Book Reviews.

PROGRESSIVE MEDICINE. A Quarterly Digest of Advances, Discoveries, and Improvements in the Medical and Surgical Sciences. Edited by Hobart Amory Hare, M.D., Professor of Therapeutics and Materia Medica in the Jefferson Medical College of Philadelphia. Vol. III, September, 1905. Octavo, 298 pp., with 22 engravings. Per annum in four clothbound volumes, $9; in paper binding, $6. Philadelphia and New York: Lea Bros. & Co.

This, the third volume of the series, is devoted to diseases of the thorax and its viscera, including the heart, lungs, and blood-vessels; dermatology and syphilis, diseases of the nervous system, and obstetrics. The first article is by William Ewart. M.D., F.R.C.P., of London. A very good review of recent literature on tuberculosis marks nearly half of this article. Pneumonia, which has claimed the center of the stage in America, is not mentioned at all except in a six-line reference to heart-failure in pneumonia. There is, however, a brief discussion of primary pneumococcus bronchopneumonia.

The section on Dermatology and Syphilis is by Dr. Wm. S. Gottheil of New York; that on Diseases of the Nervous System is by Dr. Wm. G. Spiller of Philadelphia, and the section on Obstetrics is by Dr. Richard C. Norris of Philadelphia. Of this section fully half is devoted to an interesting discussion of the diseases and accidents of pregnancy, about 15 pages to labor, the same space to the puerperium, and the remainder of the article to obstetric surgery.

MANUAL OF THE DISEASES OF THE EYE. By Charles H. May, M.D., Chief of Clinic and Instructor in Ophthalmology, College of Physicians and Surgeons, Medical Department, Columbia University, New York, 18901903; Ophthalmic Surgeon to the City Hospitals, Randall's Island, New York; Adjunct Ophthalmic Surgeon to Mt. Sinai Hospital, New York, etc. Fourth edition, revised, with 360 original illustrations, including 21 plates, with 60 colored figures. New York: William Wood & Co. The most satisfactory textbook on diseases of the eye yet produced for the general medical student. With the new colored plates, which constitute the chief features of change in the fourth edition, this manual assumes all the advantages of a combined atlas and textbook. The illustrations have been well chosen and beautifully reproduced. The text is throughout clear, concise, and explicit. Everything that the undergraduate student requires is presented in an attractive and impressive form, and we have no hesitancy in recommending it to students and general practitioners as an authoritative guide.

We gladly avail ourselves of the privilege of congratulating the author upon the great success of his book. A fourth edition demanded within five years is an unusual compliment, but in this case a very deserved one.

H. O. R

OBSTETRIC AND GYNECOLOGIC NURSING. By Edward P. Davis, A.M., M.D., Professor of Obstetrics in the Jefferson Medical College, Philadelphia; Obstetrician to the Jefferson and Polyclinic Hospital; Obstetrician and Gynecologist to the Philadelphia Hospital. Second edition, revised. Philadelphia, New York and London: W. B. Saunders & Co. 1904. This book has been prepared for the use of pupils in the training schools for nurses in Jefferson Hospital and Philadelphia Hospital. It is liberally but not profusely illustrated, and the text is decidedly enriched by the illustrations. The book is in all respects an excellent manual for nurses.

BOOKS RECEIVED.

DISEASES OF THE NOSE AND THROAT. By Cornelius Godfrey Coakley, A.M., M.D. Philadelphia: Lea Bros. & Co.

INTERNATIONAL CLINICS. By A. O. J. Kelly, A.M., M.D. Philadelphia: J. B. Lippincott Company.

AMERICAN LARYNGOLOGICAL ASSOCIATION. Session held at Atlantic City, N. J. Published by the Association.

HYGIENE AND PUBLIC HEALTH. By B. A. Whiteledge and G. Newman, M.D. Chicago: W. T. Keener & Co. Price, $1.75.

CLINICAL METHODS. By R. Hutchinson, M.D., F.R.C.P., and H. Rainy, M.A., F.R.C.Ped., F.R.S.E. Chicago: W. T. Keener & Co.

A MANUAL OF CHEMISTRY. By A. P. Luff and Frederic James M. Page, B.S.C., R.I.C. Chicago: W. T. Keener & Co.

INDIGESTION. By Geo. Herschell, M.D., London. Chicago: W. T. Keener & Co. Price, $1.50.

OPHTHALMIC NEUROMYOLOGY. By G. C. Savage, M.D. North Nashville, Pa. Published by the author.

THE ELEMENTS OF HOMEOPATHIC THEORY, MATERIA MEDICA PRACTICE AND PHARMACY. By F. A. Boericke and E. P. Anshutz. Philadelphia: Boericke & Tafel.

DISEASES OF THE SKIN. By George Thomas Jackson, M.D. Philadelphia: Lea Bros. & Co.

DISEASES OF THE EYE. By Charles H. May. Fourth edition, revised. New York: William Wood & Co.

PROCEEDINGS OF THE AMERICAN MEDICO-PSYCHOLOGICAL ASSOCIATION. Sixtieth Annual Meeting. Published by the Association.

THERAPEUTICS: ITS PRINCIPLES AND PRACTICE. By Horatio C. Woods, Jr., M.D., LL.D. Philadelphia: J. B. Lippincott Company.

THE DIAGNOSTICS OF INTERNAL MEDICINE. By Glentworth Reeve Butler, Sc.D., M.D. New York: D. Appleton & Co.

THE PRINCIPLES AND PRACTICE OF MEDICINE. By William Osler, M.D. New York: D. Appleton & Co.

PRACTICE OF MEDICINE. By Hughes Dayton, M.D. Philadelphia: Lea Bros. & Co.

PROGRESSIVE MEDICINE. By Hobart Amory Hare, M.D. Philadelphia: Lea Bros. & Co.

MODERN METHODS OF TREATMENT-ORGANOTHERAPY. By H. Batty Shaw. Chicago: W. T. Keener & Co. Price, $1.75.

THE MARYLAND ASSOCIATION FOR THE PREVENTION AND RELIEF OF TUBERCULOSIS.

THE Maryland Association for the Prevention and Relief of Tuberculosis makes an appeal to the public for the sum of $6000 to enlarge its work during the coming year. This association has not yet completed the first year of its existence, but has found its definite place among the strong agencies for the betterment of social conditions in this State. As is usually the case in such undertakings, the work already in hand brings the association to other work, not anticipated, but closely related to the prevention of tuberculosis, and therefore necessary to be done. The campaign of popular education, begun by the association at the point where the Tuberculosis Exposition left it, has been prosecuted vigorously and with effect. Besides a large number of public lectures in various parts of Baltimore, meetings have been held in nearly all of the 23 counties of the State. The association supplies interesting copy for publication, and the county newspapers have made liberal use of this matter. Co-operative relations have been established with organized charity and organized labor, with local boards of health and county school boards. It can now be said quite confidently that public opinion in Maryland is as well informed in the causes and prevention of tuberculosis as in any other area of similar extent and population. Most of the particulars in the restriction of tuberculosis have been provided for. The registration law is now in satisfactory operation. Physicians are generally engaged in the domestic prophylaxis which the law imposes on them. Boards of health are somewhat slow in providing for the disinfection which the law requires, but the information which is slowly accumulating wherever this phase of the work is neglected will soon compel the obedience of local boards of health or empty them out of their political berths. With a few more tuberculosis dispensaries, with considerable expansion of the work of instructive nursing, and with increased facilities for sanatorium treatment, our special armament against tuberculosis will be about complete.

Some of the fundamentals of public hygiene in this State need strengthening, however, and one of these has come to be of interest to the association. One of these is the question of child labor, with the closely-related question of school attendance. The laws of the State on child labor need but little amendment, it seems, though there are some unwise exemptions in favor of certain industries. The legislature has not provided a sufficient force of

inspectors to make the law effective. The law on school attendance does not apply equally in all parts of the State. With laws on these subjects in successful operation we shall very greatly strengthen the resisting power of the State of Maryland against inroads of disease, and especially of tuberculosis. A general movement is now arising among the organized philanthropic agencies to improve the conditions of childhood, and in this movement the Maryland Association for the Prevention and Relief of Tuberculosis will take an active part. The purposes of this association should commend themselves especially to the medical profession. Medical men are already good contributors of work as well as of money, and it is in their power to direct the attention of charitable laymen to the needs of the association.

MILK.

Two other problems of general hygiene may be mentioned here on account of their rather intimate relation to the spread of tuberculosis. One is the milk supply. The Commissioner of Health of the District of Columbia has more power of control over the milk farms of Maryland than the Health Commissioner of Baltimore or any other public health official in Maryland. The powerful influence of the United States Department of Agriculture, which the people of remoter States have found so useful, has not been employed by the people of Maryland to improve the business of dairying. The examples furnished by Massachusetts, Boston, New York, Rochester, Newark, Yonkers and a score of lesser cities have not stirred any Maryland town to emulation. The subject of dairy hygiene has hardly been touched in Maryland. Several years ago the Sanitary Live-Stock Board asked for authority to supervise dairies and to study tuberculosis in dairy cattle. This effort received very little popular support, and the interested opposition was not very strong, though it sufficed. Instead of granting the authority and the means asked, the legislature enacted a law governing the physical conditions of housing cattle. These regulations were not unimportant, and perhaps they became operative, but no noticeable improvement occurred in the practice of dairying. More recently an attempt was made to prohibit the business of dairying within the limits of Baltimore. This effort also failed, or did worse than fail. The compromise measure which eventually passed is said to have abolished the worst of the city dairies. If that be true, no practical public benefit resulted, for an indefinite extension of time was granted to a business which should not be tolerated under urban conditions. Future endeavor to improve the milk supply will very probably find public opinion awake and moving, for a campaign of education, already begun, will be waged very actively during the coming winter and spring by a course of public lectures and concluding with an exhibition covering the whole subject of milk in its relations to public health.

HOUSING.

ANOTHER appropriate subject for consideration at this time is the housing problem. Having no such monstrous abuses as those which are in process of abatement in New York, nor such sequestered slums as are found in

Washington, Baltimore has nevertheless her evil housing conditions which imperil the health of her citizens. In some sections great numbers of negroes and elsewhere crowds of alien poor live together under most unsanitary conditions. All about the city one may find populous alleys, impossible to clean, where the children of the poor may see the sun rise at 10 and set at 3 behind the houses of the rich, and may learn that there is no end to a city's scavenging.

At the beginning of a great sewerage project and of a splendid scheme of park and playground extension, the time seems opportune to obliterate the worst slums and to give the children of the poor a square deal in the matter of fresh air and sunshine.

These reforms will bear early fruit in diminished prevalence of acute infections, especially among children, but the richer yield will come much later, when stronger men and women meet the lesser hazards of a fuller life in a cleaner city.

THE MOSQUITO PROBLEM.

If the mosquito problem interested the politicians of Baltimore as it interests the politicians of New Orleans, the public meeting on November 1 would have seemed very significant. It was significant; the illusion is that it was not. When McCoy Hall is filled with Baltimoreans who want to hear this problem discussed, it means that the subject has been advanced to a position of importance in local politics. When such a meeting competes successfully with the more stirring attractions of a political contest, it means that the mosquito campaign is definitely under way and that uninformed officials must qualify as fast as they can to give the movement respectful and intelligent consideration.

Those of us who try to be informed about the practical work of exterminating mospuitoes were as surprised as any by Dr. Smith's statements concerning the success attained in New Jersey. It was most encouraging to be told that, with increased experience, the expense of such work has diminished rapidly, while the results have grown more satisfactory. "In a campaign against mosquitoes," said Dr. Smith, "to know what not to do is as important as to know what to do." "Much money has been wasted on pools which are not and cannot be breeding-places for mosquitoes." "The use of oil is a tentative remedy-a makeshift--against the mosquito pest." "The breeding of mosquitoes is intensive, and not extensive."

Mr. Coffin's account of the distribution of species in and around Baltimore was also interesting, and his confident assurance that Jones' falls does not propagate many mosquitoes eliminates a large part of the anticipated cost of our local campaign. Mr. George Stewart Brown, who has consistently advocated legislation on this subject during his career in the city council, and Dr. Howard A. Kelly, who supported the scientific investigation of the local problem, are to be congratulated on the success of the recent meeting. Having sufficient weight of public opinion and of scientific and practical authority behind it, this movement now commands the serious attention of city officials, and its future progress should not be difficult to maintain.