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think that elephantiasis is not common, for the Europeans, who gave me every assistance in unearthing the various cases of disease, would be certain to have brought to my notice any of the natives whom they knew to be afflicted with this complaint. Lupus is by no means an uncommon disease in Earotonga. I have seen three varieties on this island—viz., Lupus erythematique, L. exedens, and L. non-exedens. One might add syphilitic lupus, which, although pathologically differing from the true lupus, yet similates it so much as to render it in some cases almost impossible to say with certainty whether we have to deal with a case of lupus or of syphilis. I enclose a photograph which I took of a woman named Makatihu as being a very typical case of the first-named variety— Lupus erythematosus. There are several people in Earotonga in whom the septum and cartilages of the nose have been completely destroyed. I could find no signs of hereditary or acquired syphilis in the two cases of this kind which I inquired into, so that I attributed them to Lupus exedens. One case of syphilitic lupus which I had under treatment improved very markedly. Frambrossia (or Yaivs).—l only met with one case of this loathsome disease, which is so common in the Fiji group and West Indian Islands. I think that the personal cleanliness of the natives of Earotonga tends very considerably to reduce the numbers of this, like all skin-diseases to which dirt and unhygienic surroundings would predispose. The case I met with was in a girl who was living in the house of a Mr. EL, close to Aratiu Harbour. She improved very considerably under treatment, but, being discovered in an intrigue, ran away quite suddenly one night from the people with whom she was staying, and I did not see her again. Leprosy. —This disease is very common in many of the islands in the Eastern Pacific and Fiji group. It is, according to the testimony of the European residents in Earotonga, unknown to exist there, but from a case which I saw there late one evening by the dim light of burning candle-nuts lam inclined to think it does exist. The case which I refer to was shown me by Mr. L. Cowen, in the village of Matauera. The subject was a man aged about forty, the father of a numerous family, all of whom appeared to be healthy. His legs were quite paralysed, so that he could only move from one place to another by means of sliding from one stool to another, which he dragged after him. There was no history of any injury received. The knees were bent, the legs wasted, and all over the legs the skin was considerably thickened (not like the thickening of elephantiasis) and scarred; there were no tubercles to be seen. There were anaesthetic and analgesic patches, ulceration of the terminal phalanges of the feet. This anaesthesia and analgesia associated with the terminal phalanges of the feet and hands were the symptoms which most impressed me as being suggestive of leprosy of the anaesthetic type. There was, as I said before, no history of any accident, nor of syphilis. His diet, like that of other natives on the island, consisted of cocoanuts, yams, taro, pork, fish, and fowls. I should not, on the strength of so cursory an examination, like to say whether or not this was a case of anaesthetic leprosy, but I am certainly inclined to think that it was a case of leprosy—at any rate, it was the only one in Earotonga which I saw having any resemblance to leprosy. It would not be out of place, perhaps, in this report to add a short account of some cases of leprosy which I saw at Penrhyn Island and other places after leaving Earotonga. At Penrhyn Island the natives have not only recognised the disease of leprosy, but have discovered that which so many learned men have been so long engaged in trying to establish, and have only recently decided —viz., that the disease is contagious. They have accordingly practised segregation, all the lepers being placed on an islet called Matung and kept apart from the other natives. On the morning of the 22nd August I visited Matung Islet, and was taken by the native interpreter who accompanied me to see only the worst cases, as the time at my disposal was limited. I found a family of seven, consisting of the father, mother, a son and four daughters, all of whom were affected with the disease. The father, named Tonga, aged between thirty-six and forty (it is impossible to ascertain with certainty the age of the native) was tall, well nourished, face not devoid of hair, but scantily covered. On the forehead, between the superciliary ridges, following the natural wrinkles of the skin, was a crop of more or less polished tubercles, which projected from the surface about Jin. to There were several nodules similar to those on the forehead, only less polished, on the inner and lower parts of the ears, the lobule being much enlarged. The body and the extremities were each studded here and tjiere by tubercles; the skin of the right hand and wrist was much thickened and covered with nodules, and here and there deep fissures. Many of the tubercles had broken down and ulcerated, whilst others were in process of breaking down. The feet and ankles were similarly affected, and the terminal phalanx of the left little toe had almost dropped off. The soles of the feet were greatly thickened and fissured in places, Over the whole surface of the extremities there was anaesthesia. On examining the penis and scrotum, I found thickening of the skin and mucous membrane of prepuce, thickening of the skin of scrotum, and one small tubercle in the centre of the front part. There was ulceration of the cornea in the right eye, and thickening of the conjunctiva. He could only see dimly with the right eye, and the left eye was just beginning to be affected in a similar manner. The lips, like the ears, were thickened, though to a less extent. The tongue appeared healthy, with the exception of a few white mucous patches on the dorsum scattered about from the external to the medium line. He complained of no pain, but said he suffered much from a feeling of weakness. His bowels acted regularly, and without pain. Tonga first noticed the growth of the nodules on forehead and body four years ago, when his wife commenced to be similarly affected, also the children. It may be mentioned here that all the children were born before signs of the disease showed themselves in the parents; that from the time of the apparent onset of the disease four years ago sexual functions have been in abeyance, which is another point. I find that my observations on the sterility of lepers are supported by much valuable evidence which was elicited by the Leprosy Commissioners in India. It is important to note that in this case the disease appeared in all synchronously, irrespective of age, which is valuable evidence in support of the view that the disease is contagious.