There were 11 deaths from diarrheal diseases, II from consumption, 8 from typhoid-fever, and 7 still-born.

Wilmington, 21,000: Total deaths, 36–25 under five years of age. Annual death-rate, 20.6 per 1000.

Raleigh, 15,000: Total deaths, 8-all under five years of age. Annual death-rate, 6.4 per 1000.

OHIO.--The Monthly Sanitary Record reports that in sixtysix cities and towns, with an aggregate population of 1,252,106, there were, during the month of September, 1713 deaths, of which number 608 were under five years of age. Deaths from zymotic diseases numbered 505, and from consumption, 163.

Cincinnati, 296,908: Reports for September, 407 deaths157 under five years of age. From zymotic diseases there were 84 deaths, and from consumption, 47. Annual deathrate per 1000, 16.44.

Columbus, 101,945: Reports for September, 101 deaths--34 under five years of age. From zymotic diseases, 31 deaths, and from consumption, 19. Annual death-rate, 11.88 per 1000.

Toledo, 82,652: Reports for September, 103 deaths-18 under five years of age. From zymotic diseases, 31 deaths, and from consumption, 7. Annual death-rate, 14.84 per 1000.

Mansfield, 15,000: Reports for September, 18 deaths-5 under five years of age. From zymotic diseases, 3 deaths, and from consumption, 4. Annual death-rate, 14.4 per 1000.

PENNSYLVANIA.-Philadelphia, 1,069,264: In the five weeks ending October 31st, there were 1951 deaths, of which 680 were under five years of age. Annual death-rate per 1000 18.96. From zymotic diseases there were 423 deaths, and from consumption, 261.

Pittsburg, 247,000: Reports for four weeks ending October 31st, 459 deaths, of which number 221 were under five years of age. Annual death-rate, 19.32 per 1000. From zymotic diseases there were 137 deaths, and from consumption, 26.

LITERARY NOTICES AND NOTES.

SAUNDERS' QUESTION COMPENDS No. 20: ESSENTIALS OF BACTERIOLOGY FOR THE USE OF STUDENTS AND PRACTITIONERS. By M. V. BALL, M.D., late Resident Physician, German Hospital, Philadelphia; Assistant in Microscopy, Niagara University, Buffalo, N. Y. 12mo, pp. 159, with seventy-seven illustrations. Price, $1. Philadelphia: W. B. Saunders.

This should be a very welcome manual to all those for whom it is intended, giving, as it does, the gist of the most important subject that now engages the attention of medical practitioners, and without a knowledge of which no student should expect to pass the ordeal of the "green" room. It is almost too concise-that is to say, it scarcely contains enough of the subject, but this is measurably made up by the object lessons -the well-adjusted illustrations of instruments and how to handle them which pervades the text. This much, at least, is essential to the student and to all practitioners as an introduction to the field of labor which it opens up, and which may thereby be subsequently cultivated more successfully by the study of more elaborate works.

No. 21 ESSENTIALS OF NERVOUS DISEASES AND INSANITY, FOR STUDENTS AND PRACTITIONERS. BY JOHN C. SHAW, M.D., Professor of Diseases of the Mind and Nervous System, Long Island College Hospital Medical School; Consulting Neurologist to St. Catherine's Hospital and Long Island College Hospital; formerly Medical Superintendent King's County Insane Asylum. 12mo, pp. 194. With forty-eight original illustrations. Price, $1. Philadelphia: W. B.

Saunders.

"This little book," the author says, in introducing it, "is not intended to take the place of the larger and more complete works of Ross and Gowers, but to be used somewhat as a primer for advanced students." Yet those who may read it, like those who may know of the author's thorough com

mand of the subject from other sources of knowledge, will not fail to profit by the terseness of this author to such a degree as to render the more elaborate works referred to secondary to the primary knowledge which this little volume comprises, essential to all medical practitioners at the outset of their career. The illustrations are singularly lucid as means of diagnosis, and make the nearest possible approach to clinical instruction.

ARTIFICIAL ANESTHESIA AND ANESTHETICS. By DE FOREST WILLARD, R.M., M.D., Ph.D., Clinical Professor of Orthopedic Surgery in the University of Pennsylvania; Surgeon to the Presbyterian Hospital, etc., and LEWIS H. ADLER, JR., M.D., Instructor in Rectal Diseases, Philadelphia Polyclinic and College for Graduates in Medicine. 12mo, Pp. 144. Paper. Physicians' Leisure Library Series. Price, 25 cents per copy. Detroit George S. Davis.

An excellent résumé of the uses, abuses, and dangers of anæsthetics, based upon considerable clinical experience and extensive study and analysis of testimony from the most authentic sources.

WOOD'S MEDICAL AND SURGICAL MONOGRAPHS, October number, 1891, contains five essays of interest to all medical practitioners, as follows: Treatment of the Diseases of Women, by Thure Brandt; Modern Treatment of the Morphine Habit, by Dr. A. Fromme; Contribution to the Study of so-called Scarlatina Puerperalis, by Professor Dr. Renvers; Influence of Alcohol upon the Organism of the Child-a Pharmacological-Clinical Study, by Professor R. Demme; Diseases of Development, by Dr. J. Comby. Monthly: $10 a year; $1 a number. William Wood & Co. New York.

AN ABSTRACT OF THE SYMPTOMS, WITH THE LATEST DIETETIC AND MEDICAL TREATMENT OF VARIOUS DISEASED CONDITIONS is a concise statement of the preparations and qualities of the refined food preparations manufactured by Reed & Carnrick. It is of practical utility to all physicians who would have a just appreciation of such preparations and their adaptation to digestion and assimilation, based upon physiological knowledge.

TEXAS SANITARIAN, Vol. I., No. 1, November, 1891, is an auspicious beginning of the latest addition to periodical literature, devoted to sanitation pure and simple, according to the prospectus and the excellent table of contents of this first number. We emphasize this condition because of the tradejournalism aspect of so large a proportion of the periodicals professedly devoted to the subject. It asks support under the promise that:

Every cause of disease, every subject embraced under the head of Hygiene will be discussed; and special attention will be given to the importance of personal hygiene and physical culture; also to the study of the effects of alcohol upon the hunan economy, and its agency in the production of moral, physical, and intellectual degeneracy.

It claims the special advantage of being published at the capital of the State, the headquarters of the Health Department, and the special favor of the State Health Officer, who is one of the associate editors, and contributes to this number.

If it holds out as it has begun, it will doubtless secure, as it deserves, not only the support of the votaries of sanitation in Texas, but largely throughout the country.

PAMPHLETS, REPRINTS, REPORTS, ETC., RECEIVED. Catalogue of the Michigan Mining School. Houghton, Mich.

Modern Methods of Wound Treatment. Johnson & Johnson, New York.

Tumors of the Naso-Pharynx, Pharynx, Larynx, and Esophagus. W. Cheatham, M.D., Louisville, Ky.

Trap Siphonages and Trap-seal Protection. Professor J. E. Denton, Hoboken, N. J.

Translumination of the Antrum of Highmore, Nasal Cavities, Frontal Sinuses and Larynx, with Remarks on the Treatment, etc. Wendell C. Phillips, M.D., New York.

Institution for Consumptives. C. C. Fite, M.D., New

York.

Extra-Peritoneal Treatment of the Stump in Abdominal Hysteriotomy for Fibroids. A. Lapthorne Smith, M.D., Montreal, Canada.