This report is filled with interesting matter. Surgeon-General Hamilton sums up the amount of relief furnished to 40,195 patients, of whom 13,356 were treated in the hospitals, and 26,839 at the dispensaries. The receipts from all sources were $426,-620,35, and the expenditures $469,966,21. The necessity for medical relief to the inhabitants of Alaska, and protection from the devastations of syphilis and small-pox is strongly set forth. Reports upon the various hospital buildings and grounds are given at length, with diagrams showing their modes of construction. The question of national quarantines is discussed at some length. The activity and unceasing vigilance of the State Board of Health of Louisiana is referred to in so many words, and " their co-operation made comparatively easy work of what would otherwise have been a task of extreme difficulty." To obtain information from foreign ports, sanitary inspectors have been stationed at Havana and Vera Cruz to