Under no circumstances should the list be allowed to fall into the hands of “patent medicine” concerns which might urge their nostrums on the patients, much to their annoyance and also to their detriment, if they become induced to take the “patent medicines.” The measures necessary for the treatment of a patient who has tuberculosis must be determined by the physician, but it is the duty of the executive board to decide how much and what kind of help the league can give the patient in carrying out this treatment. It is not proposed to discuss here the question of treatment in a sanatorium which is the ideal way of handling all cases of tuberculosis, for in a sanatorium the sick cease to be a menace to the community and can be under supervision and treatment all the time. Unfortunately, at present sanatoria are not available for the great mass of the people; and even if they were, many would be unable to go to them. There is a class of patients who have to depend upon their daily labor for the support of themselves and their families. If they stop work, their support is cut off. For such as these treatment in a sanatorium is out of the question, and any treatment they can get must be given in their homes and frequently while they are working. To this class belong the great majority of the negroes; therefore the work of the church leagues must be directed to such help as can be given under these circumstances. What is necessary in each case will depend upon the condition of the patient, the stage of the disease, and the financial circumstances of the individual. For the purposes of the league, consumptives may be divided into three classes: First. The patients who are in the earlier stages of the disease and are able to go about their work while taking treatment. Second. Cases in which it is necessary to stop work and remain quiet if they are to get well. Third. Cases in which the disease has progressed so far that it is hopeless to attempt a cure, but for which much can be done to make the patients comfortable and prevent them from scattering the germs of the disease. As stated above, what is necessary in each case will depend upon the condition of the patient and his surroundings. Much also depends upon the means the league has at its disposal to help the individual. Most church leagues find that they have very little money; therefore the help given must be limited. However, there are certain things that can be done even by the poorest leagues. Information as to the way in which the disease is spread; the means to prevent it; what is necessary to get well if one has it, etc., is all printed on the certificate. When the member gets the certificate and has learned all that is printed on it, the first step has been taken in the education of the individual in regard to tuberculosis, so it should be the aim of the officers of the leagues to get the certificates in the hands of the members.