The January Bulletin of the Department of Health in New York city shows that the downward curve of the death rate during 1910 and 1911 was continued in 1912 and that the lowest point ever recorded in the city has been reached. In 1911 the death rate was 15.13 for 1,000, while in 1912 it was 14.11. The difference of 1.02 between the two years means that 5,276 lives were saved in 1912, for, if the rate of 1911 had prevailed last year, New York’s death roll would have been larger by just that number. In analyzing the returns it is found that the decrease has affected those diseases which the Department of Health seeks to control; namely, the acute infectious diseases, tuberculosis of the lungs, and the diarrhoea of children. On the other hand, there is a decided increase in the mortality from those diseases which seem to be peculiar to our modern society and which are not under public health control, organic heart disease and Bright’s disease. The infant mortality rate is low. Calculated on the basis of reported births the deaths of children under one year number only 105 per thousand born, and in all probability this is a little too high, for New York city does not claim to have more than from 90 to 95 per cent birth registration. The record is encouraging when compared with the figures for Great Britain and Germany. The rate for England and Wales in 1911 was 130; that for Berlin in 1910 was 157. HEALTH OF LONDON SCHOOL CHILDREN Only in the last few years has the law required every child attending an elementary school to be physically examined on entering and leaving and, therefore, statistics on the health of school children in England are only now available. About a million and a half children are now examined annually. The report of Sir George Newman, chief medical officer of the Board of Education for 1911, has just been issued. It shows the condition of 186,652 children in thirteen counties and sixteen urban areas and is far from satisfactory. Only in one urban area did the percentage of “good” nutrition reach 45, and from this figure it ranged down as low as 3.8. Of 200,000 children examined in London more than half were found to be defective and over 78,000 were recommended for treatment. According to this report the malnutrition is due in the great majority of cases to ignorance of the relative value of foodstuffs and the means of using them economically, and only in the minority to poverty. About .5 per cent of the children are feeble-minded and of these about one-seventh are of such low grade as to be uneducable. INTERNATIONAL CONGRESS ON SCHOOL HYGIENE