56 A HISTORY OF NATIONAL TUBERCULOSIS ASSOCIATION 



losis by the recently formed National Association for the Study 

 and Prevention of Tuberculosis and by the organization for the 

 International Congress on Tuberculosis. She even offered to 

 finance the initial production of a national Christmas seal. As a 

 result, in 1908 the first nation-wide seal sale was held. The 

 sale was conducted very largely under the direction of women's 

 clubs and Red Cross chapters. About $135,000 was realized from 

 this sale. The Red Cross was at once convinced of the immediate 

 possibilities of the seal. In 1909 the second seal sale was held 

 and over $200,000 was realized. 



Up to this time the American Red Cross had considered the 

 seal as peculiarly its own. The National Tuberculosis Associa- 

 tion at that time was struggling for existence. It was not as 

 widely known as the Red Cross. Its program was still far from 

 being fixed and its organization was faulty. For the most part it 

 was passing through that necessary early stage of extensive edu- 

 cation and had not yet arrived at the second stage of intensive 

 organization. 



In 1910, however, Dr. Livingston Farrand, then executive 

 secretary of the National Tuberculosis Association, approached 

 the American Red Cross and suggested a liaison arrangement be- 

 tween that organization and the National Tuberculosis Associa- 

 tion. As a result of these negotiations the two organizations 

 entered into what was virtually a partnership arrangement which, 

 because of the far-seeing vision of its framers, has proved to be 

 the most effectual policy in the development of the tuberculosis 

 movement in the United States that could possibly have been 

 devised. 



Because of their historical significance, copies of letters under 

 date of June 25 and August 6, 1910, creating this initial agreement 

 and signed by Ernest P. Bicknell, then National Director of the 

 American Red Cross, are quoted in full: 



June 25, 1910. 

 Dr. Livingston Farrand, 



Executive Secretary, National Association for the Study and Prevention 



of Tuberculosis, 105 East 22nd Street, New York, N. Y. 

 Dear Dr. Farrand: 



Pursuant to my promise to you when in New York the other day I am 

 writing to elaborate somewhat the idea which I had as to a co-operative ar- 



