It seems to me (and these friends of mine, who have also been there and have seen the conditions, agree with me), that it is impossible under the circumstances to combat the disease by medical assistance. The hardy mountaineers from the headwaters of the Great Zab and Tigris can best be helped by giving them the means to resist disease. Once disease has hold of them, no half measures of medical relief can help. I am therefore strongly of opinion that, if more relief is sent, it should take the form of money, which should go to increase the daily allowances of the refugees, enabling them to buy for themselves, from the Persians of Diliman, food and clothing, which alone will enable them to resist disease. The position is now as follows. When I left Diliman for Van at the end of October, I saw in the regions round Bashkalé another 5,000 or 6,000 Assyrian and a sprinkling of Armenians living in caves of the rocks or in the open, and feeding on raw grains of wheat, which they were picking from the ruined corn-fields. On my return in January most of these were in Salmas, and so I think about 30,000 Assyrian and Armenian refugees are now there—that is, after deducting 15 per cent. as loss from disease in the last three months. The Russian and American relief organisations which are working there of course stand in need of more money to carry on their work effectively. In order to save the refugees from starving, doles of money must be given out to them till next harvest at least. I should certainly think that the Americans, whose committee is centred in Tabriz, under the American Consul there, are doing the best work with the means at their disposal. With the Russian organisation there is more delay and greater leakage. Relief is being given impartially by the Americans to Assyrians and Armenians of all denominations. This cannot always be guaranteed for the Russian organisation. I would therefore strongly appeal for further help for the distressed refugees of this ancient Assyrian Church, together with their brethren of the Armenian Gregorian, Catholic and Protestant faiths, and should suggest that it be sent to the British Consul at Tabriz to distribute with the American missionaries in the form of increased daily allowances for food and clothing. V. THE REFUGEES IN THE CAUCASUS. _For two months—June and July, 1915—the Armenians of Van enjoyed an autonomous national government under Russian protection. But in the last days of July the Ottoman armies on this front received strong reinforcements, and were able once more to take the offensive. The Russian troops began to fall back from Van on the 30th July, and practically the entire Armenian population of the Vilayet accompanied them in their retirement._