"Again, we have an enormous increase in neuro-syphilis, especially in the larger cities, but here other explanations come in. During the last quarter of a century a ticentlous 'Soldiery has' over-run the country and syphilis has become common in country areas where it was formerly a rare disease. Further, this, like other infections, has a tendency to affect tissues subject to strain and tress. A century ago, much of the population of China ied an almost vegetable existence, and of nerve strain there. was little. With the coming of wholesale brigandage and the appalling destruction by. Communists causing the unfortunate people to be ever ready to flee in all, directions, an entirely new situation of nerve strain has been introduced, into the ordinary farmer's homes, and a tendency, formerly absent, has developed for the poison of syphilis to become located in the central nervous system, "It is a little dimeult to know what to say about the future of medicine in China. Interest is steadily growing in the problems of nutrition and there' is no country where this is more needed than it is here. There sno race in the world which can. beat the Chinese as agriculturalists and despite terribly depressed econo-mie conditions, foods of a suitable quality and sufmclent in amount are nearly everywhere available. "It is to the credit of our Institute that we are taking a share in the work of Investigating the nutritive value of Chinese food materials. Such know-Tedge ought to be in the hands of all superintendents of hospitals in China, 'The hospitals have to handle enormous numbers of patients on a charitable or semi-charitable basis. No study, as far as 1 know, has been made of' the adequacy of' the diets supplied. Many of them, I am cer~ fain, while adequate in quantity, are far from adequate in quality, and T Delleve that less costly diets of greater nutritional value might be found to be available.
Fagtors of: Incidence "The investigation of specific dlscases needs to be applied not only {fo the general conditions of disease, but to the special factors. affecting the: incidence in this country. The Ideal, of course, is where science and application go hand in hand, and to my mind a splendid example of this is the recent work in schistosomissis involving as it has done the efforts of the immunologist, helminminthology ij China has, thologist, pathologist, and photogra- nurses, especially where clinical re-
Text read from the printed page and cleaned; old type leaves the occasional error.