IN VIEW of the tremendous advance in pediatrics during the past half century, one might think that a full century ago no one could have known very much about the care of children. To read the newspapers of that day, one might also conclude that it was an age primarily of quacks and patent medicines—of worm cures, hive syrups and of little liver pills. But to appreciate the true status of American pediatrics in 1855 one must judge it not only by the standards of our time but also by the standards of a century earlier, and when that is done it will be seen that American pediatrics in the mid-Nineteenth Century had also made considerable progress. In 1755 the care of the sick was generally in the hands of well-meaning yet untrained practical nurses whereas in 1855 people were turning to physicians who were usually medical school graduates, well acquainted with a vast number of new and important publications. More and more pediatric articles were appearing in the many American journals; and in the review of a new book, one writer mentioned "the numerous publications on the management of infants and children with which the press has been loaded." Indeed, the press was loaded, for the Philadelphia physician had at his command no less than 8 fairsized textbooks in English devoted exclusively to the care of children.
The second quarter of the Nineteenth Century saw a definite trend toward pediatrics as a specialty. There is no need to discuss here the numerous elementary guides which were intended primarily for mothers and which were precursors of the textbooks, or the many systems of general medicine with their chapters on pediatric subjects, especially since this trend may be well illustrated by mentioning only the impressive list of textbooks published in Philadelphia.
LOUISIANA AND THE STATE BOARD OF HEALTH ON FRAUDULENT PATENT MEDICINES
