The effects resulting from breathing an impure atmosphere are necessarily dependent upon the extent of the pollution and other conditions. When the contamination is moderate the first effect is headache, accompanied with lassitude, and a general paleness of the face and skin, owing to a diminution of the red corpuscles of the blood or to their imperfect aëration; the pulse becomes lowered, and at the same time the breathing is accelerated. When in addition to breathing such air from day to day is superadded the misfortune of an insufficiency of food, scrofula and consumption very often follow. Dr Guy has demonstrated the great mortality that is caused by consumption in those trades in which workmen pursue their calling in hot, close, gas-lit rooms, in comparison with those who pass most of their time in the open air. The amount of air required by each person in a room is no less than 2100 feet per hour; when the ventilation does not supply this amount of fresh air, the apartment smells stuffy, the furniture becomes coated with a film of organic matter, unless constantly cleaned, and the carbonic acid becomes increased beyond its normal quantity. Dr Parkes has shown that bronchitis and consumption are more frequently than not contracted by those who live in an atmosphere of foul air. In the years 1834 to 1847 the proportion of deaths in the ill-ventilated prison of Leopoldstadt in Vienna was 86 per 1000, out of which number 51·4 per 1000 was due to phthisis or consumption; while in the well-ventilated House of Correction in the same city the deaths were 14 per 1000, of which 7·9 were from phthisis; hence 43·5 cases per 1000 of the deaths were clearly traceable to foul air and nothing else. Mr Noel Hartley, in his valuable little manual, ‘Water, Air, and Disinfectants,’ says: “During the outbreak of cattle plague in 1866, in sheds containing twenty to thirty cows——which the owners kept closed to such an extent that all chinks in the doors and windows were stuffed with straw and matting, under an ignorant belief that thus the plague could be kept out——very frequently the entire stock died in two or three days after the first appearance of disease; while in other cases where animals were housed in a well-cleaned and tidily-kept shed, with a plentiful supply of fresh air, not only did some of them escape the disease altogether, but the deaths were reduced to one third of the number of beasts attacked.” The large supply of fresh air necessary in hospitals for contagious diseases is fully recognised by medical men, and more especially so in America. Wounds carefully protected from contact with impure air do not suppurate, and organic fluids do not putrefy. On the other hand, in a bad atmosphere sores become unhealthy, and are difficult to heal, erysipelas and hospital gangrene frequently set in, while the best prevention and the best means of cure for such afflictions is the greatest possible exposure to fresh air.