The Challenge to Democracy locally, another shared nationally, and another shared internationally. But they are all aspects of the common good which the ordinary person enjoys in the avoidance of disease and death or the extension of his vitality. For such purposes the art of government exists; and success in attaining such purposes is one of the most reliable tests of the excellence of any system of government. But the system of government for health purposes is one whole throughout the world. Local authorities are connected through central Governments, and these again are connected by international institutions. Differences between forms of government do, indeed, affect the working of the system; but no nation disregards health and in all localities common folk are willing to assist and be assisted by far-distant foreigners in maintaining and increasing the common good—health, which they all desire. Nw Steps Necessary But the institutions and policy we have inherited have the defects natural to the way in which they have been developed. The institutions for public health in most localities and nationally, in most countries, are the results of a succession of separate efforts to over- come different evils. They are ill co-ordinated and not governed by any single consistent conception of their purpose. Whitewashing lodging-houses or in- specting food or planning areas for new houses are izz