581

THE LONDON SANITARY PROTECTION ASSOCIA- fore thought it would be well if they were extended to London. After some discussion the proposed instruction was carried by a majority- TION.—The report of the Council for the year 1890 shows of 16. a further increase of membership in the tenth year of the The Fog, Nuisance. Association’s existence. The total number of members In the House of Commons on Monday, in reply to a question by- Viscount Wolmer and Sir H. Mr. W. II. Smith stated that Her was 1588-an increase (after withdrawals) of 81 Tyler, deducting Majesty’s Government were sceptical as to the value of a Royal were houses for on the previous year. There 490 inspected Commission for the Investigation of the Fog Question. The evil arose the first time during the twelve months. The special in- mainly from smoke emitted by domestic fires, and the problem to be numbered 439 in 1889. The cash solved was whether it was possible by legislation to prohibit and prevent spections 457, against the of smoke in this The Committee of 1887 showed statement showed a balance in hand of £680 5s. 7d. production way. that smoke could be prevented by the use of non-bituminous coal for- MEDICAL TEMPERANCE ASSOCIATION.- heating purposes, or by the use of coke or gas, or ’by the use of an im- BRITISH proved grate. A meeting of several medical men practising in the New Bills. neighbourhood of Highbury and Canonbury was held on Mr. Ritchie has obtained leave to bring in the following Bills re- Wednesday, Feb. 25th, at Northampton House. St. Paul’s- lating to the public health law, viz. : A Bill to Amend the Laws Relating convened the council of the British Medical Tem- to Public Health in London and the Public Health Law Consolidation road, by Bill, a Bill to Consolidate the Laws Relating to Health in London. perance Association. The President, Dr. B. W. Richardson, Both Bills were read for the first time. gave an address, and an interesting discussion followed on Notices of Motions. the practice of total abstinence, in which several medical Mr. Atkinson’s Bill to regulate the income of dowagers has given rise practitioners took part. Dr. Westcott stated that one fifth to considerable amusement among members of Parliament. Although of all the held by him were on cases in which the measure is not regarded in a serious light, Mr. Esslemont has given inquests notice of a motion to the effect " that as dowagers have had no addition was mure or less due to It is to death drink. proposed to fixed allowances from agriculture in prosperous times, it is unjust, hold similar meetings in other districts of the metropolis. unmanly, and unfair to compel them by legislation to accept a reduced allowance the YORKSHIRE MEDfCAL DEPARTMENT.- during present depression." COLLEGE, Sir Walter Foster and Dr. Cameron have been peculiarly unfortunate The Dean, Mr. Scattergood, presided at the twelfth annual in their efforts to obtain suitable places in the order list of the House dinner of the past and present students of the medical of Commons for the motions in which they are interested. It is the of this College, which took at the wish of the former to call attention to the losses sustained by charities. department place Queen’s through the non-payment of rent charges, and of the latter to call, on the ult. A Hotel, Leeds, 27 th large and influential attention to the state of our laws respecting the disposal of the company attended. The toast of "The Queen having dead. The ballot has been unkind to both gentlemen. It has given been honoured, Dr. Churton " The Victoria Sir Walter Foster fourth place on Tuesday, the 17th inst., and Dr. proposed Cameron sixth on the same The character of the motions which was to place day. University," responded by Principal Boding- having precedence makes it highly improbable that either Sir Walter ton. Dr. Chadwick gave" The General Infirmary," and Foster or Dr. Cameron will be heard then. Dr. Eddison Other toasts followed. the replied. During Mr. Gray will ask the Se(,retary of State for War on Tuesday next. evening, songs and musical selections were given, and the whether there is any foundation for the report that frozen meat, badly occasion was a complete success. preserved or of inferior quality, supplied to soldiers at Colchester and. other garrisons, has given considerable dissatisfaction, and .vhether he will consider the advisability of supplying the army with " fresh killed- meat, which is obtainable in Great Britain and Ireland at from fourpence. to sixpence per pound." - MEDICAL NOTES IN PARLIAMENT. THE METROPOLITAN HOSPITALS INQUIRY. Local Government Provisional Order (Poor Law) Bill. The Select Committee of the on the IN the House of Lords on Monday, March 2nd, this Bill was read a Metropolitan. third time and passed. Hospitals resumed its inquiry on Monday. Earl Sandhurst occupied. the chair, and the other members of the Committee who attended were- Smoke Nuisance Abatement (Metropolis) Bill. the Archbishop of Canterbury, the Earl of Kimberley, Lord Monkswell, Lord Stratheden and Campbell moved the second reading of this Bill, Lord Saye and Sele, Lord Clifford, Lord Cathcart, Lord Zouche, Lord, which differed from its predecessors in that the intervention of the Thring, the , and the Earl of Erne. Home Office was with. The Earl of the dispensed Kimberley thought University Hospital. Bill should not be accepted. He explained that the Bill imposed a College of penalty on all householders who allowed opaque smoke to issue from Mr. N. H. Nixon, secretary the University College Hospital, said the was a their chimneys. He supposed all smoke was more or less opaque, and examined by the chairman, that institution practically so the Bill contained a definition .whereby "opaque smoke" was taken free hospital. The qualification for admission was disease, although to mean " smoke of such volume and density as unnecessarily to impair they had a system of governors’ letters. The institution was started as. the atmosphere." The Courts would find that definition somewhat a dispensary in 1828, and founded as a hospital in 1833. There were- amusing. He did not think it was much use to pass legislation which 207 beds in the hospital, the working number being 181. The e were could not be carried out in practice. He understood the difficulty was only two dispensaries in the immediate district, and the Middlesex was. the nearest His amounted to £600. had often that no fireplace had been invented which could consume its own hospital. salary They smoke. The Marquis of Salisbury criticised the expression" opaque to send away patients through want of room. In the course of last smoke" and the detinition of the term in the Bill. There might be year they treated 41,732 new cases. As to the organisation of the- was an of donors and subscribers. Then smoke with no density at all-it might be absolutely translucent. Was hospital, there annual meeting it to be said that such smoke, if it were emitted in volume, was to be there was a fortnightly meeting of the Hospital Committee, which was of fourteen donors or seventeen nominees of the considered opaque smoke? What was meant by impairing the atmo- composed subscribers, " of the from sphere and doing so unnecessarily " ? The Bill omitted all reference to Council University College, and three delegates the furnaces. Its provisions would require very careful reconstruction. Medical Committee. The Hospital Committee were practically the The Bill was read a second time. executive of the hospital. In the way of sub-committees, they had the House and Finance Committee and the Samaritan Fund Committee- Inspector.s of Factories and Workshops. The Sister Superior was summoned once a month to the House and On Thursday, Feb. 26th, in the House of Commons, in reply to Finance Committee. In the absence of witness the clerk and steward Mr. Leng, Mr. Matthews said that the existing Act gave him power to performed his duties. The total income of the hospital last year appoint temale inspectors in factories and workshops, but there were amounted to £19,334 and the expenditure to .619,560. Legacies had strong objections to its exercise in that direction. In the Bill now yielded about £4300 per annum during the past ten yeais. They before the House the sanitary supervision would be made over to the found it profitable to be always advertising and applying for funds. The local authorities. capital invested amounted to £112,042, only a srmll part of which could Ether- as an lntoxicant in Ireland. be used. They had not had to keep any beds empty through lack of The Chancellor of the Exchequer, replying to Sir L. Playfair, said funds. The resident medical officer admitted the patients, both medical’ there would be no objection to the Select Committee on British and and surgical. He received a salary of £150, with board and lodging. Foreign spirits being put in possesion of the report made to the The officer of the staff who happened to be on duty admitted patients to, Government ou the use of ether as an intoxicant in Ireland. the out department. If a case of scarlet fever presented itself, it was at once and a was sent to the Vaccination Acts. isolated, telegram Metropolitan Asylums Compulsory Board. They admitted cases of diphtheria when there was danger to Mr. Ritchie, in answer to Mr. De Lisle, said that he had been in life. They had separate wards for such cases. The contracts for food communication with the Royal Commission appointed to inquire into went before the House and Finance Committee, who made recom- the of was no . working these Acts, but there hope that their report mendations to the Hospital Committee. The food, as a rule, "as taken would be piesented to Parliament this session. in by the steward. He had never heard complaints from patients as to the food.-The Earl of Kimberley : Then you are quite perfect ?-Mr. Nixon : London Overhead Wires Bill. I do not say so, but that I have never heard complaints. The question On the occasion of the second reading of this Bill on Friday, 27th of the quality of food is dealt with before it reaches the patients. If ult., Sir R. Lethbridge moved: " That it be an instruction to the com- there is any fault, the food goes back to the contractor.-Further exa-- mittee to which the Bill is referred to consider the advisability cf mined by the Chairman, witness said that the surveyor of the hospital amending the Bill, so that its provisions may be in accordance with would be called in if any complaint were made as to the drains. They- Part II. of the Public Health Acts Amendment Act, 1890." He said had a plan of the drains which was kept up to date. The hospital was that as the Bill was admitted to be a compromise, the compromise nursed by a sisterhood associated with the Church of England. They would be more satisfactory, more complete, and more fair if the Com- found this arrangement to work excellently. No difficulties had arisen mittee were to be instructed to assimilate the provisions of the Bill as as to the division of authority. They had a Church of England it affected the metropolis to the provisions of the law as it affected the chaplain, but they admitted ministers of all denominations at any time. provinces generally. The Public Health Acts Amendment Act was They had a separate ward for children. Witness preferred to see- passed after a good deal of careful consideration, and its provisions had children in a separate ward. Children disturbed adults to a consider- been found to work satisfactorily in various large towns. He there- able extent.-By the Earl of Kimberley: In 1879, and again in 1888,, 582

considerable alterations were made in the drainage system of the report the matter either to the weekly board or its chairman. hospital. In the latter year the drains were examined by an There were 160 beds in the hospital, the working average being about expert sanitary engineer. No doubt it would be a good thing to have 135. They admitted all diseases save infectious diseases. They had a yearly inspection by an expert sanitary engineer wholly uncon- no special accommodation for special diseases. At the time of the last nected with the hospital.-The Earl of Kimberley: Has there been no cholera epidemic in London the committee threw the hospital open en- dissatisfaction on the part of the authorities with the buildings being tirely to cholera patients. In 1832 they admitted 700 cholera cases, in ,old?-Mr. Nixon : Yes, but the buildings are as good as we can expect. 1849 about 3000 cases, and in 1854 about 6000 cases. He could not ex- The Earl of Kimberley: The buildings have been improved ?-Mr. Nixon : plain how accommodation had been found for so large an influx of Not structurally, but the drains have been put in thorough repair.- patients. They had not been compelled to keep beds vacant through The Earl of Kimberley : But the buildings are structurally inconvenient? want of funds. They kept things going by " eating the capital." - Mr. Nixon: Yes, and it is contemplated to rebuild the hospital.-In The ordinary income last year amounted to £6048, and the legacies to further examination by Lord Kimberley witness said that the hospital £6855. From 1881 to 1890 the ordinary income averaged £5028, and the was originally founded as the medical school of the University College. legacies £7370. The expenditure last year amounted to £10,671; the The Hospital Committee reported its proceedings to the Council of the invested funds of the hospital amounted to f;20,931. They were about College. The finances of the two bodies were kept entirely separate, to issue an appeal for funds upon a large scale. The hospital was the College merely acting as trustees of the hospital.-By the Archbishop founded in 1828. In 1842 the hospital was removed from Hatton-garden of Canterbury: No difficulties arose in the relations between the to Gray’s-inn-road, where it occupied some old barracks formerly used College and the hospital.-By Lord Cathcart: On one side the by the Light Horse Volunteers. Owing to the receipt of legacies the hospital buildings abutted on some houses which he might say were committee were able to rebuild three sides of the quadrangle without being purchased by the hospital in view of the reconstruction appealing to the public. The remaining side was the present front, which :scheme. The midwifery cases which they treated were not of the was in such a dilapidated condition that unless they spent a very large class that general practitioners cared for. The people were very sum of money upon it they would probably have the roof coming down. poor. The wife of a man receiving .R2 a week in wages would not be The committee now wished to rebuild this front. A staff nurse complaint. treated. They did not limit the cases to the teaching requirements,- ing of -food would speak to the lady superintendent, who would report to The Earl of Kimberley: Is not that a directly pauperising arrange- witness or the weekly board. Minor complaints were received from time ,ment?-Mr. Nixon: It is difficult to define the term pauper.-The Earl to time, but none of a serious character. The architect was responsible of Kimberley : Do you think it is a desirable thing to provide a system for the sanitary condition of the building. He would not describe that by which people shall know beforehand that they have not to provide gentleman as a sanitary expert, but he had a thorough knowledge of all for the expenses of confinement ?-Mr. Nixon: I do not think that that sanitary matters. They had a drainage plan which was kept up enters into the consideration at all.-The Earl of Kimberley: So I to date. The steward was responsible for the drains being flushed observe; but don’t you think it ought ?-Mr. Nixon : Yes, perhaps it every week, and was required to report to witness in the event of ought.—The Earl of Kimberley: Do you not think it is a very undesir- finding anything amiss. The drains were tested about once a year. In able thing that in any hospital in London more cases of this kind should connexion with their building scheme they contemplated a complete be taken than are necessary for the purposes of instruction ?-Mr. revision of the drainage system. He had never had any suspicion as to Nixon : I find it difficult to answer that question, because I think the anything being wrong with the drains. He did not think that a bad ’cases are really so poor.-By Lord Thring : He should like very much to odour could be detected in any part of the building. They had a lady see the floors renewed. No religious tests were applied to the nurses. superintendent and forty nurses. They had a system of training which Mr. Nixon here volunteered a suggestion. It occasionally occurred, he extended over three years. At the end of that period, and after said, that patients became affected with mania, and were very noisy. examination, nurses received a certificate. The question of pensions Before they could be removed the whole machinery of the relieving for nurses was being considered by the committee. The nurses on day - office had to be invoked. All he wished to suggest was that it would duty worked from 7 in the morning until 8.30 in the evening: Every be a great convenience to hospital staffs generally if the certificate of nurse was off duty for two hours per day, and had an allowance of two the officer under whom the patient had been in the ward were and a quarter per day for meals. The time spent in the wards, accepted as sufficient to send the patient in an ambulance to the therefore,I hours amounted to nine hours and a quarter per day. Every nurse infirmary or the workhouse. had besides one whole day per month and four hours and six hours per Sister Cecilia, of the community of All Saints, examined by the month. The annual holiday extended to about three weeks. During Chairman, said that the sisterhood nursed the University College Hos- the four years they had done their own nursing there had been only pital. Under the contract the sisterhood received £192 5s. per month four cases of illness in the nursing staff and no deaths. They did not for the work. There were nine ward sisters, fifty-six nurses, and employ ward maids. The Earl of Kimberley : Why does the lady thirteen probationers. They had one ward sister between two large superintendent dine in what I may call this solitary grandeur?-Mr. wards. They did not employ ward maids, but had scrubbers. The Thies : It is merely a personal matter.-The Earl of Kimberley : Does sisters were practically on duty from six o’clock in the morning until she consider the nurses below her ?-Mr. Thies : Oh, no, but she has 10 o’clock in the evening. In the sisterhood they had sufficient nurses to carve for the general body of the nurses, and it is hardly likely that for all the"needs of the hospital. Apart from private nui ses they had she would care to eat her own dinner at the same time. She attends 112 nurses in the sisterhood.-By the Earl of Kimberley : Any complaint and carves at three dinners per day. By the Chairman : They did not as to the conduct of nurses would be dealt with by witness.-By the supply patients with tea, sugar, or butter. It was a mere question of Archbishop of Canterbury : The quality of the food in the hospital was expense, and was now being considered by the board. By Lord Cath- ’excellent. If anything went wrong it was at once remedied. The cat t: He should like to see telephonic communication between the sisterhood engaged nurses from all denominations.—By Lord Thring: hospitals in London. They did not keep a ward temperature book. She did not think the nurses were overworked. During the past nine By the Earl of Lauderdale: There were 17,263 out-patients last year, :years there had been only five deaths among the nurses. The average and in addition 10,804 casualty cases. By the Earl of Kimberley: He length of service of the nurses on duty was between six and eight estimated that the hospital saved the parish about £2000 a year, and years. She could not suggest any means by which the lives of the on that ground he considered it would be free for parochial assessment. nurses could be lengthened. By the Chairman : He estimated the cost per occupied bed last year Dr. Barlow, for ten years on the staff of the hospital, stated that the to have been £66 lls. Each out-patient, it was calculated, cost Is. 3d. accommodation of the out-patient department was very satisfactory. He should like to see greater uniformity in the accounts of the London ’The space available was by;no means crowded. There was no’ syste- hospitals. Comparisons at present were altogether fallacious. He had matic inquiry as to the circumstances of the patients. If he found a been in the out-patient department of every hospital in London, and he man in better circumstances he would treat him on the first applica- believed that there’was very little abuse of charity. They were making tion, but inform him not to return to the hospital. It might be desir- a special appeal for assistance to the Great Northern Railway Company, able to have an inquiry officer, but lie would require to be a, superior whose employés were brought in large numbers to the hospital. He person and not a mere mercenary individual. He was decidedly in calculated that the patients from the Great Northern Railway Company -favour of out-patient departments. He did not think they starved out- cost the hospital about £500 a year. side practitioners. He should certainly like to see a new hospital, Mrs. Garrett Anderson, Dean of the Medical School for Women, whose although he considered the present building to be quite sanitary. He students receive their clinical instruction in the Royal Free Hospital, would not say that there were no cases of abuse of the charity which gave evidence as to the work of the school. There were, she said, 107 the hospital offered, but he would say that such cases were rare. He students, the number being on the increase. This year they had thirty- did not think that the poor suffered in the hospitals through the four new students, which was the largest number on record. The presence of students. On the other hand, he considered that the poor students paid £110 for the course of study, and of that sum 970 ’benefited by the presence of the students. Those hospitals which went to the school and the remainder to the hospital. There were had medical schools attached were the most popular among the poor.- forty, three students studying for the London qualifications.-By By Lord Cathcart : He considered that nurses were bad lives to the Earl of Kimberley: Two ladies had passed the M.D. examina- insurance companies in the same way as were doctors. He did not tions, and a very large number the M.B. examinations. The course of think that as regards the University College Hospital there was any instruction in the hospital was nearly the same as that in force in special wear and tear among nurses. hospitals where male students were taught. Their students had a good Mr. A. E. Barker, a surgeon on the staff of the hospital, expressed deal of trouble in getting their out-door midwifery instruction.-By himself strongly in favour of out-patient departments. The complaint the : There were about 120 qualified women on the against out-patient departments came from a very undesirable fringe of Register, and they were nearly all in practice. A great number were the profession. He believed they interfered with this fringe, and he abroad, but they were- gradually scattering over the large towns of thought it proper that they should interfere. In his opinion the public England. She thought that, as women went, the medical profession bad great confidence in the general hospitals of London. was a very good profession for women. Women were not so ambitious Mr. Berkeley Hill, at one time dean of the medical school, gave evidence as men in the matter of making large incomes, and she thought they as to that institution. had every reason to be satisfied with the medical profession. The Committee afterwards adjourned. Mr. Calbert, assistant physician at the Royal Free Hospital, gave evidence as to the working of the He Their lordships met again on Thursday, Earl Sandhurst out-patient department. expressed presiding. himself as strongly in favour of the retention of out-patient depart- The Royal F, ree. Hospital. ments. General practitioners could lose only very little through their Mr. C. W. Thies, secretary of the Royal Free Hospital in Gray’s-inn- existence, for the patients were extremely poor. The presence of the Toad, examined by the Chairman, stated that their institution was a lady students in no way hampered the work of the out-patient depart- general hospital. The students who attended for clinical instruction ment. As a matter of fact, the lady students were very useful. were attached to the London School of Medicine for Women. It was Mr. James Berry, surgeon of the hospital, said he was quite satisfied with the condition of the As a entirely a free hospital. The governors had no privileges whatever in sanitary hospital. rule, there was suffi- respect tc the admission of patients. No letters were issued, all cases cient material for teaching purposes. He considered that it would be to send the being admitted on the discretion of the medical officer. They had a very advantageous students round the infirmaries.—By weekly board, at the meetings of which six or seven governors usually Lord Monkswell: He approved of the appointments to the staff limited to holders of London .attended. This board was practically the executive of the hospital. being qualifications. It wonid be in. - He called special meetings when necessary. In a case of insubordi- advisable to admit other qualifications. nation he would undoubtedly suspend the officer, and immediately The Committee then adjourned. 583

NORFOLK AND NORWlCH HOSPITAL.-Physician on the Honorary Medical iSt!1ff. (Apply to the Secretary, Norwich.) NORTH-EASTERN HOSPITAL FOR CHILDREN, Hackney-road, N.E.- Junior House Surgeon for nine months, at a salary of R,5 per month. Successful applicants for Vacancies, Secretaries of Public Institutions, and ROYAL FREE HOSPITAL, Gray’s-inn-road.-Junior Resident Medical others possessing information suitable for this column, are invited to Officer for six months. Board and residence in the Hos- provided ’ forward it to THE LANCET 0 ’ffice, directed. to the Sub-Editor, not later ’ pital. than 9 o’clock on the Thursday morning of each week for publication in ROYAL BATH HOSPITAL AND RAWSOX CONVALESCENT HOME, Harrogate.- the next number. ______House Surgeon and Secretary. Salary .680 per annum, with board, and ADAMS, W., F.R.C.S., has been appointed Consulting Surgeon to the lodging, washing. Great Northern Central ST. PETER’S HOSPITAL FOR STONE AND URINARY DISEASES, Henrietta- Hospital, Holloway-road. for six Hono- F- has been Medical Officer street, Covent,garden.-House Surgeon months. BERRY, C., M.D., M.B , B.Ch., reappointed rarium 26 and of Health, Lynton. guineas, board, lodging, washing. ST. PANCRAS AND NORTHERN BOGDEN, P. HAMILTON, M.B., C.M. Edin., has been appointed Medical DISPENSARY, 126, Euston-road.-Honorary Assistant to the Dundee Lunatic Physician. Royal Asylum. SUSSEX COUNTY Heath.-Junior Assistant Medical R. T. E. F.R.C.S. has been ASYLUM, Hayward’s COOKE, B., L.R.C.P., Edin., M.R.C.S., Officer. £100 a with and reappointed Honorary Consulting Medical Officer to the Royal Salary year, board, lodging, washing. Northern Sea-Bathing Infirmary, Scarborough. TEIGNMOUTII, DAWLISH, AND -NEWTON INFIRMARY AND CONVALESCENT HOME.-House Surgeon (to act also as Secretary). Salary £40, ÐIXEY, ARTHUR CROSBEE, M D. Mass., M.R.C.P., L.R.C.S. Edin., with board and L.S.A. Lond., has been appointed Medical Officer for the Caldicot lodging. - District of the Chepstow Union, Surgeon to the Severn Tunnel, WEST BROMWICH DISTRICT HOSPITAL.-Assistant House Surgeon for Great Western Railway, and Tin Plate Company’s Works; Certify- six months. No salary, but board, lodging, and washing in the. ing Factoty Surgeon, Medical Referee to the Prudential Assurance Hospital. Company, and Surgeon to Oddfellows, Foresters, and other Clubs, WEST HAM UNION.—Assistant (Resident) Medical Officer for the Work- vice 0. T. Slatter, resigned. house. Salary £100 per annum, with the usual resident allowances. EvANS, M. G., M.D.Aberd., L.R.C.P.Lond., M.R.C.S., has been (Apply to the Clerk, Clerk’s Office, Union Workhouse, Union-road, appointed Consulting Physician to the Brecon County and Borough Leytonstone, E.) Infirmary. WEST LONDON HOSPITAL, Hammersmith-road, W.-House Physician GRACE, HENRY, L.R.C.P. Lond., M.R.C.S., has been appointed Medical for six months. Board and lodging provided. No salary. Officer of Health for the Urban District of the WEST LONDON HOSPITAL, Hammersmith road, W.-House Surgeon for ‘ Kingswood Sanitary Keynsham Union. six months. Board and lodging provided. No salary, HICKMAN, HERBERT V., M.R.C.S., L.R.C.P. Lond., late House Physician, WEST LONDON HOSPITAL, Hammersmith-road, W.-Assistant Surgeon. has been appointed Ophthalmic Assistant to Guy’s Hospital. X. N P., THE LANCET Office, 423, Strand, W.C.-Medical Officer to take. LOVE, Dr. JAMES KERR, has been appointed Aurist to the Deaf and full charge of a Dispensary in the East of London. Salary .6100, Dumb Institution, Longside, Glasgow. with partially furnished rooms, fuel, and gas. MARSHALL, CHARLES DEVEREUX, M.R.C.S., L.R.C.P. Lond., has been appointed House Surgeon to University College Hospital. MILLS, JOSEPH, M.RC.S., &c., has been appointed Anaesthetist to St. Mark’s Hospital, City-road. READ, SIBLEY W., L. D. S. R.C.S.Eng., has been appointed Dental Surgeon to the Metropolitan Hospital. Births, Marriages, and SAUNDERSON, ROBT., Jun., M.D., L.K.Q.C.P. Irel., has been appointed Deaths. Medical Officer to the Edenderry Dispensary, Edenderry Union. SIMMONS, E. WALPOLE, M.B. Durh., M R.C.S., has been appointed BIRTHS. to the Worcester vice Honorary Physician Infirmary, Strange. March at E. C.M. Edin., has been Assistant Medical BOYTON.-On 1st, 65, Seymour-street, Hyde-park, the wife of SMITH, M., M.B., appointed L.D.S. of a Officer to the York Friendly Societies’ Medical Association, vice G. Ivan H. Boyton, R.C.S. Eng., daughter. Scarr, resigned. BURKE.-On Feb. 13th, at Civil Lines, Poona, the wife of W. H. Burke, SYKES, J. H., L.R.C.P. Lend., M.R.C.S., has been appointed Assistant M.B., Indian Medical Service, of a son. Medical Officer of the Crumpsall Workhouse, and also Assistant CLARK.-On March 2nd, at Rahere, Brunswick-road, Gloucester, Mrs. Medical Officer of the Workhouse and Receiving Wards, Bridge- Oscar Clark of a daughter. street, in the township of Manchester. GOULD.-On March 4th, at 10, Queen Anne-street, the wife of A. Pearce TAYLOR, J. W., M.D. St. And., M.R.C.S., has been reappointed Gould of a daughter. Honorary Consulting Medical Officer to the Royal Northern Sea- GUNN.-On March 3rd, at 54, Queen Anne-street, Cavendish-square, W., Bathing Infirmary, Scarborough. the wife of R. Marcus Gunn, F.R.C.S., of a daughter. VERNON, A. H., L.R.C.P. Lond., F.R.C.S., has been appointed Honorary HUNTINGTON.-On Feb. 28th, at 43, South-street, St. Andrews, the wife Surgeon to the Boscombe Hospital and Provident Dispensary, vice of William Huntington, M.R.C.S., L.R.C.P. Lond., of a daughter. Nunn, resigned. VENN.-On Sunday, March lst, at 122, Harley-street, W., the wife of£ WEBB, F., L.R.C.P. Lond., M.R.C.S., has been appointed House Surgeon i Albert J. Venn, M.D., M.R.C.P., of a son. to the Doncaster Infirmary, vice Lund. WiLLiAMSON.—On Feb. 26th, at Eldon-square, Newcastle-upon-Tyne.. WHEATON, S. W., M.D. Lond., M.R.C.P., D.P.H., has been appointed the wife of G. E. Williamson, F.R.C.S., of a son. Physician to the Royal Hospital for Children and Women, Waterloo- bridge-road, vice Dr. Dakin, resigned. WOOD, W. D., L.R.C.P., L.R.C.S. Edin., has been reappointed Medical MARRIAGES. Officer of Health for the Combined Districts, Thame. POWER-CLUTTERBUCK.-On Feb. 26th, at St. Andrew’s Church, Ply- mouth, E. R. Power, Surgeon-Major Army Medical Staff, only son. of the Rev. E. R. Power, Che Nant, Balbriggan, county Dublin, to Catherine Annie, only child of Surgeon-General J. E. Clutterbuck, M.D., Army Medical Staff (retired), of Newark Park, Wotton-under- Vacancies. Edge, Gloucestershire. - SAVAGE,-BOUSFIELD.-On Feb. 9th, at St. Paul’s, Capetown, S. Radford, For each should be made Savage, M.B., of Maseru, Basutoland, to Mary Isabel Bousfield, further information regarding vacancy reference second of the Bishop of Pretoria. to the advertisement. , daughter SiMPSON—MACNAUGHTON.—On Feb. 28th, at St. Peter’s Church, Pad- dington, John Pollock Simpson, M.B., to Annie Johanna Stuart BELGRAVE HOSPITAL FOR CHILDREN, 79, Gloucester-street, S.W.- (Bennett), daughter of the late Alexander Macnaughton, J.P.. House No but board, fuel, and pro- Scotland. Surgeon. salary, lodging, light Banker, - vided. BIRMINGHAM PROVIDENT DISPENSARY.-Medical Practitioner on the DEATHS. staff of the Balsall-heath Branch. (Apply to Rev. W. C. Thomas, Hon. See, Moseley, Birmingham.) ALLAN.-On March 2nd, at 23, Milner-square, John Allan, M.D., CHELSEA HOSPITAL FOR WOMEN, Fulham-road, S.W.-Medical Officer M.R.C.P., in his 76th year. for one year. Salary £80 per annum, with board and residence. ARCHER.-On Feb. 25th, at Boyne-terrace, Notting-hill, William Archer, FOREST-HILL PROVIDENT DISPENSARY.-Medical Officer. (Apply to F.R.C.S., in his 83rd year. the Hon. Secretary, the Ridge, West-hill, Sydenham.) MIDDLEMORE.-ON March 1st, at his residence, The Limes, Bristol-road,, HULL ROYAL INFIRMARY.-Four Honorary Assistant Surgeons to take Birmingham, Richard Middlemore, F.R.C.S., in his 87th year. charge of the out-patients. PIERSON.-On Jan. 29th, at Shelabagh, Khojak Pass, Baluchistan, of HULL ROYAL INFIRMARY. -Ophthalmic Surgeon. typhod fever and pneumonia, Alfred Henry Pierson, Surgeon Indian KING’S COLLEGE, .London.—Demonstrator of Physiology. Medical Service, eldest Son of the late Henry C. Pierson, of the LEITH HOSPITAL.-House Physician for the Out-door Department for India Office. six months. Salary at the rate of £50 a year, with boaru in the WAKEFIELD.-On Feb. 25th, at Alwyne-place, Canonbury, N., Thomas. Hospital. Wakefield, M.R.C.S., in the 82nd year of his age. LEITH HOSPITAL.—House Surgeon for the Out-door Department for six WOLFF.-On March 1st, at the residence of his nephew, North Audley- months. Salary at the rate of £50 a year, with board in the Hos- street, Grosvenor-square, Dr. Julius Wolff, in his 90th year. pital. WORTHlNGTON.—On Feb. 26th, at Pattensweir, Enfield, Frederick LEITH HOSPITAL.-Surgeon for the Out-door Department for six Worthington, M.R.C.S., formerly of Liverpool, aged 81. months. Salary at the rate of £50 a year, with board in the Hos- pital. LIVERPOOL NORTHERN HOSPITAL.-Assistant House Surgeon. Salary N.B -A fee of 5s. is charged for the Insertion of Notices of Births, £70 per annum, with residence and maintenance in the house. Marriages, and Deaths.