New York City, Oct. 25, 1904.
To the Editor.
—To attend the fourth Pan-American Medical Congress, which will be held in Panama, Jan. 2-6, 1905, will involve a most delightful midwinter trip. The delegates will leave this country by the Atlantic, Pacific and Gulf coasts the last week in December and will return by the same or other routes. The American Public Health Association will meet the following week in Havana, and those who desire to attend both meetings can do so. There are two routes for the physicians from Panama to Havana. The first is by way of Jamaica to Santiago de Cuba by boat and overland by rail to Havana. The second is by water from Panama to Vera Cruz and from there to Havana. The former will probably be the most pleasant.From Havana, the return trip can be made directly north to New York by water