tution; Mute Companion, Minnesota D. and D. Institution; Kansas Star, Kansas D. and D. Institution; Kentucky Deaf Mute, Kentucky D. and D. Institution; Deaf Mute Mirror, Michigan D. and D. Institution; Mute Journal of Nebraska, Nebraska D. and D. Institution; the Tablet, West Virginia D. and D. Institution; the Ranger, Texas D. and D. Institution.

Our thanks are also returned to the officers of the E. T., Va. & Ga.; N., C. & St. Louis; Knox. & Ohio, and L. & N. Railroads for their continued kindness in favoring our pupils with reduced rates in conveying them to and from school.

Respectfully submitted,

Tennessee Deaf and Dumb School,

KNOXVILLE, Dec. 30, 1878.

J. H. IJAMS, Principal.

PHYSICIAN'S REPORT.

To the Board of Trustees:

GENTLEMEN :—I am happy again to congratulate your Board in that the general standard of health in the Institution has been so satisfactory. As contributary to this standard of health, we have ample grounds around the buildings offering advantage in out-door exercise so necessary to children. The table is carefully provided with healthful food. The well arranged bath rooms give the needed means of personal cleanliness; habits of neatness are enjoined ; a surveillance is kept over the premises, and all causes of preventable disease suppressed. We have had some cases of diphtheria since the date of our last report. The only fatal case from any cause was that of one of the patients by this dreaded disease. This little girl, Martha Thompson, a delicate child, died February 22nd, 1878, her death being the fourth which has occurred in the Institution during twelve years past.

I have been faithfully assisted by the Matron and Steward in all necessary medical attention to the pupils.

Respectfully,

JOHN M. BOYD, M. D., Attending Physician.

Tennessee School for Deaf and Dumb,

KNOXVILLE, Dec. 30, 1878.