The main contention of the author is that although the tuberculosis problem is serious enough in Malaya, it is not so disastrous as some reports have indicated. He quotes death rates which compare favpurably with many European rates, though not with all. For instance, the death rate from tuberculosis in London between 1938 and 1946 varied around 80 per 100, 000; the rate for Kuala Lumpur in 1938 was 78, and this rose to 128 and 140 in 1946 and 1947 respectively. Compared with the war-time increases, in Warsaw, Rome, Prague and Paris, these rates are not high. In the State of Selangor the rate for 1937 was 71, rising to 86 in 1947. [It would have been interesting if the author had given an indication of how complete medical certification of death is in Kuala Lumpur and the other parts of Selangor. In the towns, no doubt, most deaths are correctly certified, but a reader is. not certain that in more remote places deaths, actually due to tuberculosis, may not have been ascribed by the head-men to other causes.] Charles Wilcocks.