An adequate presentation of even those data which have been already worked up and published would occupy too much space. I think every one who has carefully studied the recent history of water filtration in its relation to disease has been convinced that filtration carefully executed under suitable and normal conditions, even if not an absolute, is at least a very substantial protection against water-carried diseases, and the few apparent failures to remove objectionable qualities have been without exception due to abnormal conditions which are now understood and in future can be prevented. BACTERIAL EXAMINATION OF WATERS. Every large filter-plant should have arrangements for the systematic bacterial examination of the water before and after filtration, especially where the raw water is subject to serious pollution. Such examinations need not be excessively expensive, and they will not only show the efficiency of the plant as a whole, but may be made to show the relative efficiencies of the separate filters, the relative efficiencies at different parts of the periods of operation, the effect of cold weather, etc., and will then be a substantial aid to the superintendent in always securing good effluents at the minimum cost. In addition a complete record of the bacteria in the water at different times may aid in determining definitely whether the water was connected with outbreaks of disease. Thus if an outbreak of disease of any kind were preceded at a certain interval by a great increase in the number of bacteria,—as has been the case, for example, with the typhoid epidemics at Altona and Berlin (see Appendices II and VII),—a presumption would arise that they might have been connected with each other, and each time it was repeated the presumption would be strengthened, while, on the other hand, outbreaks occurring while the bacteria remained constantly low would tend to discredit such a theory. Bacterial investigations inaugurated after an epidemic is recognized, as has frequently been done, seldom lead to results of value, both because the local normal bacterial conditions are generally unknown at the commencement of the investigation, and because the most important time, the time of infection, is already long past before the first samples are taken. The fact that such sporadic activities have led to few definite results should throw no discredit upon continued observations, which have repeatedly proved of inestimable value.