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Increase in the aggregate of insane, for I do not admit that primary fact in institutions that much of it is due to the secondary insanities; that is, to insanity that follows some other expression of disease of the nervous system (hydrochloride). He then touched upon the need for the organization for a National Board of Health, and concluded by a reference to the progress which had been made by the Journal of the where Ama-ican Medical Association. IN the annual report of the Cleveland of any subject, or institution, a criticism which 60 clearly implies thorough knowledge of the matter criticised, will always be welcomed and respected by every friend of truth and progress.

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