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tions of its approach and the means of warding off the attack, or at least protecting the individual and the community. It is for him to urge the adoption of public measures for the early treatment of the disease by the separate care of such patients among the poorer classes, either in wards of general hos- pitals or in special psychopathic hospitals. I will state here, that the old idea of considering an in- dividual suffering from a psychosis as guilty of an offense against the community and committing him to an institution by criminal proceedings, thereby branding him for life, is a relic of barbarism and a disgrace to a civilized nation. Such an idea is but a relic of the days of grossest ignorance concerning mental disease, the days be- fore Pinel started the movement which awakened the profession and the world to the fact that an individual suffering from mental disease is not possessed of devils or guilty of any criminal act, but is sick, mentally sick in the same sense as one becomes ill from any other disease. Thanks to a few enlightened minds who have seen the injustice of this method, several state legislatures have recently passed voluntary commit- ment acts and therebj' set an example which other states should lose no time in following. Another promising field for public preventive work lies in the temporary supervision, protection, and relief, by means of charitable aftercare asso- ciations of poor patients, who are discharged from hospitals for the insane as recovered or conva- lescent. In this viagra price at walmart way alone can we hope to prevent relapse or prolong the intervals of sanity between attacks, that are inevitable. how much viagra is safe This plan is being followed out by New York with gratifying success viagra price at walmart viagra price at walmart and should be the method adopted by all of our institutions. Eugenics — the practical application of facts learned in the study of heredity — is one of the most recent undertakings for race betterment, dating back little more than twelve years, while that branch of it relating to heredity in mental defects and diseases was taken up scarcely more than five years ago, research work therein being confined how much viagra is safe to this country and Germany. From the results already obtained we can see how important to our descendants is a complete knowledge of the transmission of insanity and mental defect by heredity. For many years the popular mind has associated insanity with heredity. This belief has been confirmed by modern investi- gation so far, at leasts as to assure us that heredity is by far the most important single- factor in the causation of certain forms of mental disease. To ancestors afflicted with feeblemindedness, with dementia preco.x, and other mental disorders, numerous mentally defective or mentally diseased descendants have been traced in many of the fam- ilies that have been investigated, while in a few of the cases examined, where one party to the mar- riage was viagra price at walmart normal (and presumably of normal an- cestry) the other being insane, some normal chil- dren resulted. The result of investigations of heredity in mental diseases and defects down to the present time en- tirely justifies the statement that it is highly un- desirable that the feebleminded, epileptics, and those with certain tj-pes of insanitj- should have children. Looking at prophylaxis from the standpoint of a citizen of the United States, who does not wish to see his countn- made the dumping ground for September 11, 1915] MEDICAL RECORD. 433 all sorts of mental defectives, who propagate other defectives, and in a short time become a burden to the state and nation, I cannot emphasize too forcibly the great importance of recognizing the defective and future precox before he is admitted to this country. In closing my article, I will here give a few very important suggestions published in a recent report on the Alien Insane in the Civil Hospitals of New York State." It is recommended: (A) That, as an aid to existing methods, there should be stationed at the ports of embarkation United States medical officers, who should take part in the examination of the intending immigrant. (B) That there should be stationed upon each ship bearing immigrants to this country United States officials, either physicians or nurses, or both, who should observe the aliens from time to time and report to the immigration officials, upon arrival, those apparently suffering from psychoses or mental defects. (C) That a larger number of medical officers should be detailed to Ellis Island and other large ports, and that these physicians should be men trained in the detection of mental diseases and and defects. (D) That there be provided large detention hos- pitals in which suspected cases could be isolated for a viagra price at walmart longer or shorter period until proper inves- tigation could be made as to their mental condition. (E) That the time during which deportation how much viagra is safe can be effected under Federal warrant be length- ened to five years or longer.