similar lines. We have won the confidence of large concerns that have complete detailed records of horse costs and work done, and we are now securing the most valua- ble data ever made available in our investigations. “Some increase in horse use in cities is already evident. Whether this will offset the losses in other places we can not definitely de- termine as yet. New York, Boston, Philadelphia and Chicago ap- parently show some gain in horse use in the last year, judging from the specific increases of which we have knowledge. In other places, where our work has been less intensive, a loss may show to offset this. I am perfectly frank with you in these matters, for I want you to realize that motor truck manufacturers are everlastingly on the alert with ‘their advertising, their agencies and their salesmen. One well-known maker of electrics is now selling their trucks for $100 down (plus $495 when delivered) and the balance in 21 monthly installments, and is making a special drive to sell to bakeries, laun- aries towel supply companies and others that have light delivery work. “To offset this, we are showing what a horse will do, what he costs, and how slight the investment and depreciation on horses, har- ness and wagons is, in comparison to the same factors with trucks. We must continue to do this, vigorously and steadily, if we are to sell horse use to merchants and other city transportation users. “Overconfidence in respect to truck competition will be fatal, for we have already had to contend with ordinances calculated to legislate horses and mules off the streets, and new schemes of this kind are continually being framed up by truck salesmen who hope to benefit therefrom. “We have the advantages of lower investment cost, slower depre- ciation and less expense in maintenance and repair, but our oppo- nents have the advantage of a high-power sales force, skilled in salesmanship and big enough financial profit on each sale to make them work like blazes to close each deal. It is necessary that we work without ceasing, if we are to make headway against their sophistry. “We have secured in the past some excellent costs in horses versus motor trucks, and have now in progress investigations into horse costs which are being taken from the financial records of very large users of horses in city work. These figures will set at rest all ques- tion as to the life of horses, amounts of feed required and harness and wagon costs, all of which have been subject to question and dispute from motor truck interests. “Other work now under way includes studies on the distance trav- eled per day by retail delivery horses, with number of stops made; miles traveled per day by teams hauling coal, sand and lumber, with tonnage moved; and especial studies of the type of horses which last longest in city work. We also have negotiations in progress which will bring a large group of transportation users into coopera- tion with us on a study of hauling and delivery costs, in which we will check distance covered, tonnage hauled, stops made, time stand- ing still and speed maintained while traveling. This is work that is urgently needed, has never been done, and which will be extremely valuable in defining the horse zone and horse costs. 108 PROCEEDINGS OF A. V. M. A. ANNUAL MEETING “The breeding of horses and mules is now increasing, but moves slowly, as there is a lack of sires suitable for use, and in many communities no one farmer or group of farmers can be persuaded to make the investment required to secure a good stallion or jack. There is a marked shortage of young animals in nearly all States. “T recently received letters from 136 farm auctioneers, located in thirty-two separate States. I asked them specifically whether there were enough young horses (under 3) coming on for replacement needs, and 121, or 89 per cent, of those answering said ‘No.’ Wyo- ming was the only State from which all replies indicated that there were plenty of young horses coming on. Our work this season has been directed toward impressing on farmers the shortage of young horses and to stimulate breeding. Leaflet 57, entitled ‘Will It Pay,’ has reached more than 150,000 farmers in the principal horse and mule producing States in the last two months. They can not fail to be influenced by the facts set forth therein, and the reports we have had indicate that breeding has increased considerably. “With a view to establishing still more direct contact with farmers, we are now securing the names and addresses of the three leading farmers in each township in each county, for every State. This will carry our campaign still closer to the farm users and producers of horses and mules. “Driving horses have been practically eliminated from our cities by automobiles, but many farmers who own cars are coming back to the good old driving horse for all ordinary length trips. We have given especial attention to the development of riding facilities and this season surveyed and marked nearly 200 miles of bridle trails through Cook County Forest Preserves and over connecting roads in Cook and DuPage counties. No organized effort to develop riding as a national sport was ever made until we took up the work. “The response has been most admirable. Our cooperation in Chi- cago from the Forest Preserve Commissioners, local riders and highway officials has been 100 per cent. Riders in other cities are requesting our services in developing similar riding facilities in their districts, and nation-wide publicity in news stories about horse- back riding has been abundant this past month. “In my judgment, we are just at the beginning of the launching of riding clubs, horse shows, polo associations and riding interests in general. I am confident that no part of our work will show greater results in the next few years than that devoted to popularizing this, the oldest and most exhilarating of all sports.” It is not necessary to say anything further on the activities of the Horse Association of America. There is no doubt that this Asso- ciation has done the horse industry a world of good and is in a posi- tion to do still more. This will be recognized by the members of the American Veterinary Medical Association, and it is hoped it will again render active support and cooperation to the Horse Asso- ciation of America. G. A. DICK. Dr. QuirmAN: I move that the report be received and the committee continued. (The motion was seconded by Dr. Hoskins.) Dr. Buriter: For the last year I have been more or less familiar with the work of the Horse Association, through re- ceiving regularly the matter for publication which they issue. I have been unable to use very much of their material be- cause I believe it is unwisely, unfairly produced. We might as well recognize it now, because it is a certainty that the truck and tractor are factors in farm power and farm transportation ; PROCEEDINGS oF A. V. M. A. ANNUAL MEETING 109 they are not going to displace the horse. They are probably not going to lessen the number of horses used, but they are factors in farm transportation and we might as well recognize it. The Horse Association in the material that it puts out is not satisfied in stating the case for the horse, which I admit is strong enough if fairly presented. They make the mistake of so many propagandists of knocking the other side of the propo- sition; of making garbled and unfair presentations, In my judgment, regarding the tractors and trucks. I accept the main facts in their propaganda as correct, and I believe that this Association ought to cooperate with them; but I be- heve they are lessening, very much lessening, the effectiveness of their propaganda because it is unfair, because they make the mistake of knocking the tractor and the truck; and there- fore I wish that this Association, through its representatives, could carry a word to the Horse Association, that if they will make their stuff that they send out deal with boosting the horse, giving the correct facts about the horse, and not giving garbled, and what I believe unfair, facts about the tractor and the truck, their material will get ten times the publicity and would be infinitely more eftective. I for one would like to have a lot of stuff they have sent out published, but it absolutely meant edit- ing in order to play fair to the other interests which we repre- sent, and I didn’t have the time to do it. I make this statement purely and absolutely in the interest of the horse. I believe they can be more effective in their propa- ganda if they will take the proper view of the thing, that the truck and the tractor are here to stay, that they are factors and well established factors, economic factors in farm power. But there is still a place for the horse; he still has his superiority in many fields, and he still is going to be used. Let us boost that; let us put out facts regarding that; let us give everything we can regarding that; but let us leave the other alone because we can’t head it off. Dr. L. A. Mermuar: I would like to ask Dr. Butler in what particular connection the Horse Association is unfair. I would like to ask details about it. Dr. Butter: I am unable to give that now, for I did not know this thing was going to come up. But if I remember right I think I recall one of our editors, one of our coworkers who is not prejudiced in favor of the horse as I am (but as a matter of fact he is fair) said that the report or an article sent out based upon a bulletin by the United States Depart- ment of Agriculture was unfair and didn’t give the informa- tion as it would have appeared. had the whole of the facts been given. I have had hundreds of dozens of them where I thought it would have been very much more effective if they had left out some of the stuff they had in there and stuck to their cause. ’ 110 ProceEepines oF A. V. M. A. ANNUAL MEETING I find every time I knock a competitor I boost him and it lessens the effectiveness of the statement. That is the only case I can call your attention to definitely, but I think I can get you a number of others. Dr. Quirman: I don’t know whether Dr. Butler’s remarks have any influence on the vote or not. It is very evident that Dr. Tait Butler was never run over by a tractor as was our very good friend Dr. Merillat. You can see the difference. I want to say that I have read a great deal of the literature of the Horse Association of America. I am a member of the asso- ciation, and I do not agree with Dr. Butler that they could carry out their work just as well by boosting the horse as they do by making the deadly comparisons. What Dr. Butler terms knocking is comparison, and from what I know—at least I have seen the conditions—I believe that the Horse Association of America can prove every statement that they have made derogatory to the motive power whether it is farm or city power. I believe they can prove every statement. I know per- sonally of a great many of those statements that are coming true’ They make a great many statements that I don’t know anything about, but I have seen comparisons and parallels made, and I believe that they can prove them. I believe, too, that they are doing a great and a good work for the veterinary profession, and they certainly should receive the hearty coopera- tion of every member of this organization. (The motion was earried. ) APPOINTMENT OF COMMITTEE ON REVISION OF CONSTITUTION PRESIDENT KINSLEY: I wish at this time to nominate the com- mittee relative to the revision of the Constitution as per adop- tion of the committee report of Dr. McLeod. The names are as follows: J. R. Mohler, Chairman, C. A. Cary, J. H. McLeod, L. A. Merillat, and A. T. Kinsley. Report OF DELEGATE TO CUBAN MeEpIcAL CONGRESS PRESIDENT KINSLEY: Next we will take up the report of the Delegate to the Cuban Medical Congress, Dr. Eichhorn. Dr. A. ErcHHoRN: First of all I desire to express my appre- ciation to the President for giving me the opportunity to attend the National Medical Congress of Cuba as a delegate representing the American Veterinary Medical Association. The Cuban Con- gress is held every three years and is comprised of six various branches of the medical profession. One of the sections is given over to the deliberations of the veterinarians, while the others are those of the other branches of the medical sciences. The general deliberations were held at the general session, whereas the matters relating to the branches were discussed in the vari- ous sessions. The general meetings were in session two days, at which time papers pertaining to all phases of veterinary PROCEEDINGS oF A. V. M. A. ANNUAL MEETING Hawt medicine were read and discussed. The papers were of the highest standard and the discussions indicated that great inter- est was shown in the various problems confronting the veteri- narians of the Cuban Republic. The subjects were most varied and pertained to the control of infectious diseases as well as to the diagnosis, prevention and treatment of the infections. I do not intend at this time to enter into a report of the various subjects presented, as I have published a report in the JouRNaL OF THE AMERICAN VETERINARY MepICAL ASSOCIATION relative to my attendance at the Congress. There are approximately one hundred and thirty veterinarians in Cuba. Of this number about thirty are serving in the Army, twenty in the Bureau of Animal Industry, and the remainder either conduct private practice or serve municipal or other or- ganizations. At the present time there is one veterinary col- lege conducted in Cuba, this being a department of the Univer- sity. The preliminary requirements for entrance into the Col- lege are the same as those required of the medical students, and from my meeting of the students and also recent graduates of the College, the standard is no doubt equivalent to those of other professions at the University. The veterinarians in the Army are certainly to be congratu- lated for having succeeded in obtaining a distinct corps of that organization, being headed by a veterinarian. Furthermore, they have also a splendid laboratory with a well-trained staff of veterinarians, which not only is active in the routine labora- tory work, but also produces the biological products not only for the prevention and treatment of the infections occurring among the army horses, but they also produce all the biological products used for the men in the military organizations of Cuba, such as typhoid vaccine, tetanus antitoxin, ete. The Bureau of Animal Industry has not yet extended its activity corresponding to our organization in America. How- ever, it is their aim to have suitable legislation enacted for such powers as will be necessary for their full control of the live- stock on the Island. Dr. Crespo, who is the present chief of the organization, is very active and devotes all his time with the greatest energy toward that end. The diseases which the practitioners are meeting are very much along the line of those occurring in the United States and Canada. During the discussions on tuberculosis I was asked why they met with cases of tuberculosis among the cattle which are imported to Cuba from the United States. That is a puz- zling question, inasmuch as the native eattle of Cuba are prac- tically free of tuberculosis. The shipments are tested by of- ficial veterinarians in the United States and in a retest it is found that a considerable number of the imported animals are affected with tuberculosis. It was, of course, difficult for me to explain the situation, and naturally the veterinarians are very a IP PROCEEDINGS OF A. V. M. A. ANNUAL MEETING suspicious whether the testing in the United States is conducted with such care as would insure the importation of cattle free from the disease. The social side of the Congress was also given splendid at- tention. Many foreign delegates attended, among these being the dean of the faculty of the Paris University, and the nephew of Pasteur, besides also delegates from the various South American countries. This tended to give the Congress some- what of an international character. Among the social fune- tions given was a reception for the President of the Republic, the President of the Congress, and many other entertainments which made the Congress a wonderful success from the social point of view. Your delegate was shown the utmost neenietey by the Cubans, and was elected an honorary member of the Cuban National Veterinary Association. It is indeed gratifying that the initial step has been taken by the Cuban veterinarians toward estab- lishing closer relation between the veterinary professions of the two neighboring republics, and it is hoped that this relation will be fostered in the future and that our Association will not lose the opportunity of inviting delegates from Cuba to attend our meetings. (Applause.) (It was moved by Dr. Eagle and seconded by Dr. Quitman that the report be adopted.) SecrErARY Mayo: On behalf of the American Veterinary Medical Association I extended an official invitation to the Re- public of Cuba and also to the Republic of Mexico, asking them to send representatives to this meeting. Unfortunately, in both Cuba and Mexico the governments have had to retrench in the last few months in their economic and financial expenditures to such an extent that I don’t think they felt they could do it. (The motion was carried. ) Report OF REPRESENTATIVE ON NATIONAL RESEARCH COUNCIL PRESIDENT KINSLEY: At this time we will call for the report of the representative on the American Research Council, Dr. L. W. Goss. (Dr. Goss read the report, as follows:) The National Research Council was established in 1916. The World War was the stimulus for its origin. In 1918 by an executive order of the President of the United States it was invited to re- organize as a peace-time organization which might stimulate research by nee ine the cooperation and reducing duplication in research wor The membership consists of representatives of the large “aéionGhe and technical associations of America. There are over forty such societies represented in the council. The secretary is the only per- manent office. It is now held by Vernon Kellogg. The membership at present is about two hundred and fifty, divided among thirteen divisions. Seven of these are called divisions of science and technol- ogy, which devote their activities to the following fields: Mathematics PROCEEDINGS OF A. V. M. A. ANNUAL MEETING nae \ and astronomy, engineering, chemistry, geology and geography, medi- cal sciences, biology and agriculture, anthropology and psychology. The six other divisions are relation divisions of the council as fol- lows: Federal, foreign, States, and educational relations, research extension and research information service. These groups are sub- divided into about eighty committees. The Council is not an organization to carry on research work, but devotes its time and energy to getting together the workers and encouraging cooperation, assisting in the obtaining of support and acting in an advisory manner to research. The funds for maintenance come from private and corporate benefactors. The Carnegie Corporation and the Rockefeller Founda- . tion have contributed several hundred thousand dollars for current expenses. Various industrial concerns have contributed funds for special problems. The National Research Council is a place where such benefactors may place their funds and feel that they will be spent to the best advantage for research. In 1921 a place was made in the Division of Medical Science for a representative of the American Veterinary Medical Association. The writer was appointed by the’ President of the A. V. M. A., the ap- proval occurring shortly before the annual meeting at Washington in April. During the following year a survey of the experiment stations of the United States was made in an effort to determine what projects were under way and the amount of money allotted to each. It shows in a general way the projects and the available funds. There are some States from which reports were not avail- able. The appropriated funds do not indicate the true expenditures, as they include salaries of the men in some cases, while in others the salaries are excluded. There are some States showing no funds for projects, nevertheless they are doing considerable work upon certain problems. It is hoped that the following will be of assistance to those who are working on a project, by showing them where work is being dene in their particular field. , Research Work at the Experiment Stations of the United States Project States Funds JAAIBYDTR BONO epee taal See eee [oye ee ee Ses ee $25,000 NETO O AT eee 13,000 Calitornia ee 12,970 HIUTTOTS feet ee ee ee an 10,000 Miunnesotas = 8,085 OTESON Meet eee oes 5,000 IKeanSastee net ee 5,000 IMaSSo UTI ee eee 3,500 New York 3,500 Arkansas 1,050 Coloradomeen ee eae 1,000 Wyoming ae 875 Wisconsin 500 (Renntsy vein ee ee ? Massachusetts ..ccsecccccccccceceene ? AG) Li eee ee ee ces ai 200 SRO Gay ee eee ee $89,680 PNT AITTATEG TRS = soe re a eh i TS eA ae ee oe $475 114 PROCEEDINGS OF A. V. Project Bacillus necrophorus Bighead of sheep Biological investigations Botulinus Bovisepticus Diseases of animals: Diseases of swine Obscure diseases Diseases of poultry: Roup, chicken pox Miscellaneous poultry diseases... Roup, white diarrhea.................... M. A. ANNUAL MEETING Funds $250 ? States Wyoming Texas ee Reet aR Ie Colorado North Dakota New York California Minnesota Nevada Washington Texas Califormiay.. = ee California Delaware Capes in’ chickens. .-: West Virginia Poultry (diseases = R@QnSAS 22-27 fo eee Tapeworm of chickens................. KANSAS c.g ee eee eee 100 ROMP eee eee PAT SAG pe ee pee eae 850 Poultry diseases. cote eee eee meee ET CHT] SATIS eee ees ere ane 2,100 Chickensnox. Loup. INGWHUGTESCY see ees 2,000 Blackhead in turkeys................... Rhode Island . 2,000 IDISeaSeSmOn stOWlS ss eee Bs As Ws oe ee ASS (5s White diarrhea ....... Me ASEH, ee = ee cee 4 Typhoid, white diarrhea Rhode Island === 2,000 Wihitesdiarrheay= sas Massachusettsms22222.— ? Blackhead in turkeys. ................. Connecicut z Tumors, diarrhea, blackhead, drugs, climate, anatomy, physiology, nutrition ................. North ‘Carolina == == 5,000 Total eit eee eee $26,142 HOLAge spPOlsOnin ge eee BAL Th, SS eee $3,050 Coloradoye = eee 500 Totalt( 2 aoe $3,550 Goiter in calves, =... eee WASCONSIN ee $200 Ohig =. 2-23 ee eee Hop echolera) 2-5. 1. See eee Bs AS Le ee eee $25, 500 Minnesota, 22) a OSE North Dakota aa 2,500 Total" ees a ee ee $31,934 TnfectiouS AMCMIA oo ecsceccmeeecee. North Dakota $3,000 ReXaS; pees ? Wyoming | i iE eee oa eae 875 Total t..3 te ee Johnestdisease = eee eee Wasconsinu == uNneawOrmMsnnicalves === ae Meningitis Wiest Varcinia =e New "Work*i.2 et ae PROCEEDINGS oF A. V. M. A. ANNUAL MEETING 15 Project States Funds EARASILCS oe mea en Pe tiee bs Tego ee 2 BtA chew 2c ae $30,100 Kansas 1,300 WOUISTAN Dp eee 250: iPennsylvaniay 22... 4 IWiGSt Vili: Onn ely oe ere ? Ota Sh ses ee ee $31,350 Poisonous plants: Weretable “poisonings =". Nevada “00. Se $8,550 BavAc Je tte et eaeer ns 15,000 Wiyomiin gest 2k oe 200 lb oe Ly ae ed "Nees $23,750 EBVeMLe ATEN GIGIS) - 2 eee teen Ninnesota gaa oe 2 crete ene $450 Sheep losses in feed lots Colorado! eo a ee $10,000 Rect ke ees Dat BALA S Siesta $1,575 SDE TCU OSIS ee ets. ees Pee BREA Sse et ae ee $12,200 California, 22 000 Minnesota: 224-20 4 re ee 1,185 Tiltn ols: Sie ee ee 500 Totaly eas Se as $16,885 The above does not take into consideration the valuable researches under way at the Rockefeller Foundation for the investigation of diseases of animals, where Dr. Theobald Smith has a corps of workers who are doing some excellent work, as past reports have shown. In addition a few of the biological houses are also doing some research. There has been a general feeling that more men should be en- couraged to enter the teaching profession. This has brought about a gift of $100,000 a year for a period of five years by the Rocke- feller Foundation and the General Education Board. This money is to be used for teaching fellowships. They are to be given to men who hold an M. D. or Ph. D. or the equivalent. The above would imply that it is possible for a man who has had premedical work and the degree of D. V. M. to acquire a fellowship provided he can meet the other requirements. It is hoped that the support and approval by the National Research Council will be a stimulus which will result in greater appropriation and the betterment of veterinary education. A glance at the survey of the experiment stations shows that the abortion project is the one which is receiving the greatest attention. However, several States which contain large numbers of cattle are allotting very small sums to the work. This condition makes it clear that greater appreciation for research in this disease is still needed in some States. By the activity of Dr. C. P. Fitch, Chairman of the Abortion Committee, with the Division of Biology and Agriculture, and a request from the writer to the Division of Medical Sciences for the appointment of a joint committee on abortion, the following were appointed: Dr. E. D. Ball of the United States Department of Agriculture; Dr. C. P. Fitch, and the writer as chairman. This committee will meet in the near future and formulate plans by which it is hoped that more funds will be made available for this work and that the cooperation between the workers may be increased. It is desired that interested persons communicate with the com- mittee with their suggestions relative to ways and means for more liberal support. The manner of the organization of the National Research Council is so far-reaching that it will bring together many forces which can 116 Proceepines or A. V. M. A. ANNUAL MEETING only result in great benefit to all associations which are connected with it. LEONARD W. GOSS. On motion of Dr. V. A. Moore, seconded by Dr. Hoskins, it was voted that the report be received. ReEporRT OF COMMITTEE ON Narcotic LAw REVISION PRESIDENT KINSLEY: The next order we will take up is the report of the Commitee on Narcotic Law Revision. Dr. J. P. Turner is chairman of the committee, and the report is in the hands of the Secretary. (Secretary Mayo read the report, as follows:) On March 2, 1922, your committee, in conjunction with similar committees of the American Medical Association and the National Dental Association and other committees representing pharmacists, and representatives of trades and industries supplying these pro- fessions with narcotics, met at the New York Academy of Medicine to formulate a uniform law, based on the Federal Harrison Narcotic Act, which should be used in the various States of the Union. Dr. Haven Emerson presided. The conference decided to follow the Harrison Act so far as pos- sible in framing a uniform State law. A motion to prevent duplication of records was carried. It was further agreed that no State should adopt regulations in conflict with the Harrison Act. The subject of the treatment and care of drug addicts was con- sidered as requiring additional legislation not within the scope of the act now being formulated, and the conference was of the opinion that the consideration of administrative methods in the treatment of drug addiction did not come within the scope of its work at the present time. The conference further agreed that in the enforcement of any State narcotic control law the act should specifically state which administrative body of the State should enforce the law. Your committee made a strenuous effort to get the annual tax of $3 under the Harrison Antinarcotic Act reduced to $1, by means of a motion of the conference, but did not succeed. We were suc- cessful in the matter of not having the model State law created as a revenue act, thus saving the practicing veterinarian from paying another tax. Another feature of the proposed State law was a paragraph mak- ing it mandatory for the State licensing board to revoke a practi- tioner’s license when convicted of violation of the Antinarcotic Act. We opposed this provision, as many veterinarians might be convicted of some slight technical offense, such as failure to keep his narcotic blank books properly posted, and be haled into court by some over- zealous inspector. Upon our opposition the word “may” was in- serted in the proposed act, instead of the word “shall,” as relating to the revocation of licenses by State boards upon the conviction of a practitioner by the courts. ‘It was the sense of the meeting that such revocation by any board of examiners should not occur for a mere technical violation of a State antinarcotic law, but should be held as a punishment for repeated wilful violations, and convictions under this law. The sense of the conference was that a committee of five be ap- pointed to draft a model State law, and that the various profes- sions and industries should advise them by written suggestion, but et the Harrison Antinarcotic law should be generally followed as a model. PROCEEDINGS oF A. V. M. A. ANNUAL MEETING 17 After some further discussion as to amendments to the Harrison law, relative to the dispensing of codein and morphin, the conference adjourned. J. P. TURNER, Chairman. Dr. Flower moved that the report be adopted, and the motion was seconded. Dr. Quirman: I can’t get the idea of adopting this report. ‘We ean accept it. There is no suggestion in it particularly that we are to be guided by, consqeuently I can not see any good reason for adopting it. PRESIDENT KINsSLEY: If the report is adopted the committee is discharged. Dr. Quirman: I believe that committee should insist on de- leting apomorphin hydrochlorid. I think that should be separat- ed from the narcotic regulation, because it would be utterly im- possible, I believe, for any human being ever to become ad- dicted to apomorphin hydrochlorid, and of all narcotics now used that is the one that is most used, and it is a good deal of trouble to keep track of every dose that we administer, particu- larly in the small-animal practice. It seems to me if this com- mittee had done anything worth while they should have gotten this one thing. I can’t see that they have made any suggestion worth while adopting. Dr. FLower: I will withdraw my motion and substitute the word ‘‘receive’’ for ‘‘adopt.’’ PRESIDENT KINsLey: Dr. Flower withdraws his motion and places a new motion that the committee report be received and that the committee be continued. (The motion was carried. ) Dr. QuitMAN: Is it in order to make a motion or to suggest to this committee that inasmuch as they stand continued they lend their efforts to try to have the apomorphin hydrochlorid deleted from the prescribed narcotic list? If so, I will make a motion that the committee be instructed to work with that end in view. PRESIDENT KinsuteEy: I believe that is perfectly in order. (The motion was seconded and earried. ) Report OF EXECUTIVE BoARpD PRESENT KINSLEY: Dr. Mayo will make a short report from ‘the Executive Board at this time. Dr. Mayo: The Executive Board recommends that the resig- nations of Dr. R. P. Lyman of East Lansing, Michigan; Dr. J. O. Greeson of Kokomo, Indiana, and Dr. W. J. McKinney of Brooklyn, New York, be accepted. (On motion of Dr. Quitman, seconded, the report was _adopted. ) . Dr. Mayo: The Executive Board also recommends that the resignation of Dr. S. H. Burnett of Denver, Colorado, be not accepted, but that in view of his distinguished services to the 118 PROCEEDINGS OF A. V. M. A. ANNUAL MEETING veterinary profession he be continued on the roll of the Asso- ciation. (On motion of Dr. Hoskins, seconded, the recommendation was adopted. ) Dr. Mayo: The Board also reeommends that Dr. H. Nunn of Corvallis, Oregon, be carried on the roll. Dr. Nunn is in a State hospital at Corvallis, evidently suffering from a mental trouble. When I learned this I immediately made inquiry to find if he was in need of relief. The directors of the hospital said he was not, that he was receiving all the treatment that could be utilized. The Doctor writes occasionally, and he en- joys receiving the JOURNAL. (On motion of Dr. Hoskins, seconded by Dr. V. A. Moore, the recommendation was adopted. ) REPORT OF COMMITTEE ON LEGISLATION e PRESIDENT KINSLEY: We will have the report of the Com- mittee on Legislation at this time. (Secretary Mayo read the report, as follows:) The following is a résumé of legislation by the Sixty-seventh Con- gress, second session, affecting the Veterinary Service of the Army: House Bill 10871, which limits the total number of officers and enlisted men of the Regular Army, as passed by the House of Rep- resentatives, provided for not to exceed 109 commissioned officers of the Veterinary Corps. As this bill passed the Senate it provided for 144 commissioned officers of the Veterinary Corps. In conference the representatives of the House and Senate agreed upon 126 officers, those in excess of this number to be eliminated by December 31, 1922, under the following procedures, viz: Normal retirement at 64 years of age; retirement at the request of an officer after 30 years’ service; retirement for physical disability incurred in the line of duty, all of which give the officer retired three-quarters of his present pay; and elimination by Class B as provided under paragraph 24 of the act approved June 4, 1920, which separates from the service officers who are below par in efficiency, with one year’s pay. Officers re- maining surplus after the operation of these methods will be selected out by a board of general officers convened in Washington for this purpose. It is provided that all officers having less than 10 years’ commissioned service in the Regular Army shall be discharged with one year’s pay. The following quotations from the statute cover these matters: “Provided further, That officers in excess of the numbers authorized herein and not removed from the active list by other means shall be disposed of as follows: Those of the Medical Department and chaplains shall, prior to January 1, 1923, be eliminated from the active list as hereinafter provided. * * * Officers selected for elimination of less than ten years’ commissioned service may, upon recommendation of the board herein provided for, be discharged with one year’s pay. * * * Provided further, That commissioned service for the purposes of this act shall include only active com- missioned service in the Army performed while under appointment from the United States Government whether in the Regular, provi- sional, or temporary forces. “Provided further, That any officer of less than ten years’ com- missioned service but of more than twenty years’ service accredited PROCEEDINGS oF A. V. M. A. ANNUAL MEETING 119 toward retirement or for increased pay for length of service may, in lieu of discharge with one year’s pay as hereinbefore provided, if he so elects, be appointed a warrant officer and carried as an additional number in that grade; or he may, if he so elects, be retired with the rank of warrant officer with pay at the rate of 2 per centum of the pay of a warrant officer multiplied by the number of years of such accredited service; Provided further, That the Secretary of War shall convene a board of five general officers which may include re- tired officers, whose call to active duty for this purpose is hereby authorized, which board, under regulations prescribed by the Secre- tary of War, shall recommend to the President the officers to be eliminated from the active list under the provisions of this act.” All officers of the Veterinary Corps, Regular Army, have less than 10 years’ commissioned service as it is defined in this act, since none was commissioned prior to the act approved June 3, 1916. Conse- quently all veterinary officers of the Regular Army who came into the service subsequent to 1912 who are selected out will receive one year’s pay. Those who entered the service prior to 1912 may take advantage of a choice of accepting one year’s pay, of being appointed a warrant officer and carried as an additional number in that grade, or of being retired with the rank of a warrant officer with pay at the rate of 2 per centum of the pay of a warrant officer multiplied by the number of years of such accredited service. The monthly base pay of a warrant officer of the Army is $148 per month. On July 1 the strength of the Veterinary Corps was 158 officers. Under this law 32 officers must be either retired or discharged by December 31, 1922. This will mean that a very large per cent of these 32 officers eliminated will be Class A officers who have fulfilled all requirements of the service satisfactorily. The only reason for their elimination is that the law must be complied with, and the fact that such officers will be eliminated can not be considered a reflection on their professional or moral standing. Statistics show that 4.5 veterinary officers are required for each 1,000 animals in the Army. This figure covers all overhead, includ- ing the purchasing of animals, the inspection of forage, the inspec- tion of meat and meat food products at procurement points and re- inspection in storage and at points of issue, the detail of instructors at various service schools for the purpose of instructing in animal management and horseshoeing, providing administrative officers and the hospitalization and treatment of authorized private and public animals at stations and in the field. The present animal strength is approximately 50,000, which is less than was maintained at any time during ten years prior to the war. Based on the above per centum, 225 veterinary officers are required to maintain an efficient service. The National Defense Act as amended June 4, 1920, provided for an Army which required approximately 350 veterinary officers. At that time, in view of the possible motorization of various units, it was not considered economical or to the best interests of the country for Congress to authorize a permanent Veterinary Corps of this size, but 50 per cent of this number as permanent appointees was pro- vided for with the expectation that the remainder would be assigned to active duty from the Reserve Corps as required. Unfortunately, in framing the appropriation for the Reserve Corps no provision was made for the assignment of reserve officers to active duty other than for a period of not more than 15 days during a year, which permitted the use of these officers in the Veterinary Service for training pur- poses only. The appropriation for training was so small that prac- tically no officers were given this training. ‘ The present act cuts the Veterinary Corps as provided for in the Act of June 4, 1920, from 175 to 126 officers. This cut was made 120 Procreepines oF A. V. M. A. ANNUAL MEETING without considering that the animal population will probably remain the same as it was during the past fiscal year which means that the 126 veterinary officers will be required to verform the duties of approximately 175 officers or more. In order that the Veterinary Corps, Regular Army, may be given an opportunity to develop and demonstrate the economy of an efficient Veterinary Service in the Army, a return to the number authorized in the Act of June 4, 1920, is essential, namely, a minimum of 175 veterinary officers, with pro- vision to employ reserve officers, with their consent, in addition, during the summer training period, in such numbers as are required for an efficient service. Congress has also enacted a law to readjust the pay and allow- ances of the commissioned and enlisted personnel of the Army, Navy, Marine Corps, Coast Guard, Coast and Geodetic Survey and Public Health Service. = Fea mined by Meee” age age ead 1904 14 9,216 3,219 $16,773.00 1905 13 9,790 2,656 17,819.00 1906 8 10,116 3,139 18,411.00 1907 12 11,021 3,985 20,059.00 1908 61 10,998 6,694 21,424.00 1909 79 11,215 6,946 21,424.00 1910 58 11,318 4,929 21,489.00 1911 75 10,250 5,531 21,921.00 1912 56 9,061 4,703 20 026.00 1913 52 8,659 3,599 17,589.00 1914 56 8,636 3,768 16,759.00 1915 8 9,141 3,210 15,901.00 1916 7 7,917 2,973 16,637.00 1917 5 8,187 3,257 14,414.00 1918 34 8,808 2,747 14,973.00 1919 35 9,280 2,854 16,031.00 1920 9 16,925.00 1921 12 The number of dogs licensed as given in the above table is ap- proximated for a portion of the years included, as definite records are not available for a few of the earliest and latest years reported. EDITORIAL LST were required throughout the year, but in the spring of 1921 the city heads changed the regulation to provide that muzzles would be required only from July 9 to October 9. While the Health Officer recommended that the former ruling requiring muzzles throughout the year be continued, the Commissioners decided that there was little need for covering the mouths of canines during the winter months. This decision of course is based on expediency rather than on any scientific foundation as dogs are just as liable to contract rabies on July 8 as on July 9. However, it is the intention of the present Commis- sioners to watch results and be guided by them as to further action for the control of stray dogs. ADDITIONAL ASSOCIATIONS IS IT professional unrest or an irrevocable necessity which encourages the formation of new veterinary medical associa- tions? Maybe it is not either one; however, there appears to be a tendency to start something new and those with the spirit of enthusiasm are able to advance splendid reasons why new associations should be created. Conversely, another element is able to produce arguments to the contrary and after one has carefully listened to both sides, the situation is still befogged and the mists do not quite clear away. It is a fact that a number of states support more than one veterinary medical society and in a number of instances, a group of states are maintaining an association in addition to their respective state organizations. Every qualified veterinarian should feel it his first duty to support loyally his home state association and the A. V. M. A. These two should receive first consideration and be given well measured expression before launching any new adventure. We must not forget that the old associations are established and can serve all purposes well if only the members. forget self and use the organized agencies already developed toward advancing the veterinary profession. Many have grown gray in the service; they have met adversity and suffered defeat, but still they remain loyal and refuse to divide their talents and enthusiasm with any new order. New associations require liberal financing and veterinarians contemplating their formation are usually members of the 138 EDITORIAL State Association and A. V. M. A. respectively, therefore, as the question of dues and other expenses plays an important part, the temptation is offered to neglect one and to support the other. Whichever way the members goes, his decision is bound to weaken materially the forces of one society. On the other hand, the more veterinary medical associations which become successfully established, the greater advancement the profession will enjoy. All professions demand the spirit of democracy and will not tolerate, at any cost, a domineering autocratic condition. The minute autocracy appears in an association, the entire system becomes faulty and the -framework of the structure stands alone as a gaunt skeleton. This situation obtaining makes men restless because it robs them of their inherent right, notably, to enjoy equal rights. The one great eternal principle of suc- cess is to use well what we already have, and mold it into an indestructible force. This being accomplished, would there be any argument against a group of states combining their meet- ing dates and every three or five years have a joint meeting? Think it over. If the veterinarians organizing these new associations feel sufficiently enthusiastic and financially able to continue their old obligations, then very little can be said against the under- taking. K. I. 8. THE OLD ORDER CHANGETH AGRICULTURE’S stupendous tribute paid to insects and plant diseases has for too long been tolerated by a more or less national psychology founded upon the ramshackle premise that these pests are ineradicable and that the best we can hope for is to keep them ‘‘under control.’’ We refer only to those for which science has discovered remedies. In most cases those remedies have been applied but half-heartedly because we have held but a half-hearted belief in them. It called for a daring imagination on the part of General Gorgas to undertake the cleaning up of the Canal Zone and thus so totally to reverse the order of things as to make cer- tain human diseases there merely an unpleasant memory. But he did it. Many years ago New Orleans put up a monumental fight EDITORIAL 139 to eradicate totally the tiny Stegomyia fasciata, the only mosquito which is capable of transmitting yellow fever. Think of hunting down every teacupful of standing water in the labyrinthine vastness of a city and ridding every such breed- ing place of mosquito life! New Orleans did this. And yet only recently the doctrine of eradication has begun actively to supplant that of control, in the general scheme of applied entomology, mycology and bacteriology. We are wit- nessing an absolute facing about of the practical application 61 science by our Federal Department of Agricuiture in such imstances as its campaign for eradication—no longer control— of the cattle tick and bovine tuberculosis. The niinds directing these efforts now refuse absolutely to tolerate auy such com- promise as ‘‘control measures.’’ Nothing short of total eradi- cation, drastic as may be the means to the end, is their goal. This in a sense is ephocal. It marks a turning point. Dar- ing as are such conceptions in the face of the time-buttressed tolerance of tick and TB, yet the initiative now taken daily gathers momentum and in due season is sure to set up a national mental reaction. And by virtue of this new it-can- be-done state of mind we shall make an even better job than ever of controlling those pests for which science as yet has discovered no specific. A malignant offspring of the old psychology has been the brood of parasitically minded humans who would perpetuate a menace and hand down the task of its control as a heritage. Many a crop of political plums has been grown on a national scourge. And by the same token many a campaign of eradi- cation has aborted as a direct result of determination on the part of those charged with the practical details not to ‘““work themselves out of a job.’? Such beings have always sheltered their derelictions behind the cloak of that established state of mind which feeds on the creed of control but has not dared espouse eradication. But we have annihilated such intangible things as time and Space with the automobile, aeroplane, radio. Then what, in comparison, is the task of annihilating tangible, visible para- sites? Nothing! It is half done when we have destroyed the thought that it cannot be done.—Editorial in the Country Gen- tleman, July 15, 1922. THE TREND OF VETERINARY PRACTICE * By W. H. WELcH Lexington, Illinois IF THE APPELLATION of ‘‘Doctor’’ be legitimately ex- tended to include all who minister to those ailing in either body or mind, through ‘‘osteopathiec,’’ ‘‘chiropractic,’’ ‘*‘hyp- notic,’’ ‘‘Christian Science,’’? or what not methods, then surely may the practice of veterinary science in its primitive state be claimed to have existed from almost the beginning of time. It has always been an honorable calling, and was so recognized by God himself. Abel, the brother of Cain, was a keeper of sheep, and ‘‘the firstlings of his flock were made an offering unto the Lord, and the Lord had respect unto Abel, and unto his offering.’’ Throughout the Holy Writ there is declared a manifest respect for the caretaker of animals, as evidenced by the positions of importance to which David and others were ealled, while even Christ himself did not despise the appella- tion of ‘‘the Good Shepherd.’’ The Bible also records that epidemic of the ‘‘very serious murrain laid upon the cattle, horses, asses, camels, oxen and sheep, belonging to Pharaoh and his hosts,’’ in which the death rate was 100 per cent. Further- more, we learn that the question of sanitation was a problem in those days, the law of Moses commanding: ‘‘The flesh of the bullock, and his skin, and his dung, shalt thou burn with fire without the camp.’’ Again it is recorded that on one great oceasion the welfare of the entire animal kingdom was com- mitted unto the care of Noah, and all animals coming under his ministration lived to perpetuate their kind, while all those denied his unequalled hospital facilities perished from the face of the earth. Coming to our own land and times, the real science of veteri- nary practice has been developed within the memory of many here present. Some recall quite vividly the old farrier, who knocked out wolf teeth and poulticed the foot with cow manure until the ‘‘gravel’’? worked out. Later he became known as a ‘horse doctor,’’ because he really “cut colts’’ for a living, but doctored horses for ‘‘their water,’’ ‘‘bots,’’ and ‘‘lung fever.”’ 1Presented at the fifty-ninth annual meeting of the American Veterinary Medical Association, St. Louis, Mo., August 28 to September 1, 1922. 140 Tur TREND OF VETERINARY PRACTICE 141 About this time there was developed the theory that all disease has its origin in the blood, whereupon enters the ‘“veterinary surgeon,’’ whose surgery consisted mainly of bleeding the ani- mal so long as it could stand, and the owner for all that he would stand. Naturally, in the process of this evolution his clientele practically compelled him to undertake the treatment of other domesticated animals, and it was during this period that we learn of the marvelous cures effected among eattle suffering from ‘‘wolf in the tail,’’ ‘“‘hollow horn,’’ or perhaps the highly prized family cow had been so unfortunate as to “‘lose her cud.’’? The faithful dog also occasionally demanded attention, for ‘‘hydrophobia’’ was a very common disease of those days, and many lives, both human and animal, were saved (?) by the magic of the madstone. Out of all this seething mass of superstition and ignorance, due principally to enlighten- ment through the agency of schools devoted to the teaching of veterinary science, there has emanated a gentleman bearing the earmarks of being college-bred and known professionally to the world as a veterinarian. Perhaps the most remarkable change recognizable in veteri- nary practice is observed in the changed character of the graduate himself. Two or more decades ago few young men were entering the veterinary colleges of our country, while matriculants varying from thirty-five to fifty years of age were very common. Horses were very high in price, and veteri- narians were scarce, consequently the crying demand for “horse doctors’’ echoed from every locality. Indeed, excluding dairy centers, the horse constituted almost the entire practice of both city and country practitioner. Our college courses were of but two years, and while we received a smattering of com- parative anatomy, pathology and medicine, the curricula of the different schools dealt mainly with the equine subject, and it would be the rankest of flattery to say that they graduated us as ‘‘qualified veterinarians,’’ because they graduated us purely as “‘horse doctors,’’ and rather poorly qualified at that. There Was not time for adequate instruction in all branches in so brief a course, so that we majored in the subjects of ‘‘Theory and Practice’ and ‘‘Materia Mediea’’ at the expense of the balance of the curriculum. We left school solemnly impressd that we had graduated from the greatest institution of its kind, and that there was but little more, if any, to be learned. 142 W. H. WetcH Sadly enough, many a graduate of that period never found out differently, for immediately upon completion of his course he jumped at once into a lucrative practice, and he was so much better than the empiric whom he supplanted that he was given a much higher rating than he really deserved. There were com- paratively few graduates in those days, and small wonder that many of these should absorb some of the unethical tactics of his empirical opponent, and later on hesitate to become on friendly terms with a younger graduate and decline to mingle with his professional brethren in the meetings of the association. The empirie had taught him to guard zealously any superior methods or knowledge of which he might become possessed, else his competitor would profit thereby. : Then came the great financial depression, wherein horses possessed but slight value, and practice went ‘‘blooey.’’ Many left the profession, and those who stayed in lost interest in their practice, finally getting into a rut from which they have never extracted themselves. They read practically no litera- ture, never attend an association meeting, nor have aught to do with their fellow practitioners. They make no progress, and might very properly be christened hermits who have lost out on the most beautiful and valuable part of their life, the companionship and fellowship of their professional brethren. How different the graduate of later years, who, with his preliminary high-school education as a foundation, and his very complete four years of veterinary instruction, lacks only ex- perience and adaptation to make of him a truly qualified veteri- narian. He enters a field pervaded by a different atmosphere. He is no longer just a ‘‘horse doetor,’’ but is the confidential adviser of the livestock owner concerning all the domesticated animals on the farm. It is his function to keep them well as certainly as it is to treat the ailing, while as a sanitarian he is no less valuable than the physician in guarding the health of his client’s family. He is the leader in bacteriology, path- ology and other fields of original research, while as inspector of foods his services are indispensable. He is the cultured pro- fessional gentleman who without jealousy is daily rubbing shoulders with his competitor, both at home and at the various association meetings. To the livestock owner he is indispensa- ble, and he is one of the community’s greatest assets. The past two decades have witnessed a wonderful change in THE TREND OF VETERINARY PRACTICE 143 the character of veterinary practice itself. The city veteri- narian first noticed it when his cat and dog practice began to increase, while his equine patients gradually became less nu- merous. The automobile displaced first the high acting and popular coach horse, and gradually the truck made great in- roads on the heavy draft.animal. With the demand for horses lessened, the country soon began to cease breeding, and since a large percentage of the country veterinarian’s practice is with the young, growing animal, equine practice became much less. But the family cow came into her own, and was as highly prized as had ever been the family horse of old. Then occurred the most important discovery that our pro- fession has ever known, when from our Bureau of Animal In- dustry came the important announcement that the dreaded scourge of hog cholera, that periodically swept the ‘‘mortgage lifter’’ from the earth, could be prevented, as the animal could be successfully immunized. Placing as it did the swine industry on a safe financial basis, its value to the entire world ean not be estimated, while the hog, hitherto almost entirely ignored by schools and veterinarians alike, strangely enough now becomes one of the profession’s greatest assets. Previous to the development of the present method of im- munization cholera was considered about the only serious af- fliction of the porcine race, and practically no attention was devoted to swine diseases by our schools, the original research departments, or by veterinarians in general. With the advent of immunization, therefore, it was but natural that disaster should sometimes follow work in the field, even though con- ‘ducted by veterinarians well versed in all phases of practice as it pertains to all animals other than the hog. For the past few years, however, much time and study have been devoted to swine diseases by all interested persons, and the veterinarian, daily becoming more proficient in the diagnosis and handling of porcine troubles, is demonstrating to all unprejudiced minds that it is on him that the swine owner must depend to guard successfully the health of this vast industry. The swine indus- try of today is on a practically safe financial basis for the first time in its history, and has been placed there solely by reason of the efforts of the veterinary profession. There are still problems concerning the hog, and in the hands of the veterinarian alone rests their solution. That the county 144 W. H. WeEtcH agent or anyone else who imagines himself capable of render- ing intelligent service along this line, by exploiting vaccination in the hands of other than the veterinarian, is, in his gross ignorance, perpetrating a great injustice on the hog, the hog owner, the veterinarian, the county which employs him, as well as on the nations at large which his methods will eventually deprive of much pork, is a self-evident fact. The farmer at- tempts vaccination purely as an economic measure. He has possessed an exaggerated idea of the amount of profit that the veterinarian was receiving from hog vaccination, while on the other hand the veterinarian on his part resented any inquiry into that matter on the part of the farmer. Unscrupulous serum companies, having regard only for their own income, and with no serious concern as to the ultimate effect of such a policy, paved the way for farmer vaccination, by making a bid for the serum business of the county farm bureaus. They were not sufficiently far-sighted business men, or they should have seen the ultimate downfall in reputation of their serum in hands of the incompetent novice. The farmer himself freely admits the superiority of the veterinarian in vaccination, but because he has been led to believe that he can successfully perform it, only time and experience will teach him the lesson that the veterinarian is the cheaper in the end. When he discovers this, as he certainly will do, he will return to the veterinarian, and will have nothing but condemnation for the county agent who in his ignorance has led him astray. When the farmer and the veterinarian come into a mutual understanding of this subject the matter can be amicably ad- justed. This can be accomplshed in most instances through the county veterinary association, in conjunction with the county farm bureau, and constitutes one of the strongest pleas for the organization of veterinarians by counties throughout our nation. The interests of the livestock owner and the veteri- narian are identically the same, and the closer they become united the better for each. Farmer vaccination can not last, because in time it is certain to be followed by disaster. More- over it not only weakens the control of our sanitary authorities on a very serious contagious disease, but it is a problem that is very intimately associated with the meat supply of our nation, and as such should be absolutely prohibited. An interesting and profitable feature of practice today, and THE TREND OF VETERINARY PRACTICE 145 one that is certain to increase greatly, is shown by the fre- queney with which we are called upon to prescribe for poultry. Those who have had the benefit of instruction on this subject during their college career, or have otherwise prepared them- selves for this phase of practice, will readily testify to its im- portance from a financial standpoint. The farm flock during the past few years has been one of the best paying proposi- tions of the farming industry, and greater care is being given them than ever before. The increase in the number of pure- bred flocks is remarkable, and the bird valued at from $5 to $25 is encountered with wonderful frequency. When one has demonstrated his ability to cope intelligently with the problems of the poultry raiser, he renders a service that is adequately appreciated by all members of the family, and one from which he will probably receive more advertising of a favorable char- acter than he would obtain in any other manner. It is a branch of our profession that has been too long neglected, both by the veterinarian and by our schools, and promises to play no small part in the future success of the progressive veterinarian. The ‘‘aceredited herd’’ work instituted by the Bureau of Animal Industry promises to add slightly to the income of the ‘‘accredited veterinarian.’’ Without doubt, the purebred herd and dairy herds that are furnishing milk to municipalities re- quiring such test will continue to be maintained as “accredited herds,’’ while county units of ‘‘tuberculosis-free areas’’ are certain to be the popular method of extending this work just as soon as we have sufficiently recovered from the financial de- pression from which we are emerging. However, until this work is taken up as a county or township measure, I should not be surprised to learn that the owner of a grade herd will remain perfectly contented in the knowledge that, his herd has been pronounced free from tuberculosis by the requisite number of official Federal tests, and unless new animals are added, or a tuberculosis-free area is established, that he should cease testing his animals. Let us encourage the good work among our clien- tele with the hope that ultimately our townships and county may be placed on the free area list. I feel that there is a future belonging to the veterinarian in the position as county livestock adviser. Who more capable than he in advising along all lines of animal husbandry, sani- tary problems, and all phases of livestock production? The 146 W. H. WeELcH time is coming when throughout the entire livestock belt such a man will be employed in a majority of the counties, and he will be a wonderful asset in the improvement of livestock in his locality. I can not close the subject assigned me without criticising a lamentable habit that is fast developing among our practi- tioners, of purchasing from their drug-houses a line of pro- prietary specialties, instead of compounding their own rem- edies for each individual case. Indeed, the entire medical pro- fession may be said to be degenerating into a state of educated quackery along this line. The office of the average physician is today filled, not with fluid extracts and tinctures, etc., as of yore, but from top to bottom the bottles are labeled ‘‘Rheu- matic Remedy,”’ ‘‘Diuretic,’’ ‘‘Uterine Tonic,’’ ‘‘Chologogue,’’ ete., and the veterinarian is fast following in the same foot- steps. Ask the majority of those who have become addicted to this habit what the preparation contains that he has just ad- ministered to an animal, and 75 per cent of them can not name all the ingredients, much less the proportion of each drug per dose. The oily-tongued salesman explains how much better his firm can compound these remedies than can the veterinarian, and impresses on your mind how thoroughly ethical they are, since each drug and the amount of each is plainly stated on the bottle. While all this may be perfectly true, I have known as dangerous a drug as barium chlorid to be camouflaged under the guise of ‘‘other saline purgatives.”’ The practitioner who allows himself to become addicted to this custom is fast losing out on his knowledge of medicine, in- stead of coming to know a drug more thoroughly in its action. He will in time become merely a mechanical automaton, and the stock owner who is able to diagnose his animals’ trouble will fare equally as well by going to the drug store and pur- chasing over the counter the remedy that has been compounded by some other firm for that particular ailment. And who can blame him? For he is perhaps receiving just as good treat- ment for his animal as his local veterinarian was dealing out to him. The empiric has always treated his patients by just this process. He has his favorite prescription for each disease, and if that one does not ‘‘cure’’ the animal he tries another pre- scription. Let us steer clear of this practice and avoid shot- gun prescriptions, so that when we administer a drug we may THE TREND OF VETERINARY PRACTICE 147 realize when we obtain the expected result, and instead of being an actual menace to our patrons we will prove a positive benefit. The public is today demanding better service of the veteri- narian than ever before, and never was efficient service better appreciated. Your best patron of today is not the man who has no knowledge of animals, but on the contrary he is the agri- cultural graduate who is fairly well versed in all lines of animal husbandry. It is not sufficient that the veterinarian of the future be able to treat sick animals intelligently, but he must be more thoroughly grounded in the very fundamentals of the profession, as they relate to animal husbandry, sanitation, ete., so that he is capable of advising along all problems connected with the care and handling of livestock. The progressive vet- erinarian of today is one of the real assets and blessings of his community, and practice in the future will progress or decline with us in proportion to the skill that we display. Our pro- fession of today is, I believe, as successful as is the medical profession in treating and preventing disease. On the question of eugenics we are far in advance of them, as we have legislated our defectives out of business, while the medical profession still permit their syphilitics and imbeciles to perpetuate their kind. -Our work goes hand in hand with the county farm organi- zations, and instead of antagonizing them in a‘fight in which we should fare second best, let us prove our ability to lend intelligent aid to their problems, to the mutual advantage of each. Our future is what we make it. Let us prepare our- selves for our work, and the work will be prepared for us. The Technical Committee of the Milk League of France has adopted the following resolution : “‘TIn view of false interpretations published with regard to the recent communication of Prof. Calmette to the Academy of Medicine, on ‘Tuberculosis in Milk Cows,’ interpretations of a nature to spread wrongly in the public mind the conviction that children may consume without danger the raw milk of cows which react to tuberculin, the Milk League asks that it be clearly specified that cows whose milk is intended for human food should be submitted to the tuberculin test at regular intervals, and that the milk of those which have reacted should not be consumed except after boiling.”’ INVESTIGATIONS ON THE IMMUNOLOGY OF SWINE PLAGUE + By R. R. Bircu and J. W. BENNER Experiment Station, New York State Veterinary College, Cornell University, Ithaca, N. Y. IT IS IMPORTANT for veterinary practitioners and their clients to learn the true value of biological products which are daily brought to their attention in advertisements. Numerous inquiries come to us concerning the value of swine-plague vac- cines and bacterins. We conduct a swine practice as a part of the ambulatory clinic of the New York State Veterinary College and it is our desire to obtain first-hand information for the benefit of our students and our clients. Moreover, there are points concerning important phases such as cause, character and occurrence of this disease which are still hazy and under controversy. In 1919 we decided to begin with the very fundamentals of swine plague and to continue the work until experimental data should enable us to take an intelligent stand for or against biological products claimed to be very valuable prophylactic and curative agents for this disease. We have confined our experiments as much as possible to swine in order to eliminate what seems to us a grave mistake, namely, experimenting with rabbits and guinea-pigs and trying to apply the results to swine. We are continuing our work, hoping to find some effective immunizing agent, so this paper must assume the nature of a report of progress. Our data, though incomplete, are sufficient to indicate very clearly the results which may be expected from certain immunizing agents. All investigators do not draw the same conclusions from like data, but our results to date are submitted in the hope of aiding those who have been perplexed by the problem of immunizing against swine plague. From our previous work with Bacterium suisepticum we be- lieve we have sufficient evidence to warrant the following state- ments: 1 Presented at the fifty-ninth annual meeting of the American Veterinary Medical Association, St. Louis, Mo., August 28 to September 1, 1922 148 IMMUNOLOGY OF SWINE PLAGUE 149 1. That Bacterium suisepticum is the specific cause of a swine disease called swine plague or hemorraghic septicemia of swine. 2. That swine plague occurs sporadically as a well-defined dis- ease without complications, but that its most common occur- rence is in a complicated form. _3. That death can not be caused by subcutaneous injections of live, unattenuated organisms with any regularity or pre- cision. ~ 4. That intravenous injections of 1 mil of a heavy suspension of the unattenuated organism regularly kills or disables pigs under eight weeks of age and the same dose frequently kills or disables older pigs. 5. That pigs artificially inoculated with intravenous injec- tions of a suspension are inclined to show joint lesions which are not commonly observed in naturally infected cases. 6. That pigs closely confined in pens with animals artificially infected may very rarely contract the disease. 7. That in swine killed by a suspension of Bacterium suisep- ticum given intravenously, the blood may or may not contain the organism, depending on the grade of immunity of the animal. We have seen Bacterium swisepticum manifest its harmful effects on swine in a number of different ways. We are giv- ing the various forms of swine plague as we have seen them, noting under each form the manner in which it was produced and its predominating characteristics. The forms are not al- ways separate and distinct. We have seen two or more in the same animal, but each form will be described briefly because a different character appeared to predominate in causing either the disability or death of the animal. 1. A general septicemia which may occur in peracute form, the animal dying in 48 hours; in an acute form, the animal dying in 5 or 6 days; or a chronic form, the animal living for 20 to 25 days, then either dying or recovering. In all three of these variations we have recovered the organ- isms from the blood of dead animals by the inoculation of agar slants and the injection of small quantities of heart’s blood into rabbits. We have seen the peracute and acute septicemias fol- low intravenous injections of heavy suspensions and the chronic septicemia in two of our check pigs that contracted the disease by close contact with pigs which we had infected artificially. 2. What appears to be a toxic form, occurring peracutely and 150 R. R. Birch anp J. W. BENNER causing death in 48 hours. The blood of swine dying of this form is sterile, as proved by culturing and rabbit inoculations, thus differing strikingly from the septicemic forms just de- seribed. We consider this form as especially significant from a diag- nostie standpoint, for it is evident that when it occurs in ani- mals sent from the field to the laboratory for diagnosis the cause of death is very apt to remain a mystery when the blood is found to be sterile. If the bacteriological examination is somewhat delayed, as frequently happens in field cases, and such organisms as Bacillus coli, streptococci, etc., pass from the intestinal tract to the blood, the findings may be misinterpreted and give rise to numerous and varied pseudo-causes of disease and death of swine. Our only explanation for this so-called toxic form of swine plague may be based on the theories of immunity, 7. e., that the protective forces of the body, antibodies (Ehrlich) and phagocytes (Metchnikoff) have been increased to such an ex- tent that they completely destroy the organisms and in this rapid destruction enough endotoxin is liberated to kill the ani- mal. The animal body in these cases can overcome the bacteria but it can not withstand the toxin liberated. From certain descriptions of cases of hemorrhagic septicemia in cattle re- cently brought to our notice, we believe that possibly this same phenomenon occurs in that species. 3. A joint form which usually follows in 24 to 48 hours after an intravenous injection which is not sufficiently large to kill the animal. The infection localizes in the joints, especially the knees and hocks, causing disease ranging from a slight limp to complete and permanent disability. The pig may lie. for weeks unable to rise but will eat regularly if helped to food. The temperature and respiration remain normal. As a rule we have killed these animals after two or three weeks to terminate their helpless condition. The blood has been found sterile but the exudate in the joints invariably contains the organism. In the septicemic forms we have frequently seen a tendency toward localization. Newsom and Cross have noted lameness in sheep caused by intravenous injection of Bacterium ovisepticum, while. Murray and McNut, in a recently published article on ‘‘The Tendency of Organisms of the Pasteurella Group to Localize,’’ cite this tend- IMMUNOLOGY OF SWINE PLAGUE - 151 ency in various species of domestic animals after organisms of the pasteurella or hemorrhagic septicemia group have been used upon them. 4. The pulmonary or pectoral form, which is more or less chronic. This is the form usually described in standard text- books and is thought of as most typical of natural infection. This form occurred in two of our check pigs which were kept closely confined with four others that had been given intravenous in- jections of Bacterium suisepticum. These two checks became sick the third day; one was sick for 20 days and recovered; the other was sick 25 days and died. The pig that died showed a typical swine-plague pneumonia as described by good authori- ties and had the organism in its blood, as was demonstrated on culture media and by inoculations of rabbits with a small quantity of heart’s blood. 5. A localized form in which abscesses formed at the point where live unattenuated organisms were injected. Such ab- scesses enlarge for three or four weeks and remain almost in- definitely. They consist of a mass of pus completely encapsu- lated by connective tissue. Upon killing these animals we have found the blood sterile but the contents of the abscesses teeming with the swine-plague organism. ; By subcutaneous injection of our most virulent strain, the virulence tested on rabbits, we have not been able to kill or seriously injure strong, healthy pigs with any regularity or precision. Local abscesses occurred and there was a stunting effect, but death was the exception rather than the rule. We have therefore vaccinated by injecting pigs subcutaneously with unattenuated organisms and tested the immunity thus conferred by intravenous injections of similar virus. The vaccine used was a physiological salt suspension of Bacterium suisepticum made by washing the growth from agar slants incubated from 16 to 20 hours at 37 degrees C. The suspensions used for the trial injections were prepared in the same way. The suspension for each vaccination was tested on rabbits, and for the trial injection, in addition to the rabbit test, a nonvaccinated pig was given the same dose in order to compare the effects on vaccinated and unvaccinated pigs. As the work which we have done to determine the pathogenic significance of Bacterium suisepticum, together with two of our immunizing experiments, has been published in detail in the 152 R. R. Bircw Ann J. W. BENNER 1920-1921 report of the New York State Veterinary College, we have summarized the results of our previous investigations and will in this paper attempt to describe briefly an immuniz- ing experiment which is typical of the regularities and irregu- larities that one may expect from the microorganism in question. From our former immunizing experiments we have evidence that subcutaneous injections of unattenuated organisms will not confer a solid immunity against subsequent intravenous injec- tions. But we have had indications that a certain grade of im- munity may be conferred by this method of administration. The purpose of the following experiment was to study further the grade of immunity which might be produced with a vaccine. The experiment was begun on a group of twelve pigs repre- senting two litters, seven from one litter and five from another, All were confined in the same pen throughout the experiment. These pigs were about six weeks of age when the first injection was made December 10, 1921. All were of grade Chester White breeding. The seven had not been so, well nourished as the five of the other litter. The former averaged 15 to 20 pounds each and will be termed ‘‘the smaller pigs’’; the latter weighed from 25 to 30 pounds each and will be refered to as ‘‘the larger TABLE 1. VACCINA- VACCINA- TRIAL TRIAL TION 1. TION 2. INJECTION INJECTION Pig No. 2 |J]j]JYH Nya | — Subcutaneous, |Subcutaneous,| Intravenous, Dec. 16, 1921} Dec. 23, 1921| Jan. 3, 1922 Results 70S. P....| Dec. 10, ’21, ia 1 mil in- travenously. Dead Dec. 12, 1921. CAS SP. oeo| ks amil’s ey crce Snmnlsse yaa. Pomatlins ic oc, ons Slight general stiffness. TPIS Me onal esi eyeceoe: SACISC aes Gate b Gon apnaee Very slight general stiffness. estes | Us eral eib-e Biaa aetero eri PSeoueals osc leacooc Dullness, inappetence, weakness, chilling. Lameness in left front leg. PANERA eens even eee SEMMIES th a eeees pes oC (area ae Slight general stiffness. (Ey) Geil eA aallenont Osaonce Be edOnAar et weet adO. setae Very marked general stiffness. 70)! In S| er anced Sees GO ieee An cist Nara c Very slight general stiffness. ii ALI 2 See | Se Siar I ty er Jan.1,1922, | Found dead 64 hours after injection. 1 mil. DBs eee ea] eee ere tens rep staal eas chee Rae Janes te Complete and permanent disability. mil. iOS) Peel Control.).|.Gontrol: ...-|) Controlaes. SORE GP 25a don. RdOs oe. Si doses 1S. P. denotes smaller pigs; L. P., larger pigs. IMMUNOLOGY OF SWINE PLAGUE 153 pigs.’’ All were in healthy, vigorous condition and had not been immunized against hog cholera. Table 1 shows the vaccination experiment with details of each case omitted, and results from the trial injection only. The effects of the intravenous injection on the vaccinated ani- mals lasted for about a week and were followed by a gradual recovery. It will be noticed in Table 1 that only eleven animals are accounted for, while in the original group there were twelve. On January 21 one pig of the group which had been kept as a control met accidental death and therefore has not been given a record number. - ' Tt was evident from the trial injection of January 3, 1922, that a certain grade of immunity had been produced by the vaccinations and that this immunity was in more or less direct proportion to the quantity of suspension of Bacterium suisepti- cum which had been administered. ANTI-SWINE-PLAGUE SERUM Experimentation on the animals of this group was continued by administering larger intravenous doses of the suspension of Bacterium suisepticum. This was done to test further the grade of immunity present in the various individuals of the group, to learn more about the influence of dosage on the grade of im- munity conferred, and also to learn whether they could be hyperimmunized against swine plague to the point where they would produce a potent serum against the infection. The suspensions used in the following operations were made and tested in the same manner as were those in the vaccination experiment just given. The details are again omitted for the sake of brevity. The animals that had been used in the vaccination experiment had recovered from the trial injection of January 3 and seemed practically normal on February 7 when this experiment upon them was begun. Pig No. 79 in Table 2 was used to compare the action of this sized dose on an untreated pig with treated pigs. It will be seen that the grade of immunity demonstrated by the smaller pigs is in almost direct proportion to the quantity of suspension they received in previous treatments, while in the larger pigs this is not true. Pig No. 73, receiving only 1 mil 154 Rk. R. Brrcu Aanp J. W. BENNER TABLE 2. ° Intravenous Pig. No} Date. injection! Results. TOISE Pe aloha. Feb:a7, 1922) 75|\-2;muilse ss. Found dead in 16 hours. General septicemia. RAS Pec alee dOwstrsceas PSEC tae en © In 20 minutes vomited. Feb. 7-14, droopy, weak, ate little. Feb. 14-28, recovered. — (PISO Yecbswac|lgoce GoOseecesee MS SAU Cease Slight stiffness and slight serous discharge from the eyes. Affected markedly less than pig No. 71. TBSP a sty call letecane dota ce So AOOL eres Found dead in 16 hours. Blood sterile. Caos. (Peer Feb 8: 19225 ela On ae Feb. 8-15, very stiff. Inappetence. Slowly recovered. Ciba Cad Lae ote as errs O sacra nar betas GON tracer Do. (OMG Pate ace eee UG ene cane MeO set sae Slight stiffness. Rapid recovery. SOsGSRE Saen: ts EOE sete se doze ee Very slight stiffness Rapid recovery. 1S. P. denotes smaller pigs; L. P., larger pigs. of the vaccine and 1 mil intravenously in the trial injection, was found dead in the same length of time as pig No. 79 which had received no previous treatment. This indicated a low grade of immunity, if any, conferred by the treatment. given No. 73. One of the surprising irregularities occurred among the larger pigs. No 80 received no previous treatment but showed less injurious effects than did those that received previous treat- ments. It seems that this pig had more resistance as a result of good care and no treatment than did the pigs which had been given the same care plus treatment. This experience with pig No. 80 led us to believe that for the production of anti-swine-plague serum it would be better to take older, well-nourished hogs and start the hyperimmunizing process with a larger dose of suspension than to take pigs, as we did in the above experiment, and try to build up an im- munity by increasing doses. However, we wished to see if we could still increase the dose of suspension in the hyperimmuniz- ing process and not kill our pigs. So on February 28, when the pigs seemed to have recovered from the bad effects of the treatment received February 7 and 8, another treatment was administered as shown in Table 3. We used only part of the group, fearing that we might kill all the animals used. Again pig No. 80, which had received only one previous treat- ment’ (2 mils February 8), withstood the increased dose of 3 mils much better than did Nos. 71 and 74 which had been given two subcutaneous and two intravenous injections previously. IMMUNOLOGY OF SWINE PLAGUE a5) No. 81 was about the same age as the “‘larger pigs’’ in the experiment (actual weight 72 pounds), but had not been treated before nor kept in the same pen with treated pigs. Since No. 80 had withstood a 2 mil intravenous dose on February 8 with- out previous treatment, we thought possibly No. 81 might with- stand the 3 mil dose on February 28, but such was not the ' ease. The deadly effect on pig No. 81, when compared with the effects on the other pigs, gave us at least a little information on the grade of immunity we had in the various individuals of this group and showed us also that 3 mils could not be used as the initial dose in pigs of this age. TABLE 3. . Intravenous e Pig No.1 Date ieection ‘ Results. (lute il Sse eae Feb. 28, 1922. .| 3 mils...... Immediate collapse. Feb. 28—Mar. 11, inappe- tence, weakness, emaciation. Mar. 1l— May 1, became normal but was undersize. Cg) Ba ere beara dOnt aloe done Found dead in 20 hours. Blood sterile. SOM WEA os |etece C CS ereeets) Sees dovcan Mar. 1, stiff and weak. Mar. 1—6, improving’ Mar. 13, normal. (ULE Bn eer Maco GOS score | is nave dower: Found dead in 5 hours. 1S. P. denotes smaller pigs; L. P., larger pigs. A serological test on rabbits was planned as a means of de- termining more accurately the grade of immunity present in these pigs, and the application was broadened to test other hog sera as well. On March 14, 1922, the animals surviving the treatments just described were bled. The operations on this date were carried out in the same manner as in our anti-hog-cholera serum produc- tion, 7. e., the pigs were bled from the tails in vacuum, the blood defibrinated by shaking, then strained, bottled and preserved with 10 per cent of a 5 per cent solution of carbolie acid. The serum from pigs Nos. 72, 75 and 76 was mixed and con- stituted one serum. lot in the test. As has been seen in the tables, these pigs received practically the same quantity of sus- pension in proportion to their body weight. The serum from pig No. 80 constituted a second serum lot and was tested sep- arately because the treatment this individual received differed markedly from that given Nos. 72, 75 and 76. Serum from pig No. 71 should have constituted another lot, but this pig was in such bad condition from his 3 mil intravenous injection of Feb- ruary 28 that he could not be bled. 156 R. R. Bircw anp J. W. BENNER A third lot of serum tested was bled from four normal shoats susceptible to hog cholera and about the same size and age as pigs Nos. 75, 76 and 80. For the fourth lot we used a bottle of our regular anti-hog-cholera serum. TABLE 4.—SErRuUM TESTS ON RABBITS. | Bacterium Rabbit Serum, Sr Ditton Resolts. No. Mar. 14, 1922 (1-400), Mar. 17, 1922 144 10 mils, anti-swine-plague serum | 1 mil.......| Found dead in 138 hours. General from pigs 72, 75, 76. septicemia. TAS | Sere Os ane cslsctutr le rce eee 2 eee BC: COs Se Do. 146 10 mils anti-swine-plague serum | 1 mil....... Found dead in 144% hours. from pig 80. General septicemia. 147 OOS econ es cence ene sAGOne scores Do. 148 10 mils normal serum fgom pigs | 1 mil....... Found dead in 1634 hours. 82, 83, 84, 85. General septicemia. WA9 on) he dG Gees csarastes Sater dos Do. 150 10 mils anti-hog-cholera serum, | 1 mil....... Found dead in 19% hours. ? series W stock serum. General septicemia. 151 OO it. hns Sayacis Saons aa ee does. er Found dead in 23 hours. General septicemia. Zila Avec. otaiers terete ker Ree ere ae ee Tex etescee Found dead in 1634 hours. General septicemia. WSBi5 |b ie s-visbans is aisles wieskaeke oer ere deieaett: Seed eee DOR. severe Do. 1 Check on virulence of dilution of Bacterium suisepticum. TABLE 5.—AGGLUTINATION TEsT. Pig No 1-100 1—200 1-500 Check GO once gets ha heme Core Nes NEON cigs. aes aE == = = = BB e yeast Sh, cesta, Sey ayseSyccagals Pop iveiay sBarhes TAP EE Stet = = = CE NO EO Pa ie EE LA ee eee ee eS =e = = = Day Fecal sey aus ta year an oan tate ae Way = ee ee =F = S a { CAO A Oe IAAT OC One ee aoe aPaPare aP = = CORES RTE AO ao Ae ec ke Sar Sat ar = OB cio OPER OTS 5 AER oe eae Saas | CSRSPSF SE SRSE SESPSF = BO sretsraistecevs crasatsroyatorercls vegetarian oa ee SRP SP SESE SF SPSRSr = 1 Complete agglutination. The normal serum and anti-hog-cholera serum were used be- cause of slight indications that hogs as they advance in age ac- quire an immunity to the swine-plague organism. We have not, however, compared different ages by regulating our dosage to pounds live weight. If hogs do acquire an immunity as they advance in age, then the normal serum used in this test should show a certain degree of protective power and the stock anti-hog- cholera serum should prove still richer in swine-plague anti- IMMUNOLOGY OF SWINE PLAGUE 157 bodies, as our hog-cholera serum is always made from hogs more advanced in age than the animals bled for normal serum in this test. As rabbits are so very susceptible to the swine-plague organ- ism, we chose this species for the test. given briefly in Table 4. The results of these tests indicate that the blood from the animals hyperimmunized against swine plague had strikingly more protective power than normal serum and the anti-hog- cholera serum. In the rabbit test, even though the normal serum rabbits and the checks were found dead at the same time, we think per- haps the normal serum had a slight protective power, since the bodies of these two rabbits were still warm and the checks were cold, showing that the checks had died first. Again, the normal serum from the younger animals showed less protective power than the hog-cholera serum which was made from older animals. The agglutination test may prove valuable in measuring immunity. Both tests must be repeated before a rule can be made. As the anti-swine-plague serum used thus far had been pro- duced from animals susceptible to hog cholera, we next at- tempted to hyperimmunize hogs against both diseases to pro- duce if possible a combination anti-hog-cholera and anti-swine- plague serum. Pig No. 87 was one out of three that withstood the 2 mil intravenous injection. No 89 was one out of two that with- stood the 1 mil intravenous injection. We then attempted a different method of administering the swine-plague suspension which seemed to be less hazardous to the life and health of the animal than the intravenous method, that is, of giving a large dose into the axillary space. According to our rabbit test, the serum from pigs Nos. 90 and 92, receiving the intra-axillary injection, was not as high in protective power as that from pig No. 89, which had received 1 mil of the swine-plague suspension intravenously one week after the hyperimmunizing against hog cholera, but it was higher than that of pig No. 87, which had received a 2 mil intravenous injection of swine-plague suspension three days after the hyperimmunizing against hog cholera. The rabbit test shows also that the serum from pigs Nos. 90 and 92 had five times more protective power than it did before the swine-plague in- R. R. Bircu Aanp J. W. BENNER 158 a Aqaeoy pouremoy CaO nis tPUth CO “AqIpeoY jaw Ehyy JPowoCnoDECdoGn od Fires ropes: “smoy %0Z Pees SG pews: Feeeayey Me PPeoen ay Open ‘soy OOL |oo°* 7 topes Oat eernt an ‘od Be era ale op ee ° ae Seth anae ‘samoy 0% |'*"** Tron T ~‘sanoy 84071 eas art vops as ‘sinoy %LPT | °° °° OOO tera | “sanoy £6 eee eee op ee e688 “sunoy OL eee we ewes [roa I peop ZZ6L “9% GUN | eet ‘urnorjdasis SHUqqeY GINI0}9V jo osoq SSA ae cet Store ciniolel sj share ite «ale wieltevieltle yee a denn di ootocHu dado al dud onoobubne ododonnonugnond SUE O Discs! 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We therefore decided to test the serum from these two pigs, and devised a combination test which would test the anti- hog-cholera properties of the serum and the anti-swine-plague properties as well. The first tail bleeding for immune serum was made on Nos. 90 and 92 three weeks after the swine-plague injection of 20 mils. They were bled four times at one-week intervals. gnition, protection and assistance have been a matter of investigation and record. It is expected that during the coming year this will be completed, sifted ard properly embod‘ed in our report, at least so far as the older States are concerned. 4. History of the United States Bureau of Animal Industry. Dur- ing the past year Dr. U. G. Houck, a former member of this com- mittee, and for some years past an official of the B. A. I., has con- tinued the preparation of an accurate and fairly complete historical sketch of the B. A. I. With the consent of the Chief of the Bureau, Dr. Houck has collaborated with the chiefs of the several divisions, and announces, August 14. 1922, that the sketch is about completed. It will consist of at least 560 pages of manuscript and will make about 225 pages of printed matter. 5. History of the A. V. M. A. This will be given very briefly, because it is now largely a matter of printed record, in its minutes and proceedings. 230 PROcEEDINGS OF A. V. M. A. ANNUAL MEETING 231 In conclusion, your committee believes the completed history of the veterinary profession in the United States and Canada will be ready to submit to the A. V. M. A. at its next annual convention and craves your patience till then. JOHN W. ADAMS, Chairman. On motion of Dr. O. Faust of Poughkeepsie, N. Y., it was voted that the report be received and the committee continued. Report’ OF EXECUTIVE BoaRp PRESIDENT KinstEy: The Secretary has a partial report from the Executive Board, particularly referring to the election, of new members. SECRETARY Mayo: The following applications for membership have been favorably recommended by the Executive Board: Mosley, Thomas, Duncan, Okla. Farquharson, James, kort Collins, Colo. Olson, Edgar L., Prescott, Ariz. McKitterick, James A., Greenwood, Mo. Shake, Frank Curtis, Hutsonville, Ill. Wallace, William A., Ashland, Ky. Strader, H. N., New Hampton, lowa. Wilhams, Edgar A., Aurora, Nebr. Gartell, J. V., Lincoln, Nebr. Wesner, Marnie E., Ohio, Ill. Rose, G. A., Toronto, Canada. Head, William M., bradford, Ill. Cook, O. A., Arrowsmith, Ill. Davis, D. E., Manhattan, Kans. Sartorius, George Raymond, Athens, ll. Randall, Raymond, Washington, D. C. Grove, BE. E., Newell, Iowa. Pease, James F., St. Louis, Mo. Lipe, V. R., Raymond, IIl. Villeneuve, J. H., Montreal, Quebec. Rhodes, Howard C., St. Albans, Vt. Thompson, Henry R., Kansas City, Mo. Long, R. S., Upham, N. D. Thompson, William A., Elmvale, Ontario. Beckmay, C. H., Humboldt, Iowa. Henderson, C. J., Newman Grove, Nebr. Gilliatt, Floyd, Decker, Ind. Leider, L. S., Howard, S. D. Barber, John W., Exeter, Nebr. Tobias, David D., Lincoln, Nebr. Leffler, David, Bronx, N. Y. Fletcher, Arthur Taylor, Virden, IIl. It is recommended that those names I have read be elected to membership. (On motion of Dr. Hoskins, the recommendation of the Execu- tive Board was approved.) SECRETARY Mayo: The Executive Board recommend that the. By-Laws be suspended and the following be elected to member- ship: Shikles, J. R., Dearborn, Mo. Winegardner, C. C., Goshen, Ind. Cunard, T. J., Ninety-Six, S. C. 232 PROCEEDINGS oF A. V. M. A. ANNUAL MEETING None of the schools from which these persons were graduated were recognized by the Association. Graduates of the Western Veterinary College who have made good in practice after they have been out a number of years have been accepted under suspension of the By-Laws. The University of South Carolina eranted a degree in veterinary medicine to Dr. Cunard. He was the only man who cver received the degree of veterinary medicine from that imstitution. He is vice-president of the State Association, president of the Southern Cattle Growers’ Association, and an outstanding man in that country, and he is recommended by Dr. Nyles who was professor of Veterimary Science of that school at that time when he took his degree in veterinary medicine. (On motion of Dr. Hoskins, the report of the Executive Board was adopted.) SECRETARY Mayo: I have a resignation of Dr. Lawson of Ontario. The Executive Board recommend that it be accepted. (On motion of Dr. Hoskins, the recommendation was adopted. ) SECRETARY Mayo: I have some more reports from the Exeen- tive Board. These recommendations were made to the Associa- tion last year; they were Jaid on the table, and they come up now for adoption. It is recommended by the Executive Board that the Constitu- tion and By-Laws be amended as follows: Section 7, Article G, by adding ‘‘ Excepting members residing in countries other than the United States and Canada, the said ballot shall be re- turned within ninety days from the date of issue.’’ You remember I called attention last year to the fact that | on a postcard vote the By-Laws provide that the ballot must be returned in thirty days. It is impossible to get a ballot to the Philippines and back under sixty days, and so it was proposed to change the By-Laws making it ninety days for members liv- ing in foreign countries to get their votes back to the Secretary. (On motion of Dr. Hoskins, the recommendation was adopted. ) SECRETARY Mayo: The Executive Board also recommend that Article XI of the By-Laws be changed adding, ‘‘ Excepting the Editor, Secretary, Business Manager and Treasurer, who shall assume their duties within thirty days following their election.’’> At the present time the Constitution and By-Laws provide: ‘‘The officers of the Association shall assume their duties at the close of the annual meeting at which they are elected.’’ There is so much to be done at the time of the annual meet- ing, so far as the Secretary’s office is concerned, that it is neces- sary to allow a little time to get the books straightened up before turning them over. That practice has been followed in the past as a matter of custom; we had to do it. This is a change in the Constitution and By-Laws to conform. (On motion of Dr. Torrance, the recommendation was adopted. ) ProceEeDINGs oF A. V. M. A. ANNUAL MEETING Dist SECRETARY Mayo: The Executive Board also recommend to change Article V, Section 5, to read that the treasurer shall give an acceptable bond to the Executive Board. At the pres- ent time it reads he shall give bond in the sum of $5,000. That was provided when the Association didn’t have much in the treasury. This recommendation was proposed by the Treasurer, Dr. Jacob. Now that the Association has $30,000 in the treas- ury, it is felt that the Executive Board should decide how much of a bond shall be furnished. (On motion ot Dr. Faust, the recommendation was adopted. ) SECRETARY Mayo: The Executive Board recommends that Paragraph L, Section 7, of the Constitution be amended by eliminating the word ‘‘yearly.’’ I will read that paragraph. “It shall be the duty of the Executive Board to consider and recommend yearly to the Association concerning the selection of Secretary and Editor and Business Manager of the JOURNAL ot the American Vetermary Medical Botany 2a. ee ee 3 Anatomy 22 see il Chemistiyen SS 5 Animal husbandry ............... Uf Glinies 6 ee 3 IBOtANNYs = ee eee a Conformationa = il Chemistry). = 11 Dairy hesbendsy dys teds 1 Civies and economics........ 1 Dentistry .. Ee a 1 Glinies) 2 ee 2 Kconomics: .2- ee 2 Embryology 2 iKmbryologyarssss 3 ng ishey se. = eee 5 Wnelish. (se eee 3 Mistolory (2-2 8 Histolocy.— 4 Hygiene, human ................. 9 Hygiene, human. .................. 6 Dray ee 1 Materia medica 5 Military science 9 Medicine j= ae 2 Pharmacy 2... il Military science ............... 9 PHYSICS neice creer 2 Ghctatticseesa es ee il Physiology 4 Parasitology 2 ZOOMOBY vos 6 Pathology, general ........... 9 Zootechnics 1 Pharmacy ee 6 SECOND YEAR Physical diagnosis. ........... ab AGRALOIN ye fof PHYySiOlOQY a eenenernrceecernreen 11 Animal husbandry ............. 5 RGSbraint 22 tee 1 BACLT OO Sar ene 10 Surgery, general ................. 2 IBIOCHEMISERYe= se ee i ZOOLOLY ase ee 3 +The subjects included in the curricula of eleven of our oldest State veterinary colleges in the United States and Canada. 2The number of colleges in which the subjects are taught. THE VETERINARY CURRICULUM 291 THIRD YEAR Subject Colleges Subject Colleges Anatomy, surgical and Anatomy. 2 applied;.3: 23> eee i Animal husbandry ............ 9 Animal industry... 4 ALG PSICS tno i Nu topSies) 22a 3 Bacteriology 5 iBacteriolozys..=— = Pe @linics4e ee ee 8 Business law. .cccccncsrees 1 Consulting clinic ............... ul Canine medicine ..............-- 2 Contagious diseases ............ 1 Cattle GiS€ASes ones 1 Day bey eee eee 5 Clinics. 1. 224'2= Se 9 Diagnosis, laboratory ..... i Consulting; clinie = 1 hmbrevoloeye 1 Dairy industry 22>. 2 Bing lish esse 1 Diagnosis, clinical ............. i! HOTSCSHOEING® oeeecseccssseeeeeseessesernee 4 Diagnosis, laboratory ..... HA Hygiene, human. ............-. 1 Diagnostics) 222... 3 Hygiene, veterinary ........ 1 Dissection, regional ........... ft Infectious diseases. ............ 3 Bntomolosy a JUYUSPYUGENCE oeesseesscoreneenee i Horseshoein Sse ass 4 IGAMENESS jest 1 Hygiene, veterinary ......... 3 Materia Medica ...--rrrceccccee- 4 Nam un yeeeeee 4 Medicines... 3=.2...-12. 10 Infectious diseases. ............ 5 Military SCIENCE ........... 2 Jurisprudence)... =. 6 Modern language ...........-...-- EI Thameness ! 2:3...4 22 1 ODStCUnICSaie eee 2 Materia medica ..........-........ 1 Ophthalmology i Meat and dairy inspec- Parasitology, =... 6 PAO 25 2o eee eae 10 Pathology, general ............ 6 Medicine 10 Pathology, special ............ 6 Modern language ............. nT harm a Cypyenee ee 4 Obstetricshy ee ee 8 Physical diagnosis .......... 6 Operative practice .............. 3 Physiology, 222.22 il Ophthalmology nc if Poisonous plants... i Parasitol ocean. er 2 POUIET Vs cee eters 7 Pathology \2222- 2... 2 Public speaking... if! Pharmacology 2wcset na 2 Small-animal clinic ........... 1 Poultry diseases 0... 2, Small-animal diseases...... 4 Practice of medicine and Siw | ee ee 6 jurisprudence 1 Surgery, general .............. 5 Protoz0o0logys ee 1 Surgery, special ............... 2 Public speaking 2 Surgical exercises ...---..+ iL Small-animal clinic ............ ul Surgical clinic ........--.-—- il Small-animal diseases ...... 1 Miherapeuticsys 3 Surgery, special ................ 10 Wines analysis) ==. 2 Surcical -clinies --- 2 Surgical exercises ...........- 1 _ . FOURTH YEAR Therapeuties ici etecemsan oe 4 Subject Colleges Veterinary sanitation Ambulatory clinic ..............- 72 La WSip ee eee 2 DISCUSSION CHAIRMAN PICKENS: The discussion on this paper will be led by Dr. D. S. White, of Columbus, Ohio. Dr. WuITE: The problem of a veterinary curriculum is one that I have been struggling with for nearly thirty years. I do not be- lieve it is as near a solution now as it was then. In the early day things were much simpler, less complex than they are now. The most flourishing college at that time on this continent gave a very brief curriculum of five months, which was repeated, at least in part, the next year for another five months. Compared with present curricula, it would be perhaps considered a failure, but, nevertheless, that institution did turn out some very good men; many of the leaders in our profession are graduates of the old Ontario Veterinary 292 VeERANUS A. Moore School. I think the secret of their success was this: They didn’t teach much, but what they did teach they taught well. I think we are attempting to teach entirely too much. Our cur- riculum is so cluttered up with a great mass of diversified subjects that about all the student can hope to get out of it—the student who sits in class from 8 o’clock in the morning until 5 in the afternoon, with an hour for lunch—is a very bad case of mental indigestion. I feel, in talking to the most intelligent of our alumni, that what the student wants to get in college, whether it be in a veterinary college or a college of some other type, is something that he can not get outside of college—namely, the fundamental principles under- lying, first, the basic subjects which form the foundation of the professional and technical work, and later the fundamental principles underlying the professional side. We are passing through, I think, what the medical profession passed through. I have been told by credible authority that there are nine- teen possible specialties in medicine, and ten years ago every medical school tried to make nineteen different kinds of specialists out of eee student. The result is obvious. They have departed from this plan. I concur fully with Dr. Moore in his suggestion that more agricul- ture, as he calls it, be included in the curriculum. We made an ex- periment in Ohio State. We found first that there was a demand coming from young men who had gone into animal husbandry for more veterinary training than we could give them in an agricultural course. We also discovered that the required work in a four years’ course in agriculture as given at this university required only two years, the other two years being made up almost entirely of elective subjects. So we induced the agricultural faculty to permit students to elect in those two-years entirely veterinary subjects. That made possible a combined curriculum of six years. At the end of the four years the students who have successfully passed through receive a degree of Bachelor of Science in Agriculture. At the end of six years they receive a degree of Doctor of Veterinary Medicine. We surrendered nothing practically in this combination course. How popular it will be I know not, because it has been so recently insti- tuted. The attempt to standardize these curricula is one that we thought about a good deal. In fact, during the great war an effort was made to standardize them, and a committee was appointed, but nothing came of it. Each college felt that the local conditions governing its organization brought too much pressure to bear to make any great departure from the present organization of the curriculum in the institution concerned, and we must cater to local conditions—there is no doubt about that. I think that the institution which I repre- sent should, in a measure at least, first serve the people of the State of Ohio, who must pay the bill, and we therefore rather resent any outside institution as long as we feel we are serving those people and doing it in a professional and in an ethical way. I presume all other institutions feel very much the same. So, while it might be a laudable ambition to standardize these curricula in the different schools throughout the country, I do not believe you will ever see it fully realized. CHAIRMAN PICKENS: Dr. Stange, of Iowa, follows in the discussion. Dr. STANGE: I think Dr. Moore covered the ground pretty well. I might mention one or two problems that we have had to deal with out in Iowa. We used to have a great many different subjects in our course; many of these subjects were one and two hour sub- jects, and I see a good many of them listed on this chart. We came to the conclusion that everybody who was teaching a subject necessarily would take a certain time for preliminary work— THE VETERINARY CURRICULUM 293 that is, sort of a basis for the particular subject—and then lead up to the subject matter. We came to the conclusion that inasmuch as our course was becoming crowded, and we were finding insuffi- cient time in four years to cover the material, it would be better to establish fewer courses and make them four and five hour courses if possible. In that way you don’t cover the same material possibly two or three times during the time the student is in college. I think we have solved that problem fairly well with subjects that are entirely foreign to any of the other subjects in the course. The other problem that we had was that we found insufficient time in four years to cover the subjects that are crowding into the course, and we have had to choose between what we consider the more im- portant subjects and the less important ones. We have had to take some subjects from our course which we thought were very valuable courses, but, nevertheless, they were less valuable than some other courses that we wanted to put in, so that we have had to cut down on subjects that Dr. Moore has mentioned, like animal husbandry. aie have had to omit some of those courses and replace them with others. We met the problem very much as Dr. White says they have, by joining with the agricultural people and putting in a six-year course. We have had that course now for several years, and every year we have, I think, some five or six students in the six-year course. Dr. WHITE: I would like to ask of the deans represented here if any of them are on the so-called point system. We have instituted there in Ohio State, beginning this October, the so-called point sys- tem. We grade the students A, B, C, and D. A carries four points; B, three; C, two, and D, one. E is a failure. Now a student must receive so many points to graduate. In other words, he may theoreti- cally pass everything, but practically not get through the course. I am afraid that is going to go pretty, hard with our fellows, and I just wondered if any of you have had any experience with it. Dr. RICHARDSON: We have had that system. In other words, it is possible for a man to get a grade of D, which represents a grade of 60, and not be able to graduate. CHAIRMAN PICKENS: We will hear from Dr. Klein. Dr. KLEIN: Dr. Moore has presented very clearly some of the difficulties in connection with the arrangement of a_ veteri- nary curriculum. Our past experience has given us reason to think that it is a very difficult matter to arrange a curriculum which will be entirely satisfactory to everyone. Nevertheless it seems to me that there are certain basic principles that could be laid down which might serve as a guide and be carried out in so far as local con- ditions will permit; because we can not overlook the fact that the arrangement of a veterinary course is very often—in fact, nearly always—governed by local conditions. We could draw a line of separation through the veterinary course between the second and third years and on the left-hand side we can put all of the basic sciences and the teaching of scientific facts and principles, leaving the other side of the line for teaching the applica- tion of those principles. In other words, we put on one side of the line the so-called scientific subjects and then on the other side of the line the so-called practical subjects. Another thing that Dr. Moore brought up was the time that should be devoted to each subject. That is always going to be, I think, a very difficult point to decide. Usually the most able man in a fac- ulty gets all the time he wants and the other men have to divide what is left as well as they can. I know of only one instance in which a course was carried through or made up just exactly as someone wanted it, and that was during the war. The Educational Depart- ment prepared for the War Department a schedule of classes for 294 VERANUS A. Moore a veterinary school, and in this schedule they specified the hours that each subject was to have, and that was turned over to a board consisting partly of veterinary officers and civilians and they had orders to prepare that course for introduction into the veterinary school, and it was so carried out; and if the war had lasted a little longer we would have had a veterinary course in all veterinary schools in exactly the same way. Only under some such conditions will we have such arrangement in effect, and I am not certain that it would be a good arrangement, because it would not permit of the school taking care of local conditions. Some diseases, for instance, or some subjects, which are important in the North are less important in the South, and some which are important in the South are less important in the North. Now as to how the subjects shall be divided. Dr. Moore mentioned bacteriology. He brought up the point as to whether bacteriology should be divided into different sections. I may be wrong on that point, but my idea is that the bacteriologist should teach bacteriology, just as the anatomist should teach anatomy in general, and then the pathologist should apply the bacteriologist’s teaching in special pathology. Dr. WEGNER: It seems to me that the time is right now for veteri- narians to begin to specialize. It may be true that the practitioner in the small town does not have need for this specialty, but I do know of a number of veterinarians who would have been very sadly per- plexed had they not known where to turn to get some valuable, spe- cial information that they needed. The poultry industry in the Northwest at the present time needs some men who are capable of taking care of the health of that industry. I think the demand is now for specialization in veterinary medicine. A year ago at our meeting several men asked me, ‘‘Where can we get some special work on sanitation?” There are positions that we could get if we could go into the city and say to the commissioners, ‘‘We are capable of taking hold of your sanitary matters and running your city.” If those men could go for a few months and get special training along those particular lines, I am sure they would be glad to do it. A word regarding the point system. I do not believe that is going to hurt anybody who has the proper qualifications, because we figured it on the basis that the man who gets the grade of the average student is not going to have any trouble with it. Dr. KLEIN: While Dr. Moore’s paper has been discussed to some extent, it has not, in my opinion, received the attention it deserves. I hardly think it would be possible in a meeting of this character to give it the necessary consideration. I, therefore, move that a committee be appointed, consisting of one representative of the fac- ulty of each approved veterinary school, to take up the suggestions in this paper, and report, at the next meeting, a plan, if possible, for givinse them a thorough study. (The motion was seconded.) Dr. EICHHORN: I believe it is very opportune at this time to give this consideration. I do not know that any section has power to have a committee appointed. I believe it would be advisable, owing to the importance of the subject, to take it up in the general session, and request that a committee be appointed by the President of the Association. That would be a better procedure. Dr. KLEIN: If this section is not permitted to appoint the com- mittee without the approval of the general session, I would suggest that this section vote on this motion, and if it is approved the chair- man of the section can take it up in the general session. We can present it to the general session as a proposition approved by the section. THE VETERINARY CURRICULUM 295 DR. EICHHORN: That is satisfactory. CHAIRMAN PICKENS: Will you state your motion again? Dr. KLEIN: My motion is that a committee be appointed, consisting of one member from the faculty of each veterinary school approved by the Association, to take up the paper of Dr. Moore and consider the suggestions he made, and report to the next meeting of this Asso- ciation a plan for carrying out or for making investigation that may be necessary. Dr. DimocK: What relationship would there be between this work and that of the Committee on Intelligence and Education? CHAIRMAN PICKENS: As I understand this motion, it is a case of referring it back to the main body. I should think that would auto- matically place it with the proper committee. Dr. KLEIN: My motion is for the appointment of a special com- mittee to take these suggestions into consideration, and report the plan for investigating the proposition. I don’t think the status of this special committee would place them in a position to inspect vet- erinary schools and decide whether or not they are complying with the rules of this Association. This is a matter of considering the veterinary curriculum with the idea of bringing about more uni- formity in the curricula in the different schools. Whatever recom- mendation this committee makes would have to be reported to the general session of the Association. Then, if it is proper that it should be referred to the Committee on Intelligence and Education, they will be so informed. I can’t see that the appointment of this committee will in any way encroach on the duties of the Committee on Intelligence and Education. CHAIRMAN PICKENS: The only point I see is that I don’t know whether the section has power to appoint a committee or not. Does anybody know? Dr. DimMock: It seems to me that all we can do is recommend to the general session. I don’t see why we can’t recommend that the regular Committee on Intelligence and Education take this up. Dr. KLEIN: The objection to that plan is that in considering any proposition in regard to making the curriculum uniform in the various schools, local conditions have to be taken into consideration, and I have endeavored to provide for consideration of local conditions by having a representative of each teaching staff on this committee. My purpose in sugvesting the appointment of this committee at this time is that they will take a general view of the situation and agree upon some plan whereby the committee of investigation, if necessary, may be made. For instance, in the teaching of anatomy this com- mittee might recommend that a committee of anatomists be ap- pointed to consider certain subjects and certain phases in the teaching of that subject. The purpose I have in suggesting the appointment of this committee is that a very general survey should be made by the committee of the conditions existing in the different schools, and then they should report on the possibility of carrying out Dr. Moore’s suggestions; and, if it appears possible, those suggestions can be carried out. The best way is to undertake that task. CHAIRMAN PICKENS: I don’t know whether it is in the province of the section to appoint committees or not. Dr. KLEIN: There is no doubt that the section has the right to make the recommendation. CHAIRMAN PICKENS: Will you amend your motion that we recom- mend? Dr. KLEIN: I will amend it that we recommend to the general ses- sion that a committee be appointed. Dr. Moore: I think the Committee on Intelligence and Education is *oing to make a recommendation for the appointment of a com- mittee. I was talking to Dr. Bergman some days ago about the de- 296 VeRANUS A. Moore sirability of studying the situation, and he thought it ought to be taken up, and at the time I read my paper he said he was going to recommend the appointment of a committee consisting of two or three men from each collev*. and those men should be elected or appointed by the college, or by the dean of the faculty of those col- leges. Dr. Bergman was not here when the paper was discussed. He told me afterwards the reason he was not here was that he had thought it over and deemed it better to take the recommendation of the Intelligence and Education Committee. I think he has a resolu- tion of recommendation. Dr. KLEIN: In that case, I will withdraw my motion if that has been taken care of. CHAIRMAN PICKENS: With the permission of the second, we will withdraw the motion. (Consent of the second was given, and the motion was withdrawn.) MARKED CHANGES IN BEEF PRODUCTION Beef production in the United States has undergone marked changes since 1850, and chief among them is the difference in age to which animals destined for slaughter are kept on the farms. | With a larger proportion of beef cows kept, and with cattle slaughtered at an earlier age, it is now possible to raise more beef each year than when there were more cattle in the country than at present. However, the system of using younger cattle for beef involves the use of more harvested feed per 100 pounds of beef produced, since a larger proportion of the gains in weight are made in the feed lot than was formerly the case when steers were carried four or five seasons on grass. While the total number of cattle in the country has decreased in recent years, the situation is not as serious as might appear, since the number of cattle is greater now than any year from 1896 to 1917. That the country can readily respond to a quickened demand for beef was demonstrated during the war when production was so stimulated that during 1917 and 1918 combined more than 1,000,000,000 pounds of beef were exported, which was 7 per cent of our production and 22 per cent of the exports of the world during that period. Since about 1905 South America and Australia have been the chief sources of surplus beef. Americans are eating less beef per capita than formerly, but the figures show that when demand and prices provide sufficient stimulus the supply can be inereased at a surprisingly rapid rate. SEQUEL OF CANINE DISTEMPER: By Wiuu1AM E. Muupoon Professor of Comparative Medicine, Kansas State Agricultural College, Manhattan, Kansas DISTEMPER may be defined as an acute, contagious, infee- tious disease of young canines, which is characterized by febrile manifestations and an acute catarrh of the mucous membrane. This condition is frequently followed by numerous pathological changes, either temporary or permanent, in various tissues of the animal’s body. As we are particularly concerned with the sequele of this disease, it is advisable to diseuss the subject in a more or less systematic way and endeavor to emphasize the more important forms of distemper and the complications which may follow each form. In regard to the symptoms of the disease as a whole it may be said that the first thing noted is usually a fever of from 103 to 104 degrees. This is accompanied by prostration, dullness, impaired appetite, erection of the hair along the spine, shivering, trembling, seeking a warm place, fatigue on slight exertion, hot, dry nose, and burning pads of the feet. Later the temperature may descend to normal, or there may be alternations of rise and fall. One of the most characteristic symptoms of distemper is the implication of more than one set of organs, so that mor- bid manifestations referable to the nose, eyes, throat, stomach, skin and nervous system, and occurring in the same subject, are to be especially noted. In enumerating the prominent symp- toms caused by disease of one set of organs, therefore, it is not implied that the absence of others referring to a different class of organs is to be understood. On the contrary, a complication of several is especially significant of the disease, though the predominance in one class of organs will signify a special form of the disease. RESPIRATORY SYMPTOMS One of the earliest symptoms is usually sneezing with a red- ness of the nasal mucosa, followed by a mucopurulent blocking 1Presented at the fifty-ninth annual meeting of the American Veterinary Medical Association, St. Louis, Mo., August 28 to September 1, 1922. 297 298 WituiAm E. MuLpoon of the nose, and rubbing of it with the paws. With the impli- cation of the throat there is usually local tenderness and a hard, painful cough, which may be accompanied by retching or vomit- ing. The breathing becomes snuffling, especially in the short- nosed dogs, and rapid and even oppressed in ease of implication of the smaller bronchi and the lungs. The nostrils may be- come glued together, the discharge red or dark colored. Vesi- cles and sores may appear on the mucosa, and the cough may get paroxysmal, small, weak, husky or gurgling. Percussion of the lungs may reveal small areas of flatness from exudate or collapse, and in the case of pleurisy and hydro- thorax there is lack of resonance up to a given horizontal line, varying in position according to the position of the animal and always keeping to that part of the thorax which may at the time be lowest. Auscultation will reveal various sounds, ac- cording to existing lesions. There may be a loud, blowing mur- mur over the large bronchi, or at points to which this sound is conveyed through consolidated lung. Or a course of finer mucous rales may be present, indicating the second stage of bronchitis; or a line of crepitation around a nonresonant area, indicating pneumonia; or there may be friction sounds, or later, creaking murmurs from false membranes. Wheezing sounds are not uncommon, also sounds of the heart, bronchi or bowels, heard in unwonted situations to which they are conveyed through consolidated lung tissue. Dyspnea may become extreme, with puffing out of the cheeks, labial souffle, and violent inspiratory action. Emaciation, sunken, pale or dark red eyes, putrid diar- rhea and nervous disorders usually precede death. Regarding the animals which recover from this type of dis- temper nothing need be said, but we are at times confronted with various chronic sequele which often cause the small-animal prac- titioner a great deal of worry. Under this head we may men- tion the following: 1. Chronic Nasal Catarrh.—This is usually shown by a puru- lent discharge, varying in quantity, from both nasal passages. This discharge in severe cases is streaked with blood and has a very offensive odor; it causes excoriations on the mucous mem- brane and skin at the nasal openings, where it forms dry and hard crusts. There are frequent paroxysms of sneezing. In SEQUELA: OF CANINE DISTEMPER 299 cases where the nasal passages are occluded the animal breathes through its mouth. In handling this condition the best results will probably be obtained by keeping the animal in a warm place and spraying the nasal passages daily with a solution of creolin 2 per cent, boric acid 2 per cent, or sodium bicarbonate 2 per cent. The dried crusts should be removed with warm water, and zine oxid ointment applied to the membranes and skin at the nasal openings. If this treatment fails, cultures may be grown from the nasal discharge and a standardized autogenic vaccine made. Two cubie centimeters of this vaccine should be injected sub- cutaneously every five to seven days until the purulent discharge ceases. 2. Chronic Catarrh of the Larynz.—The symptoms of this condition are similar to those of acute laryngitis except that they are not so severe. The cough sounds dry, hoarse, rough— sometimes moist—and it is frequent, quite loud, and accompanied by a wheezy inspiratory sound, and in rare instances with retching or even emesis. In some cases the cough resembles the whooping cough of children. It is heard mostly at night, or when the animal runs and plays as he would do before being taken out for a run. As a rule the treatment of this disease is unsatisfactory, but it depends to a large extent on the condition of the animal. Various cough mixtures may be prescribed to allay the irritation and lessen the coughing. Inhalations of medicinal agents, such as turpentine, etc., may be of value. The best method is to put the animal on a cane-seated chair, and having placed the medi- cated agent, steaming hot, underneath the chair, to cover the dog with a sheet and by holding him compel him to inhale the vapors for ten or fifteen minutes. Direct applications of silver nitrate 1 to 100 may be used in some of the more obstinate cases. In making these applications to the larynx an assistant holds the mouth open with tapes, the tongue is pressed down with a spatula or the handle of a spoon, and the throat is sprayed by means of an atomizer. 3. Chronic Interstitial Pnewmonia.—This is a frequent sequel to the respiratory form of dog distemper, as in the course of this condition resolution does not take place and the fibrinous 300 WituiaAmM E. MuLpoon exudate collected in the alveoli during the stage of red hepatiza- tion is displaced by a fibrous tissue. The symptoms usually shown are a moderate dyspnea and a chronic cough, with a nasal discharge which may be slight or profuse. The exhaled air has a fetid odor, due perhaps to some smaller abscess forma- tion. The temperature is usually normal and often no marked symptoms are noticed. In some eases dropsical effusions are present, and the animal may suddenly die if compelled to exert itself. The prognosis of this condition is bad and the disease is usu- ally considered incurable. However, one may prescribe expecto- rants and use general stimulants to modify the symptoms, and a thorough course of potassium iodid may prove of value. 4. Pleurisy with Effusion.—We are not particularly concerned with primary pleurisy, except where there is an effusion present in the chest cavity. When the effusion present is in large quan- tities, excites much dyspnea, becomes purulent or remains un- absorbed after from ten to twenty days, proper treatment should be undertaken. Diuretics and cardiac stimulants have only an indirect influence on the accumulations, atid when the exudate is gradually absorbed one can hardly credit these drugs with ac- complishing the results, as the exudate is usually reabsorbed when the acute inflammatory stage of the disease has passed. The best method of treatment is the removal of the fluid by surgical means; that is, by puncturing the chest wall. This is best performed by means of a thoroughly sterilized trocar and cannula or aspirating needle. It is best done with the animal either in a sitting or a standing position. Remove the hair from and disinfect a small area on the side of the chest so that the instrument may be inserted in a forward direction at the anterior border of the sixth, seventh and eighth ribs, and as low in the cavity as possible. The amount of fluid that may be removed depends on the heart action. When the heart becomes weak and rapid or when coughing suddenly develops, the operation should be discontinued. If necessary the chest may be tapped daily at a different site of puncture until all fluid is removed. Ear SYMPTOMS Inflammation of the external auditory meatus with the forma- tion of vesicles and discharge is a common lesion (50 per cent). SEQUEL OF CANINE DISTEMPER 301 It is marked by pain and tenderness, which usually disappear during convalescence. In some eases a chronic catarrhal con- dition of the canal is left which requires constant care for some time in order to perfect a cure. In such cases the ear should be carefully cleansed with pledgets of cotton saturated with ether. The canal should be made dry with clean gauze or cot- ton and a drying antiseptic powder introduced carefully into the ear as far as possible. If there are ulcerations present in the meatus it is advisable to anesthetize the canal first by drop- ping a 4 per cent solution of cocain into the canal and then touching up the ulcerated areas with stick nitrate of silver or by instilling a 5 per cent solution of the silver nitrate into the ear. Should the animal shake the head continuously, or in any way hinder the treatment, a head cap should be employed for a few days. Deafness may follow distemper in dogs. It is probably due to a paralysis of the auditory nerve. Treatment is usually of little value, although good results may be obtained in some eases by building up the animal’s strength and administering fairly good-sized doses of strychnin sulphate, according to the animal’s size, over quite a period of time. Eyre SYMPTOMS Conjunctival congestion is one of the earliest and most con- stant symptoms. Weeping, swollen eyelids and reddened mucosa are seen. Photophobia may bespeak keratitis. Soon the watery tears become mucopurulent, matting together the lashes and even the lids, especially during the night, so that they must pe sponged to get them apart in the morning. Vesicles exception- ally appear on the conjunctiva; more frequently it becomes cloudy and opaque, and at points near the center degeneration of the epithelium leads to the formation of ulcers, no larger than pinheads but extending into the cornea and sometimes perforating it so as to allow protrusion of the membrane of Descemet or the escape of the aqueous humor. The formation and extension of the ulcers are favored by the animal’s general debility, by rubbing of the eyes with the paws, and by the infection of abrasions with pus organisms. This infection may extend to the lining membrane of the anterior chamber, and even of the posterior, with panophthalmia, but in the absence 302 WinttrAmM EK. MuLDOON of perforation internal ophthalmia is rare. When the ulcers heal, white cicatricial spots, or black points caused by the ad- hesion of the uveal pigment, remain. Chronic conjunctiwitis frequently follows distemper and often persists a long time. The conjunctiva is somewhat thickened, and the secretion is scanty and of a mucoid character, and is deposited at the angle of the lids. In some cases there is little or no secretion and the membrane is reddened or dry. When this is the case increased winking occurs in order to moisten the cornea. The secretion upon the edges of the lids may produce an inflammation and cause the lashes to fall out; it gives the whole eye a heavy, drowsy appearance. When the condition has been severe, eutropion or inversion of the lid often occurs, and in a large number of cases this is the real cause of the eye trouble per- sisting. The uncomplicated chronic conjunctivitis may be treated by means of astringents such as zine sulphate or copper sulphate in from 0.5 to 1 per cent solutions. If crusts form about the margins of the lids, apply yellow oxid of mercury ointment every night and wash it off next morning with a solution of bicarbonate of soda. This will soften the crusts, prevent the lids from stick- ing together, and allow the secretion to flow out more freely. If an inversion of the lids is present surgical treatment is necessary in order to afford permanent relief. An elliptical piece of skin is removed from the eyelid parallel to the margin and about one-eighth to one-quarter inch from the edge of the lid, and the skin sutured so that the lid will be drawn out or everted. A certain amount of judgment is necessary to deter- mine the amount of skin to remove in each case. After the operation the wound is covered with a flexible collodion dressing and the sutures removed in three or four days. Care should be taken to avoid injury to the deeper structures or to the mar- gins of the lids when operating. Opacities of the Cornea.—tThese are the result of an inflam- mation of the cornea, following dog distemper, and may be designated according to their density as (a) nebula, a slight turbidity ; (b) macula, a denser opacity easily seen in ordinary light; (c) albugo, a translucent opacity; (d) leukoma, the entire cornea becoming turbid or milk white. The prognosis depends upon the age of the patient and the duration, location, extent and character of the opacity. The more recent the SEQUEL OF CANINE DISTEMPER 303 opacity the more favorable the prognosis. As most of these opacities are composed of cicatricial tissue, complete removal of them is very difficult. Dionin is the drug which will probably give the best results when applied either in solution (5 to 10 per cent) or in the powdered form. It is advisable to begin with a few drops of a 5 per cent solution instilled into the eye several times daily, and increase the strength of the preparation later if necessary. The powdered form may be dropped into the eye daily for about a week, and a week or ten days allowed to elapse before the treatment is repeated. A severe reaction usually follows the first treatments but this disappears after about a week. Yellow oxid of mereury ointment has also been used with good results, as well as silver nitrate solution in 4 per cent strength. To obtain results any treatment must be continued for a long time, and the prognosis in these cases should always be guarded. DIGESTIVE AND Hepatic SYMPTOMS Anorexia and vomiting may usher in the disease. Buccal con- gestion, dryness, clamminess and fetor are marked symptoms and there may be some yellowness of the mouth and eye. The patient may at first be constipated, but diarrhea often sets in early, with tenesmus, much fetor, mucous froth and even blood, also abdominal pain and tenderness. The abdomen is habitually tense and contracted. Ulceration of the mouth, gums and rec- tum, invagination, prolapsus ani, jaundice, septic pneumonia, paralysis, and convulsions or cutaneous eruptions are occasional complications. The abdominal type of distemper is especially fatal. In its early stages debility, prostration and drowsiness are marked features. We need not say much concerning the after effects of dog distemper upon the digestive tract, as the condition usually rights itself as the animal returns to normal. In some eases there may be a persistent gastritis or gastroenteritis which may re- main for some time, but if the patient is properly fed and cared for this usually disappears. In case it should not, we can only recommend the regular outlined treatment which is used in these conditions when due to some other cause. It is quite probable that the continuous administration of more or less irritant drugs over a period of weeks in the treatment of the primary disease is the cause of this condition. 304 Witwi1AmM E. MuLpoon CUTANEOUS SYMPTOMS In a ereat number of cases skin eruptions are observed at some stage of the disease, and may remain as a sequel for a time after apparent recovery. In some cases the only promi- nent symptoms are a high fever and skin eruption, and in these cases recovery may be looked for with some confidence. The lesions are most prevalent on white-skinned dogs with short hair, and on the most delicate parts of the skin (abdomen, serotum, perineum, inside of the thighs and elbows), but they may extend over the whole body and even encroach upon the mucosa. They vary much in different cases and stages. There may be punctiform reddish spots, changing to hard elevated papules, and in some eases to vesicles and even pustules. The vesicles may be small and pointed, but more commonly they are rounded and flat and as large as a lentil or a small pea. When first formed they contain liquid exudate which may be clear and transparent, but is often reddish or even violet. The in- dividual vesicles tend to burst and dry up, but others appear, and thus the eruption will continue for weeks, the skin mean- while exuding a sticky, greasy, offensive-smelling exudate which mats the hairs together. Itching is usually slight, yet in given cases excoriations are produced with considerable moist dis- charge. These skin lesions tend to spontaneous recovery when the general health improves, and appear to be little affected by treatment. NERvous SYMPTOMS Nervous symptoms are shown more or less from the begin- ning. The great dullness, depression, apathy and weakness which usually usher in the disease are indications of a deranged nervous system. Drowsiness may be shown early. Even the early nausea and vomiting may be largely central in its origin. The dog is restless and irritable, getting up and moving from place to place, starting from sleep, yelping, snapping, with twitching of the muscles of the face or limbs, rolling of the eyes, -and excessive heat of the head. Epileptic attacks may appear at any stage of the disease. Tonic spasms, paresis and paraly- sis are usually late manifestations and often seem to be sequele determined by toxin poisoning of the nerve centers, or by de- ~ generation of their structures. Twitching movements may be confined to the head, or to a limb, or they may affect the whole body. Tonic spasms often affect the neck, turning the head rigidly to one side, SEQUEL OF CANINE DISTEMPER 305 The proper handling of these nervous affections following canine distemper is one of the most difficult problems that con- front the smalJ-animal practitioner. We are sorry that we have nothing specific in the way of treatment to offer, and we can only say that treatment must correspond to the morbid phenomena. Extreme prostration may demand diffusible stimu- lants—ether, camphorated oil, or strychnin sulphate. Spasms and other indications of congestion may be met by cold to the head and inhalations of ether, followed by rectal injections of chloral hydrate. Posterior paralysis may be treated with tonics, stomachies, easily digestible rich food, and good hygiene. Mas- sage, rubs and the application of electricity may be indicated, and of value in this condition. A light firing along the back and lumbar region may be of some service; at any rate we have seen a few cases recover where it has been employed. The nervous twitching so common after distemper is not, in our opinoin, a true chorea, as it is so often called, but a form of disseminating myelitis. In the majority of these cases there are more or less rhythmic contractions which generally involve the muscles of the extremities, but more rarely may affect the mus- cles of the neck or the abdominal muscles exclusively. The muscles of the chest and the muscles supplied by the radial and sciatic nerves are the ones chiefly involved. In the majority of cases there is a nuclear paralysis, and sometimes also a supra- nuclear paraplegia of certain groups of muscles of the extremi- ties and of the sphincters. Automutilation sometimes occurs in this condition. Tt has been our experience that it is absolutely useless to ex- pect results from the administration of nerve stimulants such as strychnin, veratrin, arsenic, ete. Neither can results be ex- pected from the full-sized doses of potassium iodid which are used by some as a routine treatment. If muscular atrophy should threaten or should be actually present, attempts should be made to check it by passive movements of the paralyzed limbs and by massage. Some authors record rapid improvements fol- lowing the subcutaneous injection of eserin, pilocarpin or areco- lin, but the writer doubts their value in this condition. Recently we have been experimenting with the administration of thyroid extract in these cases, but as yet our results are not worthi pub- lishing. The prognosis of these cases is always to be guarded, 306 Wiw1AmM E. Munpoon and we believe that we can expect results only in the case of young animals that will receive good care over a long period of time, and thus perhaps outgrow the condition. Less CoMMON SEQUELAE Some other sequele may follow canine distemper but are less frequently met. ; Amaurosis.—This is really a symptom and not a disease, and the condition so-called which we see following distemper results in blindness without a visible lesion of the eye. It is probably due to some disturbance of the optic nerve. The principle symptoms are blindness and an abnormal dilatation of the pupil which does not react to light. In the early stages the eye ap- pears normal, but later the globe becomes atrophied. ‘Treat- ment is usually of no avail, but in some eases as the animal recovers from the primary disease the eye returns to normal. Lymphangitis—We have observed several cases of distemper during the course of which one or more of the legs became hot. painful and swollen. On examination the subcutaneous lym- phaties were found to be enlarged and to present a peculiar corded appearance. In a few eases there was a rapid recovery, but in some an abscess was formed with an accompanying diffuse phlegmon. The therapeutic treatment of these cases consists first in the application of a cooling pack, and later, if the glands show any indication of abscess formation, in opening them by surgical methods. DISCUSSION CHAIRMAN FLYNN: We have just listened to a paper on one of the important subjects of small-animal practice. No one enters into the practice of veterinary medicine for any great length of time without coming in contact with canine distemper and its after effects. This subject is open for discussion. Dr. C. A. Cary (Auburn, Ala.): In the South this last year, the last six or eight weeks, we have had a peculiar excess, we might call it, of distemper in dogs, involving not only young dogs but old dogs. Among hounds where there are fifteen or twenty in the bunch it is not unlikely that all of them will have the epileptic type follow- ing distemper, probably. We have had that in numerous cases this year. In thirty years of experience in the South I have never known it to occur before. This year it has covered several States in the South to my knowledge. It is very intractable. The only cases I have seen recover are those that are a little old. The more you monkey with these cases the worse they get. I don’t want to knock our profession in any sense of the word, but we are just up against it. I don’t know how it is in the North, but if you have it and have means of controlling it or curing it, I would like to hear about it. The practitioners of the extreme South are troubled very seriously SEQUELA OF CANINE DISTEMPER 307 with this problem. I don’t know about the Middle States. Invariably the owner of the dogs says, “Our dogs have fits.” When we go to look at them we nearly always find this type of epileptic sequela. We have tried dieting; we have tried a good many of the so-called reme- dies for nervous trouble. We have tried sedatives and narcotics and things of that kind, and we can handle this temporarily. We have tried to get rid of the worms they say produce convulsions, but it doesn’t do any good in these cases. I know that most practitioners are up against it when they encounter distemper. I remember when I was in Francker’s clinic in Berlin; Francker’s great drug was calomel. We got over that and found out that calo- mel probably is a good purgative, in a sense, in certain stages, to eliminate what we might term bile and things of that kind; but calomel doesn’t do any good in a lot of cases. I might enumerate a good many things, bacterins and others things, but I am not going to do that. I am after this one thing: Can you give me any light on these cases of epilepsy? Can you give me any help? CHAIRMAN FLYNN: Can anybody offer any suggestions to Dr. Cary’s question? Dr. FricK: The problem of canine distemper, as we know, is the biggest problem that the small-animal practitioner has to contend with, and there are a few points I want to call attention to. One fact is that this is very similar to influenza in humans; in certain years the virulence will greatly increase and everything dies, and the next year we think we have a cure for it, and with almost anything you use the majority of them will live. I wonder if it wouldn’t be a good plan if there could be some committee arranged by the small- animal practitioners to spend a definite amount of time in investigat- ing the question of distemper, similar to the committees on tubercu- losis and abortion, etc., on large-animal work. Dr. C. VANDERWARF (Chicago Heights, Ill.): I happen to have quite a bit of experience with distemper in dogs. I meet with it every day. I have tried everything, I suppose, that nearly everybody here has. I am up against it. In the past few days I have lost a . couple of dogs, which was very much of a disappointment. They were a couple of bloodhounds that a fellow thought a lot of. There was a banker in our town who bought a Belgian Police dog and it died with distemper. He bought another one and told me he was going to have me immunize it. I tried to immunize it with serums, and it died with distemper. He got another one and treated it a while himself, and it died with distemper. I am up against it just the same as a lot of the rest of you. I have a dog of my own that just plays around this stuff and it doesn’t bother him one bit. I don’t hold him back. When a case of distemper comes on the place I let him run. He is always loose and all over the place. That dog surely must be immune. I have had other dogs on the place that weren’t any good. I let that dog with patients that are probably around, and I have had bad ones on the place that would refuse food and the discharge would be all over the food, and I fed it to this dog and couldn’t make the dog diseased at all. I am not situated so as to have a laboratory, but I have just been wondering lately whether any of you have ever tried the serum of an immune dog or hyperimmune dog. I wonder if that is possible, the same as you would get serum from a hyperimmune hog. I wonder if this would be possible in the dog. I would like to hear from any of you who have tried it or had experience. Dr. MILKS: What kind of a dog is it? DR. VANDERWARF: It is an English bull, not purebred. Dr. MILKS: It is very hard to produce distemper in a dog. There is some controversy as to the cause. We have tried the immune serum, and our dog died just the same. 308 Wintiiam E. MuLpoon Dr. F. O. WALTERS (Lemont, IIl.): I have had a great deal of ex- perience with distemper. It seems that within the last four or five years we are having more trouble than we used to have. There was a time when you could immunize a dog against distemper and make it hold, but that can’t be done. It seems there is a complication pres- ent with distemper which the scientists or laboratory men haven’t worked out. They say that we don’t get any results from the treat- ment we are using at present. It seems we have more trouble in the highly bred animals. The dog fancier is trying to get a higher class dog, and I think with this high breeding and inbreeding they reduce resistance and of course the dog is more subject to these con- ditions. Dr. -Vanderwarf spoke about his bulldog not contracting distemper. You have better success with these curs than you have with the better bred animals. (Laughter.) DR. QUITMAN: I just want to answer a question. The paper is almost too long to take up the various points for discussion, but there has lately been going around—I dare say most of you have heard of it—the recommendation of using hog-cholera serum in the treat- ment of canine distemper. I just want to ask if there is anyone here who has used it, and what your experience has been. I have heard three or four, may be half a dozen, reports, and they have been extremely favorable. On the other hand, my own experience with it, which was only one case, pointed out a great danger. The one gen- tleman to whom I spoke at this meeting about it had tried it and he also had unfavorable results from it. That treatment does not ap- peal to me for this reason: Although I am of the opinion, and have been for many years, that canine distemper is due to a virus the same as hog cholera is, I feared when I heard the suggestions made, or had the reports of the value of hog-cholera serums, the danger of anaphylaxis. Of course I know anaphylaxis usually comes with the second or third dose, nearly always the second dose. The second dose brings the patient down with anaphylaxis. The case of which I speak was an absolutely hopeless case, but this pup shouldn’t have died for a matter of four, five or six days. However, after receiving a dose of concentrated hog-cholera serum, he died in about 15 or 25 min- utes. I was discussing with Dr. Eichhorn whether this could have been anaphylactic reaction. At first he said he didn’t think it was, but when I called his attention and asked him if he didn’t think canine dis- temper would do, he agreed in his opinion that it was. Then, dis- cussing the thing, he finally came to the conclusion that it prob- ably was anaphylactic reaction because of the death of the puppy in a or 25 minutes where it should have taken four, five or six days to ie. I would like to hear if any of you have given this hog-cholera serum treatment in canine distemper. It is my opinion that when these gentlemen report good results from it, it is a case of erroneous diag- nosis, because some veterinarians call every case a case of distemper if a dog has a discharge from the nose or eyes. During the last three or four months I have had a great run of ordinary cases of coryza and rhinitis in the dog. But I know it has become a practice if the dog shows any nasal or eye discharge to call it distemper. All such cases, however, are not distemper. It is probably those cases, not true distemper, that hog-cholera serum acts upon. I think, after our information on the subject, if any of you have used hog-cholera serum either favorably or unfavorably you should make a report now. DR. VANDERWARF: I have tried everything. I have tried clear serum on the two particular bloodhounds I was speaking about, and both of them died the same way that Dr. Quitman spoke of. With ordinary treatment I couldn’t see why they wouldn’t have lived for about a week or ten days or probably a month, but instead of that the one came back for the second treatment and the other never came SEQUEL OF CANINE DISTEMPER 309 back at all. I used this subcutaneously. They were fair-sized dogs. I gave about 18 c.c. If any of you contemplate using it, I would say be a little bit careful about the stuff. Dr. CAHILL: Dr. Quitman has brought up one or two points which seem to me to be rather important. Thinking back a few years, I think you all remember the time when one or possibly two biological producers in this country collected practically all of the serums of different kinds and simply relabeled them and sent them out as canine serum. You older men all recall that was a prevalent custom a few years ago. The Bureau of Animal Industry forced several people to discontinue that move, and-apparently no more dogs died of dis- temper since then than before. It seems quite difficult to see a reason why we should get a nonspecific action from hog-cholera serum in a case of canine distemper. Nonspecific therapy has been used in some diseases with apparently good results until properly investigated and experimented, and then it has proven to be more or less imaginary. I am sure the same thing will happen if anti-hog-cholera serum should be used to any extent in canine distemper. Dr. Quitman’s remarks about a case of anaphylaxis makes me think of a similar case which was called to my attention last year. From what information I have, it seems that anaphylaxis in dogs is par- ticularly prevalent in Chicago following the use of immune serum. One large practitioner there whom I know had four or five dogs die in this manner after using canine anti-distemper serum. It was suggested to him at the time that there existed the possibility of these pups having been treated by some other veterinarian or the owner himself, and the owner not conveying the knowledge to this veterinarian when the dog was admitted to the hospital. He acted on the suggestion and endeavored to trace the matter down, and he found out that of the five dogs that died from anaphylaxis he could definitely ascertain those pups had more than eight days previously received a dose of anti-canine-distemper serum from another veteri- narian. There isn’t any more reason why we would get anaphylaxis in the case of anti-hog-cholera serum given to dogs than in the case of anti-distemper serum, both of which are foreign proteins. In this particular case the veterinarian who was experiencing the difficulty overcame it by sensitizing his dogs first. I might say he has com- pletely eliminated for several months cases of anaphylaxis by giving a very small sensitizing dose subcutaneously. I have been informed by him within the past few weeks that he hasn’t had a case of anaphy- laxis within four months, whereas he was getting one every few days previous to that. Dr. EICHHORN: Instead of sensitizing the dog, it should be de- sensitized. I just want to convey the impression that we want to desensitize the animal and then sensitize him. With regard to the use of anti-hog-cholera serum for the preven- tion of canine distemper I am very much of the opinion of Dr. Cahill, that up to date nothing would justify us in employing such a serum in this disease. There is no question but what we do not know at this time the actual cause of canine distemper. I believe that the information which I received during the recent trip to Europe from the original investigators of canine distemper in Alfort, that canine distemper in their belief represents a group of diseases and not a single dis- ease, is correct. When they designate canine distemper in the French languace, they call it diseases of young dogs. So we might have to deal with diseases of young animals with different etiological factors. That is the result of the findings. Probably in the ma- jority of cases we have to deal with the virus which is the original cause of the disease. Some of the veterinarians report unfavorable results from the use of canine distemper products as marketed today, and others report favorable results. DISEASES OF THE CORNEA! By H. J. Mmtxs New York State Veterinary College, Cornell -University, Tthaca; Ney: THE TREATMENT of diseases of the eye forms a consid- erable part of a small-animal practice. Unlike similar work on medicine, there is no call for refractive work and consequently most cases mean the treatment of inflammatory conditions. No one line of treatment will do for all kinds of trouble or for the same disease in different animals, although with an understand- ing of what must be done and some knowledge of the use of different remedial agents much can be accomplished. Probably no disease with which we come into contact and for which considerable can be done is met more frequently than keratitis in some of its forms. It is more common in dogs than in cats, and certain pop-eyed dogs, such as Bostons, ‘‘Pekes,’’ etc., appear predisposed to it. EXAMINATION Normally the cornea is lustrous and transparent and the epithelium covering it forms as good a reflecting surface as the best mirror. There are no inflammations of the cornea in which these characters are not changed. The usual symptoms of in- flammation are lacking in keratitis because there are no blood- vessels and the organ is not elastic. The most prominent diag- nostic symptom is cloudiness, due to a collection of leucocytes that have passed in from adjacent vessels. If the cornea in such a case is examined with a hand lens its surface will appear roughened or uneven as though punctured with needles (stip- pled), and there is no corneal infiltration in which there is not this stippled appearance of the epithelium. This condition is sometimes seen in old sears, but they are distinguished by their color. Sear tissue is bluish or white, while the infiltration al- ways has a yellowish tinge. Congestion of the blood-vessels, conjunctival and ciliary, usu- ally accompanies inflammation of the cornea, but may be absent + Presented at the fifty-ninth annual meeting of the American Veterinary Medical Association, St. Louis, Mo., August 28 to September 1, 1922. 310 DISEASES OF THE CORNEA lal in mild cases and occasionally in severe ones. Iritis and hypop- yon are frequent complications. After a diagnosis of keratitis has been made, it is necessary to know where the disease is located—that is, whether superficial or deep. This is not easily determined from direct examination, but there are certain signs that can be used as an aid in the determination. As a rule superficial inflammations are more or less sharply defined, the deep ones less so, and have the ap- pearance of hazy spots of irregular form. Corneal vessels also play an important role in the diagnosis. The superficial vessels are arborescent, tortuous, bright red, easily seen, and can be traced to their origin in the conjunctiva. The deeper ones come from the sclera and extend into the cornea in straight red lines. They are less distinctly seen because they are often covered by a densely infiltrated corneal layer. In general, superficial ves- sels indicate superficial and deep ones parenchymatous inflam- mations, but the presence of superficial vessels is not absolute evidence against deep inflammations, as in some eases the super- ficial accompany the deep. Deep keratitis is usually due to gen- eral infection, as in distemper. Several distinct types of keratis are described and the dis- ease is often divided into well-defined groups, but for practical purposes it may be divided into nonsuppurative and suppurative or ulcerous keratitis. Nonsuppurative may be again divided into superficial, deep or parenchymatous, and vascular or pannus. NONSUPPURATIVE KERATITIS Superficial keratitis is an inflammation of the epithelial cover- ing of the cornea and the superficial layers of the parenchyma. It is shown by a bluish white cloudiness which may be localized or diffuse and is accompanied by lacrimation and photophobia. Resorption usually takes place in a few days. Occasionally a slight desquamation takes place, but this is so superficial as to need special attention to recognize it, although it may easily be outlined with a drop of fluorescein solution. Keratitis punctata superficialis or faceted keratitis is often seen in certain breeds of dogs, especially the Pekingese. It is characterized by more or less generalized cloudiness in the midst of which small areas may be distinguished by careful examina- tion. These spots are opaque, white, gray, or even yellowish, forming a slight relief in the cornea and penetrating somewhat. 312 H. J. Mirks Sometimes they ulcerate. Between these are portions of mirror- like tissue which gives a faceted appearance. This tissue may erroneously be diagnosed as ulecerous but is in reality sound tissue. The affection may affect both eyes and, according to Nicholas, should be regarded as chronic. The attacks are re- current or tend to be periodic, the symptoms changing some- what but not disappearing entirely in the periods between the attacks. Treatment.—The routine treatment of nonsuppurative kerati- tis consists in the use of warm, nonirritating antiseptic solu- tions. According to Gray, the milder the better. Heroic meas- ures are not indicated in superficial keratitis and their employ- ment leads to disaster. The use of hot packs, two or three times daily, and instillation of such agents as 2-4 per cent solution of boric acid, 1 per cent borax, 1-5,000 bichlorid, chinosol, ete., usually effect a cure. A 1 per cent solution of atropin is use- ful in severe cases, both to relieve pain and lessen lability to iritis. Pain and photophobia may be relieved by a 1 or 2 per cent solution of cocain, but the continuous use of this agent is believed by many to be detrimental. Quinin and urea hydro- chlorid appears to work well in these cases. It does not pro- duce its action so rapidly as cocain, but lasts for a long time, up to 24 hours or more. After the acute symptoms have sub- sided calomel or iodoform in fine powder or in ointment may be useful, or the cornea may be massaged with a weak (1 or 2 per cent) yellow oxid of mercury ointment. Dionin is fre- quently useful and may be employed in pure form dusted upon the cornea or in 5 to 10 per cent solution or ointment. This drug produces edema of the conjunctiva and is thought to promote the flow of lymph through the cornea and in this way aid in the absorption of the exudate. It is aJso useful in deep- seated pain. The eye soon acquires a tolerance for this drug, hence little will be accomplished from its use for more than a week or ten days. This tolerance soon wears off and the drug may be employed again after a few days’ intermission. Pannus is a vascular growth of connective tissue upon the superficial layers of the cornea, but may be between the corneal epithelium and Bowman’s capsule. It begins with keratitis in which areas become clouded and infiltrated with superficial tortuous vessels, largest at the periphery and directed toward the center. If the cause has disappeared, the new tissue be- DISEASES OF THE CORNEA 313 comes organized and takes on a cicatricial appearance, the ves- sels becoming fewer in number. This disease is not a common one but is occasionally seen in dogs. Prognosis depends upon the corneal infiltration and destruc- tion of the epithelium. It is frequently followed by opacities, but treatment will often restore an eye to a fairly serviceable condition. Treatment consists in massaging with a yellow oxid of mer- cury ointment and the use of astringents. The application of dionin seems to be of considerable benefit. Tf very vascular, periotomy sometimes works well, but according to Gray it is not usually successful. If there is much cicatricial tissue it may be removed with a knife or currette, following this with massage with yellow oxid of mercury ointment and the appliea- tion of dionin. SUPPURATIVE OR ULCERATIVE KERAT ITIS Ulcerative keratitis ig a common disease of dogs. It may be primary, in which ease it begins in the cornea from abscesses. wounds, or secondary from conjunctivitis. It may also be classi- fied as endogenous, due to infections through the blood and lymph, or exogenous when due to local influences; but of what- ever nature they lead to the same thing and ulceration is the result. In some cases the ulcers follow a diffuse keratitis and in others remain localized and appear as though a small amount of tissue had been gouged out of the cornea. After the ulcer has formed it may be progressive, if it is still active, or regres- Sive, if there is a tendency to cicatrize. In this stage it is also known as a clean ulcer. The healing process is accompanied by the development in the cornea of long, flexuous, red_ vessels, reaching from the ulcer to the molenacouneal limbus. Cicatrization always takes place by means of opaque tissue on a level with the corneal struma. The epithelial layer is entirely regenerated by proliferation of its margins and in the end completely covers the newly formed tissue. If entirely filled up, the cicatrix is on a level with the rest of the cornea and can be recognized by its opacity and irregular surface, but if not completely filled, a flat faceted place remains. In some eases the sear tissue does not withstand the intraocular pressure and bulges forward from the rest of the cornea—‘‘ectasic cicatrix.’? As the ulcer progresses it may extend into the depths of 314 H. J. Minks the cornea, destroy its whole thickness and leave only Decemet’s membrane. This may resist but more often yields, and we get a hernia of the membrane or a keratocele. As a rule, however, this membrane breaks under the intraocular pressure with con- sequences which will be discussed later. As long as any of the corneal layers remain, the floor of the ulcer will be opaque, but when only the membrane of Decemet is left the edges will be opaque but the floor clear. . Prognosis depends upon the extent and condition of the ulcer and the age and general health of the animals. In general, aged, diseased dogs are less favorable patients than young or healthy animals. Prognosis also depends somewhat upon the early rec- ognition of the ulcer. As a rule the earlier recognized and treated, the better the prognosis. Hence all cases of keratitis should be examined carefully for loss of tissue. In cases of doubt, a drop of fluorescin solution (fluorescein, 1 per cent; sod- ium bicarbonate, 2.5 per cent) placed into the eye and immed- iately washed out will aid in the diagnosis. This preparation stains any denuded area a bright green but does not effect sound tissue. While making the examination one must note the condition of the uleer—that is, whether it is in an active or healing stage. An active ulcer will have ragged edges, convex grayish base and general cloudiness and be accompanied by other local disturbances. If healing, the edges are rounded, smooth, clear, the cloudiness clearing and the acute symptoms subsiding. Treatment.—tIn simple ulcers the cul-de-sac of the conjunctiva should be irrigated thoroughly with one of the mild antisepties mentioned under nonsuppurative keratitis. Pain and photo- phobia may also be handled similarly. These simple ulcers often heal promptly under atropin and boric acid solution or if the ulcer be touched with a 1 per cent solution of silver nitrate or strong phenol. If accompanied with conjunctivitis, this disease must be treated also. We have found it necessary in most cases to cauterize before we could stop the progress of the ulcer. Our plan has been to outline the ulcer with a drop of fluorescein solution which stains the ulcer green. Then apply strong phenol on a probe, being careful first to shake off any drops that might accumulate. It is impossible to state whether there is any bene- fit from the fluorescein solution, but it seems that those cases upon which it has been used do better than the others. After the acute symptoms have subsided, or from the beginning in DISEASES OF THE CORNEA 315 some cases in which the ulcer has been torpid, some stimulation is needed. For this purpose yellow oxid of mercury ointment, 2 to 5 per cent, iodoform or calomel dusted on the cornea or in ointment, do well. Recently we have used more ointments than powders, but always irrigate the conjunctiva sac thoroughly be- fore massaging with the ointment. Deep and sloughing ulcers—Hot fomentations and irrigation with the agents mentioned above are useful. Atropin is espe- cially useful to prevent iritis and lessen pain. All solutions should be sterile to avoid infecting an otherwise simple ulcer. Some recommend a weak solution of eserin (14 to 1 grain to the ounce). It is claimed that this drug stops the migration of white cells or promotes absorption through dilation of the ciliary ves- sels. Like all other myoties, eserin lowers intraocular pressure and thus lessens tendency to rupture of the cornea. Other au- thorities are of the opinion that atropin is invariably the better drug. If the ulcer still progresses in spite of the milder measures, as is often the case, more heroic treatment is necessary. If may be curretted with a sharp knife or spoon until all necrotic ma- terial is removed, and the edges then touched with a mild caustie. Strong chemicals may be applied directly to the ulcer by means of a probe or a probe carrying a small tuft of cutton, taking care not to wound the sound tissue. Many chemicals may be used; silver nitrate, 5-10 per cent, or in stick; liquid phenol, 95 per cent; tincture of iodin; formaldehyde, 1-50 per cent, and many others. The actual cautery is also recommended. In each of the above-mentioned methods the eye should be anesthetized after a thorough irrigation and for the best results the ulcer outhned with fluorescin. We have recently used hquid phenol (95 per cent), as men- tioned previously, more than any other caustic. We depended upon silver nitrate in strong solution or stick for a long time, but phenol has given us better results. Dionin is often of dis- tinct service. It acts not only as a lymphagogue and an anal- gesic, but also seems to be of distinct benefit in stimulating re- generation. In cases in which perforation seems certain in spite of treat- ment, a dry pack should be applied and kept in position except when dressing. If the floor of the ulcer bulges, it is well to re- lieve ‘the intraocular pressure by paracentesis of the cornea. 316 H. J. Minks In small round uleers this may be done through the floor of the ulcer, but when the ulcer is large and irregular perhaps the regular operation will do better, and yet it has always been our custom to puncture through the floors of even these. Some- times it is necessary to repeat the operation upon several suc- cessive days. The escape of the aqueous lowers pressure, relieves pain, favors healing and tends to prevent perforation of the cornea with its attendant sequele. Perforation.—It frequently happens that the cornea is rup- tured with the escape of the aqueous and prolapse of the iris. In other instances, and especially if the iris has been contracted with atropin, only the membrane of Decemet protrudes, show- ing a bulging of a thin transparent membrane. In such cases puncture the membrane and draw off considerable of the aqueous. With the diminished pressure the membrane will often return to its natural position. If there is complete perforation with protrusion of the iris, atropin or eserin, according as to whether the rupture is central or peripheral, should be pushed and at the same time efforts made to return the iris with a probe. If unable to return, grasp with forceps, pull out and remove with scissors as close to the cornea as possible. If the perforation has been large, a staphyloma will result in spite of any treatment. In cases in which there is no protrusion of the iris, the open- ing may be closed by granulating tissue which may be so great as to grow beyond the level of the cornea and need removal. This condition is often spoken of as a staphyloma but is In reality granulating corneal tissue. The excess tissue can be re- moved with a knife or scissors. Sequelw.—No discussion of uleerous keratitis would be com- plete without considering the sequele. The most common is the cicatrix shown by a dense white spot. The thicker and whiter these spots, the less remedial to treatment, but much benefit will often follow from massage with yellow oxid of mercury or other stimulating omtment. The massage should consist of lateral, vertical and radial movements, completed by circular ones over the closed lids following the application of the ointment and lasting from one to two minutes. We have had good results from daily alternating dionin with the above-mentioned oint- ments. Sometimes we use dionin for a few days or until the eye becomes immune to it and then use the ointment for a few days, following again with dionin. It is not possible to clear DISEASES OF THE CORNEA Susi up all these scars entirely, but it is possible to save the eye with little disfigurement in most cases. Staphyloma.—The distention of a cicatrix to which the iris is attached is called a staphyloma. It is due to the fact that the scar tissue does not stand the intraocular pressure and con- sequently it is pushed forward. The treatment is preventive and has already been described. If the case is more severe than just to allow the prolapse of the iris, no treatment will avail and an enucleation is indicated. « Hypopyon consists of a collection of pus in the anterior cham- ber. It does not come from the cornea but from the vessels about the periphery of the cornea and ciliary body and iris. The only treatment is to evacuate the pus by paraceptesis of the cornea. DISCUSSION _ CHAIRMAN FLYNN: You have listened to a well-prepared paper on a subject that is very important to the small-animal practitioner. There is nothing that gives your client more worry than to see some- thing wrong with his pet’s eye. Particularly in keratitis of the cornea, when the animal is unable to see, the owner is very much wor- ried and wants something done right away, and he is nearly always mae to leave the animal in the hospital indefinitely in order to get results. Is there anyone who wishes to discuss this paper or ask any ques- tions of Dr. Milks? , DR. QUITMAN: I should like to ask Dr. Milks whether I understood him right when he recommended the use of nitrate of silver in touch- ing up the ulcers in the ulcerated keratitis. Dr. MILKS: We used that for years. DR. QUITMAN: Don’t you consider that a means of inducing a permanent opacity, inasmuch as you have formed in the cornea a silver chlorid that is absolutely insoluble, and no treatment you can give it afterwards will ever remove it? It is an absolute chemical law that you will get it. I have noticed it and I have seen it where cases have come to me from others. I have seen the silver chlorid opacity there; it is distinct; one can always tell it. It is a chemical law that you are bound to get a deposition in the cornea of silver chlorid which is insoluble in everything and absolutely impossible to remove. Dr. MiLtKs: Most of the chlorid is immediately washed out with the tears. That remaining in the ulcer is shed with the necrotic material. We have never caused argyrism with silver nitrate but have had it follow the use of some of the organic silver preparations. DR. QUITMAN: Did you ever touch the ulcers, say, every day or every other day with tincture of iodin? Dr. MiLKs: We do use some iodin but only for one or two applica- tions. DR. QUITMAN: Mercury ointment acts nicely in some cases, but nitrate of silver I don’t approve of. Dr. MILKs: We have used it a number of years without causing a permanent silver stain. Many of the eye authorities recommend it and I believe Dr. Baker recommends silver nitrate for this purpose in his Theory of Practice. We haven’t used it since we have used 318 H. J. Minxs the phenol because the phenol has given better results and the action is more prompt. DR. QUITMAN: What did you mean by fluorescin? Dr. MILKS: Fluorescin is an anilin dye. DR. QUITMAN: Anilin green? Dr. MILKs: It is a red dye that turns the cornea green. You can tell the progress of the ulcer pretty well. If you drop it in some morning and don’t get any colorization, you know you have got it beaten. CHAIRMAN FLYNN: There is another agent I find quite useful in cauterizing these ulcers; that is trichloracetic acid. If you use it, you must touch the ulcer and get away and not allow it to run over the suxface of the cornea. DAIRY COW NOW BIG FACTOR IN PROSPERITY OF OKLAHOMA A recent map of Oklahoma indicating by marks of various shapes the location of cream stations, ice cream factories, cream- eries, pasteurizing plants, and combination plants, shows the dairy cow now as a big factor in the prosperity of the State. Formerly, on account of the cattle tick, such a development of dairying was impossible, but the antitick activities of the State and Government for the past six or seven years have resulted in the eradication of the pest from 48,255 square miles, or about . 90 per cent of the infested territory. As a result of these strides in eradication the figures on dairy production show large totals, and in 1921 milk and butter were important products. Durimg that year 9,939,895 pounds of butter fat in the form of sour cream was produced, selling for a little more than $4,000,000, and 9,529,722 pounds of but- ter, valued at $3,240,000. More than 10,000,000 pounds of sweet milk was bought for making ice cream. Pasteurizing plants re- ported handling 62,261,983 pounds of milk. The figures are from reports received from 26 creameries, 44 ice cream plants, and 30 combination plants operating in Oklahoma or just out- side its borders and buying from Oklahoma farmers. Before the cattle tick was attacked in earnest dairying in the State was of very little importance. GERMANY ADMITS AMERICAN CATTLE A Berlin dispatch states that American cattle may now be admitted into Germany for immediate slaughter through the government stockyards at Duisburg and Meiderich. EQUINE INFECTIOUS ANEMIA‘ By R. A. KELSER Captain, Veterinary Corps, United States Army; Veterinary Laboratory Section, Army Medical School, Washington, D. C. DURING the past thirty years, equine infectious anemia, swamp fever, pernicious anemia or equine malaria, as the dis- ease has been variously termed, has been reported at irregular intervals from different sections of the United States. For quite a period following the recognition of the disease in Amer- ica the malady was known to exist only in Manitoba and, in the United States, in Minnesota. Subsequently, however, it has been reported from a third of the States in this country, in- cluding at present Washington, Nevada, Minnesota, Wyoming, North Dakota, South Dakota, Nebraka, Kansas, Missouri, Wis- consin, Oklahoma, Texas, Mississippi, Louisiana, Virginia and New York. Not being confined to any particular section or sec- tions, the disease undoubtedly is even more widespread than our records tend to indicate. In America the malady has been studied by Torrance (1),? Van Es (2), Francis and Marsteller (3), Mohler (4), Kinsley (5), Mack (6), Scott (7) and a number of others, and while our knowledge of the disease has been improved considerably as a result of the efforts of these and other investigators, we have by no means cleared all phases of the problem. In November, 1921, the writer was ordered to Fort Robinson, Nebr., to investigate an outbreak of disease among the brood mares of the Remount Depot at that post, the malady proving to be infectious anemia. The history of this outbreak is briefly as follows: Between April and November, 28 animals were admitted to sick report suffering from an obscure effection, which in the early part of the outbreak was diagnosed variously as anemia, septicemia, septicemia hemorrhagica, ete. With the exception of one case in a colt, the trouble was confined exclusively to the 1Presented at the fifty-ninth annual meeting of the American Veterinary Medical Association, St. Louis, Mo., August 28 to September 1, 1922. 2Numerals in parentheses after authors’ names refer to list of literature at end of paper. 319 320 R. A; Keiser * brood mares of the depot, a group of approximately 100 animals. The colts obviously were closely associated with the mares, yet only the one case occurred among them. Because the disease was thus restricted, and in view of the fact that these mares had been vaccinated against infectious abortion, the opimion was held locally that the vaccination was responsible for the trouble. Of the 28 cases 15 had terminated fatally, 6 had been dis- charged and 7 were on sick report at the time of the writer’s arrival at Fort Robinson. Of the 7 on sick report there was some doubt as to the diagnosis in one case. Several of the fatal cases were definitely known to be relapsed cases. Because the identifying numbers of the various animals affected with the disease were not recorded in the early part of the outbreak, it was impossible to determine definitely just how many of the af- ‘*relapses ?? fected animals were rather than new cases. SYMPTOMS The symptoms manifested by the animals in this outbreak may be summarized as follows: The animals appear greatly depressed, are extremely weak, the weakness in the hind quarters being an outstanding symp- tom. When forced to move the animal staggers. A rise in temperature to 103-104.5° F. was noted. In those cases which assumed a chronic character, the temperature gradually dropped to normal, followed in several cases by subsequent rises at irreg- ular intervals. In those cases which ran an acute course the temperature remained high. The pulse was weak and increased in frequency, the most rapid noted in the cases examined by the writer being 60. There was marked inappetence during the febrile periods followed by a good appetite in the chronic cases without marked fever. Examination of the conjunctive demonstrated them to be of a pale, ‘‘dirty pink”’ color. Small hemorrhages were noted on the conjunctive of several cases, and in ‘a number of the cases similar hemorrhages were seen on the nasal mucous membrane. Some of the cases had a slight serous discharge from the eyes and nose. The anemic condition of the visible mucous mem- branes was marked in the chronic cases. Edematous swellings were noted on the head, lower extremities, in the sternal region and lower abdominal wall. aa EQUINE INFECTIOUS ANEMIA Sy b The blood of 5 chronic cases was examined by the writer. The red cell counts varied in the different cases between 3,250,000 and 4,300,000. The hemoglobin determination (using a Tall- quist scale) varied between 45 and 70 per cent. Microscopic study demonstrated the presence of malocytes and microcytes. Searcity of eosinophiles, a condition noted by a number of in- vestigators, was an outstanding feature in the blood examination of these animals. Urine specimens from two chronic cases were examined, a trace of albumin being found in one case while the other was entirely negative. The writer had the opportunity to examme but one acute case. The red cell count in this instance was 6,125,000 and the hemo- globin determination 80 per cent. An analysis was made of a specimen of urine from this animal and a considerable quantity of albumin demonstrated. The course of the disease varied from a few days to two and a half months, the exact duration, however, not being deter- minable because the animals were destroyed upon establishing the diagnosis of infectous anemia. POSTMORTEM FINDINGS At autopsy the carcasses were found to be greatly emaciated, except in the case of animals dying from an acute attack of the disease. The small amounts of fat present in some cases were generally of a yellowish tinge. Varying amounts of a yellowish or bloody fluid were found in the abdominal cavity in most in- stances. Hemorrhages in the serous membranes and in the intestines, especially the large intestines, were found. These hemorrhages varied in size from that of a pea to as large as a silver dollar. The liver in some cases appeared extremely pale, in others there was no marked change in color, but almost without excep- tion they were extremely friable. The spleen was noted to vary in appearance from normal to three times its normal size and ruptured (see Figures 1 and 2). Petechiw were noted on the surface of the spleen in several instances. The kidneys showed evidence of parenchymatous degeneration in a number of the cases, and in one instance small hemorrhages were noted under ee, R. A. KELSER Ak GAL RAM “eas Fig. 1—Much enlarged spleen from case of infectious anemia, show- ing petechiz on parietal surface. Fig. 2—Visceral surface of same spleen shown in Fig. 1, showing rupture which had begun to heal. the capsule. The organs of reproduction appeared normal. ALEEN The foregoing experiments seem to justify the unqualified conclusion that Vajda’s method for the detection of the ova of the parasites mentioned is at least as accurate as the centrifugal method. The technique is so simple, especially with our sug- vested modification, that the work may be done in the field, which is an important consideration in making determination in a large group of animals. When present in any numbers the eggs are concentrated so that much time is saved in arriving at a diagnosis, since one has not to look through a mass of débris in the search for eggs. Especially when the material is centri- fuged this method should also prove a valuable aid in experi- ments devised to determine the efficiency of anthelmintics. We have adopted the waxed cones because of the possibility of eggs adhering to the sides of tubes and other glassware when glycerin is used. In making a large number of examinations, particularly in the field, it is not always possible to see to it that all glassware is properly cleansed. The use of individual receptacles removes this source of error. REFERENCES 1. Stites, CH. WARDELL. Hookworm disease. Pub. Health Bul. 32. 2. VAspA, THEODOR. A new method for detecting the eggs of para- sites in feces. Jour. Amer. Vet. Med. Assoc., August, 1922, vol. 14 (n. s.), no. 5, p. 534. LIVESTOCK IN RUSSIA A heavy decrease in numbers of farm animals in Russia dur- ing recent years is shown in the following statistics issued Ly the Russian Liberation Committee: 1914 1922 Hiorsesteycrs 23. 22,000,000 8,000,000 Gattle Fivguiys ox 18,000,000 6,000,000 mheep. Gy..c.4 hc 4,500,000 2,000,000 DWIMe go aces. 2 12,000,000 - 3,000,000 The Belgian Ministry of Agriculture has issued an order pro- hibiting the importation of ruminants from Argentina, Uruguay and Paraguay, because cattle from Buenos Aires have been found affected with foot-and-mouth disease on arrival at Ant- werp, and because a large number of cattle of the same origin have been found affected with mange. SOME ATTEMPTS TO CONTROL STRONGYLES IN ANEURISMS BY MEANS OF INTRAVENOUS INJECTIONS OF DRUGS By Maurice C. Haun and Jacosp E. SHILLINGER U. 8. Bureau of Animal Industry, Washington, D. C. ANTHELMINTICS as used to remove worms from the lumen of the digestive tract constitute a very old group of drugs, but it is only in recent years that successful anthelmintic treatments have been developed for worms outside of the lumen of the diges- tive tract, and at the present time there are comparatively few treatments of the sort which can be regarded as established. So far the best results have been obtained in the control of cer- tain fluke infestations, notably the control of the common liver fluke, Fasciola hepatica, by means of the oleoresin of male fern, and the control of the blood flukes belonging to the genus Schistosomum by means of tartar emetic and of emetin. The attempts to control tapeworm infestation in portions of the body outside of the lumen of the digestive tract have been much less successful, and while claims have been published as to the destruction of cysticerci and hydatids by means of anthelmintics, various experimenters have failed to substantiate these claims and at present we have no well-established treatments for the destruction of cestodes in cases of somatic teniasis. Apparently, better results have been obtained in the control of somatic in- festations with nematodes than with cestodes, though less has been accomplished than with trematodes. Evidence that ap- pears satisfactory indicates that the destruction of the Guinea worm, Dracunculus medinensis, will follow the injection of tartar emetic or of novarsenobenzol. The evidence in regard to the destruction of Loa loa is less conclusive, and that in regard to the destruction of the common human filarid, Filaria bancrofti, js distinctly contradictory and unsatisfactory as yet. The measure of success which has been. attained in the con- trol of these worms outside of the lumen of the digestive tract in recent years warrants a certain degree of optimism in regard ‘to the prospects of developing satisfactory treatments for many 1Presented at the fifty-ninth annual meeting of the American Veterinary Medical -Association, St. Louis, Mo., August 28 to September 1, 1922. 309 354 Maurice C. Hatt Aanp JAcoB E. SHILLINGER of these worm infestations. Prolonged experimentation is al- most certain to yield positive results in time. While the results which we have to report are mostly of a negative character, so little is known at the present time that it seems worth while to add even a small amount of information on this subject. One of the nematodes in the group under discussion which is of most interest to veterinarians is Strongylus vulgaris, the strongyle which in its larval and agamic stages is responsible for the formation of verminous aneurisms in horses, asses and mules, the aneurisms usually occurring in the anterior mesenteric artery and its branches. These aneurisms are believed to be responsible for certain types of verminous colic and of inter- mittent lameness, and may lead to the death of the infested ani- mal as a result of rupture of the aneurism and consequent fatal internal hemorrhage. While we believe that the repeated routine use of the chenopodium treatmént for the removal of the adult strongyles from the large intestine is a measure of great value in controlling these worms and diminishing the danger from in- festation with larval and agamic forms, it appears that a treat- ment for the destruction of the worms in the blood vessels would be a useful supplementary measure in the control of these worms, and we have accordingly carried out the following experiments with a view to ascertaining something in regard to the effect on these worms of drugs injected intravenously. Three horses were used in these experiments, two of them being given intravenous injections of tartar emetic only, and one being given intravenous injections of tartar emetic and one in- jection of carbon tetrachlorid. The usual procedure was em- ployed of shaving the hair over the jugular vein on the left side, disinfecting the shaved area (we used 5 per cent carbolie acid), and slowly injecting by means of a small needle to avoid the danger of bad results from shock. The protocols of the experiments are as follows: Horse No. 232, weighing 900 pounds, was given tartar emetic daily in doses of 2 grains each for 4 days, then 4-grain doses for the next 3 days, and then 6-grain doses for the next 13 days, the drug being given in as small an amount of sterile distilled water as would dissolve it. On postmortem examination we found in the anterior mesenteric artery an aneurism practically devoid of thrombus and containing on its walls only a very small amount of material re- sembling a thick serum, the lining being otherwise smooth. Two worms were present, 1 dead, partly disintegrated, and more or less ArreMPTs TO CONTROL STRONGYLES IN ANEURISMS 3D) embedded in the wall, and 1 alive and free, or almost free, in the lumen of the vessel. Both worms were so immature that an exact identification could not be made, but they appeared to be S. vulgaris, the worm usually present in these aneurisms. Horse No. 233, weighing 750 pounds, was given tartar emetic daily in doses of 6 grains each for 13 days. On postmortem examination we found in the anterior mesenteric artery an aneurism which, as in the previous case, was practically devoid of thrombus and contained on its walls only a small amount of thick serous material. The walls were less thickened than usual and showed little evidence of recent irritation. Eight small worms, probably S. vulgaris, were present, all of them being alive. Horse No. 234, weighing 825 pounds, was given tartar emetic daily in doses of 10 grains each for 3 days, then 15-grain doses for 3 days, and then 20-grain doses for 3 days. The day of the last injection with tartar emetic this horse was given carbon tetrachlorid, using the pure, undiluted chemical. When 4 c.c. had been injected the animal showed evidence of discomfort and alarm. On the injection of 1 c.c. additional he exhibited marked symptoms of weakness, lack of control, and intoxication, the symptoms soon subsiding. On post- mortem examination the next day we found in the anterior mesenteric artery an aneurism containing a small amount of fibrinous thrombus. Three worms, probably S. vulgaris, were present, two in the lumen and one in the wall, all of them being alive. A consideration of the foregoing protocols shows that horse No. 232 received a total of 98 grains of tartar emetic distributed over a period of twenty days; horse No. 235 received a total of 78 grains over a period of thirteen days; horse No. 254 received a total of 135 grains over a period of nine days, and also re- ceived a total of 5 ¢.c. of carbon tetrachlorid in one dose. Live worms were found in all cases, and in only one ease, that of horse No. 232, was a dead worm found. This horse received the largest number of treatments, though not the largest total amount of drug. It can not be determined on the evidence ob- tained whether the tartar emetic used in this case was respon- sible for the death of this worm. The presence of live worms argues against the ability of the drug to kill the worms, but the drug might be able to kill the worms at certain stages of development, as at molting, and not at other stages. A large number of treatments might then be more effective than large doses. Other worms present during the period of treatment may have been killed and disintegrated. We examined the veins of the cecum for evidence of such worms but failed to find any. The horses tolerated the tartar emetic in the doses 356 Maurice C.. HAuL AND JACOB E. SHILLINGER used, but the animal given carbon tetrachlorid reacted very unfavorably, and the drug, as might be expected, is probably dangerous when given intravenously. It would be of interest to ascertain its value in killing horses when injected intra- venously. Chloroform given in this manner is sometimes highly effective, quickly killing the animal when injected in amounts as small as 10 ¢.¢., but at other times large doses may be ad- ministered with only the result of putting the animal to sleep. There appears to be practically nothing in the literature in regard to the effect of drugs on horse strongyles in aneurisms when injected intravenously. We have seen a casual reference in a commercial house organ to the efficacy of sodium cacodylate injected intravenously for. palisade worms of horses, but nothing is given to indicate whether this is for worms in aneurisms or in the intestine, and there is no evidence furnished on which to judge the claim that the drug is valuable. The fact that the aneurisms in the cases of two horses were practically devoid of thrombus suggested that tartar emetic might have a beneficial effect in diminishing the amount of thrombus present, a result which would be of value in clearing an obstruction from the circulation and in lessening the amount of material which might dislodge from time to time and lodge as emboli. However, there was a certain amount of thrombus present in the case of the third horse, and we occasionally find untreated horses with aneurisms practically devoid of throm- bus. It would therefore be necessary to carry on a large number of experiments to establish the value of tartar emetic in dimin- ishing the amount of thrombus present, and for the time being we would reserve judgment on this point. The Health Board of Lower Merion, Pa., has recently be- come associated with two neighboring boards in the employ- ment of Dr. G. W. Grim, as milk control officer, at a salary of $3,500 per year, according to the American Journal of Public Health. Dr. H. D. Martein, a practitioner in the city of Philadelphia for over 25 years, has been promoted from captain to major in the Veterinary Officers’ Reserve Corps, and assigned to the 310th Field Artillery. GASTROENTERITIS IN SMALL ANIMALS (Discussion on paper of O. V. Brumley, at fifty-ninth annual meet- ing of the American Veterinary Medical Association. See paper in JOURNAL for November, 1922, page 200.) CHAIRMAN FLYNN: Gentlemen, you have listened to a very inter- esting and instructive paper, well prepared and well presented. This is a subject that should be of a great deal of interest to all the small-animal practitioners, and I trust you will take an active part in the discussing of this paper. We know that gastroenteritis covers possibly 60 to 75 per cent of the cases that are brought to the small- animal practitioners. DR. QUITMAN: Gastroenteritis in some form or another is an all- frequent disease coming to the veterinary hospital of small animals. Dr. Brumley, in his most excellent paper, touches a little short, I think, on the way of treatment, and in enumerating some of the specific ail- ments that may be mistaken perhaps for an ordinary type of gastro- enteritis. There should not be any mistake, but canine typhus should be mentioned for differentiating purposes. Typhus commonly starts with vomiting and all that, and it is, of course, a very gross error to diagnose a case of typhus as an ordinary case of gastroenteritis or gastritis. In puppies that are weaned I find one of the most common causes of gastroenteritis is a bread and milk diet—that is, white bread. It is a well-known fact that a dog is a carnivorous animal, and he does not take care of starchy foods as well as does the herbivorous animal. Dogs two months old, three months old, four months old, are continually brought to the hospital suffering from gastritis or gastroenteritis perhaps, and oftentimes by sizing up this poorly de- veloped condition you can name the cause to the owner without ask- ing any questions. It is a common thing for me to say, “You have been feeding this pup on white bread and milk, haven’t you?” And I find I hit the nail on the head nine times out of ten. Sooner or later, from that white bread not digesting, from fermentation of it, and the keeping up of continuous irritation, a gastritis or gastro- enteritis will develop. In the way of treatment I agree in part with that laid down by Dr. Brumley, but to a considerable extent I would digress there. I fully agree with him that we should use every endeavor to ascer- tain the cause, but sometimes that being impossible, I don’t believe in treating the ultimate inflammatory condition of either stomach or bowels. Aside from where specific antidotes are required in the nature of chemical poisons, or when chemical poisons are the cause, the treatment can be pretty well unified and in many cases showing intense pain will cease almost instantly upon the performance, as suggested by Dr. Brumley, of a gastrointestinal douche, frequently washing out the intestines. However, that fails in many cases, or many cases are too weak to stand that. When the dog is in a very weak condition the gastrointestinal douche is somewhat dangerous to perform. In puppies under two months old it is not safe, so that soothing medicines of a somewhat anodyne character are indicated. In my own practice I use a mixture of a quarter minim of phenol and 5 to 7% grains of bismuth subnitrate, about 7 to 71% minims of opii camphorata for soothing effect, and glycerin and cinnamon water. I find that to be a very efficacious mixture. Sulphate of iron is recommended by Dr. Brumley, in a mild solution. It is just a little harsh; it is apt to induce emesis, and perhaps we have been expending our efforts to check the emesis which is exhausting the vitality of the patient. 307 358 DISCUSSION ON GASTROENTERITIS IN SMALL ANIMALS Dr. J. P. Scott: I would like to have Dr. Quitman tell us some of the differentiations between typhus and gastroenteritis. DR. QUITMAN: I made the reference in discussing a certain matter several days ago that while fully acknowledging the value of the microscope for diagnostic purposes, I have tried to elaborate some- what on the value of the “nosescope” for diagnostic purposes in veteri- nary practice, and that is the veterinarian’s nose, a very important feature for diagnostic means. It helps us to diagnose many ailments or differentiate many ailments. For instance, a well-known authority - made the statement that practically every case of mange can be positively diagnosed only by means of a microscope, and I took issue with him, saying that for one having a dog practice and having to stop and make a microscopic examination would seriously retard the wheels of progress of his business. I told him that many old practitioners at least called in the help of their noses to differentiate whether it was eczema or a case of mange. It is the same way with canine typhus. There are several distinguishing features. I want to tell you the nose is the most accurate and the quickest diagnostic method that I could recommend for telling canine typhus. The breath of a canine typhus patient has a distinctive charac- teristic odor. It is different from the foul odor of a badly inflamed stomach or where there is fermenting: and perhaps decomposed food material in the stomach. It is a difficult odor to describe, but the fact of the matter is there are, you might say, two odors in con: nection with typhus. The characteristic odor is an intensely foul sort of a knock-you-down odor, and it suggests in its character some- what that of a cross between diseased bone and pulmonary gangrene, if you can picture that to your olfactory organs. In fact, it has almost got to be experienced to be understood. Then, however, in some cases of the peracute type of typhus, that kind that gets sick and will die within twenty-four hours, that odor may not have had time to arise, but the odor in that case is ofttimes i_well, again I am up against it for a description; but it is a sort of a cadaverous odor, if you can imagine a cadaver that has reached a point giving off an odor and an effort has been made to deodorize it with chlorid of lime, without the chlorid of lime odor predominat- ing, however. That occurs only in the peracute cases, however, if they die of acute septicemia before any pathological changes have time to occur. In differentiating from gastritis and gastroenteritis, aside from the odor, there is a very great and rapid depreciation that comes on in typhus. That you may have to get from the history. In typhus the patient becomes prostrated very much more rapidly than it will in gastritis or gastroenteritis. That is a very important feature for differential diagnosis. Then the typhus case very frequently assumes a sitting posture, whereas the gastroenteritis case is restless, moves around more, tumbles around more, or in the case of Collie pups they are more apt to have their feet up in the air, but restless, neverthe- less. Also in a typhus case they frequently have a peculiar, far- away look in their eye that sometimes calls for differentiation be- tween typhus and rabies. There are other differentiating symptoms, but I believe those are the most predominating ones. Dr. RICHARDSON: Does the age of the animal enter into the diag- nosis at all? DR. QUITMAN: To some extent, but the old animal sometimes has it from constipation. Dr. RICHARDSON: Did you ever see typhus in a pup? DR. QUITMAN: I have seen it in dogs six months old. Dr. H. J. Mitks (Ithaca, N. Y.): I have a little to add perhaps to the paper on gastritis. There are two or three things in the treatment that we differ a little bit on. For instance, we find dogs DISCUSSION ON GASTROENTERITIS IN. SMALL ANIMALS 359 that won’t hold any treatment for a time; they vomit as fast as you get it to them. We find an anti-emetic necessary very often in those cases. Sometimes in those cases of persistent vomiting I use a cocain solution. There are some other diseases in regard to diagnosis that have not been considered. One is vomiting. We have run against that par- ticularly in neuritis and jaundice and peritonitis. In fact, we have had a few cases brought to us as gastritis, and it was simply neuritis that caused the trouble. In regard to food, I have for years figured that the big thing in gastritis was to rest the stomach. If you give the dog food and water, he simply takes it down and it comes back again. He will drink almost always, and almost always he will vomit. Keep the food away, and also keep the water away, and allow a few laps at a time, or put a piece of ice in a leaky dish so he can get a little that way, but not enough to make him vomit. Dr. Howarp W. MILLER: Dr. Brumley, in his paper, speaks of a contagious condition in cats. We have had that in central Ohio to such an extent that outbreaks of it have pretty nearly cleaned out entire catteries. So far we have not had any good results from any treatment we have followed out. I would like to know, Dr. Quit- man, if under those conditions they have devised anything that will work; and also in outbreaks of infectious jaundice in puppies, have they devised anything? We have been working along that line in Columbus. Dr. J. Mcl. Philip has used an arsenic injection with which he has obtained results. Sooner or later the results of those experiments will be put in the magazines. DR. QUITMAN: I would like to ask the gentleman a question in re- gard to those cats. Aren’t they cats that are fed almost entirely on liver? Dr. MILLER: No, I can’t say that they are. They are cats that are fed all kinds of things, cat foods. DR. QUITMAN: Do you mean young cats? Dr. MILLER: Cats of all ages, females and so on. Some of our hospitals have been infected to such an extent that nearly every cat that comes into the hospital for an operation will recover from the operation all right and five or six days afterwards develop yellow vomit and so on. DR. QUITMAN: Have you made a pathological examination? I have seen gastroenteritis, or apparently gastroenteritis, and on close ex- amination we find it resembles scurvy, but you don’t get erosion of gums in cats when they are fed exclusively on a liver diet, and per- haps getting a little milk occasionally, and that little milk will simply retard the coming on of the symptoms. That will occur and infect any number of cats. It is the same way if they are fed exclusively on salmon or any fish; sooner or later T find they come down with this scurvy-like disease. Dr. MILLER: This isn’t a scurvy disease. DR. QUITMAN: I don’t believe I can answer the doctor’s question any more specifically, except to find out whether he was alluding to liver poison or salmon deficiency. I might say I alluded to feed- ing white bread and milk to dogs. Any number of the laity have the idea that a cat should be fed on nothing but liver. Sometimes when you reprimand them for that they say, “Doctor, I cook the liver sometimes.” They couldn’t change from liver to something else. But liver alone or liver with milk will not and does not seem to be a balanced ration for the cat. The addition of milk to the diet will retard the oncoming of the symptoms. If cats have liver alone from the time they are weaned, they usually show these symptoms inside of the time they are about two or three months old. If they get a little milk occasionally at all, it will be delayed until the cats are 360 DiIscUSSION ON GASTROENTERITIS IN SMALL ANIMALS six months old. If they get milk regularly daily in addition to the liver, they will wait until they get one year or two years old, but they will come down invariably. The same applies to an exclusive fish diet. I have had considerable numbers of similar cases to those alluded to by Dr. Brumley and Dr. Miller, and I have always found them to be of a dietetic origin invariably. Of course their cases may differ from the ones I have been dealing with. CHAIRMAN FLYNN: I believe the point Dr. Miller is endeavoring to bring out is the same point I am confident the essayist had in mind when he presented that portion of his paper relating to infectious gastroenteritis of cats. It is indeed a very serious problem, and when it starts in a small-animal hospital you just practically can’t bring a cat to the hospital for any kind of an operation, or it will contract it usually within three days’ time after being exposed, and death follows anywhere from twelve hours to three or four days. Sometimes old cats will stand it, will go through, but kittens from four months to a year of age last usually about twenty-four hours after they start to vomit this yellow vomit. Dr. MILLER: That is the condition exactly. I know there have been times in some of our hospitals when orders have been given that no cats at all will be accepted at the hospital for a period of sixty days, so as to clean up this condition, but it will run along for a while and another animal will come in and in a day or two will de- velop this trouble, and the hospital is infected all over again. It isa very serious problem. This condition of jaundice seems to come from an infection car- ried by a flea bite, and whole bunches of puppies will slip away from you in a day or two. In fact, they get away from you before you recognize the jaundice in them, with just a slight tinge of yellow in the mucous membrane, and they die like flies. Dr. MiLkKs: This cat disease is not confined to large cities; it is on farms and in homes; but it does hit the hospital, of course. We have been through it and have had a good many pathological exami- nations made, and the nearest we can get to the cause is the colon group. I don’t know if that explains the cause or not. We get letters from farmers frequently asking, “What can we do to keep cats. Every time we get a cat it dies.” Just to show you how infectious it is, one man had a cat on his farm and it died. He then got a cat from town and put it on the same place, had a veterinarian castrate it; the cat died. The next time he went back and got another cat; he had someone else operate on it, and that cat died. He brought the second cat up for examina- tion, and I told him not to put another cat in that house for some time. He thought the two cats died from the operation, and the next time he got one he didn’t have it operated on, and it died within the same time as the others. It is a serious thing. The poultry farmers have quite a time with rats, and so have other farmers, and they can’t keep cats because of this infection. In some cases it works very rapidly. It isn’t a kennel disease, because we find it in Ithaca long before we get it in the cat ward. We find it in a certain part of the town where a cat has only been sick a while before it dies, and in a day or two we get a cat in and it dies, and almost invariably it comes from the same part of town. Dr. E. J. Frick: I would like to add a few more words to what Dr. Milks has said, and back it up with a little history. Three years ago I was working in New York City. The Bide-A-Wee Home in New York City has four or five cages about the size of this room, and they collect stray cats from all over the city, and have people bring cats and leave them there until they can find a home for them. In that home it was a common sight to see in one big case fifteen or twenty cats in all stages of depression, some dead and others sick DISCUSSION ON GASTROENTERITIS IN SMALL ANIMALS 361 unto death; some of them just mopy, and some that had been brought in within a few days and were perfectly well. The Bide-A-Wee Home does not use any methods of destroying the animals. The home was originated to collect cats and keep them there until a home could be found for them. They do not have to destroy them because in a few days they die, or if someone comes and gets a cat and takes it home, the cat dies in a short time. The S. P. C. A. and the New York Women’s League for Animals in New York have practically the same conditions, except the cats are not kept in such a large cage and it is not so severe. In Manhattan, Kans., at the State College, for two years they have not seen a case of infectious enteritis in cats. This spring a farmer brought a cat in and the cat died. The farmer had seven other cats | on his farm; all seven died. The neighboring farmers lost their cats. We brought in a cat that was sick and we isolated a B. coli culture and gave the cat a bacterin, and that cat is running around the laboratory at the Kansas State College. As far as curative means are concerned, I don’t know what we can do unless it is a matter of experimenting and trying to find some serum or bacterin or vaccine or something along the biologic line to control it. We have tried medicinal preparations and the cats all seem to go. Dr. RICHARDSON: May I say just a few words along the lines of vaccination? I went through this same experience that Dr. Miller has mentioned. We could hardly take a cat into the hospital without losing it through infection of this gastroenteritis of cats. The clini- cians tried for a long time to overcome this condition by changing diet, by disinfection, by excluding cats from the cat ward for some time, and finally we in the Pathological Division undertook to make a bacterin. -We made a bacterin, and in cases in which it was used at the time the cat came into the hospital, immediately upon its receipt, we had very good results. We used it as a preventive en- tirely. We are not fortunate enough to use it in all cases, and in a great many cases where it wasn’t used until the cat had been in a day or so, or where it wasn’t used until after the animal was operated on, we didn’t get any results. I think from what I have seen and from what little experience I have had that a bacterin can be relied upon very well as a preventive of this condition. Dr. C. H. ANTHONY: I believe a great deal of this gastroenteritis is caused not from the home feeding but from mouse poison and poison the cat gets in the alley. I have found if you feed a cat twice a day nothing but raw beef you will never have any trouble -with your cat. Probably once a week give him a little cream, or milk containing cream. An ounce or two of cream will satisfy him. Then give cold water for the balance of his drink, and keep all fish, salmon and everything of that kind away from him if you want to keep him healthy. Dr. H. E. Biester has resigned his position with the University of illinois and has returned to Ames to take a position in the Department of Research of the Veterinary School at Iowa State College. r. J. Raymond Wells has left Falls Church, Va., and is now ee in the Division of Sanitation and Ptealih of Beaumont, Tex., as dairy and meat inspector. CLINICAL AND CASE REPORT (Practitioners and others are invited to contribute to this department reports of unusual and interesting cases which may be helpful to others in the profession.) POTASSIUM NITRATE POISONING IN CHICKENS, WITH A NOTE ON ITS TOXICITY By JoHN E. GUBERLET Parasitologist, Veterinary Department, Oklahoma Agricultural Experiment Station, Stillwater, Oklahoma ON the morning of June 7, 1922, the writer had occasion to observe a flock of chickens suffering from poisoning, the symp- toms of which were first observed by the owner on the preceding evening. Upon arrival several birds were found dead and 35 or 40 others were seriously affected, of which some were pros- trate and others comatose. Those that were in a serious con- dition had a severe diarrhea with marked diuresis. The drop- pings were watery and contained large amounts of urate ma- terials. The combs and wattles ranged in color from dark red to purple, or even black. Respiration was disturbed. The sick birds displayed great thirst and, if at all able to stand, were drinking water or trying to do so. Almost the entire flock of 225 birds showed discolored combs and displayed a great desire for water. There was a marked diarrhea and diuresis in the whole flock. Most of the birds showed no other ill effects and were taking food. After inquiring of the poultryman as to what had been fed to the birds on the preceding day it was learned that they had been given a dose of Epsom salts (magnesium sulphate). The ‘‘salts,’’? according to the poultryman, were given at the rate of three-fourths pound per 100 birds. It had been dissolved in water which was used in mixing bran mash. This was taken fairly readily by the birds. The owner insisted that the *‘salts’’ could not be responsible for the trouble, as he had treated the flock similarly on former occasions from the same box of salt, but ‘‘they didn’t eat it as readily before.’’ d Autopsy.—Skin very dark, subcutaneous blood vessels ¢on- gested, flesh dark pink to red, blood almost inky black. The 362 CLINICAL AND CASE REPORT 363 lungs in most cases were extremely free from blood, while in some of the others they were hepatized. Liver severely con- gested and almost black. The veins of the liver were much en- larged and gorged with blood clots, while the arteries were ex- tremely contracted. The kidneys were decidedly enlarged and highly inflamed. Crop and proventriculus severely congested ; congestion beneath the lining of gizzard; enteritis and con- gestion throughout the entire length of the intestine. The mesenteric blood vessels were gorged with blood. Further inquiry as to where the salt was procured revealed the fact that this was a consignment which had been purchased ‘fat a bargain.’’ This particular lot had been wet at the drug store and had been on hand for some time. The poultryman bought it for Epsom salts. A sample was taken to the labora- tory for examination where it was discovered that the ‘‘salts”’ were not magnesium sulphate, but potassium nitrate (saltpeter). Later conversation with the poultryman disclosed the infor- mation that at former administrations the salt was dissolved in the drinking water and given in that way instead of in a mash. On those occasions the birds would not drink much of the water. That accounts for the fact that no trouble was experienced at former treatments. About 25 of the birds died during the days of June 7, 8 and 9. Some of the birds that were nearly prostrate had recovered by the morning of June 8, except that they were very weak. Some of the affected individuals lingered for two or three days before they died, and death in those cases was due to acute enteritis and nephritis. The entire flock apparently suffered to some ex- tent from enteritis and nephritis for several days. This condi- tion, however, did not interfere to any great extent with the activity of the birds, except that they displayed an unusual thirst and showed a decrease in appetite. Egg production was reduced. Little is known concerning the toxic effects of various drugs upon fowls. The most important work along this line is that of Gallagher (1919), who conducted a number of very valuable experiments on chickens to determine the toxicity of some of the more important and commonly used medicinal agents and of poisonous substances to which fowls not infrequently have access. Kaupp (1917) and others give the dosage for nearly all of the 364 CLINICAL AND CASE REPORT common drugs used in the treatment of fowl diseases but say little concerning their toxicity. Saltpeter poisoning in fowls is not of uncommon occurrence, although not on as large a scale as shown in this instance. This salt is an important constituent of certain fertilizers, and chick- ens have been poisoned from that source. Many people often use this salt in the preservation and curing of meats, and poisoning from this source some times accidently occurs in fowls. It has been taken as a purgative by persons, being mistaken for magnesium sulphate (Holland, 1917, p. 218). Potassium nitrate was formerly used rather extensively in medicine, as a diuretic, diaphoretic and febrifuge; also in acute cases of rheumatism. At present its use as a medicament is very limited, it being used principally as a local treatment. Some experiments were conducted by the writer to determine what would be a toxie and a lethal dose of potassium nitrate for fowls. This was done because of the observance of such poisoning in a flock and on account of the interest this incident has incurred. Twenty birds, weighing 3 to 414 pounds, were used in these experiments. Doses ranging from 1 to 90 grains were given by mouth and the results noted. Very small doses, 1 to 2 grains, produced diuretic action with diarrhea in two to three hours provided water was near the birds constantly so that they could drink of it at any moment. This was especially true if the saltpeter was given in solution. In doses of 5 to 10 grains the same results were noted, except that the diarrhea and diuresis were more severe. Doses of 45 grains produced diuretic action in 40 to 45 minutes when the birds had constant access to water. Under these conditions doses con- taining 45 to 50 grains were toxic, and it required 80 to 90 grains for a lethal dose for fowls weighing 4 to 444 pounds. Chickens under range conditions, such as those in which the poisoning occurred, go considerable distances from their supply of water, and consequently can not drink at any moment they feel the desire. Therefore it seemed desirable that other ex- periments be conducted in which the birds would be given water about as often as they would drink under range conditions. Under this arrangement small doses produced no apparent ex- ternal symptoms. Doses of 15 to 20 grains produced diarrhea and a diuretie condition after 2 or 3 hours, and then as a rule CLINICAL AND CASE REPORT 365 only after the birds had taken water. Fowls taking 25 to 30 grains under these conditions showed toxic symptoms, while 60 grains was a lethal dose for a 314% pound hen and 65 to 70 grains were fatal to birds weighing 4 to 414 pounds. Toxic doses of potassium nitrate produce symptoms of gastro- enteritis, nephritis, muscular weakness, slow, weak pulse, depres- sion of the circulation, disturbed respiration and sheht heme- lysis of the blood. Along with these symptoms occurs the con- gestion of the peripheral blood vessels which results in the dark- ness of the skin and discolored comb. This is followed by a subnormal temperature, paralysis, collapse, and coma, followed by death. In nontoxie doses it causes diuresis and diarrhea. The toxic effect of the salt is lessened by keeping the system flushed with water. Therefore in the experiments the birds which consumed large quantities of water threw off from their systems a large amount of the poisonous substance. Birds which had been previously fed on a highly concentrated pro- tei diet, whose excretory organs had already been taxed, suf- fered more acutely and showed more prominent symptoms than birds previously fed on a low protein diet. LITERATURE CITED GALLAGHER, B. A. 1919. Experiments in avian toxicology. Jour. Amer. Vet. Med. Assoc., vol. 54, pp. 337-356. HOLLAND, JAMES W. 1917. Medical chemistry and toxicology. 5th ed., 683 pp. W. B. Saunders Co., Philadelphia. Kaupp, B. F. 1917. Poultry diseases. 2d ed., 245 pp. Amer. Vet. Pub. Co., Chicago. Dr. A. K. Merriman, formerly of Latham, IIl., is now located at Sullivan, Il., where he has purchased the practice of Dr. W. C. Bateman. Dr. Joseph Hawkins, the oldest practitioner in the city of Detroit, has gone to California, where he will spend the winter with relatives. Dr. J. G. Jervis, of Milner, B. C., has been appointed lecturer in veterinary science at the University of British Columbia, to succeed Dr. T. H. Jagger, who resigned. Dr. A. W. Lehman has moved from Duncans. Vancouver Island, to Penticton, B. C. ABSTRACTS Epizooric LyMPHANGITIS. Broeq-Rousseu. Bul. Soc. Cent. Méd. Vét., Feb. 1922, p. 85. (Abst. in Rev. Gén. Méd. Vét., Sept. 15, 1922; vol. 31, -p. 533.) After long discussion as to the nature of the parasite of epi- zootic lymphangitis, it is generally admitted at the present time that the pathogenic agent is a fungus, Cryptococcus farcimino- sus. According to recent work of the author, this vegetable parasite possesses organs of reproduction of different kinds: 1. Conidian forms, spores of dissemination ; 2. Forms of vegetation and conservation, external spores and chlamydospores ; 3. A budding or eneysted form, the ecryptococcus as found in the lesions. The arrangement and form of the conidia permit the placing of this fungus in the genus Botrytis. Numerous species of the genus Botrytis have been classified in the following groups: Oomycetes, Ascomycetes, Basidiomycetes; but the agent of epi- zootic lymphangitis could not be classified with certainty; all the attempts made in that respect have been without value, as they did not rest upon any precise fact. It has been demonstrated that the conidian form develops best at a temperature of 20 to 25° C. This fact explains why lymph- angitis exists in the endemic state in the warm countries of Northern Africa. There the fungus, under the form Botrytis, lives on natural media, such as straw, manure, ete., and the transfer of the spores to the affected animals is accomplished by the intermediary of insect carriers which are yet to be dis- covered. The best method of finding the parasite in the lesions is to ex- amine fresh preparations of pus without staining. With the. usual stains, Ziehl or lactic blue, only the membrane of the envelope is stained; there is no elective staining. The examina- tion of preparations of fresh pus does not permit the conclusion that only the eryptococeus is present; it is necessary always to obtain a culture. By this means there are found rather often the Priesz-Nocard microbe, streptococci, staphylococci, ete. The 366 ABSTRACTS 367 prognosis of the affection varies in gravity according to whether the eryptococcus is alone or associated with other microbes. What is the best remedy to use against well-defined epizootic lymphangitis not associated with other microbes? All the surgi- eal methods and all the medicaments employed have resulted in cures. According to experiments made in the army, the vaccine pre- pared by Boquet and Négre has given the most cures. Of 246 animals treated there were 146 cures, or 59 per cent, and 38 showed improvement, a total of 184 cases (74 per cent) cured or well on the way to recovery. This vaccine therefore appears at the present time to be the preferable method for the treatment of epizootic lymphangitis. The only disadvantage of this treat- ment is the length of time that is sometimes required. Cats AND Human DieutHertA. W. G. Savage. The Journal of Hygiene, vol. 18 (1922), no. 4, p. 448. Bacteriologiec examinations were made of nose and throat of eight healthy cats and 12 kittens not associated with any eases of human diphtheria. In 3 of the cats no bacilli were found which might be taken for Klebs-Loffler organisms. In each of the 5 remaining cats there were recovered bacilli which showed an extremely close resemblance to diphtheria bacilli, but all of which were definitely not true diphtheria bacilli. All the 12 kittens failed to show any bacilli which at all resembled diphtheria bacilli. A study of 5 cats which were closely asso- ciated with diphtheria cases failed to show that any of the animals had diphtheria-like lesions and with the possible ex- ception of one case, none of the cats harbored Klebs-Loffler bacilli. In the one case, organisms were found which resembled the diphtheria bacillus and agreed with it for the most part in cultural characteristics. However, a guinea-pig inoculated with a very heavy dose of culture was unaffected. In experi- ments with young kittens, it was found impossible to infect them by throat swabbing, although very massive doses were used. Kittens in whose throats an artificial nidus for local growth was provided by chemical or mechanical means failed to develop diphtheria or any local lesions when mixed cultures direct from human throats were used. Not only did the bacilli not infect, but they failed to survive, invariably disappearing 368 ABSTRACTS after as short a period as 24 hours. Attempts to infect the nasal cavities of kittens were all unsuccessful and all feeding experi- ments failed. The author is of the opinion that the common and widely accepted view that cats can suffer from a naturally acquired disease caused by the diphtheria bacillus is entirely without foundation. L. T. GiLTNeEr. THE VITALITY oF TRICHINZ IN AMERICAN BAcoN AND Hams. Erick Sitisskind. Ztschr. Fleisch u. Milchhyg., June 15, 1922. (Abst. in Rev. Gén. Méd. Vét., Sept. 15, 1922, vol. Sep. oly.) In order to obtain exact data on the dangers presented by hams and bacon of American origin, Siisskind conducted a series of experiments concerning the vitality of trichine. Fifteen guinea-pigs were fed with ham and bacon heavily infested with trichine and well salted. The number of trichine consumed by each guinea-pig varied between 9,900 and 27,902. On autopsy not a single trichina could be found in the musculature, al- though the muscles which are the preferred seat of trichina infestation were subjected to minutious microscopic examination. The results prove that the trichine in heavily salted American hams are dead and harmless, even if their capsules do not show calcareous infiltration. None of the hams and bacon showed calcified trichine. The author then studied the influence of sea salt on muscle trichine. Pieces of guinea-pig muscle 2 centimeters thick, con- taining trichine 6, 8 and 10 weeks old, were subjected to mild and strong curing, 5 and 10 grams respectively of sea salt being used for 100 grams of muscle. These pieces of muscle, refrig- erated at a temperature of 3 to 4° C., were removed on the third, seventh, fourteenth, twenty-first, twenty-fifth, thirtieth and thirty-fifth days of curing and fed to guinea-pigs and mice. The strong curing destroyed the vitality of the trichine at the end of seven days. The mild curing required three weeks to destroy the vitality of the parasites. The results prove that the use of sea salt is the method to be preferred for preventing the infestation of man by products of American origin. ABSTRACTS 369 Grass DISEASE AND Boruuism. J. B. Buxton. Vet. Jour., vol. 78 (1922), no. 562, p. 125. (Abst. in Expt. Sta. Ree., vol. 47, p. 186.) This paper relates to a well-known disease of equines in cer- tain parts of northern England and Scotland which was first investigated by a special committee in 1918. The symptoms of this affection appear to be identical with those of so-called forage poisoning of horses and cattle in the United States, and an organism indistinguishable from Bacillus botulinus was recoy- ered by Tocher at Aberdeen early in 1919 from diseased portions of intestine and from the spleen of several cases of grass disease. The author’s investigations which followed resulted in finding that the blood of several horses which had recovered from the affection contained traces of botulinus antitoxin, type A, and that its presence was undetectable in the blood of more than 40 normal horses which were similarly tested. It was found that such blood contained complement-binding antibodies for B. botu- linus, and that these antibodies did not show the same specificity for the homologous type as did the antitoxin. THE PropasLtE IDENTITY OF THE CHITTENDEN-UNDERHILL PEL- LAGRA-LIKE SYNDROME IN Docs, AND BLACKTONGUE. G. A. Wheeler, J. Goldberger and M. R. Blackstock. Pub. Health Rpts. (U. 8.), vol. 37 (1922), no. 18, pp. 1063-1069. (Abst. in Expt. Sta. Rec., vol. 47, p. 285.) Attention is called to the striking similarity between the black- tongue disease of dogs and the pellagra-like syndrome produced by Chittenden and Underhill in dogs by feeding a diet of boiled peas, cracker meal, and cottonseed oil. A review of the litera- ture on blacktongue is given, together with postmortem findings in two cases. It is suggested that further investigation of this disease in dogs and a trial of the efficacy of a strictly dietary treatment are of importance on account of the probability that blacktongue in dogs may prove the analogue of peHagra in man. An advertiser in the Cooperstown (N. Y.) Otsego Farmer offers for sale ‘‘200 year old White Leghorns in laying condi- tion.’’ And the following advertisement appears in the New Haven (Conn.) Register: ‘‘For Sale—A 3-year-old female billie Sab REVIEW CANINE DistEMPER, ITS COMPLICATIONS, SEQUELZ, AND TREAT- MENT. Hamilton Kirk, M. R. C. V.8., Fellow of the Royal Society of Medicine, Captain Royal Army Veterinary Corps. Published by Bailliere, Tindall & Cox, London, 1922. Price 10/6. The first book dealing exclusively with the subject of canine distemper has just been published. It contains 226 pages, 28 text figures, and 1 plate, and covers exhaustively every detail concerning our present knowledge of this most prevalent disease of our canine friends. An indication of the subject matter treated is shown by the titles of the twelve chapters, which in- elude the History; Susceptibility; Etiology; Bacteriological Notes; Predisposing Causes; Sources of Infection and their Practical Avoidance ; Preventive Inoculation ; Symptoms, Course, Progress and Mortality; Morbid Anatomy; Differential Diagno- sis; Treatment and Convalescence. In addition there are an appendix and a bibliography. Captain Kirk, who is a canine specialist, has presented the various etiological theories, discussed the latest suggestions of preventive inoculation, and in fact has covered all the various aspects of the subject in an unusually clear and readable form. It should therefore prove of value and assistance not only as a book of reference for the practitioner, but also as an interesting and understandable work for the student. As stated by the author, this disease has never received the consideration which no doubt would have been given it were it transmissible to human beings or food-producing animals, or were it associated with a heavy monetary loss to the country. Both the author and the publishers are to be congratulated for the excellent manner in which they have performed their task ; the illustrations are clear; the paper and binding are of good quality, and undoubtedly the book will shortly be found in the libraries of our leading veterinarians. ASSOCIATION NEWS AMERICAN VETERINARY MEDICAL ASSOCIATION Proceedings of Fifty-ninth Annual Meeting, St. Louis, Mo., August 28 to September 1, 1922 (Continued from the November JOURNAL. ) TUESDAY AFTERNOON, AUGUST 29, 1922 REPORT OF COMMITTEE ON BOyINE TUBERCULOSIS PRESIDENT KinsLey: Next will be the report of the Inter- national Committee on Bovine Tuberculosis, by Dr. Kiernan. (Dr. J. A. Kiernan read the report, which follows. ) Your committee pursued its studies of animal tuberculosis during the past year, stimulated at all times with an ambition to contribute some small particle of knowledge to supplement the classic report rendered to this Association at its forty-seventh annual meeting in 1910 by the first International Committee on Tuberculosis and the subsequent reports of high character made by the succeeding com- mittees. All new information on the subject aids in the prosecution of the campaign for the eradication of tuberculosis of livestock which is being vigorously waged in the forty-eight States that com- prise this Union, in the Dominion of Canada, also in the Republic of Mexico, which is taking a considerable interest in tuberculosis of livestock. EXTENT OF BOVINE TUBERCULOSIS IN THE UNITED STATES Your committee has made a thorough analysis of the information available, as a result of the cooperative campaign which has been in progress in the United States since 1917, for the purpose of re- porting on the incidence of bovine tuberculosis in the respective States. We are now in a better position than at any previous period to indicate the extent of the disease in the various States. For five years there has been pursued with more or less vigor in the respective States a campaign which has for its objective the ultimate suppres- sion of animal tuberculosis. That progress has been made during that period is quite evident, but of almost equal importance is the knowledge that has been acquired of the prevalence of the disease, its location and the extent of the infection. With this knowledge we are in a position today to take an inventory of the total healthy and total tuberculous cattle in every State. In consequence a fair outline may be made for a program which contemplates the eradr cation of the disease within the respective commonwealths. The study made of the incidence of bovine tuberculosis shows that within 1,665,641 square miles in 37 States, and representing 46.2 per cent of the area of the United States not more than 1 per cent of the cattle are tuberculous. In that area, according to the census of January 1, 1920, there were 28,307,648 cattle, representing 41.2 per cent of the total cattle of the United States. To recapitulate, in 46.2 per cent of the area of the United States having 41.2 per cent of all the cattle, bovine tuberculosis exists to not more than 1 per cent, S71 or A. V. M. A. MEETING PROCEEDINGS MI i an) as SY1ULS @ pt ee Sate Sy RT fe Be uey/ as op bow '24Q “BY LO4Y f 10 442242 24Q) + I+] | van 7 | ES ee SCOTIA SR ara) eS diane rs ms iam ne ig tot i ae 3 is [eI oo c+] tA ey Are 63 es rac geu ae tag S ee as aaj aes | -] a red i Ain) Che " 5 4 ° " mre 3 " ‘ a 4 i naeaR " ry SCS Rey : ae areasa Ly ey | Ko ys | +a + \olo| Nel o q Q J ole . i P o rs oY 5 FLINA Wl s1somnou INL INIA 10 LNILXA PROCEEDINGS OF A. V. M. A. MEETING 373 and in many parts of that vast area the disease exists to a degree considerably less than 1 per cent. The livestock owners of those States have expressed themselves in language which can not be misunderstood that bovine tuberculosis shall be eradicated from their herds and that infection must be prohibited from being introduced. They favor the rigid enforcement of regulations requiring the proper inspection and tuberculin testing of herds—not merely individual animals but herds from which individual animals are shipped inter- state. The owners in those States have such a strong antipathy toward tuberculosis and are so actively engaged in its suppression that probably within ten years the disease will be either entirely eradicated or reduced to a minimum. The accompanying map and table show the per cent of bovine tuberculosis as it exists in the various States. Extent oF Bovine Tusercutosis, May 1, 1922 | a | Approximate Extent Total | Per Cent |' Total Num- | Per Gent | Per Cent of Bovine Square | of Total | ber Cattle | of Total | Tuberculous Tuberculosis Miles | Area Jan. 1, 1920) Cattle | Cattle | | Not more than 1 per cent ...| 1,665,641 46.2 | 28,307,648 | 41.2 | 0.6 Over 1 and under 3 per cent.. | 763,979 | Pal ky 16,828,916 | 24.5155 Dol Over 3 and under 7 per cent.. | 9655905) i), “2628 12,196,003 | LESTE | 4.9 Over 7 and under 15 per cent. 155,638 | 4.3 8,478,185 PASS} 10.3 Oversi5 per cents... fen 93,739 | 1S 2,960,954 4.3 26.0 Total (United States). ......| 3,604,702 100.0 68,771,706 | 100.0 4.0 The committee is of the opinion that the livestock interests of the country are desirous of obtaining some idea of the extent of the job that has been undertaken. They have been patient in waiting for data on the subject, as indicated by the numerous requests that have been received for information as to the probable number of tuberculous cattle in the country and the approximate cost of sup- pressing the disease. The map furnishes the best information avail- able as to the extent of the disease. This information was obtained from the livestock sanitary authorities of the various States and the Bureau of Animal Industry representatives cooperating within the respective commonwealths. Since the inauguration of the cooperative campaign in 1917 much has been done educationally to convince cattle owners that tuber- culosis may be eradicated from a herd or from groups of herds through the various methods of tuberculin testing, followed by proper sani- tary precautions to prevent reinfection and by eternal vigilance of owners in keeping animals of unknown health away from their herds. That the educational feature of the work has produced re- sults is shown by the very general knowledge of the subject pos- sessed by livestock owners. The accredited-herd plan and the area plan of eradicating tuberculosis are quite well known in livestock circles in all parts of the country. This in itself is a matter that is worthy of considerable consideration—that this information has been disseminated so widely in such a comparatively short time. We feel confident that inasmuch as it has been demonstrated to the satisfaction of the livestock owners of the United States that bovine tuberculosis may be eradicated from an individual herd or a group of herds or all the herds within a circumscribed area, this campaign inaugurated on a cooperative basis in 1917 will not be abandoned until the disease is entirely controlled. By control we mean that it shall not only cease to be a menace to the livestock industry of this nation but in addition that it shall be suppressed entirely by one means or another within the areas in which it exists to such an extensive degree. 374 PRocEeEepInGs oF A. V. M. A. MEETING For more than ten years the crystallization of public opinion against the shipment of tuberculous cattle interstate, for purposes other than immediate slaughter, has been making its impression on the live- stock owners where the disease exists. True, the impression came slowly and was accomplished at times only through economic coercion, but happily the impression was so indelibly implanted that there are but few, if any, who now attempt to ship tuberculous cattle under the guise of healthy animals. The dairymen of Nevada or Arizona or Florida who contemplate purchasing improved cattle look up the record of the State, the county and the herd from which they consider the acquisition of the animals. They want to know not only that the individual cows they buy have been tuberculin tested, but that the entire herd out of which they purchase is under super- vision and that its health has been demonstrated so far as it is possible to reveal the true conditions. PROGRESS IN TUBERCULOSIS ERADICATION It is expected that eradication of tuberculesis will go on with ever- increasing rapidity until the disease becomes circumscribed within the badly infected areas. Then eradication in those areas must be conducted vigorously, otherwise the disease will mean tremendous financial loss to the livestock owners. There is no endeavor to pic- ture an optimistic perspective of the future and acclaim the har- monious progress of tuberculosis work to its ultimate consummation. The views expressed are only those consistent with the history of the suppression of infectious diseases of livestock within this country. Tuberculosis challenged the indomitable will of the livestock owners of America, and they in their characteristic militant way accepted the challenge and are making headway against the enemy and will win as they were victorious in their campaigns against pleuropneu- monia, foot-and-mouth disease and the various other diseases attacked by them. Substantial progress has been made in several of the States in the suppression of tuberculosis. The elimination of the disease from all of the herds within entire counties or other units of territory is being conducted in approximately 150 counties, and the tendency seems to be at the present time for an expansion of this system of carrying on the campaign. As indicated previously in this report, it is not unreasonable to ex- pect that within a few years tuberculosis will have been practically exterminated in a number of States where the infection is compara- tively slight. This will enable the concentration of forces in States where the problem is of greater magnitude, and with the continued support of the livestock industry inroads can be made upon the infected herds and gradually they can be converted by the elimina- tion of the diseased animals and the building up of sound herds. The task is no less a tremendous one now than it was in 1917, but time has revealed the extent of tuberculosis in the respective States and this stands out now in contrast with the obscurity of the facts as they existed several years ago. This immense campaign now in progress contemplates the suppression of tuberculosis. The whole structure is founded on the established fact that the disease can be eradicated in the individual herd and among groups of herds of cattle. In order that the campaign shall endure until the aims are accomplished, we must pledge our faith to the principle that the methods known and practiced, although not perfect by any means, will accomplish the eradication of animal tuberculosis. Time and practice will evolve better methods and a more perfect system that will aid in the campaign. No evolution or any degree of perfection can be accomplished if we cease our efforts and wait for the millennium PROCEEDINGS oF A. V. M. A. MEETING Sas. to come. All is not perfection in the cooperative plan of eradicating tuberculosis of livestock. It is just a plan developed by practice during the course of many years and will undergo whatever further changes practice and experience show to be necessary. A summary of tuberculosis eradication work for five years and ees of this work June 30, 1922, are given in the accompanying tables. Summary or TuBercuLosis Erapication Wonk IN COOPERATION WITH THE VARIOUS STATES, FiscaL Years 1917-1922 Number Coun- States Cattle Reactors | Per cent ties Doing Tested Found Reacted Area Work x | June 30, 1922 IN EIDE ae. ae eet ee Se aes 79,140 1,118 1.4 8 ATKANSAS 12 beet te Sete ie oe tele 6,564 103 LG jaa | cee Maliforniae eer -y sae eee ee 4,867 146 3.0 2 Colorado rt gee es eee SI AE 2,027 76 3-8), Gite € See ae Glonnecticnt =i eh. cl we Pc 38,746 5,884 152) Ae ae eee Ielayenres) Seen Samant st Mec 22/306 2 Abbe || 10), oe ee Distuctiof Columbias-=*s. 2... 54... 6,403 72 be es ead Pe ot Mlorid ats. eee Asi ee oh isk 65,543 1,519 22d! | cies ee eee KT COUETRL oe, Oe tee eas ene ta 56, 782 1,067 ile) 40 WASHOE ee eo eee Be oe Re 78,388 1,244 1.6 26 MIN OIS Nee ar es ee. A 114,882 7,420 6.5 5 Amidiana ol. 2A EMAL ee ine 183,010 5,412 3.0 5 ROW are et PE be RE es oe aed 210,349 12,821 6.1 33 ANSE: Pyotr as. EN nS fee ¥ 79,450 2,101 220 2 Kentneky: epee oe toe Gch fk 85 , 963 2,052 2.4 33 ouisian al cress oe 3 5 Siok oo eB 40, 960 IS 2 ik | 4. Miaime hacer Seka Neigh een dint 84, 324 2,122 P25) 15 Wiarylandiat ane eG sD ee 83,338 6,760 8.0 4 Wkassachusetis: 2 54. cae. Sse ee. 30,381 2,549 Seal |e. ea o. Byee IMichican: 2 Sie. G64 Aten SS 230,083 7,460 Ba 18 Minnesota tom, So a es tee tore 275,810 8,206 DAO) Os atone 3 depts IVISSSISSI DPI Mistery sees heh ee heme o 107,416 550 0.5 4 IMSS OULIESEAL SPR xtc EL. 265,634 3,219 | ibs 22 Montana +5 Pets. SEE Se, es 210,469 BEiae 1.8 6 INGbraskia eee oo sere ee Pea SS 199,950 6,206 ou 20 INIGWGG NE. AS 6 Ca aaeen ee. ee a eae 31,664 1,140 3.6 10 News Elampshire=-.6 sae. 2. ae 23,704 2,415 10.2 1 New lersey a te). sso Ans eee 39 , 443 2,895 Cine Na Ree ee ar, oe oe NewallTexicosg.et.) (thar k ee 7,338 70 1.0 8 ING WEY OCK © 690 Pte Bem Hee ha. 218,646 28,623 HE 27 INoxtht Garolinats sp) 320 53. Asy yet ets 103,369 1,455 1.4 45 (NorthyDakotavp rr... fsa leat 160,652 4,928 2.9 8 ORION ats ee ee ee ee 115,182 5,219 fa eal eee eae icra Oblahomaterc tris 5,5 End ck ee 79,991 2,698 Swave’ PRG emote rezone st pets: (oe A ay pa 149,086 23,997 4). 4250 36 Rennisvivaniaae of eer ee oe 123 US REDE. 5.9 1 frhodevislandigy, 20 shes hae ee 4,151 370 SIOEP "6. So oes DONE) Carolina s0 2.5 siccred mien nok 49,080 806 ee | 31 SoutheDakotast ts sfeettns 2k: 50, 167 2,684 | 5.4 | 4 sHennesscemer yy sn teees cn a ee 98,167 | TEUZAS =|) ial | 3 PGK ASE Mirena ets Res ans sees 70,259 1,314 I eh ee Ae A LUNA S Soe Os Dra ee Cee eee 64,883 637 1.0 12 Wermontr:. = eens 2 ee DAS 2 oA | 183,254 12,719 6.9 4 Wireman yom ce. sos ee. 156,882 4,632 3.0 3 Wiashinetonerer te a te ss 186,589 | 4,682 225 20 UGS WITT Ce 43 , 654 916 2.1 “iO \WECOMTS 2505 Ce cee ee | Sell 10,076 | 2.8 | 17 Wivorningspees ore SiS 22. 2, Oe 35,781 370 TOF=| 11 Re ATaTIESCHOOISE ts 50s een. 2 es 413 27 6.5 WSK. chad ee tase [Pinel creas | UES Sit a 4,486 157 (Sie ORES ae Mohalla: em ewae te tks bak fee 4,931,252 185,670 | 3.8 494 376 PROCEEDINGS oF A. V. M. A. MEETING Status or Tupercutosis Erapication Work 1N Cooperation witH VARIouS SraTEs, JUNE 30, 1922 ; | Once Tested, Free Accredited Under Supervision States | Herds Cattle Herds Cattle Herds | Cattle | Mlahbamay ee eee ee 735 17,444 79 3,458 837 26,344 Arkansas cee, aera h S$: | 39 845 35 1,084 81 2,000 Califomias-cepeee ee eee 129 1,370 0 0 173 4,676 Colorado cere) eee 7 269 | 37 18 759 Gonnecticuteo eee 475 | 8,613 83 2,180 813 18,189 Delawaresrse eee 1,120 | 4,690 125 1,470 1,825 9,625 District of Columbia...... 141 345 194 815 340 1,373 Hlorida’. 2) 2), tee see 3,133 23,865 88 onl 4,014 44,761 Georgiate Were So 1,812 26,523 21 1,558 2,006 36,242 Idaho Peis. ane oes oe 5,056 40 ,454 116 4,031 | 5,607 51,371 Illinois enti Ia ae 709 12,740 368 8,589 | 3,449 44,452 Indiana. .,351 ce nee 8,970 62,290 1,308 22,326 | 11,753 109 ,557 Iowa mi rveal aeaNforor dieters Merete 3,500 — 51,690 779 | 23,649 Deo 113,797 Kansas ASE Oe Ooo nae 395 | 10,500 388 | 11,800 1,000 32,053 Kentucky. 5) 20 eee 5,347 41,273 194} 5,500 | 6,781 57,251 omisianar rcs soe eee ae 516 11,542 63 2,681 591 | 17,023 Maine tyyann ere 6,748 56,203 523 6,413 8,555 | 71,726 Maryland: ese one 1,632 16,698 386 Loker 3,455 34,043 Massachusetts. ..-........ 68 1,930 61. 2,350 216 7,084 Michigan ST Secon cee Rei 13,496 113,519 385 7,642 | 16,727 149,711 Minnesota. eee tee 2,022 38,759 1,506 34,833 4,222 91,872 Mississippi. ....... aN 352 | 11,026 140 | 3,241 674 15,933 Missounls. 5.) nae 18,703 | 177,465 389 | 12,400 | 19,734 205, 792 Montana 5 2. oes 9,914 126 , 466 116 6,358 | 10,845 159,851 Webraskare. 4-7. jane 7,728 95,390 210 5,877 9,769 134,692 Wevadaer. et eee TEST | 8,873 7 | § 882 1,884 18,612 New Hampshire.......... 485 | 5,111 65 ree | 779 12,145 INew:Jerseyes ooo ee. 12) 1,693 73 2,007 293 8,304 INewsMlexico:. 4-5 nc hee 724 Diy Dill io cy sis. cys ane lio eanacayte 883 6,827 New Yorkie: eee oe 4,511 | 53,615 565 | 12,380 | 6,543 | 196,560 North Carolina.........-.!| 20;988 81,545 277 5,604 | 21,652 87,463 North) Dakotae os. oeenen. 3,593 63,037 721 15,962 | 5,357 | 105,058 Ohio ae or es eae 1525 17,774 848 | 15,416 2,802 | 46,118 Oklahoma: screen ace | 391 OFS27 182 6,334 1 bee is) 23,421 Orezonhe a> se Ponee | 29e163' 7 90 , 987 170 4,144 9,333 95,131 Pennsylyania. 53.200 060. 1,039 14,598 1,165 19,501 3,005 | 49 ,454 Rhodevisland) 4. -- ee ae ie 544 14 304 | 42 | 1,213 South Carolina........... 882 | 10,875 80 | 2,639 1,765 17,209 South®Dakotas: 55.0.5. 293 7,600 218 | 4,733 | 610 | 15,452 Mennessees hc ee tee 669 | 13,020 198 7,623 | 6,164 94,072 Mexagne: Secs Soe e 46 | 1,714 66 PAPAL | PAE 16,386 Utaht eee. 232 se) ae eee 6,238 21,994 7F 2 ,40on |) GxebDet 42,763 Vermonts-. <5. seen 2,460 35,573 1,165 17,675 4,440 65,415 Mirginia ys eee 1,300 14,407 675 15,792 2,410 42,599 Washington: eo eee eee 5,687 43,869 lil 2,871 6,166 52,829 West Virginia............ 2,029 17,337 224 | 4,828 | 2,426 26,475 Wiasconsine- pce ero. 2,345 49,505 1,754 39,735 5,066 | 120,477 Wivomineerer rs were 2,774 27,701 3 110 3,083 323235 Motallaet +f se eer 161,533 | 1,548,183 | 16,216 ' 363,902 {212,182 ' 2,616,395 TUBERCULOSIS ERADICATION HELPS RATHER THAN HINDERS MILK PRODUCTION From July 1, 1917, to June 30, 1922, there were destroyed 175,000 tuberculous cattle. It was believed by some when the campaign began that the destruction of so many cattle would cause a shortage of dairy products and that the publicity given to the campaign would cause such alarm among the consumers of dairy products that it would work a great injury to the dairy industry. But instead of producing those results the increasing efforts to improve the health of herds have inspired more faith in the safety and value of foods from the dairy cows. Within the last four years several hundred towns have issued regulations requiring the tuberculin testing of dairy cows. On June 10, 1922, it was reported by the United States Department of Agriculture that the production of milk during 1921 was estimated at 98,862,276,000 pounds, a gain over 1920. The aver- PROCEEDINGS .oF A. V. M. A. MEETING Oued age per capita consumption of milk during that year was 49 gal- lons, the largest consumption on record. The number of milk cows increased during that year compared with 1920. Also the production of butter increased during the same period. Milk cows on farms increased 341,000 head during 1921. THE CONTROL OF BOVINE TUBERCULOSIS FROM A PUBLIC HEALTH STANDPOINT - The Committee on Tuberculosis in the past has not undertaken to report data concerning the transmissibility of bovine tuberculosis to the human family, for the reason that it is generally accepted that this is a question that should be left to the medical profession and that our profession should confine itself to the study and control of diseases of livestock and the dissemination of knowledge pertain- ing to the health of livestock as an economic problem. The serious study and investigation of bovine tuberculosis as a public health question was stimulated by the activity of those who questioned the statements of the late Dr. Robert Koch that the danger to man from bovine tuberculosis was negligible. Observations made since that time have established more firmly than ever that the transmission of the bovine type of tuberculosis to man is not uncommon and that at least 10 per cent (Park) of the deaths from tuberculosis in children under five years of age are the result of infection of bovine origin. The guarding of public health against such sources of infection becomes a public duty and justifies this Association and the veterinary profession in using every honorable means in order that there may be a more general recognition of this question from a public health standpoint. It is not uncommon to hear that representatives of local health departments and locally prominent members of the medical profes- sion have made statements that the danger of transmission of bovine tuberculosis to the human family is negligible. There still continues to be more or less indifference to this problem on the part of some of the public health officials. As the source of bovine infection to the human family is largely confined to the milk, milk products and meats, a supervision of the production, handling and distribution of these products constitutes an important public health service, and no organized effort or campaign for the control and suppression of human tuberculosis is logical that does not include measures to control bovine tuberculosis. Large sums of money are expended annually for sanitoria to care for individuals with tuberculosis, and larger sums will have to be appropriated for many years to come unless measures are adopted to prevent the infection of new individ- uals. Certain scientists, health service organizations and commercial dealers in milk and milk products attempt to solve the problem by pasteurization. If pasteurization under rigid regulatory inspection forces could be universally applied, no doubt it would be effective. But it is impossible to obtain that kind of pasteurization except in a few of the larger cities where the inspection service is rigid and complete. Unless milk and cream are properly pasteurized it simply sets up a false standard of security to the public. The larger per- centage of our population living on the farms and in the smaller communities must continue to use raw milk and milk products. Proper pasteurization will never become general, nor will it solve the control and elimination of the bovine source of infection to the human family. The members of this Association should interest themselves in edu- cational campaigns on the relation of animal tuberculosis to the public health. It is not our duty to do educational work pertaining to public health, but we should be in a position to furnish health 318 PROCEEDINGS OF A. V. M. A. MEETING authorities with such information as will assist and stimulate them to reach the public through educational institutions, the public press, medical colleges, bulletins and other channels. For these reasons and with the above object in view your committee submits a résumé of certain literature-on the transmissibility of bovine tuberculosis to the human family. Résumé of Literature on the Transmissibility of Bovine Tuberculosis to the Human Family Park and Krumweide (1)* examined 487 cases of tuberculosis to determine the type of bacillus present and recorded 1,033 cases found in the literature, making a total of 1,520 cases. Nine hundred and fifty-five were adults over 16 years of age, 177 were children from 5 to 16 years of age, and 368 were children under 5 years. The bovine type of the bacillus was found present in 35 per cent of the children from 5 to 16 years of age, and in 26 per cent under 5 years. Both the human and bovine types were found in eleven additional cases examined. Examinations made at a foundling asylum on 9 cases in children under 6 years of age, who were fed on cow’s milk, showed 5, or over 50 per cent, to be infected with the bovine type. The bovine type was found to be present in 1214 per cent of the fatal ane of tuberculosis in children under 5 years of age in New York ity. Dr. W. H. Park (2) in a later article, as a result of studies of 1,042 cases, drew the following conclusions: : “As the result of a large series of cases reported by ourselves an others, it has been shown: “1. That children are especially infected and usually the point of entry is the alimentary tract. “2. That cervical adenitis and abdominal tuberculosis are the most frequent types of infection. “3. That generalized tuberculosis due to bovine tuberculosis is less frequent. “4. That bone and joint tuberculosis is most commonly of the human 5. That the meninges are less commonly affected by the bovine than by the human type. “6. That the infection of adults by bovine bacilli is very infrequent. _ “7. That pulmonary tuberculosis due to bacilli of the bovine type is rare.” Park sums up his data in the following two tables: TaBLe 1.—PERCENTAGE OF BOvINE INFECTION! | , ‘ | Adults Children | Children Diagnosis | 16 years 5 to 16 under 5 | and over years years | percent | percent per cent Pnlmonarystuberculosise aie cc Sob eie eae Oe ee 02 0 Tuberculosis adenitis, cervical. 22... 2.02.2 seta as sens > 4 37 SF. Aibdominalituberculosis <./< Si seer tae ss Seek 16 50 68 Generalized'tuberculosis: 2.2 acai oe ec hae 3 40 | 26 Tubercular meningitis (with or without generalized (Ste) hase a ee Sen aes Sone ee ores co 0 0 15 ‘Tuberculosis of bones and joints. ..........:....+--.-- 5 3 0 Total number of cases studied. .......---...+-++-- 686 | 132 220 1 Exclusive of the cases of double infections. In considering the pulmonary cases it must be remembered, however, that bovine tubercle bacilli have been isolated from the lung in cases of generalized tuberculosis in children. 2 If one doubtful case admitted, 0.2 per cent. Grand totalistudiés:<\: s@B Toemake ones thousand! MiIECHS sere crc erorereie le iherelnieioieiecetoralelolel sits 1000 mils Mix four volumes of alcohol with one volume of water, and saturate the drugs with this menstruum. After macerating for two days, percolate them in the usual manner with sufficient menstruum of the same strength until the product measures one thousand milliliters. Average dose—Metric, 4 mils—Apothecaries, 1 fluidrachm. UNGUENTUM RESORCINOLIS COMPOSITUM Compound Resorcinol Ointment Ung. Resorcin, Co. Resoreinol, (Six SATAN! i. oc «hc catsy ore rev eel alee evade lade eee aslelistels ialicds aro eieetey= rere bens 6 Gm ZINC Oxides Sixes haMMesteyacreratoetete itetslerdeeielelinisiclel ever ie ieieleneieralnterrasteiaterterers 6 Gm. Bismuth, Subnitrates six eTrAamMMess.cmyeie cio cera atest levelels sovekel: atelsbolet | toneters ieee 6 Gm. Rectified se Oil sof. Birchw bar. oSixa se TAM CS reiyeteleieter)lokeyslere) tayeieeil lisesi rice 6 Gm. Yellows Wax stent erammMesry yee tes coy aintieieeies cistie mieten ce mecha neha eter arene 10 Gm. Petrolatum, «twenty-five: 2rammMesern secrete ce oem ce onielsicieya cles cercheicleterere 25 Gm. Anhydrous! Wool) Hat; twenty-eight eamMMesre oe ciciererseicye)-le cicleleteietescteitabatede 28 Gm Glycerin sy thirteen’ 2ramm Csiecn ce rete teaieterecke rerio ave clorereweeieie etarele cokare seers 13 Gm. Tommeakel one hundred serammvessererciccer tle er ketieletck-lelet tes ie 100 Gm. Melt the yellow wax and anhydrous wool fat in a dish on a water bath. Rub the zine oxide and bismuth subnitrate with the petrolatum until smooth and add it to the melted mixture. Dissolve the resorcinol in the glycerin, incorporate the solution with the warm mixture just prepared, then add the oil and stir the oint- ment until it is cold. UNGUENTUM SULPHURIS ALKALINUM Alkaline Sulphur Ointment Ung. Sulphur. Alk. Sublineds Sulphur. twenty erammesec.c a. cocicics siciasiclsminicrssleene csrererleistole iene 20 Gm. Rotassium Carvonates ten) erammMest eis ccerac ieee cece reieinoniciee 10 Gm. Waters five: = ev-lelelererslodaveteeiersierere 65 Gm, Lo make zone shundred) erammes?oc occas sieciciee ee eicieeeeieeioe 100 Gm. Rub the sulphur with the potassium carbonate and the water, until a smooth, homogenous mixture results, then gradually add the benzoinated lard, and mix thoroughly. UNGUENTUM ZINCI STEARATIS Ointment of Zinc Stearate (OR Sy es VILL) Ung. Zinc. Stear, “Zine Stearate; ini fine’ powder, fifty grammes..... cc ceeeeciece soe cee coe ee 50 Gm. White) Petrolatum; fifty mgrammesiaek joe doses coselaeee eee beech encore 50 Gm, To. make: ‘one hundred serammes:.54- ee eee eee eee 100 Gm. Rub the zine stearate with the white petrolatum until a smooth ointment is produced. VINUM COLCHICI SEMINIS Wine of Colchicum Seed (US eb Vili) Vin. Colch. Sem. One hundred mililiters of Wine of Colchicum Seed yields not less than 0.036 Gm. nor more than 0.044 Gm. of colchicine. Fluidextract of Colchicum Seed, one hundred milliliters.................. 100 mils Alcohol, one hundred and fifty milliliters............... aioeererete steteie rat sists 150 mils Sherry Wine, seven hundred and fifty milliliters.................c.cc-cece 750 mils Topmakeszone; thousand milliliters... see ae eee eee ee 1000 mils PROCEEDINGS OF A. V. M. A. MEETING 393 Mix them. Set the mixture aside for two days and then filter. Assay—Evaporate 150 mils of Wine of Colchicum Seed to 15 mils and proceed as directed under Fluidextractum Colchici Cormi. Average Dose—Metric, 2 mils—Apothecaries, 30 Minims. MISTURA ADSTRINGENS Astringent Mixture Mist. Adstring. Mistura Adstringens et Escharotica, N. F. III. Villate’s Mixture Solution of Lead Subacetate, one hundred milliliters................... 100 mils Copperssulphater sixty-five frAMMeESs =. 26.15 cris 10!) a sloyoiey ais) sales selais = lelnal fore helene 65 Gm. ZINC SUI Pate pe SURLY ILE STAMNIMNES Foes om ole ala) «share sieyeiel [ole lsseke sl = el sta iteheneieeeets 65 Gm. Diluted Acetic Acid, eight hundred and fifty milliliters.................... 850 mils Dissolve the copper sulphate and zinc sulphate in the diluted acetic acid, add the solution of lead subacetate, and agitate thoroughly. Shake this preparation well before dispensing it, so that the precipitate will be uniformly distributed. On motion of Dr. Connaway the report was accepted. Adjournment. SMALL-ANIMAL SECTION WEDNESDAY MORNING, AUGUST 30, 1922 The Small-Animal Section of the A. V. M. A. convened at 10:15 a. m., at the Planters Hotel, St. Louis, Mo., Chairman J. C. Flynn, of Kansas City, Mo., presiding. CHAIRMAN FLYNN: Not many years ago, you will recall, you who have been attending the meetings, that if a paper was pre- sented on small animals, or a clinical case presented, the prac- titioners were somewhat disgusted. Many of them would get up and leave the room. If they sat and listened, they listened with indifference. A vast change is coming over veterinary prac- tice. If those who are interested in small-animal work take the trouble to investigate a little or to listen, they will find that all over the country the veterinarians are waking up to the possibilities of small-animal work, and particularly is this true in the cities. About two or three weeks ago I attended a State meeting in Oklahoma City, and I found there a new hospital for small animals, that had just been finished, and it was crowded. The hospital had been completed only a few days, and it was filled up. The fact that we haven’t had a good-sized small-animal prac- tice is the fault of the veterinarians and not the fault of the public. The public was ready for it for years, but the veteri- narian has given his time to the large animals and wasn’t interested in that. When the tractors came along and took away a good deal of that practice, they began to look around for other fields to develop. The field was already there and could have been developed many years ago. One doctor told me yesterday that he built his hospital two years ago, and said, ‘‘I am only sorry I didn’t build my place ten years ago.’’? He said it was a success, and when he was equipped to give service the people wanted it. In preparing this program, we looked over the field and tried 394 PROCEEDINGS OF A. V. M. A. MEETING to secure the very best men we could possibly get. I want to take this opportunity to say that the men have cooperated with me in every respect in preparing this program. In only one case was I refused a paper by anyone whom I requested to prepare one, and he had an ample excuse. The local commit- tee here, Dr. Jennemann, Dr. Darling and Dr. Ellis, have worked untiringly to prepare clinical material, and I am confident that this afternoon we will have ample material to present some most interesting cases; in fact, cases that come up in every-day prac- tice, cases that will be of interest to you. Some dogs were shipped from Texas Saturday, and we haven’t heard from them. A dog was shipped from Kansas City, and we haven’t heard from him. We had some animals shipped from Colorado last Saturday, and they have arrived. If there is any failure of clinical cases it will be charged up to the railroads and not to the committee in charge, because they have been loyal and faith- ful and have done everything they could to make this meeting a success. The first paper on our program is one by Dr. O. V. Brumley, of Columbus, Ohio, entitled, ‘‘Gastroenteritis in Small Animals.”’ Dr. Brumley was unable to attend the meeting, but he pre- pared his paper and sent it in. Dr. E. L. Quitman, of Chicago, will present it. (Dr. Brumley’s paper appeared in the November JOURNAL, page 200. The discussion following it appears elsewhere in this issue. ) WEDNESDAY AFTERNOON, AUGUST 30, 1922 The meeting convened at 2 o’clock, Chairman Flynn presiding. CHAIRMAN FLYNN: We will ask Dr. Frick, of Manhattan, Kans., to present the paper of Dr. W. E. Muldoon on ‘‘Sequele of Canine Distemper.’’ (Dr. Frick read Dr. Muldoon’s paper, which, with the diseus- sion following it, appears elsewhere in this issue of the JOURNAL.) CHAIRMAN FLYNN: The next paper will be ‘‘Internal Para- sites of Dogs and Cats, and Treatment for Removing These Parasites,’’ by Dr. M. C. Hall. The paper will be read by Dr. Hoskins, of Detroit. (Dr. Hoskins read Dr. Hall’s paper, which will appear later. ) CHAIRMAN FLYNN: It seems from Dr. Hall’s paper that in- testinal parasites of the cat and dog are giving Heinz pickles a close race. There are 47 varieties of the parasites, and Heinz pickles have 57. According to Dr. Hall we still have hopes. He says possibly we will soon be up to the 50 mark. We will have as the next number on our program a discussion of the diagnosis of demodectic mange, hookworms and Filaria ummitis, presented by Dr. R. P. Marsteller, of College Station, Tex: PROCEEDINGS oF A. V. M. A. MEETING 395 PARASITES OF Docs—R. P. MARSTELLER Dr. MaARSTELLER: In diseases of dogs that we have to deal with, over 90 per cent of the dogs are infested with some para- site. We have found that in handling dogs, especially by rou- tine in connection with students, it is advisable to make micro- scopic examination of the feces and blood. This may not apply so well in other sections of the country, but with us it is im- portant. Several phases are of vital importance, particularly in the purchase of dogs. In our part of the country somewhere between 20 to 25 per cent of the dogs have heart worms. Men buying what they call stock dogs, which are used for working cattle, especially in parts of the country where they are dip- ping cattle, must be very careful. It is the same with valuable hunting dogs and other dogs. If these worms are present the dogs can not stand work. Then we find we have some dogs with heavy infestations of hookworm and other parasites, which makes an examination rather important. My main idea in presenting this subject to the A. V. M. A. was to call your attention to the simplicity of making a miecro- scopic examination for parasites, and the fact that you ean do it with a very simple microscope. You can get one that will do the business from a mail-order house for $12.50. It has already been mentioned that successful treatment will cure these different parasites, but the treatment varies. There are no shotgun prescriptions that I have found that are effective for all these parasites. And I don’t know any way of making a quick, clean, positive diagnosis in these parasitic diseases of dogs other than to examine the feces and blood and skin—serap- ings of the skin. I have dogs here showing some of these dis- eases. I brought the dogs with me. If any of you are particu- larly interested, any time during the afternoon I would be glad to prepare some blood specimens. It is not difficult; simply hack a vein in the ear, and you usually find the parasites. People in our country are insuring dogs, and we should not think of passing a dog for insurance without examining the blood and feces. I don’t see how a man can do otherwise, in fair- ness to all concerned. We have a great deal of trouble with red mange. We did nearly everything that has been mentioned verbally or in writ- ten form, but had little success with it. About eighteen months ago someone told us about the treatment with arsenic. We hap- pened to have a case on hand. We made a positive diagnosis, found the parasite, and treated the animal with 10-grain doses of arsenic and peroxid. We repeated this about four times, and followed each administration with oil given internally. The dog made a prompt recovery, and nothing else was done to it. We have the dog here. Since then we have tried that treatment on any number of cases and they have not gotten well, but 396 PROCEEDINGS OF A. V. M. A. MEETING this dog is well. However, about six months ago we accidentally came onto a formula. I know you are tired of hearing of formu- le for red mange, but this one contained the following: 8 oz. kerosene, 8 oz. raw linseed oil, 1 oz. carbolic acid, 1 oz. oil of tar, ¥ |b. sulphur. This has absolutely cleaned up all our chronic cases. This is not a pipe dream. I haven’t an open case of mange, and I couldn’t find one to bring here to show you the parasite. I have dogs that have been treated with this preparation. I know you are going to laugh about that formula, and I laughed about it myself, but it does the business. We apply this with mild rubbing about once a week. We have used nothing else. Dr. Mitxs: Do vou use precipitated sulphur ? Dr. MARSTELLER: Just commercial sulphur. In fact, the man who gave me the formula said, ‘‘Use one ten-cent package of sulphur.’’ Most of these dogs we get are already clipped. I would like to show you a wonderful recovery. This is just a little cur dog. This dog was as splotched as the bulldog is. These places were raw. There were papule pustules all over these areas that you see, and for a long time even after she had haired out the skin looked pink, but that is all cleared up. Here is another dog which has had about three applications of the remedy that I mentioned, applied about once a week. You can see she has begun to hair up and clean up, and you can’t find any pustules on her—or I wasn’t able to find any before she left home. These places were raw. I believe she is going to get well, as a number of others have. Dr. Mitks: How lately have you examined her skin with the microscope ? Dr. MARsTELLER: We haven’t examined her skin with the microscope since we began to treat her. I would be glad to have anyone examine her. As a rule we find after the pustules disappear and the hair begins to come out and the redness dis- appears we have no further trouble. Dr. Mitxs: We have a great deal of trouble with mange. The dog looks typical of the ones that come in to us as to skin trouble, and you can find any quantity of mange. Dr. MarsTetter: Her legs and all these places on the skin you see were hairless and were filled with pus and pus-like pustules, and there we found the mange mites, plenty of them alive. It may be that you can find some on her, but in looking over her hurriedly before leaving home I could not find any in the skin scrapings or could not find any pustules. Dr. Hype: Will you make clear to the audience your modus operandi in applying the treatment ? PROCEEDINGS oF A. V. M. A. MEETING 397 Dr. MArsTELLER: Take a soft cloth or paint brush and apply it; leave it on until you make the next application. Dr. QuirmMAn: Dr. Marsteller said he used everything or nearly everything in the treatment of mange. I want to ask if he ever used plain, straight castor oil. Dr. MArstetuerR: J had failure with it. Dr. Quirman: I have had most brilliant results with it— just plain, straight castor oil—even where the skin had become thoroughly corrugated and thickened. Dr. MArsTELLER: We have had success in sarcoptie mange, but in the red mange we had no success with eastor oil. I wouldn’t say that dog over there is cured, but I believe she is on the way to recovery, though you may be able to find somy mange mites. Here is a specimen of an intestine covered with hookworm. It was collected from a bunch of fourteen pups, two of which died before they were sent to us, three died during treatment, and the others recovered after they were given carbon tetra- chlorid. Here are two bottles of tapeworms, all taken from one dog. Here are 1,637 hookworms removed from a 16-months-old pup. They were removed by the usual dose of carbon tetrachlorid. We picked these out of the stool. ANESTHESIA AND CZ:SAREAN OPERATION—J. G. HARDENBERGH AND W. G. Brook CHAIRMAN FLYNN: Dr. Hardenbergh will demonstrate anes- thesia. Dr. HARDENBERGH: The method of anesthesia which I wish to demonstrate is one which was perfected for us in experimental surgery, by which after preliminary etherization in a closed cabinet the dog is placed flat on its back on the operating table, the body in a straight line, and the tube is passed down the trachea. I think it would be best for me to explain the method after we get over the preliminaries of the operation. J have some shdes with which I will demonstrate the entire procedure fol lowed. Dr. Mermuat: How do you deliver the ether? Dr. HArDENBERGH: By passing the tube down the trachea. The dog breathes the ether in the open ether can with two out- lets, one connected with this intratracheal tube, and the other with the open air. The dog breathes the ether vapor off the ether, which has a real lively high tension, and after the animal is thoroughly under it and the anesthesia regulated, it is entirely automatic. The dog can be maintained under complete anes- thesia for an hour or more without further attention. It is a method adaptable to one man’s technique when occasion re- 398 Procrrpines or A. V. M. A. MEETING quires. It is one we feel is particularly adapted to those prac- titioners who have small-animal hospitals. CHAIRMAN FLYNN: Dr. Brook will explain the operation he is about to perform and give you the technique in detail. (Dr. W. G. Brook demonstrated the Cesarean operation on a dog, explaining the technique and the various steps. ) Dr. Brook: In performing the Cesarean operation, we per- form it in a median line by making the incision from the um- bilical opening down about two or two and one-half or three inches, depending on the size of the dog and condition we find the animal in. In operating I wear thin rubber gloves. After you have made the external opening, find out which part of the uterus most of the feti are located in. In this case we have the majority of them in the right horn. We will en- deavor to bring up this horn to the surface. In bringing the horn to the surface be very careful in manipulating so as not to tear the uterus, or that your finger nails don’t go into the uterus proper. We make our incision in this case at the bifurcation of the uterus, so that you can bring the fetus from the opposite side of the uterus out at this side. Pad the uterus well, so you don’t get any of it back in the abdominal cavity. In making the in- cision into the uterus don’t make too small an opening; make the opening large enough to bring the feti to the surface with- out tearing the uterus. You should remove one horn of the uterus at a time. Be sure to remove all placental membranes. We usually do this operation absolutely without any hemor- rhage. If you attempt to remove the feti by manipulating with instruments and bruise the walls of the vagina, your operation will not be successful. This operation is absolutely as successful as any one you can do, and it is not difficult to do at all. There is no reason why you should not do it. We do this operation very frequently and our results are very good; but we never attempt it after the walls of the vagina are bruised, for the simple reason there is a necrotic condition there, and the dog will get an infection and die in spite of anything you ean do. When vou get ready to do the suturing in the uterus, be sure you have all the membranes clean, using a little iodin. Have your assistant stretch the uterus into normal position; after you’ get it into normal position, make an uninterrupted suture. In suturing use chromic catgut; you will find it more satisfactory. The first line of suture, through the serous and muscular coat, is absolutely covered up. Let us consider the class of cases in which the Cesarean opera- tion is indicated. We find that the Bostons give us a lot of trouble in obstetrical work on account of the small pelvic cavity. I have been working for several years on instruments that would relieve that condition. PROCEEDINGS oF A. V. M. A. MEETING 399 I have here two instruments that I have been using very sue- cessfully. You are perfectly welcome to examine them. Any tool-maker ean make them for you, or an instrument company will make them at a reasonable price. (Dr. Brook exhibited the instruments and explained their use in delivering the fetus in cases of difficult parturition. ) Dr. Brook (continuing): After you find that you can’t re- lieve the animal with the instruments, don’t manipulate her too much; resort to a Cesarean operation. It is very successful when done under favorable conditions. If you find the ani- mal’s uterus is bruised a great deal, don’t do a Cesarean opera- tion if you want to save the female, but resort to a complete hysterectomy at once. Don’t try to use serum, because no doubt you have infection of the uterus at that time, and conse- quently the operation would not be successful. By doimg a complete hysterectomy vou will probably have no trouble and the patient will get well nicely. After making an uninterrupted suture through the muscular and serous layers of the uterus we make what we call the Lem- bert suture, taking up the mucosa and muscular, bringing them in over the previous suture which closes up the uterus, and there is no danger of drainage into the abdominal cavity. In doing this operation I do it mostly by myself, sometimes with one assistant. I use one grain of morphin, and I find under that you can do this operation very successfully. Ocea- sionally you will have to resort to ether, but I always give mor- phin. In behalf of Dr. Hardenbergh I might say that his method of anesthesia has been adopted in a lot of the schools, and by a lot of the practitioners, and it is very successful. Dr. Frost: Do you always operate through the median line? Dr. Brook: I always operate through the median line. In making the incision through the median line you do not have the muscular tissue to bother you in making the suture after the operation, but you have plenty of room there to make the suture without interfering with the mammary glands. You can put the pups to nursing within twenty-four hours, just the same as if nothing had happened. For bandaging after the operation I put a boracic acid pack over the wound, then a thin layer of gauze, and put a piece of cardboard over the line of incision, with a piece of tape between the teats, clear around the back—and that is all the bandage that is needed. After a few days the dog is liable to tear this down; it will begin irritating a little; then put on a medicated bandage. With careful attention the line of suture will heal within four or five days and you will have no further trouble. A Memser: Is there any special after-treatment ? Dr. Broox: Nothing more than you would have in an odpho- rectomy. In doing an odphorectomy I do it entirely with a 400 PROCEEDINGS OF A. V. M. A. MEETING headlight, an electric light. I make a small incision and throw the light, then I can see the horn of the uterus and see it very distinctly from any other of the structures. After you have located the horn of the uterus you can take any kind of a hook you like and reach in there and pick that horn of the uterus up and bring it to the surface through the small opening and remove the ovaries the same as any other method. Dr. Frost: Do you find an odphorectomy satisfactory to the owner if the bitch comes in heat more than once repeatedly after the operation ? Dr. Brook: I do. Very often you will have a condition where there may be some disturbance of the ovaries, rupture of the cysts, carrying down into the broad ligament, and you may not be successtul. By removing a large part of the connective tis- sue around the ovary you will be absolutely successful. How- ever, there are cases on record, and I have had one instanee, where after removing the ovaries the animal came into heat again, but it occurred only once, and that was the end of that. We do have that condition occur sometimes. CHAIRMAN FLYNN: Didn’t that occur where you operated just previous to the estrual period, just within a few days? Dr. Brook: Yes, sir. You can’t change the system that quick. Dr. Stokes: What disadvantage is the flank method over the medial method ? Dr. Brook: I have never resorted to the flank operation, but I have always contended that you have too much muscular tis- sue to deal with. You don’t get healing as rapidly as you do in the median line. I should advise every veterinarian who has the opportunity to take up with an M. D., who does a great deal of surgery, the matter of watching some of those operations. You have no idea what you can learn of surgery by watching the M. D.’s. In our city we have a medical college, and I attend clinic there very often and watch the different operations, with the courteous invitation of some of the M. D.’s; and you don’t know what a help it is. You may get used to the different operations and resort to them in small animals. Your small-animal practice follows the human practice all the way through. Dr. TREMAN: I would like to ask if you have done the com- plete hysterectomy in sows? Dr. Brook: My practice is not in the field where we have very much hog work to do, and I have never done Cesarean or com- plete hysterectomy of the sow. Dr. Bower: I would like to ask how you control hemorrhage. Do you ever do ligating in odphorectomy ? Dr. Brook: In advanced pregnancy sometimes you will be called to do an ovarian, and you will find the animal pregnant In those cases I make a complete hysterectomy. It is a whole PROCEEDINGS oF A. V. M. A. MEETING 401 lot easier, the animal recovers a whole lot better, and your opera- tion consequently is more successful. As for controlling hemor- rhages in those cases, I first ligate the arteries, the utero-ovarian arteries above the ovaries, remove the ovaries, and ligate the uterus, then go through the procedure I explained and make a complete hysterectomy. In the majority of ovarian operations I do not ligate the arteries; I use forceps in removing the ovaries by twisting them off. CHAIRMAN FLYNN: Do you recommend this operation in prac- tically all difficult cases of delivery? Dr. Brook: Yes. CHAIRMAN FLYNN: You consider they suffer less, and there is less chance of bad results, fatal results, in the operation than there is in the use of instruments in delivering the young? Dr. Brook: There is less chance of bad results by using the operation. You will find that by using the instruments we have now you can have better success, but the old forceps we have been using, catching hold of the fetus, and the traction put on it more or less tearing it, proved an injury to the walls of the vagina; consequently you get an infection and the mortality is very high. By resorting to the Cesarean operation, after you get familiar with it, you will find it a successful operation, and I would say 95 per cent of your cases will make a recovery. I don’t do this operation if somebody else has already made an attempt and bruised the vagina or uterus. After that I wouldn’t go ahead and do a Cesarean operation and tell the owner ‘‘T think she will get all right,’’ for the majority of those cases will not. Dr. H. H. Brown: What effect does this operation have on future pregnancy? Dr. Broox: If you use the proper suturing material, chromic catgut or plain catgut, you will not have any trouble at all. The animal can go ahead and conceive the following season and come through without any trouble. I had one case in particular where a veterinarian had used silkworm gut, and in that case I had to do a complete hysterectomy in order to save the animal. Dr. H. H. BRown: Would you advise complete hysterectomy prior to odphorectomy ? Dr. Brook: You mean if she is pregnant? Dr. Brown: In any ease. Dr. Brook: Your question is, if some one brings a dog to you and wants odphorectomy performed. I do not perform hysterec- tomy; I perform odphorectomy. CHAIRMAN FLYNN: I want to thank Dr. Brook for his part of the program here, and also each and every one of the other men who have helped us out on this clinic. I want to repeat that the local committee—Dr. Darling, Dr. Jenneman and Dr. Ellis—have worked hard, and they have produced a number of very interesting cases. 402 PrRocEEDINGS oF A. V. M. A. MEETING OTHER CLINICAL CASES CHAIRMAN FLYNN: We have two kittens here, shipped from Colorado. They are peculiarly afflicted. They are here for diagnosis. The field is open. As near as I ean tell from the history that I have of those kittens, they have lost their equi- librium, and seem to be healthy otherwise. We presume this condition existed when they were born. They are Dr. King- man’s kittens. Here is a dog that came to me a month ago. While tied with long rope, about three months ago, he chased neighbor’s dog across the lot. He was thrown ‘backw ard upon the sidewalk with great force. Within a few days after the tumble he showed evidence of pain while eating, which was noticeable for about a week; then for a week or ten days he appeared normal. Later it was ‘noticed that the dog would prehend his food with his front teeth only, working the food back to the pharnyx with the tongue without mastication. This dog is unable to open his mouth any more than possibly an inch and a half or two inches.. He was given an anesthetic at our place, and we were just as much unable to open his mouth after he was anesthetized . as we are now. We have taken an X-ray of the head, and here are the two photographs. You can look at them, and if you find out anything about it, it is more than we could. This dog is here for diagnosis. He has been around in Kansas City to practically every veterinarian. The owner told me a few days ago that the head had begun to shrink. I presume it is the temporal muscles that are shrinking from lack of use. I notice on ex- amination here now that the head is smaller than it was when J had him a few weeks ago. Dr. Darling has a ease here which he will explain; it is quite interesting. Dr. Daruinc: This dog has a compound fracture of the lower jaw, and a lacerated wound on the tongue. This happened eight days ago. Supposedly the dog used to tease an old sow, and the supposition is that the sow snapped the dog. ‘The dog is starting to take solid food in his mouth. He will make a good recovery, I think. Dr. Frost: What was the treatment? Dr. Daruinc: There was not much treatment. We gave him rectal injections of beef broth and mutton broth. Today he is eating a little ground Hamburger, and we expect him to get better. There is a great deal of slough here on the lip. About one-third of this will slough off. He is a fine hunting dog. Here we have a 9-year-old cat that had a fistulous opening on the cheek, communicating with the ear. If we had time the intention was to run a groove directly in there and open up the whole tract to see if we couldn’t make a permanent repair. We have a case here of an infectious venereal granuloma. You PROCEEDINGS OF A. V. M. A. MEETING 403. see the watery condition around the sheath. That condition is of six months’ standing and has received no treatment. We intended to cauterize that. CHAIRMAN FLYNN: What is the treatment recommended ? Dr. DaruInc: Curetting and cauterizing; but there is a great tendency to recurrence. Dr. L. G. Brown: Would you think it advisable to remove any of the prepuce? Dr. Darurna: I think you can save the prepuce in this ease. Here is a small gland under the membrane; it is quite a common condition of the eye in dogs. A little cocain is injected and the gland is taken out very readily. CHAIRMAN FLYNN: That is a very simple and satisfactory operation as a rule, and people are well satisfied with it. Dr. Darling recommended the use of a little cocain, and I believe by raising the growth up and nipping it off with nippers, usu- ally in 24 to 47 hours you have practically a complete recovery, and the owner is very well satisfied. That completes the small-animal program. Adjournment. FROM THE SECRETARY’S OFFICE There will be a meeting of the Executive Board, at the La Salle Hotel, Chicago, HL, Tuesday morning, December 5, at 10 o’clock. ee A new supply of automobile emblems has been secured. All the unfilled orders which had accumulated while awaiting the new supply have been filled. Orders will now be filled on the day of receipt. —— This is the year for the election of a member of the Executive Board from the First District, which includes all of Canada. A notice calling for nominations will be sent out shortly to all members in the First District whose dues are paid for the cur- rent year. Members whose dues are unpaid are not entitled to a vote. “— Quite a few members in all of the districts have neglected to remit their dues for the current year. A second notice to such members will be sent out during the month of December. Mem- bers desiring to save the Association the expense of sending out this second notice should remit their dues immediately to the Secretary, P. O. Box 471, Detroit, Mich. Kindly make checks payable to the American Veterinary Medical Association. H. Preston Hoskins, Secretary. OTHER MEETINGS ARKANSAS VETERINARY ASSOCIATION The Arkansas Veterinary Association convened at Little Rock on October 11 with a number of stock men and poultry men present as guests of the association. A paper prepared by Dr. B. F. Kaupp, Poultry Investigator and Pathologist North Carolina Experiment Station, was read by Dr. Shull and was very favorably received. Dr. Hubert Schull of Texarkana brought out many excellent points in the production of clean milk for the home and mar- ket, at the same time clearly demonstrating the immense ser- vices practicing veterinarians may perform in conserving pub- he health. At the evening session Dr. D. F. Luckey, Livestock Com- missioner, Livestock Exchange St. Louis, gave an illustrated lecture on tuberculosis convincing his audience of veterinarians and stock men that tuberculosis causes considerable economic losses, is a menace to public health and that the merits of tuberculosis eradication work are such as to urge its early eradication. Dr. B. H. Ranson, Chief of the Zoological Di- vision of the Bureau of Animal Industry, Washington, D. C., gave an illustrated lecture on common intestinal parasites ot swine which was very highly instructive and interesting, espec- lally the work relative to the life history of the common round worm. A constitution and by-laws was adopted at the morning ses- sion on Ocober 12. A well prepared paper of Dr. J. S. Schill- ing of the State College of Agriculture on the preparation of material for laboratory examination prompted considerable discussion illustrating the import of the laboratory in arriving at a diagnosis of diseases or conditions. President Wilson ably discussed infectious abortion of swine. His experiences corroborating that of others, namely, the im- portance of quarantine and sanitation. Dr. H. J. Hayes of Helena briefly discussed barium chloride and its uses. The President suggested an open discussion in 404 OTHER MEETINGS 405 which Dr. Hayes brought up the subject of tetanus, with dis- cussions by Drs. Luckey, Schull, Kittrell and Wilson. Drs. Wilson brought up and discussed briefly the subject of swamp fever. After the election of Dr. Earl Kittrell as President and J. H. Bux, Secretary-Treasurer, the meeting adjourned. JOE H. Bux, Secretary. CONNECTICUT VETERINARY MEDICAL ASSOCIATION The Connecticut Veterinary Medical Association held its quarterly meeting at the Hotel Elton in Waterbury, Wednesday, November 1. The following members and visitors were present : Commissioner on Domestic Animals James M. Whittlesey, R. L. Smith, Inspector in Charge, Bureau of Animal Industry; Grove Loveland, V. M. Knapp, M. Ray Powers, Charles L. Col- ton, A. T. Gilyard, B. D. Radcliffe, A. W. Sutherland, F. M. Page, Harrison Whitney, C. A. Burnette, I. R. Vail, George T. Crowley, Benjamin Pennell, Thomas Bland, Peter T. Keeley, J. L. Devereaux, Edwin Laitinen, E. L. Thornton, Geo. E. Corwin. Visitors: Dr. H. W. Jakeman, Pitman-Moore Laboratories; and Professor G. H. Lamson, Jr., Zoologist, Connecticut Agricul- tural College. After the regular order of business a very interesting program was presented as follows: Fracture of the lower jaw of the dog, showing X-ray pictures, both before and after fixation with wire sutures, by Dr. Edwin Laitinen; Duties of the State Board of Examination and Registration, and Its Relation to the Asso- ciation, by Dr. Charles L. Colton; Nicotine Sulphate: A Vermi- cide for the Sheep Stomach Worm, by Professor G. H. Lamson, Jr., Zoologist, Storrs Agricultural Experiment Station. Dr. Jakeman gave a very interesting talk on Antitoxins, Serum Therapy, and Immunology. All these cases and papers were of a very interesting nature and ably presented. The advanced bulletin and information on ‘‘Nicotine Sul- phate: A Vermicide for the Sheep Stomach Worm,’’ by Pro- fessor Lamson, was the first information on this subject of its kind, and was an important adjunct to the program. The in- formation it contained and the practical results given were ably presented, Gro. E. Corwin, Secretary. 406 OTHER MEETINGS NEVADA STATE VETERINARY ASSOCIATION The association’s semi-annual meeting for» 1922 was held October 14, in Reno. More than 50 per cent of its small mem- bership was present. The forenoon session in charge of Dr. J. R. Beach of the University of California was devoted to a general presentation and discussion of poultry diseases. After lunch the members attended the football game be-- tween Occidental College of Los Angeles and the University of Nevada on the MacKay Field of the University. At six p.m. a buffet supper at the Women’s Twentieth Cen- tury Club brought the members together again for the even- ing session. A round table on cattle scabies, further discussion on poul- try diseases and an exchange of field veterinary experiences occupied the evening. S. Lockett, Secretary. BRITISH COLUMBIA VETERINARY ASSOCIATION The President and Secretary of the B. C. Veterinary Associa- tion received copies of the proposed Milk By-Law of the City of Vancouver, from the City Medical Health Officer, inviting criticism and suggestions for improvement, to be presented at a meeting later. The Council proposed an amendment to the definition of the word ‘‘disease,’’ which they considered inade- quate, and on receipt of the invitation to attend the meeting, which was held in the courthouse September 27, Dr. Damman, as President of the B. C. Veterinary Association, was called upon to explain the amendment, which he did, and it was adopted. Other veterinarians took part in the discussion. The chairman was Dr. Young, Chairman of the Provincial Board of Health, and there were present Medical Health Officers of Victoria and Vancouver, members of the Vancouver Medical Association, Professor Sadler of the University of British Columbia, Mr. Berry, President of the Fraser Valley Milk Producers’ Associa- tion, and other prominent dairymen and farmers, and also rep- resentatives of the City Health Department, and women’s organi- zations, and the general public. The Vancouver Province de- voted two columns next day to the meeting, in which the veteri- nary profession was given equal prominence with the other pro- fessions represented. OTHER MEETINGS 407 THE NEW ONTARIO VETERINARY COLLEGE The official opening of the new Ontario Veterinary College at Guelph, Canada will take place on the afternoon of Tues- day, December 12. This date has been selected as the Guelph Winter Fair is being held at the Same time. The official cere- mony will commence at 2:30 in the afternoon followed by a banquet during the evening. While the list of speakers has not as yet been definitely decided upon it is hoped that the following may be able to attend and deliver addresses :—Hon. E. C. Drury, Premier of Ontario; Hon. Manning W. Doherty, Minister of Agriculture for Ontario; Hon. W. R. Motherwell, Minister of Agriculture for the Dominion, or his Deputy ; Hon. S. F. Tolmie, M. P.; Sir Robert Falconer, President of the University of Toronto; Dr. J. G. Rutherford, Board of Railway Commissioners, Ottawa; Dr. F. Torrance, Veterinary Director General, Ottawa; Dr. J. R. Mohler, Chief of the United States Bureau of Animal Industry; President J. B. Reynolds, Ontario Agricultural College and W. B. Roadhouse, Deputy Minister of Agriculture for Ontario. On an occasion of this kind it is not possible to send a per- Sonal invitation to every Veterinary Surgeon and this an- nouncement should be considered as a cordial general invita- tion to everyone to attend, and it is hoped that many veteri- narians and their friends will avail themselves of this invita- tion to be present at the official opening. This invitation is extended by the Department and by the Faculty of the Col- lege and it is hoped that a good representation from the pro- fession will be present. Everyone is welcome and the college staff will be pleased to extend a cordial greeting to those at- tending. Keep the date in mind and decide to be present. CALIFORNIA PRACTITIONERS’ WEEK The California Veterinary Practitioners’ Week, arranged Jointly by the California Veterinary Medical Association and the Division of Veterinary Science of the University of Cali- ornia, will be held at the University Farm, Davis, January 2 to 5, 1923. Three special veterinarian lecturers from the East will be present at the meeting. Dr. W. E. Muldoon, from the Kansas 408 OTHER MEETINGS State Veterinary College, will lecture on ‘‘Therapeutics and Small Animals Practice.’’ Dr. Adolph Eichhorn, from the Lederle Antitoxin Laboratories, will talk on ‘‘Rabies’’ and ‘‘Anthrax.’’ Dr. J. F. DeVine, of the Goshen Laboratories. will talk on ‘‘ Abortion and Sterility in Cattle and Horses.”’ Members of the staff of the College of Agriculture of the University will participate in the program, as well as a number of practitioners in the State. The program has been arranged by the committee along the lines desired by the practitioners in California and a large attendance is expected. The course is open to all graduate veterinarians and such men in near-by states are cordially in- vited to attend. NEW YORK CONFERENCE FOR VETERINARIANS The fifteenth annual conference for veterinarians will be held at the New York State Veterinary College at Cornell University, Ithaca, N. Y., on January 11 and 12. An instructive program will be provided. OHIO VETERINARY MEDICAL ASSOCIATION The Ohio State Veterinary Medical Association will hold its annual meeting on January 31, February 1 and 2, 1923, con- sisting of one full day for papers and discussions, and also a full day devoted fora clinic. The clinic will be divided into five sections, namely for horses, cattle, hogs, small animals and poultry. The business session will take place on Jan. 31 at the Deshler Hotel, where the annual banquet will be held on Feb. 1. The rest of the meeting, consisting of the clinic and the papers read will be held at the Veterinary Department of the Ohio State University. This is to be a truly Ohio meeting, all taking part being residents of Ohio. It is also a meeting especially arranged for the practitioner, so all that attend can look forward to an instructive, as well as a good social and fraternal treat. Out-of-State veterinarians are welcome; come and lei us make you feel at home. Harry T. Moss, Secretary. COMMUNICATIONS GREETINGS FROM CUBA Havana, Oct. 27, 1922. My DEAR AND GOOD FRIEND Dr. EICHHORN: Since I knew you were back trom your splendid tour around Europe, I have been thinking to write you. As you must imagine, I have read in the JouRNAL your re- port of the trip to Cuba as delegate of the American Veterinary Medical Association to our National Congress, and you may be sure, Dr. Eichhorn, that all the Cuban veterinarians, and par- ticularly those of the Army Service whom you met here, want to express to you their gratitude for what you have said in your report about the professional work that we are carrying on in Cuba with veterinary science. The good relationship among the American and Cuban asso- ciations have been established through you forever, and the friends that your scientific and social characteristics have ac- quired while on your trip to this country are interested in your own success, thus adding one more page to our professional fra- ternity. Allow me, then, to felicitate you in the name of my friends, and be sure of my personal devotion and reciprocal sentiments. I remain, Your devoted servant, ANGEL IDUATE, President, Cuban Veterinary Medical Association. A CORRECTION To tHE Eprror: In your November issue on page 269 you quote me as saying ‘‘the more purebred blood coursing in the animal’s veins the better able he was to stand the test.’’ I wish to say that the word “‘purebred’’ should read ‘‘thoroughbred.’’ Kindly make correction. A. J. SAVAGE. Colorado Springs, Colo. 409 MISCELLANEOUS THOROUGHBRED FIRST, MORGAN SECOND IN ENDURANCE RIDE The fourth annual 300-mile endurance ride, conducted in mid-October under the supervision of a number of organizations interested in the development of horses with speed and endur- ance under the saddle, was won by Vendetta, a Thoroughbred mare owned by J. Watson Webb, of Vermont. Second rating was given to Gladstone, a purebred Morgan gelding bred and raised at the United States Morgan Horse Farm, Middlebury, Viet The course followed this year was entirely within the New England States, beginning and ending at Fort Ethan Allan, Vermont. At times during the ride weather conditions were severe. Out of a total of 21 entries only 9 horses finished the contest, the others having been taken out because of lameness, accident, or fatigue. Of the 6 horses that were awarded prizes, two were Thoroughbreds, one a purebred Morgan, one a grade American Saddle horse, one an Irish Hunter, and one a Thor- oughbred-Standardbred cross. In the opinion of horsemen who witnessed the start of the ride, the entries this year were of bet- ter average quality and in far better condition than in any of the previous contests. In this endurance ride the perfect score for speed is given for a record of 45 hours for the trip, or 9 hours for each of the 5 days. The longest time permissible for a contestant is 55 hours for the trip, or 11 hours for each day. Each horse car- ries 225 pounds and each rider is required to feed and care for his mount. Of the 21 horses which started, four were Thoroughbreds, two were purebred Morgans, four grade Morgans, one purebred Arabian, six of Arabian breeding, one purebred American Sad- dle, one grade American Saddle, one Irish Hunter, and one crossbred. The object of this endurance ride, which is approved by the War Department, the Chief of the Remount Service, and the Chief of the Bureau of Animal Industry, is to stimulate inter- est in good saddle horses, possessed of stamina, and hardiness, 410 MiscELLANEOUS 411 and suitable for use in the mounted service of the United States Army. The annual endurance ride is managed by a committee made up of one representative each from the Arabian Horse Club of America, The Morgan Horse Club, The National Steeple Chase and Hunt Association, The American Hackney Horse Society, The Thoroughbred Endurance Test Club, The National Saddle Horse Club, The American Remount Association, The Horse Association of America, the Bureau of Animal Industry, other interested organizations, and the two donors of the prizes. Gladstone, the purebred Morgan awarded second place this year, is a half brother to the famous Castor, Government Morgan that finished with very creditable records in the three previous rides. Both are by the stallion General Gates 666. Gladstone was the smallest horse to finish the contest, weighing at the start 924 pounds. He was foaled in 1913. Up to this fall he had been used at various jobs on the U. 8. Experiment Farm, Beltsville, Md., and for some time as one of a pair on the carriage of the Secretary of Agriculture in Washington, D. C. The following table gives the winners in the order of their rating on the basis of condition and speed: Name Breeding Weight Total time Vendetta...... Thoroughbred .... 1,012.5 45 hrs. 17 minutes Gladstone...... Morgane oo vo a0% 2 972.5) 45 82? bee Grantee aes. Gr Am: paddle. “T185) “457 °72)~2os- 7 Gragvmore: |. 2:3 Thoroughbred-St.. 1,082.5 45 ’? 20 ” Pathfinder..... Thoroughbred ... S902 ib i eS Clonmel bs ise Irish Hunter..... 1,050 45 it no20R GPA PIG SURVEY TO COVER WHOLE COUNTRY The second semi-annual pig survey, cards for which are now being distributed to rural mail carriers, will cover the entire country. The survey last spring covered only 17 States, but as an indication of present and probable pig production the survey was a great success and readily demonstrated the feasi- bility of extending the scope of the injury. Ten cards or questionnaires will be distributed by each rural mail earrier on agricultural routes. Approximately 50,000 cards will be sent out. They have been prepared in simple form and ean be filled out in a few minutes. Where possible, the mail carriers will fill in the answers as made by the hog raisers. The cards will show the number of sows farrowed during the last 412 _ MISCELLANEOUS six months of 1921, the number farrowed during the first six months of 1922, the number of sows farrowed, or due to far- row, during the last six months of 1922, and the number bred or intended to be bred to farrow during the first six months of 1923. Numbers of hogs which died from hog cholera or other diseases during 1921 and 1922 will be shown, as well as the number of pigs saved per litter. The importance of this survey to the farmers in enabling them to adjust their production to the probable needs of the market is quite evident. People who deal in crops and live- stock, such as packers and commission men, have very extensive organizations for informing themselves of the production of crops and livestock. Obviously information of this character is just as important to the farmers as to the people who deal in farm products. DAIRYMEN FINANCE LOCAL FIGHT ON TUBERCULOSIS In Lyme township, Huron County, Ohio, owners of dairy cattle organized an association through which they financed their own campaign against tuberculosis when State and Federal indemnity funds had run out. The members were assessed. $2 a head for grades and $4 a head for purebreds, one-fourth being used for organization work and the rest for paying indemnities. The association has tested 83 herds containing 662 cattle, 26 of which reacted. The owners of the reactors received the sal- vage value of the animals and a straight indemnity of $20 a head for grades. For purebreds the indemnity was doubled. About 85 per cent of the herds in the township were tested. The organizing of this association indicates the anxiety of many progressive dairymen to get rid of tuberculosis. These Ohio men might have waited for more funds to be appropriated by the State and Congress, but they felt they could well afford to pay out the money themselves to hurry the work and adver- tise their locality as free of the disease. Dr. M. L. Olsen, a recent graduate of the Colorado Veterinary College, motored from Denver, Colo., to New Westminster, B. C., and has taken the examination to become licensed to practice in British Columbia, and has located at Duneans, V. L, B. C. JOURNAL OF THE American Veterinary Medieal Association FORMERLY AMERICAN VETERINARY REVIEW (Original Official Organ U. S. Vet. Med. Ass’n.) J. R. Mouter, Editor, Washington, D. C. W. H. WeEtcH, President, Lexington, Ill. H. Preston Hoskins, Secy., Detroit, Mich. M. Jacos, Treasurer, Knoxville, Tenn. Executive Board Gro. HiLtTon, Ist District; T. E. MuNce, 2nd District; S. E. BENNETT, 3rd District; J. A. KiErRNAN, 4th District; C. E. Corron, 5th District; B. W. Conrap, 6th District; Casstus Way, Member at Large Sub-Committee on Journal S. E. BENNETT J. A. KIERNAN The American Veterinary Medical Association is not responsible for views or statements published in the JourNaL, outside of its own authorized actions. Reprints should be ordered in advance. Prices will be sent upon application. Vol. LXII, N. S. Vol. 15. January, 1923 No. 4 ON THE THRESHOLD OF A NEW YEAR HOPE is said to spring eternal in the human breast. * Presented at the fifty-ninth annual meeting of the American Veterinary Med- ical Association, St. Louis. Mo., August 28 to September 1, 1922. 420 THE VETERINARY PROFESSION IN EUROPE 41 tions made it is apparent that most of them will no longer command such an enviable reputation and will have to be con- tent with their meager existence. I have in mind the great medical center of the University of Vienna, to which thousands of eager students flocked from every country to enjoy the teachings of the many famous men connected with the institu- tion, which, however, now is destined to fight for its existence on account of lack of support. The trip afforded the writer an opportunity to visit veteri- nary colleges and scientific laboratories for veterinary research and also inquire into the veterinary organizations in charge of all administrative matters in connection with livestock, sanitary measures, ete. While there appeared to be no apparent changes in the veterinary schools, on close observation it was evident that no progress had been made since 1914, and as a matter of fact, in many of the veterinary colleges neglect was noticeable, which in some instances was even associated with more or less indifference on the part of the administrators. The attendance in the colleges was practically up to the pre- war level. In fact, immediately following the war there was an increase in the number of students matriculating in almost every veterinary college in Europe. This was due to the facet that the young men of matriculating age who desired to take up the veterinary profession were called to serve in the army and could enter the college only after the conclusion of the war. The present matriculation, however, appears to be again normal and is indicative of the prospects which the veterinary profession offers in Europe. This is of marked significance when compared with the very small attendance in our veteri- nary colleges. The veterinary profession in Europe still lures the youth as offering him an attractive profession with the pos- sibility of a prosperous future. The profession apparently offers a broader field there than in the United States. This would explain the confidence which the prospective student has in the profession. There is also a tendency in the curriculum of the veterinary schools to train the veterinarian for the positions which rightly belong to the veterinarian but which have been withheld from him because of lack of specialization. This refers particularly to vocations 499, A. KICHHORN in food and milk inspection, animal husbandry, research work, and qualifications for positions in pharmaceutical and biological laboratories. With the possibility of training men along those different lines the veterinarian could not only obtain lucrative positions but the profession would attain a very enviable place, with its members attaining a recognition favorably comparing with that of other learned professions. It is along these lines that the veterinary schools, especially those of Germany, are striv- ing to develop their activities, and the leaders are exerting all their efforts to prepare the students for these various fields of activity as they realize that such a trend is imperative for the welfare of the institutions as well as for the future of the profession. Thus, the departments of milk hygiene and ani- mal husbandry are being especially well equipped to afford the student all opportunity to specialize in these lines. Very intensive instruction is given in laboratory work with the opportunity for specialization. Such tendencies have’ been ob- served in the older established veterinary schools, and no doubt the more recently created veterinary schools in the newly established countries will follow the example. In the newly created countries veterinary schools are also being established, one in Czecho-Slovakia and another in Jugo- Slavia. I found that the respective governments will spare no effort to provide these institutions with the necessary equip- ment to enable them to graduate men of competence, as it is realized that an efficient veterinary organization for a country is of the utmost importance. This is a remarkable fact, since in almost every country of Europe the expenditures have to be restricted to the minimum, yet the governments do not hesitate to provide funds for any purpose which will tend to conserve and build up a livestock industry. The veterinary colleges abroad are also engaged in provid- ing postgraduate courses not only for the practitioners but also for veterinarians engaged in official capacities. These courses are usually of one to two weeks’ duration and con- centrate on one particular line of work. Thus in the past years many courses were given on abortion and sterility. Veterina- rians who participate in these courses are given an intensive theoretical and practical training along these lines. They are THE VETERINARY PROFESSION tN EUROPE 423 given advantages of clinical work and thereby at the conelu- sion of the course they can carry out the work in their re- spective localities. Such special courses would no doubt be of material advantage in this country, as they would afford a large number of veterinarians an opportunity to familiarize themselves with the work along those lines. By providing men with such knowledge they could go out into practice and carry out satisfactory work which at this time only a few specialists would undertake. Therefore, such postgraduate courses are very suitable means for training practitioners along certain definite lines. The veterinarians in the various countries of Europe have not been affected by the depression so much as men engaged in other lines; that is, their services are in greater demand now than heretofore, which is due to the fact that the value of livestock has materially increased and also that the animal owners are realizing the advantages which result from the services of trained veterinarians. This became apparent espe- cially in Germany, where a great number of former army veterinarians have to be taken care of, likewise those who re- turned to Germany from the former colonies and also from the other territories taken from Germany. They apparently all have secured a livelihood, and I have learned that the veteri- narians in that country are doing comparatively well. I failed to learn of any dissatisfaction on the part of the veterinarians that work which justly belonged to them is taken over by persons incompetent and untrained to perform it. This especially applies to the administration of biological products, which in this country is now greatly concerning the veterinarians. There was no time in Europe when biologics could be administered by laymen. It is regrettable that in this country conditions developed which enable laymen to administer even the most important and dangerous biological products. This in itself is a serious problem and should be regulated for the benefit of the veterinary profession. It seems that the veterinary organizations and the individual veteri- narians could do a great deal along this line, and it may re- quire concerted action to regulate this phase of veterinary practice. It appears incomprehensible that in outbreaks of infectious diseases laymen should be permitted to administer 424: - A. KICHHORN dangerous products. Yet such is the case, and often disastrous results follow. Furthermore, the handling of products which may disseminate infections by untrained men is also a menace to the livestock of the country. This is fundamentally wrong and should not be tolerated. The veterinary organization of our county, State and Federal governments has not as yet received the attention that it has in European countries. Aside from the various activities of the Bureau of Animal Industry in which veterinarians are en- gaged, there are only very few States where an effective veteri- nary organization operates. Likewise, municipalities, counties, etc., in various parts of the countries do not provide for veteri- nary service. Thus one can readily see that with the exten- sion of an effective veterinary service to the many administra- tive bodies which should include such service, it would be pos- sible to extend the scope of the veterinary profession very materially over what it is at this time. For the purpose of such expansions it would be, of course, very essential that our veterinary schools should adopt a curriculum to train the men along the various lines to which veterinary service should ex- tend, and by doing so they will materially help in placing the profession on a higher level and broader activity. Along the line of sanitary science and control of infectious diseases, very little progress has been made in the European countries since the war. No doubt all resources of the coun- tries have been concentrated toward the prosecution of the war, and the former efficient control over some of the diseases has been carried out with more or less indifference. Hence, some of the infectious diseases which had been eradicated from some of the countries have again appeared as a result of in- troduction from other countries, whereas diseases which were kept in check have been on the increase and now require the closest attention to prevent further spread of these infections. Glanders is a possible exception, which, however, can not be placed in this class, inasmuch as it was very essential that dur- ing the war all measures be taken to guard against the spread of this infection to make the armies more efficient in their functions. At the present time glanders is under control and is practi- cally unknown in some of the countries. This must be con- THE VETERINARY PROFESSION IN EUROPE 435 sidered a splendid achievement, especially in considering the movement of the horses during the war and the insanitary con- ditions under which horses were kept. It offers also convine- ing proof that with proper safeguards and control measures it is possible to check and eliminate certain infectious diseases. The ophthalmic mallein test together with the biological tests for the diagnosis of glanders have proven their effectiveness and these methods of diagnosis can no longer be questioned. With regard to tuberculosis, very little progress is being made in the control of this affection. Isolated attempts in cer- tain localities or by individuals are being made, but there is no concerted effort in any of the countries toward the control or eradication of the disease. The wide spread of the infee- tion, together with the economic depression in the various countries, eliminates at this time any possible action along this line. In Denmark, with the splendid agricultural organi- zations, particularly in the dairy industry, a marked diminu- tion has resulted, although definite signs of eradication with the present methods can not be hoped for. The only apparent uniformity existing in the different countries with regard to the control of tuberculosis consists in the elimination of clini- cal open cases, together with compulsory slaughter of all ani- mals affected with tuberculosis of the udder. Tuberculin test- ing is carried out on a very limited scale, mostly at the request of private individuals but without any compulsory require- ments of disposing of the reacting animals. In Great Britain the authorities aimed to introduce methods of controlling tuberculosis along the line of our accredited herd system, but for the time being this effort had to be abandoned on account of the lack of funds obtainable for that purpose. During the war scabies was widely spread among the army horses, and while measures of control were carried out in the army, the disease spread to the horses owned by the civilian population. The spread of the disease has been checked by proper treatment of animals, which in some sections is still carried out in placing the animals into specially constructed cabinets and subjecting them to the sulphur dioxid gases. This treatment without a doubt has proven very effective and is one of the contributions of the war to our knowledge of treat: ing diseases. More recently the same treatment has been ap- 426 A. EICGHHORN plied to canker of the foot in horses with very effective results. Infectious anemia in horses also became widely spread dur- ing the war, and now hardly any country of Europe is free from this disease. In some sections it 1s very prevalent, and our vague knowledge of the disease makes its control a dif- ficult task. No method of diagnosis has as yet been developed, and positive proof of the presence of the disease can be estab- lished only by test inoculation of horses. This fact renders the control of the disease very difficult. The writer’s attention was called to more recent experimental work along this line by Jaffre of Vienna, who claims that he has successfully trans- mitted the disease to rabbits, which develop a characteristic febrile condition and subsequently also lesions in the liver in the form of deposits of a pigment. These lesions are supposed to be characteristic of the disease. The opportunity for study- ing this infection was afforded to this investigator during an outbreak of the disease among the serum-producing animals of the Governmental Serological Institute of Austria. Before the disease could be controlled more than fifty horses died of the infection, which was a serious blow to this Institute, inas- much as on account of the serious economic condition the re- placement of these horses was a financial problem. In localities infected with anthrax the control proceeds along the same lines as in this country, consisting of the ordi- nary sanitary measures together with the vaccination of the susceptible animals. The vaccination in the different countries consists of either the double vaccination or the simultaneous treatment with anti-anthrax serum and vaccine. Rabies is more widely spread in Europe than it was before the war, and while muzzling laws are in effect in almost every country, and the police authorities are very strict in the en- forcement of the law, neverthless, the disease is not being checked, which is no doubt due to the fact that a large number of stray dogs are permitted to run at large, and also that the muzzling law has never proven sufficiently effective to control the disease. Great interest has been manifested in the protec- tive vaccination against rabies, but it is doubtful whether at this time any of the countries could undertake such a task. The subject of hog cholera control is of special interest to American veterinarians, inasmuch as it is generally recognized THE VETERINARY PROFESSION IN EUROPE 427 that hog cholera is the most important disease of swine, and many veterinarians in the United States, especially in the Corn Belt, are mainly engaged in the control of this infection. Hog cholera is prevalent throughout Europe. Especially where hogs are raised on a large scale the disease is more ex- tensive than in those countries where hog-raising is not an im- portant industry. The countries in which hog cholera prevails to a great extent and is responsible for great losses are Hun- gary, Jugo-Slavia, Spain and Portugal. Nevertheless, in all other countries hog cholera is also being recognized as one of the principal infections of swine. The control measures adopted for the suppression of the disease vary in the different coun- tries and are limited to compulsory reporting and prohibition of shipments of animals from the infected premises. Prophy- lactic vaccination has not as yet been adopted to any great extent in the various countries of Europe, although anti-hog- cholera serum has been in use in many of the countries since its discovery in the United States. Progress in the control of hog cholera by vaccination has no doubt been retarded in European countries as a result of the failure of adopting the simultaneous method of prophylactic vaccination. It is only very recently that this form of vaccination has been adopted in some of the countries and the superiority of this method over previous efforts to control the diseases with serum alone is now recognized. Every since hog-cholera serum has been employed the gen- eral practice has been to use it in herds where the disease already existed. In such instances the serum was administered to the well and shghtly affected hogs, permitting them to re- main on the infected ground in order to bring them in contact with the virus during their state of passive immunity. It was assumed that the virus thus taken up would convert the pas- sive immunity into an active form. The fact, however, that such is not always the case, and furthermore that the control of the infection is in herds where the disedse has already ex- isted, would naturally greatly diminish the effectiveness of the vaccination. With the experience gained in hog-cholera immunization in the United States, it is not at all surprising to us that the form of vaccination practiced in Europe would not give the best results. 428 A. EIcHHORN The simultaneous vaccination as practiced in the United States is, of course, known to the authorities in Europe, but has not been adopted for the reason that some fear was en- tertained that the general use of the virus might be responsi- ble for the spread of the disease and its continuous propaga- tion. In many of the countries it is now recognized that the exception taken to the use of the virus is not well founded, inasmuch as the disease is very extensive, and besides, proper control could be exercised over the virus to be used in con- nection with the simultaneous vaccination. In view of the splendid results obtained with the simultaneous vaccination in the United States, this form of vaccination is now being introduced in several European countries, and inasmuch as the results obtained therefrom are so much superior to the serum- alone treatment, there is no doubt that the general adoption of the simultaneous treatment will soon be practiced in most of the countries of Europe. Heretofore in cases of outbreaks of hog cholera the animals were given the serum treatment, and since in most instances the immunity produced was only of short duration, it was necessary in many cases to repeat the vaccination in two or three months, at each time considerable losses having been sustained. Such practice is not only costly but also discouraging to the hog owners. In one fattening establishment in Hungary with a capacity of 65,000 hogs the practice was to install the stock hogs when they weighed approximately 75 to 100 pounds. The establish- ment being infected with hog cholera virus, these animals con- tracted the disease within two or three weeks after installa- tion. As soon as the disease appeared the animals received the serum treatment and were permitted to remain in the in- fected pens. Naturally the result was a considerable loss. It is known that some of the anmials still retained a certain sus- ceptibility to the disease, and after the passive immunity had vanished and the animals were subjected to heavy exposures they developed the disease. Thus the losses in this fattening establishment from hog cholera were estimated to be annually between 20 and 25 per cent. It is remarkable that under such conditions the proprietors have not taken advantage of the simultaneous vaccination of all hogs installed there, which would practically have eliminated the losses from hog cholera. THE VETERINARY PROFESSION IN EUROPE 429 The manufacture of hog-cholera serum has also not pro- gressed to the degree of perfection with which this product is now being prepared in the United States. At this time the production is limited to three countries in Europe, and they have not as yet employed the more up-to-date practice in order to insure a safe, potent product. The hyperimmunization still consists in the injection of the virus subcutaneously, which has long been discarded in the United States for the more effec- tive method of intravenous hyperimmunization. The tail bleed- ings are also received in open vessels, without the application of vaccum, which results in frequent coagulation of the blood on the end of the tail. The subsequent removal of the fibrin with plugs of cotton and the hitting of the tail with a stick or piece of rubber tubing is still used to facilitate the bleeding. Such conditions, of course, make it difficult to obtain a serum free from contaminations which may at times be very harmful. The number of bleedings taken from an animal are also not regulated. In some establishments after the hyperimmuniza- tion five, and in others as many as six or seven bleedings are taken, which from experience in this country and the experi- ments conducted by the Bureau of Animal Industry could not produce a highly potent serum. AI] serum used in Europe is clarified and concentrated. Dourine also spread among the horses during the war. It is now very prevalent in countries where it never existed or from which it had been successfully eradicated. Efforts for its control now are directed toward eradication and consist of diagnosis of the infection by the complement-fixation tests. In some of the countries affected horses are subjected to treat- ment, for which purpose a special preparation known as Beyer 205 is being employed. Its action on the trypanosome in dourine is supposed to be the same as the action of salvarsan on the Treponema pallidum ot syphilis. Many publications from scientific institutions and veterinary colleges report com- plete recoveries following the use of this product. In those localities the infected stallions are castrated and the other in- fected animals are sent to work in mines where there is no opportunity for utilizing them for breeding purposes. Abortion disease in cattle is also a serious problem in the European countries. The disease is very common, causing 430 A. EICHHORN tremendous losses in some of the higher developed stock-raising countries. Research work is being conducted in many of the countries, but our knowledge has not been furthered recently from these sourees. In the Imperial Board of Health of Ger- many considerable experimental work has been conducted on this disease. The results of Dr. Zeller’s experiments are of particular interest, in which he failed to recover organisms of Bacillus abortus from the feces, urine, ete., of animals six weeks after the injection of large doses of living cultures. The results of the experiments to control the disease with live organisms as conducted by the same institution are well known, as they have received considerable publicity in America. The findings are noteworthy, inasmuch as the experiments have been conducted on a sufficiently large scale to justify dependa- ble conclusions. The following is a summary of these in- vestigations : 1. Dead organisms. Both in nonpregnant and pregnant cows some degree of immunity is produced. It°is, however, of low degree and of short duration. For example, many cows did not abort at the first calving after this method of treatment, but did so at the second. 2. Dead organisms plus serum. Similar conclusions to those of dead organisms alone. 3. Living organisms. Better results in all circumstances than with dead organisms. Of 128 cows so treated which had previously aborted, and were therefore definitely infected, only 6 aborted after- wards. Better results were also obtained in preventing abortion in cows which had not previously aborted but were in contact. 4. Living organisms plus serum. In the case of nonpregnant cows the results were as for living organisms alone. This method was also proved useful for the prevention of abortion in pregnant cows; in fact, this method caused as great a reduction in abortion among pregnant cows as did living organisms alone among the non- pregnant ones. 5. Controls (plain broth). Among the animals not inoculated there was an increase in the number of abortions from 175 to 245. The opinion seems to prevail that in the infectious forra of abortion 90 to 95 per cent of the outbreaks are due to the Bacillus abortus of Bang. The significance of the bull in the transmission of the disease is given minor or no importance. During the trip through Germany the writer had the oppor- tunity to see cattle which were shipped from Texas to Germany as a donation from some philanthropic sources. ‘These cattle were sent for the purpose of providing breeding stock for milk- producing animals, and therefore were not supposed to be slaughtered for food purposes. The first shipment arrived in THE VETERINARY PROFESSION IN EUROPE | 437. Bremen during March, 1921. They were quarantined with the view of ascertaining whether they were affected with piroplas- mosis. The transmission tests on the first injection proved posi- tive and there was no difficulty in proving the infection in the cattle shipped to Germany. Anaplasmosis was also found, which was successfully transmitted by the Ixodes ticks which are com- mon in Germany. After determination of the piroplasmosis in the cattle the Department of Agriculture in Washington was advised by cable of this occurrence, and in reply the authorities at Washington suggested that there are probably no ticks in Germany which would transmit the Texas fever parasite. As a matter of fact the transmission experiments with Lvrodes ricinus, the most common tick in Germany, failed. In one in- stance, however, anaplasmosis was transmitted by these ticks from the American cattle. Some of the American cattle died from Texas fever. It is regrettable that prior to the shipment of these cattle measures were not taken to determine their con- dition so far as their infection with piroplasmosis was concerned, especially so as these animals were supposed to be used for breeding stock. Contagious pleuropneumonia in cattle has also given great concern to many of the countries where the disease has not existed for many years, due to the introduction of the infee- tion during the war. The problem of guarding the noninfected territories from the infection has given the veterinary authori- ties a great deal of concern. Because of the insidious nature of the disease and the difficulty in diagnosis, it has been diffi- eult to guard against the spread of the infection. At the same time laboratories have undertaken experiments in order to devise practical means of diagnosing the disease, and it is to the credit of the laboratories of the German Imperial Board of Health that they have developed a method whereby diagnosis with the aid of a biological test has been made possible. They have succeeded in developing a medium in which.a more con- centrated growth of the virus is obtained. In the cultivation of the virus they have found that the reaction of the medium is of the greatest importance. The-medium consists of ordi- nary bouillon plus 8 per cent horse serum to possess 7.8 to 8.9 pH reaction. They found that the virus has a great affinity for alkalinity. With this increased growth in the medium they . 432 A. EICHHORN succeeded in preparing a product along the same line as tuber- culin is prepared. Subcutaneous injection of this product in- duces a thermic reaction in cattle affected with pleuropneu- monia. Postinjection temperatures are taken every two hours, the first temperature two hours after the injection. The prae- tical results from these tests have proven very encouraging and reliable, so much so that the laboratories are now furnish- ing to the Czecho-Slovakian Government the product for testing all animals imported into that country. In this manner they hope to eliminate the introduction of animals affected with the disease, which without such a test would be almost impossible unless long periods of quarantine were enforced. The virus in the concentration cultivated in the laboratories referred to is also suitable for the preparation of an antigen which has been very successfully used in the complement-fixation tests for the diagnosis of this disease. The most significant achievements, however, in recent years must be considered beyond a doubt the results in the efforts made to cultivate the foot-and-mouth disease virus. The credit for this is due to Professor Titze of the Imperial Board of Health Laboratories. Foot-and-mouth disease has been very extensive all over Europe in the past few years and only re- cently showed a tendency toward diminishing. In many of the affected countries considerable research has been done in attempts to shed more light on this very serious infection. Only recently Great Britain has provided a battleship for the study of the disease, which has been equipped with the most up-to-date apparatus for research, and very competent trained men were provided to take up this work. Unfortunately they have failed in accomplishing anything definite or in adding to our knowledge on the nature of the disease. On the other hand, in the German laboratories Titze has apparently now suc- ceeded in cultivating the virus, which accomplishment will no doubt have a great bearing on the control of the disease. He succeeded in cultivating the virus in culture tubes up to the one hundred and sixty-fourth generation and in proving the vir- ulence of this virus up to the forty-first generation on guinea- pigs. Furthermore, immunizing experiments with this virus have also been successful, and the fact that the cultures may be utilized as an antigen in biological tests is also a substantiat- ing factor of its successful cultivation. : THE VETERINARY PROFESSION IN EUROPE 433 Another interesting feature in the research with this disease proved to be the propagation of the virus in guinea-pigs. I have personally observed guinea-pigs in which the virus has been propagated for 122 generations. Heretofore we have thought that it was impossible to transmit the disease to guinea-pigs, whereas now it has been found that it can be transmitted regularly by scarifying the pads on the feet and then applying the virus. In 24 hours typical vesicles developed on the feet of these guinea-pigs. so. much so that the disease can be recognized at the first glance. The disease also fre- quently develops in the mouth of the infected pigs. This ex- perimental work unfortunately can not be carried out now on so large a scale as would be desirable, on account of lack of funds, it being impossible to purchase the necessary number of large animals desirable for the work. ; Just a few words with regard to the livestock situation of Europe. There is undoubtedly less livestock in Europe at this time than prior to the war, although rapid strides are being made in many of the countries toward increasing the livestock to its highest level. The depletion of livestock is most notice- able in the central and eastern countries of Europe; and not only is there a decrease in the livestock but also the quality has suffered. In Germany, Austria, Hungary, Czecho-Slovakia and Rumania they have considerably less livestock than prior to the war, and the countries which were compelled to deliver livestock to the victorious nations suffered a considerable de- pletion of their choice breeding stock. As a result it will re- quire many years to stock up these countries again with higher grade animals. In some of these countries, particularly Ru- mania and Jugo-Slavia, this may not be accomplished for gen- erations to come, inasmuch as the large estates have been cut up and sold to the peasantry. These farmers will not be in a position to improve their livestock because of the lack of capi- tal and also lack of understanding of the advantages of better breeding stock. The governments also are not able to give material help to the small farmers for some time to come on account of the economic upheaval existing in many of the countries. Thus it is apparent that not only the livestock in- dustry but agriculture in general will not advance for years to come in many of the European countries. This only sub- 434 A. EICHHORN stantiates the views of some of the greatest economists that in consequence of the conditions in many of the countries in Europe the United States will experience agriculturally a long era of the greatest prosperity in its history. Since agriculture and the livestock industry go hand in ee with veterinary activity, we should look forward to a bright and prosperous future for the veterinary profession. Further- more, the United States, being now the only country not ma- terially affected by the ravages of the war, should be in a posi- tion to carry out extensive and intensive research work along the line of veterinary problems. The European countries are now realizing that the leadership in many of the scientific ac- tivities is passing from their side to this side of the Atlantic. We should take advantage of this opportunity and carry on the work in the right spirit and with a full knowledge of our responsibility. VETERINARY GRADUATES The total number of men graduated from accredited veteri- nary colleges in the United States during the last 15 years is as follows: Number of Year graduates VOOS eS: 8 Fees on eee oe Coe et a Ra ee: eee 469 TIOO Sb. eee ee ae tg chs cy ae Naas eee LSED DDTO SSS aes OE re ee ie ape ee ee 748 TODA ees i, See ee tee De See ae 806 GUD ha A ee Se) Eee. eo ae ee eS 735 POTS uk Rice, cone he ae AL Ne ey 644 TOV 6 >. Se. Ree, 2 ee ee ae 684 AGI. seek os bs ee ee ee 698 1916) Sees hL2 SR eee ae eee aie it eae oo ee ee, tg ne ot ek T74 1918 2. 248 tee ae ea ee ee 867 1 he Pane 2a re elk ae ees ee 214 W920: hc iv aes. c hs «2s Dee Ae eee 375 POO 2 oxo hen. «ads os Side ee ee ee 267 THE VETERINARIAN IN POULTRY PRACTICE By Bernarp A. GALLAGHER Pathological Division, Bureau of Animal Industry, Washington, D. C. THE MOVEMENT within the veterinary profession toward a broadening of its activities to cover all of our domesticated animals is a welcome development of the past decade. Whether this expansion is due to natural evolution, economic causes, higher education, increasing demand from livestock owners, or a combination of circumstances, its effect has been most beneficial to both the profession and the livestock industry. That the domesticated birds are not being slighted in this movement is shown by the increased attention given to poultry diseases by veterinary colleges, State experiment stations and other institu- tions, by the number of articles on the subject carried by the journals, by addresses at veterinary meetings, and by the con- stantly increasing number of inquiries coming from practitioners who seek aid in the diagnosis and control of disease outbreaks which they are called upon to treat. The census report of 1920 shows that 473,301,959 chickens were raised on farms in the United States in 1919. The value of these and the eggs produced was $1,047,323,170. In addition approximately 25,000,000 of other kinds of poultry were pro- duced. It is not difficult to see that an industry of such magni- tude holds possibilities for the veterinarian which he should be prepared to cultivate. While the value of an individual fowl is comparatively small, the tendency of infectious diseases to destroy a large portion of the flock or Gause a decrease in egg production makes the total monetary loss a considerable item, and often means failure to the man who is making poultry rais- ine a business. It is quite apparent to those in touch with the situation that diseases of various kinds are extremely common in domesticated birds, and that the losses sustained are very great. The demand for Bureau of Animal Industry bulletins on poul- try diseases and a heavy correspondence show that owners of fowls are as a rule anxious for help in their difficulties, and they would no doubt gladly avail themselves of the services of the veterinarian were they aware that he included poultry in his 435 436 BERNARD A. GALLAGHER practice. The veterinarian on the ground is in a more favorable position to render effective assistance than is one at a distance who attempts to diagnose a disease from inadequate information received by letter from a layman. Such information too fre- quently consists of a simple statement to the effect that the fowls are sick or dying and that a remedy is desired. In other in- stances symptoms are given which are common to several diseases or merely indicate that the birds are sick. However, in many cases distinctive symptoms, history of outbreak, age of fowis, rate of mortality and autopsy findings are detailed, and these point the way to a definite diagnosis. By familiarizing himself with the more important diseases of the domesticated birds and showing an interest in the flocks of his clients, the practitioner can not only broaden his practice but also render a distinct sery- ice to his community. Until recent years there was no extensive demand for pro- fessional attention for diseased flocks, owing to the low value of chickens in the past, the indifference of veterinarians toward poultry practice, and the failure of the layman to realize that, like other animals, fowls are subject to a considerable number of infectious and parasitic diseases. Even with authorities on poul- try husbandry the tendency has been to attribute abnormal con- ditions and deaths to faulty feeding or management, except in cases that showed outward pronounced lesions, as in roup or chickenpox, or where the mortality was high enough to suggest cholera. It is safe to say that among barnyard fowls that run at large the customary method of feeding or variety of the feed has practically no bearing on the incidence of disease, provided that the materials ingested do not harbor disease-producing organisms or bacterial toxins or ptomains. Also among birds in large flocks with limited range there is but a remote possibility of disease being due to dietetic causes, since it is customary to vive the fowls grain, green feed, animal matter and inorganic material, which contain all the elements necessary to the nutri- tive requirements of the animal body. These statements do not apply to those purely organic condi- tions seen in voung chicks closely confined and fed exclusively on feeds which are deficient in inorganic salts, proteins or vita- mins or to older confined fowls which receive a limited diet rich in starch. It is a well-established fact that birds placed on a diet of corn meal or polished rice alone, for instance, will de- THE VETERINARIAN IN PouutTRy PRACTICE 213 Y7/ velop a condition known as polyneuritis, as a result of malnu- trition. This, however, seldom occurs in the customary feeding of poultry, except in the case of brooder chicks closely confined. Among the more important diseases of fowls are bacillary white diarrhea of chicks, roup, chicken pox, tuberculosis, coceidi- osis, cholera-like diseases, cholera, fowl typhoid, and blackhead of turkeys. There are a large number of other disorders, but they do not affect a large number of birds as a rule and usually are not attended with high mortality. The determination of the specific nature of the disease from symptoms exhibited is in some cases quite difficult or impossible. Diseases of a septicemic nature are especially difficult of differ- entiation, since sick birds present much the same general appear- ance, There is droopiness, listlessness, roughine of feathers, and general weakness manifested frequently by weakness in the legs. From a practical standpoint an exact diagnosis is not of su- preme importance in some of the diseases, as the method of handling the outbreak would be the same whether the disease were cholera, typhoid or one of the septicemias of a similar type. In those diseases for which specific treatment is available and where special ways of control are necessary it is, of course, im- portant that the specific nature of the trouble be discovered. The rapidity with which successive fowls become affected. duration of symptoms and degree of mortality may serve as an aid in determining the disease, at least as to whether it is an acute septicemic disease, a less acute disease such as coccidiosis. or a chronic disease such as tuberculosis. For a definite diag- nosis a postmortem examination will usually be found neces- sary, and even this may not always reveal the exact cause. W. P. FERGUSON C. D. CRAWFORD NECROLOGY . 827 DAVID CUMMING Dr. David Cumming, of Port Huron, Michigan, a charter member of the Michigan State Veterinary Medical Association, and one of the oldest practitioners in the State, died January 81st, 1923. Pneumonia was the cause of his death, Dr. Cumming having been sick only two days. Dr. Cumming was born June 26, 1842. He graduated from the Ontario Veterinary College in 1870. After practicing for a David CUMMING few years in Canada, he removed to the United States and located in Port Huron, in 1879. At the time of his death Dr. Cumming was one of the few remaining charter members of the Michigan State Veterinary Medical Association, and several years ago was placed on the honorary membership roll. On April 24, 1920, the veterinarians of Michigan gathered in Detroit to do honor to Dr. Cumming, by marking in a fitting way the 50th anniversary of his graduation from the Ontario Veterinary College. The occasion was a unique and memorable event. One year later, the same group of veterinarians gathered to honor in a similar way, Dr. Joseph Hawkins, who graduated 828 NECROLOGY from the Ontario Veterinary College in 1871. Dr. Cumming was present on this occasion, and it proved to be the last veterinary gathering graced by his presence. Dr. Cumming leaves his widow, one son and one daughter to mourn his loss. His mem- ory was fittingly eulogized at the recent meeting of the Michigan State Veterinary Medical Association, which took place one week following his death. LOWERY LAMONT LEWIS Dr. Lowery Lamont Lewis, one of our great friends and co- worker, was removed from our ranks by death, on Sept. 26th, 1922, at his home at Stillwater. Dr. Lewis had been connected with the Agricultural and Mech- anical College for the past 26 years. All classes of the College, offices and business houses in Stillwater were closed during the funeral asa tribute of respect to the instructor and educational leader. Dr. Lewis was born at Newport, Tenn., Sept. 3rd, 1869, being 53 years of age at the time of his death. At the age of ten years the family moved to Texas, where he received his education at the Texas A. and M. College, also taking post-graduate work there, being graduated with the degree of B. 8. A., in 1893. In 1894 he received the degree of M. 8. Later, he took post-graduate work at the Iowa State College, receiving the degree of D. V. M. He came to the Oklahoma A. and M. College in 1896 as Pro- fessor of Veterinary Medicine. His duties and influence grew in scope during the years that followed, and at the time of his death he was Professor of Veterinary Medicine, Professor of Zoology, Experiment Station Bacteriologist and Veterinarian, Dean of the School of Veterinary Medicine, Dean of the School of Science and Literature and Dean of the faculty, and had the longest career as a member of the faculty of any person in the history of the College. Dr. Lewis was married at Topeka, Kansas, Sept. 30th, 1903, to Miss Georgia Holt. They had two children, who with his sister and widow are the immediate surviving relatives. The daily papers, the Texas Aggie, of the Texas A. and M. College, and the veterinary journals, all published a lengthy eulogy for this great man, with a fine personality, resolute in decision, natural leader, practical scientist, protector of animal NECROLOGY 829 industry in Oklahoma, a loyal and good citizen of his adopted State, friend of alland a great worker in our State Association. By his coming the A. and M. College received a marked im- petus in scientific research and wide service, the fruition of which he lived to enjoy. Gentle in manner and unassuming, yet he impressed all who had the privilege of his acquaintance that he was a man, big in mind, in heart and in soul. He leaves a record of achievement which is an enduring monument to his memory, and a remembrance of his example will ever be an inspiration to the members of this association. “His influence cannot die. It will grow and spread forever.” Committee on Necrology, C. H. ANTHONY Oklahoma State Veterinary T. W. BREWER Medical Association C. R. WALTER JORGE MARTINEZ S. Dr. Jorge Martinez S., a Colombian physician, died on September 11th, 1922, at Bogota, Colombia, South America, as a result of an accidental infection with the bacillus of diphtheria. Dr. Martinez S. received his training at the Medical School in Bogota, later in Paris and London, and finally at the Harvard Medical School of Tropical Medicine. After completing these studies he visited several laboratories in the United States, particularly those of the New York City Department of Health and the Bureau of Animal Industry, at Washington, D. C. He was about 38 years of age when he died, and was perhaps the leading investigator of tropical diseases in Colombia. He was deeply interested in the live stock industry of his country, so much so that he referred questions relating to diseases of animals to well-trained veterinarians. His recognition of the value of scientific veterinary medicine led him to be one of the most important factors in causing the Colombian legislators to establish the Escuela Nacional de Veterinaria de la Universidad de Colombia, in 1921. Those who knew or came in contact with Dr. Martinez will always remember him as a serious student of his work, and a man with a kind heart and a pleasing personality. Cave. 830 NECROLOGY ANDREW M. McCOLLUM It is with a heart clouded with sadness, which I am sure is participated in by the pioneer veterinarians of California, the California State Veterinary Medical Association and the pro- fession in general, that I have to chronicle the demise of an enthusiastic and ardent member of the profession, Dr. Andrew M. McCollum, of Sacramento, on the 15th day of December, 1922. Dr. McCollum had been in poor health for a long time and Dr. A. M. McCoLtum fought bravely to stay with those he loved, but he suddenly took a change for the worse and just as bravely yielded to the in- evitable. Born in Toronto, Canada, in the year 1851, where he was care- fully reared and educated, he in 1873 entered the Ontario Veter- inary College, from which institution he graduated May 19th, 1875. After practicing in that city for some five years he came to California and established a practice in Sacramento, which he maintained until some six years ago, when on account of ill health he was compelled to retire. During twenty-six years of NECROLOGY 831 this.time he was veterinarian to the famous Rancho del Paso where he was called upon to treat some of the most world- renowned Thoroughbreds, among them being Salvator, Tenny, Ormonde and the queen of the turf, Farenza. He was a charter member and first secretary of the California State Veterinary Medical Association and later its president. Was elected to life membership some years ago in token of the esteem of his fellow members for his untiring devotion toward veterinary legislative activity. In the death of Dr. McCollum the community has lost a valuable citizen, the profession a sterling member and the family a loving husband and father. He leaves a wife and two children and a host of friends to mourn his loss. 1D ed De i JAMES B. ASHCRAFT, JR. In the February number of the Journal was published a re- solution on the death of Dr. James B. Ashcraft, Jr. Since the publication of this notice, a few meager details concerning the death of Dr. Ashcraft have been received in this country. A letter from Dean David 8. White contains the following informa- tion: ‘“‘Last November, his brother, Derwin W., a student in this college, received a cablegram stating that Dr. Asheraft had died. Later his body arrived in Columbus marked “‘Suicide’’. A letter from one of Dr. Asheraft’s colleagues, an American, stated that his body was found in the bathroom of the house in which he lived. He had been stabbed to death. Later a report was received from the representatives of our Government concerning his death. As there were a good many discrepancies in this repert and as none of us know any reason why a man of his education, optimistic temperament and good mentality, should take his own life, a re-investigation of the whole affair has been undertaken.” Dr. Ashcraft graduated from the Ohio State University in 1920, and was soon thereafter appointed Professor of Veterinary Medicine in the University of the Philippines, and was stationed at the Los Banos Agricultural Station, about eight miles out of Manila. It is reported that Dr. Ashcraft delivered his regular lecture at 9 o’clock on the morning of his death and was found dead at about 11:30 a.m. He had apparently been in good spirits and the theory that he had taken his own life while 832 NECROLOGY mourning the recent death of his father is discounted by members of the family. His father, James B. Ashcraft, a Columbus contractor, died on October 16th. Dr. Ashcraft came of a fine New England family, and Dean White states that he was one of the best students he ever had, and that in character he was ‘‘as clean as a hound’s tooth”. He was a graduate of the Connect- icut Agricultural College prior to taking up veterinary medicine. The War Department has been requested, on behalf of the family, to make a thorough investigation of the facts concerning the death of Dr. Ashcraft. LEE H. P. MAYNARD Dr. Lee H. P. Maynard, of Philadelphia, Pa., was accidentally shot and killed by a fellow hunter and companion, Dr. Charles A. Hoak, of Harrisburg, Pa., on October 9, 1922. Both were members of a hunting party from Pennsylvania, the accident occuring near Squaw Pan Lake, Maine. Dr. Hoak, who had seen one deer, mistook Dr. Maynard for another and fired. The bullet struck Dr. Maynard in the neck and caused instant death. Dr. Maynard graduated from the Veterinary Department of Ohio State University, in 1904. He was a very good student and took an active part in athletics, having been a member of his Varsity football squad. After graduation he located in Philadelphia, where he established the Dairy Laboratory. This laboratory, besides doing a great deal of work for physi- sians, veterinarians and dentists, rendered laboratory service to a number of the larger dairies in and around Philadelphia. Dr. Maynard joined the American Veterinary Medical Associa- tion in 1908. He leaves a wife and one child. GEORGE L. RICHARDS Lt. George L. Richards died about nine months ago, in Denver, Colo., of tuberculosis and tumor of the brain. At the time of his death, Lt. Richards was in the Army service and had spent a part of the year at the Colorado Agricultural College, Division of Veterinary Medicine, taking post-graduate work. Lt. Rich- ards was an alumnus of the institution, having received his veterinary degree in 1913. He joined the American Veterinary Medical Association in 1917, and was also a member of the NECROLOGY 833 Colorado State Veterinary Medical Association. Following graduation, Lt. Richards located at Ordway, Colo., and when the United States entered the war, he joined the Veterinary Reserve Corps, and was attached to the 78th Field Artillery, first at Camp Doniphan, Okla., later going to France with the American Expeditionary Forces. After his return to this country, Lt. Richards was located at Fort Des Moines, Ia., and later Fort Collins, Colo. Lt. Richards was born May 27, 1892, at Omaha, Neb., and was a graduate of the Littleton (Colorado) High School. He was a member of Alpha Psi Fraternity. GEORGE HOME CARTER Dr. George H. Carter, for more than 30 years’a practitioner of Saginaw, Michigan, died December 25th, 1921, after an illness of 10 days, due to heart failure and pneumonia. Dr. Carter was born in Guelph, Ontario, April 24, 1856, and received his early schooling there. He graduated from the Ontario Veterinary College in 1888, and located in Saginaw two years later. He was married August 24, 1898 to Miss Jennie B. Hubbard, who survives him, together with a sister, Mrs. Wm. Harrison, Guelph, Ont. Dr. Carter served under several mayors as Market and Food Inspector of Saginaw. He joined the American Veterinary Medical Association in 1911. He was a member of the Michigan State Veterinary Medical Association, a member of the Presby- terian church, of Saginaw Lodge No. 77 F. & A. M. and Saginaw Chapter No. 31 R. A. M. (The notice of the death of Dr. Carter is published at this late date, as his death was brought to the attention of the Secretary, by the widow, only recently. The statement which appeared in a contemporary Journal recently, that Dr. Carter died several months ago, is incorrect.— Editor.) DR. DAVIS RESIGNS Dr. Benj. F. Davis has resigned the office of State Veterinarian of Wyoming, to accept the position of Secretary-Manager of the Frontier Days Show. Started 27 years ago on a “fly-by- night”’ scale it has grown to be the biggest spectacle of its kind in the world. It has become such a large institution that it now requires the full and undivided attention of one man all of the time. We congratulate the Show upon getting such a capable Secretary-Manager as Dr. Davis. MISCELLANEOUS A General Veterinary Hospital for the U. S. Army Reserve Corps is being organized at the University of Pennsylvania School of Veterinary Medicine. Staff of the National Veterinary School of Mexico Photograph seat to Dr. N. S. Mayo by Dr. Carlos E. Pavia Michigan veterinarians have been enjoying a real old fashioned winter. A letter just received from Dr. J. E. Wurm, of Pigeon, states that for the first time in three years he has been compelled to drive horses in getting to his patients. Dr. Wurm says that it is somewhat of a treat, but very slow navigation. A recent newspaper report, which was given rather wide pub- licity, contained the statement that ministers were the only ones who did not make any money during 1922. Even veterinarians were not excepted. DISCERNMENT The Italian Senate’s unanimous vote of confidence in Mussolini is somehow reminiscent of an old story: ) “Why do you think your dog loves you?” asked the nice old lady. “Because he knows I’d knock the stuffin’ out of him if he didn’t,’ the boy replied. Philadelphia Inquirer 834 PERSONAL Dr. A. A. Husman has been transferred from Birmingham, Ala., to Jacksonville, Fla. Dr. E. C. W. Schubel, formerly of Danville, IIl., is now located at Jackson, Michigan. Dr. Arthur E. Slocum has removed from Denver, Colo., and is now located at Sioux Falls, S. D. Lieut. Chas. M. Cowherd has been transferred from New Orleans to Fort Sam Houston, Tex. Dr. W. L. Williamson has removed from Fort Russell, Wyo., and is now located at Rocky Ford, Colo. Dr. Frank T. Kocher, formerly of Sunbury, Pa., has removed to Espy, Pa., where he is engaged in practice. Dr. Edward A. Rile, of Ambler, Pa., has just returned from a hunting trip in Virginia, where he shot four bears. Dr. Wm. B. Price, of Carstairs, Alberta, has been elected Secretary of the Veterinary Association of Alberta. Dr. E. P. McBane is now located at Frankfort, Ind., having disposed of his practice in Valdosta, Ga., several months ago. Dr. B. J. Finkelstein, formerly of Cherry Valley, N. Y., has removed to Brooklyn, where he is now located at 422 Sheffield Avenue. Dr. Victor Ballou has been appointed an agent of the Penn- sylvania State Bureau of Animal Industry, and is stationed at Sunbury, Pa. 835 836 PERSONAL Dr. Paul V. Clarkson has aecepted a position with the Penn- sylvania Bureau of Animal Industry, and is now located at Lancaster, Pa. Dr. Chas. F. Wolf has accepted a position with Parke, Davis & Co., and is now attached to the Animal Industry Department at the home offices in Detroit. Dr. Robt. J. Robertson has removed from Ithaca, N. Y., going to Richmond, Calif., where he has resumed private practice. He gives his address as 537-5th St. The friends of Dr. Howard B. Felton, of Philadelphia, Pa., who suffered a stroke of paralysis shortly after Christmas, will be pleased to learn that Dr. Felton is improving. Dr. C. A. Schaufler, Inspector-in-Charge of the Philadelphia U.S. Bureau of Animal Industry Office, the oldest officer in the length of service, is eligible to retirement on June 23, 1923. Dr. Frank L. Kampschmidt, of Los Angeles, Calif., has ten- dered his resignation as a member of the A.V.M.A. Dr. Kamp- schmidt is now practicing as a Chiropractor and Naturopath. Dr. A. L. Tiffany, of Monroe, Mich., was injured in an auto- mobile accident, which occurred on February 6th. Another machine ran into Dr. Tiffany and caused the latter’s car to go into a ditch. Dr. B. M. Underhill addressed the Cumberland Valey Vet- erinary Club, at Shippensburg, Pa., on the subject of ‘The Life History, Diagnosis and Treatment of Internal Parasites,” on January 4, 1923. Dr. Fred Boerner addressed the Delaware-Lehigh Valley Veterinary Club, on the subject of poultry diseases, at the December meeting of the club. Dr. Boerner illustrated his re- marks with lantern slides. PERSONAL 837 Dr. R. C. Riegel, of Harrisburg, Ill., is now in Clovis, New Mexico. He has been there since October last, in the hope of regaining his health, which has been seriously impaired ever since he was in the Army. Dr. Robert H. Wilson, of Rochester, Mich., was the first out-of-town member to call at the Association office. He dropped in for a brief chat with the Secretary, on February 10th, while in Detroit on a business mission. Dr. T. E. Munce, member of the Executive Board for District No. 2, and State Veterinarian of Pennsylvania, recently filled the role of Acting-Secretary of Agriculture of Pennsylvania, in the absence of Secretary Willitts. Dr. Ralph W. E. Daniels, on account of illness, has been ob- liged to resign his ~position as Resident Veterinarian in the Speyer Hospital for Animals in New York City, and has re- turned to his home in Philadelphia. Dr. Evan L. Stubbs, of Oxford, Pa., is conducting some very interesting research work on the “Intradermal Test for Avian Tuberculosis” in the Laboratories of the Pennsylvania Bureau of Animal Industry at Philadelphia, Pa. Dr. C. J. Marshall addressed the Northwestern Pennsylvania Veterinary Club, at Sharon, Pa., on January 8, 1923. His topic was ‘‘The Work of the Ambulatory Clinic for the Past Year at the University of Pennsylvania School of Veterinary Medicine’’. H. W. Jakeman, formerly Associate Director of the Biological Laboratories of Pitman Moore Co., Zionsville, Indiana, has been transferred to sales work and has been placed in charge of the New England territory at the Boston office of the Company, 44 Bromfield St., Boston, Mass. 838 NOTICE NOTICE Nominating ballots for the election of Executive Board members for Districts Nos. 2 and 3 were mailed from the Secretary’s office, on February 27, 1923, which was ‘‘six months prior to the annual meeting,’ as specified in the constitution and by-laws. The terms of the present incumbents of these two offices will expire at the close of the coming annual meeting in Montreal, at which time the two members- elect will assume their duties. Ballots have been mailed to all members in good standing in Districts Nos. 2 and 3, calling for nomina- tions. These should be returned promptly to the office of the Secretary, 735 Book Building, Detroit, Mich. Later, election ballots will be mailed to all members in good standing, in these two Districts. Electing ballots will contain the names of the five members, in each District, who received the highest number of nominating votes. District No. 2 consists of Maine, New Hampshire, Vermont, Massachusetts, Rhode Island, Connecticut, New York, New Jersey, Pennsylvania and Delaware. District No. 3 consists of Michigan, Wisconsin, Illinois, Indiana and Ohio. Polls close April 27, 1923. PE rIPRPADY Nnion rr O.R 2 Me EETEY a vit) DISCARD SF American Veterinary 601 Medical Association A5 Journal v.62 cop.2 Biological f & Medical Serials PLEASE DO NOT REMOVE CARDS OR SLIPS FROM THIS POCKET UNIVERSITY OF TORONTO LIBRARY io bas le eae pine yee eater cour ay Naf aterstutgaay, 2S = Sea, V8 Ae ae x hoe dks ioeeeersrs jest: fe phe eet ees raran ete a 8 ate ares Conse Ltrs vie ec lie a Set ee ve ER AER meray 5 ew heaan rere ee iit ne at eee oot Dads ie ae heen ee