From 1873 to the present time, there have been annual meetings of the association, with a greatly enlarged membership. A large result of the efforts of the association and its members is seen in the national, state and local boards of health, and other sanitary organizations throughout the country. But three of the states are now without state organizations. The recent meeting in Washington was its “thirteenth annual,” and was as well attended and its members as enthusiastic as at any. The members were “welcomed” on behalf the medical fraternity of Washington by the venerable Dr. J. M. Toner, and by the district authorities through the President of the Board of Commissioners, Judge Edmonds. These remarks were followed by the usual address by the president of the association, Dr. Reeves of West Virginia. The chief point, perhaps, of Dr. Reeves' address, and the one calling out most expressions of approval, was the arraignment of Congress for its failure to provide means for the support of the National Board of Health. He cited the liberality shown to care for domestic animals, the fisheries, the Indians, and, indeed, almost every conceivable object, but Congress was unwilling to grant even a sum sufficient for gathering and publishing the reports from local boards. He expressed a strong feeling against the attempt to have the work for which the National Board was created to perform, done by the Marine Hospital Service. A large part of the time of the meetings was taken up in hearing reports from committees appointed at the meeting in St. Louis, 1884. Among these reports were some of great interest. Prof. Sargent, of Harvard, gave a report upon “School Hygiene in American Schools and Colleges,” and this was enlarged by a paper from Dr. Hartwell, of John Hopkins University, on “The German System of Physical Education.” At this meeting prizes were to be awarded, in accordance with the wish of Mr. Lomb, of Baush & Lomb, Rochester. The subjects were: 1. “Healthy homes and food for the working classes.” 2. “The sanitary conditions and necessities of school-houses and school life.” 3. On “Disinfection and individual prophylaxis against infectious diseases.” 4. On “Preventable causes of disease, injury, and death in American manufactories and workshops, and the best means and appliances for preventing and avoiding them.”