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Red Cross, although never published, served a valuable purpose in stimulating the Service to review its work and undertake new and improved efforts. The Junior Red Cross activities in the schools have undoubtedly been helpful although possibly not sufficiently adapted or related to Indian conditions. The hospital maintained for eye cases by the Episcopal Church at Fort Defiance should also be specifically mentioned, and.also the recent health survey at Klamath made by the Oregon Tuberculosis Association and the National Tuberculosis Association. Mention has been made of the coöperation of a committee from the American Medical Association in the trachoma campaign and of the work of Noguchi under the auspices of the International Health Board in the study of trachoma. The catalogue of such activities, however, is comparatively brief, especially if the age of the Indian health problem is considered. Unquestionably enough has not been done through close coöperation between the Indian, Service and private agencies in perfecting well developed programs.

In some states, such as California, Washington, Oregon, and Minnesota, the Indian has benefited by the state traveling tuberculosis clinics, and the activities of the local county public health units. This service, like that of the voluntary activities mentioned above, has been independent of the Indian Office, and has received no subsidy from it.

The Indian Office is engaged in no coöperative full-time public health services. In the Northwest, such a point has been selected, but details have not been worked out.

The general lack of coöperation and exchange of ideas between the Office of Indian Affairs and state boards of health is a matter of frequent comment and is to be deplored. The Office has had no technical personnel to arrange such coöperation, and the state boards of health have interpreted lack of definite action as a suggestion to stay off the Indian reservations. In point of fact, the courts have upheld this isolation policy on the part of the Indian Office. Legislation today, technically speaking, would hold the Indian reservation inviolate by outside agencies.

Several national voluntary health agencies devote their time to the various specialized fields of preventive medicine and public health. Their executive staffs are composed of trained specialists, qualified to speak with authority on health activities lying within