obstacles. Large sums of money for sanitary purposes were appropriated in Cuba, while in the Philippine Islands only small amounts were available for sanitation. The results here have been brought about on different lines; every effort that has made for progress has been obstructed by meddlesome opposition; and every advance has been sharply contested. Perhaps in the long run it will all be for the best, and the results may be of a more permanent character than if they had been gained with less effort. It has been a campaign of education, patience, and persistence. Reference to the statistical tables in each successive annual report will show a steady decrease in the dangerous communicable diseases since American occupation. While they show the success that has been achieved, they do not record the hard work, the discouragements, the faithfulness and efficiency of those to whom the credit is due—the employees of this Bureau-therefore it remains for the Director of Health publicly to acknowledge their part in bringing about what he believes to be a successful issue. Very respectfully, VICTOR G. HEISER, M. D., Passed Assistant Surgeon, United States Public Health The SECRETARY OF THE INTERIOR, 60631——8 Manila, P. I. |