THE STATE TUBERCULOSIS ASSOCIATIONS 109 



largely agricultural with a certain amount of mining industry. 

 In view of these circumstances, the development of tuberculosis 

 work in Montana is doubly significant. 



In 1913 the state sanatorium was begun by act of legislature. 

 It has now increased its capacity to 138. It is the only sanatorium 

 in the state except for a federal institution exclusively for Indians. 

 Besides the sanatorium there are 4 clinics, 3 full time health officers 

 and about 30 public health nurses. The State Association has 4 

 local organizations. These figures, however, do not indicate the 

 enormous amount of interest aroused by the Modern Health Cru- 

 sade, poster and essay contests, exhibits, etc. throughout the 

 state. 



The State Association works in close cooperation with the 

 State Board of Health and has hundreds of representatives in the 

 women's clubs, rotary clubs, parent-teachers associations and 

 similar organizations centered throughout the state. The un- 

 favorable financial situation during the past four years has had 

 some effect upon the development of active work in Montana, but 

 this has not been so serious as to retard the work altogether, as 

 will be noted from the figures and facts quoted above. 



The death-rate from tuberculosis in Montana has declined from 

 107.3 in 1916 to 75.1 in 1920. 



The headquarters of the Montana Tuberculosis Association are 

 at the State Capitol, Helena, Montana, and the executive secre- 

 tary is Mrs. Sara E. Morse. 



NEBRASKA TUBERCULOSIS ASSOCIATION 

 The Nebraska Association for the Study and Prevention of 

 Tuberculosis, out of which the present association has grown, 

 was formed in December, 1907. Its secretary, Mrs. K. R. J. 

 Edholm, has served in that capacity since June, 1908. 



The present equipment for the prevention of tuberculosis in 

 Nebraska consists of a state sanatorium, established in 1912, 

 one county pavilion, two clinics, two open-air classes, three 

 special tuberculosis nurses, and a very considerable number of 

 city and county school nurses and Red Cross nurses who devote 

 a certain amount of attention to tuberculosis. 



Under the direction of the Nebraska Association, and partially 



