One year ago I had occasion to report that an act of Parliament had been passed at Ottawa, to wit, Bill 112, passed by House of Commons May, 1902, designed to prevent “the landing at Canadian ports of any immigrant or other passenger who is suffering from a loathsome, dangerous, infectious disease or malady, whether such immigrant intends to settle in Canada, _or only intends to pass through Canada to settle in some other country_.” Although this act was passed in May, 1902, it was not made effective till September 8 of the same year. This delay was due to the absence from Ottawa of certain government officials whose approval was essential to its promulgation. During the interim from the passage to the promulgation of this act a large number of aliens destined to the United States, and a greater number destined to Canada, were permitted to land despite the fact that the act in question, if enforceable, would have precluded the possibility of their landing. Indeed, it was not until said act was made enforceable and enforced that a single legal deportation could have been effected from Canada, so that its promulgation may be cited as the one paramount important feature of the year. The Bureau having been amply apprised of the fact that the above-mentioned Canadian legislation is due solely to revelations made by United States immigrant inspectors on the Canadian frontier, it will not be necessary to dwell further on that point than to emphasize the fact that this very important matter furnishes both the Canadian and United States governments genuine cause for gratification, inasmuch as both are now capable of dealing satisfactorily with a very grave question. I felt constrained to remark in the annual report for 1902 that we must wait for developments in order to be able to ascertain whether the Canadian exclusion act would afford the satisfaction anticipated, and experience has demonstrated that it was quite a proper observation to make, because it has frequently occurred that a disagreement of diagnoses has been determined on the Canadian medical examiner’s certificate, which has led to certain aliens being allowed to land instead of being deported, as would have been the case had the United States medical examiner’s certificate been accepted as final. However, it is a source of pleasure to me to be able to report that while such cases were painfully numerous during the early period of the enforcement of the Canadian exclusion act, there has been a tendency to uniformity of diagnoses, and not only that, but also an appreciable improvement in the conditions existing between the officers of the immigration services, Canadian and United States, respectively.