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solemnly swear that I will faithfully discharge to the best of my ability the duties required of me as a member of the State Board of Health."

SECTION 4. Be it further enacted, That the State Board of Health shall have power to elect a Secretary and Treasurer and to employ such other officers and experts as may be necessary to carry out its duties, and to make by-laws for its own government not in conflict with the Constitution and laws of this State. It shall meet annually in the City of Atlanta on the first Tuesday in June for the transaction of business. It shall also meet at other localities whenever it shall be deemed necessary by the Commissioner of Health for the prosecution of sanitary work. It shall always meet at the call of the Commissioner of Health, whenever an epidemic of Yellow Fever, Asiatic Cholera, Small Pox, or other contagious or infectious diseases, declared by said Board dangerous to the public health, shall occur or be imminently threatened, in order to provide means to prevent or control such diseases. Every member of the Board shall examine into the sanitary needs of his district; shall attend all meetings when practicable; shall perform all duties assigned to him, and on failure to do so shall be liable to expulsion from said Board by a majority vote thereof, after due trial in each case. Sanitary regulations of said State Board shall, when issued by the Board and approved by the Governor, have the force and effect of law during the emergency which rendered them necessary, and the Courts of the State shall enforce such regulations. Three members of the State Board shall constitute a quorum.

SECTION 5. Be it further enacted, That, in addition to the State Board of Health, there shall be a Sanitary Board in each county of the State, which shall consist of two free holders and one practicing physician, all residents of the county, and they shall hold their offices for five years, and until their successors are appointed and qualified. The members of the County Sanitary Boards shall be appointed and commissioned by the State Board, or the President thereof; the two freeholders upon the recommendation of the Grand Jury of the county; the practicing physician upon the recommendation of the oldest local Medical Society, if there be one, and if none, then upon the recommendation of the Grand Jury of the county; and if no such recommendations are made, then the members of the County Sanitary Boards shall be appointed and commissioned by the State Board of Health, or the President thereof. Each member of the County Sanitary Board shall, before assuming the duties of his office, take the following oath "I do solemnly swear that I will faithfully discharge, to the best of my ability, the duties required of me as a member of the Sanitary Board of this county." All vacancies in the membership of the County Sanitary Boards, whether for full or unexpired terms, shall be supplied in the manner herein before prescribed for original appointments. Each County Sanitary Board shall meet on the first Tuesday of each month, at the county seat, and as often as the public welfare may require. Two members of the County Sanitary Boards shall constitute a quorum. It shall be the duty of the County Boards to examine into the sanitary condition of their counties, and to note all causes of disease-such as undrained lands, stagnant water, accumulations of filth near habitations, pollution of drinking water by privies, stables, or other causes, and also, to note and report to the State Board the occurrence of dangerous diseases among the people, or domestic animals, etc., and generally to perform such other

duties as may, from time to time, be required of them by the State Board. If, upon the report of the Sanitary Board of any county the Commissioner of Health shall deem any sanitary measure to be necessary, he shall direct the Sanitary Board of said county to notify the county authorities of the fact, and to order the work to be done. In case of the refusal or failure of such county authorities to perform the work, the Commissioner of Health shall submit the matter to the State Board, and said Board shall then have the power to execute such work and to recover from the county all reasonable costs and charges incurred therein, by suit in the Superior Court of said county. The State Board may, in the execution of such work, supplement the county funds by appropriations from any funds available for its own use.

SECTION 6. Be it further enacted, That nothing in this Act shall be construed to authorize either the State or County Sanitary Boards to interfere in anywise with the work or authority of any municipal health board in existence at the passage of this Act, unless said municipal health board shall fail to institute and carry out sanita'y measures needful to protect the health of said municipality.

SECTION 7. Be it further enacted, That the Commissioner of Health shall, if necessary, devote his entire time to the duties of his office. He shall respond in person to the call of the County Sanitary Boards, and give his help and advice. At the outbreak, or threatened outbreak of any disease dangerous to the public health, he shall at once proceed to the spot and control the progress, if he can, through the County Sanitary Board; and, in case of necessity, he shall call a meeting of the State Board to assist in the prosecution of any sanitary work required. By vote of the State Board, the Commissioner of Health shall have the power to employ, as occasion may require, the services of a chemist, geologist, sanitary engineer, or architect, veterinary surgeon, or other expert.

SECTION 8. Be it further enacted, That the compensation of the Commissioner of Health for the State, and of the Secretary of the State Board of Health, shall be fixed by the said State Board. Each member of the State Board shall receive his necessary traveling expenses, when engaged in the performance of his duties. All legitimate expenses of the State Board shall be paid by the Treasurer of the State, upon the warrant of the Governor, which shall be issued on the certificate of the President and Secretary of the State Board. The special tax upon doctors in this State, shall be appropriated annually to the support of the State Board of Health, and for pay. ment of sanitary work done by its order. The necessary expenses of the County Sanitary Boards shall be incorporated in the tax budget, and paid out of the county taxes. The Secretary of the County Sanitary Board shall keep full and accurate minutes of all its proceedings, and shall receive such compensation as may be fixed by the Grand Jury of the county. No member of the County Sanitary Board shall receive any compensation from the county, and shall receive none from the State except when employed under the direction of the State Board of Health in endeavoring to control or prevent an epidemic.

SECTION 9. Be it further enacted, That all laws, and parts of laws in conflict with this Act, be and the same are hereby repealed.

Dr. McHatton's paper being next on the programme, he proceeded to read it.

Dr. K. P. Moore next read his report of a case of voluntary starvation; also gave a resume of a case of ovariotomy, with apparently two pedicles-operation and recovery. Also a remarkable case of vesico-vaginal fistula, with some very unique and interesting chapters-operation and recovery.

By vote of the Association Dr. Moore was granted the privilege of furnishing his report of the case of starvation to the public press. (See Appendix.)

Dr. Eugene Foster next gave a resume of his paper on Heartfailure in Diptheria. (See Appendix.)

Dr. E. G. Ferguson presented to the Association and exhibited the working of an ingenious and simple apparatus for making Plaster Paris bandages.

On motion of Dr. Goodrich, Dr. C. H. Hall was appointed a committee of one to see what, if any, arrangement could be made with the Railroads for a special train to take the Association to Milledgeville to-morrow afternoon.

On motion of Dr. Westmoreland, the thanks of the Association were tendered the Dummy line for the offer of a free ride, with regrets expressed at our inability to accept.

On motion, the Association adjourned until half-past nine o'clock to-morrow morning.

THIRD DAY-MORNING SESSION.

APRIL 19th, 1889.

The Association was called to order at half-past nine o'clock, President Dr. J. S. Todd in the Chair.

The Nominating Committee made the following recommendations, which, on motion, were adopted by the Association:

For President of the Association, Dr. J. B. S. Holmes, of Rome, Ga.; First Vice-President, Dr. R. O. Engram, of Montezuma, Ga.; Second Vice-President, Dr. P. R. Cortelyou, of Marietta, Ga.; Censor, Dr. G. W. Mulligan, of Washington, For the next place of meeting, Brunswick, Ga.

The Board of Censors reported favorable upon the application of Dr J. B. Hinkle, of Americus, Ga., and recommended his election.

(All applications for membership were first read in open session, then referred to the Board of Censors, and upon their recommendation were elected to membership.)

The committee appointed to report on programme and the ownership of papers, etc., made the following report :

To the Medical Association of Georgia:

REPORT.

The committee recommends that Article VIII., of Amendment to the By-Laws be repealed and the following be inserted in its stead :

1. No paper shall be read before this Association, by title, or otherwise, until a com plete copy of such paper shall have been placed in the hands of the Secretary for pub. lication in the Transactions. This rule shall not prevent the publication of such paper in any Medical Journal, at any time.

2. No article shall be published in the Transactions until it shall have been recommended by the Committee on Publications,

9. Repeals all conflicting laws.

The committee finds that there has been no revision of the Constitution and By-Laws as printed in the Transactions, since 1883, so that the amendments which have been adopted since that time, are not accessible without searching through the minutes of the various meetings. It is, therefore recommended, that the Secretary be instructed each year, to incorporate all new or altered By-Laws, and all Amendments to the Constitution, in the copy of the Constitution and By-Laws which appear at the end of each volume of the Transactions.

We recommend that the Congressional District Committee be abolished.

We also recommend that the ninth Order of Business be stricken out, and in its stead shall be inserted, Report of Programme Committee.

The report was read and adopted by sections, then adopted as a whole.

Dr. C. H. Hall, who was appointed to see if any arrangements could be made for special train to Milledgeville, reported that a train could be obtained to leave Macon about 1.30 P. M., provided forty-five members would agree to go. A vote was taken and failed to secure the requisite number, so the offer was declined, with the thanks of the Association, and also the thanks of the Association to Dr. Powell for the invitation to visit the Asylum,

The Committee on localization of the Association, and the salary of the Secretary's office, etc, made the following report, through Dr. A. W. Calhoun, Chairman :

To the Medical Association of Georgia:

REPORT.

The Committee on Location and Salary deem it unwise to fix the meetings of the Association at any one place, and advise a continuance of the plan formerly in vogue. They also advise that no fixed salary be attached to the offices of Secretary and Treasurer, but that the Association at each meeting donate to these officers, such a sum as in their judgment it is able to give at that time. For this year, the Committee recommend that $75.00 be given the Secretary and Treasurer each, and all their expenses connected with the business of the Association be defrayed,

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The accounts and books of the Secretary and Treasurer have been examined and audited by the Auditing Committee, and found to be correct.

The report was received and adopted.

VIRGIL O. HARDON,
H. MCHATTON,
CHAS. H. HALL,

Committee.

Dr. Geo. H. Noble next read his paper on the uses of the

tampon in pregnancy. (See Appendix.)

Dr. R. O. Cotter next read his paper on errors of refraction and the necessity for the use of atropia. (See Appendix.)

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