Simple hydraulic methods of purification, even the most perfect, do not, however, produce permanent hygienic effects, since the moisture necessary for the multiplication of the malaria in the soil is so slight that these effects may be compromised by anything whatever that is capable of restoring a moderate degree of humidity to the ground during the hot season. It has often been thought that a suspension of malarial production would be better assured by suppressing at the same time the humidity of the soil and the direct action of the oxygen of the air upon the superficial strata of earth which contain the ferment. This has been successfully accomplished by the system of overlaying (_comblées_). This consists in covering the infected soil by thick layers of uninfected earth, carried there either by the muddy waters of rivers or by the hand of man. At the same time the steady drainage of the surface and underground water is provided for. Last year I advised our Minister of War to undertake in another form a hydraulico-atmospheric purification of the district of the Janiculum surrounding the Salviati Palace on the Via della Longara, by draining the soil carefully and covering with a layer of very close turf all the parts of the surface which could not be macadamized. It would seem as if this system had been rather successful, since there has not been this year a single case of fever in the _personnel_ of the new military college, established in the Salviati Palace; while in the Corsimi Palace, which is situated on the same side of the Via della Longara, but which looks out upon that part of the Janiculum which is still uncovered, there have been some fatal cases of fever.
Furthermore, we have had in Rome, during the past few years, some very evident proofs of the efficacy of atmospheric methods of purification. I will confine myself to the relation here only of the most striking instance, one which has been furnished us in the building up of new quarters of the city. There was much discussion at first as to whether the improvements should be undertaken in the parts where they now are or in the valley of the Tiber, for the uncovered lands of the Esquiline and of the Quirinal were malarious, and, as nearly everybody then thought that the malaria of Rome was carried into the city from the coast marshes, it was supposed that this state of things was irremediable. We opposed to this view the fact of the salubrity of the Viminal, which is situated between the Esquiline and the Quirinal, and which ought to be as unhealthy as the two other hills were the malaria of the latter imported into the city instead of being indigenous. Believing it to be indigenous, we hoped that by shielding the surface of these hills from the direct action of the air (by building houses and paving the streets), the malaria would cease to be produced there. That is precisely what has happened, for the new quarters are very healthy. But the malaria is only held in abeyance, and is not definitely overcome; for if an extensive excavation is made in these hills, and the contact of the air with the malarious soil is thus re-established, during a hot and damp season, the production of malaria commences anew. A complete atmospheric purification is nevertheless the most stable of all the methods of obtaining a suspension of malarial production, but unfortunately its realization is very limited, for it is restricted to inhabited localities and to sodded surfaces.