From the nature of the case a satisfactory general answer to this question cannot be given, but a few suggestions may be useful. In the first place, ground-waters obviously do not require filtration: they have already in most cases been thoroughly filtered in the ground through which they have passed, and in the exceptional cases, as, for instance, an artesian well drawing water through fissures in a ledge from a polluted origin, a new supply will generally be chosen rather than to attempt to improve so doubtful a raw material. River-waters should be filtered. It cannot be asserted that there are no rivers in mountainous districts in which the water is at once clear and free from pollution, and suitable in its natural state for water-supply; but if so, they are not common, least of all in the regions where water-supplies are usually required. The use of river-waters in their natural state or after sedimentation only, drawn from such rivers as the Merrimac, Hudson, Potomac, Delaware, Schuylkill, Ohio, and Mississippi, is a filthy as well as an unhealthy practice, which ought to be abandoned. The question is more difficult in the case of supplies drawn from lakes or storage reservoirs. Many such supplies are grossly polluted and should be either abandoned or filtered. Others are subject to algæ growths, or are muddy, and would be much improved by filtration. Still others are drawn either from unpolluted water-sheds, or the pollution is so greatly diluted and reduced by storage that no known disadvantage results from their use. In measuring the effects of the pollution of water-supplies, the typhoid-fever death-rate is a most important aid. Not that typhoid fever is the sole evil resulting from polluted water, but because it is also a very useful index of other evils for which corresponding statistics cannot be obtained, as, for instance, the causation of diarrhœal diseases or the danger from invasion by cholera. I think we shall not go far wrong at the start to confine our attention to those cities where there are over 25 deaths from typhoid fever per 100,000 of population. This will at once throw out of consideration a large number of relatively good supplies, including those of New York and Brooklyn. It is not my idea that none of these supplies cause disease. Many of them, as for instance that of New York, are known to receive sewage, and it is an interesting question worthy of most careful study whether there are cases of sickness resulting from this pollution. The point that I wish to make now is simply that in those cases the death-rate itself is evidence that, with existing conditions of dilution and storage, the resulting damage of which we have knowledge is not great enough to justify the expense involved by filtration.