In the Interests of the Anti-Tuberculosis Campaign 381 Fourth Avenue, New York City 15 Cents a Copy $1.50 a Year Copyright, 1920, by THE JOURNAL OF THE OUTDOOR LIFE PUBLISHING CO. Are We Teaching Our Children to Be Invalids? PERHAPS not, but how much attention do our schools give to teaching our children the rules of health, by which they may avoid tuberculosis and other preventable diseases? The average schoolbook on arithmetic, geography or what not costs $1 or more. It improves the child mind, but does nothing to secure for him that greatest of all assets-Good Health. For less than five cents a copy schoolchildren can be supplied with the HEALTH FIRST READER, which teaches not only the physical rules, but the psychology of health as well. It is the recognized child's book on good health; endorsed by the National Tuberculosis Association and many of the foremost men and women in the anti-tuberculosis movement. It is already in use in the schools of Washington, D. C.; Rochester, N. Y.; Philadelphia, Pa.; Cincinnati, Ohio; Birmingham, Ala.; Memphis, Tenn.; Des Moines, Iowa, and many other cities. Send ten cents in stamps for sample copy and price list. The Strobridge Lithographing Co. Cincinnati, Ohio A Book For Those Who Have or May Have Tuberculosis Saints' Rest By SADIE FULLER SEAGRAVE Of the Iowa State Sanatorium, Oakdale, Iowa. 180 pages, with frontispiece, and jacket in two colors. Price, postpaid, $1.00. BEAUTIFULLY PRINTED-HANDSOMELY BOUND N amusing and helpful sketch of sanatorium life, garnered from a four tuberculosis. An attempt is made to show the physical benefits that may be derived under the proper regime of regulated life, and the mental stimulus and fresh outlook on life that come with the increase of bodily vigor, and with the freedom from physical and mental overwork. The story is principally in the form of letters written by a girl to her fiance after she has been found to be tuberculous, and cover a period of one year. The letters combine the humor and pathos which are to be found in any such institution, and incidentally convey to the reader a considerable amount of reliable and helpful information respecting the proper treatment of tuberculosis. Order from Journal of the Outdoor Life, 381 Fourth Avenue, New York How One Man Won And Tells You How to Win Your Battle with Tuberculosis Read THE BATTLE WITH TUBERCULOSIS AND HOW TO WIN IT By D. MacDougall King, M.B, RUPERT BLUE, Surgeon General of the U. S. Public Health Service, wrote of this splendid volume: "It is deserving of wide circulation." Dr. EDWARD O. OTIS, of Boston, Mass., writes: "I have nothing but praise for it. All the statements are medically correct. The physician himself can learn much from it. A book of inspiration for the tuberculous patient. Will help and encourage many a poor consumptive." THERE ARE 258 PAGES OF PRACTICAL ADVICE, written by a doctor who knows both the patient's and the doctor's viewpoint. It would seem, says the author, that when 84 per cent. of people infected with tuberculosis make a successful recovery, that it is not such an incurable disease as is supposed. On this sound basis Dr. King proceeds step by step through the whole plan of a successful campaign. He shows what the chances to recovery are and how to take advantage of them. No point is overlooked and everything is so clearly explained in such simple lucid language and so interesting withal that the most discouraged tuberculous patient will be charmed and encouraged into making immediate and successful efforts toward recovery. JOURNAL OF THE OUTDOOR LIFE, 381 4th Ave., New York City When dealing with Advertisers please mention JOURNAL OF THE OUTDOOR LIFE Journal of the OUTDOOR LIFE IMPORTANT NOTICE TO SUBSCRIBERS When your subscription expires, renew at once. If it expires with this issue, your renewal must reach us before February 15th to avoid missing the next number. Use Money Order if possible, but bills or postage stamps may be sent. SIR WILLIAM OSLER, A PIONEER IN TUBERCULOSIS By HENRY BARTON JACOBS, M.D., BALTIMORE, MD. As pioneers in our present crusade against tuberculosis, five names stand out prominently in any historical review of this movement: Edward L. Trudeau, Vincent Y. Bowditch, Hermann N. Biggs, Lawrence F. Flick and William Osler. These men were preceded by several devoted workers in the cause who paved the way in no uncertain sense for those who were to follow, the names of Henry I. Bowditch, Austin Flint and Alfred L Loomis will at once suggest themselves particularly to the present toilers who have already passed their halfcentury milestone in life. Moreover, grouped about the first five men there are the names of many which must be mentioned when any final history of tuberculosis is written. Their contributions have been numerous and valuable, but I am sure they would be the first to acknowledge that Trudeau, V. Y. Bowditch, Biggs, Flick and Osler were their leaders. a The first and last of these men are gone. An appreciation of the work of the first has in a partial degree been written. Never can complete appreciation be put into words. Only his influence and inspiration on the present and the generations to follow can ever fully represent his service. Now the last of these men is dead and it is but fitting that some words should be spoken, no matter how inadequately, of his activities in the effort to disseminate knowledge of tuberculosis. For that is what the modern crusade against the disease means-a knowledge of the nature of the disease, how it may be combatted, or prevented, and how it may be cured. From the beginning of his medical teaching, Professor Osler was interested in tuberculosis. He early accepted the conclusions of Laënnec in declaring for the morphological and pathological identity of the disease, no matter in what part or organ of the body it appeared, and later when Koch in 1882 announced the specific causative organism he was among the first in this country to acknowledge the im portance of the discovery. Again in 1890 when Koch developed what seemed to him likely to prove a curative agent for the disease, at once Dr. Osler secured the tuberculin. and gave it a thorough, though unfortunately an unsuccessful trial upon patients in the wards of the Johns Hopkins Hospital. The failure of tuberculin, however, did not discourage him in his study of tuberculosis and the methods that might be used for limiting its frequency. He was constantly following the work of Trudeau in Saranac and of Brehmer and Detweiler in Europe in their experience with the outdoor treatment of patients, and he was prone to admit to the hospital wards from the outdoor clinic those cases which seemed to him might be benefitted by a few weeks' rest in bed on the open verandas of the hospital-cases, too, which would be valuable in teaching certain aspects of the disease to his students. It was ever a strong belief of his that the first important step in the suppression of tuberculosis must be an early recognition of the disease by the physicians, and to this end he lectured and demonstrated the disease repeatedly, not only to his students, but to the groups of doctors who followed his footsteps through the wards and the dispensary to the ampitheater. To learn more particularly of the incidence of tuberculosis and the conditions under which its victims were living, and the races of people involved, Dr. Osler in 1898 and '99 was enabled to have two of the medical students of the Johns Hopkins University visit every case of pulmonary consumption that applied for admission to the dispensary. The story brought back by these students was "a story of dire desolation, want and helplessness and of hopeless imbecility in everything that should be in our civic relation to the care of this disease." This quotation is taken from an address made by Dr. Osler in December, 1901, at a public meeting, when an effort was being undertaken to secure state legislation which should pre |