Association OF American Anatomists. Extract from Proceedings of Eighth Session HELD AT Philadelphia, Pa., Dec. 27 and 28, 1895. 1. Address of the President, Thomas Dwight, M.D., LL.D., of Harvard Medical School. 2. Report of Committee on Collection and Preservation of Anatomical Material. 3. Anatomical Law of the State of Pennsylvania. [Reprinted from Science, N. S., Vol. III., No. 55, January 17, 1896.] Association OF American Anatomists. Extract from Proceedings of Eighth Session HELD AT Philadelphia, Pa., Dec. 27 and 28, 1895. 1. Address of the President, Thomas Dwight, M.D., LL.D., of Harvard Medical School. 2. Report of Committee on Collection and Preservation of Anatomical Material. 3. Anatomical Law of the State of Pennsylvania. [Reprinted from Science, N. S., Vol. III., No. 55, January 17, 1896.] The Association of American Anatomists. OFFICE OF SECRETARY AND TREASURER, 800 TENTH STREET, N. W. Washington, D. C., January 15, 1895. At the Eighth Annual Meeting of this Association, held in Philadelphia, Pa., De- cember 27 and 28, 1895, the Secretary was instructed to send a copy of the Report of the Committee on the Collection and Preser- vation of Anatomical Material, together with a copy of the President's Address and of the Pennsylvania Anatomical Law, to the Professors and Demonstrators of Anat- omy in the United States and Canada. D. S. Lamb, Secretary. ASSOCIATION OF AMERICAN ANATOMISTS. OUR CONTRIBUTION TO CIVILIZATION AND TO SCIENCE. PRESIDENTIAL ADDRESS, BY DR. THOMAS DWIGHT, HARVARD MEDICAL SCHOOL. It had not been my intention to inflict upon the Association a Presidential address; but at a late moment, impressed with the gravity of the matters that are to come be- fore us, far transcending as one of them does, the importance of purely scientific dis- cussion, I felt it a duty I owe to the posi- tion I have the honor to hold, to introduce them to the Association with the best sug- gestions concerning them I can offer. It is not too much to call them our contribution to civilization and to science. Easily first in importance is the report of the committee on procuring and using anatomical material. Though both branches of the question are of interest to anatomists, the first rises be- yond the sphere of the specialist. It is a social question of the first importance. I shall not anticipate the report of the com- mittee, of which I am a member. I wish merely to lay down briefly certain principles which, I conceive, should guide us. We know only too well that dissection is an abomination to the popular mind. The aversion to it is well nigh universal, con- fined to no class of society, nor to any creed. This horror seems to be founded chiefly on two points, one the deprivation of sepulchre, the other the idea that the remains are sub- mitted to wanton insult. The idea that re- spect is due to the dead body is so deeply rooted in the human mind as to be almost instinctive. I am far from calling these feelings superstitious. We know, indeed, 6 that no violence can harm the dead, but, though reason is convinced, the heart is not satisfied. We anatomists, no less than others, shudder at the thought of the dese- cration of the remains of those who have been near and dear to us. The mad wrath caused by the feeling that graves are not safe is a well justified one. It is a disgrace to our civilization that in some parts of the Union body-snatching is still practised, and that in others there exists an illicit trade in human bodies. Should any of my col- leagues think me indiscreet in alluding to these matters, I must remind them that I am saying nothing which has not been made notorious through the public press. It is idle to hope, while human nature remains what it is, that aversion to dissec- tion will ever disappear. Our wisest course is to recognize it, and to soften it by re- moving all just cause of complaint. It should be made clear to the public that dis- section can and should be followod by decent burial. I, myself, would go so far as to have the bodies of Protestants and Catholics buried in their respective ceme- teries, when the creed of the deceased is known. It also should be understood that no wanton insult is permitted in reputable schools. From careful observation I am convinced that the policy which will lead to the most satisfactory results is one of complete open- ness, that above all, we should avoid a timidity which shirks discussion of this topic. When we shall show so clearly as to carry conviction, that we have nothing to conceal, a great step will have been taken. I like to boast that the anatomical department of the Harvard Medical School 7 is ready to give an account of every body it receives. If there be aught in the manage- ment of dissecting rooms that calls for criti- cism, I would not have reform forced upon us from without. Let us be the first to an- ticipate every reasonable demand. It seems to me that this is making every possible concession to the sentimental side of the question; but another complaint is often made in all honesty, by well-meaning persons, who object that the bodies of the poor should be treated otherwise than those of the rich. I reply that no one would reprobate more strongly than I any law that would allow the taking of the bodies of the poor from their near relatives; but we must distinguish between the respect due to the feelings of the living and any admission that dissection is in itself an injury to the dead. The former is human- ity; the latter is superstition, and to my mind a very contemptible one. I have alluded to the scandal of body- snatching, but an equally great scandal is its cause; the want, in many places, of an anatomy act, or the existence of one which the framers and all others know to be in- adequate. This state of affairs is in more respects than one an injury to the com- munity. Like a prohibitory law meant to be boasted of on the platform and in the pulpit, but not meant to be inforced, it de- stroys respect for law. It is the bounden duty of authorities of States, without ade- quate provision for dissection, to see that it is not practiced. After all, such communi- ties deserve to be treated by surgeons ignorant of anatomy. A radical defect in the laws of many States, otherwise well drawn, is that th 8 delivery to medical schools of unclaimed bodies is optional with superintendents, Boards of Trustees and municipal au- thorities. The result of this is that those in authority very naturally hesitate to do anything for the advancement of science, which not only can be of no possible ad- vantage to themselves, but may involve them in serious difficulties. The cry of outrage on the poor is a sure card in the hand of the political demagogue, especially when it is raised against some honored in- stitution. It may also be used as a means of annoyance against political opponents. It is far easier, therefore, for those in office to remain quiet and leave science to suffer. A mandatory law would free them from all responsibility. ' Thyself shalt see the act,' would be a sufficient answer to all com- plaints. Details of law may and must differ with the locality, but a good anatomy act should have the following characteristics: First, it should be just, safeguarding the rights of the poor, and securing decency ; next, that it should be mandatory ; finally, it should be easy of execution. It is our duty in our several States to do our utmost for the pas- sage of a law that shall advance science, protect the grave and do credit to the com- munity. We have not the excuse of older times that the question is a new one. In view of our own shortcomings it behooves us to judge them lightly. For my part, I have far more respect for those who opposed dissection on the ground, however mistaken, that it might be displeasing to God, than for those who make it illegal by pandering to the prejudices of the ignorant. Dr. John- son's advice, 'free your mind from cant,' is 9 here singularly apropos. We cannot boast of our civilization till this is remedied. Another subject which comes before us for discussion is the important question of anatomical nomenclature. German anato- mists have recently adopted a report pre- pared by some of their number, working in company with representatives of other European countries. It is for us to con- sider whether this one can be looked upon as accepted and whether it is acceptable; whether we can join hands with our foreign colleagues, or whether we can devise an American nomenclature which shall be so much better that we can disregard the in- convenience of a distinct standard. We have had for years a committee on ana- tomical nomenclature, with Professor Wilder for secretary, who has given so large a part of his busy life to this matter. We may expect an important contribution to the matter in the report of this committee. We are to hear also from the committee appointed to consider the anatomical pe- culiarities of the negro. I am not informed what success has been reached in the diffi- cult task of collecting statistics. It is a work of such anthropological importance that it would be doubly to be regretted should it come to naught. As has already been said at our meetings, it is most proper that this Society should collect all possible information as to the anatomy not only of the negro, but of such savage races as still survive in North America, and of the ex- tinct ones, whose bones can still be pro- cured in large numbers. Thus, gentlemen, you see that this meet- ing, besides the attractive list of papers, has before it matters of no ordinary interest 10 and importance. I will no longer detain you from your work, firmly persuaded that the action of this Association will be in the interest of civilization and science. REPORT OF THE COMMITTEE ON THE COLLEC- TION AND PRESERVATION OF ANA- TOMICAL MATERIAL. To the Association of American Anatomists: The committee appointed at the meeting of the Association to obtain information with regard to the collection and preserva- tion of anatomical material, and report what in their opinion are the best means of accomplishing these objects, begs respect- fully to submit the following report: In order to make the work of the com- mittee as comprehensive as possible and to obtain information which would be of service in arriving at definite conclusions as to the best methods of accomplishing the purposes in the resolution, the committee deemed it desirable to send to the teachers of anatomy, not only in this country, but abroad, a circular letter, with the following questions appended, and respectfully re- quested answers to be made thereto as fully as possible: 1. Is anatomical material obtained in ac- cordance with legal enactment, wholly or in part? 2. Is there an Anatomical Law in your State or country ? If so, please send a copy to the chairman of the committee. Please state whether the law is satisfactory in its provisions, whether it is readily obeyed by those upon whom duties are imposed by it, and mention any improvements you would suggest as to its requirements. 11 3. Is the material received in good con- dition ? 4. What disposal is ultimately made of the remains? 5. Please state what means are employed to preserve anatomical material for the pur- poses of dissection or operative surgery. If injections of preservative fluids are used, state their composition and the methods of use, at what point injections are made, whether at the heart or in the large arter- ies, and their effect in accomplishing the preservation, with any changes in the color or character of the tissues. What length of time can material be used in dissection em- ployed by you? If preservation by means of cold storage is employed please state the cost of the machinery which it was neces- sary to construct for this purpose, and what means are taken to prevent decomposition after the subject is placed upon the table for dissection. 6. Please state the cost by the method employed by you, for the reception, the in- jection and preservation of each subject. 7. Do you obtain an adequate supply of material for the purposes of anatomical in- struction? How many students are as- signed to each subject, and what is the method of allotment? 8. Please give any further information which you may deem of importance. This letter was sent to the professors of anatomy in 148 colleges in the United states; 25 in foreign countries, and 25 copies were sent to the medical journals in this country and abroad. Forty-two re- plies have been received by the committee containing more or less specific answer to the questions propounded in the circular. 12 Au analysis of the replies received presents the following results: 1. Anatomical material is received wholly under the provisions of the law in thirty States and countries, in part by law, in seven ; and without law, in five. 2. In reply to the second question pro- posed, fifteen copies of the laws which are in force, have been sent to the chairman of the committee, thirteen of them being the laws of States of this country, and two of foreign countries. With regard to the execution of the law, information was given to the effect that the provisions of the law were satisfactorily complied with in ten, fairly so in ten, not satisfactory in twelve, and no replies were given in ten. In eight the provisions of the law were stated to be obligatory, and in six the provisions were optional. In considering the subject of the report so far as it relates to the collection of anatomical material by law, the com- mittee has confined itself to the examina- tion of and report on the anatomical laws of the States of this country. 3. The report as to condition in which anatomical material was received was that in twenty instances it was good; in twenty- one, fair; and in one, bad. 4. As to the disposition of the remains, in twenty-seven institutions they were re- ported buried; in ten, cremated; and in four, thrown away. 5. The answers received to the question with regard to the agents employed in ac- complishing the preservation of subjects, gave information as to quite a large number employed and in various combinations. An analysis shows that of the agents used car- bolic acid stands first, and that it was used 13 not alone but in combination with other agents. Glycerine was reported as an in- gredient in the next highest number. It was also employed in combination with other agents. The next in frequency was reported to be arsenic, and this agent was used also in combination. Chloral hydrate and chloride of zinc and bichloride of mer- cury come next in the order of use. Alcohol, either pure or in combination, carbonate of potassium, bicarbonate of sodium, chloride of sodium, methyl spirit, formalin, nitrate of potassium, brown sugar, boric acid, were reported as used in numbers varying from four to one. The preservation of subjects by cold storage was reported in five in- stances. Some of the agents above noted were used in combination to preserve the subject, which had been kept in cold storage after it was placed upon the table for dis- section. In one instance the following plan was reported: Injection with carbolic acid one and a half pints, glycerine six pints, with alcohol one and one-half pints. After the injection, directions were given to paint the subject daily for fourteen days with car- bolic acid, one part to glycerine six parts, and then place it in an air tight box over a pan of methylated spirits. Perfectly satis- factory results were reported to have been obtained by this method, both as regards the character of the tissues and the absence of odor. Subject keeps indefinitely. Chlo- ride of zinc, a fifty per cent, solution of neutral reaction was reported as an agent used successfully in preserving subjects, but had the objection of unfavorable action on the tissues, causing hardness and change in color. If subject is not required for imme- diate use it was placed in a saturated solu- 14 tion of salt, forming a strong brine. If im- mersed for a long time in the brine the sub- ject requires to be soaked in water for a period of twenty-four or forty-eight hours, in order to soften the tissues. A number of formulae were given, among them Wickersheim's Formula, consisting of three thousand parts of boiling water, one hundred and nine parts of alum, twenty- five parts of chloride of sodium, twelve parts of nitrate of potassium, sixty parts of carbonate of potassium, ten parts of arseni- ous acid, when cool filter, and to ten parts of the liquid thus obtained add one part of methylic alcohol and four parts of glycerine. Van Vetter's Formula: Seven parts of glycerine, one part of brown sugar and one- half part of nitrate of potassium. Langer's Formula : One hundred parts of glycerine, fifteen parts carbolic acid, eleven parts of alcohol. Empersonne'sFormula: Chloral Hydrate five hundred grains, glycerine two and a-half litres and distilled water. Among the formulae reported, arsenic was an ingredient in a large number, and in the following combinations: 1. Arsenic (pure) eleven and one-half pounds, carbonate of potassium twenty-one pounds, crude car- bolic acid and glycerine each two pints, with distilled water sufficient to make one gallon. 2. One pound of arsenic, one pound of bicarbonate of soda, one pint of salt, six quarts of water. 3. Injection of arseniate of potash, mixed in large quantity with liquid soap. 4. Arseniate of soda, in sat- urated solution, one gallon; carbolic acid, eight ounces; glycerine, one-half pint. The above formulae afford examples of the use of arsenic, either in the form of arsenious 15 acid, arseniate of potassium, or arseniate of sodium. As a rule, it was combined with some salt of potash, carbolic acid and glycer- ine. In a few instances it was reported as being used alone in solution. Carbolic acid appears in a large number of the formulae reported in use. In most instances in combination with arsenic, some salt of potash or soda or bichloride of mer- cury. In few instances it is reported as being used alone. Bichloride of mercury is also reported as largely used alone or in combination with arsenic, salts of potash or soda, carbolic acid and glycerine; one formula being one five- hundredth solution of bichloride of mer- cury in mixture of water, glycerine and al cohol; another, a mixture of bichloride oi mercury, glycerine, carbolic acid and spirit. The bicarbonate of potash, bicarbonate of soda, nitrate of potash, as well as the chlor- ide of sodium, appeared in a number of the combinations employed. They are not re- ported as possessing sufficient preservative power which would permit them to be used alone. Glycerine appears to be a favorite agent, as it forms a part of a large number of formulae. The same may be said in a very less degree however, with regard to the use of alcohol. Formalin is reported in two instances, in one of w'hich it was used in connection with the preservation of human subjects, and another in the preservation of an ani- mal. In the latter instance the agent was used in the proportion of one part to two hundred parts of water. The animal was injected with the solution thus prepared and the body was placed in a tank with a 16 large quantity of fluid which was changed after a period of one week, then after a period of three weeks and strengthened from time to time by the addition of a little for- malin. Experience obtained in this case was that, to make the injection of this agent ef- fective, the body should be thoroughly in- jected, washing out the blood if possible, and if the body is not to be dissected at once it should be placed in a receptacle capable of being sealed up to prevent the escape of for- malin, and to prevent the formation of mould it should at all times be covered by the solu- tion. The cost of the formalin was stated to be $1.65 per pound package for a forty per cent, solution. 5. As to the point in which injections were made there were reported two in the heart, nineteen in the common carotid artery, and six in the common femoral artery. As to the condition of the tissues after injection but few replies were received and these were not satisfactory. With re- gard to the time in which material can be kept and used in dissection, the replies in- clude periods from three weeks to one year. Five reported having used or were using the method of preservation by cold storage. The cost of the plant being from $500 to $3,000. 6. The cost of receiving and preserving material is stated to be from $1 to $25 per subject. 7. In fifteen cases the supply of material is stated to be sufficient and in fifteen not sufficient. In a number it was stated to be adequate, but more could be used if obtain- able. The number of students were re- ported as assigned to each subject to vary from four to sixteen. 17 While the committee feels that the infor- mation gathered through the circular letter was not in some respects sufficiently specific to enable it to arrive at definite conclusions, upon the subject under consideration, yet it believes that certain statements may be made and conclusions deduced which will be of value to teachers of anatomy and those interested in the collection and pre- servation of anatomical material. The committee regards it in every way as a matter to be most favorably com- mented on that out of the 42 replies from institutions 30 contained information that anatomical material was obtained for the purposes of instruction under the provisions of the law. An examination of the copies of the law which were sent to the chairman of the committee shows them to be defec- tive in many respects, giving evidence in the provisions incorporated in the laws of a strong feeling on the part of legislators against the enactment of laws controlling the disposition of dead human bodies for the purpose of dissection. This feeling has no doubt its origin in a fear that by so doing they will expose themselves to criticism, if not to censure, by their constituents. This sentiment it believes can be largely changed by the influence exerted upon the public mind by the members of the medical pro- fession. In every community it should be the effort of the medical profession to educate public opinion upon this point. To place before the public the great neces- sity which exists for the use of dead human bodies in providing the proper instruction of students in medicine, and the great pro- tection afforded the citizens in each State by the enactment of laws which will regu- 18 late the supply of anatomical material and thus afford protection to the dead and pre- vent the desecration of their resting places. With regard to the protection which a properly framed law affords to the com- munity, it may be stated that it is within the information of the committee and also it may be said of the public that the body of a member of the family of one of the highest oflicers of the land was found in the dissecting room of a medical college. In the State in which this family resided there was at that time no Anatomical Law in existence. Since then one has been en- acted, and the repetition of such an occur- rence as that referred to is not possible under its provisions. Since the preparation of this report was begun it has been reported in the daily papers that a physician residing in one of the Western States has been convicted for the desecration of a grave, by the removal of the body which it contained, and which was to be used for dissection, and has been sentenced to imprisonment for a term of three years. In the State in which this oc- curred, there is, so far as the committee knows, no Law governing the use of dead human bodies for the promotion of medical science. These instances afford, the com- mittee thinks, in a very forcible manner, evi- dence of the protection which would be fur- nished to both the community and the profes- sion by the provisions of a properly framed Anatomical Law. Attention has been called to the fact that in a number of exist- ing laws their provisions on examination were found to be defective. In some in- stances they were so inadequate as to render the execution of the law practically 19 impossible, and in other cases to make the law inoperative. On this point the com- mittee feels it proper to express an opinion to the effect that the requirements of any law which is to be enacted should be made compulsory, and not optional, as to perform- ance of duty on the part of public officers. It thinks that sufficient experience has been obtained in the effort to secure compliance with the terms of Anatomical Laws to make it evident that under such conditions only can the proper supply of Anatomical material be obtained. In any law enacted it also believes that proper protection should be afforded the public as well as the profes- sion in strict specification as to the right of claim for burial. This right should be limited to relatives either by blood or mar- riage. In this way claims made by organizations and individuals moved by feelings of sentiment would be disposed of. In almost all States, if not indeed in all, legal pro- visions are in force which control the burial of the bodies of certain individuals, notably war veterans. With regard to any other claims by or- ganizations or individuals, it would be proper to leave them to the discretion of those having charge of the execution of the requirements of the law. A spirit of con- ciliation and a regard for public sentiment should always actuate those concerned in the execution of the law, in order, so far as possible, that any feelings of antagonism or hostility should be removed. As stated above, it should be the duty of members of the medical profession to educate public sentiment and obtain in every State enact- ment of a law which will control the use of 20 dead human bodies for the promotion of medical science. At this time of writing the daily papers contain an account of the action by the Governor of a Western State, who has been compelled to call upon the military force to protect a medical college, which has been threatened by a mob. In this case the trouble has been caused by the discovering in the dissecting room of the college of bodies removed from a cemetery adjacent to the city in which the college is situated. Here is plainly made manifest the necessity of a law to protect both the public and the profession. An examination of the laws now in force in the States in this country leads the committee to the belief that the law of the State of Pennsylvania is the best, in the fact that it includes in its terms all the provisions necessary to compel compliance on the part of public officers and to protect the citizens of the Commonwealth in all of their rights. It is also observed in the examination of the laws of other States that many of them have been founded upon this law, but in no instance have all of the provisions of the law been incorporated. This is possibly to be expected, as the con- ditions existing in each State control the actions of the legislative bodies in the fram- ing of laws. A copy of the law of the State of Pennsylvania is appended to this report, and may be examined by the members of the Association. With regard to the disposition of the re- mains left after dissection, the committee feels it proper to advise that so far as pos- sible they should be decently interred. Under any circumstance the committee thinks that it is not in keeping with the proper sentiment to dispose of them in the 21 manner in which it is feared it is sometimes done. The retention of bones in some in- stances for the purposes of study and in- struction and for the preparation of articu- lated skeletons is necessary and sanctioned. With regard to the preservation of an- atomical material by the injection of chem- ical agents or by cold-storage method, the committee feels that the information re- ceived is not as specific and comprehensive as desired. The agents reported to be in use, either alone or in combination, are such as are well known to the teachers of anatomy. There is apparently no conclu- sive evidence that any one of the agents alone, or in combination, accomplishes all that is desired in the way of the perfect preservation of anatomical material. Per- fect preservation includes not only freedom from decomposition, but the maintenance of the tissues in a normal condition as nearly as possible, and the existence of these con- ditions for such length of time as may be necessary in the storage of subjects on one hand and the time required for the work of actual dissection on the other hand. In many institutions it is necessary to collect during a period of the year, and that the most unfavorable season, so far as temper- ature is concerned, a number of subjects which shall be kept in a state of preserva- tion for a number of months, so that they may be, in every respect, suitable for dis- section. To accomplish this it is necessary to employ an agent which will not only prevent decomposition, but also to provide some means to so keep the subject that it may be maintained in this condition of preservation without material change in the color or character of the tissues. These 22 ends are to be obtained, it is also to be ob- served, within what may be regarded as a reasonable cost. To accomplish the latter object it is manifest that one agent should be used rather than a combination of agents. For instance, the use of arsenious acid or bicloride of mercury, both of which are in- expensive, will provide a means of preserva- tion at no very great cost. When these agents, however, are used in combination with glycerine, rectified spirits, or methylic alcohol, the cost will be materially in- creased and the storage of the subjects, thus injected, in alcohol or other agent of similar character, will add to the expense. The committee is not able to say from the information received that any of these agents will preserve anatomical material for a number of months. Undoubtedly solu- tions of bicloride of mercury, arsenic or carbolic acid, will prevent the occurrence of decomposition for a limited period of time, sufficient under ordinary circumstances for the complete dissection of the subject, but no evidence was adduced that thesd agents, when injected into a subject which was to be stored in a saline solution for a number of months, would be effective. The use of salts of potassa is advised in a number of instances, and, as is well known, they are of value in combinations, the effect being not only in a slight degree preservative, but is also manifest on the color of the tissues. The use of arsenic solutions is objected to by students on account of the irritation of the fingers which is produced. While there may be a few instances in which this ob- jection becomes a matter of serious impor- tance, it may be regarded as of minor im- portance in a great majority of cases. The 23 objection against the use of glycerine is the production of mould, which occurs as the result of the hygroscopic action. The ex- pense attending the use of alcohol is such as to forbid its employment in any large quantity for injection or storage purposes. Formalin is reported as effective as a pre- servative and storage agent, but its cost is a strong objection against its use. The committee believes that the method of preservation by means of cold storage is the best which could be employed, but the question of expense of the introduction of a plant necessary for this purpose is a very serious one. In cities where more than one medical institution is situated, it seems feasible to have a central plant in which subjects required in all the institutions can be stored, with the division of expense made amongst those entering into the arrange- ment. As to the time in which subjects should be injected which are kept in cold storage plants, it is desirable that this should be done prior to their deposit. They will be ready to place at once upon the table, and it is believed the injections can be bet- ter made before deposit rather than after they have remained some time under the influence of the cold. Reference is made to the use of the so- lution of chloride of zinc as a preservative agent of value, especially where it is neces- sary to collect subjects during the summer months, and to keep them in a solution of a salt. Solutions of chloride of zinc will, with- out doubt, not only prevent but arrest decomposition. The bleaching properties which it possesses and which it exerts upon the tissues is a very serious objection. This agent is used largely, if not, altogether in 24 the medical institutions of Philadelphia, to which are supplied each year over seven hundred subjects. It is used as an injec- tion in the proportion of one-half to one- third of a fifty-per cent, of solution of neu- tral reaction, a subject of average weight requiring from four to six quarts. In the replies given as to the cost of the reception, preservation and injection of sub- jects a wide difference is observed. It is evi- dently impossible, unless subjects are trans- ported without cost, to reduce the cost per subject for reception, injection and preser- vation to $1.00 each. Under the provisions of a well framed law, it is believed that the delivery of subjects should not exceed as an average from $5.00 to $8.00, and the injec- tion and preservation should be accom- plished by an additional expenditure of $5.00, making the cost of each when placed upon the table about $12.00. Less than one-half of the replies received as to the supply of anatomical material con- tained the statement that the supply was adequate. In an equal number the supply was stated to be not sufficient and the re- maining number reported that more sub- jects could be jised if obtainable. The con- clusion to be deduced from these statements is manifestly to the effect that the supply of anatomical material in our medical in- stitutions is not as great as it should be. The number of students assigned to each subject were stated in the replies received to vary from four to sixteen. Here again, it is to be observed, a wide difference is ex- pressed. The number on one hand to be too small to obtain the proper economy in the use of material, and on the other hand too large to secure the full instruction nec- 25 cessary. It is to be observed that the man- ner in which instruction is imparted will modify the statements above made. CONCLUSIONS. 1. Anatomical material for the promotion of medical science should be obtained wholly under legal enactment. The provisions of the law should be compulsory upon all offi- cers of State and county institutions and municipal governments. 2. Of the anatomical laws which are in force in this country, the committee is of the opinion that the law of the State of Penn- sylvania is the best. It is framed in such manner as to provide under a strict execu- tion of its requirements anatomical material for the promotion of Medical Science and prevents the desecration of the resting place of the dead. 3. The committee believes it would con- tribute to the best interests of anatomical teaching in this country if action was taken by this association to secure the enactment in every State of a law controlling the col- lection and distribution of anatomical ma- terial and recommends such action. 4. The committee finds itself unable, from the information which has been received, to arrive at any definite conclusions with re- gard to the best means for accomplishing the preservation of anatomical material for the purposes of dissection. Many of the agents reported in the communications re- ceived have been long in use, and to a greater or less degree have been employed successfully in securing preservation of an- atomical material, but not with all the con- ditions which are deemed as essential in perfect preservation, and those which afford 26 the best results in dissection. Preservation by means of cold storage it believes to be a method which approaches nearest to per- fection, and it should be arranged upon such a plan as will admit of the retention of anatomical material, under the influence the low temperature during dissection. (Signed.) J. Ewing Mears, J. D. Bryant, Thomas Dwight. November 19, 1895. The following amendment to the report was adopted: " That Professors of Anatomy be requested to inform their students con- cerning the laws upon the subject of an- atomical material, and request these stu- dents to use their influence with the authori- ties in their respective places of residence to increase the quantity of anatomical ma- terial by making available much that is now withheld, either from neglect or indif- ference." ANATOMICAL LAW OF THE STATE OF PENN- SYLVANIA, ENACTED JUNE 13, 1883. For the promotion of medical science by the dis- tribution of and use of unclaimed human bodies for scientific purposes through a board created for that purpose, and to prevent un- authorized uses and traffic in human bodies. Section 1. Be it enacted by the Senate and House of Representatives of the Commonwealth of Pennsylvania, in General Assembly met, and it is hereby enacted by the authority of the same: That the professors of anatomy, the profes- sors of surgery, the demonstrators of anat- omy, and the demonstrators of surgery of the medical and dental schools and colleges of this Commonwealth, which are now or may hereafter become incorporated, to- 27 gether with one representative from each of the unincorporated schools of anatomy or practical surgery within this Commonwealth in which there are, or from time to time at the time of the appointment of such repre- sentative shall be, not less than twenty-five scholars, shall be, and hereby are consti- tuted a board, for the distribution and de- livery of dead human bodies hereinafter de- scribed, to and among such persons as un- der the provisions of this Act are entitled thereto. The professor of anatomy in the University of Pennsylvania at Philadelphia shall call a meeting of said board for organ- ization at a time and place to be fixed by him within thirty days after the passage of this Act. The said board shall have full power to establish rules and regulations for its government, and to appoint and remove proper officers, and shall keep full and com- plete minutes of its transactions, and rec- ords shall also be kept under its direction of all bodies received and distributed by said board, and of the persons to whom the same may be distributed, which minutes and records shall be open at all times to the inspection of each member of said board, and of any district attorney of any county within this Commonwealth. Sec. 2. All public officers, agents, and ser- vants, and all officers, agents, and servants of any and every county, city, township, bor- ough, district, and other municipality, and of any and every almshouse, prison, morgue, hospital, or any other public institution having charge or control over dead human bodies required to be buried at the public expense, are hereby required to notify the said board of distribution, or such person or persons as may from time to time be desig- 28 nated by said board, or its duly authorized officer or agent, whenever any such body or bodies come into his or their possession, charge, or control, and shall, without fee or reward, deliver such body or bodies, and permit and suffer the said board and its agents, and the physicians and surgeons from time to time designated by them, who may comply with the provisions of this Act, to take and remove all such bodies to be used within this State for the advancement of medical science ; but no such notice need be given, nor shall any such body be de- livered if any person, claiming to be and satisfying the authorities in charge of said body that he or she is of kindred or is re- lated by marriage to the deceased, shall claim the said body for burial, but it shall be surrendered for interment, nor shall the notice be given or body be delivered if such deceased person was a traveller who died suddenly, in which case the said body shall be buried. Sec. 3. The said board, or their duly au- thorized agent, may take and receive such bodies so delivered as aforesaid, and shall, upon receiving them, distribute and de- liver them to and among the schools, col- leges, physicians and surgeons aforesaid in manner following: Those bodies needed for lectures and demonstrations by the said schools and colleges, incorporated and un- incorporated, shall first be supplied, the re- maining bodies shall then be distributed proportionately and equitably, preference being given to said schools and colleges, the number assigned to each to be based upon the number of students in each dis- secting or operative surgery class, which number shall be reported to the board at 29 such times as it may direct. Instead of receiving and delivering said bodies them- selves, or through their agents or servants, the board of distribution may from time to time, either directly, or by their authorized officer or agent, designate physicians and surgeons who shall receive them, and the number which each shall receive. Pro- vided always, however, that schools and colleges, incorporated and unincorporated, and physicians or surgeons of the county where the death of the person, or such per- son described, takes place shall be preferred to all others. And provided, also, that for this purpose such dead body shall be held subject to their order in the county where the death occurs for a period not less than twenty-four hours. Sec. 4. The said board may employ a carrier or carriers for the conveyance of said bodies, which shall be well enclosed within a suitable encasement, and carefully deposited free from public observation. Said carrier shall obtain receipts by name, or, if the person be unknown, by a descrip- tion, for each body delivered by him, and shall deposit said receipt with the secretary of the said board. Sec. 5. No school, college, physician, or surgeon shall be allowed or permitted to receive any such body or bodies until a bond shall have been given to the Common- wealth by such physician or surgeon, or by or in behalf of such school or college, to be approved by the Prothonotary of the Court of Common Pleas in and for the county in which such physician or surgeon shall re- side, or in which such school or college may be situate, and to be filed in the office of said Prothonotary, which bond shall be in 30 the penal sum of one thousand dollars, con- ditioned that all such bodies which the said physician or surgeon, or the said school or college, shall receive thereafter shall be used only for the promotion of medical sci- ence within the State; and whosoever shall sell or buy such body or bodies, or in any way traffic in the same, or shall transmit, or convey, or cause to procure to be trans- mitted or conveyed said body or bodies to any place outside of this State shall be deemed guilty of a misdemeanor, and shall, on conviction, be liable to a fine not exceed- ing two hundred dollars, or be imprisoned for a term not exceeding one year. Sec. 6. Neither the Commonwealth, nor any county or municipality, nor any officer, agent, or servant thereof, shall be at any expense by reason of the delivery or distri- bution of any such body, but all the ex- penses thereof, and of said board of distri- bution, shall be paid by those receiving the bodies, in such manner as may be specified by said board of distribution, or otherwise agreed upon. Sec. 7. That any person having duties enjoined upon him by the provisions of this Act, who shall neglect, refuse, or omit to perform the same as hereby required, shall, on conviction thereof, be liable to fine of not less than one hundred nor more than five hundred dollars, for each offence. Sec. 8. That all Acts or parts of Acts in- consistent with this Act be and the same are hereby repealed. Philadelphia, January 1, 1889. In accordance with the requirements of the above law the Anatomical Board of the State of Pennsylvania was organized July, 31 1883, for the purpose of carrying it into execution. The attention of all State, county and municipal officers charged with duties under the law is directed to its re- quirements. Boxes containing bodies should be addressed to George Willie, Philadel- phia, and should be delivered to the agent of the express company at the station nearest to the place from which the body is sent. The charges paid by the Board for transportion to the railroad station vary from $1.00 to $2.50 in accordance with the distance. These charges will be paid by the agent of the express company, and col- lected from the Board by the agent in Phil- adelphia.