Description
Messina Earthquake Medal of Merit 1908 large bronze 35mm, Awarded in Gold Silver and Bronze a total of 700 only issued to the institutions and individuals who distinguished themselves on the occasion of the earthquake, whether by rendering assistance and medical treatment, or by donating health and administrative services and meeting the material and spiritual needs of the sufferers of the disaster.
see article here:
OMSA Article on Italy Earthquake
http://www.omsa.org/files/Boddington%20Italy%20Eqke.pdf
no ribbon