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peared under use of bromides. Other treatment did not differ materially from other cases. Made good recovery. Could use neither rum nor tobacco for more than a year, when he drank to excess on one occasion to punish his wife for some imaginary misdemeanor. Said he did not want it, and as far as I can learn has drunk none since. Took promises for pay in this case, and have them yet.

Cases 5th and 6th are similar. Case 5th. F. T., American, clerk. Made a good recovery under treatment but relapsed within a year, because he could not defend himself against jeers of friends. Began drinking to please them, and not because he wanted it. Old appetite is now renewed and he suffers consequences.

Case 6th. H. W., American, wheelwright, aged 55. Claimed he was released from appetite for liquor for more than a year. Has removed from town but learn he is drinking again. Understand he claims to have been struck by lightning, and is evidently a believer in the "similia similibus curanter” doctrine.

Case 7th. F. P., aged 30, engaged in lumber business, American. Was nearly a complete wreck but determined to try the cure. Returned to his business in four weeks, and is free from any desire for stimulants after two years. In a recent conversation, he tells me there has never been any longing for liquor, although most aggravating temptations have been placed in his way.

These few cases and the flattering results assure me that we have at hand remedies which do cure the appetite for liquor, and are within the reach, and can be under the control, of every physician.

I have no doubt respecting the successful issue of every case which may come into your hands, but it re

quires a strong determination on the part of a patient to resist the social invitations which will assail him. Every man who has anxiety enough respecting the terrible appetite which has fastened itself upon him, to put himself under treatment, should be encouraged when he has put his hand to the plow, never to look back.

Some Observations on Preventive Medicine.

By J. Henry Jackson, M. D., Barre.

Mr. President, and Fellows of Vermont State Medical Society: In response to the order of the executive committee, I present a few observations on State medicine and kindred topics which may be suggestive and helpful to others.

And first I would offer a personal expression of satisfaction to our State Board of Health for the timely circular recently issued by them on tuberculosis. I wish a copy of it might be placed in every home in our land, that by the careful isolation therein taught we may have the fewest possible fatalities from this terrible scourge which destroys annually in the United States one hundred and seventy thousand, and causes one-seventh of all the deaths in the world.

In this connection there arises the question of milk purity. As the years go by there is an increasing tendency to feed infants artificially and to deprive them of that best boon of early life-the maternal fountain. While compensation for this loss can never be fully made, we are under obligation to furnish the future men and women of our country with the best substitute that can be obtained. The discussions and object lessons heretofore presented to this society upon the subject of tuberculosis in cattle should not di

minish until all the dairies in the State shall be subject to inspection, and examination of the herds by some duly authorized person with the aid of the tuberculin test, and the granting of a license to such owners as are found to possess healthy cows. I believe our farmers and dairymen will be willing to comply with legal enactments if our legislature will make known the necessity.

It has recently come to my knowledge that an epidemic of typhoid fever is prevailing in a settlement in central Vermont whose inhabitants are largely of foreign birth. Many of the houses are built in a cheap manner, for rent, and almost no attention is given to drainage or to the supply of pure water. In some cases there are found two excavations belonging to each house; one small and shallow for the reception of sewage, and not many feet away a larger and drinking and culi

deeper one for the collecting of water for nary purposes. It is more than probable that the filth diseases do so originate and are thus continued; and only the early correction of this careless and unsanitary method of living will prevent similar serious results elsewhere.

A few years ago one of our most prosperous villages was in a like unsanitary condition, and typhoid fever, diphtheria and other diseases of that kind gave a rich harvest to the physicians and undertakers, but brought sorrow and blight to many homes. After many town meetings, much argument and faithful house-to-house visitation, the taxpayers became willing to have a change. An excellent supply of pure water was furnished and a complete system of sewerage put in, and during the several years that have followed there have been but few cases of filth disease and no epidemics in that locality.

In New England there has been a long established custom of general house-cleaning in the spring and autumn, when, according to the funny column of the newspaper, the house is in such confusion that the inmates must depend for nourishment upon lunches eaten in the pantry until order is again restored and the house is once more clean. I would like to inquire what proportion of the houses so cleaned have had the same care bestowed upon the attic and cellar as upon the general living rooms, and have had the useless and microbe-producing substances removed and destroyed. How much the politicians would enjoy the bonfires which could be fed this fall from our attics, and how much the attics would be relieved by having their stores of clothes, hats, broken furniture and other rubbish fed to the flames. When this has been done, and the cellars have sent out their disease-laden refuse, and the ceilings and walls have received a generous supply of easily obtained white-wash and pure air, the house may be pronounced clean. The school-houses must not be forgotten in the annual cleaning, and the preventable diseases of children may be reduced to a minimum by frequent fumigations and whitewashing. Even the churches will do well to follow this commendable fashion and preserve that cleanliness, which in all well-regulated communities is ranked next to godliness.

Some observer of athletic sports has recently made the statement that athletes are not a long-lived class and that a large percentage of them become disabled or die at an early age of tuberculosis. As a rule the bicycle recordbreaker or the base ball victor of one year is not the successful racer or pitcher of the next, and the chances are that he will not be strong enough to profitably compete in

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