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THE THIRD RACE BETTERMENT CONFERENCE.
463
usually, for
12 weeks after the confinement. Maternity benefit is far from being restricted to insured women ; in 14 countries it is given to the wives of insured men in virtue of the husband’s insurance, while in five countries the benefit is extended to other members of the insured person’s family--namely, daughters, grand-daughters, and sisters if they are dependent on the insured person and are members of his household.
This extension is compulsory in Austria, Germany, and Poland, and optional in Czecho - Slovakia and
themselves with an elaborate medical equipment. The Berlin Federation of Sickness Funds has established 40 clinics, each being responsible for the treatment of the insured persons and their families living in a certain area. In Poland the sickness funds had by the end of 1924 no less than 312 clinics, 116 pharmacies, 55 hospitals, and 7 sanatoriums. Similar provision on an increasing scale is being made in Czecho-Slovakia. This subject might with advantage to the medical reader have been treated in fuller detail and with a critical discussion of the principles involved and the difficulties encountered, so that an unwary reader might not carry away an impression of a harmonious adjustment of varying interests which a closer acquaintance with local conditions
provide
Roumania. The provision of maternity benefits for the wives And other dependent members of the insured person’s household introduced into social insurance an element of special significance. It gave expression to the conception that the real unit for insurance purposes might possibly modify. It is impossible, however, to make even a cursorv is not the individual worker, but the worker together with his family, and that no insurance system can be study of this book without being profoundly impressed regarded as complete that does not provide for the by the magnitude of the social movement it describes. medical care of the insured person’s dependents. Compulsory sickness insurance has created a vast netThis conception of the function of sickness insurance work of organisations endowed with wide powers and has made rapid headway since the war, and in most disposing of large funds. How to direct these immense countries the provision of medical treatment for the new forces to the best advantage is one of the most dependents of the insured is either a compulsory or an ’, important public health questions of the present day. optional benefit. Usually the dependents receive the ’, same range of medical services as the insured persons, ’, but in certain countries such special forms of provision THE THIRD RACE BETTERMENT as spa treatment or treatment and maintenance in CONFERENCE. convalescent homes are reserved exclusively for the insured. The social importance of this development is FROM Jan. 2nd to 6th there took place at Battle obviously considerable and likely to have far-reaching Creek, Michigan, U.S.A., the Third Race Betterment results. By making medical care freely available for Conference. The official purpose of these conferences the children the influence of sickness insurance in the isfield of prevention has been greatly extended. The "to bring together a group of leading scientists, educators, doctor can be called in early, infection detected in an and others for the purpose of discussing ways and means early stage and brought under timely control, serious of applying science to human living in the same thoroughdisease can be attacked in its beginnings when the going way that it is now applied to industry-in the promotion of longer life, increased efficiency and wellprospects of success are most promising, and skilled being, and of race improvement." advice can at all times be secured during those critical of have so an life which As .early years important many as 60 addresses were delivered in the influence on the health of the worker when he reaches course of these four days by different speakers. The the period of productive activity. The preventive subject matter of the conference, as dealt with in aspect of family provision is fully realised by those these addresses, roughly falls into the following responsible for the administration of insurance divisions: eugenics and heredity ; public health, schemes on the continent, in which preventive work immigration, and longevity; nutrition ; and a tends to take an increasingly important place. It is, miscellaneous division comprising such heterogeneous in fact, the latest and perhaps the most significant topics as athletics for women, newer values in educadevelopment of sickness insurance. In various tion, the therapeutic value of sunlight, the future of countries recent legislation has given the sickness the Red Indians, the cultural value of advertisements, funds wide powers to take preventive action, and many and the bearing of the conditioned reflex upon no less Health a subject than " moral hygiene." Only the salient .are making extensive use of these powers. instruction is given by means of lectures, health points arising from these addresses can be dealt with eexhibitions, &c., and through the medium of the press here. .and the cinematograph ; antenatal consultations have Eugenics and Heredity. been established, holiday camps for children organised, In the direction of negative" or restrictive eugenics, and in various ways the funds participate in the fight an address was given by Dr. Paul Popenoe dealing with Up till January, 1927, 5000 against tuberculosis and venereal disease and for the sterilisation in California. been- performed in this State, have sterilising operations child of life. protection 4000 of them in the State hospitals for the insane, and 1000 The Organisation of Medical Services. in the State home for the feeble-minded. There have been The book contains a chapter on the organisation of four deaths in the course of these operations--a man and medical services which is of special interest to a woman from ether anesthetics, and two women from Apart from these official State-controlled In nearly all the countries in peritonitis. medical readers.. is estimated that some 2000 women have been which compulsory sickness insurance has been operations, itsterilised in private practice. In Michigan, established the institutions responsible for the voluntarily wherein there exist a minimum of 73,000 feeble-minded, of also for cash benefits are the payment responsible sterilisation has been performed in 111 cases. Of this provision of medical services, although not infrequently procedure, Dr. H. E. Randall said that no one expected, this duty is carried out not by the individual institu- by it, completely to eliminate mental defect from the comtions but by their federations. The most important munity since the condition was frequently carried," in genetic sense, by normal persons. Yet it was reasonable exception is to be found in the British system, in which the the arrangements for medical treatment are made, to hope that, by the process of sterilisation, the contamination of the with the taint of latent mental not by the approved societies, but by the insurance defect generalinpopulation course of time, be diminished. The reports would, committees. In Esthonia and Latvia the employers upon patients operated on in Michigan do not bear out the are responsible for medical provision, while in Russia contention that the measure promotes loose moral conduct this responsibility devolves upon the public health and spreads venereal disease. Dr. Randall also says : " We authorities. On the continent the conditions under have seen no improvement, as Steinach reports, in the which medical practitioners undertake service vary direction of rejuvenating old men. Our own impression All have recovered ’
"
"
not only among the various countries, but also within the same country, and there are similar variations in regard to the right of the insured person to choose his doctor. There appears to be a growing tendency for the insurance institutions to
considerably,
is that
none
havebeen made worse. has led to
promptly and the operation of the paroled."
a
cleaner moral life
Much evidence was advanced of the supposedly harmful influence on the national stock of differential fertility. Thus an investigation by Prof. Alsworth Ross revealed
464 " that the average number of children born into 100 dependent families of American stock was 2 times the number born from 2200 families of the same stock who had a son, a daughter, a nephew or a niece in college." Prof. E. M. East also dwelt upon the dysgenic tendency of America’s increase of population. He is of the opinion that this tendency can best be checked by " spreading a clearer genetic point of view among our physicians." Dr. E. J. Hickson, director of the Psychopathic Institute, Chicago, laid stress on the very close relation between the defective and criminal classes in his city, each of which classes amounts to some 2 per cent. of the population. But this 2 per cent. absorbs 35 per cent. of the gross taxes in addition to being a source of considerable anxiety to the remaining 98 per cent. Dr. Hickson’s wide experience of this class of criminal defective has led him to advocate depriving it of political power by a system of proportional voting. In connexion with the relative influences of heredity and environment in the creation of criminal and defective types, there was some difference of view. Dr. Riddle, of the Carnegie Institute, advanced a plea for the foundation of another institute for the study of the influence exerted by environmental conditions upon hereditary characteristics. But Dr. Henry F. Vaughan, Commissioner of Health for Michigan, so doubted the value of improved " nurture " that he advocated sterilising burglars. He further urged that " those who show themselves, during school life, to be low-grade morons, should be desexed (i.e., presumably, sterilised) before the
Louis Howburgh warned his hearers against partaking of diets too rich in proteins. Diets, he said, containing 10 per cent. of tryptophane and cystine, were capable, in one week, of killing rats, in which were found, at post-mortem, extensive hepatic lesions. Popular Science.
And Prof.
Numerous miscellaneous addresses were delivered. Of these one deserves notice as illustrating a defect which inevitably creeps into popular semi-scientific conferences. The organisers of these conferences naturally strive to secure the support of eminent scientific men. Now the value to science of a given piece of research is by no means commensurate with its capacity to yield generalisations of popular interest. Having consented to make a contribution to the conference out of sympathy with its general aims, the scientific worker finds himself placed between the Scylla of delivering an address totally unintelligible to the bulk of his audience, and the Charybdis of having to distil from his theme, by some means or other, an argument relevant to existing social conditions. That this process of distillation may at times be somewhat forced was indicated, at this conference, by an address from Dr. W. N. Boldyreff upon " Some New Physiological Data as a Basis for reproductive age." Moral Hygiene." From the fact that " all vital Public Health, Immigration, Vital Statistics, and phenomena should be classed under one of two Longevity. groups-(I) useful or pleasant process, and (2) harmful Dr. Alexis Carrel described his experiments on the or unpleasant processes," Dr. Boldyreff deduces the immortality of tissues and argued that further progress in conclusion that " temperance should be the basis of knowledge of cell physiology and of the chemistry of our behaviour." Thus, at semi-scientific conferences nutrition would lead to a prolongation of human life. A with social aims, are physiological data stretched plea for periodic medical examinations of healthy people was upon the Procrustean bed of popular demand. made Dr. "
"
Franklin H. Martin. He suggested that these be made in the " standardised hospitals of the United States, of which there are now some 1800. " " Each hospital," he proposed. SOUTH AFRICA. volunteering to establish such facilities will be accredited as conducting a health (FROM OUR OWN CORRESPONDENT.) inventorium." This scheme is being given careful consideration by the American College of Surgeons, of which Dr. Martin is Director-General. In a lecture upon a similar Medical Practice by the Qualified and Unqualified. subject, Dr. Guy L. Kiefer said that certain life insurance AFTER being before the House of Assembly for companies were instituting regular medical examinations of I its policyholders, the consequent lengthening of whose lives 11 years with various alterations and amendments, And resulted in increased profits for the companies. Medical, Dental and Pharmacy Bill has at last a recent legislation Act in Michigan requires the physical its third reading and been transmitted to the passed examination of persons driving motor vehicles carrying so that there is every prospect of it being Senate, This brings another large group of passengers for hire. on the Statute Book this year. Last year persons into the ever-increasing orbit of periodic health placed Similar views were expressed by Dr. Dr. Malan, Minister of the Interior, by sheer perexaminations." Eugene Fisk and Dr. James Glover. Proposals favouring severance advanced the Bill as far as the committee the " positive " aspect of eugenics-implied in encouraging stage before the House adjourned, and had disposed the fertility of the well-endowed-were limited to suggestions of 75 of its 97 clauses. Among those first 75 clauses with regard to immigration. Upon this subject, again, were the most contentious, including those dealing Prof. East suggested that with the there was division of opinion. faith-healers, chiropractors, dental mechanics, stricter medical examinations should be instituted in the who in this country. A &c., a view to of with " countries excluding number of flourish exceedingly Europe emigrating from the had nobly Members Platteland is now done more effectively than physically inadequate Dr. Harry E. Hull, Commissioner- espoused their cause for many years, but at last or defective types. General of Immigration, held that Americans should these Members seem to have realised the futility of encourage the immigration of " those Nordic strains of their arguments. Northern Europe which in culture and rich heritage of When the Bill was resumed in the committee stage tradition, contributed the- most desirable material to our last week Dr. Malan moved a new clause obviouslv national structure." But Prof. Ales Hrdlicka expressed his to placate the Platteland. This was to the disapproval of this partiality for Nordic strains in the designed following words : " In the last 15 years have been heard effect that1. No person registered under this Act shall himself make many alarms of the threatening deterioration of American stocks through the influx of the so-called inferior races ’ or attempt to make or to recover, or shall enter into any of white derivation. These threats have received no agreement or associate himself in any way with any other scientific foundation." person for the purpose of making or fixing excessive or extortionate charges for any services rendered or for any Nutrition. A considerable amount of attention was accorded to this article supplied or to be supplied by him by virtue of being subject during the conference. By Dr. Arthur I. Kendall, so 2.registered. Unless the circumstances are such as to render it dean of biology, Northwestern Medical School, it was argued that by the elaborate culinary preparation of foods were impossible so to do, every person registered under the Act rendering any service by virtue of being so destroyed many strains of comparatively unresistant lactic shall, before inform the person to whom the service is to be acid-forming organisms which, in the human alimentary registered, or the person in charge of such person, of the fee tract, oppose the multiplication of maleficent spore-forming rendered, which he intends to charge therefor (a) when so requested resistant and organisms. Many pathogenic bacteria of this by any person concerned : or (b) when such fee exceeds group were capable, as sole occupants of the alimentary that usually charged for the service. tract, of seriously disturbing the normal " man-microbe 3. Any registered person who contravenes or fails to balance." Several speakers stressed the plea, now revercomply with any provision of this section shall be guilty berating through this country, for the consumption of more of improper or disgraceful conduct within the meaning of and fresh wholemeal fruits, bread, green vegetables. Chapter milk, iv. of this Act, and it shall be the duty of the Council the incidence attributed Dr. Adolphus Knopf relatively high or the Board to take cognisance of and deal with such women between of pulmonary tuberculosis among young conduct under that Chapter. the ages of 15 and 30 years to self-imposed habits of underDr. Malan declared that the object of the Bill was clothing and under-nourishment which are inspired by a feminine fashion favouring a boyish appearance and figure. not merely to place registered persons in a privileged
by
examinations
"
"
"
the
usually, for
12 weeks after the confinement. Maternity benefit is far from being restricted to insured women ; in 14 countries it is given to the wives of insured men in virtue of the husband’s insurance, while in five countries the benefit is extended to other members of the insured person’s family--namely, daughters, grand-daughters, and sisters if they are dependent on the insured person and are members of his household.
This extension is compulsory in Austria, Germany, and Poland, and optional in Czecho - Slovakia and
themselves with an elaborate medical equipment. The Berlin Federation of Sickness Funds has established 40 clinics, each being responsible for the treatment of the insured persons and their families living in a certain area. In Poland the sickness funds had by the end of 1924 no less than 312 clinics, 116 pharmacies, 55 hospitals, and 7 sanatoriums. Similar provision on an increasing scale is being made in Czecho-Slovakia. This subject might with advantage to the medical reader have been treated in fuller detail and with a critical discussion of the principles involved and the difficulties encountered, so that an unwary reader might not carry away an impression of a harmonious adjustment of varying interests which a closer acquaintance with local conditions
provide
Roumania. The provision of maternity benefits for the wives And other dependent members of the insured person’s household introduced into social insurance an element of special significance. It gave expression to the conception that the real unit for insurance purposes might possibly modify. It is impossible, however, to make even a cursorv is not the individual worker, but the worker together with his family, and that no insurance system can be study of this book without being profoundly impressed regarded as complete that does not provide for the by the magnitude of the social movement it describes. medical care of the insured person’s dependents. Compulsory sickness insurance has created a vast netThis conception of the function of sickness insurance work of organisations endowed with wide powers and has made rapid headway since the war, and in most disposing of large funds. How to direct these immense countries the provision of medical treatment for the new forces to the best advantage is one of the most dependents of the insured is either a compulsory or an ’, important public health questions of the present day. optional benefit. Usually the dependents receive the ’, same range of medical services as the insured persons, ’, but in certain countries such special forms of provision THE THIRD RACE BETTERMENT as spa treatment or treatment and maintenance in CONFERENCE. convalescent homes are reserved exclusively for the insured. The social importance of this development is FROM Jan. 2nd to 6th there took place at Battle obviously considerable and likely to have far-reaching Creek, Michigan, U.S.A., the Third Race Betterment results. By making medical care freely available for Conference. The official purpose of these conferences the children the influence of sickness insurance in the isfield of prevention has been greatly extended. The "to bring together a group of leading scientists, educators, doctor can be called in early, infection detected in an and others for the purpose of discussing ways and means early stage and brought under timely control, serious of applying science to human living in the same thoroughdisease can be attacked in its beginnings when the going way that it is now applied to industry-in the promotion of longer life, increased efficiency and wellprospects of success are most promising, and skilled being, and of race improvement." advice can at all times be secured during those critical of have so an life which As .early years important many as 60 addresses were delivered in the influence on the health of the worker when he reaches course of these four days by different speakers. The the period of productive activity. The preventive subject matter of the conference, as dealt with in aspect of family provision is fully realised by those these addresses, roughly falls into the following responsible for the administration of insurance divisions: eugenics and heredity ; public health, schemes on the continent, in which preventive work immigration, and longevity; nutrition ; and a tends to take an increasingly important place. It is, miscellaneous division comprising such heterogeneous in fact, the latest and perhaps the most significant topics as athletics for women, newer values in educadevelopment of sickness insurance. In various tion, the therapeutic value of sunlight, the future of countries recent legislation has given the sickness the Red Indians, the cultural value of advertisements, funds wide powers to take preventive action, and many and the bearing of the conditioned reflex upon no less Health a subject than " moral hygiene." Only the salient .are making extensive use of these powers. instruction is given by means of lectures, health points arising from these addresses can be dealt with eexhibitions, &c., and through the medium of the press here. .and the cinematograph ; antenatal consultations have Eugenics and Heredity. been established, holiday camps for children organised, In the direction of negative" or restrictive eugenics, and in various ways the funds participate in the fight an address was given by Dr. Paul Popenoe dealing with Up till January, 1927, 5000 against tuberculosis and venereal disease and for the sterilisation in California. been- performed in this State, have sterilising operations child of life. protection 4000 of them in the State hospitals for the insane, and 1000 The Organisation of Medical Services. in the State home for the feeble-minded. There have been The book contains a chapter on the organisation of four deaths in the course of these operations--a man and medical services which is of special interest to a woman from ether anesthetics, and two women from Apart from these official State-controlled In nearly all the countries in peritonitis. medical readers.. is estimated that some 2000 women have been which compulsory sickness insurance has been operations, itsterilised in private practice. In Michigan, established the institutions responsible for the voluntarily wherein there exist a minimum of 73,000 feeble-minded, of also for cash benefits are the payment responsible sterilisation has been performed in 111 cases. Of this provision of medical services, although not infrequently procedure, Dr. H. E. Randall said that no one expected, this duty is carried out not by the individual institu- by it, completely to eliminate mental defect from the comtions but by their federations. The most important munity since the condition was frequently carried," in genetic sense, by normal persons. Yet it was reasonable exception is to be found in the British system, in which the the arrangements for medical treatment are made, to hope that, by the process of sterilisation, the contamination of the with the taint of latent mental not by the approved societies, but by the insurance defect generalinpopulation course of time, be diminished. The reports would, committees. In Esthonia and Latvia the employers upon patients operated on in Michigan do not bear out the are responsible for medical provision, while in Russia contention that the measure promotes loose moral conduct this responsibility devolves upon the public health and spreads venereal disease. Dr. Randall also says : " We authorities. On the continent the conditions under have seen no improvement, as Steinach reports, in the which medical practitioners undertake service vary direction of rejuvenating old men. Our own impression All have recovered ’
"
"
not only among the various countries, but also within the same country, and there are similar variations in regard to the right of the insured person to choose his doctor. There appears to be a growing tendency for the insurance institutions to
considerably,
is that
none
havebeen made worse. has led to
promptly and the operation of the paroled."
a
cleaner moral life
Much evidence was advanced of the supposedly harmful influence on the national stock of differential fertility. Thus an investigation by Prof. Alsworth Ross revealed
464 " that the average number of children born into 100 dependent families of American stock was 2 times the number born from 2200 families of the same stock who had a son, a daughter, a nephew or a niece in college." Prof. E. M. East also dwelt upon the dysgenic tendency of America’s increase of population. He is of the opinion that this tendency can best be checked by " spreading a clearer genetic point of view among our physicians." Dr. E. J. Hickson, director of the Psychopathic Institute, Chicago, laid stress on the very close relation between the defective and criminal classes in his city, each of which classes amounts to some 2 per cent. of the population. But this 2 per cent. absorbs 35 per cent. of the gross taxes in addition to being a source of considerable anxiety to the remaining 98 per cent. Dr. Hickson’s wide experience of this class of criminal defective has led him to advocate depriving it of political power by a system of proportional voting. In connexion with the relative influences of heredity and environment in the creation of criminal and defective types, there was some difference of view. Dr. Riddle, of the Carnegie Institute, advanced a plea for the foundation of another institute for the study of the influence exerted by environmental conditions upon hereditary characteristics. But Dr. Henry F. Vaughan, Commissioner of Health for Michigan, so doubted the value of improved " nurture " that he advocated sterilising burglars. He further urged that " those who show themselves, during school life, to be low-grade morons, should be desexed (i.e., presumably, sterilised) before the
Louis Howburgh warned his hearers against partaking of diets too rich in proteins. Diets, he said, containing 10 per cent. of tryptophane and cystine, were capable, in one week, of killing rats, in which were found, at post-mortem, extensive hepatic lesions. Popular Science.
And Prof.
Numerous miscellaneous addresses were delivered. Of these one deserves notice as illustrating a defect which inevitably creeps into popular semi-scientific conferences. The organisers of these conferences naturally strive to secure the support of eminent scientific men. Now the value to science of a given piece of research is by no means commensurate with its capacity to yield generalisations of popular interest. Having consented to make a contribution to the conference out of sympathy with its general aims, the scientific worker finds himself placed between the Scylla of delivering an address totally unintelligible to the bulk of his audience, and the Charybdis of having to distil from his theme, by some means or other, an argument relevant to existing social conditions. That this process of distillation may at times be somewhat forced was indicated, at this conference, by an address from Dr. W. N. Boldyreff upon " Some New Physiological Data as a Basis for reproductive age." Moral Hygiene." From the fact that " all vital Public Health, Immigration, Vital Statistics, and phenomena should be classed under one of two Longevity. groups-(I) useful or pleasant process, and (2) harmful Dr. Alexis Carrel described his experiments on the or unpleasant processes," Dr. Boldyreff deduces the immortality of tissues and argued that further progress in conclusion that " temperance should be the basis of knowledge of cell physiology and of the chemistry of our behaviour." Thus, at semi-scientific conferences nutrition would lead to a prolongation of human life. A with social aims, are physiological data stretched plea for periodic medical examinations of healthy people was upon the Procrustean bed of popular demand. made Dr. "
"
Franklin H. Martin. He suggested that these be made in the " standardised hospitals of the United States, of which there are now some 1800. " " Each hospital," he proposed. SOUTH AFRICA. volunteering to establish such facilities will be accredited as conducting a health (FROM OUR OWN CORRESPONDENT.) inventorium." This scheme is being given careful consideration by the American College of Surgeons, of which Dr. Martin is Director-General. In a lecture upon a similar Medical Practice by the Qualified and Unqualified. subject, Dr. Guy L. Kiefer said that certain life insurance AFTER being before the House of Assembly for companies were instituting regular medical examinations of I its policyholders, the consequent lengthening of whose lives 11 years with various alterations and amendments, And resulted in increased profits for the companies. Medical, Dental and Pharmacy Bill has at last a recent legislation Act in Michigan requires the physical its third reading and been transmitted to the passed examination of persons driving motor vehicles carrying so that there is every prospect of it being Senate, This brings another large group of passengers for hire. on the Statute Book this year. Last year persons into the ever-increasing orbit of periodic health placed Similar views were expressed by Dr. Dr. Malan, Minister of the Interior, by sheer perexaminations." Eugene Fisk and Dr. James Glover. Proposals favouring severance advanced the Bill as far as the committee the " positive " aspect of eugenics-implied in encouraging stage before the House adjourned, and had disposed the fertility of the well-endowed-were limited to suggestions of 75 of its 97 clauses. Among those first 75 clauses with regard to immigration. Upon this subject, again, were the most contentious, including those dealing Prof. East suggested that with the there was division of opinion. faith-healers, chiropractors, dental mechanics, stricter medical examinations should be instituted in the who in this country. A &c., a view to of with " countries excluding number of flourish exceedingly Europe emigrating from the had nobly Members Platteland is now done more effectively than physically inadequate Dr. Harry E. Hull, Commissioner- espoused their cause for many years, but at last or defective types. General of Immigration, held that Americans should these Members seem to have realised the futility of encourage the immigration of " those Nordic strains of their arguments. Northern Europe which in culture and rich heritage of When the Bill was resumed in the committee stage tradition, contributed the- most desirable material to our last week Dr. Malan moved a new clause obviouslv national structure." But Prof. Ales Hrdlicka expressed his to placate the Platteland. This was to the disapproval of this partiality for Nordic strains in the designed following words : " In the last 15 years have been heard effect that1. No person registered under this Act shall himself make many alarms of the threatening deterioration of American stocks through the influx of the so-called inferior races ’ or attempt to make or to recover, or shall enter into any of white derivation. These threats have received no agreement or associate himself in any way with any other scientific foundation." person for the purpose of making or fixing excessive or extortionate charges for any services rendered or for any Nutrition. A considerable amount of attention was accorded to this article supplied or to be supplied by him by virtue of being subject during the conference. By Dr. Arthur I. Kendall, so 2.registered. Unless the circumstances are such as to render it dean of biology, Northwestern Medical School, it was argued that by the elaborate culinary preparation of foods were impossible so to do, every person registered under the Act rendering any service by virtue of being so destroyed many strains of comparatively unresistant lactic shall, before inform the person to whom the service is to be acid-forming organisms which, in the human alimentary registered, or the person in charge of such person, of the fee tract, oppose the multiplication of maleficent spore-forming rendered, which he intends to charge therefor (a) when so requested resistant and organisms. Many pathogenic bacteria of this by any person concerned : or (b) when such fee exceeds group were capable, as sole occupants of the alimentary that usually charged for the service. tract, of seriously disturbing the normal " man-microbe 3. Any registered person who contravenes or fails to balance." Several speakers stressed the plea, now revercomply with any provision of this section shall be guilty berating through this country, for the consumption of more of improper or disgraceful conduct within the meaning of and fresh wholemeal fruits, bread, green vegetables. Chapter milk, iv. of this Act, and it shall be the duty of the Council the incidence attributed Dr. Adolphus Knopf relatively high or the Board to take cognisance of and deal with such women between of pulmonary tuberculosis among young conduct under that Chapter. the ages of 15 and 30 years to self-imposed habits of underDr. Malan declared that the object of the Bill was clothing and under-nourishment which are inspired by a feminine fashion favouring a boyish appearance and figure. not merely to place registered persons in a privileged
by
examinations
"
"
"
the