28 JANUARY 1899, Page 37

Sanatoria for Consumptives. By F. Rufenacht Walters, M.D. With an

Introduction by Sir R. D. Powell, Bart., M.A. (Swan Sonnenschein and Co. 10s. 6d.)—The two statement. that con- sumption is preventible and that it is curable indicate what is perhaps the greatest advance made by medicine, as distinct from surgery, in this century. In chaps. 1-16 are treated the general considerations on which the sanatorium should be regulated as to site, construction, methods of treatment, &c. The last of these is not the least important, dealing as it does with the question of cost. The Hohenhonnet establishment coat £660 per bed. The interest on this sum would, allowing for wear and tear, be not less than .250, a considerable sum to begin with. One for poorer patients has been erected at Worms for £170 per bed. At Hohenhonnet the owl of maintenance is about 12s. per diem. At the other end of the scale we have as low a figure as 2s. Ed. Chaps. 17 seq. give particulars of various institutions of this kind throughout the world, three chapters describing those in the 'States, one being devoted to Austria-Hungary, four to France, sixteen to Germany, three to England, and four to other European countries. One notable experiment was made some years ago, when a hotel for this class of patients was erdcted in the Mammoth Caves in Kentucky. What a deadly place to live in We have moved on since then. This is a most laborious and generally admirable treatise.