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Members of the American Hospital Association:

In the absence of the Mayor, who has been called to Omaha to attend an important civic convention, it becomes my privilege to welcome you to the Queen City of Canada, and to extend to you the hospitality of our citizens. I greet you most cordially.

The name “Toronto" is an Indian one, and signifies "place of meeting." Legend tells us that it was in the cool shadow of the stately trees which in the distant past adorned the banks of our beautiful bay, that various tribes of redmen held friendly intercourse; and that it was here also the hardy paleface, who sought adventure or gain on the great Indian trails, bivouacked with the Hurons. You will therefore see that Toronto's claim to the title “Convention City” is not without justification.

It is, however, seldom that it falls to the lot of an individual—no matter how exalted his position—to address a more important assemblage than that which I find present here this morning. It is to your charge that the well-being of thousands of suffering humanity is unreservedly entrusted. Yours is a great responsibility-(I had almost said grave, but that is a word we physicians eliminate, so far as possible, from our vocabulary)—but great as it is, it is committed to gentlemen who are admittedly splendidly qualified and equipped to assume the burden which is theirs.

This, I understand, is the first occasion in the history of your Association that Canada has been honored with your presence. I trust that it shall not be the last, for I learn with no little pride that though the American Hospital Association comprises some 470 superintendents and hospital trustees, 50 of these are Canadians. Your Association is therefore international in scope and character, if not in name. And it is well that it is so. The management of great hospitals; the practice of the healing art—the art of ministering to the sick; the alleviation of human suffering; and the study and adoption of those methods best calculated to produce successful results are surely not matter to be limited by geographical boundaries or imaginary lines. Their domain is, or should be, world-wide.

You will, within the next few days, be afforded ample opportunity of visiting the various hospitals, including the Toronto General, Grace, the Western, the Hospital for Incurables, the Orthopedic, the Hospital for Consumptives at Weston; also the Lakeside Home for Children, the Hospital for Sick Children and the Nurses' Home, the three last named institutions constituting the life-work of one of our leading citizens whose earnestness and enthusiasm know no bounds, and whose munificence knows no limits other than his means. The gentleman to whom I allude is, I am pleased to observe, an honored officer of this Association.

It may not be amiss to inform you that Ontario boasts of some 67 hospitals, and that probably' as many more are contained in the other Provinces of Canada. Two years ago what is now the flourishing Canadian Hospital Association was established, the proceedings of which will be distributed at this meeting. The various Provincial Associations have membership in and are represented at the annual conference of the Canadian Association. It will thus be seen that we have a thoroughly representative Canadian Hospital Association.

If I may be permitted to throw out a suggestion it is that every State in the Union should be prevailed upon to form an Association; that each of such Associations should send delegates to the A. H. A.; and that the latter should form an alliance with the Canadian Association. You would then have an international Association in which every State in the Union and every province of Canada would be represented. It

may be of interest to you to learn that in Toronto the city contributed to the hospitals seventy cents per diem per public ward patient, and that the Provincial Government is also a contributor to the extent of twenty cents. Some years ago an act of the Legislature was passed which provided that the succession duties should go to the support of the hospitals, but the amounts derived from this source were subsequently diverted from the purpose for which they were originally intended.

When you again visit us we hope to be able to show you through a general hospital that will be worthy of our city, our province, and of Canada. The preliminary step looking to its construction have been taken and the plans are now well under way.

The mayor, as I have already said, has deputed to me the pleasant task of representing him at your opening. When he did so he handed the keys of the city over to me for safe keeping. I have a confession to make—I've lost them. It may be injudicious to say so, but I fear they will have to remain lost during the period of your convention.

Once more, gentlemen, I welcome you heartily to the City of Toronto. I sincerely trust that your deliberations may prove as prolific of results as the most enthusiastic amongst you could wish, and that when you leave us you will do so feeling that you have spent a pleasant and profitable time, and that a visit to Toronto, like an efficacious remedy, cannot be too often repeated.

PRESIDENT-As you all know, the Association has gained greatly in numbers this year, and I feel that one element, an important element, in the power which the Association possessed this year to attract members, lay in the fact that this meeting was announced to be held in Toronto. Toronto has proved a splendid drawing card for the Association, and we now have to thank not only the city for what it has done for us, but also Mayor Harrison for kindly coming here this morning and giving us this most cordial welcome. (President's address, page 103.)

PRESIDENT—There are a few brief announcements to make before closing this session.

The Trustees and Lady Superintendent of the Hospital for Sick Children request the pleasure of the company of members of this convention and guests on Thursday evening, October 1st, at the hour of 8:30, at a reception to be held in the new residence for nurses in connection with that hospital.

I regret very much that Mr. Bacon, our most efficient and active Treasurer, finds it impossible to be with us on this occasion. Arrangements have been made for a temporary treasurership; the secretary and secretary's assistant will be prepared to receive the dues of all members who wish to

pay them.

On Friday afternoon at 4 o'clock the members are invited to visit the Lakeside Home for Little Children—the summer home of the Hospital for Sick Children. The Toronto ferry boat can be taken at the foot of Bay street-five minutes' walk west and south from the King Edward Hotel.

The Chair names as a committee to consider the time and place for the next annual convention : Mr. Reuben O'Brien, Rev. W. S. Steen and Dr. John M. Peters. I have received a telegram from the Mayor of Philadelphia as follows:

“Philadelphia extends to you and the members of the American Hospital Association a cordial invitation to hold your next annual convention in the 'City of Brotherly Love,' and cherishes the hope that her sincere invitation will be accepted. May your present convention be of great benefit to your organization and enojyment to all your members."

(Signed) JOHN E. REYBURN, Mayor. If there is no business before us, this meeting will stand adjourned to resume this afternoon at 2 o'clock.


SESSION. The convention was called to order at 2 p. m. by the President.

PRESIDENT– The first address this afternoon will be delivered by Miss A. L. Alline, Inspector of Nurse Training Schools, New York State Education Department, on "The Inspection of Nurse Training Schools; Its Aims and Results.” The Association ought to be very grateful, and I am sure is very grateful, to Miss Alline, who has left her official duties in order to come here and tell us the results of her extremely practical and valuable work. It is altogether unnecessary for me to say that Miss Alline's findings in the course of her inspections of the training schools in the State of New York will have much to do with the future policy of the State Department of Education; her work will determine to a large extent the future of the State of New York's training schools, which I hope will always be models for training schools everywhere. I have much pleasure in presenting Miss Alline to this Association. (See page 111.)

PRESIDENT—The next paper, by Miss C. A. Aikens, is entitled, “Relation of the Training School to Hospital Efficiency.” (See page 120.)

Dr. H. M. HURD, Baltimore—I would like to enquire, Mr. President, whether there is any time limit on the papers?

PRESIDENT_There is no such rule in the by-laws.

Some months ago Miss Nutting, whose name is not unknown to this audience, kindly consented, upon the invitation of your President, to come here to discuss some problems of the training school for nurses. I am sorry that Miss Nutting's school duties have prevented her from coming. However, she has kept faith with the Association by putting her ideas on paper. I am very happy to say that she has sent here a very capable representative-one, I feel sure, from whom the members of this Association will be glad to hear -Miss Goodrich. (See page 137.)

PRESIDENT: The last paper to be presented this afternoon is a "Report of Sub-Committee on the Training of Nurses," prepared and to be read by Rev. A. S. Kavanagh, D. D., of the Methodist-Episcopal Hospital, Brooklyn, N. Y. (See page 155.)

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