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Principal Heath, in responding, observed that they owed a time must elapse before the bread-winner, struck down so great debt of gratitude to the universities, but the problem sadly while employed in charity, is in a condition, if ever. they had to face in a busy city like was different to earn his living again, and during that time help is and toto G1E10 from that of the ancient universities. They were in will be urgently needed. We desire to supplement Mr. Henry the middle of great industrial enterprise, and the training they Morris’s generous appeal. to had to bear to that The I had give relationship industry. Sltts, -I hear that the merit of this case is known to quality of bread winning demanded a great deal more serious but I desire to make it known also to the attention from them than it did from the of Oxford yourselves, University profession through your columns. or Cambridge. At the same time, they had had pointed out 11 Charles Townshend. L.R.C.P., L.R.C.S. Irel., to them how technical education was not inconsistent with Bryan aged forty-two, was until recently in practice in King’s-road, a liberal education, and how a ideal and a lofty high plane Chelsea. The work was hard, the poor, and bad of were and also patients intelligence necessary attainable, although debts him from His health a their had to bear close to the prevented saving. requiring training relationship practical change from Chelsea he sold his as a is5ues of life. had cause for in practice going They great gratitude having concern of ;f:500 a year and with the of the considerable sums the from proceeds received during year generous sale started in in Richmond-road, In friends. In that the had been a favourable con- practice Kingston. respect year in a woman - a that had it. April, 1891, attending poor gratuitous trastto many years preceded TheyhadreceivEd patient-in her confinement he became inoculated with this no less a sum than The late Alderman year n7,OOO on the of the hand. He did rot left them will and that syphilis forefinger right Avery by f,2000, just recently realise the nature of the sore, and had no treatment bad been a of 2000 from the general supplemented by gift until he came under in 1891. He then executors of his estate. An endowment of 5000 for the my charge June, underwent a treatment. after the had also been prolonged specific Shortly maintenance of physical laboratory anony- Christmas last he became affected with disease. For contributed the To endow the rew spinal mously during year. this I recommended him to consult Dr. which he of education for teachers Mr. Buzzard, department elementary George did. Mr. Townshend is now seriously ill with para- Kenrick had to the council securities an complete conveyed producing He is a married man, with six cbildren between income of a and had been a plegia. 200 year. that supplemented by the of ten and He had formed further gift from Mr. George Dixon, M.P., of 1000 for the ages eighteen years. a nucleus of practice at Kingston, but by his present same purpose. Lastly, Mr. John Corbett of Droitwich had illness, which quite him, he and his founded with a sum of to bear incapacitates scholarships capital 1000, are of any means of subsistence. his name. That was and it was to be family entirely deprived very encouraging, Neither Mr. Townshend nor his wife, who has also been in that a tide had set in in their favour that would lead hoped very bad health, have any of assistance from their them on to fortune. prospect own immediate and for this reason I have decided Professor Windle also He said that in relatives, replied. Birmingham to appeal for him in his sad condition to his professional they had nothing to complain of with respect to the clinical brethren. will be received and acknow- for the In addition to Subscriptions duly field provided students. the General ledged by his brother, the Rev. Horace Townshend, M.A. Dub. and Qaeen’s Hospitals, at which the ordinary course of and Camb., Chaplain of Islington Wokhouse, 41, King instruction was followed, students were able to attend the Henry’s-road, South and I am authorised Fever and Lunatic which were Hampstead, by Hospital Asylum, corporation Dr. Buzzard to that be will start this list with a donation institutions, and also the kindness of their staffs the say by Eye, of five and I shall be happy to give a similar sum and Ear and Throat at which were guineas, Orthopedic, Hospitals, they myself. "I aam, Sirs, yours faithfully, able to follow some of the more branches of important special "Cavendish-square." "HENRY" HENRY MORRIS. the profession. Nor had Birmingham anything to complain of in the medical school. It provided at present more than 50 per cent. of the honorary and paid staffs of the hospitals, a fact which was an eloquent vote of confidence in the VITAL STATISTICS. school on the part of the managers of those institutions. The presence of medical students, moreover, at the hospitals had a very important bearing on the prosperity, of those HEALTH OF ENGLISH TOWNS. institutions. He thought it was hardly recognised what a IN thirty-three of the largest English towns 6866 birtha difference it would make to the if there were no managers and 6014 deaths were registered during the week ending medical students in the city, and if the work which they Feb. 23rd. The annual rate of mortality in these towns, gratuitously performed in the hospitals had to be carried out which had increased in the four preceding weeks from 18’7 by paid officers. to 26-7 per 1000, further rose last week to 29’6. In Professor to which the Lapworth proposed "The City," London the rate was as high as 34’0 per 1000, while it Mayor responded. 26 5 in the towns. The lowest Professor the toast of "The Visitors." averaged thirty-two provincial Barling gave rates in these towns were 17-4 in Gateshead, 19-8 in Derby, Sir Walter Foster, M.P,, in response, spoke of the educa- 19’9 in Leicester, 20 3 in Oldham and 205 in Hull ; the tional facilities of which bad been Birmingham, largely highest rates were 31’5 in Cardiff 34’0 in London, 35 2 in brought about by the munificence of its citizens. He trusted Nottingham, 38 0 in and 46 in The that the set would be followed for there Plymouth, Liverpool. example by others, 6014 deaths included 317 which were referred to the was nothing a man could do better than distribute his wealth principal zymotic diseases, against 312 and 315 in the two while he lived. He was glad to know that in Birmingham preceding weeks ; of these, 94 resulted from whooping-cough, one of its foremost citizens had founded an institution by 70 from measles, 55 from diphtheria, 43 from diarrhoea, 33 which a child could climb to the highest position of culture from scarlet fever, 20 from "’fever " (principally enteric), and and learning, and having that heritage the need for leaving 2 from small-pox. The lowest death-rates from these diseases him of wealth wave taken to the piles away. Referring were recorded in Leicester, Sunderland, Bristol, Swansea, medical school, from his position on the General Medical and Birkenhead ; and the highest rates in Norwich, Sheffield, Council he was able to say that the high standard of passes Burnley, , and . The greatest mortality fer which the Birmingham Medical School had always been from measles occurred in Bolton, Sheffield, and Gatesbead ; distinguished was maintained, and more than maintained. from scarlet fever in Wolverhampton, Salford, and Rudders- Although no longer directly connected with the school he and from in Norwich, was still interested in its field ; whooping-cough Manchester, deeply prosperity. and The from "fever" showed no Mr. Oliver Pemberton, in Chairman," Burnley. mortality submitting "The marked excess in any of the towns. The 55 deaths sud in him had one of the most brilliant large they examples of from included 29 in 4 in 3 in the union of science with the of medicine. diphtheria London, Leeds, practice West Ham, and 3 in Sheffield. One fatal case of Toe Chairman and the ter- small-pox briefly replied, proceedings was in London and 1 in but not one in dicated. registered Derby, any other of the thirty-three large towns. There were 75 cases of small-pox under treatment in the Metropolitan AN APPEAL. Asylum Hospitals and in the Higbgate Small-pox Hospital on Saturday last, Feb. 23rd, against 51, 56, and 67 at the end of the three 19 new cases were WE have received the letter from Mr. preceding weeks ; following Henry admitted during the week, against 18 in each of the two Morris. It has reference to a sad case which we also desire preceding weeks. The number of scarlet fever patients in the to ’tU’ge upon our readers as an exceedingly deserving one. Metropolitan Asylum Hospitals and in the London Fever Hos- We have been able to be of some temporary service, but some pital at the end of the week was 1658, against 1653, 1667, and 572

1657 on the three preceding Saturdays; 152 new cases were admitted during the week, against 160, 149, and 159 in the THE SERVICES. three preceding weeks. The deaths referred to diseases of the in London, which had increased respiratory organs MOVEMENTS OF THE MEDICAL STAFF. from 324 to 840 in the four preceding weeks, further rose to has to the Western 1119 last week, and were as many as 615 above the corrected SURGEON-MAJOR ROCHE been posted and to Belfast. The follow- average. The causes of 107, or 1-8 per cent., of the deaths in district, Surgeon-Major Beatty in the Malabar for India :-Snr- the thirty-three towns were not certified either by a registered ing officers have embarked Sexton and medical practitioner or by a coroner. All the causes of death geon-Major Dempsey, Surgeon-Captains Nicoll, Farmer. Babtie and were duly certified in Oldham, Leeds, Gateshead, Newcastle- and Surgeon-Lieutenant Surgeon-Major Burnside have on a tour of service upon-Tyne, and in seven other smaller towns ; the largest Surgeon-Captain proceeded proportions of uncertified deaths were registered in Birming- to Malta. ham, Preston, Huddersfield, and Hull. ARMY MEDICAL STAFF. Surgeon - Colonel William Christy Robinson retires on HEALTH OF SCOTCH TOWNS. retired pay. The annual rate of mortality in the eight Scotch towns, INDIA AND THE INDIAN MEDICAL SERVICES. which had increased in the three preceding weeks from 23-9 D. W. Scotland, to 35’1 further rose to 41 -1 the week Surgeon-Captain Officiating Superin. per 1000, during tendent, Central Prison, Benares, on being relieved, is Feb. 23rd, and exceeded 11’5 1000 the mean ending by per to officiate as Civil Surgeon, Jalaun. rate the same in the appointed Surgeon- during period thirty-three large English Lieutenant Bruce Gordon who has three towns. The rates in towns Seton, completed the eight Scotch ranged from is to Perth in Aberdeen to in years’ full-pay service, promoted Surgeon-Captain. 24 in and 24-9 38 Edinburgh and Lieutenant - Colonel H. retires from the 51-0 in The 1186 deaths in these towns included Surgeon - Boyd Glasgow. service. Medical Establislznaent : The Queen’s which were referred to 36 to Bengal 51 measles, whooping-cough, to the of 11 to 7 to 4 to scarlet to approval promotion Surgeon-Lieutenant-Colonel diarrhoea, diphtheria, fever, 4 I I fever, " A. B. Seaman to Lieutenant - Colonel is 2 to In deaths resulted from Brigade-Surgeon - and small-pox. all, 118 these announced in the London Gazette of Feb. 22nd. The 81 and 115 in the two principal zymotic diseases, against pre- Queen’s of the retirement from the service of the weeks. These deaths were to an approval ceding 118 equal annual undermentioned officers is also announced :- rate of 4’1 which was 2-5 above the mean rate last officially per 1000, Medical Establishmsnt: week from the same diseases in Bengal Brigade - Surgeon - Lieu. the thirty-three large tenant - Colonel John Burke Lieutenant. towns. The fatal cases of had Gaffney, Surgeon - English measles, which Colonel Andrew McMaster Paterson, been 26 and 46 in the two further rose Surgeon-Lieutenant- preceding weeks, Colonel Horace Parr Yeld. to 54 last week, of which 22 occurred in Edinburgh, 18 in Glasgow, and 12 in Aberdeen. The deaths referred to NAVAL MEDICAL SERVICES. which had increased from 18 to 33 in the whooping-cough, The following are notified :—Fleet-Surgeons: four further rose to 36 last and appointments preceding weeks, week, W. R. White to the E. W. Luther to the Durham. included 30 in The 7 fatal cases of Eczgle Glasgow. diphtheria Surgeons : A. 0. Bobardt to the Dart; H. Meikle to the differed but slightly from the numbers recorded in recent Rainbom. weeks, and included 4 in Glasgow. The deaths referred to different forms of fever," which had been 6 in each oj VOLUNTEER CORPS. the three preceding weeks, declined to 4 last week, of whicr Artillery : 3rd Kent (Royal Arsenal) : Luigi Walter Alfred 3 occurred in Glasgow. The 4 fatal cases of scarlet fevei Keiffenheim-Trubridge, M.D., to be Surgeon- Lieutenant. were within 2 of the number in the preceding week, anc 1st North Riding of Yorkshire (Western Division, Royal included 2 in Glasgow. The 2 deaths from small-pox werl i Artillery) : Henry George Outram Collett, Gent., to be recorded in Edinburgh. The deaths referred to diseases of th4 I Surgeon-Lieutenant..86 ; The Queen’s Rifle Volunteer respiratory organs in these towns, which had been 214 anc Brigade, the Royal Scots (Lothian Regiment) : The under- 345 in the two preceding weeks, further rose to 517 last week mentioned gentlemen to be Surgeon-Lientenants : Alexander and were more than four times the number in the corre . Macdonald, M.B. ; Claude Buchanan Ker, M.B. lst Volun- sponding week of last year. The causes of 96, or mor teer Battalion, the Royal Warwickshire Regiment: Surgeon- than 8 per cent., of the deaths in these eight towns las Captain E. L. Freer to be Surgeon-Major. week were not certified. ___ VOLUNTEER MEDICAL ASSOCIATION. HEALTH OF DUBLIN. At the quarterly meeting of this association, held on The death-rate in Dublin, which had been 31-9 and 34-2 Jan. 28th, at 20, Hanover-square, it was decided that the next per 1000 in the two preceding weeks, further rose to 35’1 Ambulance Challenge Shield competition should take place during the week ending Feb. 23rd. During the past eight on Saturday, June 15th. Squads intending to compete should weeks of the current quarter the death-rate in the city has to the Hon. Secretaries, 20, Hanover-square, W., for averaged 33’0 per 1000, against 22 2 in London and 25-5 in applythe conditions regulating the competition, in which some Edinburgh. The 235 deaths registered in Dublin during the slight alterations have been made. The new regulation by week under notice showed an increase of 6 upon the which regimental bearers are no longer allowed to wear the number in the preceding week, and included 10 which were Red Cross badge was discussed, in consequence of numerous referred to the principal zymotic diseases, against 19 representations from members of the association. The con- and 17 in the two preceding weeks ; of these, 6 resulted clusion arrived at by the council was that the regulation was from small-pox, 1 from diphtheria, 1 from whooping-cough, necessary in order that the Red Cross may continue to serve 1 from ’’ fever," 1 from diarrhcea. but not one either as a protection to non-combatants on active service. The from measles or scarlet fever. These 10 deaths were equal to wearing of the badge by men in the ranks was really an an annual rate of 1-5 per 1000, the zymotic death-rate during infringement of the Articles of the Geneva Convention. The the same period being 1’5 in London and 5’1 in Edinburgh. annual dinner will take place on April 24th, the date fixed The fatal cases of small-pox, which had been 5, 7, and 8 for the annual meeting of the association. in the three weeks, declined again to 6 last week. preceding THE ARMY MEDICAL STAFF EXAI1iINATIO:. During the past eight weeks of the current year as many as 59 deaths from small-pox have been registered within the The following is a list of the successful candidates for com- city. The mortality from "fever " showed a further decline missions in the Medical Staff of Her Majesty’s Army at the from that recorded in recent weeks. The 235 deaths in recent examination in London :- Dublin last week included 41 of infants under one year of age and 70 of persons aged upwards of sixty years ; the deaths of infants showed a marked increase, while those of elderly persons showed a slight decline from the number recorded in the preceding week. Eight inquest cases and 8 deaths from violence were registered; and 82, or more than a third, of the deaths occurred in institutions. public INDIAN MEDICAL SERVICE EXAMINATION. The causes of 22, or more than 9 per cent., of the deaths in the city last week were not certified. The following were successful at the recent examination