TUBERCLE THE JOURNAL OF THE BRITISH TUBERCULOSIS ASSOCIATION
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The Annual Conference Another B.T.A. Conference has come and gone leaving us with agreeable and profitable memories. Oxford and Stjohn's College have now been our hosts on a number of occasions and we are grateful to them, hoping that we shall be welcome as guests at future conferences. Dr A. D. Gardner, the Regius Professor gave the opening address, reminding us of the great importance of tuberculosis in the field of medicine and placing its therapy in perspective. Dr Wallace Fox reported on the results of the first M.R.C. controlled streptomycin trial of five years ago. Although the treated cases did better than the controls yet after five years the difference between the two groups was not great. With our present greatly altered habits in chemotherapy this is perhaps not very surprising. DrJames Livingstone guided us through the jungle of treatment in which we are apt to be lost when dealing with the difficult case of pulmonary tuberculosis. We recognized too well his cases and their problems: they are own and we were grateful to him. The second day was devoted to tuberculin and BCG and it proved of absorbing interest. Dr Irvine took us through the practical details of tuberculin testing at the same time reminding us that much of the theory is obscure and that the results with lower dilutions are very questionable. It was strange to hear Dr Olsen of Bornholm speak English with the sing-song clarity ofa Welshman. His work in the island has certainly had most wonderful results and
one even felt a little anxious for him: has he worked himself out of an occupation? Such dangers hardly yet threaten us. Drs Pierce and Dubos, such great names, from New York spoke of their work in separating different strains from cultures of BGG. These strains vary greatly in virulence. In the afternoon two Medical Officers of Health, Drs Galloway and Frew, entertained and instructed us. The link between the chest physicians and public health has been weakened of late but these two papers should case harden the ductile metal. Dr J. W. Pierce took us over the still developing field of chest radiography. We were interested in his under-the-table box for tomography. Dr Holden has certainly clone a great deal of bronchography in tuberculosis and his pictures stimulated us. Professor Waring from Denver spoke on pleural effusions and by his wit and good humour contrived to win all our hearts. We hope he enjoyed himself in England in the same measure as the pleasure he gave us. Mr Tubbs coneluded the conference with a paper on decortication, the indications for which seem to be diminishing. He showed a beautiful little colour film of the operation. The proceedings of the conference were followed with lively interest and each paper gave rise to keen discussion, But such is the rule at these conferences. Perhaps we may misquote the President's quotation and say that although all conferences are equal this was rather more equal than usual.