ne, by compelling householders who are ignorant
or careless to clean their premises and to take other precautions for
the public health.

Hospitals, both public and private, have done excellent work, not only
in curing disease but in gaining more definite knowledge of the nature
of diseases through the study of large numbers of cases.

The cleaning of streets and the removal of garbage regularly are among
the great factors in keeping a city in a sanitary condition. New Orleans
and some of the cities of Cuba and Porto Rico show strikingly what may
be done in that direction.

Medical inspection of schools is a new and valuable aid to health.
Epidemics of childish diseases which sweep through the schools with a
fearful record of illness and a lesser one of death, may often be
checked entirely by the close watch of the medical inspector, who
removes the first patients from the schools when the disease is in its
beginning.

Public playgrounds for children in cities have an influence that it is
as good for health as it is for morals, providing, as it does, fresh air
and active exercise for children. Open air schools for tubercular
children are being operated in several cities with excellent results in
health and school work.

Many states are making an organized effort to fight tuberculosis by
establishing fresh-air colonies where, with pure air, rest and plenty of
the most nourishing food, patients are restored to health.

Care of epileptics and the insane by the state, with proper hygiene and
treatment, accomplishes many cures.

The nation is doing excellent work in a few lines, notably the Pure Food
Bureau and the Marine Hospital Corps, but perfected organization of all
the forces is lacking. The Department of Agriculture has done a
wonderful work in investigating and curbing insect pests that injure
farm crops and trees, and in stamping out disease among live stock.
Forty-six million dollars have been spent and well spent in the work in
the last few years, but it is a matter of reproach that more pains are
taken to save the lives of cattle and farm crops than human lives.

There should be a strong central Bureau of Health with power and money
scientifically to investigate disease, to distribute information as the
Department of Agriculture does to farmers, and to carry out their ideas,
as do state and city boards of health.

We have dealt with only one side of the question--the suffering and
sorrow; but in a work