will deny. Just how to apply this treatment is the reason for the meeting of this committee on indigent migratory consumptives of the National Tuberculosis Association in your midst. It is not the injustice on any state that is the real condition needing correction, but the prevention of the dissemination of this disease by these unforunate wanderers for whom no one is ready to assume responsibility. It seems hardly necessary to add the one final word, that the better each member of the team in each community is organized, the more effective will be the work for the prevention and cure of this dread disease. Not alone are tuberculosis sufferers to be benefitted but every medical problem that has a social aspect will be better understood and better handled. The problems of public health have long since passed the stage of amateur consideration and no community to-day can bid for traffic, commerce and growth that cannot show a live Board of Health, a good water supply, a sewer system, an absence of slums, and a fair deal for its unfortunate sick. MERRIMENT AT THE STATE SAN. By R. E. LUHN, JR., TEXAS STATE TUBERCULOSIS SANATORIUM It was "Patients' Picture Show Night" at the State San. "A large and representative audience" (principally patients, doctors and nurses-see daily papers) had assembled for the Monday night performance by the leading heroes and heroines of the screen. Enter our heroine-a little girl apparently about fourteen years old. The usual village with its gossips, oldest inhabitant, ugliest old maid and other paraphernalia ordinarily associated with the M. P. drama. Our heroine is scolded by her maiden aunt, blows soap bubbles, gets discontented, unexpectedly is allowed to "clerk at the stoar," makes the acquaintance of a visiting actor, scolded by prudish aunt, decides to visit New York and become great actress through cooperation of the "barnstormer." Note: Up to this point the action has been rapid and, though it is pretty much what is seen each week, the audience is politely attentive. The pictures and scenes are good, and it seems there is going to be a "sob" to the story, which appeals to the average "movie" fan. Our audience proves itself to be no exception. The little girl gets on the train all alone, goes to the big city to find her actor friend, finds he is married, runs away into the storm, goes to a cheap restaurant, again goes into the storm, is accosted by a "cadet," rescued by rich club man. Here the fun, in more senses than one, begins. The club man, handsome matinee idol, has T.B. His physician (so he states in a scene showing our hero at his club) has been trying for years to get him to go west before the Great White Plague does its deadly work. Our hero-a handsome, real husky-looking chap, prefers the bright lights of New York to the bright stars of Arizona and says he will stay on if he dies. When he rescues our little girl, however, after carrying her up a flight of steps, he decides that perhaps he is not quite as well as he might be. Here our audience's fun is increased. Our hero, in spite of expert medical advice, following the severe fit of coughing superinduced by carrying the healthy, rather stout young female, spits in his handkerchief. After furnishing his charge a bite of supper and having no other place in which to stow her, he instructs Masters, his servant, to give the girl his bedroom and he will return to his club for the night. First, however, he will do some writing. The young lady, looking rather small in her benefactor's pajamas, duly gets to bed, only to be awakened by the entrance into her room of a dissolute, drunken friend of her protector's, who has previously seen her in the restaurant. Our hero hears the noise and, in the ensuing scuffle in which he is engaged in depositing his friend outside his rooms, he is overcome and has a hemorrhage. (More merriment from the audience at the way in which our heroine holds his head.) The doctor is called, and through the combined moving about of the doctor, two nurses, and the young lady holding his head, with Masters-the servantmoving around also, our hero decides not to die, but at last makes up his mind to go to Arizona. Enter here one who may be called our sub-heroine. She it is who will take up our little waif and educate her, and help keep up our hero's courage until he can get to Arizona and become well. Although her heart is breaking for love of him, yet she resolves almost from the start to renounce our hero's love, and turn him over to the little waif, our heroine, in spite of the apparent youthfulness of the latter. Scene after scene follows here, showing our young charge in school and very happy. She develops rapidly, and in a month or so blooms into a pretty, young woman, age say about twenty. Our hero, too, is doing well. Out in Arizona he has been sleeping on the hard, bare ground, under the stars, and during the day hunting, and cutting firewood (gales of laughter from our expert T.B. audience.) He is shown loading Masters with his firewoodwith his gun-riding an unusually spirited horse, and so on. Under this course of treatment, strange to say, he has not gone to the grave, despite the fact that a simple little tussle with a drunken friend had brought on a severe hemorrhage; but to the contrary, has (Continued on page 182) TAKE THE CURE All your meals come in on trays, Pretty nurses, winning ways, Always on the job to bring, When you're bad-ah; that's the thing, When the time for rest hour comes, Cut out whistling, songs, and hurns. You've got trouble in your chest, Say the Doctors-they know best, When you want to move in bed, Take the cure. Don't move nothing 'cept your head, Take the cure. You don't have to jump, you know, When your visitors come and go, Is your temperature up in "G"? Pulse just going, one, two, three? Just a little something wrong, Doesn't seem much use to try? Tho' you're sure you're going to die, There are other fellows too, Who were lots worse off than you, Bye and bye you're up for meals, Golly boys: How good it feels, Take the cure. Have a care, don't overdo it, If you do, you'll surely rue it, Then some "Knut" will say, "I knew it," Take the cure. THE 1919 RED CROSS SEAL SALE BY J. DEAN HALLIDAY, PUBLICITY SECRETARY, NATIONAL TUBERCULOSIS ASSOCIATION, NEW YORK That the greatest war in the world-the war against tuberculosis may carry on, with a bigger and broader program than ever before, the 1919 sale of Red Cross Christmas seals is to be conducted on a scale and with an intensity never before attempted. While the exact figures have not been set as yet, it is probable that a salvo of half a billion seals will be fired next December in an effort to raise between five and six million dollars. The exact goal will be based on the needs indicated by State budgets which are being compiled for the National Tuberculosis Association. now The design for the 1919 seal, reproduced on the opposite page, is the work of Ernest Hamlin Baker, a young New York artist of note whose cover designs and decorations are familiar to followers of the leading magazines. It was chosen from among scores of competitive sketches submitted by famous artists and illustrators. It will be printed in three colors, red, blue and green, and for the first time will carry the double-barred tuberculosis cross as well as the Red Cross. For the first time also the seal carries a direct health message in the holiday wish, "Health and a Happy New Year.' The decision to make the 1919 Red Cross seal campaign an intensive drive of the type so extensively employed during the war and for nearly three times the amount of money sought in former years was reached at a conference of anti-tuberculosis leaders held in Cincinnati in March, when after-war problems and responsibilities were thoroughly discussed and considered. The delegates present represented twenty-three widely separated States. They agreed that the demands of the reconstruction years called for a campaign of unprecedented proportions, not only for the purpose of financing the work ahead but to stir the people to united effort in fighting the White Plague, the menace of which was made so clear to the public by the medical examination of millions of men for military service. The final tabulation of draft reject slips shows, in a striking way, the situation this year's seal must help to solve. It reveals, first of all, the fact that 62,000 of the men called for service in the National Army were rejected because medical examination showed them to be suffering from tuberculosis, that another 20,000 were discharged for the same reason, after reaching army camps, and that now with but two-thirds of the army home from France some 6,000 men, who are still in the service, are being cared for in the army's special tuberculosis hospitals in the United States. The Red Cross seal campaign this year, the first since 1917, will be so organized nationally that every seal given in exchange for a penny will carry with it a powerful educational appeal. Constructive_country-wide publicity will be the key-note of the drive and all the intensive methods used with such signal success in the Liberty Loan and Red Cross campaigns will be employed. This will entail, first, a broad, general campaign of publicity, taking in the national magazine and larger newspapers throughout the country. Next, a more intensive campaign of localized publicity and educational effort will be carried on by the 1,500 state and local associations affiliated with the National Association through all mediums for reaching the public. At the time of the actual sale of the seals, state and local selling organizations will be so highly developed that everybody who can buy even one seal will be approached within a comparatively brief compass of time. feature of the campaign and one that marks an innovation in campaigns of this character will be the fact that the National Association will employ or make available for the use of its affiliated societies trained organizers who will lend expert assistance for periods of weeks or months, immediately preceding the actual sale of the holiday stickers. A That the drive may be perfectly planned and carried out with precision the National Association has retained as Campaign Director, Mr. Elmore S. Leffingwell. Mr. Leffingwell is a newspaper man of more than twenty years' experience and has been identified not only with some of the largest daily and monthly publications in the country, but has had extensive experience in money raising and other campaigns. He is at present conducting the Salvation Army's national drive for $13,000,000. As collaborators with Mr. Leffingwell the National Association has appointed Mr. B. G. Eaves and Mr. J. D. Halliday of the regular staff. Having fought and won the great fight against the disease himself, Mr. Eaves has not only a great sympathy for the work but a broad understanding of the problem as well. He will serve in the capacity of National Sales Manager, a position he is well qualified for on account of his experience in seal campaigns in Alabama and later in the great United War Fund campaign. Mr. Halliday, who will be National Publicity Director for the coming campaign, is a former newspaper man who served as Publicity Director with the American Red Cross Tuberculosis Commission to Italy and before that organized and headed the Bureau of Health Education in Cleveland, Ohio. The aim of this Journal is to be helpful to persons seeking health by an outdoor life, and particularly to disseminate reliable information looking to the prevention and cure of tuberculosis. It should be distinctly understood, however, that the JOURNAL OF THE OUTDOOR LIFE is not intended to supplant personal medical advice. Anyone suffering from pulmonary trouble who is not under the care and guidance of a physician is taking grave chances. THE DEATH RATE AND THE TUBERCULOSIS CAMPAIGN Efforts to draw a correlation between the death rate and the campaign against tuberculosis throughout the United States or even in relatively restricted areas have generally proven futile. The principal reasons for the failure to prove such correlations as may possibly exist lie first of all in the fact that our mortality statistics are in practically every case. so faulty that conclusions drawn from them are of little value, and in the second place in the fact that tuberculosis is so closely related to other respiratory and infectious diseases that any factors that effect the general death rate are bound to effect the tuberculosis death rate, making it almost impossible to segregate the peculiarly tuberculosis factors. These facts should be borne in mind when impatient critics of the tuberculosis campaign begin to talk of a rising death rate during the last two or three years, asserting that the campaign against tuberculosis is not being developed along sound lines and that the entire basis of attack must be changed. They forget that the temporary rise in the death rate during the last two years is more readily explainable on other grounds than the failure of the campaign against tuberculosis. For example, there has never been such a shift in the population of the United States as during the last three years. Nearly 4,000,000 males have been suddenly uprooted and transferred from their normal environments. Between two and three million females have left quiet, domestic and clerical pursuits to undertake more strenuous war work in factories, offices and elsewhere. The mushroom growth in almost a single night of new towns and cities with as many as 100,000 people is paralleled by the doubling and tripling of the population of already relatively large cities in every part of the country. That such a radical change in the composition and constitution of the population must have a marked effect upon the death rate from tuberculosis and other diseases can hardly be denied. Even the severest critics of the tuberculosis campaign, if they are fair, will admit that the resources for fighting tuberculosis, grossly inadequate before the war, have been utterly unable to cope with the new conditions raised by the war. This inability is not an evidence of lack of sound judgment in the methods pursued, but rather an evidence of the lack of public support and appreciation of the methods being developed. With the emphasis being laid upon the necessity for increased provision brought about not only by the discovery of from 60,000 to 100,000 new cases of tuberculosis in the army, but by the other conditions enumerated here, the people of the United States are coming to appreciate that the problem of a million active cases of tuberculosis is one that demands immediate recognition, and that the campaign being developed by the or |