Modern Cuzco is a city of about 20,000 people. Although it is the political capital of the most important department in southern Peru, it had in 1911 only one hospital--a semi-public, non-sectarian organization on the west of the city, next door to the largest cemetery. In fact, so far away is it from everything else and so close to the cemetery that the funeral wreaths and the more prominent monuments are almost the only interesting things which the patients have to look at. The building has large courtyards and open colonnades, which would afford ideal conditions for patients able to take advantage of open-air treatment. At the time of Surgeon Erving's visit he found the patients were all kept in wards whose windows were small and practically always closed and shuttered, so that the atmosphere was close and the light insufficient. One could hardly imagine a stronger contrast than exists between such wards and those to which we are accustomed in the United States, where the maximum of sunlight and fresh air is sought and patients are encouraged to sit out-of-doors, and even have their cots on porches. There was no resident physician. The utmost care was taken throughout the hospital to have everything as dark as possible, thus conforming to the ancient mountain traditions regarding the evil effects of sunlight and fresh air. Needless to say, the hospital has a high mortality and a very poor local reputation; yet it is the only hospital in the Department. Outside of Cuzco, in all the towns we visited, there was no provision for caring for the sick except in their own homes. In the larger places there are shops where some of the more common drugs may be obtained, but in the great majority of towns and villages no modern medicines can be purchased. No wonder President Giesecke, of the University, is urging his students to play football and tennis. ------ FIGURE Towers of Jesuit Church With Cloisters and Tennis Court of University, Cuzco ------