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Would any modern surgeon fail to wash out and drain an abscess cavity because he could not render it aseptic at the first operation? Should he fail to irrigate an infected wound because he could not cleanse it of every drop of pus and every micro-organism at the first irrigation? If a patient is bleeding from three ruptured arteries, and from an anatomical situation one of them can not be reached, does it lessen the obligation of the surgeon to place a ligature around the other two? So in typhoid fever, if we cannot thoroughly disinfect the bowels and thus reach ideal results, must we peacefully fold our hands and acknowledge with mortification and chagrin that we can do nothing but amuse the patient by pouring cold water on the skin? Is this the course the surgeon pursues in a case of infection? Is it not our plain and unequivocal duty, with our present knowledge of the causation and pathology of typhoid fever, to resort to the following measures? First, such as will remove as far as possible the offending agent from the bowels, and, secondly, such as will render the intestine as far as possible an unfit culture-tube for multiplication and development of the various micro-organisms which are to be found there, as well as prevent fermentation and putrefaction of food There is practically no drug of value which in the hands of the careless or ignorant would not do harm. Report of the committee appointed to for consideration concerning the erection of metropolitan district small-pox, fever, and imbecile board to their medical officer.