The subject of tuberculosis in asylums is by no means a new one. On the contrary, many have written upon it, probably long before Dr. Clouston, forty-two years ago, published his well-known remarks. It would be neither profitable nor desirable to enter here upon a discussion of the individual views expressed from time to time, but for many interesting and instructive observations it is only necessary to turn to the papers presented to this Association of recent years by Drs. Crookshank, Blair, France, Weatherly, Drapes, and others. This being so, you will not expect to hear anything new from me; in fact, I do not think I can lay claim to a single original observation; but as no one paper deals with any large portion of the procedure to be observed in combating the spread of tuberculosis in our asylums, and as my attention has, for the last nine or ten years, been directed to the problem of how to reduce the death rate without any great expenditure of money, I have thought it well to introduce a discussion rather on the actual details of procedure than on the principles involved, in order to stimulate the expression of opinions of all sorts; for it is evident that there are many equally good and efficient ways of arriving at the object which every asylum medical officer desires.