WATCHMAN AND ERALD OF 141 1111111111r � MAGAZINE HAPPINESS THE � OR I EN \ 57 FOR YOUR GOOD EDITORIAL THE GREATNESS OF MR. GANDHI IN ALL ages and in all parts of the world, people by groups, com- munities and nations have on the basis of principle, sentiment or emo- tion such as patriotism, nationalism, confidence, love or hate joined them- selves ' to a few persons, who, by virtue of the ideas they embodied, and by the power with which they persuaded or compelled the popular reception of those ideas, were en- titled to be known as leaders and law-givers. Usually such persons, re- gardless of the means by which they attained to such positions, are called great, at least within that group which they represent. But elsewhere they may be unknown, ignored or even despised and hated. The ques- tion therefore arises: "Who, in the worldly sense, is really great?" Numerous following and popular acclaim are not dependable marks of greatness, though many have ac- quired the title on such bases. The highly acclaimed may be, and too often are, merely the personification of selfishness, greed and all that is mean and base in human nature, or even though they be not of this class, the power of their position is not directed to the general improvement of the state of mankind, but rather to the aggrandizement and glorifica- tion of self or of the group or com- munity which they represent. We do not call such truly great even though the dimensions of their achievements may be impressive. They are big and powerful, but not great, and not big with a bigness that is generally to be desired. Hero-worship is a natural and common trait with men. The vast majority of people take satisfaction in applauding, praising and recount- ing the exploits and virtues of their adopted heroes, often making ex- travagant and exaggerated claims with but little intelligence or knowl- edge. Through ignorance and gulli- bility, they are easily the victims of leaders whose motives are ignc")le and worthless. But human nature is often fickle, and all this popular ac- claim is frequently but as the cac- kling of silly geese. Today one may be a hero; tomorrow forgotten or re- jected. Popularity is easily subject to the uncertain whims and feelings of the masses who are so easily led that what one does, the many do, even as a flock of sheep will follow one through a hole in a wall, though it should be to their detriment. When one shouts, they all shout. Neither are great exploits neces- sarily marks of real greatness. There are giants in the world whose un- desirable and baneful influence is world-wide. Though their exploits and achievements are amazing in their gigantic proportions, the world is hurt by them, and the already great misery is augmented. The pre- digious exploits are achieved and their enormous wealth accumulated by oppressive methods that make them a curse to an already sin- cursed earth. Their gigantic deeds and the glory they have appropriated are no blessing to the world. The achievement of great deeds or the possession of enormous wealth alone are not, therefore, acceptable marks of greatness. They may rather be the marks of that which is low, mean and base in mankind. There are many whose names are well known throughout the world, blazoned in headlines and shouted over the radio, but whose work and influence are of no real consequence or benefit to men. The vast majority of mankind are so easily duped, amused and entertained by trivial- ities and nonsense, that popular followings are easily acquired even by worthless characters, for which reason many who are least worthy are the best known. They are called great because they stand out from the crowd. Such may not be great at all. They are only different from the common herd and, therefore, readily noticed. They who are truly great belong to the world—not merely to isolated groups or communities, nor even to nations. In this respect, but few have merited the title of "great." He who is great only within his own clique, group or community is not great in the true sense of the word. If he be great, his greatness must be mani- fested in deeds and influence whose good and benefits are universal in their scope, and which extend to all humanity, potentially. The philoso- phers, artists, scientists, religious leaders and statesmen whose names appear among the great in history were men whose good was power- ful to make the world better for all people. They belonged to the world, and their spirits were not confined by nationalism or within the bounds of groups or communities. Great ideas make great men when there is capacity to receive and em- ploy such ideas. Capacity is inherited, but also increases with use. Great ideas cannot find room in petty minds, but capacity alone does not make men great. When a great mind is occupied by great ideas, men be- come helpful through their intellects and affections. Great ideas belong to the entire world and are potentially good for all people. The results of the operation of great intellects, therefore, are more powerful for good than mere physical exploits, and are more real and permanent. Material help alone is insufficient for urgent need. Food and other materials, neces- sary though they be, are soon con- sumed, and leave the needy neither better nor worse than they were be- fore. But he who with his intellect can help others to see the ways and means whereby they may help them- selves, renders the greatest and truest help. Mental and moral force is a positive good. Great minds naturally and easily occupy spheres of thought into which lesser ones rise only with great labour and difficulty. They who are really great then, by the influence of their intellects, help lesser ones to become greater and better. One pur- pose of their existence is to impart benefits to men and to make of this world a better place in which to dwell. And these great men who are raised and benefited by great ideas, owe their greatness to the ideas, and THE ORIENTAL WATCHMAN, JUNE 1948 not to other men. A beautiful picture, a grand piece of architecture, or a noble landscape must be viewed from a distance best to be judged and appreciated. Perspective is essential. Similarly time is often required in order to evaluate the character of great men. The importance of their work and influence can best be estimated an3 evaluated after the passing of years. The present generation tends to evaluate subjectively, and therefore with blurred and biased vision, whereas future generations are more likely to judge and evaluate objec- tively and with clearer understand- ing. With such thoughts in mind we remember the late Mr. Gandhi, whose character has been variously esti- mated by those who knew him at close range, or only by reputation and hearsay, and by those who adored and respected him as well as by those who despised him. We deem it safe to say that probably no man living on earth at any period of the world's history was so devotedly followed by so many people at one time. In his lifetime it was said by some: "Gandhiji is India." In certain re- spects perhaps that was true, but if so e it was only because the multitudes of people whom this giant swayed were little Gandhis, whose tone cf thought, beliefs and aims he ex- pressed with fidelity, and to whom he largely owed his predominance. With truthfulness his mind was adapted to the masses about him so that he was not only their repre- sentative, but even the possessor of their minds to a large degree. Mr. Gandhi was more than just a representative of his people and a champion on their behalf. He was a sign or a symptom of the spirit of the times that pervaded India. He came to the scene of action when the times and events were conducive to the development of the spirit that was in him. The spirit without and the spirit within co-operated to propel him toward fantastic power and greatness among his people. Events and opinions of the great masses marched with him toward the achievement of his great object- ives. The prudence of his vision and the energy with which he threw himself into his task, made him the natural leader of a people willing to be led. His enormous power lay to a large degree in their conviction that he was their true representative whose THE ORIENTAL WATCHMAN, JUNE 1948 genius and aims could not be ques- tioned. Mr. Gandhi's great mind was oc- cupied by some truly great ideas which are universal in their potential application. The world is in a frightful mess because its leaders will not or cannot find a way to settle their quarrels without recourse to physical violence and brutality. If Mr. Gandhi's principle of non- violence pervaded the spirit of world leaders, much of the present-day misery would be replaced by the blessings of peace. The power with which he propounded this great doctrine made him a great force for world peace, and alone would en- title him to be called great. In this, he and his idea belonged to the world. Mr. Gandhi was a defender of individual, personal religious free- dom. He was a Hindu who repudiated all assertions to the contrary made by well-meaning but stupid admirers. He repeatedly expressed his devo- tion to Hindu religious forms and practices, and his belief in the pro- tection of the cow as an article of faith. But he refused to be associated with any move to enforce protection of the cow or the observance of Hindu religious customs by civil law. Observance of the forms and practice, of religion can have no value or meaning unless they stem from the heart. When enforced by law they result in appearance which is false, and,so not only lose their value, but actually have an evil effect on the, development of character. Religious and civil government must be kept separate if the people are to be well governed. Civil government must not control religion or interfere with the freedom of its practice. Mr. Gan- dhi's great mind understood that personal, individual religious free- dom is a fundamental human right, and that the protection of such free- dom is a fundamental principle of the government of people wherever other liberties are to be enjoyed. When religious liberty is robbed away, other liberties are not safe, nor are they of much value. Mr. Gandhi's insistence on complete religious free- dom in the government of the people was recognition of a universally great, idea by a great mind, and his powerful defence of that idea was an influence for much good, world-wide in its scope. There is great need for these and other aspects of the Gandhi spirit in India and in the world, but there is an alarming unwillingness to sub- mit to it, and India continues to suffer because of it. There is much manifestation of emotional immatur- ity. Everywhere hot arguments and runaway tempers burst into violence and bloodshed. All around battles rage to enforce the will of one on another. Trust and confidence are nearly non-existent. Small differences are magnified into mountains, and violence seems to be the only ac- ceptable means of settlement. All of this and more; Mr. Gandhi endeav- oured constantly to combat, but the pusillanimity of the human mind and heart robbed him of any great measure of success. Mr. Gandhi was the world's out- standing apostle of non-violence, but he was ruthless in his attacks on dishonesty and untruth. He was good- natured, but impatient with hypoc- risy. Cool-headed and self-con- trolled, and manifesting a calm temper even under provocation, he was implacable in his fight for India's political freedom. Intensely patriotic and fanatically fond of things Indian, he was sometimes ridiculous and narrow in his con- tempt for that which is foreign, preferring to suffer costly inconven- ience and handicaps rather than reap benefits from that which is not Indian in origin. He was a great man, but not superhuman, and he repeatedly deprecated all attempts to have himself so regarded. How great he really was, time alone must tell. But we doubt not that he will tank as one of the world's few great men. 3 Nancy, France. Flood Waters Running Over a "Weir" in a Suburban Street of This Inundated City. Floods Were Caused by Unprecedented Rainfall and the Thawing of Snow. W. N. P. S A Jewish Policeman (Nearest the Camera) Training Young Members of the Haganah Be- hind a Sand-bagged Position in the Jaffa-Tel-Aviv "No Man's Land" Area of Palestine. The Haganah Equipment Appears to Have Reached a Well Developed State. W. N. P. S Jewish Girls Between the Ages of Seventeen and Twenty-five Join Haga- nab in Secret Palestine Recruiting Cam- paign. W. N. P. S. THE ORIENTAL WATCHMAN, JUNE 1948 Going Dry COUNTY by county, the United States of America is gradually going dry. Prohibition already is back in about one third of the states with 32 of the 48 having arid spots. More than 25,000,000 Americans now live in districts that forbid the sale of hard liquor, and 10,000,000 more cannot buy beer. Three million more people live in dry territory than in 1940. Distillers' Logic IN THE requests for help to Europe under the Marshall Plan, the distillers in the United States pointed out that eleven European countries were trying to get 71,000,000 bushels of grain from the United States for brews and distillates. In addition, Canada takes 6,000,000 bushels a year for the same purpose. If, argued the distillers, these 77,000,000 bush- els were not devoted to this purpose all but 23,000,000 bushels would be saved right there out of the 100, 000,000 bushels which President Truman called on the American people to save. This time the distil- lers were right. The grain should be used to feed the hungry and not misused to add to the world's misery. Foreign Trade ICELAND has the most foreign trade per capita of any country in the world. Exports for 1946 averaged about Rs. 2,800 per capita. Tomato Juice TOMATO juice was sold for medic- inal purposes in Holland in 1860. A quart was sold on prescription for more than Rs. 3. Sleeping Insects SPARROWS and blackbirds have been found to carry mites infected with encephalitis, or sleeping sick- ness. THE ORIENTAL WATCHMAN, JUNE 1948 Motor Fuel MR. S. BUDRICKS, a Johannesburg mechanic, reports that he has applied for world patents for a secret sub- stance which will revolutionize world transport systems, and which will make petrol obsolete. The develop. ment is the result of two years of con- stant experimenting. No water is needed in creating this power and no ash or residue is left. Because the basic material is available all over the world, Mr. Budricks says that every country can be made independent of imported fuels for transportation or power plants. The cost will he only a fraction of that of petrol. Glass GLASS that can be sawed, nailed, floated and bounced or bent like rubber is among some of the new revolutionary applications which promise a bright future for this in- dustry. Today 180 companies in the U. S. A. manufacture a thousand varieties of glass. The purposes they can serve seem almost unlimited. As a metal substitute glass may be used as parts of motor car bodies. and in fuselages of aircraft. Radar IT IS reported through the Press that a new type of radar by which approaching aircraft can be seen on a television screen is in use by the R. I. A. F. The Government of India have detailed selected officers of the R. I. A. F. for specialized training in the U. K. in the use of this type of radar known as G. C. I. This type of radar can locate hostile aircraft at a distance of over 150 miles, and indicate their height above ground. their direction and number. In the event of hostilities, the equipment enables the G. C. I. con- troller to watch on a television screen a pictorial representation of the raiders as they approach. Through his radio telephone, he can direct R. I. A. F. fighter aiAraft to take off and make for the raiders. The controller, who can see both the raiders and the fighters on the screen, then gives detailed instruc- tions to the pilots of the fighters for intercepting the raiders. When sufficiently close, the fighter pilots locate the hostile aircraft visually or by the help of their own radar. Then they take over from the controller and manoeuvre and attack on their own initiative. The controller, however, watches the fight on his screen all the time, and after it is over, he guides the fighters hack to their base. Plans are in hand for opening up more radar stations for the R.I.A.F. —A.P.I. New Cholera Drug THE discovery in Bombay of a new drug which has been found to be extremely efficacious in curing and preventing cholera, had aroused world-wide interest, said Professor S. S. Bhatilagar in an interview to The Times of India. The drug, provisionally called "6257," was evolved in the Caius Research Institute of the St. Xavier's College, Bombay, by Professor Bhat- nagar, who worked in collaboration with Professor Fernandes. Mr. De Sa and Mr. Divekar. Professor Bhatnagar said that "6257" was different from the deriva- tives of para-amino benzine sulfa- nilamide so far employed in clinical therapy. The drug was tried on patients in Tanjore District, in Mad- ras Province, and the results ob- tained justified the hope that, with the employment of the new drug, it might be possible not only to cure cases of cholera, but also to prevent its spreading, by sterilizing the car- riers- of this infectious disease by the simple oral administration of the new drug. Eye Bank BOSTON, U. S. has an eye bank. The general public in New England are being urged to sign forms indi• cating their willingness to donate their eyes after their death. • • Larry who was visiting his aunt, noticed that the pepper shaker was half full of red pepper. Turning to his aunt he said seriously, "You'd better not eat that, Mama says red pepper will kill aunts." M. D. R. 5 11.113111all MOM 1050CIATI011 CA11700,1 SEMI 4're, PARTNERS THE ()MENTAL WATCHMAN, JUNE 1948 YOU CAN FOOL SOME OF THE PEOPLE-- T HE story of medicine records great achievements and dis- coveries—tales of men and women who devoted their lives to research so that others might live. But inter- woven with these tales of medical progress are stories of another side of medical history, episodes involv- ing pretenders to medical knowledge —charlatans who capitalized on the labour of their contemporaries to reap a harvest of "sucker" money. Below are a few sketches of some of the buffoons and deceivers who pop in and out among the medical "greats" in the history of the healing art. Unfortunately, their race is not yet extinct; and we need to be on the watch to avoid being fooled by their counterparts in our day. Sir Kenelm Digby was the creator of the popular "Sympathetic Powder" which, according to him, miracu- lously healed wounds by not being applied to them! This medical "miracle" was achieved by taking, instead, the blood-stained clothing of the victim and soaking it in :. water solution of the powder. One of Digby's early patients was a man who had tried to separate two friends engaged in a duel and had, in consequence, been the only one wounded. Digby took the suf- ferer's bloodstained garter, dipped it in a solution of his powder, and instantly the pain left the wound, so great was the power of suggestion behind his powder of sympathy. When Digby removed the garter from his solution, the patient averred that the pain returned. Digby claimed to have acquired the formula for Sympathetic Powder from a mysterious stranger from the Orient who had refused to impart his secret to anyone else and who disappeared immediately after he had disclosed it to him. A great many people testified that they were healed by the powder. Digby also advanced an original treatment for fever: "Pare the patient's nails, place the parings in a little bag, and hang it around the neck of a live eel. Place the eel in a tub of water. The eel will die and the patient recover." "Chevalier" John Taylor, a gran- diloquent quack oculist, was called by Dr. Samuel Johnson: "The most ignorant man I ever knew, but sprightly." He was a clever buffoon, and he was always clad in black 6 ALAN A. BROWN with a long flowing wig. His speeches were typical of a charla- tan's verbosity. In a lecture, "The Eye," delivered at the University of Oxford, he had this to say, in part: "The eye, most illustrious sons of the muses, most learned Oxonians whose fame I have heard celebrated in all parts of the globe—the eye, that most amazing, that stupendous, that comprehending, that incompre- hensible, that miraculous organ the eye, is Proteus of the passions, the herald of the mind, the interpreter of the heart, and the window of the soul. The world was made for the eye and the eye for the world. "Ah, my philosophical,. meta- physical, my classical, mathematical, mechanical, my theological, my crit- ical audience, my subject is the eye." A story is told of an eighteenth century impostor who called him- self Dr. Rock. He sold a cure-all remedy from an open-air booth near St.. Paul's Cathedral, London. One day he met an old friend, and the two went to a near-by inn. The visitor, with frankness, concluded in these words a statement of his sur- prise at the faker's success: "Thee knowest thee never had no more brains than a pumpkin." Instead of becoming indignant, Rock took him to the window and bade him count the nassers-bv. When twenty had passed, he asked his friend: "How many wise men do you suppose were among that twenty?" "Mayhaps one," was the reply. "Well," returned the charlatan, "all the rest will come to me." Joshua Ward, alias "Spot" Ward, listed among his highly profitable collection of nostrums a "liquid sweat," a "dropsy purging powder" and antimonial pills and drops. Without any real medical skill, Ward grew to be a famed physician. He was violently criticized by the reputable physicians of his day, and he was foolish enough to take one of his critics to court. He lost his case, and what was worse for him, his ignorance of medicine was thor- oughly exposed. One of the anecdotes told about Ward relates to a visit to his most famous client, King George II. A court officer whispered to Ward that he should not turn his back to the king on leaving his presence. Loudly Ward replied: "The king's seeing my back is a matter" of no conse- quence, but the breaking of my neck by falling backward is of conse- quence not only to him but to the poor!" John Case, a learned quack of the seventeenth century, expounded his virtues in rhymed advertisements. Over the door of his office hung the sign: "Within this place, lives Dr. Case." This couplet is said to have attracted many clients. On his pillboxes Dr. Case pasted this advice for his patients: "Here's fourteen pills for thirteen pence; enough in any man's own conscience." He was always happy, said Dr. Case, to tender advice gratis for any affliction, and to sell his "superior" medicines at lowest prices. He apparently recognized a good source of revenue in the treat• ment of venereal disease with his quack remedy. He referred to syphilitics as the "Venus Race" in this bit of rhyme: All ye that are of Venus Race, Apply yourselves to Dr. Case; Who, with a box or two of PILLS, Will soon remove your painful ILLS. At a social gathering a physician proposed a toast to Dr. Case; "Here's to all the fools, your pa- tients, Brother Case." To which Case replied: "Thank you, good brother. Let me have all the fools, and you acre heartily welcome to the rest of the practice." MY ESCAPE FROM TOBACCO S OME statistician might be able to estimate the number of people who try to stop smoking every year. He might tell you that 60,000 or 600,000 persons every year try to break the habit and that another 1,000,000 persons wish they could. If he were a top notch research man he probably could even find out how many people actually succeed in killing the tobacco habit. The to- bacco companies would not like to have such information made public, but it would be interesting to know. I admit right now that I cannot give you these figures. I do not know them and I do not know how to find them. But I do know just from talk- ing with other people that if there were any easy way to quit, a whole lot less tobacco would be consumed every day. I quit smoking! It was almost three years ago. When I finished that last cigarette in the pack, I stopped. I mean just that—I stopped. The number of cigarettes I've tried since then you could count on your fingers. Smoking, for me as for most people, was both a pleasure and a habit. I enjoyed my after-coffee cigarette; my breakfast wasn't com- plete without it. Every cigarette in that pack a day which I burned up must have been blended just for me. The habit was fully grown. It had lasted twelve years and I was attached to it. A smoker develops a whole set of related habits and mannerisms. You can always tell the experienced smoker from the inexperienced by his mannerisms. I had them all and they were well trained. I suppose there are thousands of ways of breaking the habit, but they all fall into two main classes. Either you stop completely and suddenly and relentlessly, or you taper off. Possibly some people can taper off successfully, but I believe most people fool themselves when they think they can ease off the habit without its hurting. This method THE ORIENTAL WATCHMAN, JUNE 1948 merely prolongs the agony and often ends in failure. You cannot break a habit by continuing it. It is like trying to forget a woman with whom you are still in love—you cannot do it by calling her up every day. Of course the analogy falls down there. Your woman may leave you but your cigarette is your most devoted slave—until it becomes your master. I always said I could quit when the time came. But I carefully saw to it that the time never did come. Way down deep in my mind I was not very sure that I could quit smoking. I was afraid to try. Then came the war. I saw my brand disappear from the market, but that didn't bother me too much because I had never been a one-brand smoker. The real tobacco shortages came soon. I changed from brand to brand, and then took anything I could get. Unfortunately (or fortunately, as I think now), my office was located about a mile from the shopping sec- tion. Always before, I had bought my cigarettes by the carton. But cartons were early war casualties. It became a real problem to keep any cigarettes. And I didn't have time to hunt for them. Finally I rebelled. I rebelled against standing in line; I rebelled against going from one drugstore and grocery to another just to hunt for tobacco; I rebelled against under- the-counter selling. And I quit. One day I went home with a partly used pack and announced to my wife that when the pack was empty we were through. No more cigarettes. No more ashtrays to clean, and no more after-dinner coffee and ciga- rettes. My wife is a smart person and she usually manages the family, which is true in 98 per cent of all families. She uses devious ways to get her wishes. When she wants something she usually manages to get it in such a way that I think it was my idea all the time. And if she does not like some decision of mine she can usually change my mind. But this time she could not do a thing. Whether she liked it or not my wife had to take it and act as if she agreed. At that time we had no car, the bus was very inconvenient and the corner store rarely had tobacco for anyone except its best customers. Since we traded at the supermarket we were not considered "best custom- ers" by the corner store. My wife had to depend on me for her ciga- rettes. If I did not bring any home, she had to quit smoking. And that is just what happened. The partly used pack I left at home. My wife agreed not to cheat. We would each smoke one cigarette a day, with our after-dinner coffee, until the pack was empty. This was a compromise, but I could not throw those last few cigarettes away. We thought this would be as good as the sudden and complete stop. It was. We enjoyed that one smoke each day for about five days. Then they were all gone. We put away our ash- trays, our paper matches and all the paraphernalia that goes with smok- ing. We haven't bought another pack, and it has been three years. How was it? Well, the first week was tough. I tried candy, chewing gum, water, coffee and everything else I could think of every time I wanted a smoke—and that was al- most every minute of my waking day. None of them helped. I still wanted to smoke. And of course everyone who came into my office lit a cigarette and offered me one. I tried not to be obnoxious but I'm sure I must have acted like a martyr those first few weeks. All the various suggestions about chewing gum and other substitutes are foolish. If you really have the tobacco habit it is psychologic and physiologic and a substitute just won't work. After the first few weeks I got over the terrible craving for a smoke. It got to the point where I enjoyed smelling the smoke and thought it cigarette might be pleasant but I had no trouble resisting. Then, several months later, I tried a cigarette. It was amazing. I choked and sputtered and tears came to my eyes. There had never been any smoking satisfac- tion for me without inhaling, but this time when I tried to inhale I felt as if my throat and lungs were about to explode. Never had I realized how much one's system has to adapt it- self to smoke. That was enough for me: no more smoking. What are the benefits? There are many. A pack of cigarettes each day, averaging eight annas, costs about Rs. 182.8 a year. I am not terribly tight, but with prices still going up and my income remaining constant that Rs. 182-8 looks pretty big. The pleasure I was getting from smoking is nothing like the pleasure I get from not smoking. And my wife can find a thousand places for that money we save. Recently I read an article by some medical authority about the relation- ship of smoking to cancer. Medical research has found indications that a connection is probable in some cases. And you know cancer is rapidly in- creasing. If I had still been smoking, that article would have frightened me into quitting. But I won't have to worry about cancer from that source. My general health is better, No, I did not gain any weight as do most people who give up smoking. But I • did stop having frequent afternoon headaches. My appetite improved. My throat began to behave as if it appreciated decent treatment again. My yellow fingers—the give-away of the heavy smoker—gradually turned a normal flesh colour. And my teeth lost the tobacco stain which every dentist recognizes but is powerless to stop. Will I ever start again? I'll make no promises—they are too much like New Year resolutions. But I'll bet any reasonable amount that I never again smoke as a habit. Why should 1 resume an expensive habit? Why should I subject my body to that much unnecessary abuse? When the tobacco companies can give me some valid, concrete reason for taking up their product again, I'll seriously consider it. Until then, no, thanks, I wouldn't care for one.—Ilygeia. HEART DISEASE -A PARADOX W. W. BAUER, M.D. 17 paradox of heart disease is hat while it is the leading cause of death we do not want it to be otherwise. At the same time, we want to change the situation mate- rially for the better. How can this be done? The answer lies in the fact that heart disease is not one disease but many. There is the aged but the valiant heart, wearing out after many years of faithful service, demand- ing its rest at last after eighty, ninety, or sometimes one hundred years. There is little possibility or desire to change this situation. But there are other types of heart dis- ease in which failure occurs too soon. These are the ones about which we want to do something. They are, moreover, the types of heart disease in which more is being done today than ever before. Indeed, much more is being done than most persons realize. When they do realize and seek to grasp for themselves what medical science and art today can do toward the postponement of pre- mature heart failure, more years will be added to life. Not only that, more living will be added to these years. Until recently, it has been custom- ary to point out that certain types of heart disease exist for which little can be done. Modern progress in Director, Bureau of health Educa- tion, American Medical Association medicine and surgery has done much to change this attitude. Heart diseases fall into three principal groups: diseases of the heart muscle, diseases of the heart lining and covering, and defects in development. Among diseases of the heart muscle are ordinary wearing out with great age, injuries sustained from chemical poisonings or from infectious diseases, and damage in- flicted by failure of the food and oxygen supply of the muscle, re- sulting from injury to the blood vessels which feed the heart itself. Diseases of the valves and of the covering of the heart are primarily infectious in origin. A third type of heart disease is due to failure of development in the structure of the heart and larger blood vessels, either before birth or in the transformations which take place at birth when or soon after the infant first breathes. There is an important difference between heart disease and heart failure. Heart failure is the un- favourable ending of heart disease. It may not occur for many years. It is not , always complete and fatal when it does occur. There may be, and often is, considerable and re- peated recovery from heart failure. While heart disease may be expected to shorten an individual's expectation of life somewhat, it by no means fol- lows that the shortening will be great or the termination immediate. In brief, the outlook in heart dis- ease is far more favourable than is generally, realized, both for the individual and for people as a whole. THE ORIENTAL WATCHMAN, JUNE 1948 The causes of heart disease vary with the types. The exact cause of abnormal de- velopment of the heart before birth is not understood. When one con- siders the complicated procedure by which the human body grows from a single cell into the complex mechan- ism of the fully developed baby ready for independent existence, the wonder is not that occasional ab- normalities occur, but that they are so few. One of the principal ones for which a remedy has been found is based on changes which take place when the infant, immediately upon birth, begins for the first time to use his lungs. Before birth, the lungs were not expanded and had the same blood supply as other tissues, which was sufficient to nourish them and bring oxygen from the mother's blood. Immediately upon birth there must spring into use a large addi- tional lung circulation not intended to nourish the lung tissues but to use the lungs as air conditioners for the blood; to give it oxygen and take away the waste gas, carbon dioxide. This involves changes in the heart. A valve which allowed blood from the two sides of the heart to mingle must close, and the large blood ves- sel, which furnished a short circuit from the arteries to the veins about the heart, must close at the same time that the entire new lung cir- culation must open. The failure of the valve in the heart to close causes THE ORIENTAL WATCHMAN, JUNE 1948 what is popularly known as "blue babies," who very often die of as- phyxia rather promptly. Failure of the short-circuit vessel to close may also throw a heavy burden on the heart, with consequent early failure. Surgical closing of this vessel now makes possible the saving of many of these infants. The operation is risky, but life without it is more risky, so the choice is fairly obvious. Other 'heart conditions in which surgery has proved helpful include a condition in which the sac, or cov- ering which surrounds the hearts has become too tight, thus restricting free heart action. Surgical removal of this covering frees the heart. Over-activity of the thyroid gland, commonly associated with a condi- tion called "goitre," may whip up heart action and bring about ex- haustion of the heart. Removal of portions of this gland, or reducing its blood supply by tying off ar- teries which feed it, removes the ex- cessive stimulus and allows the heart to recover if the operation has been done in time. In extreme cases practically the entire thyroid gland may be removed and its function substituted by controlled thyroid feeding in appropriate amounts. This removal of the thyroid gland and subsequent thyroid feeding, has been effectively used in the treatment of another form of heart disease, coro- nary thrombosis. Spectacular accounts of surgical repair of injuries to the heart mus- cle, while not common, are never- theless interesting and are indica- tions that short of actual piercing, an injury to the heart need not neces- sarily be fatal. Another form of sur- gery, employed mainly for the con- trol of high blood pressure, consists in detaching the heart and blood vessels from a portion of their nerve supply by cutting these nerves close to their origin along the spine, thus removing an excessive stimulus and bringing the blood pressure down or holding it steady at a safe, though perhaps not normal, level. None of the operations mentioned is minor. Some of them are-exceed- ingly drastic. Some are relatively new and partly experimental. None are resorted to, lightly or while less severe measures give hope of suc- cess. It is, however, distinctly worth while to know that these surgical re- sources exist and, under appropriate circumstances, can be called upon when other measures fail. Modern advances in the treatment of infectious diseases with penicillin and the sulfa drugs supply a new weapon against heart damage. These measures sometimes fail, as illus- trated in the recent tragic and unex- pected death of Wendell Willkie, who apparently succumbed to a combination of streptococcus infec- tion and a weakened heart. Presum- ably, if Mr. Willkie's heart had not already been weakened, he might have overcome the infection with the aid of the drugs. His death, by reason of his fame, attracted wide at- tention. But there are thousands of similar deaths occurring among ob- scure men and women every year. Some of them are preventable. Al- most any infection damages the heart. The longer it goes on, the more damage it is likely to do. Most likely to inflict damage upon the heart muscle are infections such as diphtheria, typhoid fever, scarlet fever, meningitis, pneumonia, the streptococcus and staphlococcus or- ganisms, and syphilis. We now have antitoxin for diphtheria and typhoid, and the other infections are being treated more successfully than ever before with sulfa drugs, penicillin, and, in the case of syphilis, com- pounds of arsenic and bismuth. The widespread and successful use of specific measures, preventive and curative, against diseases which often injure the heart will be reflected in the future in a constantly increasing percentage of our people who reach adult life with undamaged hearts. When adult life is reached, injury 9 Have Your Heart Examined Periodi- cally But Do Not Worry About Little Irrega- larities to the heart is done most often by chemical poisonings, syphilis, (so- called focal) infections in the mouth, teeth, sinuses, digestive or- gans, and reproductive organs, and by unwise living, including over- work, worry, nervous tension, use of tobacco, and over-eating. The results of these causes, usually two or more working together in a given situa- tion, may cause muscular deteriora- tion of the heart or gradual narrow- ing of the heart's own blood supply vessels, the coronaries. When this happens, there may be a sudden violent attack with severe pain in the chest, known as "angina pec- toris," or there may be a gradual deterioration of the heart, first with enlargement of the muscles and then failure by dilatation. The remedy for these causes is obvious. Industry has already removed the most serious threat to heart muscle, namely, industrial poisoning from lead. Other industrial poisons and potential poisons are constantly be- ing studied, and they are eliminated or carefully guarded against as rap- idly as knowledge permits. The other factors are mainly the personal re- sponsibility of the patient. A mere reading of the list of causes sug- gests remedies. One may often read of sudden deaths from heart disease. It can- not be said that such do not occur, but certainly they are not commonly as sudden as is generally believed. In most cases there is warning be- forehand, but the warning is either unrecognized or ignored. Older per- sons who experience breathlessness on slight exertion or when resting, swelling of the feet or other parts of the body, vague digestive disturb- ances, dizziness, or pain in the chest, may not necessarily be suffer- ing from heart disease or any other serious condition. Nevertheless, these symptoms do occur in, and are warn- ings of, existing heart disease and impending heart failure. They call for immediate consultation with a physician. It is wise also to consult a doctor for a checkup, especially with relation to heart action and blood pressure, from time to time, even when there are no symptoms. When the doctor has made a diag- nosis of heart disease, there is not necessarily cause for despair. Heart failure, as already intimated, can often be postponed for a long time. Partial failures are often followed by improvement or complete clinical recovery. Repeated failures, however, are a bad indication, especially if they occur despite careful observance of the doctor's instructions. When a physician faces a patient with heart disease, he will not be content with merely treating the heart. He will treat the patient as a whole. He will wish to remove any condition which threatens further injury to the heart. He may prescribe medication to sup- port the heart, at least temporarily. He will certainly limit the activities of the patient. How much limitation will be necessary depends on the type and extent of heart injury and the degree of existing or threatened heart failure. In extreme cases, such as advanced valvular heart disease or serious coronary disease, the doctor may keep the patient in bed for months, sometimes limiting activity to the ex- tent of not permitting the patient to sit up, turn over by himself, or even feed himself. All activities may have to be controlled and visitors ex- cluded. In mild cases, and as recov- ery progresses, greater activity may be allowed, but all activity must stop short of breathlessness or fatigue. Chilling or infections must be guarded against. Excessive weight must be reduced. Diet must be regu- lated and the size of meals re- stricted. Everything possible is done to reduce the burden upon the heart and keep it well within the capacity of tired or injured heart muscles. From a practical standpoint the person who has had a heart failure or in whom such failure impends should be prevented from climbing stairs, except a very short flight, and that slowly and with repeated rests. He must let the tramcar or train which he almost caught go by. He must learn to keep his temper in hand, especially if he has the coro- nary type of disease. The famous Englishman of letters, Samuel John- son, who had a bad heart, remarked plaintively that his life was at the mercy of any scoundrel who chose to make him angry. Worry and over- eating must be overcome. The indi- vidual must learn to live on a re- stricted plan and like it. There are numerous evidences that anyone who has the wit and the will to do this can live longer and not without pleasure, if he does it consistently. The solution to the paradox of heart disease is found in the weapons which modern medical science has made available. The future offers us no reduction in deaths from heart disease, but it does offer us great op- portunities to postpone these deaths until large percentages of them oc- cur at later ages. Not until we have greatly increased the percentage of heart disease deaths occurring be- yond the present life expectation of sixty-six years can we rest content. By that time we shall probably have new weapons and will have set our goals farther ahead and our sights higher. In the meantime, have a heart and give your heart a break. WEAKLINGS ARE CURABLE IF YOU cannot swim the river and trek ten miles with a pack on your back, you can still survive in our civilization. But chances are that you have a case of motor unfitness —a euphemistic way of saying that you are physically ungainly, un- beautiful, perhaps a weakling. An adult male under forty with normal motor fitness can perform the following feats. If you are of the proper age, try them. 10 Balance on the toe of one foot for ten seconds. Do twenty "sit-ups" from the floor. Do twenty deep knee bends. Lift and set down once a person your own weight. From a standing position, broad jump seven feet. ALBERT KREINHEDER, M.SC. Run a mile in seven minutes. Dr. Thomas K. Cureton defines motor fitness as the "capacity to run, jump, dodge, fall, climb, swim, ride, lift, and carry loads, and en- dure long hours of continuous work. Vitally necessary to the soldier, motor fitness is needed by civilians for their own safety and health. Persons without motor fitness lack a kinesthetic sense. They slip cn rugs, fall in the shower, and en- THE ORIENTAL WATCHMAN, JUNZ 1948 counter various serious accidents. A complete motor fitness test con- taining fourteen items was given to 2,628 men entering the University of Illinois. More than one-third failed to pass. Another one-fourth were near-failures. Of the two-fifths who did pass the majority could-not swim as far as one hundred yards. Dr. Cureton put the blame for this "appalling" condition on pro- tected soft lives, lack of hard physi- cal work, and the habit of using the motor car instead of one's own legs. If exercise were sold in capsules, most of these weakling children would have had strong, well-propor- tioned bodies. Physical weakness is usually a deficiency disease, and the ingredient most often lacking is good, old-fashioned exercise. Proof of this was demonstrated by two South African physicians, Dr. Ernst Jokl and Dr. E. H. Cluver.. They set up a special training camp for men who were unemployable be- cause of mental dullness and a high incidence of such minor illnesses as colds, constipation, sore throats, and headaches. After six months of reg- ularity, good food, physical training and drill, these slouching, listless, weakling youths became normal, alert young men. The industrial revolution has not yet industrialized the human body. It is essentially the same body that pushed into place the giant blocks of the Egyptian pyramids. It still needs exercise for its proper growth, health, and vitality. Deny yourself adequate physical activity and you are putting out the welcome mat for insomnia, neuroses, hypochondria, and boredom. You are weakening your general defence against practi- cally all invading viruses. You can feed your body vitamin extracts and tonics, give it fresh air, rest, and a perfect diet; but without exercise you will remain a weakling. Without exercise, food is not assimi- lated by the muscles. And without food, muscles degenerate until they are composed chiefly of connective tissue and fibres loaded with oil drops. So compact are muscular tissues that the heart by itself does not pump sufficient blood through them to maintain normal nourishment. The blood must be helped to circulate through the muscles by alternate con- traction and relaxation of the mus- cles themselves, or, in other words, by exercise. What happens to unused muscles can be seen in the feeble and wasted condition of a limb that Ty-w nRIVNTAT WATrumAx. "(mile 19411 has for some time been in splints. Normally, your muscles will grow and adapt themselves to the kind of work you demand of them. The way to strength, simply stated, is gradual. ly and progressively to demand cf your muscles a man-sized output. They will measure up. Then your most casual motions will be rein- forced with the reserve strength which is physical poise. You will stand straight, sit straight, and move gracefully. You may not be the type who will embark immediately upon a scien- tific regime of corrective exercises. Few are. Specialized calisthenics, however, with weights, bars, and gymnasium apparatus will give you a real overhauling. Heavy movements that can be repeated from ten to twenty times will strengthen your muscles and add weight. If you want merely more tone and flexibility, you will do lighter exercises that stress co-ordination. The gymnasium bores you? Then avoid it. Going to your exercises with teeth gritted is no help in breaking the tension of modern living. Unless you have marked under-development, such games as tennis, and golf, activ- ities like swimming, hiking, and rowing, will keep you in top shape. Exercise that goes along with a hobby that includes sociability and fun, will be continued long after you have abandoned exercise for its own sake. Sweat when you exercise, but don't be lured into exhaustion by the big- muscle ads. Remember that exercise of itself does not build muscles. It is a breaking-down process. By too- frequent, too-prolonged, or too-vio- lent activity, many athletes have actually worn down and "burned out" their youthful vigour. Rest, good diet, and fresh air repair the ravages of fatigue and promote fur- ther growth. Heavy exercise should not be done more often than three times a week, and it should always stop short of exhaustion. The adapt- ive powers of the human body are astonishing, however, and one's best possibilities are not realized without occasionally driving the body by sheer will. Dr. Alexis Carrel used to atroac � no.Ati for long_ harri tsues to toughen the body and build en- durance. But supreme efforts should not be too frequent, and must not follow upon a period of inactivity. Still, it is the walking upstairs with fifty pounds on your shoulders that teaches you to bound up when there is no weight at all. For either sex at any age, exercise is beneficial. Children, women, and older persons must employ greater discretion, but even in old age a certain amount of light bodily activ- ity is important. In childhood ex- ercise is a spontaneous and joyful expression of the personality; so it can be throughout life. During the period of youth a healthy boy may attempt almost any kind of exercise. Until twenty-two or twenty-three, however, activity pro- longed beyond fatigue may do him permanent harm. Hence for him the playing periods in basketball and other fast games should be shorter than for professional athletes. Cor- rection of faulty musculature is most easily accomplished in childhood and youth, and wise parents will equip their child in these growing years with the most perfect physique pos- sible. Until he is forty a healthy man can safely pursue the exercises of youth, but after that time rigidity in the blood vessels and cartilages makes sudden efforts dangerous. The same principles apply to girls and women. The "weaker sex" need not be weaklings; though, of course, their inferior strength and the de- mands of childbirth suggest greater moderation. But many women of forty-five, by intelligent exercise and healthful living, still retain a slim figure and the vitality of youth. There are, unfortunately, individ- uals with serious ailments who seem doomed to have ineffectual bodies. But for each of those there are a hundred whose haggard faces and heavy feet tell only of their reluc- tance to engage in some regular activ- ity that will strengthen their muscles and grind down their avoirdupois. Exercise is not a substitute for good food, rest, regularity, or clean living habits. Nor are these a substi- tute for exercise. But exercise will often spell the- difference between being "not sick" and being truly healthy. One who has never had strong, elastic muscles and an agile, well-co-ordinated body has never felt the.exquisite pleasure of being alive. Fortunately, if he is not too old, he still has a good chanc.o of finding out. 11 11111111111111111 THE SCANDAL OF SMALLPDX W E NEED not go back into an- cient history or the Middle Ages to learn about smallpox. It is true enough that sixty million per- sons lost their lives in Europe from smallpox in a single century during the Middle Ages. It is correct that smallpox caused the deaths of kings and princes and aided in the destruc- tion of armies and empires. Small- pox was described as a foul and envious disease which spoiled the maiden's beauty; young women were advised in all seriousness to get themselves husbands before small- pox marred their beauty; the family circle was never regarded as secure until all its members had been through an attack of smallpox and had recovered. The facts about smallpox are not difficult to understand. The cause of the disease is not known, but its characteristics are well understood. It is probably the most highly con- tagious of all diseases, requiring only brief and not very close con- tact to spread from person to per- son. It is characterized by symptoms closely resembling influenza, which persist for several days before the characteristic rash breaks out. It is during this preliminary stage that the patient mingles with others and spreads the disease, which is more highly communicable then than later. The usual smallpox rash is definitely characteristic and not dif- ficult for the experienced medical observer to identify. Smallpox occurs in two principal types. the mild and the severe. So- called black smallpox and confluent 12 smallpox are varieties of the severe infection. Mild smallpox may be very mild indeed, but there is no telling when a severe case may arise from contact with a mild case, nor can we ever be sure that epidemics of the severe type will not invade our communities as they did numer- ous of America's largest cities in the years between 1920 and 1925. The confluent and the black smallpox cases frequently terminate in death or result in such numerous and se- vere complications that permanent injury may be done to the eyesight, the hearing, or the brain, to say nothing of the severe scarring which often results. There is no way of treating smallpox once it has devel- oped, except to make the patient comfortable, relieve pain, and at- tempt to minimize complications and scars. This adds still more point to the emphasis on prevention. Smallpox thrives largely because of indifference and prejudice. Pre- sumably, ignorance may also play a relatively small part; there may still be a few persons who have never heard of vaccination! But for the most part those who remain un- vaccinated today—and there are mil- lions of them—do so because of in- difference or prejudice. Indifference is readily explained, since it is a common human at- tribute. When smallpox was a deadly menace to the family and claimed its thousands of victims every year, everyone was afraid of it and every- one clamoured to be protected. People did this in the benighted Middle Ages. when all they could do was to flee from infected areas; but they did it also in the enlightened twentieth century in our modern cities, whose inhabitants, shocked out of their lethargy by the invasion of black smallpox, stormed the of- fices of doctors and health depart- ments demanding immediate vac- cination. Fear effectively dispels in- difference. Prejudiced opposition is another story. This may be based on ignor- ance often skilfully fostered by the purveyors of misinformation. No one denies that in the early days vac- cination was an ordeal scarcely less dangerous than smallpox, and some- times more so. It should be remem- bered that vaccination was discov- ered before modern knowledge of bacteriology and the prevention of infection was available. Modern vac- cinations need not become infected; but many persons still live in the B. B. age of medicine—Before Bac- teriology. The professional anti-vac- cination propagandists do their best to perpetuate such beliefs. There are, of course, some who profess to object to vaccination on religious grounds. We do not choose to debate with them, since religious liberty is one of the guarantees which are dear to the heart. Unfor- tunately there is nothing to prevent the unscrupulous from professing religious or conscientious objec- tions, which they may not actually feel. Unhappily for the public health, a religious objection to pre- ventive medicine may become a hazard to the individual and, through him, to the community. When this happens the community has a right and a duty to protect itself. Finally, there is prejudice against vaccination because of the charges that it introduces disease into the body, that it is a scheme of the vac- cine manufacturers, that it makes the doctors rich, that it is a political racket of public health departments, and that it encroaches upon the rights of the citizen. Propaganda to this „effect • is spread continuously and persistently by small but loud groups of anti-vaccinationists who W. W. BAUER, M.D. Director, Bureau of Health Education. American Medical Association Tug � (IrRowT r. 137 Ave*Tm 4N, JTINv 104A band themselves together under fine- sounding names which would seem to signify that they are leagues de- manding liberty in medicine, or use misleading titles which would indi- cate that they are research institu- tions or organizations devoted to sci- entific investigation. The methods of the anti-vaccina- tionists are typical. Suppose that a health officer announces that vac- cinations are necessary. His an- nouncement appears in the news- papers and through a clipping service arrives at the desk of the executive secretary of an anti-vacci- nationist organization, usually lo- cated in a large city. In due time, and it seldom takes long, the editor of the local paper receives a letter on an impressive letter-head pointing out the horrors and the evils of vac- cination. Since most editors are be- lievers in the freedom of expres- sion, the letter is published in the "voice of the people" column. Most persons have sense enough to pay no attention to this sort of thing, but there are always a few who are easily frightened and easily led, and it is to them that the ap- peal is, in fact, directed. They may become paying members of the anti- vaccinationist organization or they may choose to resist vaccination or otherwise obstruct the work of the health department. Numerous court battles have been waged, and the in- variable verdict has been that the community has a right to defend it- self against the spread of the disease. A great outcry is made against compulsory vaccination by the anti- vaccinationists. As a matter of fact, compulsory vaccination does not actually exist in most localities. There are laws and regulations mak- ing vaccination a prerequisite for school attendance, but these usually provide for exemption of conscien- tious objectors. There are laws re- quiring either vaccination or quar- antine for persons exposed to small- pox, but anyone who does not wish to be vaccinated still has the alter- native of quarantine. These laws, therefore, do not constitute compul- sory vaccination. The outcry against compulsory vaccination is as need- less as it is insincere. Vaccination as done under mod- ern conditions is as safe as any procedure that involves the breaking of the skin. That there is a remote risk attached to it no honest physi- cian denies, but the risk is so much less than the risk of smallpox to the unvaccinated that no intelligent per- son, fully informed and without prejudice, would hesitate an instant in choosing vaccination in preference to the risk of smallpox. The anti- vaccinationists have beclouded the issue with falsified statistics. They have garbled quotations from emi- nent living physicians And correct but misleading quotations from phy- sicians of past centuries which, how- ever, they present as if the authors were living in the age of modern medicine rather than in the centuries before bacteriology and modern asepsis. The claims of the anti-vac- cinationists are a tissue of misstate- ments, evasions, and misrepresenta- tions. Whether their motives be cynical or sincere, the effect upon the public health is the same. The simple facts about smallpox and its prevention are these. Small- pox is highly contagious. It may be a serious disease. There is no cura- tive treatment for smallpox. Small- pox is easily prevented by vaccina- tion. Vaccination is a highly Lafe procedure. Three vaccinations in a lifetime, at the ages of one year, seven years, and fourteen years usu- ally suffice. Vaccination should be repeated whenever there is known ex- posure to a case of smallpox. S Vaccination Will Protect These Happy Youngsters Againat the Terrible Scourge. Trot 11-1PRWTVT 41 W AV:11MA N. JUNE 1.9U � 13 M AN is the one creature in whom reason and emotion are so intermingled that it is quite impossi- ble to dissociate one from the other. There is no such thing as a thought untinged with emotion; but there are plenty of emotions which are but slightly tinged with thought. Fear and anger are two such emotions; perhaps the two most common hu- man emotions. You have, no doubt, often heard the expression, "an unreasoning fear," or "an unreasoning anger." By that was, of course, meant that there existed an emotional state which was beyond the control of the reason and with which one could not argue. In such cases we are dealing with almost pure, primitive emotion on the loose; such looseness is bad. Never be loose with your emotions. Tighten up on them. If you don't they will tighten up on you; for untutored emotion can be one of the most serious and unre- lenting causes of nervous tension. If you can learn never to worry, and to control your fear and anger, that will be something, won't it? In fact, so much that no one will ever have to bother telling you about the control of any other emotion, for when you have learnt to master these three, you will be able to take care of any others that may trouble you. What is worry? That is one of those questions that does not require an answer. Everyone knows what worry is—a combination of fear, anxiety, depression, insecurity, and gloom. That anyone should volun- tarily submit himself to such misery would be something utterly incom- prehensible were we not all aware how real this condition has been in 14 each of our lives. Yes, no one has ever entirely escaped worry. Why do we worry? Some persons seem to love it; at least, it would seem so from the ease and the fre- quency with which they indulge in it. Might there not possibly be a clue here? Is it not possible that many of us actually prefer to worry rather than take the necessary steps to free ourselves from worries? Worry exercises a sort of paralytic effect upon us, which to some is preferable to the necessity of facing reality. Worry is a kind of neurosis in which, instead of facing reality, one takes flight from it. It is a condi- tion in which one rehearses all the calamities which have not yet oc- curred, in which he confuses and torments himself with all sorts of fears, and waits for something to happen to relieve himself from this unpleasant situation, instead of go- ing out to do something practical in order to achieve such a relief. There is a well-known type of neurosis into which unsuccessful business men escape as soon as they become aware that bankruptcy is inevitable. After the crash, they recover, and forever after they go around saving: "If only I hadn't had my mental breakdown when I did. I could have saved the firm from bank- ruptcy." You see, the neurosis was purely a defensive excuse for not facing the consequences of something which seemed inevitable. It was a running away from a situation, and when it was all over, a coming back to claim that one was almost a hero. Don't you see how similar to the worry situation that is? Worry is the condition in which we take refuge when we no longer know what to do about reality. If that is true, then the solution to the problem of worry lies in learning what to do about reality. And what can one do about real- ity? Face it squarely, courageously, and honestly. You cannot do any more, and you should never do any less. The more you run away from reality the more frightened you get, the more insecure you feel. The more courageously you face reality, the mbre courageous and the more secure you feel. Remember that. Try it at the next opportunity and see how it works. Face the devil squarely and you have him beaten instantly. Make a deal with him and try to appease him by giving in, and you are lost. Let there be no compromise with your conscience about reality. It may not be easy at first, but once you get into the habit, it will be easy enough. When faced with any situation which formerly used to send you into a bout of worry, don't sit down and mope, but stand up and take stock of it courageously. Ask yourself what is the best way to meet that situation, and go right ahead and do something about it. Be calm, relaxed, and smile and laugh as much as you can. Keep your balance, your sense of humour. But whatever you do, make a courageous, honest, square response to the situation. Take con- trol. Don't let the situation take con- trol of you. Use your intelligence. Don't get into a panic, for in a panic you are completely out of con- trol. Don't let emotion get the upper hand. Smile, and reason the thing out. However black the situation may at first appear, calm reflection will show you that there is a way of meeting it. An emotional orgy of worry never helped any one or any cause, so why worry when it is the most inefficient thing you can pos- sibly do? After you have thought things out calmly for yourself, talk the whole matter over with a good friend. Be frank and honest and explore every possibility with him of meeting the situation. You will feel a great deal better for it, and feel equal to meet- ing the problem squarely. "There is no better looking-glass," goes the proverb, "than an old friend." Worry is always a feeling of aloneness. Obviously, one of the best ways of getting over that is by developing your friendships, by see- ing more of those you already know, THE ORIENTAL W 4.TCHM AN. JEANF 194,8 WHY ) ASHLEY Professor of Anatomy, Hahneman 11 ORRY? Gu, Ph.D. College, Philadelphia, Pa., U. S. A. Many of the things we have acquired in this way are good, others are bad. We can learn from our relations with others how to unlearn these bad things. That should be one of the functions of friendship. Don't be hostilely aggressive, but be intelligent, calm, honest, sincere. A wise man once remarked: "It is very important to be aggressive, but fatal to appear so." Certainly re- frain from throwing your weight around. It does you no good, and people do not like it. But do go out and cultivate human relationships. Ti.n °lairs/TAT WhirliMAN. 'UAW Min and getting to know others. This is not a flight from your feeling of aloneness, but an attack upon it, in order to dissolve it. There is interest and pleasure, as well as safety, in numbers. A person acquires strength and courage from contact with others, but he grows weak and insecure when he is alone. This fact was clearly brought out during the great air raids over England in the last war. It was found that far fewer cases of mental shock resulted in the areas where there was ample provi- sion for large numbers of people to take shelter together. In areas where no such provision had been made, and persons had to stay alone, the proportion of cases of mental shock was greatly increased. It is not wholly true that we eventually all have to fight our own battles alone, for all of us fight them with a power, that, to a large extent, we have acquired from others. We are to make the best possible assimi- lation of that power. It is from our relationships—not contacts—w i t h others that we learn to act like hu- man beings. All that we know, and almost all that we feel, we have ac- quired from other human beings. How can you ever worry when you know that in whatever you do you have the active sympathy of your friends—when you know that you have someone to whom you can unburden yourself, and with whom you can discuss your problems? When you have tried hard to achieve something and failed, your friends will not blame you. They will praise you for having tried and will en- courage you to try again. There is at present too much desire for "contact" and too little interest in entering into deeper re- lationships with other human beings. Our human relationships tend to be awkward and insincere because we seldom get on a real footing of understanding with other people. This attitude has, for the most part, been determined by the out-and-out competitive spirit which pervades the highly industrialized society in which we live. All discussions of human prob- lems lead to the same conclusion; namely, that we must learn to co- operate, not compete, with our fel- low men. This is not to say that we shall not vie with one another to do our best. A healthy type of competi- tion which has as its end the advance- ment of the common good, and not the vanquishing of one's "opponent" and the selfish advancement of one- self, is good. A competition which is motivated by the impulse to assist those with whom one may be com- peting is the only form of competi- tion which is ultimately worth while. In your relationships with other persons what you derive from them depends largely upon what you put into those relationships. That is, perhaps, best exemplified in the most intimate of all human relationships —marriage. The principal ingre- dient of successful marriage is not so much what you get out of it, as what you put into it. The recognition of this is probably what caused Gustave Flaubert to remark that marriage is the best school for a man's character that has ever been devised. Indeed, a man can have no greater friend than his wife. A wife generally knows her husband better than he knows himself. That is why some men resent their wives. What a childish attitude that is! Instead of being grateful for someone who knows him so well, and making use of the critical, yet sympathetic, understanding of his wife, such a man throws away the greatest of all his opportunities for helping him- self. Every man should be able to share his troubles with his wife, and with her assistance arrive at some solution of them. Concerning friendship, it was written more than two thousand years ago in an old Sanskrit work: They taste the best of bliss, are good, And find life's truest ends, Who, glad and gladdening, rejoice In love, with loving friends. Also: The days when meetings do not fail With wise and good Are lovely clearings on the trail Through life's wildwood. Get into the habit of walking in those lovely clearings through life's wildwood. Cultivate as your friends, persons whom you can respect and like, from whom you can learn to be more happy and more wise. The ex- perience of such friendships will in itself work a great reduction in your inclination to worry. Go out and make new friends. Cultivate your old ones. See more of people and take more of an in- terest in what they are doing. Don't turn in on yourself. and torment yourself by so doing. There is life to live, work to be done, joy to take in nature and in the good works of men. Worry never helped anyone to do any of these things. There are a good many bad and inefficient things which men have done. Your active help is needed in the job of putting these things right. Put some of the energy that you formerly used to put into worrying, into this task. Find something to do which you can do well, and do it. There is nothing better for you morale. And remember: Keep smiling, keep ehaerful. he friendly. 15 N O FACTORY can continue to operate successfully if its wastes are allowed to clutter its floors and clog its machinery, and intelligent disposal of these wastes calls, first, for a clear comprehen- sion of their character. In this sense your body is like a factory, A large part of the food which you eat is digested and absorbed; but there is always a considerable portion that cannot be, or at least is not, di- gested. This indigestible or undi- gested portion is obviously waste, for your body cannot use it and must get rid of it. Practically all that you eat and digest also event- ually becomes waste, as you may already know; but, before further details are given about the changes involved in producing wastes from different classes of food, some of the less obvious types of body wastes will be briefly discussed. Your tissues themselves are con- stantly being broken down, giving rise to wastes. Some of them break down slowly, but others rapidly. The red cells of your blood last only from thirty to eighty days—the opinion oil from special glands in your skin, and the mucus produced by all the mucous membranes in your body. Pus and other abnormal discharges from your eyes, ears, mouth, nose, or other body openings may also be considered as wastes; but they are not produced while your body is in a healthy condition, so they will not be discussed further. The simplest way to classify and understand most of the wastes pro- duced by the normal activities of your body is to consider the fate of the various classes of food that you eat. Let us first consider the carbo- hydrates. Digested and absorbed carbohydrates sooner or later undergo oxidation, yielding carbon dioxide and water. Carbon dioxide is a gas. It is found in large amounts in the smoke of burning fuel, as well as being a common body waste. By oxi- dation we mean, in this connection, chemical reactions in the tissues that result in the union of oxygen with the substances in question. The in- digestible part of your food includes certain carbohydrates. These are found chiefly in the skins and fibre true acidosis in the body. This is one of the serious developments in a severe case of diabetes. Proteins, as you may remember, are broken down during digestion into amino acids, which are absorbed from the intestine and carried to the liver. Parts of them are used with little or no further change to help build or repair cells. When these cells finally break down, the protein parts of them are once more set free and must be disposed of in much the same way that would have been the case if they had never been used to help build or repair cells. A parallel to this situation is the fate of timber which you might cut from a forest. You might burn part of it soon after cutting it, and use part of it to help build a house. When the house finally became so old that it had to be wrecked, part or all of the wood in it would prob- ably be used for fuel, so in time all the timber you cut would become smoke and ashes of a sort that would be chemically characteristic of the kind of timber burned. Similarly. you may form a fair judgment of YOUR BODY'S WASTES H. 0. SWARTOUT, M.D., Ph.D. of the most reliable investigators being that their average life is much nearer thirty days than eighty—so it can fairly be said that about 3 per cent of these cells are broken down every day. Some of your cells are cast off bodily without being broken down; but they are none the less waste mate- rial. This is true of the cells of the outer layer of your skin. The lining membrane of your digestive tract is also constantly shedding cells. A few are lost daily from the linings of your air passages and genito-urinary organs. And among the cells that count as wastes we should surely in- clude the enormous number of bac- teria that grow in your body, chiefly in your large intestine, every day, and that compose a considerable pro- portion of the total bulk of your in- testinal wastes. You have certain organs that se- crete substances which are of tem- porary use, but which are soon thrown off as wastes with little or no change. In this class belong your tears, the IVRY firm your Fa � the of fruits and vegetables, and in the walls of all vegetable cells. They pass through your digestive organs unchanged and form a part of your body wastes without being oxidized. The most abundant carbohydrate of this class is cellulose, though a few others occur in small quantities. Fats produce only carbon dioxide and water, if completely oxidized. A small amount of fat, however, usu- ally reaches and passes through even a healthy intestine unchanged; and in sprue and certain other diseases the intestinal wastes contain a large amount of undigested fat. In some diseases, notably diabetes, fat is di- gested; but its oxidation is imper- fect, and other wastes than carbon dioxide and water result. The most important of these are called ketone bodies, and are usually three in num- ber: acetone, diacetic acid, and hy- droxybutyric acid. In health, they are often produced in traces, so we may include them among the less- abundant normal body wastes. When they are present in any considerable amount. however, they produce R the final wastes that come from all your digested proteins by tracing the fate of the amino acids that are de- composed in your liver and oxidized without ever having assisted in the building or repairing of tissues. First of all, the nitrogen-contain- ing parts of these acids are split off to form ammonia. Your liver is able to unite most of this ammonia with carbon dioxide to form urea, which is one of the most abundant of all nitrogen-containing wastes. The parts of the amino acids that do not con- tain nitrogen are oxidized, forming carbon dioxide and water. These are not all the wastes they yield, how- ever, for some of the amino acids contain sulphur; and in the course of oxidation these become sulphates. Protein coming from the nuclei of plant or animal cells in food is partly made up of certain nitrogen- containing compounds that are not classed among the amino acids. These undergo partial oxidation, giv- ing rise to uric acid and certain re- lated waste substances. Your liver plays a part in the r}nr (*MT:TA/ � ATC1F/M• N. j TM 1,946 e production of still another kind of protein waste that should not be classed with those that come from amino acids. Reference has already been made to the normally rapid breakdown of your red blood cells. The colouring matter of these cells —hwmoglobin—is an iron-contain- ing protein. A part of the hwmoglo- bin set free by red cell breakdown undergoes some preliminary chemi- cal changes while still in your blood. Your liver then picks it out of your blood and brings about further changes that convert it into the pig- ments that colour your bile. These pigments then become a part of your intestinal wastes. Undigested or partly digested pro- teins do not as a rule leave the in- testine unchanged. They are largely decomposed or putrefied by bac- terial action, yielding several foul- smelling waste products, some of which are gases. Among these foul- smelling wastes are indole and skatole. Many of the minerals or salts in your food leave your body in the same form that they enter it, though some of them may be changed into other forms and back again while in- side your body. This is true of sodium chloride, or common salt, about half an ounce of which is found in the body wastes of the average man every day. Some salts, of course, undergo permanent changes; but to discuss all of the changes that might possibly take place in salts as they pass through your system would cover a consider. able part of the whole field of chemistry and lead us farther afield than we need to go for our present purpose. Besides, it is not at all likely that all the possible chemical changes actually occur. It is enough for all practical purposes merely to state that, aside from common salt, all your mineral wastes occur in small quantities, though there are many kinds of them. Among all your body wastes, water is the largest single item. Part of it comes directly from what you eat and drink, but some is formed as the result of various oxidations, several of which have already been mentioned. The water your body throws off is not chemically different from that which it takes in, and only a small part of it enters into the actual chemical reactions associated with the vital processes going on in- side your body. Why, then, need your body go to the trouble of taking in so much water, only to throw most of it off again? One answer is that few, if any, of the other body wastes can be thrown off without having water present to assist in the process of throwing the wastes off. Much has yet to be learned about what changes may occur in vitamins while they are in the human body. Whatever their forms may be, how- ever, vitamin wastes must occur in quantities almost too small to meas- ure, for the vitamins themselves are present in food in such small amounts that, as a rule, we do not weigh or otherwise measure them, but study them only by the effects which they produce. Getting rid of vitamin wastes, therefore, does not present any appreciable problem. To sum up, then, you should re- member that the wastes of your body are numerous. Let us review the names and something of the nature of the most important of them. Di- gested and oxidized carbohydrates, fats, and proteins all yield carbon dioxide and water. Some carbohy- drates are indigestible or undigested and become wastes, the most com- mon of which is cellulose. Undi- gested fats also become wastes, pass- ing through the body with little or no change. In addition to water and carbon dioxide, oxidized fats yield traces of acetone, diacetic acid, and hydroxybutyric acid. Proteins yield ammonia, urea, sulphates, uric acid, bile pigments, indole, skatole, and several other wastes by a variety of chemical processes. most of which occur in the liver. Tears, earwax, oil, mucus, cast-off body cells, bacteria, and a large variety of salts belong to the general list of body wastes. THE FILIPINO FIGHTS LEPROSY NORMAN OBER P UBLIC ENEMY NO. 2 in the world's youngest republic is an unidentified assassin. A close second to tuberculosis, leprosy is a major problem to the new Filipino nation. Fortunately, the invading Japs, who destroyed practically everything else of value in the Islands, left intact the network that combats leprosy in the Philippines. If they had not, there is no telling to what extent the dis- ease would block the growth and development of the infant govern- ment. Unable as yet to cure leprosy, the thoroughly modern medical author- ities follow the segregation pattern for lepers reaching the contagious state. Culion Island, located off the north coast of Palawan, is the world's largest leper colony. For reasons of Tut 011111711%i WAXCEIPj. TT,wr 1055 their own, the Japs gave Culion a wide berth during their destructive occupation. Culion is badly overcrowded. De- mands for space come from eight central clearing houses all over the archipelago which feed segregation cases to the colony. Most important of these centres is the San Lazaro Hospital for Communicable Diseases in Manila. San Lazaro is on restless Avenida Rizal, a thoroughfare named after Dr. Jose Rizal, patriot executed by the Spanish in 1896. It is interest- ing to note that San Lazaro, fighting for Filipino liberation from leprosy, occupies a full block on the broad avenue named after the man who began the fight for Filipino political liberation. The Spanish style buildings of San Lazaro, house wards and clinics for the treatment of all communicable diseases of the Islands. Tuberculosis, leprosy and venereal diseases head a long list of tropical scourges. There is a separate out-patient department and a 300 bed ward for leprosy alone. Head of San Lazaro is Dr. Felix Velasco, educated in the Jap-wrecked University of the Philippines, for more than twenty-five years the lead- ing clinician of the hospital's lepro- sarium. Close to sixty, grey-haired, stoop-shouldered, jovial but unsmil- ing, Dr. Velasco is a native Filipino. He speaks with broad Island accent, but has perfect command of English. Chief laboratory technician, sec- ond-in-command to Dr. Velasco, is 11r. C. Masalana. Associated many 17 years in leprosy research and treat- ment, these two men are exact op- posites. Velasco keeps a neat office and desk. He is generally restrained in all matters related to leprosy. Manalang is explosive, dogmatic about his theories, a typical absent. minded professor with a littered la- boratory and workbench. Both doctors hold similar views on leprosy, but Dr. Velasco uses a cau- tious "perhaps" where Manalang pounds a fist and shouts, "abso- lutely!" It is this combination of caution and drive that gives San Lazaro its edge in leprosy research and treatment. Manalang, educated in Marquette University in Wisconsin, also a Fili- pino, disagrees violently with most of the medical world about leprosy. At the International Congress on Leprosy, held by the League of Na- tions in Java in 1937, Manalang pre- sented an entirely new set of leprosy "fundamentals." To treatises in med- ical volumes, the fiery laboratory man snorts, "They hedge too much!" After thirty years of research, Manalang has decided that adults cannot catch leprosy, that the disease is not hereditary but contracted after birth, that it sometimes takes more than twenty years to manifest itself and that the widely accepted Han- sen's bacillus, mycobacterium leprae, is not the actual cause of the disease. These views have kept him in hot water for three decades, but he feels sure of his ground and welcomes a chance to defend his contentions. Regarding the Hansen bacillus, discovered by a Norwegian physician of that risme, research at San Lazaro has not confirmed the accepted view, that the organism is present before the development of open sores. Mana- lang concedes that the disease is non-contagious before and contagious after the appearance of the germ. But he concludes that, while Hansen bacillus is related to the spread of the disease, some still undiscovered agent actually causes it. "We haven't isolated the real cul- prit," Manalang says. "We call it a virus, but we really mean quote `virus' unquote," he grins. "We simply don't know what really causes leprosy." On the subject of adults catching leprosy, Manalang says, "In all the years adults have been working with leprosy cases on Culion and at San Lazaro, only one hospital worker ever caught it. Investigation showed 18 that this one person had been ex- posed to leprosy as a child. Manalang is equally emphatic on the theory of heredity causing lep- rosy. "It won't hold water," he claims. In widespread studies, it has been found that children taken away from their leper parent at birth never develop the disease. On the other hand, children taken from the parents as little as three to six months after birth often develop leprosy in later life. These observations have been con- ducted through Welfareville, an asylum for children of leprous parents. Segregation of children from parents is voluntary, though some sources feel it should be made compulsory. The children receive complete care until able to support themselves. The spread of the dis- ease is effectually cut down in this way. As a matter of fact, if all lepers could be segregated by the time their disease reaches a contagious stage, and if their children could be taken away from them at birth, it is reason- able to suppose that leprosy might die out within three generations. San Lazaro and Culion are working to- ward that ideal in their present methods. If the disease is not contagious in adults, it stands to reason that it must be communicated to children in infancy or early life. Manalang claims that this is brought about by prolonged skin-to-skin contact be- tween parent and child. "In America," he says, "where the climate is such that children are clothed most of the time, there is very' little leprosy." He goes on to show that infants in temperate zones spent most of their time in cribs, away from actual skin-to-skin con- tact. "In tropical climates," he con- tinues, "most of the babies wear no clothing and spend much of their infancy being carried around by parents wearing little clothing them- selves." It is at this time, when the child is in continual contact with the parent, that the infectious agent is planted. Research has shown that the lazy "virus" then does its very best to avoid blossoming forth as a dis- ease. Though it sometimes mani- fests itself in periods up to two years, Manalang says that frequently, given half a chance, it will' not ap- pear for periods up to twenty years This behaviour, he believes, has con- fused the picture for many years. Manalang will shout, "This is so!" while Dr. Velasco will merely shrug, "This is what we believe." Whatever the truth is, these men are in a supe- rior position to judge. The recent touching case of a middle-aged Army officer's wife contracting leprosy while imprisoned in the Philippines would probably lead Manalang into a deep research of the victim's child- hood. In earlier life, the daughter of Army parents, this woman lived on Guam, where the disease exists among the natives. Whether she actually caught the disease on Guam cannot be stated. But Manalang would doubtlessly point to this pos- sibility before yielding a single step in his beliefs. At Culion and San Lazaro, under skilled native control, the fight against leprosy is going on. Pre-war Manila had two excellent medical schools, the University of the Philip- pines and famed Santo Tomas, which gave the Islands an excellently trained staff of physicians and tech- nicians. These people are hard at work today, trying to discover the cause and cure of leprosy. The supply of tomorrow's medical personnel will, of course, be ham- pered by the Jap ruin. A circum- stance that insures against a com- plete breakdown in medical teaching, though, is the fact that the Japs used the buildings of Santo Tomas as central headquarters in Manila. When they were forced to flee the city, they left in too great a hurry to do any marked damage to the build- ings. Santo Tomas should be re- stored to operation without too much difficulty. Though the war placed many re- strictions on medical scientific prog- ress, San Lazaro is convinced that the line was held against an in- crease in leprosy cases. In 1938, there were an estimated 10,000 lep- rosy cases in the Islands. Cebu, with sixteen lepers to the 1,000 popula- tion, showed the highest prevalence. Figures today are hard to determine, but it is estimated that, when war broke out, Cebu had reduced its total to six per thousand, and that figure is no worse today. Manila now has one case for every 1,000 in- habitants. Drs. Velasco and Manalang, to- gether with their staff of specialists, look forward, now that war is past, to renewed progress against leprosy. 1 us fiRtFrTvrai, 'Cerium AN. IT INir 1948 San Lazaro is determined to break the mystery, they believe, that sur- rounds the causative agent, and work out a cure. Although Manila is still a sham- bles, wrecked and burned by a ruth- less invader, though many dead still lie beneath the ruins of the water- front area and bloated bodies still occasionally drift down the brown Pasig River to the sea, though the once lovely city of Manila is now a dusty cemetery of buried glory, the youthful Philippine Republic, backed by much-needed American capital, will fight its way back. Despite the many obstacles, the Fili- pinos will need only a fraction of the courage they showed against the Japs. As the political and economic barriers fall, so surely the secrets of leprosy will yield to these hardy people. Filipino scientists deserve this victory as much as their valiant countrymen deserve the reward of prosperous, peaceful self-government. —Hygeia. O NE obvious reason for eating is to satisfy hunger. Another is to compensate for the daily loss of body substance, averaging about one eightieth of one's weight, or approxi- mately two pounds for a person of one hundred and sixty pounds 'weight. At this rate of loss the body would be consumed in eighty days; but without food, life seldom sur- vives after half the body weight has been lost. If satisfactory nourishment were only a matter of supplying sufficient appetizing food to make up for this daily loss, then the answer to the question why we eat would be quite simple, and there would be no need for nutritional research. Man, how- ever, is a complicated organism, composed of some forty-odd funda- mental substances, all maintained in essential organic combination and forming part of every body structure, fluid, and organ. If our food lacks one or more of these substances, or if they are present in insufficient quantity, then every structure of which these factors are a part will be imperfectly reconstructed, and will fail in its contribution to our general state of well-being. Most of our present knowledge re- garding food values and the effects of different diets has been derived from experiments on animals. Among the animals, the rat, in his feeding habits, in many respects most resembles man. It should not be surprising, then, that there is a close similarity in nervous and nutritional processes, and that the same diseases and deficiency symp- toms occur in both rats and men. One great advantage of nutritional experiments with rats is the fact that the white rat lives its allotted span of life in about three years, thus developing approximately thirty times faster than man. In one re- search institute ninety-six generations THE ORIENTAL WATCHMAN, JUNE 1948 of rats have now passed under feed- ing observation tests. These ninety- six generations of rat-years corres- pond to about three thousand one hundred years of human life. In nutritional research careful study is given to each of the forty- odd food factors separately. When a research worker undertakes to as- certain the value and effect of any one of these food essentials, he places certain groups of rats upon a diet which is correctly balanced in every respect except the factor under study. This is withheld in varying degrees, and the results are tabulated. Let us now observe how these principles have been applied in ex- periments which were carried out in India by Sir Robert McCarrison in his Nutritional Research Labora- tory at Coonoor, South India. We quote from a report by Sir Robert: "In Coonoor, where my labora- tories are located under conditions of the most perfect hygiene, I keep about one thousand stock rats fof my experimental work. They live in large, roomy, comfortable cages filled with straw, and they are ex= posed daily to the sun's rays. "Turning now to my experimenta- tion rooms. Here are the same animal houses, the same cages, the same scrupulous cleanliness, the same ex= posure to the sun's rays. But the animals are fed on food which is faulty in one way or another—des ficient in vitamins, in mineral salts, or in both—containing too much of one thing or too little of another: This is the main regard in which these animals differ from the well- fed stock. Further, as my business i4 to learn how the foods eaten by the people of India are related to dis- ease, the materials entering into the various faulty dietaries are usually those in use by people in India. These are so combined as to forni one-sided dietaries, either dispro- portionately rich, or lacking in certain elements and complexes necessary for normal nutrition. "During the last four years, over three thousand of these improperly fed rats have been examined. "Properly fed animals remain re- markably free from disease, while improperly fed animals are remark- ably subject to it. Do these discover- ies apply equally to human beings? The answer is undoubtedly in the affirmative. Authority and experience in Western countries attest the fact; witness, for instance, the work of Miss Margaret McMillan in her Nursery School in London, where slum children when nurtured and properly fed, almost invariably de- velop into healthy, strong, alert youngsters, the diet being similar in character to that used in the Coonoor colony of disease-free rats.... "There is another regard in which the ill-fed rats differ from the well- fed ones; the former are often ner- vous, irritable, and if they live to- gether in colonies, the stronger often prey upon the weaker; the well-fed ones are placid, good-tempered, and tractable." These workers have abundantly demonstrated that the food we often give our children and that we our- selves eat is unable to maintain in health, or to keep alive for a normal span of years, the test animals upon whom our diets have been tried. It should be recalled in this connection that the great Elie Metchnikoff, with special reference to eating habits, concluded his study of man's way of dying by announcing: "Man does not die, he kills himself." Out of his extensive research, Sir Robert McCarrison has formulated what he has been pleased to call "the prime rule of medicine," and this is his rule: "The right kind of food is the most important single factor in the promotion of health, and the wrong kind of food the most important single factor in the pro- motion of disease." 19 WHY DO WE EAT? H. C. MENKEL, M.D. it,cv(1111001 THE "MAYBE" DAY WINNIFRED J. MOTT 1 EANETTE WILLIS turned rest- .' lessly in her chair. Then she sighed—a very loud sigh so that her mother, busy in the kitchen, but never too much so to notice things like that, would be sure to hear. Mother did hear, and came promptly into the pleasant, sunny living room. "Want a drink of water? Are you in so much pain, dear? Or what is it?" she asked gently, and her cool fingers touched her small daughter's flushed cheek. Jeanette sighed again, but not so loudly this time, for it wasn't neces- sary. "I'm so sick of staying in and having my face look like a full moon, Mamma. How long does it take to get over mumps, anyway?" Mrs. Willis thought a moment, "Well, I was sick for three weeks when I was about your age. It seemed like for ever, at the time. But it 20 wasn't." She chuckled a bit, remem- bering. "My face was even fatter than yours, Jeanie." She stooped and picked up a magazine lying on the lower shelf of the magazine rack near-by as she finisbed speaking. "There's an article in here that's pretty good. I'd like to read part of it to you." "What's that got to do with mumps?" grumbled Jeanette. "What's the name of the article, anyway?" Her mother leafed the pages, and then said, "Oh, here it is. The name of the article is: 'Maybe.' Now don't scowl until you hear what it's about." She sat down next to Jeanette, and began to read: "When you get up in the morning, think to yourself: May- be something nice will happen today. Maybe I'll get a letter from some- body I like. Maybe somebody will call me on the telephone. Maybe I'll have a chance to do something nice for somebody. Maybe somebody will come to see me." The reader stopped. "There is more, but I think you can get the idea of the one who wrote the article. How do you like it?" Jeanette looked very cross. "I don't think much of it. If anybody called me on the telephone, I could not talk without my face hurting; and who wants to come to see any- body with mumps?" Her mother arose and started back toward the kitchen. "All right," she agreed. "I thought you might get some ideas from it, that's all." "Don't see how I could," mur- mured Jeanette, still grumpy. After a few moments, however, she went to the desk in her room, and got out a small pad and a pencil. "Might as well try it, I suppose," she thought to herself. "Don't know what else to do." She sat down again in a favourite chair and began to write. She got no further than the word "Maybe" for a while, but presently her eyes brightened. She even smiled. In about half an hour she had a list of four "Maybes," maybes that fitted her own particular situation. She read them over to herself with satisfaction. 1. Maybe I'll be able to eat supper better tonight. 2. Maybe I will get a card from somebody. 3. Maybe mumps won't last as long as I think they will. 4. Maybe I can do something nice for somebody today. Suddenly she stopped, pencil in mid-air. Wasn't that the postman coming? Sure enough, and it proved he had a card addressed to "Miss Jeanette Willis." "Well," she said to herself as she took the card and the list of "may- bes" out to show her mother, "one `maybe' has come true already." And to her surprise and pleasure, another one came true. She almost enjoyed her supper that night. Her face was less swollen, too, and she began to think the third "maybe" was coming true, also. � , As for the fourth one, she started in right away to make that come true. Even before the mumps had disappeared she discovered, as many other folk have, that many good "maybes" come true when you help them along. THE ORIENTAL. WATCHMAN, JUNE 1948 � -- � ir 46S TO E IR s � ..._ � 4s -ssogiL •. • IX\ *How to make your Brass and ,..Copper sparkle brilliantly I. Shake Brasso well and apply a thin smeo all over the dirty brass. 2 Leave until absolutely dry. 3 Polish with a clean cloth. ( For engraved or ornamental work use a brush ). immommismIATLARTIS (EAST) LTD. 20/I CHULA ROAD, ASX-2 CALCUTTA I I I 21 RECIPES cvm VEGEMEAT 1 cup ground nuts, ground fine; 1 cup cooked beans, sieved; 3 potatoes, gratec raw; 1 large onion, grated; 1 mil bread crumbs; 2 cups tomato juice; level tablespoons cornflour; salt anc sage to taste. Mix all ingredients together; fill tin: with tight covers two-thirds full ant steam for 21/2 hours. Serve hot or cold An excellent protein food. VEGETABLE STEW WITH DUMPLINGS r/4 cup cream; 2 carrots, cubed; 1 stalk celery, chopped; 1 cup fresl garden peas; 2 potatoes, quartered; 2/2 cups water; salt. Put the carrots in the boiling water and let boil two or three minutes. Add the celery and the peas. Let boil again for a few minutes. Now add the potatoes and bring to a boil. Add the cream and one teaspoon salt. As soon as it boils again add the dumplings, dropping them in by teaspoonfuls. Keep at boiling point; cover tightly and do not remove cover for twenty-five minutes. DUMPLINGS 2 tablespoons butter or oil; § cup sifted pastry flour; /2 cup boiling water; 2 eggs; a little salt. When water boils add the salt, butter or oil, and when the mixture reaches boiling point again add the flour all at once. Stir and boil until perfectly smooth and it leaves the sides of the saucepan in one lump; remove from fire. Now break an egg into this mixture and stir and beat until very smooth. Add another egg and stir again until smooth. Drop this mixture by teaspoon- fuls into the boiling stew. Cover and let boil without removing the cover for twenty-five minutes. You will enjoy this stew. PLANTAIN FRITTERS 2 tablespoons sugar; TA cup milk; 1 cup flour; 1 egg; 1 teaspoon baking powder; Vs teaspoon salt; 4 ripe bananas. Mix the first four ingredients together, sifting the flour in with the baking powder and one tablespoon sugar. Add the plantains sliced. Mix with dough. Drop by spoonfuls into deep boiling fat and fry a golden brown. Remove from fat and roll in sugar. Serve. STUFFED DATES 1 lb. dates; 1/2 lb. almonds or walnuts. Wash dates well and steam them a few minutes. Remove pits and in their place press a blanched almond or half of a walnut meat. Roll in shredded coconut and serve. Prunes may be pre- pared in the same way but they should be soaked in water two hours before they are steamed. THE ORIENTAL WATCHMAN, JUNE 1948 This question and answer service, free only to sub- scribers, is intended for gen- eral information. No at- tempt will be made to treat disease or to take the place of a regular physician. In special cases, where a per- sonal reply is desired or necessary, it will be given if a stamped addressed envelope accompanies the question. We reserve the right to pub- lish the answers to any ques- tions sent in, if we deem them beneficial to our read- ers, though no names will be published. Address the As- sociate Editor (Doctor Says) "Health," Post Box 35, Poona 1, and make questions short and to the point. doing all that can be done. Results of treatment of this condition are very slow and often incomplete. NASAL POLYPUS: Ques.—"I am sixty-four years of age and have suf- fered from chronic nose trouble since childhood. Apart from this my health is good. There is a small polypus in my left nostril which makes breathing difficult. I had this removed once but evidently it has grown again. I have been using nose drops which give relief for a few hours, but I have to use them several times a day in order to breathe freely. Kindly inform me whether the drug I place in my nose will have any ill effects, and also whether you con- sider surgery is necessary to remove the cause of my trouble." MICROCEPHALY: Ques.—"My child two years old is in perfect health but can neither walk nor sit up, stand nor speak. He has no initiative and cannot attempt things by himself. He takes a normal diet, and is cheerful, healthy and mentally alert. Doctors say that it is a case of mierocenhaly. What is your advice regarding his case?" Ans.—Microcephaly (small head) is a condition that is due to some improp- er development of the baby before its birth. The exact cause is not known. It is true that considerable progress has been made in the treatment of some mental deficiency states, but be- yond the use of thyroid and glandular extracts nothing has so far been devel- oped for microcephaly. The two doctors who have treated your youngster are THE DOCTOR SAYS Her pupils ivbispered:--- HOW LOVELY ARE DER TOM9/ ,:..:But ber dentist sai 661 OU MUST LOSE THE LOT t" Once your gums get diseased you may easily lose your teeth, however strong and lovely they are now. Take good care of your gums. Use regularly S. R. Toothpaste. It contains Sodium Ricinoleate which dentists use to strengthen and keep gums healthy. What is more, S. R. Toothpaste keeps teeth beautifully clean and white. PROTECT YOUR TEETH BY PROTECT/NG YOUR cams 03? GUI. 4840-le TOOTHPASTE • 22 Ans.—Polypi in the nose have a mild tendency to recur. Their surgical re- moval is the most satisfactory method of treating them and it is not a heavy operation even for one of sixty-four years. Nose drops, even the best, tend to lose their effectiveness after pro- longed use. I should advise that you consult a surgeon, preferably a nose and throat specialist, about the removal of the polypus. HUNGER PANGS; DISCOLOURED GUMS; BLOOD PURIFIERS: Ques.— "(1) When I move to another town and have to drink different water I become very hungry and feel empty all the time. Please explain this. (2) My gums have turned black. What shall 1 do to help them regain their former colour? Is Kolynos a sate dentifrice for daily use? (3) For several years owing to excessive hurry and worry I have been very weak mentally. When I eat more food I gain weight but feel mentally and physically tired. Please tell me of some blood purifier or sulphur tonic which would be beneficial in the treatment. of this weak condition." Ans.—(1) Excessive hunger may be due to any one of a number of things from not eating enough to diabetes. (2) Black gums usually are the result of taking some medicine containing either mercury or bismuth. Indigenous medicines commonly contain consider. able mercury. This should be avoided in the future. Kolynos is a safe and ef- ficient dental cream. (3) Blood puri- fiers or strengtheners are legion. It is best not to take them just on general principles or because you think they will be "good for you." Sulphur as a tonic has gone out of style. If you feel tired all the time or rundown and weak, you should consult a doctor to fmd out what is the matter with you, rather than take a patent medicine which more likely than not will do you no good. INCREASE IN HEIGHT: Ques.—"I am 5 ft. 6 ins. tall and my weight is 102 pounds. What is, the standard weight for this height? I am anxious to grow to be 6 ft. 5 ins, tall and want to know how to accomplish this feat." Ans.—The proper weight for a height of 5 ft. 6 ins. is 125-140 pounds, depend- ing upon one's bodily build. I doubt that it would be to your advantage to try to grow to the height of 6 ft. 5 ins. unless your parents are 6 ft. or over. If this is not the case, attempting to grow by taking tonics or growth stimulators would be apt to upset the balance of one's system. TYPHOID FEVER: Ques.—"For two months I have been ill with typhoid fever and have not regained my strength and vigour yet. Please tell me of a suitable medicine or remedy which will help me to overcome the weakness I feel all the time." Ans.—Typhoid fever is still a serious disease and there is no really effective medicine to aid the body in recovering. About all that can be done is good nursing care, an easily digested, nutri- tious diet and measures to keep the fever from going too high until the body defences finally overcome the disease. Avoiding the disease is much simpler and less expensive. There is a very good vaccine developed for typhoid fever. Your doctor can give you one in- jection a week for three weeks, then one injection once a year which will prac- tically insure that with ordinary care you will never get typhoid fever. Of course, the injections will make your arm very sore for a few days and you may have a headache, but all this is trivial when compared with typhoid fever. After one has had typhoid fever and is up and about again, it often takes some weeks or even months to recover one's health and strength again. During this period of convalescence one should lead a regular life, take more rest than usual, take a twenty-minute sunbath daily, take mild exercise (as walking) in the open air daily, drink plenty of pure water. (Typhoid is often acquired by drinking contaminated water. The purity of water can be as- sured by boiling it.) It is also helpful to take a tonic such as Marmite or malt extract daily, or a multivitamin capsule daily. The diet should be nutritious and easily digested, and should include the following things every day: a. Milk—half a seer. b. Green and yellow vegetables, one serving. c. Citrus fruits—one daily. d. Other fruits—one daily. e. One egg or a serving of nuts daily. f. Dal—one serving. g. Whole grain cereals—two servings daily, wheat, red rice, or other THE ORIENTAL WATCHMAN, JUNE 1948 DUNLOP bvv u"1"ii9ad DC% 4 23 cereal prepared any way that one likes it. These are the essentials for a balanced diet. Besides these one may eat whatever else one likes. After ty- phoid fever it is well to keep sweets at a minimum and avoid rough, fibrous vegetables for three months. After that one may include them as desired. that it . is too expensive. Tell me whether you think penicillin could be used to advantage in my particular case, and also what quantity should be ad- ministered." Ans.—Trachoma is a serious disease of the eyelids in which granules form on the inner surface. If neglected, they scratch the cornea and may produce blindness. Also they may cause deform- ity of the lid itself. The treatment is prolonged and requires a great deal of perseverance and patience on the part of both patient and doctor. Penicillin is of no benefit in this disease. The treatment is long and tedious and painful, but anyone who has the misfortune to con- tract the disease should go to his doctor immediately and continue with the treatment until cured. DISCHARGING NOSE AND EARS; INTESTINAL GAS: Ques.—"(1) I suffer from a continual discharge of the nos- trils, and even if the discharge ceases for a while I experience difficulty in breathing through my nose. The same ear uron which I had a mastoid opera- tion also discharges every ten or fifteen days. I have tried various remodies for both my nose and ears but they have all proved to be useless. Please give your suggestions. (2) I suffer a great deal from intestinal gas which seems to be more acute at night-time. I eat simply. Please inform me whether or not by restricting my diet in any way I may reduce the amount of gas formed." Ans.—(1) A mucous discharge from the nose which continues for more than two weeks (the usual duration of a cold) may be due to allergy, infected sinuses, or structural deformity of the nose. It requires expert diagnosis to locate the cause and often surgery or careful medical treatment to relieve it. You should consult an ear, nose, and throat specialist. An otolaryngologist is the scientific name for such a doctor. The otolaryngologist can also treat your draining ear. Pus coming from the ear is always an indication of severe danger to one's health even though there is no pain. If neglected, the condition will eventually completely destroy one's hearing. (2) Gas in the stomach or intestines is perhaps the commonest of abdominal complaints, and its causes are numerous. The eating of certain foods, notoriously beans, especially if not thoroughly cooked, chestnuts, and cabbage produce- gas. In some individ- uals other foods are responsible. If only one or two foods cause this, one can avoid those foods. But if nearly every- thincr seems to produce gas, one cannot eliminate all the gas producers. Another source of gas is the unconscious swal- lowing of air with one's food. Some people find that this is more apt to occur at times when they are nervous or excited. Still another possible cause for gas is any of the intestinal infec- th,,, or parasitic diseases. Another pos- sibility is an actual derangement or lack of proper digestive action of the intes• tinal tract. If one's gas persists in spite of care to avoid gas-producing foods and the swallowing of air, one should consult a competent physician for a complete examination and treat- ment. TRACHOMA: Ques.—"My doctor in. forms me that I am suffering from a mild form of trachoma and he has been treating the granules which have formed under my eyelids by first touching them with silver nitrate and then washing them with a boric acid solution. He tells me that it is not necessary to use penicillin for this complaint and, also, THE ORIENTAL WATCHMAN, JUNE 1948 4g4v tTrAgiz.., good poories, rub Dalda into flout, add sufficient water, knead tboroughy till dough is of smooth texture. Press down dough with •knuckles, sprinkle water, cover and put by for one hour. Then make into balls, roll out into small rounds, fry in hot Dalda, gently pressing down with flat ,,spoon in circular motion. When bloated turn poories over. Remove from pan when very light brown, drain on paper, serve hot. Dalda poories are nourishing, Have you a cooking problem ? Write to : THE DALDA ADVISORY SERVICE P.O. BOX NO. 353, BOMBAY t HVII. 75-1/2 Poories can be made from atta, maida or a inixture of both. To make 7 TUBERCULOSIS: Ques.—"My son contracted tuberculosis two and a half years ago but was pronounced cured one year ago. He has employment and says he feels very fit and is desirous of mar- rying a young lady to whom he has been engaged for three years. His doctor advised against marriage and we per- suaded him to postpone the event once, but he does not wish to do so again. Please give us your opinion as to the advisability of his marrying at this time." Ans.—It is a question whether people who have had tuberculosis should marry or not. All of them, when the disease is arrested, desire to lead normal lives again. There is always the possibility that an arrested case of tuberculosis may become active again. This is 24 particularly true in women who, when subjected to the physiological stress of pregnancy, often develop active lesions again. On the brighter side of the picture are the numerous cases of young men and women who have never had any recurrence after once their tuber- culosis has become arrested. It is im- possible, therefore, to say whether patients with arrested cases of tubercu- losis should marry or not. The real answer is that some should and some should not. I should leave the decision in the matter to the judgment of the doctor who is treating the individual concerned. 7 PAIN IN THE HEELS: Ques.-9 have severe pain in my heels after a walk and sometimes when I stand up after sitting in a chair for a long time. Don't tolerate COCKROACHES! Their habita and habitat are filthy. From filth they creep into the home and contaminate food, destroy clothes, books and furnishings, and en- danger your health. The intestines of a COCK- ROACH breed dangerous germs. Their hairy and spined legs carry ,innumerable bacilli. They are more obnoxious than the common house-fly. Their presence in the home is highly undesir- able. Be rid of them by using BLATTABANE, a non-poisonous, non-inflammable, non-injurious, odourless, clean powder that exterminates these pests. BLATTABANE is harmless to humans, all pets and plant life. Available at leading Chemists and Stores, in 11/2 oz., 3 oz., 8 oz., 1 lb., 7 lb., and 56 lb. sizes. AGENTS:—BOMBAY—Whiteaway Laidlaw & Co. Ltd. KARACHI—J. Thadhani & Co., P. B. 508, Frere Road. MADRAS—Aryan Drug Stores, 2/88 Iyyah Mudali St., Chintadripet. KOTTA- YAM—W. I. Joseph & Co. CALICUT—T. Hosain Sahib, Huzur Road, UPPER ASSAM— Planters' Stores & Agency Co., Ltd., Dibrugarh & Branches. BANGALORE—de Souza Bros., 4, Hutchins Rd., Cook Town. POONA—Barnes & Co., East Street. In case of difficulty kindly refer FRUGTNEIT & Co., 16 Crooked Lane. (off Waterloo St.), Calcutta. Ask for BLATTABANE (The Safe Insecticide) THE ORIENTAL WATCHMAN, JUNE 1948 I...4MM% kin M gritoL "...AU a nativa FIRST STEPS TO SOLID FOOD. At weaning age, baby's food is all im- portant. So give baby Farex with milk, it's easy to digest, tastes delicious, and ;it contains all the essential vitamins, and minerals for promoting future health, and resistance to disease. Farex is a blend of three cereals packed ready to ecrvc. The Essential Weaning, Time Cereal 'FREE SAMPLE" MOTE NOW FOR A FREE SAMPLE FOR TASTING TO! M.J. FOSTER & CO.. LTD. P.O. BOX 202. BOMSAY. .111.0111.1111PMMOIMPI � When I get out of bed in the morning the pain makes me limp. Kindly give me the cause of this discomfort. It dis- appears in the hot season altogether." Ans.—There are several things which may cause pain in the heels. Among them are bony spur on the bottom of the heel, sciatic neuritis, stone bruises and bursitis. In order to determine the exact cause and receive the proper treatment one should consult a compe- tent physician. DISCOLOURED URINE: Ques.—"Once or twice a week my urine is whitish in colour. I have been treated by a homoeopathic doctor for a month, but have not benefited by his treatment as yet. Your information concerning this condition will be valued." Ans.—Volumes can and have been written on the coloration of the urine in health and disease. Briefly, the usual colour varies from the colour of water to a dark yellowish or even orange, depending on the concentration of the urine. Normally it should be colourless to straw-coloured. A white coloration may be normal, especially if the individ- ual is a vegetarian. White coloration of the urine accompanied by burning, pain, frequency or urgency, should al- ways be investigated by one's doctor. the. Publishers of this Magazine insure their Motor Cars and Property with: The National Employers, Mutual General Insurance Association Limited Head Office for the East: 32, Nicol Road, Ballard Estate, Bombay Telephone: 22823 Telegrams: "AUTONEM" Chief Office for Northern India: 6g, The Mall, Lahore Telephone: 3516 Telegrams: "AUTONEM" TIIE ORIENTAL WATCHMAN. JUNE 1948 THE THE NUL WINginsill Alio HE RAW RP FOR Si AUK klitrof AND KOHN ViS Vol 25, No. 6 � POONA � June 1948 Published Monthly by THE ORIENTAL WATCHMAN PUBLISHING HOUSE Post Box 35, Poona 1, India E. M. Meleen, Editor J. B. Oliver, M.D., Associate Editor W2 - HOW T 0 ...riZg.-T-C-1-1 OUT Don't let bread and flour rationing worry you. You can make your flour ration go much further by adding a little Brown & Poison's Patent Corn Flour to your mixture. Add one measure of Corn Flour to every lour measures of wheat flour, mix thoroughly before adding any moisture then handle as ordinary flour. Patent Corn Flbur is un- rationed and is available at all good shops. CORN PRODUCTS CO (INDIA) LTD POST BOX 004 BOMBAY. THE FLOUR RATIOS Subscription Rates: One year Rs. 7-8-0, in advance; two years, Rs. 14-8-0, in advance. Foreign postage, Rs. 1-5-0 extra per year. V.P.P. subscriptions will be accepted only when ac- companied by a deposit of Re. 2-8-0, except when renewed subscriptions are sent directly to us. V. P. P. charges are in addition to the sub- scription rates. Change of Address: The wrapper contains information necessary for us to locate your sub- scription. Therefore, in requesting change of address, or referring to your subscription, kindly return wrapper or quote reference numbers appearing thereon, and indicate your old as well as your new address. Duplicate copies can- not be supplied without extra charge when intimation of change of address has not been given. Magazines are sent only for paid subscriptions, so persons receiving "Health" without having subscribed may feel perfectly free to accept it. Non-receipt of Magazines: If your magazines (ail to reach you, please inquire at your local post LEASE officeI. If yo US. get no satisfaction there. P NFOR Subscriptions may be sent to our nearest agency: For Madras Presidency, Travancore, Ceylon, and south half of Hyderabad State— Oriental Watchman Publishing House (South India Branch), 9 Cunningham Road= Bangalore; for United Provinces, Punjab, Delhi, and adja- cent states—Oriental Watchman Publishing House (Northwest India Branch), 76, Queensway, New Delhi; for Bihar, Orissa, Bengal, and Assam— Oriental Watchman Publishing House (North- east India Branch), Baragain, Ranchi. Cheques for subscriptions given to our travelling representatives should be crossed and made in favour of the Book Depot under whose jurisdiction they are working. When making any complaint about the late receipt of this magazine, please send the wrapper along with the complaint. This will enable the post office to fix responsibility for delayed delivery. Published and printed by L. C. Shepard, at and for the Oriental Watchman Publishing House, Salisbury Park, Poona 1, 12,900-3494-48. AIR TRAVEL AND HIGH BLOOD PRESSURE: Ques.—"I am sixty-five years of age and have high blood pres- sure. In view of this is it safe for me to travel by air?" Ans.—Many people with moderate or mild high blood pressure can and do travel safely by air. The only danger is the elevation above sea level with the resulting thinning of the atmosphere. If you are comfortable and can breathe easily at a hill station where the eleva- tion is 5,000 feet you will be comfort- able on most air travel. You can always enquire from the air lines booking agents as to the maximum altitude to be encountered on any flights nu anticipate taking. You should also con stilt your physician as to whether your particular case would be adversely affected by the altitude of the flight contemplated. (Continued from page 28) A healthy nation is largely a question of money. Health has to be purchased with money. Like all other good things it cannot be had for the mere asking. A nation must be healthy to become wealthy and it is only wealthy nations that have at- tained to high standards of health. Judicious expenditure of wealth can create health. The absence of health inevitably leads to absence of wealth of the nation as of the individual. Every one should remember that the "first wealth is health" and that "within human limits health is purchased by communities." Medical and Public Health De- partments are accused of being mere spending departments and the Indian Civil Service officers of Government, who are the guardians of the purse, have not shown much practical sym- pathy except in theoretical apprecia- tions. Capitalists and bankers, indus- trialists and organisers of big con- cerns have given proofs of a better Please change my address from: 41. -0 � (Please use block letters) • Name � 3 Street � Town or P. 0. � District � To: Natne ....... .... ....... . s. T-$ Street � ^11 4 Town or P. 0. � District _ � . (If possible please send a wrapper) 26 THE ORIENTAL WATCHMAN, JUNE 1948 There's DANCER, from dirt and fern's :nerv y water tap you touch / 11,45% yoarsel/ or_4`6w ii/th LIFEBUOY SOAP 27 Where children are concerned A perpetual source of anxiety to parents, where the children are concerned, is the problem of protecting them against infection. A problem, further compli- cated, by the fact that bravery or indifference often leads a child to ignore little cuts or abrasions, a potent source of deadly infection. For this reason it is very essen- tial to train and encourage chil- dren to report every little spot or break in their skin. or to apply Dettol' themselves. This is a routine easy to achieve, especially with 'Demi the safe, gentle and pleasant smelling antiseptic that is both used and recommended by the medical profession. ATI.ANTIS (EAST) LTD. CHETI.A RD., CALM'S& Al appreciation of economics—savings and dividends—than those who have guided Public Health in this country. I earnestly hope that the truth of Col. Russell's statement, that in no sphere of human activity can richer dividends be earned than by judi- cious investment in the preservation and promotion of the health of the people, will be fully understood. Cruel catastrophies, harrowing horrors of famines and highly spon- sored appeals for the treatment of the sick have proved successful in arousing public sympathy and in the collection of the necessary funds. But the voice of the appeal of Preventive Medicine seems to be a cry in the wilderness. Philanthropists have come forward to endow beds or build wards or dispensaries, but I am yet to hear of a single endowment by any one in this country for an Insti- tute of Preventive Medicine, the serv- ices of which are non-spectacular. Preventive medicine, though despised today in India, will be enthroned in its proper place tomorrow. Our phil- anthropists will, I hope, bear in mind the saying of Sydenham that the .effect, even the slightest re- duction in the incidence of sickness, suffering and death, must always be a matter of greater felicity than the riches of a Tantalus or a Croesus. The Bhore Committee Report is now before the popular Govern- ments. Let us wait and see how far the recommendations of this expert body will be implemented. The re- port cannot be shelved. In implementing the various rec- ommendations of the Committee, the authorities should show a sense of values and put first things first—In- dian Medical Journal, February 1948. REASONS FOR THE BACKWARD STATE OF PUBLIC HEALTH IN INDIA RAO BAHADUR DR. T. S. TIRUMURTI. B.A., M.B. AND C.M., D.T.M. AND H. Retired Principal, Stanley Medical College, Madras T HE study of Public Health in India and in the other pro- gressive self-governing countries is a study in contrast. It is very depres- sing but interesting to compare the progress made in Public Health dur- ing the last one hundred years of British administration in India with that in England during the same period. It was about one hundred years ago that the first steps were taken to organize Public Health meas• ures in England. It is stated that the stimulus for it was an epidemic of cholera. Chadwick and Symon and the Victorian Sanitarians, who planned the broad lines for the progress of public health, will ever be remembered. Compare the or- ganized medical profession of Eng- land which has become the all powerful social service organization of that country today with the state of the medical profession in India. It is surprising why a people who have been able to do so much in their own country for the progress of Public Health have failed miser- ably in India. What is the reason for the marked difference between the Public Health progress in England and that in India? In the opinion of General Megaw, who was the Director of the Calcutta School of Tropical Medi- cine and later D. G.. I.M.S., in Eng- land, sanitation has achieved its vic- tories not merely by the preventive measures taken against disease, but also because the public co-operated, and an improvement in the economic standards of living was taking place at the same time as the work of dis- ease prevention; whereas in. India the progress in Public Health has been poor, because it was difficult to pour the new wine of scientific sani- tation into the old bottles of an- tiquated customs and superstitious beliefs. But General Megaw's reason by implication condemns the Indians as a non-co-operating uncivilized peo- ple. It is, however, gratifying to see that his statement is flatly contra- dicted by no less an authority than Col. W. G. King, the best part of whose service was spent in laying sound foundations of Public Health in this Presidency. which brought him into intimate contact with the people; he says: "The average edu- cated Indian is not only capable of grasping the benefit but of re- ceiving, with very much gratitude, health education by practical demon- stration of sanitary works of the community." To condemn a people without educating them and provid- ing for them sanitary amenities is most unbecoming and unkind. It cannot be doubted that educa- tion is the most desirable ally of sanitation, though it might be con- tended, not without some reason, that the educational policy of the alien government has not pursued profit- able paths. This is realized by the present popular government and the people. They have awakened to a consciousness that all is not well with education in this country and that it needs a re-orientation and re- form in all its branches. PLEA FOR A PLANNED PUBLIC HEALTH POLICY Dr. Jameson has said that a serv- ice like the Indian Medical Service. which is based essentially on the military needs of a country, in which promotion goes by seniority and a Director-General holds office only for four years, is hardly flexible enough for modern civil adminis- tration. He says further, "One looks almost in vain for evidence that Public Health problems are really the concern of those connected with the Central Government of India.... India, contrary to the experience of most great countries of the world, seems to feel no need for a strong Department of Public Health in its Central Government." In the dis- cussion on Dr. Jameson's paper, Col. Megaw observed as follows: "I think throughout the paper, there ran a suggestion that the Pub- lic Health Officers belonging to the Indian Medical Service have not or- ganized a co-ordinated policy of Public Health for India. They cer- tainly have not done so; but the reason is not lack of will nor lack of energy, but the fact that the ad- ministrative system in India has de- prived them of even the limited in- fluence, which they once had in the affairs of the Central Government. ... Jameson points out that the Indian Medical Service- has been al- lowed to develop especially along clinical rather than Public Health lines. But 'allowed' is not the right word; the service has been 'com- pelled' by force of circumstances to develop along clinical lines. The members of the Indian Medical Service are recruited to do certain work which is allotted to them; they have not been engaged to frame the administrative policy of Gov- ernment. Members of the service con- sider that a great pity but the fact remains that they have not had much to do with the administration and practically nothing to do with the development of policy." In the above discussion Sir Mal- colm Watson has said that the Gov- ernment itself has never put the Pub- lic Health of the people first and that the fault lay primarily not with the officers of the Indian Medical Service but with the Civil head- quarters and the Military head- quarters. But things changed subsequently with the Indian Medical Service but not with the Indian Civil Service. We must reckon with the fact that "Preventive Medicine" has come to occupy a higher place in other pro- gressive countries than that assigned to "Bottle Medicine." "Medicine" is defined as "the art of curing, pre- venting and alleviating disease.' This is due to a general realization that the physician should be equally interested in both curative and pre- ventive medicine. The example set by such eminent persons as Dr. Jameson, Col. King, General Megaw, Col. Russell and others should be followed by the members of the medical and health services. The pro- fession and the public should realize the fact that the most essential factor in the development of Public Health is the question of cost. To the ques- tion of Sir William Osler why malaria should not be stamped out of India as it was done in Panama, Sir Leonard Rogers is prepared to have pointed out the impossibility of doing so. because in most municipal- ities in India the whole of the work —teaching, hospitals, schools, roads, sanitation—had to be paid for out of an income of two or three shillings per head of •the population. (Please turn to page 26) RIMISTERED No. B-1886 ORIENTAL WATCHMAN JUNE � SUPPLEMENT � 1948 HOW PHARAOH HQNOURED JOSEPH B REAKFAST was over in Expedi- tion House at El-Amarna. Go- ing out into the central court, I found awaiting me a donkey and driver, summoned by my host, the director of excavations, to take me over the ruins of the city of Akheta- ten. The sun shone down from a cloud- less blue sky as we passed through the portico of our Egyptian mansion and set off, picking our way round piles of debris left from earlier ex- cavations. Ringing the little plain on which Er-Amarna stands is a semicircle of cliffs forming the edge of the high eastern desert; and, as at Beni Hasan farther down the Nile, this rock face is honeycombed with the tombs of priests and nobles of the ancient city. In the cliffs on the north side of the W. L. EMMERSON city were the tombs, among others, of Huye and Meri-Re, superintendents of the royal harem; Ahmose, a fan- bearer to the king; Meri-Re, a high priest; Penthu, a court physician; and the chief temple administrator by the name of Penehsi. Away to the south were more tombs, including those of a police officer called Mahu, and Eye. My guide, who was also the keeper of the tombs, unlocked the iron grilles as we traversed along the base of the cliffs, and for several fascinat- ing hours I studied the records of the lives of these worthies of El-Amarna. One of the largest and probably the most important of the tombs is that of Meri-Re, who was high priest in the great sun temple of Aten, as well as fanbearer on the right hand of the king, royal chancellor, sole companion, hereditary prince, and friend of the king. I entered the rock- hewn doorway between two figures of Meri-Re, crossed a little ante- chamber to another door beyond, flanked by figures of Meri-Re, this time with his wife Tenre, and reached the main hall. There, on the south wall, I came upon the picture which I especially wanted to see. Meri-Re is being invested in his important office of high priest. Pha- raoh and his wife, with the little princess Meritaten, are leaning over a richly decorated balcony at the "window of appearance" in the palace. This balcony evidently served somewhat the same purpose in Pha- raoh's day as the balcony at Buck- ingham Palace does today. Here the king appeared to his people on im- portant occasions, and here the chief officers of state were invested with their authority. Meri-Re is depicted below in two attitudes. In the first he is kneeling beneath the balcony before being invested, and in the other he is dec- orated with gold collars. Four scribes are reporting the proceedings, while servants, ushers, and fanhearers stand around waiting for Meri-Re to betake himself to his chariot, which is pictured below. Beside the picture of Pharaoh is his speech, in which he says: "Be- hold I make thee high priest of the Aten ... doing it for love of thee. .I give to thee the office, saying, `Thou shalt eat the provisions oti Pharaoh thy lord in the temple of the Aten." In another picture on the east wall of the main hall, Meri-Re depicts another ceremony on a later occasion when Pharaoh rewarded him for his services as high priest. This time the king says: "Let the superintendent of the treasury of golden rings take the high priest of the Aten in Akheta- ten, Meri-Re, and put gold on his Joseph Before Pharaoh. neck to the top of it, and gold on his feet, because of his obedience to the doctrine of Pharaoh ... for the Aten in Akhetaten, filled with all things good, and with barley and wheat in abundance." These pictures and inscriptions make vivid the honouring of Joseph with a similar gold chain, or collar, for his neck and a gold ring on his hand, and Pharaoh's pronouncement concerning him: "Thou shalt be over my house, and according unto thy word shall all my people be ruled." Genesis 41:40. Meri-Re was by no means the only one to receive this signal honour of the "gold of praise." Other dignitar- ies of EI-Amarna also recorded this great day in their, lives with many additional details which give still more local colour to the Bible story. Eye, the- vizier of Akhenaten, whose tomb, if it had been finished, would have been the finest in El- Amarna, received "the gold" on the occasion of his marriage to Teye and ordered a spirited record of the cere- mony to be painted by his tomb artists. Surrounded by fanbearers, Nubian soldiers, and palace servants, he and his wife are seen standing below the "window of appearance." On the balcony, Pharaoh, reclining on cush- ions, is in the act of casting a gold chain down to Eye. The queen and the royal children are assisting in the ceremony by throwing down gold bracelets to the distinguished pair. Spectators look on with keen in- terest, while the servants of Eye dance for joy. Small boys rush back to Eye's house with the news for those who had to stay at home. One little fellow cries out as he reaches the door of the house: "They have been made people of gold!" The whole scene is one of joyous excitement and conjures up a vivid picture of the scene at the time of Joseph's exaltation. Huya, superintendent of the harem, records that he also received "the gold" from Pharaoh at the "win- dow of appearance," and there was another Meri-Re, whom we may call Meri-Re II, a royal scribe and super- intendent of the royal harem, who also proudly refers to a similar honour. In Meri-Re II's picture I was interested again to note that two princesses, Meritaten and Maketaten, were present with the king and his wife Nefertiti. As the king and queen lean over the balcony to pass their gifts to Meri-Re II, the prin- cesses hand more gold ornaments to the queen to pass on to their father. Fascinating indeed are these individ- ual touches which the various receivers of "the gold" get into their pictures. When Joseph Received "the Gold" These various paintings clearly reveal that the conferment upon Joseph of "a gold chain" and "ring" (verse 42) was not a spontaneous gift on the part of Pharaoh but a recognized official ceremony, an honour much sought after by high officials of ancient Egypt. The conferment of "vestures of fine linen," along with "the gold," was usually reserved for priests; but the gift to Joseph was quite in ac- cordance with Egyptian practice, as a vizier held the priestly dignity of "father to Pharaoh" (Genesis 45:8) as well as the civil posts of "court chamberlain," or "lord of all his house," and "supreme administrator over all the land of Egypt." Eye included among his titles "father of the god," that is, of Pha- raoh, while Rekh-My-Re, vizier of Thutmose III, called himself "second of the king," which was precisely Joseph's position as second ruler in Egypt. (Genesis 41:40, 43, 44.) The fact that Pharaoh, according to the Bible account, conferred "the gold" with his own hand shows that Joseph received the supreme honour of which the dignitaries of El-Amar- na were so pardonably proud. The tomb paintings of these in- vestitures revealed that the "window of appearance" was built into an ornamental bridge connecting two portions of the palace; so, descend- ing from the tombs, I returned to the ruins of the ancient capital on the plain below to try to find its precise site. Crossing the remains of several roads which ran north to south across the plain, parallel to the Nile, I came out on the road nearest to the river, which has been named "King's Way" by the modern excavators. On either side of this road were the government buildings of the city. To the south were the royal magazines and stores, the university, the civil servant's quarters, and the police barracks; and to the north, the temple and the royal palace. I found the outlines of the palace which lay, as the tomb paintings showed, on either side of the King's Way, and was able to determine the approximate position of the three- arched bridge over the road connect- ing the royal residence on one side with the storehouses, gardens, and private chapel of the king on the other. Standing there on the King's Way, where the crowds once surged to get a glimpse of Eye and his wife, or some other notable personages as they stood awaiting the arrival of the royal family, I reconstructed that interesting ceremony of "the gold." And travelling back still further in time, I pictured the momentous oc- casion when the young Hebrew slave, who so short a time before had languished in prison, was honoured with this same "gold of praise" and exalted to a position second only to Pharaoh in the land of Egypt. IS PEACE POSSIBLE? T HE most priceless commodity in the world's mart today is peace. Its cost may seem to class it as a luxury, but it is no luxury; it is a vital necessity that all of us must have if our planet is to continue on its way. Without it we shall have world-wide depression and finally world ruin and destriction. Never 2 WILLIAM G. WIRTH was peace so imperative as now. Peace is not merry the concern of the White House and the State Department in Washington, of Stalin and Molotov in the Kremlin, of the Quai d'Orsay in Paris, but it is a matter of utmost importance to every citizen in every country of the globe. The atomic bomb has seen to that. Therefore, it behooves us to give it personal thought. The question is inescapable. Is peace possible, or is it not? The searching query will not , down, Have we reached world's end THE ORIENTAL WATCHMAN, JUNE 1948 Guns on a Battleship: While Men Prepare for and Glorify War There Will Be No Peace on Earth. or not? Surely none of us can dis- agree with the grim observation made recently by Chancellor Robert M. Hutchins of the University of Chicago that our most important problem these days is not whether civilization will progress that we may live better, but whether civili- zation will survive that we may live at all. It must be obvious that to prepare the way of peace we must remove the causes of war. If we can do that, peace will then be assured; if not, vain will be all the endeavours through well-meaning persons or organizations, whether political, eco- nomic, social, or religious. We shall still have war, and more of it. Let us look into these causes to see what the possibilities are for their removal. Nationalism heads the list. By this we mean belief in the sovereign, in- dependent right of every nation to conduct its own affairs, external and internal, without interference or restriction from any other nation. The difficulty comes, however, in the fact—and bear in mind that we are dealing with world peace—that every other nation feels the same way about its sovereign rights. Other nations, too, glory in their traditions and national ways. But it must at once be evident that this attitude of national separatism cannot be main- tained if there 'is to be world peace. For the common good, nations must be willing to surrender a goodly share of nationalism for the success of collective internationalism. Pope Pius XII spoke truly when he told Associated Press represent- atives in Rome on March 11 of this year, on the eve of his eighth anni- versary as pontiff, that nations must surrender some of their sovereign rights if lasting peace is to be achieved in the world. It is plain that by "some" he referred to the right of a nation to wage war in opposi- tion to the opinion of the rest of the world that it should not; the right to make its own laws when those laws, as in Nazi Germany, were harmful to international law; and perhaps the right to set up its own government and rulers, when that government and those rulers, as again in the case of Nazi Germany, would be a menace to other nations. But are any of us so gullible as to believe for a moment that there is any nation on the face of this earth that is, or will be, willing to give up its right to wage war, make its WTI THE ORIENTAL WATCHMAN, JUNE 1948 laws, set up its own government? Such sovereign rights are too deeply ingrained in nations to be sur- rendered; and as long as national governments hold tenaciously to them, lasting peace cannot be achieved, as Pope Pius avers. Na- tionalism is too selfish, too egotistic, too fearful of what other nations will do, to yield any essential sovereign right. What makes the matter more dif- ficult is that nations, as with individ- uals, are controlled and directed by fixed ideas and idiosyncrasies. Amer- ica, for example, takes pride in its conception of democratic freedom; Russia glories in the so-called "dic- tatorship of the proletariat" and Marxist communism. It is unavoid- able that such ideologies clash, that the two nations find it hard to get along. This nationalistic tragedy is made more tragic as the years go by, be- cause of the fact that this world of ours is steadily shrinking in size. Aeroplanes, rocket and otherwise, are shrivelling our planet to small pro- portions. This should bring all na- tions closer together. Proximity in distance ought to stimulate 'proximity is mutual relationships, as Wendell Willkie so well brought out in his best seller, One World. The very fact that our various avenues of world life crisscross among the nations ought to drive home to all govern- ments the need for reciprocal unity and fellowship, but it works in- creasingly the other way. This very inter-relation only the more arouses the nationalistic spirit to resistance, to competitive rivalry, to mutual antagonism. Add to this the patent fact that so strong is this nationalistic feeling on the part Of the separate governments of the world that it blinds nations to the fact that other policies, other methods, other ways besides their own might be. for the good of the whole. Their way of life is right, all others wrong. It reminds us of the fable that on one occasion an angel was sent to the earth to see what could be done to bring about peace among nations. When the angel came to the first na- tion, he was assured that that govern- ment wanted peace, but that all the other nations wanted war. The angel so recorded it in his book. When he called on the second government, he met the same smug attitude. This government also pronouncedly stood for peace; the difficulty was with the others, who were wickedly deter- mined on war. Again the angel re- corded it in his book. He received the same response from all the other nations. When summoned to give his report, the angel declared that all the sixty nations of earth wanted peace, but that 3,540 of them wanted war. Our world is suffering from what the doctors call "circulatorTfailure": its lifeblood of peace that needs to flow from continent to continent, from east to west, from north to south, cannot get through because of the selfish, egotistic nationalisms that plague our sphere. No wonder Sir Arthur Keith, the eminent British anthropologist, wrote in the New York Times Magazine of October 2, 1932: "It is the spirit of nationalism more than aught else which has frustrated the application of Christ's doctrine to the affairs of the world." If that was true then, how much more is it true today? 3 DISCERNING THE TIMES T HE late Sir James Jeans during his lifetime made a number of frank admissions on behalf of his fellow scientists. It was he who ex- pressed the conviction in his book, The Mysterious Universe, that the worlds in space appeared to him not so much as a vast mechanism as a "great thought," the grand design of a master "Mathematician." Again, it was he who asserted that the world as we know it could be understood only by the assumption of a "creation or series of creations" at a time "not infinitely remote." It is with more than interest, there- fore, that we pick up his final and posthumous work, The Growth of Physical Science, and read the open- ing sentences: "We look on helpless," he says, "while our material civilization car- ries us at breakneck speed to an end which no man can foresee or even conjecture." The reason for Sir James' final, almost despairing word he goes on to explain: "The last hundred years have seen more change than a thousand years of the Roman Empire" largely as a result of the "applications of physi- cal science ... through the use of steam, electricity, and petrol, and by the way of the various industrial arts ... almost every moment of our existences" has been profoundly affected. But unfortunately, while the spectacular advances of science "in medicine and surgery may save our lives," their employment in warfare "may involve us in utter ruination." When Mr. H. G. Wells spoke even more grimly in his last book, A World at the End of Its Tether, some put it down to pessimism of senility, and they may say the same about Jeans. But the lie is given to any such suggestions by the fact that there are plenty of other people among the leaders of thought today and in the prime of manhood's vigour, who are saying the very same thing whenever they get the opportu- nity. Professor Herbert Dingle, only the other day, in a lecture at University College, London, asserted that "science has progressed like a ship with an all-powerful engine" but with "no compass or rudder or steersman, measuring its progress in 4 knots and not in terms of approxima- tion to a desired haven." The atom scientists themselves, have chosen as the symbolic design for the cover of their Bulletin the hands of a clock pointed to a few minutes before twelve, and the most notable of them, like Professor Urev, have confessed themselves to be literally "frightened" as to what will happen when the midnight hour strikes. The fact is that today the scientists have turned preachers and are de- scribing the very situation in all its tragedy which the prophets of old foresaw in the "last days" at the "time of the end." Declared the prophet Daniel, "Many shall run to and fro, and knowledge shall be increased" (Daniel 12:4), and never has this prophecy been fulfilled as it is being fulfilled today. To this prophecy Jesus added, al- most paradoxically: "And there shall be ... distress of nations, with per- plexity; the sea and the waves roar- ing; men's hearts failing them .or fear, and for looking after the things which are coming on the earth." Luke 21:25, 26. Incompatible as these two specifi- cations would seem to he, they have synchronized in our time. Never has there been so wonderful a time as that into which we have come, yet never has there been a time when existence has hung by so slender a thread. Surely this is sufficient evi- dence, apart from much more that could be cited, that we have indeed reached those "last days," that "time of the end," of which prophet and Master-prophet spoke 'so long ago. Unaided man in this crisis of history may have to confess himself incapable of even conjecturing the possible outcome or guessing at the destination. It is reasonable to ex- pect, however, that the Book which could so accurately predict the crisis would be able also to make known what would emerge from it. And it does. Left to himself, the Bible declares man would encompass his utter and final destruction, committing suicide in a welter of universal strife. But God has no intention of allowing either evil men or angels thus to bring all His plans and purposes to nought. Says the prophet Isaiah: "God Himself that formed the earth and made it; He hath established it, He created it not in vain, He formed it to be inhabited." Isaiah 45:18. So, the Bible tells us, God intends —very soon—to step in and to bring out of sin's destruction "a new heavens and a new earth" of His own righteous and enduring design. Into that new creation He will gather all whose hearts are toward Him; but from it He will exclude all that is of rebellion and sin. lf, therefore, the apostle Peter in his day counselled urgently: "Be diligent [literally, make haste] that ye may be found of Him in peace, without spot, and blameless" (2 Peter 3:14), how much more need is there of haste today when, as the signs indi- cate, the Conqueror and King is "at the door"?—English Present Truth. THE ORIENTAL WATCHMAN, JUNE 19.13 By Science Men Discern Many Things But Not the Signs of the Times.