try to tell people who may go to Jamaica or have the trip in mind, just what they need to know to make their visit pleasant and profitable, with only a suspicion of figures to content those mathematical minds who must have them. These figures are quoted from the "Handbook of Jamaica, 1888-9," and are from the pen of Maxwell Hall, M. A., F. R. A. S. "The readings of the barometer and thermometers are taken at 7 a. m. and at 3 p. m., local mean time, and they have all been corrected to the Kew standards; the dew point has been deduced from dry and wet bulbs by means of Glaisher's factors, and every care has been taken to insure accuracy." It will be seen from the above table that the range of temperature for four months is barely five degrees, dew point and humidity about the same, and barcmetric pressure, which I have omitted, steady at 30 inches. This presents, I believe, as favorable a record as can be shown, and I leave the figures to speak for themselves. The first consideration entering a physician's mind in thinking of any particular place as a climate cure is, what special diseases it is especially beneficial to and what cases would be likely to lose ground if sent there. My own stay was too short to learn personally, and I answer in the words of my | friend, Dr. J. C. Phillippo, who has KINGSTON, JAMAICA, MEAN RESULT FOR 1887-ELEVATION SIXTY FEET. Temperature Dew Point. Humidity. Months. Remarks. Sloane's Natural History of Jamaica | been a leading physician of the island says: "Generally speaking, the two for twenty-five or more years. "Jagreat rainy seasons are in May and Oc- maica offers a great variety of climate, tober." During the winter months of being in this respect unique among the December, January and February, and West India islands. Invalids with March which is worse than either of dyspepsia and nervous diseases will the others at home, the weather is con- scarcely improve in upland ranges,doing tinuously fine. I was on the island well in Kingston, while the entire island thirty days this winter and saw but one is extremely valuable in bronchial affecslight shower, which did not extend over tions, pulmonary diseases and all forms a half mile of area and lasted fifteen of rheumatism, There are valuable saminutes. line, sulphurous and chalybeate springs, which are among the most effective in strong gales in winter months. In the knows when rains are coming, their ad- I learned also from Surgeon-General Morse, C. B., and Dr. Frank N. Saunders, Chief Medical Officer of the Public Hospital, that many wonderful cases of cure of advanced tuberculosis were on record, and that they consider the island climate particularly valuable in lung diseases generally; and my own judgment, founded upon my short observation, tends to confirm theirs. We shall come to the wonderful thermal baths later. Few places in the West Indies are more accessible than Jamaica. Excellent steamers of the Atlas line sail weekly on Saturday from the foot of 23d street, North River, and if an invalid chances to travel with Capt. Sansom, of the "Adirondack," or Capt. Low, of the "Athos," he will be sure to have every care possible and as comfortable an ocean home as need be wished for. Excursion tickets are sold at $90 and the passage is a little over five days each way. This line has a system of selling coupons for passage whereby everything is furnished at $5 per diem, which makes an extended voyage about as cheap as staying at home. Leaving New York in the winter, sick as well as healthy travelers, should carry exactly such clothing as they wear at home in summer for shore use, for the ship. It will not do for any and a suit of navy blue or grey flannel one to wear other than woolen under clothing. Natives never do and they What is know best. Lack of obedience to this rule has cost me two severe attacks of such an active state, every pore and lumbago in the tropics. The skin is in open conduit streaming with fluid at violent motion, that sudden chills are im minent and must be avoided, and daily baths are as essential and useful as daily bread. A plentiful supply of wash clothes should be carried for laundresses are rough on shirts, etc., mine invariably coming home with a fringe. Carry only American money. good in New York is good in Jamaica and better as you go further South if Jamaica will always give English for your tour goes on. Capt. Forwood in American gold or greenbacks, and I got $8.50 in silver for $5 in gold in South and Central America. Then in Cartagena and Costa Rica I got 20 to 30 per cent. premium on that silver in those country's paper notes; and as these notes were at par in purchasing power of what I needed, such as carriage hire, etc., and everything was cheap, it will be easy to figure what they cost. Therefore, do not bother with any letter of credit, draft or anything but simple American gold, and $5 a day will cover every expense except unexpected or other extras. What is of the greatest possible value, however, is a proper letter of introduction or two or three of them, There are few if any places in the world where proper vouchers go so far as in Jamaica, and none where they are more needed. With one good one you may travel about charmingly, passed on from house to house by your original consignee's first introduction, and see the best people at their very best. I have never seen such hearty, thoughful and continuous hospitality as among my new-made friends, the gentlemen and ladies of Jamaica. Except at Kingston there are no hotels, but everywhere a traveler cares to go are comfortable lodging houses with a regular rate of $2 per diem for bed and board, which is also what is charged at Kingston Inns. These are very comfortable with much courteous attention, but it is more pleasant to go to some friend's "pen," as country places are called, a little way out of town, if not as independent. Arriving in the city it will be best to send ashore and have rooms gotten ready at one of the three hotels. I found Park Lodge very well kept and the manager, Miss Thompson, will take any amount of trouble to care for an invalid. Capt. Forwood, chief of the Atlas Line south of New York, will gladly do all in his power to make an invalid comfortable, but it is not likely that many will care to remain long in a city where the mercury goes up every day to 83 degrees, no matter how cool nights may be, for a blanket is a grateful addition to bed clothing towards morning, when a short journey farther will take him into the hill country where a northern June is perpetual and air has some brace in it. All this is at Mandedville, about eighty miles away, Here is a pretty village in hills of Man chester Parish, 2,200 feet above the sea, where there are two or three lodging houses with nice rooms and excellent private tables, with weekly rates of ten dollars inclusive of everything. Telegraph up the day before, to have rooms ready. From Kingston to Porus it is 70 miles by rail, fare $1.25, where a carriage may be obtained for the remaining ten miles that will convey two pe sons and a couple of trunks for $2.50, over a splendid road that winds and climbs up the mountain sides among delightful scenery that so enchants one's eyes that the drive is too short. At Mandeville there comes an irresistible drowsiness that quiets restless nerves, like a powerful drug, and a sharp appetite. To eat and sleep and eat again; to drive in comfortable carriages over faultless roads or walk a little in cool morning air; to devour by dozens the famous Manchester oranges, which I consider the finest in the world; to stroll in flower gardens amongst unknown blossoms; to sketch or paint wide landscapes or tropical bits; to visit the club grounds and watch tennis or cricket matches for an afternoon, and to sit after dinner gazing at the glory of a tropical night as it comes swiftly onthese are one's occupations in Jamaica highlands, plus getting well. And improvement even in advanced cases comes with singular rapidity. There are many valuable baths too. As I only visited one I quote from a lecture delivered some time ago by Dr. Phillippo entitled "The Mineral Springs of Jamaica." Referring to those only that are easily accessible, he calls attention to "The bath of St. Thomas the Apostle," "The Jamaica Spa," and "The Milk River Bath," to which I add "The Rock Pool," at Port Henderson. Speaking of the first one, he says the water "is unusually light, sparkling when received into glass, fermenting slightly with acids, turns silver black, and seems specially charged with volatile products. It restores the appetite and natural action of the bowels, invigorates circulation, cleanses urinary passages, strengthens nerves and seldom fails to give one an easy sleep at night. Its continued use enlivens the spirits and sometimes produces almost the effect of inebriation. These springs may be ranked as hot thermal sodic calcic waters, having a temperature of 120° to 130° F." Jamaica Spa lies among the mountains of Port Royal, at an elevation of about 3,500 feet above sea level, and is only to be reached by saddle animals at a distance of three hours from Kingston. The springs have a temperature of 66°, with clear, colorless water that leavec a red deposit in the spring and along the course of its discharge. They contain sulphates of iron, lime, magnesia and alum in considerable quantities, are strongly chaleybeate and astringent to taste and only need development to make them very valuable. Milk River baths belong to the government. In their circular the Directors say that the Institution will furnish visitors with everything except food, for forty cents a day, and the Matron will supply the latter at $1 per day. They are readily accessible by steamer direct or by rail and comfortable carriage. The water has a temperature of 92°, containing sulphate of soda, chlorides of sodium, magnesium, potassium and calcium, with traces of lithia, iodine, bromine and silica. It is especially valuable in chronic rheumatism and allied diseases, in paralysis and gout, in scrofula and in uterine diseases, particularly tumors. He says: "I remember that an old surveyor whose joints were bent and distorted with rheumatism, went away in a totally helpless state to this spring and returned in two or three weeks riding gaily on horseback, ready to set about his arduous labor. I have seen people who had been weeks in bed with acute rheumatism, sent down in carriages, taken into the bath in a chair, who have been able after three or four baths, to walk up and down twenty or thirty steep stone steps with easy ease and comfort and be permanently cured. A well-known physician was there suffering with gout, and after three days was able to go out and dine with a friend at a distance. The proper months to spend at Milk River are January, February, March and April." Port Henderson I visited and examined as a guest of the owner, Mr. Hodgkin. It is beautifully situated on the sea coast, opposite Port Royal, where pure salt air and beautiful seascapes are constant. There are excellent lodging houses close to the bath, to be let furnished, but servants and food would need to be obtained outside. Fish are plentiful and other eatables can be arranged for at moderate expense. The bath itself is of strong saline taste, temperature about 70° and a peculiar soapy feel as if strongly slkaline, but no analysis has been made so far. It is some twenty feet square, from two to five feet deep, with constant renewal by bubbling springs, having a discharge of about 200 gallons a minute. Its bed is excavated from solid rock, and it is housed in and properly cared for. I could obtain but few data as to its value, except that it possesses strong tonic properties, eliminating fatigue and restoring sexual tone. There can be no more charming place for those who love sea views, sea air and are content to have no other amusement than what they themselves can furnish. Summing up the advantages of Jamaica as a winter health resort, after personal inspection of every other in the Southern States, West Indies and Bahamas, I believe it is superior in every but one respect that of hotels, and if care be taken to arrange for quarters in advance, this need not so serious an objection, where recovery of health is the object sought. One can always be comfortable. The great variety of climate easily accessible by comfortable means, frequent direct communication with America, a steamer sailing almost every day, telegraphic communication, a cultivated society of unbounded hospitality, skillful medical men well up in their profession, and moderate expense of living, combine to make a winter month or two spent in this beautiful island a better investment than can be made elsewhere, with physical or mental health to be regained. I shall be glad to answer any questions in reference to this article as to Jamaica that readers of the MONTHLY may care to ask. SLEEP Throughout all nature we observe a recognition of the demands for rest. The changes of the seasons, the rising and setting of the sun, provide opportunities to all creation for relief and freedom from whatever wearies or disturbs. There has been much written upon the value of rest in surgical injuries, but I think there has been a lack of interest manifested in this subject, as connected with children and their diseases. Immediately upon the birth of the child the average nurse and mother are apt to be interested in its feeding; so much so as to engage in the stuffing process. Instead of placing the child in a comfortable condition and using every means possible to give it the quietude necessary to sleep, the little innocent is filled with sugar and water, teas and slaps, which favor fermentation in the intestinal canal. Colic is the result and then follows the trotting and shaking up of the tender bud by the ambitious energetic and muscular Betsey Trotwood of the sick room. Sleep for any one in the room is out of the question. This together with the mania for washing the baby in season and out of season, sponging its sensitive surfaces with super heated water and then favoring rapid evoporation by exposure of the surfaces, is not only very shocking to its tender nervous system but disturbs the equilibrium of the circulation favoring internal congestions as AND REST FROM A well as inflammations. The child may PEDIATRIC STAND POINT. BY I. N. LOVE, M. D., ST. LOUIS, MO. THAT escape immediate serious illness but it is certainly started upon a wakeful career, which may terminate in complete demoralization of its nervous system. It profits us little with the infant under our care, if nature has given him a solid robust frame, good constitution, a prospect of splendid nourishment, if |