RT Journal T1 WOrk of the american civic association JF Journal of the American Medical Association JO Journal of the American Medical Association YR 1909 FD March 13 VO LII IS 11 SP 896 OP 896 DO 10.1001/jama.1909.02540370054012 UL http://dx.doi.org/10.1001/jama.1909.02540370054012 AB The American Civic Association is carrying on an educational, suggestive and cooperative campaign in several directions for the esthetic and sanitary welfare of the community. In the former regard it is taking much needed measures to prevent the destruction of those wonderful natural beauties, the falls of Niagara, at present threatened by a greedy commercialism that sees no limits to the supremacy of what it terms utility over the esthetic sense, forgetful of the fact that the esthetic sense itself is an important utilitarian factor in the moral and mental welfare of the human race. Another abomination against which it has set itself is the fungating excrescence of unsightly billboards disfiguring the country. In cities, at any rate, these hoardings —as has been recently pointed out in relation to board fences by Dr. W. H. Atkinson,1—have a sanitary aspect. The third object, and the one most directly in