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of inadequate funds and the lack of clinical material. All this tended to inculcate in the multiple sclerotic a feeling that he or she was socially undesirable. The primary purposes of the society are to provide

Research, to find the cause and effective treatment of MS.
Clinics, to provide diagnostic services and treatment centers.

Rehabilitation, to alleviate disabilities and enable a sufferer to become a more useful member of society.

Medical education, to provide the medical and allied professions with vital information relating to diagnosis, research, and treatment.

Lay education, to inform the public of the problems involved and solicit help in the work of the society.

Chapters, to further the program. Research

The society has thus far supported 27 research projects, and 8 research and treatment clinics at leading medical centers at a total cost of $554,246.58, including cominitments. About 50 cents of each dollar of the society's funds have been allocated to basic and clinical research.

The society's research program is formulated and coordinated by a medical advisory board consisting of 50 outstanding physicians and research investigators in the field of multiple sclerosis and related nerve diseases. This board meets semiannually to exchange views, hear progress reports on research, and consider new applications for research grants.

In our present stage of knowledge, it is highly desirable to support studies of all worthwhile theories regarding MS. The research projects supported by the society cover many diversified fields.

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Study of immunology and allergy in MS, Columbia University and New

York Neurological Institute, New York City.
Relationship between virus infection and myelin destruction, Tulane, Uni-342 years ....

versity of Louisiana, and University of Minnesota Medical School,
Study of myelin destruction by histochemical methods, Massachusetts Gen- 3 years 2.
eral Hospital and Harvard Medical School, Massachusetts.
Effect of ACTH and cortisone on MS, New York Neurological Institute, 2 years

New York City.
Bichemical studies in MS, H. L. Snyder Memorial Research Foundation,

2 years
kansas.
Blood clotting in MS, Cedars of Lebanon Hospital, Los Angeles

1 year Study of demyelination, allergies, and instution of training program for neu- do.. rologists and other investigators, Massachusetts General Hospital and

Hipsard Medic I School, Massachusetts.
Study of adrenal function in MS, Peter Bent Brigham Hospital, Harvard

Medical School, Massachusetts.
Study of possible infectious origin of MS, Southwest Research Institute of

Applied Research, Texas.
National statistical survey with cooperation of U.S. Public Health Service..

524 years. Statistical study of the prognosis of known cases of MS, England..

year Psychological study of MS patients, New York University-Bellevue Medical 1/2 years

Center, New York.
Epide niologici investigations of MS in Winnipeg and New Orleans

1 year The course of disseminated sclerosis. A closeup of 105 attacks. Method for --...do.s.

3

3, 589, 63 1, 242.90

eraluating therapeutic approaches, Copenhagen, Denmark.
Study of cellular responses and sequences involved in areas of discontinuous

destruction of myelin caused by JHM virus in central nervous system,
Indiana University School of Medicine, Indianapolis.
Study to determine amino-3cid patterns of the spinal fluids in MS and re- 6 months 3

lated neurological diseases, Boston University School of Medicine,
Massachusetts.
Study to develop a simple technique for the determination of protein changes

1 year.
la cerebro-spiial fluid in MS, Jewish Sanitarium and Hospital for Chronic
Diseases, Brooklyn, N. Y.
Investigation of cerebral blood flow and intricate chemical changes occurring do...

la MS and related demyelinating diseases, University of Miami Medical
Research Unit, Miami, Fla.
Investigation by'infrared absorption spectra and pertinent chemical analysis do
of the lipid and lipid soluble materials involved in the demyelinating dis-
eases, University of Rochester Medical Center, Rochester, N. Y.
Project taken over hy U.S. Public Health Service.
? Project taken over by Kresge Foundation.
» Research project completed.

1 year

8, 450.00

850.00

6,000.00

5,000.00

8, 167.00

39087-53-pt. 47

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$5, 687. 75

2, 056. 64

1,000.00

Cerebral metabolic studies in MS, University of California School of Medi

1 year
cine, San Francisco, Calif.
Serological studies in MS, Neurologische Universitatsklinik, Hamburg- do...--

Eppendorf, Germany.
Experimental work involving culturing of micro-organisms from spinal 6 months.

fluids in culture medium, Philadelphia, Pa.
Studies in the etiology of multiple sclerosis, dealing with the problems of the

1 year infectious nature of the disease, suspecting a virus as the insective agent,

University of Butlalo School of Medicine, Buffalo, N. Y.
Study to observe the effect of vasodilating drugs on new symptoms of mul- 8 months..

tiple sclerosis, Columbia University, College of Physicians and Surgeons,
New York City.

26, 954.00

1,000.00

4 Research project inaugurated after Dec. 15, 1952, for 1 year.

The research program is considered outstanding. According to a survey covering 18 leading voluntary health organizations in 1951, the National Multiple Sclerosis Society ranks first in the percentage of funds allocated to research. It is believed the year 1952 reflects relatively the same record of performance. Clinics

In addition to the research projects listed above, eight multiple sclerosis research and treatment clinics have been established by the society. The clinic is a pioneering innovation in the traditional treatment of multiple sclerotics. An MS clinic provides a center where multiple sclerotics may receive diagnosis, treatments which may be helpful, and physiotherapy. It is an adjunct to research which needs patients for evaluating experimental forms of therapy.

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1 Grant included in research project on demyelination, allergies, and training program. ? Supported by chapters in those States. * Grant included in research project on biochemical studies in MS.

Addendum to annual report, pp. 10-13, research projects supported by the

National Multiple Sclerosis Society, Jan. 1, 1953, through Dec. 31, 1953

Investigator and institution

Title of project

Amount of grant

$8.775

9, 720

Warren M. Sperry, Columbia A quantitative study of the lipides of the nervous system
University.

during myelination and demyelination,
Burnham š. Walker, Boston Studly to determine amino-acid patterns of the spinal
University Schoolof Medicine. fluids in multiple sclerosis and related neurological

diseases. Hans H. Reese, University of Investigation of the ground substance in the central Wisconsin Medical School. nervous system in its relationship to functions of the

glia. Hans I. Reese, University of Extension of preliminary studies on polymorphonuclear Wisconsin Medical School. leucocytes in which abnormality (Hargraves' cells)

600

600

have been found warranting more detailed study.

Rehabilitation

The need for rehabilitation to cope with the disabilities manifest in MS is great. The society has published a rehabilitation manual, which has been distributed without charge to over 17,000 physicians and physiotherapists. Because of the pressing need for a “home care" program for patients, the society has published manuals for patients in all stages of the disease. These are intended to supplement the rehabilitation manual for physicians and are being distributed to patients through their doctors without charge.

Medical education

The society has become the recognized clearinghouse for information the world orer on multiple sclerosis. Hundreds of letters are received from medical and nursing personnel asking our opinion on certain forms of treatment and other information.

A medical manual containing information on current developments in multiple sclerosis has been published. This manual, which is revised periodically, is distributed to 28,000 physicians on our medical mailing list and to all other interested physicians.

To reach the nursing profession, a reprint of an article appearing in the American Journal of Nursing, which gives guidance to nurses in the care of multiple sclerotics, has been distributed to interested nurses.

The society has organized a panel of international corresponding neurologists consisting of 56 neurologists from 27 countries. The purpose of the panel is to keep all research centers and investigators in the world posted on developments in the field. Lay education

An important function of the society is to inform some 23,000 members of its activities. A quarterly bulletin, AARMS Forward, not only informs members but also serves as a morale stimulant to patients and their friends.

Educating the public is difficult because of past neglect and public ignorance of MS, but there is great encouragement in the progress made as a result of the society's educational program. Many more people than ever before know something about MS, and its problems are being publicly discussed and studied. Chapters

Twenty-one chapters of the society are located in Alabama, California, Connecticut, District of Columbia, Kansas, Massachusetts, Michigan, Minnesota, Nebraska, New York, Ohio, Pennsylvania, Vermont, and Wisconsin. The function of these chapters is to provide essential services to patients and to aid in carrying out the program of the society. To organize more chapters is dependent only upon adequate field personnel which the society has heretofore not been financially able to engage. Past financial support

In the initial years of the society's existence, patients and their families and relatives assumed its financial support. Obviously, this placed severe limitations upon its program, since contributors were not large in number, and many of the patients were either not earning a livelihood or were compelled to save against a day of incapacity to work.

Later the nucleus of initial contributors was expanded by patients, their families and relatives seeking aid from their friends—and this primarily on the basis of membership dues ranging from $3 upward, with complimentary membership to patients who were unable to afford dues.

The society has literally been built and its work largely maintained through the funds and efforts of those whom it seeks to aid. It is unique, and it is deserving of widespread interest and support because its research, educational, and rehabilitation program has evidenced a progress which warrants, if not, indeed, demands, a nationwide appeal for support of broadened plans. Financial support for 1953

Particularly it is essential to continue and broaden research. It is worthy of note that in 1952 approximately 45 percent of funds received in the year were spent for research, 18 percent for lay and professional education, 18 percent for medical and patient services, and only 10 percent for administration, and 9 percent for organization and development of chapters.

The directors and medical advisory board of the society, in the light of demonstrated need for continuing existing research projects, inaugurating other such projects and expanding the educational and rehabilitation program of the society, and developing additional chapters, urgently require a broader base of financial support and an appeal generally, on a nationwide basis, for financial aid to the society and its chapters. Accordingly it is the plan of the society to launch in March 1933 a nationwide appeal in an effort to raise an aggregate of $1,200,000 through the efforts of the society and its chapters and for the use of the society and its chapters.

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BOARD OF DIRECTORS OF NATIONAL MULTIPLE SCLEROSIS SOCIETY,

New York, N. Y.: We have examined the balance sheet of National Multiple Sclerosis Society (national headquarters) as of December 31, 1952, and the related statement of income, expenses, and grants for the year then ended. We did not examine the financial statements of the chapters of the society. Our examination was made in accordance with generally accepted auditing standards, and accordingly included such tests of the accounting records and such other auditing procedures as we considered necessary in the circumstances. It was not practicable for us to confirm by direct communication dues and contributions received from members or others, with respect to which we made test checks of records of dues and contributions with duplicates on file of receipts issued to contributors. Funds received from chapters of the society were confirmed to us by direct communication or accounted for by inspection of advices or reports on file.

TI accounts of the society are maintained on the receipt and disbursement basis of accounting.

In our opinion, the accompanying balance sheet and statement of income, expenses, and grants present fairly the assets and fund balances of National Multiple Sclerosis Society (national headquarters) at December 31, 1952, and its income, expenses, and grants for the year then ended, on a basis consistent with that of the preceding year.

ERNST & ERNST. NEW YORK, N. Y., March 4, 1953.

Balance sheet-National Multiple Sclerosis Society (national headquarters)

Dec. 31, 1952

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79, 837. 43 i Commitments for research grants amounted to approximately $65,715 at Dec. 31, 1952.

Statement of income, expenses, and grants-National Multiple Sclerosis Society

(National Headquarters)-Year ended Dec. 31, 1952

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