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% l:txCDamoTnI 1 584', MEDICAL JOURNA~L j ANTI-VENEREAL MEASURES IN THE AMERICAN ARMY. [rNov. 23, .9*0 7 7 -- beyond losing his pay-wlile the disease disables him fep TIE_WAR. duty, provided he lhad prophylaxis. after exposure. But if lie contracts a venereal disease and has not, according to regulations, had proplhylactic treatment, lhe is court- A' lT-VENEREAL MEASURES IN THE martialled for disobedience of orders, and, if convicted, is AMERICAN ARMY. punished. Since 1912 there lhave also been fortnig-ltly Di). W. A. PUSEY, Chairman of the Committee on Venereal physical inspections. 1)isease appointed by the Surgeon-General of the United In the planning of the base hospital of each cantonment S;tates Army, has recently published a detailed account full provision lias been made for venereal diseases. ft'is a of the manner in which the venereal disease problem' is part of the scheme that men suffering from acute venereal lhandled in that army.1 disease shall 'be confined to the 1hotpital until the acute T'hi venereal disease rate of the avmy previous to 1898 infectious stages are past.; this applies to all cases of acute averaged per I,000; had thle present gonorrhloea and, all cases of syphilis, w,hi,ch lhave early moore rigorous conditions of recording syplhilis tlen been active lesions. It has sometimes bee'n`round,'difficult to get in force, it is estimated that the rate for venereal diseases this policy'cartied' out. 'One of' th'e arguments for it is the it (luring that period 'would have been 110 per 1,000 or mnore. great advantage affords 'in il'o orrlhoea' for curing With the mobilization of new troops in the Spanish- quickly and preventing its spread to t posterior urethra; American war in 1898 the rate suddenly dloubled, aoing another is the assurance it givesof theoroughearly to 160 per 1,000. The high rate then produced persisted treatment of syphilis, and the rapidi-y withi wlhicli the ,after the war for thirteen years, varying between 180 and infectious stage is. passed; a third, andi a very great ad- 160 per 1,000 until 1911. Between 1909 and 1911 tlhe vantage, is the reduction in thie dainger of non-venereal miiedical department developed its wrecseut policy. Its spread of tlhese diseases. mnost important features were regulations which pro- Each base hop,ital is provided with a general laboratory vided for loss of pay for disability fromnvenereal dis- inl whlichl W0rasserman tests are rnmde,'.'and, it is intended eases, periodical pljysical inspections, and venereal pro- I th:tt eaclh veniereal service in the 'base lisopital slhall lh'aye plhylaxis. The result ot this policy was slhown by the its own small la'boratory, equipped for ex'amination for rapid and continuious decline in venereal diseases. Fromn spirocliaetes and bacteria and for' -thie examination of alate of 164 per 1,000 in 1911 it dropped to 116 in 1912 to 86 in 1913. The measures taken are first, social 'Tihe conduct of nmedical affairs in the caiitonments and educational, and secondly, proplhylactic and muedical. depends to a very large extent on the attitude of those in Social measures include the repression of prostitution and supreme autlhority-tlhat is, (1) the commanding general of the liquor traffic, which it is lheld go together, and the in a cantonment; (2) tlle division surgeon; and (3) the provision of proper social surroundings anid of opportunities commanding officer of the base hospital. for recreation and diversion. Aleoliolic liquor is a factor The place where patients with chronic gonorrlloea and in the diffusion of venereal diseases, owing to its weakening syphilis are likely to fail to get expert care is in the effects upon those inhibitoi y influences that under ordinary division as distinguished from the base hospital. The conditions prevent man's givingvway to Ihis impulses. regimental surgeon must be a general practitioner wliile The control of the liquor traffic and of prostitutioni lie is in that position. Adequate care of syphlilis and of lhas called for co-operation betweeni federal anid local tlhe chronic complications of gonorrlhoea eminienltly demand uLtlhorities. Inside cantoniments atnd other (lovernnicent expert training, and this is no more to be expected of the ieservations the federal autlhorities are supreme, buit in regimental surgeon than is special training ini all the other a(ldition a district las been provided by law, consisting specialities. Mdeover he is not provided witlh the special of R. zone, at present designa,tied by the Secretary of -War equiipment nciesary for it. It ollows, tllerefore, that to be five miles, around eachl of the cantonments. In gonorrhoea and-syphilis should, as fai as possible, be taken tllose3 zones the federal authiprities are in a position to out of the care of tle general medical' officers. The policy control completely the liquor traffic and the various Con- is to send them to hospital as freely as practicable, and dlitions which encourage, prostitution. Outside the zones everything is done to encourage the. return of ambulatory tlhe Federal Government can still exert great influience. cases to the hospital for such treatment as they need. It BJut for the mnost part reliance has been placed in great is also the policy to have a qualifiedofficer detailed for the measure on the local eivil authorities, and, owing to tlhe special duty of.supervising all venereal mnatters, including awakened public conscience, they lhave, almost witlhout the treatment of venereal cases througlhout the can'ton exception, realized their responsibility in tllese mnatters, ment. But in spite of tliis the fact remains that the weak a.nd responded as well as the most sang,uinie couldlhave point in the.are of the soldier's venereal diseases is 'the asked in their efforts to improve them. The schlelmle does carehe receiveswhenhe is on duty. He is allowed to stay iot include the segregation of prostitutes, nor their ex- on duty often when it would ultimately be better for hi'm ;1 11fination or certification, but every endeavour is illade to and for the servipe ifhe were nominally as well as actually sick, and unider expert care. This is often due to stiuulateactivity in earing for venereal eluop the civil. population, with the ain, among otlhers, of eedulcing attituide of the'commanding line officer'. He wants his tlnt?uinber of "car-ie-s." mneni or he doesnot want them, and he has no use for'tb is For the army itself the first part of prop-hylaxis is the sol(lierwvho taing lhalf-days off to go to the hospital for prevention of infection after exposure. The regulationis treatmnent. There is room for much education bere, and wvith regard to this are of universal application, and for the development of considerably more co-operation. care is talken to see that it is tlho-oughly carried out. The results of the policy have been satisfactory. Between Venereal proplhylaxis is; part of the dtuty of every 1897 and 1900, a period that covered the Spanish-American '-egimental infirinary andil of every othter infirmiary tlhat war, the venereal rate went up from an average of 80 per lhas in its care the healtlh of a unit of soldiers. The 1,000 to 160. Since 1913 the ratehas remained under 90, regimental infirmaries (lo inost of thtis work and every- excepting during 1916. In 1916, when there was a rapid tliing for giving prophylactic treatmient, is always acces- increase of the army and mobilization on the Mexican sible in every one of these. Them:edical officers are borde-, the rate went to 91.4. Dr. Pusey takes the rate of 'esponsible for it, but it is etarined ouit by specially trained 90 as the mean average to be striven for in the present ieon-commissioned officers, one of whiom-1 is constantly crisis, although the rate of 91 in 1916 would certainly be on duty, so that the returning soldier can get prophy- fairly justifiable as'the standard. The rate for the regular .lactic treatment at any timiiein the twenty-fourlhours that army fromSeptember, 1917, to May, 1918, averageda little lie applies for it. As far as possible prophylactic treatment betten than 90. 'With the secon week of mobilization is carried out seriously, without allowing an atmos'phere of th)e venereal rttb for the National'Army shot up to 367 per levity or obscenity to creep in. The necessity formedical 1,000. The National Guard atthis time showed a rat of prophylaxis is instilled into the soldiers' minds. They are 150. The rate of the Regular Army at this date was S. told that it is not a sure preVentive of infection; that the Thie very high rate in the is to be -sooner it is applied the' nmore likeyiti6t and accounted for by the fact that when venereal disease is discovered for the first time in a soldier it is counted as that after eight hours it is likely to be ineffective. The new taking of it, if exposed, is a of army If a ease, although it may be an old infection;i,four miatter regulation. to a ran coutracts venereal disease, he is not punished wooks liad 'elapse before. the' icidence of veneW disease ina b&ly of troops eotid 'boe determined4 4he Jo01r7r. Ainer,Mee. Assoc., September 28bb, 1918. rate for the National Army for the-first four week. ader 'Nv.: 23, tCASUALTIES IN THE MEDICAL T m, BarTu * 85 i9g8j SERVICES. i bIEDGICAL JOURNAL 585 mobilization was twice that of the National Guard. This Died on Service. would appear to suggest that the prevalence of venereal LIEUT.-COLONEL J. E. HODGsoN, R.A.M.C. Idisease is greater in the civil population than in the army. Lieut.-Colonel John Edward Hodgson, R.A.M.C., died Oil December 1st, 1917, the rate of the National Army fell at Salonica on November 5th, aged 44, of Pneumonia below 90, and the rates for the army in France were lower. following influenza. He was born on August 3lst, 1874, the son of the late Caleb Hodgson of , and educated at Owens College, Manchester, taking the diplomas of CASUALTIES IN THE MEDICAL SERVICES. M.R.C.S. and L.R.C.P.Lond. in 1898, and the D.P.H. of the Colleges in 1913. After acting as resident clinical assistant at the Barnes Convalescent Hospital, . Cheadle, Manchester, he entered the R.A.M.C. as lieu- 'Lost at Sea. tenant on January 28th, 1899, becoming captain on SURGEON LIEUTENANT D. S. MACKNIGHT, R.N. January 28th, 1902, major on October 28th, 1910, and AL1.M.S. Britannia, a battleship of 16,350 tons, was tor- lieutenant-colonel on March lst, 1915. pedoed and sunk by a German submarine in the western ehtrance of the: Straits of on the morning of LIEUT.-COLONEL J. T. MCENTIRE, R.A.M.C. I~ovember 9th. Two officers and about 40 men were lost, Lieut.-Colonel John Thomas McEntire, R.A.M.C., was 39 officers and 693 men saved. One of the two officers lost reported as having died on service, in the casualty list was Surgeon Lieutenant Dundas Simpson MacKnight. published on November 12th. He was born on January lie was educated at Edinburgh University, where lie 20th, 1880, and educated at Trinity College, Dublin, where 'graduated M.B. and Ch.B. in 1900, afterwards taking the he graduated as M.B., B.Ch., and B.A.O. in 1903. He Liverpool D.T.M. in 1911. He served as a civil surgeon joined the R.A.M.C. as lieutenant on August 31st, 1903, in the South Africai war in 1901-2, receiving the medal; became captain on January 31st, 1907, and major on and afterwards a, niedical officer of the British South February 28th, 1915, and had since been promoted to Africa . He joined the navy as a temporary lieutenant-colonel. Burgeon in 1915. He was the second son of the late hev. John Maclnight of Whitlhorn. CAPTAIN P. S. GREEN, R.A.M.C. Captain Philip Sydney Green, R.A.M.C., died at Wounded. Wimereux, near Boulogne, on November 13th, aged 33. Surgeon D. L. Baxter, R.N. He was the fourth son of the late John Green, J.P., of Newton-le-Willows, Lancashire, and was educated at ARMY. the Victoria University, Manchester, where he graduated Killed in Action. M.B. and CI.B. in 1 11. He joined the R.A.M.C. as* a CAPTAIN R. OLARK, R.A.M.C. temporary lieutenant early in 1916, and was promoted to Captain Robert Clark, killed on November 7th, was the captain after a year's service. last surviving son of Inspector Clark, police office, Burnbank, Hamilton. He was educated at Hamilton CAPTAIN L. T. MCCLINTOCK, R.A.M.C.(V.). Academy and Glasgow University, graduating M.B., Ch.B. Captain Lawson Tait McClintock, R.A.M.C.(V.), died at the latter in 1914. For a short time he acted as house- at Loddon, Norfolk, on November 11th, of pneumonia surgeon at the Glasgow Royal Infirmary and took a following influenza. He was educated at Edinburgh Uni- temporary commission in the R.A.M.C. in July, 1915. At versity, where he graduated M.B. and Ch.B. in 1901. the time of his death hp was attached to the 20tli Hussars. After acting as assistant house-surgeon of Salop Infirmary His two brothers, one of whom was an officer in the he went into practice at Loddon, where he was medical d[.A.M.C., had already fallen in action. officer -of the workhouse, and of No. 2 district of Loddon and Clavering Union, also medical officer of health of Leddon and Clavering districts. He held a commission as Died of Wounds. cAptain in the R.A.M.C. Volunteers, was medical officer MAJOR H. BEAL, U.S.M.C. in charge of the Red Cross hospitals at Loddon and Major Howard Beal, United States Medical Corps, of Hedenham Hall, and civil medical practitioner in charge Waterlane Farm, Shrrewsbury, Massachusetts, died at of-troops at Loddon. Nanilly, near , on July 20th, aged 49, of wounds received at Roy St. Nicholas, near Pierrefonds, on CAPTAIN A. B. ROBnRTSoN, R.A.M.C.(S.R). jfuly 18th. He was chief surgeon to the Ainerican Captain Angus Burns Robertson, R.A.M.C.(S.R.), died on Women's Hospital at Paigiton, Torquay, during 1914-15. November 8th at War Hospital, of pneumonia following influenza. He was the only son of Captain CAPTAIN 7J1i. DUNLOP, C.A.M.C. Angus Robertson, R.A.M.C., and was educated at Edin- ,Captain Harry Dunlop, C.A.M.C., was born at Kingston, burgh University, where he graduated M.B. and ChlB. in Oitario-, on October 21st, 1883, and graduated in medicine 1911, after which he wont into practice at Loanhead, aV Queen's University, Kingston, Ontario. He came to Midlothian. He joined the of the jgngland in $eptember, 1916, and served as M.O. in units R.A.M.C. as lieutenant in 1917, had served in andl in until November, 1917, wben lie went to France , and was under orders for France at the time of and served with the 102nd , to which unit he was his death. attached when he received the wounds of which he died Qi November 2n;d. The following officers of the C.A.M.C. died at sea on thie voyage from to England on the dates indicated: CAPTAIN H. P. WHITWORTH, R.A.M.C.(S.R.). Captain C. D. Hamilton (October 9th). C31aptain Henry Parkes Whitworth,, R.A.M.C.(S.R.), was Lieutenant R. H. Lalande (October 6th). reported as lhaving died of wounds, in tlle casualty list Lieutenant W. McLeod (October 10th). published on November 12th, having previously been re- turned as wounded in that of October 31st. He was Wounded. edusated at Guy's Hospital, and took th4 diplomas of Major W. H. Morrison, R.A.M.C. (T.F.). MxH,C.S. and L.R.C.P.Lond. in 1914. He t ok a commis- Captain E. T. Curran, Canadian A.M.C. sioi- as. lieutenant in tle Special Reserve of the R.A.M.C. Captain A. R. Hagerman, Canadian A.M.C o December 18th, 1914; joined for service on January Captain A. Hunter, R.A.M..C.' 4th,i1915; and was promoted to captain six months later. Captain I. W. Jones, R.A.M.C. (temporary). Hi;ewas attached to thle K%ing's Own Scottish Borderers C(aptin P. G. Leeman, R.A.M.C. (temporarv). 5tl; Foot). ; Captain J. Manuel, M.C., RA.M.C. (temporary). Captain A. U. Millar, R.A'.C. (tem orary). ;,$: LIRUTENANP P. R. -SHANNON, R.A.M.C. Captain C. H. G. Prance, JRA.M.C. (tmporary). *ijFjiMeutenant. P. :11. bia("oi, R.A.M.C.j was reported as Captain R. Rodger, R.A.M.. -S,R.). hvW-ng died of :wodseW the- casuiay list published. on -Captan J. Rowland, R.A.M (S.-0,. ). *bember1}5th; Heh*,oAlyj.ecently qliWie4 and taken Captain W. G. ShakespeaJre, R.A.M.C. a4nErasY oomniaoEJi *3a R~A.M.%s Captain M. W. Thomas, Canadian A.M.G. 580 MID.!C,-%IMxDz BJURNlLJOURNAL j] HONOURS. [Nov. 23, 1918 DEATHS AMONG SONS O1 MEDICAL MEN. REPATRIATED OFFIGERS. Adam, Walter, Lieutenianit , attaclied M.achine GuIn ON Novem1ber 12thi was publislied a list of officers repatriate(d Corps, third soni of the late Dr. Janies Adam and iMlrs. Adamii, of from Germany, where they had been prisoners of war, most of Quarry Downv, Hythe, died at (Aranthiam. Military Hospital, them takeni in the German advance in March and April last. November 3rd, of pneumonia after influeniza. He got his Out of a total of 97, no less than 61 were medipal officers. One, first commission in the Royal East Kent Yeomnanry on Mlarch Captina Tickle,-bas died sinice his return to-England. Captain 31st, 1915. Griffin was originally reported as killed. The names (all Barker, Thomas Chesmani, Second Lieuiteniant R.E., killed in R.A.M.C.) are: action on November 4th, aged 20, was the $son of Dr. Chesman Colonel A. Milne Thompson, C.(.'G., M.C. 'Barker of Finchley. Hle obtaitned a wvar degree (B.Sc.Eng.) at Lienit. Colonels: A. C. H. Gray, H. IB. Kell, 1).S.0. the Indian University in 1917, enitere(d the Military Academy at Majors: J. Kennedy,t J. S. McConnachie,t M.C. Woolwich in 1916, havinig takeni there the King's medal, and ('aptains: W. Arnott,* 1. T. Ascough,iM.(C., A. GC. B3isset,* was sent to.France in September, 1918 M.C., T. Blackwood,' attached R.F.A., H. Crassweller, attached Brockleburst, Evelyn Pierrepoin t, Private Royal Royal Sussex , C. R. Crowther,t S. J. Darke,' M.C., (City of London Regiment, 7th Foot), fifth son of tihe late T. H. attaclie(il Queen's R11oyal WVest Surrey Regfimrnit), W. 1F. DVunlop,8 Brocklehurst, surgeon, died of wounids at a casualty clearing J. G. Elder,* M. S. Esler,* attached , C. \X . station on September 28tii, aged 25. Fowler,* M.C.,attachedRoyalBerkshirel egimet, D. Gillespie,* Dickey, R. G. A., Captain 5th Battalioni , attached R.E., L. S. H. Glanville,* attachled Royal Irish Rifles, attached to R.E., died at Greystones Hospital, lBlackpool, on P. H. Green,t E. H. Griffin,' D.S.O., M.C., R. MI. Handhield November 14th frolm gassed pneumonia and nephritis con- Jones,* M.C., W. G. Harnett,* G. F. P. Heathcote,* MC., tracted on April 9th, 1918. Son of Dr. Dicliey, M.B.E., .J.P., of attached East Lanicashire Regiment, A. C. IHepburn,t R. WV. Higgin House, Colne, he joined the army in August, 1914, Hodgsoii Jones," attache(d -Royal Inniskilling Fu8iliers, from Manchester University O.T.C., and was gazetted second C. E. P. Husband,! attached Northumberland Fusiliers, lieutenant 5th Battalion, Manchester Regiment. He was W. J. Isbister,* M1I.C., attached Border -Regiment, G. I.Joues, wounded.in the., August, 1915, theni went to Egypt attachedl Scottish Rifies, J. M. Mackenzie,* M.C., attache(d for a yea'r, and had Served in France from January, 1917. Northumberland Fusiliers, D. Macnair,t H. C. Martin,* W. T. P. Diokson, G. Murray, Second Lieutenanlt (Royal Meade-King,t C. A. Meaden,* attached Middlesex Regiment, Highlanders, 42nd Foot), younger son of the late Dr. G. Cecil C. Mearns,t attacbed Sherwood 'oresters, J. C. Muir,* attache(i Dickson, medical-officer of health Carnoustie, killed October Durham Light Iifanltrv, F. C. Nicholls,t M.IC., attaclied Soluth 26th, aged 27. He was in the jute induistry in Calecutta, and Staffordabire Regiment, W. O'Brian,' attached -Lancashire a member of the Calcutta Scottish. Voluniteers, and came to Fusiliers, R.. W. Pearson," M.C., attached Durhanm Lig4t Europe to enlist early in 1917. , S. V. P. Pill,* attached Wilts Regiment, WV. A. Rees,* IHammond, Thomrias Hill, Machinie Gun J. Ross,0 M.C., attaclied , A. B. Simpson,* F'. P. Corps, son of the late Dr. Hammond, of H.M. Prisonl Service, Smith, R. M. Soames,*attached Norfolk Regiment, J. Sullivan,* killed October 31st, aged 21. He enlisted in the 10th (Scottish J. Tate,* attached East ., F. R. Tickle,* Territorial) Battalion of the King's Liverpool Regiment attached Rifle Brigade, G. Torippe," M.C,, XV. Warburton," (8th Foot) in July, 1916, afterwards trapsferi:ed to the M.G.C., attached , D. A. Wilson,* C. Witts,*. M.C. got, is.coral1issiwu in July, 1918, and retur'ned to.the front only Lieutenants: A. Boyle,* J' W. Jones,* attached Rifle Brigade, a wesi. before bis death. A. M. McCormick,* attached Lincoln Regiment, 0. Le F. HlIelm, HIenry Paul-Dundas, Captain Royal Air Force, late Milburn,* attached -Royal Dublin Fusiliers, F. B. O'Dowd,* -Border-Regiment,-eldest-son of Dr. R. Dundas Helm of:Carlisle, attached Regiment, E. S. Phillips,* attache(d died at Carlisle on November.6th, aged 24. -Before the war he , F. J. Power,* attached Royal Inniskilling was a medical student at Edinburgh, antd had passed his first Fusiliers, D. attached Royal Scots, XW. H. Rowden."* M.B. examination. LieutenantRobertson,*an1d Quiartermaster F. W. B. Carter. Leigh, 'leiry Godfrey Thomas, Secon(d Lieutenianit (Labour Corps), second son of Dr. AV. W. Leigh of Glyvn Bargoed, The following medical officers have arrived at Alexandlria Trobarris, Glami., died in -France of pneumonia following from captivity in Tiurkey: infliaenza on Novernber. 1th ina bis 34th year. He was edu- Lieut.-Colonels : E. F. E. Baines, I.-M.S., E. Beniiett, cated t Sherborne andthe Agricultural College, Dowuiton. HJe R.A.M.C. went to some twelve years .ago, anid took up Majors: S. G. S. Haughton, I.M.S., W. M. Pearson, I.M.S. farming in Zululand. .In 1915 he joined the S. African Artillery, Captains: L. A. P. Anderson, I.MS., E. G. S. Cate, and took part in the 'West Afri-can campaign under General .R.A.M.C., C. Newcomb, I.M.S., T. E. Osmond, R.A.M.C., M. L. -Botha. Hereturned to England in 1917 and joined an officers' Purl, I.M.S., J. S. Startin, 1.A.M.C. training,corps at Cambridge, eventually obtainiinga commission in the.Labour Corps, after Nwhich he was stationed at Sutton, -Temporary. t . Special Reserve. and only left for France last montlh. Lyle, Hayden Strattonl, M.C., Captain Canadian Mounted Rifles, third sonl of the late Dr. R. C. Lyle of Dunmow, killed Navember 6th. 'TIONOURS. Macaulay, James, Secon(d Lieutenant Rifle Brigsade, elder son ORDER OF THE BRITISH EMIPIRE. of the late Dr. Miacaulay of Perth, killed in Franice, November A SPECIAL Supplement to the Lonidont Gazette, (late(d Novem- 4th, aged 20. ber 18th, contained a list of appointments to the Most Excellent MacVicker, John Everard Clhurchlill, Lienteinant Royal Air Order of the conferred for distinguished service Force, eldest so01 of Dr. C. G. MacVicker of Street, Somerset, in-connexioii -with military operations. The following medical reported miissinig on Julv 2.2nd,: now presumed killed on that officers are includled in tile list: (late, aged 20. lie was bori at Isleliam, Cambridgesbire, in 1897, educated at Aldeuhlam School (PauLll's), wbere lie was in T'o be 0.B.E'. the cricket anid football teams, anid joinied the London Uni- In Flrttwance atml Flanders.-Captain David Ifammaiid Fraser, versity O.T.C. In October, 1916, he tranisferred to a cadet corps R.A.M.C. (for an act of gallantry not in the preseilce of thte for the R.F6C., got his coimmll-ission in February, 1917, and went enemy). overseas-.in May, 1918. ln M11esopotainia.--Majors Samuel H. Christopbers, C.I.E., Moore, Harold ThQonas Pellham. M.C., Lietutenant Royal I.M.S., Frederick P. Mackie, I.M.S..; ('apitain William Dtnrlop, Field Artillery, only son of Lieut.-Colonel E. J. Moore, R.A.M.C.(S.L.); temporary Captaits David F. Borrie, P.A.1.C., H.A.MI.C., of Blackheatlh, killedl November 4th, aged 21. He Edward N. Glover, R.A.M.C. got his commission On October 30th, 1914. In East Afric(.-Lieut.-Coloutel Ernest R. Rost, I.M.S., tem- Morse, Eric Victot, MI.C., Captaini the tiffs (East Kent Regi- porary Lieit.- Colonel Donial(d Macaulay, R.A.M,C.; Majors ment, 3rd Foot). seconid soni of Mr. Thomlas H. Alorse, F.RHC.S., George D. Maynard, S.A.M.C., E,lstace L. Scott, M.C., I.M.S., of Deal, kille( October 23rd, aged 26. He was born at Norwich Charles E. Southon, I.M.S.; Captain (acting iALajor) XVilliam D. in 1892, and Nvas educated at -Haileybury and at Pembroke Miller, S.A M.C. College, Cambri(dge, wliee lie graduated siil1913. He enlisted in In Egypt.-Major Edward Gibbon, R.A.M.C. the Buffs on- AuguLst 11th, 1914, got a commission in the following mnonth, and went to -France in 1915. He received the Military To.be 1LI.B.E. Cross last Septenmber for gallalntry in the Gerinan offensive last East spring. Inl Afr1icat.-Captains Raymond Bury-, Nyaealand Medical Service, -William H. Elliott, R.A.M.C6.(S'R.)", eoffrev -B. Prichard-Evans, Evtani Lindsay, Lieutentant Royal Artillerv, Fleming, _R.A.-M.C.(T.F.), William H. Kauntz, E.A.MI.S. ;*tem- youIlgest soiI of the late I)r. .l richiard-Evans of Mountaini Ash, Geoffrey D. H. -died Novemnber 7th, of pnleunmonia, at llilliuigtoni Hall Auxiliary porary (aptaills Carpenter, !Uganida Medioal Hospital, Kin1g's Lvynni. Service, lDonald McIntyre, H.A.MXC. Rowland, Jolh-n Walter Blruce, Seconl(l Lieutellanit Royal Field Artillery, only son of Dr. E. D. ovowlanid, I.S.O., medical service, British West Indlies, kille(d Noveember 1st, aged 19. A Eugenic Society has been founded at Sao Paulo, Semple,.. HE. W., Captain Uoyal Field Artlllery, second-son .Brazil, with Dr. Amnaldo Vieira de Carvalho, Director of of Sir David Selnple, of HRoyston, Herts, died inl hospital abroad the Faculty of Medicine and Surgery of the University, as oln November 5th of wounlds received on October 22nd, aged 22. President. He was attached-to a trenlch nmortar battery, Guards Division. THE University of Toronto reeently received an endow- meent from a citizenof Toronto for the establishment of chairs in pediatrics, gynaecology, probably in ortho- (JVe shall be indebted to relatives of thtose whito are killedt in paedics, and in some special tbranch,of -medioinelto be action or die in the wvar Jor information wvhich wvill enable US to decided upon later. The amount rtf these endowrnents mnake thesenotes us complete and accurate as possible.] will be from hal, a million to three willion %ollar.