No sketch of the Institutional work in Tananarive would be complete without a reference to the Medical Mission, which for many years has been carried on jointly by the F. F. M. A. and the L. M. S., the doctor being a missionary of the former Society. For the last sixteen years Dr. Moss has been the medical missionary in charge, and in his own person illustrates the close union between the two Societies in this work. He has been a missionary of the F. F. M. A., and is the son of an L. M. S. missionary, and his wife, a trained nurse, is the daughter of an L. M. S. missionary, the saintly Joseph Pearse. No department of missionary work in the capital suffered more from the advent of the French than the Medical Mission. A fine commodious hospital, opened in 1891 by the ex-Queen, was appropriated by the French Government in 1896, and since then the hospital work has been on a much smaller scale, and in fact there was no hospital at all between 1897 and 1903, although a large out-patient work was carried on. In the latter year a small Cottage Hospital was erected, round which the work has since centred under the devoted superintendence of Dr. and Mrs. Moss. In barest outline some account has been given of the Institutional work of the Imerina Mission, which is centred in Tananarive. In this work the European missionary and the Native agent, working together side by side and in closest co-operation, are contributing to the building up of a strong Native Church, which in the future is to be God’s instrument in spreading the light into the dark places of the Island. This Church is as “a city set on a hill that cannot be hid.” CHAPTER VII =Imerina Country Districts--“Fields White Unto Harvest”= Say not the struggle naught availeth, The labour and the wounds are vain, The enemy faints not, nor faileth, And as things have been they remain. * * * * * For while the tired waves, vainly breaking, Seem here no painful inch to gain; Far back, through creeks, and inlets making, Comes, silent, flooding in the main. CLOUGH. It was not until 1870 that the L. M. S. established its first country station in Madagascar. In that year Dr. Sibree founded a residential station at Ambohimanga, the ancient capital of the Hovas, and one of the three towns in Madagascar which, until the French occupation, no European was permitted to enter. Ambohimanga lies about eleven miles north of Tananarive, whence its wooded heights can be clearly seen.