Dr. Elizabeth Blackwell, returning to this country from England about the time of the breaking out of the war, fresh from an acquaintance with Miss Nightingale, and filled with her enthusiasm, at once called an informal meeting at the New York Infirmary[14] for Women and Children, where, on April 25th, 1861, the germ of the sanitary, known as the Ladies' Central Relief,[15] was inaugurated. A public meeting was held April 26, 1861, at the Cooper Union, its object being to concentrate scattered efforts by a large and formal organization. The society then received the name of the "Woman's Central Relief Association of New York." Miss Louisa Lee Schuyler was chosen its president. She soon sent out an appeal to women which brought New York into direct connection with many other portions of the country, enabling it "to report its monthly disbursements by tens of thousands, and the sum total of its income by millions." But very soon after its organization, Miss Schuyler saw the need of more positive connection with the Government. A united address was sent to the Secretary of War from the Woman's Central Relief Association, the Advisory Committee of the Board of Physicians and Surgeons of the hospitals of New York, and the New York Medical Association for furnishing medical supplies. As the result of this address, the Sanitary Commission was established the 9th of June, 1861, under the authority of the Government, and went into immediate operation. Although acting under Government authorization, this commission was not sustained at Government expense, but was supported by the women of the nation. It was organized under the following general rules: 1. The system of sanitary relief established by army regulations was to be adopted; the Sanitary Commission was to acquaint itself fully with those rules, and see that its agents were familiar with all the plans and methods of the army system. 2. The Commission was to direct its efforts mainly to strengthening the regular army system, and work to secure the favor and co-operation of the Medical Bureau. 3. The Commission was to know nothing of religious differences or State distinctions, distributing without regard to the place where troops were enlisted, in a purely national spirit.