Flexner's antimeningitis serum has been in use for epidemic cerebrospinal fever now for one year. A final opinion of its value as a therapeutic measure must be reserved until the number of cases in which it has been used is very large. Our experience at the Johns Hopkins Hospital with a small series has been so striking, however, that Dr. Barker has asked me to present it to you.
The Board of Health statistics for Baltimore do not show the present epidemic to be more severe than those of previous years. In fact, we feel that the cases are rather sporadic than epidemic. And yet to date we have had twenty-one cases in the Johns Hopkins Hospital since January 1, compared with thirty-three cases in the previous nineteen years of the hospital. This we might mention as the first effect of the serum. The knowledge of its use has led