it is likely that the jails will again be filled, greatly to the disgrace of Christian civilization. The medical work has been well cared for, and the wisdom of placing the female department under the care of a competent and faithful woman physician has been amply vindicated. -Central State Hospital, Petersburg.-The following improvements have recently been completed: I-A brick building, on the pavilion style-capacity about seventy-fivefor recent or acute cases. There are a diet kitchen, a dining-room, a recreation room, physicians' examining room and broad balconies on the south side. A graduate trained nurse and several assistants care for and nurse the patients much like patients are treated and cared for in a general hospital. Modern hydro-therapeutic appliances will be installed later. 2-An attractive brick building-a comfortable home-for the male attendants. 3-A commodious brick building for amusements, religious services, etc. 4-An industrial building, two stories, and constructed of brick. 5-An abundance of pure water has been procured by an eight-inch well bored through the underlying granite to a depth of three hundred feet. Tubercular patients have been kept continuously for the past two years in tents, one camp being a mile away from the hospital. More attention than was formerly done, is being paid to the surgical treatment of cases, but along rational, conservative lines. Baseball and croquet clubs have been organized among the male and female patients respectively, as additional outdoor recreation and diversion. Two medical internes will be added to the staff in May. -Western State Hospital, Staunton.-The two thousand-dollar bake house has been completed and works very satisfactorily. WASHINGTON.-Western Washington Hospital for Insane, Fort Steilacoom.-During the past year there has been a steady increase in the number of patients until at the present time the capacity of the old building is taxed to its utmost. This congestion, however, will soon be relieved, as we will in about a week's time be ready to occupy one of our new detached wings which has been recently completed. The Legislature last year appropriated $101,000 for two detached wings both of which are now finished and ready to be occupied. They are substantial fire-proof structures of brick and reinforced concrete and are convenient and modern in every respect. Each wing will comfortably accommodate about one hundred and fifty patients. We have recently fenced in about three acres of our grounds, making a very pretty and attractive park in which we have seven fine deer. We expect to soon add to our collection of wild game by the addition of four elk and three buffalo. The general health of the patients the past year has been above the average and there has been no bad epidemics. WEST VIRGINIA.-The West Virginia Asylum, Huntington.-At present this hospital is caring for 355 patients; 215 males and 140 females. There is under construction an annex to one of the buildings which will cost $1200, and which will provide accommodation for seventy-five patients. WISCONSIN.-Milwaukee Sanitarium, Wauwatosa.—The two new buildings which have been under construction will be ready for occupancy May 1. The building known as the "West House" will accommodate ten or twelve patients desirous of attractive rooms single or en suite, and baths in connection. The other building is a psychopathic hospital, three stories high, and of steel, brick and tile construction-provided with continuous baths, sun rooms, and has an attractive outlook over the Menominee valley from the hillside. Each of these buildings have their own recreation grounds and as complete privacy as may be desired. -Milwaukee Hospital for Insane, Wauwatosa.—Many valuable improvements and additions have been made during the past six months at this hospital; others are in progress and still others projected for the near future. The cow barn has been enlarged to a capacity of fifty-nine head of cattle, a concrete floor throughout has been provided with water and food trough in the front, and gutter in the rear pitched to drain. Metal stanchions were substituted for wood, and ensilage and manure carriers operating on a track suspended from the ceiling have been installed. Ample ventilation has been provided and altogether the plant is thoroughly modern and sanitary. The ground fronting on the highway has been graded properly and seeded and will form a beautiful expanse of lawn. Ornamental gate pillars will shortly be erected on foundations already in place and the appearance of the entrance to the hospital will thus be made most attractive. The baseball grounds were also extended considerably and properly graded. Hose houses were provided for each of the hydrants surrounding the buildings and they are equipped with adequate lengths of hose, ready connected, wrenches in place and a lantern in each house. A cement brick-making machine was purchased some months ago and the industry fully established, providing much needed and valuable labor for many of the working class of patients. These have turned out an average of one thousand bricks daily besides concrete blocks to the number of fifty. This material will be used in the construction of various buildings projected. A pavilion with a capacity of twenty-five patients is nearing completion. This is intended for tuberculous cases and is admirably adapted for the purpose, being practically all windows and it is ideally located, facing the east and south. An apparatus for softening water for use in the laundry, boilers and toilet purposes was installed several months ago, and has been most successful, reducing the water from 31 degrees of hardness to between 6 and 8 degrees. A saving of more than half the soap in the laundry has been effected, the boilers are entirely free from scale and the hot water pipes are no longer occluded by scale as formerly. It has rendered the use of boiler compound unnecessary. The heating coils and ventilating fans, formerly located in the power plant in the space now occupied by the ice plant, were installed in the basement under the wings and have rendered efficient service in heating the patient's bed rooms during the most severe weather. The street railway station has been moved to a point east of the main entrance and has been provided with adequate toilet facilities. Ornamental steel ceilings have been provided in the four visiting wards and they add very materially to their appearance. An addition to the general kitchen of concrete 32x34 feet is in process of construction at the present time. This addition will be used for the preparing of vegetables, a room for a milk separator, pasteurizer and ice cream freezer and space for a meat-cutting room. During the winter the work of excavating for a storage building and root cellar was accomplished and the building will be erected during the present season. This building will be 100x40 feet and will contain the carpenter shop, storage for paint, flour, lime and cement, pipes and fittings, etc. The basement and loft will, as stated, be used for the storage of roots and vegetables. As also stated previously, all of the stone and brick used in its construction has been already manufactured by our patients under supervision of an attendant skilled in the work. Another building projected is a house for the steward and family and part of the medical staff. The same material will be used in its construction. The rear portion of the administration building, which is occupied by attendants and employés, has been equipped with iron balconies with connecting stairways, stand pipes, etc., thus providing a safe exit from every room on the several floors in case of fire. The iron fire doors on each floor which separate the wings from the administration building have been supplied with an automatic closing device. Negotiations are pending for the provision of Kirker-Bender fire-escapes, one for each two wings, particularly, to facilitate the removal of cases on the hospital wards on the second floor. Arrangements are in progress for the purchase of a vehicle for transporting patients from their homes to the hospital. Under a recent ruling of the County Judge all patients are brought to the hospital by the nurses of the hospital instead of by the deputy sheriffs. The vehicle decided upon is the Bennett invalid coach, resembling perfectly a landau and bearing no resemblance to the ordinary ambulance. Appointments, Resignations, Etc. ANDERSON, DR. PAUL V., appointed Assistant Physician at State Hospital for Insane at Morganton, N. C. ANDREWS, DR. CLAYTON, formerly First Assistant Physician at Vermont State Hospital at Waterbury, Vt., resigned. AUSTIN, DR. MARY L., appointed Assistant Physician at Ohio Hospital for Epileptics at Gallipolis, O., March 16, 1905. BAKER, DR. RAYMOND D., formerly Assistant Physician at New Jersey State Hospital at Morris Plains, N. J., resigned February 16, 1905. BARKER-COLES, DR. RUTH, appointed Assistant Physician at Westborough Insane Hospital at Westborough, Mass., September 1, 1905. BARKER, DR. EDITH A., formerly Pathologist at State Hospital for the Insane at Norristown, Pa., died. BARRETT, DR. A. M., formerly Assistant Physician and Pathologist at Danvers Insane Hospital at Hathorne, Mass., appointed Associate Professor of Psychiatry and Director of the Psychopathic Wards of University Hospital at Ann Arbor, Mich. BEEBE, DR. ARTHUR, formerly at Illinois Eastern Hospital for the Insane at Kankakee, Ill., transferred to be Third Assistant Physician at Illinois Asylum for the Incurable Insane at Bartonville, Ill. BLACKFORD, DR. BENJAMIN, late Superintendent at Western State Hospital at Staunton, Va., died December 13, 1905. BLEDSOE, DR. EDWIN PAGE, formerly Fifth Assistant Physician at Central State Hospital at Petersburg, Va., promoted to be Fourth Assistant Physician. BLOSS, DR. JAMES R., appointed Assistant Physician at West Virginia State Hospital for the Insane at Huntington, W. Va. BOLAND, DR. MICAJAH, appointed Interne at Central State Hospital at Petersburg, Va. BOLLENGER, DR. EDWARD, formerly Assistant Physician at Illinois Eastern Hospital for the Insane at Kankakee, Ill., resigned. BOODY, DR. GEORGE, formerly First Assistant Physician at Clarinda State Hospital at Clarinda, Iowa, resigned. BOOMHOWER, DR. ALBERTA S., formerly Assistant Physician at Westborough Insane Hospital at Westborough, Mass., resigned June, 1905. BOWDISH, DR. PALMER, formerly Clinical Assistant at Manhattan State Hospital at Wards Island, New York, resigned October 18, 1905. BOYLE, DR. J. C., appointed Third Assistant Physician at Milwaukee Hospital for the Insane at Wauwatosa, Wis. BROOKS, DR. PAUL B., formerly Junior Assistant Physician at Buffalo State Hospital at Buffalo, N. Y., resigned April 1, 1906, to enter private practice in Norwich, N. Y. BURNHAM, DR. A. T., formerly Senior Assistant Physician at Illinois Asylum for Incurable Insane at Bartonsville, Ill., resigned. BURNS, DR. GEOFFREY C. H., appointed Clinical Assistant at Manhattan State Hospital at Wards Island, New York, December 11, 1905, promoted to be Medical Interne February 1, 1906, and resigned February 18, 1906. CAMPBELL, DR. GEORGE B., formerly Second Assistant Physician at Manhattan State Hospital at Wards Island, New York, resigned June 21, 1905. CARROLL, DR. ALEXANDER J., appointed Assistant Physician at New Jersey State CHAPIN, DR. CHARLES W., formerly Clinical Assistant at Manhattan State Hos- CLAMPIT, DR. LOUIS C., formerly Assistant Physician at Illinois Central Hospital for the Insane at Jacksonville, Ill., resigned. CLARK, DR. CHARLES H., appointed Clinical Director at Government Hospital for the Insane at Washington, D. C., April 1, 1905. CLARK, DR. M. F., formerly Assistant Physician at Illinois Northern Hospital for COLES, DR. WILLIAM W., formerly Junior Assistant Physician at Westborough CONANT, DR., appointed Pathologist at State Hospital for the Insane at Warren, CURRAN, DR. JOHN D., formerly Medical Interne at Binghamton State Hospital DEMAREST, DR. RUTH, formerly Medical Interne at Rochester State Hospital at DENT, DR. EMMET C., late Superintendent of Manhattan State Hospital at Wards DUNTON, DR. WM. RUSH, JR., formerly Assistant Physician at Sheppard & EMRICH, DR. E. L., formerly Assistant Physician at Cleveland State Hospital at FAISON, DR. W. W., formerly First Assistant Physician at State Hospital at FAXON, DR. DORA W., appointed Assistant in the Laboratory at Taunton Insane FETTER, DR. SAMUEL P., appointed Assistant Physician at Ohio Hospital for FISHER, DR. E. MOORE, appointed Assistant Physician at New Jersey State Hos- FITCH, DR. ARTHUR C., formerly Medical Interne at Government Hospital for FORDYCE, DR. O. O., elected Assistant Physician at Athens State Hospital at FRANKLIN, DR. CHARLES M., formerly First Assistant Physician at Sheppard & |