Tuberculosis has in this country been officially almost entirely ignored in those practical measures which health boards universally recognize as efficient in the suppression of this class of maladies. Physicians are not now generally required to report it to the local health boards. Systematic official measures of disinfection are not widely practised. But such official measures have been found extremely useful in the limitation of other communicable diseases. While consumption must logically be classed with diphtheria and scarlatina and small-pox as a communicable germ disease, it is, in fact, in the light of our present knowledge, when intelligently cared for, so little liable to spread that it is properly exempt from some of those summary measures which health authorities are justified in adopting with the more readily and less avoidably communicable maladies. Moreover, consumption is apt to involve such prolonged illness, and so often permits affected persons for months and years to go about their usual avocations, that general isolation would be both impracticable and inhumane. Moreover, for reasons which it is hoped are evident to the reader, isolation among those capable of caring for themselves is at present entirely unnecessary. But while extreme measures are not called for, local health boards must soon act in the prevention of tuberculosis. For the present the wisest and most humane course would seem to be to attempt to secure the desired ends rather by instruction and counsel and help than by direct and summary procedures. There is no more pitiable spectacle in this land to-day than that of hundreds of victims of advanced tuberculosis in every large town who cannot be comfortably or safely cared for in the dwellings of the poor, and yet who are always unwelcome applicants at most of our hospitals and at many are denied admission altogether. They are victims of ignorance and of vicious social and hygienic conditions for which they are not largely responsible, and States and municipalities, which are most to blame, owe them at least a shelter and a place to die. Unquestionably one of the urgent duties immediately before us in all parts of the land where tuberculosis prevails is the establishment of special hospitals in which this disease can be treated and its victims safely cared for.