Nativity, sex, age, temperament, climate, occupation, custom and social conditions, are important factors in the etiology of alcoholic inebriety, outside of the well-known causes of preceding or accompanying disease or injury and heredity, and also, to a certain extent, are to be taken into consideration in the treatment of all cases of inebriety. Nativityof the 4,663 cases was as follows: United States, 3,186; Ireland, 826; England, 203; Scotland, 77; British Possessions, 73; Germany, 109; other nationalities, 44; not recorded, 145. The United States naturally compose a large majority, as we find in asylums of other countries, inhabitants of those countries as inmates will be in excess of all others; but we must acknowledge that the nervo-sanguine temperament of the American is peculiarly susceptible to the evil effects of alcohol, and that, other things being equal, the average American would sooner succumb to inebriety than his transatlantic brother. Ireland takes