Ventilating shafts should be erected at intervals and particularly at the highest points of the sewage system of a town, the upper end of these shafts being remote from the windows of any dwelling-house. When sewers are laid with too steep a gradient, they act as chimneys, the gases mounting to the higher part of the town, and frustrating attempts at ventilation on lower levels. Various attempts have been made to ventilate sewers by artificial means, as by the aspirating effect of street lamps, etc., but these efforts have not been successful, as the effect of the up-current only influences a short length of sewer. The usual method of combined up-shafts and street grids answers fairly well, but when any complaint of smell from street-grids occurs they should be replaced by up-shafts. In Bristol and a few other towns no provision is made for sewer-ventilation, and no ill effects have apparently resulted. There can be no question that the importance of sewer-ventilation has been exaggerated. If the sewer has a sufficient gradient, and is properly laid, and efficiently flushed, so that no offensive deposits occur, the provision of up-shafts at favourable points is all that is necessary. Sewer effluvia have been credited with causing enteric fever, diphtheria, and other diseases. These diseases rarely if ever owe their origin to this cause. The microbes discovered in sewer-air have always been those of the outside atmosphere, and not derived from the sewage. Sewer effluvia might, however, predispose to such diseases, if exposure to them were frequent or protracted, by lowering the powers of resistance of the constitution. =Flushing of Sewers= is required at intervals, in order to remove any deposits of grit or other solid matter. Flushing is effected by filling special flushing shafts placed at intervals in the sewers with clean water and then suddenly releasing this. _Whenever there is stagnation, a foul odour_ is certain to be emitted. The cardinal rule with regard to sewage is to keep it in rapid onward motion, until it has passed the outlet of the sewer. _The introduction into a sewer of hot water_ or waste steam is an occasional cause of nuisance. =The Outfall= of a sewer requires to be large and perfectly free in order that the progress of the sewage may not be impeded. When the sewage is discharged into the sea above the low water level, it becomes backed up in the main sewers when the tide is high. The same condition of things has occurred when the outfall is into a river below the water line, or into a tank out of which the sewage has to be pumped. In all these cases the ventilation of the sewers requires to be perfect, and great precautions taken to prevent obstruction of the outflow.