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This is a highly interesting account of disease in our neighboring Negro-ruled sovereign state of Haiti and the dramatic medical development with the American occupation. So much has been written on the seamy side of Haitian politics and so many aspersions have been cast on this country's efforts by certain factions of the public press that it is refreshing to read of the indisputable achievements of the enthusiastic and scientific medical personnel of the United States Marine Corps and the later organized Public Health Service. The story falls naturally into two parts, Haitian medicine before the American occupation and that following this event in 1915. For centuries after the landing of Columbus in December, 1492, the island remained a plague spot of the earth. A cited author writes that the nosology of Haiti in 1804 would include all the diseases that 312 years of European intercourse would contribute to what