There may be laws on the statute books compelling doctors to notify the local health authorities of their tuberculosis cases, but these laws are not lived up to. Nor will the establishment of a hospital for advanced cases bring these patients to light; neither will the sanatorium, nor even the special tuberculosis dispensary. The surest and most effective way of unearthing them is through the visiting nurse. Therefore the nebulous plans of the newly formed anti-tuberculosis association may well crystallize themselves into a decision to put such an effective agent into the field. =Supervision of Work.= After this decision has been made, the question arises, by whom is the nurse to be directed? Is she to be placed under the local health department, under a dispensary, under the charity organization society, or under the visiting nurse association, if such an organization exists in the town? If supported by a church or special association of some sort, should not the governing board of such organization direct her work? Or is she to be a free lance and manage herself? Unless taken over by the local health department (which in that case becomes responsible for her salary and expenses incurred in the work), the nurse should be affiliated with the Visiting Nurse Association, rather than with any lay organization. Better results will be obtained if her work is directed by a superintendent of nurses who is accustomed to dealing with and judging nurses, and familiar with their duties along technical lines. The credit of supporting the nurse would still rest where it belonged—with the church, with the anti-tuberculosis association, or whatever group of people might be responsible for her maintenance,[1] but this arrangement would relieve the lay organization of much responsibility, for no matter how good their intentions, such a group cannot direct nursing work as well as this can be done by one qualified for the purpose. Another advantage gained by placing the new nurse with the Visiting Nurse Association is that it keeps together the various branches of public health service, and the tuberculosis nurse realizes more fully than she otherwise might, how completely her own specialty is interlocked with and dependent upon other forms of social activity. Footnote 1: For five years the Maryland Tuberculosis Association supported five nurses, which it placed under the management of the Superintendent of the Visiting Nurse Association of Baltimore. There is still another advantage in placing the new nurse with the established organization, for then a nurse may be selected with regard to her ability alone, leaving it to the Superintendent of Nurses to give her the necessary careful training in social work, and the proper supervision.