SUPPLEMEANTT TO THE BRITISH MEDICAL JOURNAL.

LONDON:. SATURDAY, JUNE 12TH, 1909. CONTENTS.

PAGE PAGE THE SEVENTY-SEVENTH ANNUAL MEETING OF' THE METROPOLITAN COUNTIES BRANCH: BRITISH MEDICAL ASSOCIATION: PROGRAMME OF CENTRAL COUNCIL ELICTION, 1909 ...... 386 BUsINESs ...... 373 MEDICAL INSPECTION OF SCHOOLS ...... 387 MEETINGS OF BRANCHES AND DIVISIONS: LANCASHIRE AND CHESHIRE BRANCH: Bath and Bristol Branch: Trowbridge Division ... 380 Border Counties Branch ...... 380 CENTRAL COUNCIL ELECTION ...... 388 Connaught Branch ...... 380 GENERAL MEDICAL Edinburgh Branch: Southern Division 381 COUNCIL.-EXECUTIVE COMMITTEE ... 389 Glasgow and West of Scotland Branch: Glasgow Eastern HYGIENE AND TEMPERANCE IN ELEMENTARY SCHOOLS 389 Division ...... 381 MILK AND DAIRIES BILLS FOR SCOTLAND ...... 391 Gibraltar Branch ...... 381 Lancashire and Cheshire Branch: Salford Division ... 381 NAVAL AND MILITARY APPOINTMENTS ...... ,. 392 Metropolitan Coqnties Branch: Marylebone Division ... 382 VITAL STATISTICS ...... 392 to ,,dTottenham, Division ... 382 Southern Branch:*,, Portsmouth Division 383 HOSPITALS AND ASYLUMS ...... 393 Salisbury Division 383 VACANCIES AND APPOINTMENTS ...... S3outb Wales and Monmouthshire Branch: Monmouthshire 394 Division ...... 384 BIRTHS, MARRIAGES, AND DEATHS ...... 395 South Wales and Monmnouthshire Branch: Cardiff Division 384 RECEIVED...... _ ... 395 Worcestershire and Herefordshire Branch: Hereford Division... 384 BOOKS, ETC., ASSOCIATION NOTICES.-Annual General Meeting.-Annual DIARY FOR THE WEEK ...... 3.s Representative Meeting.-Council Meeting ...... 385 CALENDAR ...... 396

Queen's College, Belfast, where the Associatlon meetings will be held. THE SEVENTY-SEVENTH ANN-UAL MEETING OF THB BRITISH MEDICAL ASSOCIATION,

JULY 23RD TO JULY 31ST, 1909. Presdenteiet: Sir WILLM WHITLA, M.D., LL.D., Professor of Materia Medica and Therapeutics, Queen's College, Belfast. PatPreadnt: HENRY DAVY, Hon.D.Sc., M.D., F.R.C.P.Lond., Physician, Royal Devon and Exeter Hospital, Exeter. Chairman of ftprmntatI Metgs: JAMES ALzXANDER MACDONALD, M.D., M.Ch., R.U.I., Physician, Taunton and Somerset Hospital. Chairman of Council: EDMUND OWEN, Hon.D.SC., LL.D., F.R.C.S., Consulting Surgeon to St. Mary's Hospital, London. Tresurer: EDWI RAYNER, M.D.Lond., F.R.C.S., Consulting Surgeon Stocxport Inirmary, Stockport. (269) SUPPLZMZNT TO TIM 'I PROGR,&MME OF ANNUAL MMETING. 374 BBMSH XZDICAL JOURNALj (JVNE[JVNE Ia,12, 1909.19".

The. Seventy-seventh Annual Meeting of the British Medical Association will be held in Belfast in July, 1909. The President's address will be delivered on Tuesday, July 27th, and the Sections will meet on the three following days. The Annual Representative Meeting will begin on Friday, July 23rd, 1909. PROGRAMME OF BUSINESS. The Address in Medicine will be delivered by R. W. PHILIP, M.D., F.R.C.P.Edin., Physician, Royal Infirmary, and Royal Victoria Hospital for Consumption, Edinburgh. The Addresa in Surgery will be delivered by ARTHUR EDWARD JAMES BARKER, F.R.C.S., Professor of the Principles and Practice of Surgery, University College, London. The Address in Obstetrics will be delivered by Sir JOHN W. BYERs, M.D., Professor of Midwifery and Diseases of Women, Queen's College, Belfast. The Popular Lecture will be deliveredi by Dr. J. A. MACDONALD, Physician to the Taunton and Somerset Hospital, Chairman of the Representative Meetings. THE SECTIONS. The scientific business of the meeting will be conducted Honorary Secretaries: JAMES HARRY SBQUBIRA, M.D., in- fifteen Sections, which will meet on Wednesday, F.R.C.P., 8A, Manchester Square, London; S. ERNBST July 28th, Thursday, July 29th, and Friday, July 30th. DORIE, M.D., 26, New Cavendish Street, London; JOHN CAMPBELL RANKIN, M.D., 38, University Road, Belfast. The President, Vice-Presidents, ard Honorary Secretaries of each Section constitute a Comraittee of Reference for A discussion will be held on the Treatment of Skin that Section, and exercise the power of inviting, accepting, Diseases by Radium and Radio-therapy. or declining any paper, and of arranging the order in which accepted papers shall be read. Communications DIsBASBS OF CHILDREN. with respect to papers should be addressed to one of the President: HAROLD J. STILBs, F.R.C.S.Edin., 9, Great Honorary Secretaries. Stuart Street, Edinburgh. A paper read in the Section must not exceed fifteen Vice-Presidents: JOHN MOCAW, M.D., 74, Dublin Road, minutes, and no subsequent speech must exceed ten Belfast; RICHARD WHYTOCK LESLI, M.D., "' St. HoHlers," minutes. Strandtown, Belfast; ROBBRT CAMPBELL, F.R.C.S., 21, Great Victoria Street, Belfast. Papers read are the property of the British Medcal Association, and cannot be published elsewhere than in the Honorary Secretaries: ANDRBW FuLLERTON, F.R.C.S.I., BRTISH MEDICAL JOuRNAL without 8pecial permssion. 8, University Square, Belfast; JOHN WILLIAM SIMPSON, M.D., 19, Lansdowne Crescent, Edinburgh. The following are the general arrangements so far as It is proposed to devote some portion of three of the they are yet complete: days on which the Section meets to the discussion of the following subjects: ANATOMY AND PHYSIOLOGY. Wednesday, July 28th.-Club Foot. President: CHARLBS SCOTT SHERRINGTON, M.D., F.R.S., Thursday, July 29th.-Functional Neuroses in Children. Physiological Laboratory, University, Liverpool. Vice-Presidents: Professor THOMAS HUGH MMROY, M.D., F.R.S.E., Queen's College, Belfast; Professor PETER HABMATOLOGY AND VACCINE THBRAPY. THOMPSON, M.D., King's College, Strand, London; ARTHURI Presidnt: Sir ALMROTH WRIGHT, M.D., F.R.S., 6, Park PHILIP BEDDARD, M.D., F.R.C.P., 44, Seymour Street, Creseent, Regent's Park, London, N.W. Portman Square, London, W.; Professor ANDREW FRANCIS Vice-Presidents: ALEx. GARDNER ROBB, M.B., 15, Univer- DixON, M.B., D.SC., 73, Grosvenor Read, Dublin. sity Square, Belfast; THOMAS HOUSTON, M.D., 95, Great Honorary Secretaries: ALEx. Low, M.B., 142, Blenheim victoria Street, Belfast; Captain STEWART RANKIN DOuGLAS, Place, Aberdeen; JOHN ALEX. MILROY, M.D., Queen's I.M.S., Inoculation Department, St. Mary's Hospital, College, Belfast. London. The following provisional programme has been arranged: Honorary Secretaries: WILIAM DUNLOP DONNAN, M.D., 12, High Street, Holywood, co. Down; DUDLEY W. A discussion on the Deep Afferents, their Function and CARMALT-JONES, M.B., B.Ch.Oxon., 78, Wimpole Street, Distribution. To be opened by Professor C. S. Sherrington. London, W. Papers: The following papers have been accepted: The has been DIxON, ProfessorA. F., Dublin. The Anatomy of the Achondro- following programme arranged: plastic Skeleton. Wednesday, July 28th.-1. Opening Address by the JOHNSTON, H. M., B.A., M.B., B.Ch., Dublin. Notes on the PRESIDENT, of which the following is a synopsis: Distribution of the Intercostal Nerves. Brief survey of the therapeutics of bacterial diseases, MACLEAN, Hugh, M.D., Liverpool. Phosphatides in the Light of Modern Research. and of the development of therapeutic immunization out MILROY, John Alex., M.D., Belfast. (1) Some Observations on of prophylactic immunization. Anticipation that the the Staining of the Central Nervous System in Bulk with method of passive immunization (serum-therapy) would Aniline Dyes (with demonstration); (2) Some Metallic furnish a general method for the treatment of generalized Derivatives of Haematoporphyrin. bacterial infections. Question as to how far this MOORE, Professor B., Liverpool. The Bio-Chemistry of anticipa- Haemolysis. tion has been realized. Proposal that localized bacterial PATTEN, Professor C. J., Sheffield. An Early Human Embryo. infections might appropriately be treated by active ROAF, Herbert E., M.D., Liverpool. A Simple Method of Demon- immunization (vaccine-therapy). Subsequent suggestion strating Cholesterin in Bile. that vaccine-therapy might be applied also to generalized Professor Peter Thompson (London) will give a demon- infections. Brief synopsis of the results which have been stration of models illustrating three stages in the form of achieved by this therapeutic method. Question as to the human heart during the first month of development. what future extensions may be anticipated for the method depends upon whether the fundamental assumption of the DERMATOLOGY AND ELECTRO-THERAPE'UTICS. method-that is, the assumption that the machinery of President: WILLIAM CALWELL, M.D., 6, College Gardens, immunization can be called into action in every bacterial Belfast. infection by a suitable dose of the appropriate vaccine-is well founded. Consideration of this question. Urgent Vice-Presidents: ROBERT BRIGGS WILD, M.D., 96, Mosley need for further study of the physiology of the machinery Street, Manchester LESLIE ROBERTS, M.D., 46, Rodey of immunization. Possible applications of vaccine-therapy Street, Liverpool. in connexion with the secondary infecUons of scar.atina, r nuir O 33 JUNE I2g 1909.] PROGRAMME OF ANNUAL MEETING. LB MNDIaL b@oUm", 375J small-pox, cancer, whooping-cough, and hay fever, and in The following is a synopsis of the remarks to be made connexion with the limitation of family and institutional by Dr. THOMAS BARR (Glasgow) in opening the dis- epidemics. cussion: 2. Papers on separate subjects: Dr. Houston, Typhoid The paper, by arrangement with Mr. Richard Lake, deals Carriers. Captain Douglas, Bacteriology of Cystitis. Dr. solely with non-operative treatment. It is pointed out that Fleming, Bacteriology and Vaccine Treatment of Acne. the tinnitus aurium is merely a symptom, and effective Thursday, July 29th.-Discussion: The Early Diagnosis treatment must depend on a correct knowledge of the con- of TubercuTosis. To be opened by Professor CALMETTE, dition underlying it. Hence, thorough examination of the l'Institut Pasteur de Lille, with a paper of which the organ of hearing by all the subjective and objective following is a synopsis: methods is a primary essential. After brief reference to (1) Experimental researches have shown that tuber- cases depending on accumulation of wax, Eustachian culous infection is at first confined to glands, that its obstruction, removable fluids in the tympanum, and other spread depends on the number and virulence of the conditions in which tinnitus can be readily cured or bacilli, that if few they are destroyed or calcified in the alleviated by well-known methods, the author deals with glands, and that serious lesions are due to single massive cases where tinnitus persists after such methods of treat- or repeated small infections; early diagnosis is essential ment or where no definite lesion can be shown, by objective for cure. (2) Consideration of the relative value of examination, to exist in the ear. In this connexion cutaneous, conjunctival, and intradermo reactions in emphasis is placed on the importance of attention to the diagnosis; and, further, of those of " reactions of recrudes- state of the general health, and the influence of coexisting cence," and humoral and phagocytic reactions. (3) Sug- systemic disease is shown, as also that of mental attitude, gested routine employment of the above for the isolation personal habits, climate, and special drugs, and external of infected subjects. applications. The special treatment indicated for the Friday, July 30th.-Discussion: Bacterial Infections of pulsating forms of tinnitus is considered. The value of the Respiratory Tract other than Tuberculous. To be Ton-behandlung is next discussed, this being the influence opened by Dr. BORDET, who will deal with the micro- exerted upon certain subjective sounds in the ear, mainly organism of whooping-cough. A cocco-bacillus was of a musical character, by objective sounds from a tuning- isolated in 1906 with definite cultural and staining fork. With reference to electrical treatment, it is pointed peculiarities. Filtered cultures are non-toxic, but endo- out that the apparently good effects from the high toxins are highly virulent and produce the essential sym- frequency currents reported a few years ago do not seem ptoms of whooping-cough. Specific properties are present to have been borne out by further experience. In dis- in the serum of convalescents, which may be demon- cussing the effects upon tinnitus of naso-pharyngeal trent- strated by the method of the fixation of complement. ment it is shown that the establishment of good nasal breathing and a healthy condition of the naso-pharyngeal HYGIENB AND PUBLIC HEALTH. mucous membrane often leads to the disappearance or Pre8ident: LOUIS COLTMAN PARKES, M.D., 61, Cadogan mitigation of the symptoms, but that, on the other hand, Square, Chelsea, London. it may be aggravated by ill-directed treatment of the naso-pharyngeal order. Vice-Prestident8: SAMu1EL AGNEW, M.D., Lurgan, co. Mr. LAKE will deal with the operative treatment: first, Armagh; HENRY O'NEILL, M.D., 6, College Square East, what may be termed remote operative, in the form of Belfast; CHARLES KILLICK MILARD, M.D., Town Hall, intranasal treatment, lumbar puncture, and ligation of Leicester. the carotid artery; afterwards tracing the gradual evo- Honorary Secretarime: CHARLES PORTER, M.D., Public lution of the course of operative interference from simple Health Department, Town Hall, Finsbury; WILLIAM remaoval of one or more of the vesicles or adhesions, etc., McLORINAN, L.R.C.P., 103, Antrim Road, Belfast; THOMAS the simple opening or perforation of the labyrinth, its CARNWATH, M.B., Town Hall, Manchester. complete ablation, to the division of the auditory nerve The following subjects have been suggested for dis- itseif; he will also endeavour to point out the lines cussion: which may be useful in attempting to decide when to operate and what operation to select. 1. The Compulsory Notification of all forms of Tuber- Thursday, July 29th.-Latent Infections of the Diph- culosis and the Mortality from Tuberculous Diseases in theria Bacillus, including the Administrative Measures relation to Sex. Tc be opened by Dr. Harold Scurfield, required for dealing with Contacts. (In association with Medical Officer of Health, Sheffield. the Section of Hygiene and Public Health.) (1) Dr. Robert 2. Latent Infections of the Diphtheria Bacillus, and M. Buchanan (Glasgow); (2) Dr. Duncan Forbes (Brighton); the Administrative Measures required for dealing with (3) Dr. P. Watson Williams (Bristol). Contacts. (Joint discussion with the Laryngological Dr. WATSON WILLIAMS will open the discussion from Section.) the clinical standpoint: 3. The Discharge of Sewage Effluents into Tidal Waters If diphtheria may be defined as any pathological condi- The following additional subjects are also suggested: tion, local or general, due to infection by specific diphtheria 1. Enteric Fever Carriers and Paratyphoid Bacilli. organisms, diphtheria is "latent" when such pathological 2. Ventilation of Sewers and House Drains and the conditions are unaccompanied by obvious illness. The Disconnexion Trap. impinging of diphtheria bacilli on the nasal or oral mucous 3. The Medical Officer of Health and School Medical membrane without any local reaction, though not a true Inspection. infection, is clinically a form of latent diphtheria. Latent diphtheria infections may be grouped under three heads: LARYNGOLOGY, OTOLOGY, AND RHINOLOGY. (1) Patients who afford none of the usual clinical indica- Pre8ident: STCLAIR THOMSON, M.D., F.R.C.P., 28, Queen tions of diphtheria are not definitely ill, and yet are found Anne Street, London. to be anaemic, have increased pulse tendency, are poorly in association with nasal catarrh, membranous rhinitis, Vice-Pre8ident8: ERNEST BLECHYNDEN WAGGETT, M.B., faucial redness, and slight subacute tonsillitis, otorrhoea, 45, Upper Brook Street, London, W. ; V. P. HENRY sores, etc., which on bacteriological examination prove to SMURTHWAITE, M.D., 8, St. Mary's Place, Newcastle-on- be diphtheritic. (2) Cases with any of these diphtheritic Tyne; J. A. KNOWLES RENSHAW, M.D., 11, St. John Street, lesions, but with no general symptoms of ill-health. (3) Manchester. Persons who present no local lesions, and no departure Honorary Secretaries: HAROLD SHUTTLEWORTH BAR. from norital health, but in whom diphtheria bacilli have WELL, F.R.C.S., 55, Wimpole Street, London; JOHN been found by culture tests. In practice latent diphtheria STODDART BARR, M.B., 13, Woodside Place, Glasgow; is met with affecting the nasal cavities, the fauces and HBNRY HANNA, M.B., B.Sc., 57, University Road, Belfast. mouth, the external auditory meatus, the skin, genital The organs. There is no characteristic symptom or sign of a following subjects have been selected for special latent diphtheria, for in their clinical aspects they are discussion: indistinguishable from similar non-diphtheritic lesions of Wednesday, July 28th.-The Treatment of Tinnitus the same territories. Pseudo-membranous lesions of the Aurium. (1) Dr. Thomas Barr (Glasgow); (2) Mr. Richard mucous membrane of the upper air tract may be non- Lake (London). diphtheritic or diphtheritic. The only crucial test by e BPPLXENT TO TH 1 376 BRITISH MEDIAL JOJ PROGRAMME OF ANNUAL MEETING. [JUNE 12, 1909. which latent diphtheritic infection can be determined occur with the heart, lungs, and kidneys intact, is at is the bacteriological test. Examples of latent diph- last reluctantly admitted by physicians who have studied theria will be cited, and various methods of treatment the data; and if so the essential, as apart from contingent discussed. causes, must lie outside these organs. The opener will Friday, July 30th.-The Treatment of Cicatricial divide angina pectoris into angina minor and angina major, Stenoses of the Larynx and Trachea. (1) Dr. H. Lam- and the symptoms of the two degrees will be compared. bert Lack (London); (2) Dr. Delsaux (Brussels); (3) Dr. "Pseudo-angina " he intends to dismiss as pseudol Bryson Delavan (New York). diagnoeis, and to relegate these cases to the Vaso-vaga- Dr. H. LAMBERT LACK will deal chiefly with cicatricial class of Gowers. Vasomotor oscillations commonly occur stenosis of the larynx in children as the result of in angina pectoris it is true, and in two main but tracheotomy for diphtheria. In nearly every case the incidental relations: first as determinants, when by tracheotomy tube was introduced through the larynx at changes of blood pressure attacks are provoked or mitigated; the original operation, and this is considered to be the secondly, as consequences of acute impressions reaching cause of the subsequent stenosis. In some cases the stric- the nerve centres by afferent paths. The speaker will ture was fibrous and limited to the soft parts, in others proceed to appreciate the current hypotheses of angina the laryngeal cartilages were extensively destroyed and pectoris, pointing out the diversity of these irreconcilable the stricture almost impermeable. The first indication of and often mutually destructive explanations. He will treatment is to remove the tube from the larynx by per- then advocate again his own interpretation, first pub- forming a low tracheotomy and inserting the tube in as lished in 1894, and frequently and formally repeated since low a part of the trachea as can be reached. In cases without effect upon medical opinion, although at length it seen early this alone will suffice to effect a cure. Where has been fully accepted by Josue, in a paper published extensive stenosis is present and the above treatment last November. This interpretation is that the origin of fails, the larynx should be opened, the cicatricial tissue angina pectoris lies not in the heart but in the supra- excised, and the case carefully watched. The various sigmoid portion of the aorta; that the oppression of means of dilating the larynx by passing a solid plug angina minor is seated in this place; and that in angina upwards from the tracheotomy wound and by inserting a major the referred pains still originate here, but, as in the T-shaped cannula are described and condemned. The degrees of their severity they force successive centres, author's experience of intubation is also unfavourable. they radiate over more and more extensive areas. That, Two illustrative cases are described and some statistics as concerns fatality, angina pectoris, neither in its minor given. nor in its major forms, is directly fatal; that indeed in It is proposed this year to arrange a special exhibition many, perhaps in the majority, of major and minor cases of skiagraphy in relation to diseases of the upper air and taken together, death, if it occurs, is due to co-operating food passages. Members are requested to send in the causes; that in a large number of cases, whatever the titles and descriptions of any skiagraphs they propose to issue of co-operating lesions, such as valvular or myo- conitribute to Dr. Hanna at once. Every care will be cardial disease, the anginous lesion is healed, or, at taken of negatives and prints, which should be carefully any rate, the symptoms cease; and, furthermore, that labelled with the owner's name and address. not a few cases of angina pectoris, even of the major variety, end in complete recovery; that when death is MEDICINE. directly attributable to the angina it is due to vagus President: Professor JAMES inhibition, such as is prone to happen, for example, ALEXANDER LINDSAY, M.D., in surgical operations about the root of the lungs or F.R.C.P., 3, Queen's Elms, Belfast. r the brachial plexus, or to be induced by some other Vice-Presidents: ARTHUR FoxwELL, M.D., F.R.C.P., intense peripheral irritation, as in the genitalia. Finally, 47, Newhall Street, Birmingham; JOSEPH FRANCIS that, although a sound heart may be inhibited to the point O'CARROLL, M.D., F.R.C.P.I., 43, Merrion Square, Dublin; of death, this very rarely happens; and that in nearly all LAURISTON ELGIE SHAW, M.D., F.R.C.P., 64, Harley SEreet, cases in which the heart fails to disengage itself from the London; WILLIAM BAIRD MCQUITTY, M.D., 8, College inhibitory interference, the myocardium, whether by Square East, Belfast. coronary disease, by toxic influence, or otherwise, was Honorary Secretaries: JOHN SMYTH MORROW, M.D., previously unsound. Eia House, Antrim Road, Belfast; LEWIS ALBERT SMITH, 2. Thursday, July 29th.-The Medical Aspects of M.D., 25, Queen Anne Street, London, W.; JOHN ELDBR Athleticism. To be opened by Dr. Tyrrell Brooks MACILWAINE, M.D., 55, University Road, Belfast. (Oxford), Dr. Clement Dukes (Rugby). Dr. TYRRELL BROOKS (Oxford) in introducing the dis- The following subjects have been chosen for discussion cussion will deal with the following points: and demonstration: (1) Athletics, (a) at school, (b) at the university; what 1. Wednesday, July 28th.-Angina Pectoris. To be amount of medical supervision is practicable? (2) The opened by Sir T. Clifford Allbutt, K.C.B. dangers of athletics during convalescence. (3) Physical Sir CLIFFORD ALLBUTT, K.C.B., proposes at the outset of training and athletics. (4) The moral aspect of athletics. the discussion on angina pectoris to ascerbain precisely (5) The duties of the profession, (a) to the individual, (b) to what is to be discussed, and in what terms. He will urge the race with reference to physical development. concerning this malady that precision both of terms and The following is a synopsis of the remarks to be made of substance is especially needed, for no disease has been by Dr. CLEMENT DUKES (Rugby): more obscured by factitious notions or more confused (1) The Greeks aimed at, and attained, by their well- by false analogie3 and erratic conjectures. Yet in regulated physical training, the highest perfection of the all medicine there is no disease which presents a human form, which also influenced the moulding and clearer image to the observant eye, nor one more elevation of the mind. (2) The strength and wisdom of conspicuously detached from the clinical jungle. If the next generation depend upon the mental and physical its characters are confused we have confused them by development of the present, for the intellectual value of equivocations; if its type is blurred it has been distorted exercise is as great as its physical value. (3) Athleticism by counterfeits. If angina pectoris be looked at simply, is the " intemperance " of physical exercise, which is without prepossession and with discrimination, its features injurious to the not fully-grown body. (4) Physical exami- will come into focus and the type will take fairer nation and medical direction are necessary to avoid this, definition. On the threshold the speaker finds himself so that the feeble may be strengthened by well-regulated confronted by sophists who say bluntly that angina exercise, and the strong not injured by unwise and pro- pectoris is not a disease, but a symptom or "symptom longed exertion. (5) How to obviate the evils of athleticism, group"; it is here, indeed, that the sophistry begins, for and in what they consist. (6) Classical instances will be this argument is but a play of words. "A symptom" given of the defects of athleticism, and of the difficulties in angina pectoris certainly is not, for it is manifold; a their correction. (7) Ideal rules for the prevention of the symptom group it is, no doubt, or rather a symptom pro- harm occasioned by athleticism. (8) The practical rules cess, or procession. Now a symptom-group, or procession in force now at Rugby to obviate these defects, and how of symptoms negative and positive, which recurs in man- they have worked; such rules are necessary to control kind with fair uniformity, must be due to causes corre- the impulsive nature of youth, and they should be spondingly uniform. That genuine angina pectoris may enforced. *47UNE I29- lNO] PROCvPAMME OF ANNUAL NBETING,

3. Friday, July 30th.-Demonstration on Gastric treatment following curettage considered t ene ary -Illumination by Dr. Theodore Thompson and Dr. H. S. and harmful. (9) Local treatment other than curettage Souttar. and medical treatment. (10) He will insist on curettage before all cervical or vaginal operations and operations for displacement. (1i) Treatment of endocervicitis by NAVY, ARMY, AND AMBULANCE. caustics, astringents, cauterization, etc. President: Fleet Surgeon J. LLOYD THOMAS, R.N. Friday, July 30th.-Consideration of the Report of the Vice-Presidents: Inspector-General ROBERT BENTHAM, Ophthalmia Neonatorum Committee (jointly with the R.N. (retired), 22, King's Avenue, Ealing, London, W.; Section of Ophthalmology). Reading of papers. Lieut.-Colonel R. PORTER, R.A.M.C., P.M.O., Station The following have accepted invitations to assist at the Hospital, Military Barrdcks, Belfast; Colonel THOMAS H. deliberations of the Section: Professor Fehling (Strass- HNDLEY, I.M.S.. C.I.E.. 4. Loudon Road, London. N.W. burg), Professor Jacob (Brussels), and Professor Whitridge Honorary Secretaries: Captain M. LOWSLBY R.A.M.C., Williams (Baltimore). St. Michael's Road, Aldershot; Captain HERBERT Drs. Herman and Roberts (London), Jardine and Munro HUGH BLAIR CUNNINGHAM, M.D., F.R.C.S., 69, University Ker (Glasgow), Donald and Stanmore Bishop (Manchester), Road, Belfast; Staff Surgeon EDMUND Cox, M.B., R.N., Jellett and Alfred Smith (Dublin), are expected to take The Royal Naval Hospital, Chatham; Captain WILLIAM part in the discussions. SALISBURY-SHARPE, R.A.M.C., 8, Cleveland Terrace, Hyde In the Pathological Part of this Section, Cancer of the Park, London, W. Uterus has been chosen as one affording a wide scope for The following papers have been accepted: the exhibition of Specimens, Photographs, Microscopic MAHON, Staff Surgeon F. F., R.N. On the First-Aid Relief Slides, etc. rendered after the Messina Disaster. These, with any others of interest, will be exhibited HIENDLEY, Colonel T. H., C.I.E., I.M.S. Contrast between the in the Pathological Museum. Treatment of the Wounded under the Moghul Emperors and King Edward VII, Emperor of India. JAMES, Colonel HI., R.A.M.C. The Medical Branch of the Officers' Training Corps. OPHTHALMOLOGY. PORTER, Colonel A. R., I.A.M.C. Short paper with a practical President: JOHN WALTON BROwNB,7M.D., 10, College demonstration on Physical Training of Recruits in the Army. Square North, Belfast. STORY, J. B., F.R.C.S.I., Dublin. Physical and Moral Benefits of Military Training. Vice-Presidents: ARTHUR W. SANDFORD, M.D., 13, St. FAMBKIN, Colonel F. J., R.A.M.C. Probable Effects in the Patrick's Place, Cork; WILLIAM MARCuS KILLEN, M.D., Services of the New Treatment of Syphilis by means of Organic ALEX. HML M.D., Arsenical Compounds. 9, Clifton Street, Belfast; GRIFFITH, CRAWFORD, Colonel, R.A.M.C. On the Beneficial Results of 17, St. John Street, Manchester. Recent Sanitary Work in Malta. Honorary Secretarie8: JAMES ANDREW CRAIG, F.R.C.S., WALLIS, Staff Surgeon JAMES GARFITT, R.N. A detailed scheme 11, University Square, Belfast; LESLIE JOHNSTON PATON, for an Unexpected Landing Party using Material available on Board Ship. F.R.C.S., 1, Spanish Place, Manchester Square, London. BASSETT-SMITH, Fleet Surgeon, R.N. Modern Mlethods of The chosen for discussion are: Laboratory Diagnosis of Syphilis. subjects CARVELL, J. M. Existing Ambulance Organization of the 1. Eye Injuries in their Relation to the Workmen's Home Railway Companies. Compensation Act. RIVERS, Dr. W. T. (Newcastle-on-Tyne). Rhinology as an Aid 2. The Diseases of the Lymphoid Tissue of the Con- to Diagnosis of Pulmonary Tuberculosis. junctiva. To be opened by Mr. Treacher Collins and Professor R. Greef (Berlin). In his paper, Mr. TREACHER COLLINS will deal with the OBSTETRICS AND GYNAECOLOGY. following points: President: JOHN CAMPBELL, M.D., F.R.C.S., Crescent the "trachoma House, University Road, Belfast. The contagious character of trachoma; bodies "; the contagion not air-borne but due to trans- Vice-Presidents: ROBERT ALEXANDER GIBBONS, M.D., 29, ference of moist discharge; the adenoid layer of the con- Cadogan Place, London; JOHN SINGLBTON DARLING, M.B., junctiva the chief seat of reaction, and the centre of the High Street, Lurgan; CHARLES EDWIN PURSLOW, M.D., follicles the position in which the toxin is most intense; 192, Broad Street, Birmingham; EWEN JOHN MACLEAN, ' elementary or primary granulations"; trachoma a non- M.D., 12, Park Place, Cardiff. pyogenic disease; essentially a chronic disorder; acute symptoms when present due to mixed infection; natural Honorary Secretaries: HENRIv THOMAS HICKS, F.R.C.S.' of trachoma follicles Derby ; ROBERT JAMES JOHNSTONE, M.B., F.R.C.S.* destruction by rupture, by absorption, and by strangulation from new formation of fibrous tissue; 14, University Square, Belfast. "Stellwag's brawny oedema"; similarity of the palpebral The Committee have thought it well to select two chief conjunctiva in the late stages of trachoma to skin; possi. subjects for discussion: bility of curing early cases of trachoma without new formation of fibrous tissue; pannus the result of abrasion Wednesday, July 28th.-1. The Treatment of the of corneal epithelium and infection; treatment of trachoma 'Graver Forms of Puerperal Sepsis. To be introduced by (a) by rupture or instrumental removal of follicles-expres- Dr. Thomas Wilson (Birmingham). sion, Galezowski's excision of the retrotarsal fold, Thursday, July 29th.-2. Endometritis. To be intro- Kuhnt's removal of tarsus and conjunctiva; (b) by stimu- duced by Dr. E. Hastings Tweedy (Dublin). lating absorption of follicles-copper sulphate, jequiritol, Dr. HASTINGS TWEEDY will introduce the discussion on x rays, kataphoresis; (c) by stimulating formation of ,endometritis on the following lines: fibrous tissue-Gratarge. Conditions other than trachoma (1) Eliminating histological considerations, he will with follicular enlargements: (a) atropine and eserine elassify endometritis anatomically into corporeal and irritation, (b) simple folliculosis, (c) muco-purulent ophthal- cevical, clinically into acute and chronic. (2) Briefly mia and follicles; Conditions resulting in fibrous tissue mention the origin, course, and symptoms of acute endo- formation simulating that produced by trachoma, (a) metritis. (3) Treatment in detail of acute endometritis, tubercle, (b) pemphigus, (c) spring catarrh, (d) mem- domprising vaccines from cultures, douches, gauze drainage, branous ophthalmia, (e) burns. manual exploration, and the very occasional use of the blunt flushing spoon curette, condemning entirely the use PATHOLOGY. of the sharp curette. (4) Definition of cases classified as chronic endometritis-that is, all other non-malignant President: Professor WM. ST. CLAM SYMMERS, MX.D diseases of the endometrium. (5) The underlying causes, Queen's College, Belfast. and the necessity of treating them. (6) Consideration of Vice-President: WALTER SYDNBY LAZARus-BARLOw, M.D., the indications and proper method of curettage, with Cancer Research Laboratory,Middlesex Hospital, London; causes of failure. Under indications is placed the sympto- ARTHUR EDWARD MOORE, M.B., Castlemahon, Blackrook, matology and mention made of the frequency of deferred Cork; ASTLEY VAVASOUR CLARKB, M.D., 37, London Ro&d, symptoms. (7) Possibility of rapturing the uterus, and its Leicester; Professor I. WALKER HALL, M.D., 9, Royal Paxk, proper treatment when recognized. (8) Frequent local Clifton, Bristol. 20 =2 11 . 37837 BumeiwEu wEDCLOUA]PMADI"L JOURNAXJ PROGRAMMEO R M E OFOF ANNUALA N A MEETING.E TN .[U(JUNF,E1,ro12, 3:9019' Honorary Secretaries: ALFRBD EDWARD BARNBS, M.B., Paper: 348, Glossop Road, Sheffield; OTTO F. F. GRUNBAUM, M.D., MCWALTER, Dr. J. C., Barrister-at-Law, Dublin. The Regula- 34, Wimpole Street, London, W.; WILLIAM JAMBS WLSON, tion of Quack Medicine Traffic. M.D., Pathological Laboratory, Queen's College, Belfast. It is hoped that one or two pharmacological demonstra- tions may be given. PHARMACOLOGY AND THERAPBUTICS. President: Professor RALPH STOCKMAN, M.D., F.R.S.Edin., PSYCHOLOGICAL MEDICINE. The University, Glasgow. President: T. OUTTBRSON WOOD, M.D., 40, Margaret Street, Cavendish Square, London. Vice-Presidents: Professor WALTER ERNBST DIXON, M.D., Pharmacological Laboratory, Cambridge; NEwMAN NEILD, Vice-Presidents: GEORGB ROBERT LAWLBSS, F.R.C.S.I., M.D., 9, Richmond Hill, Clifton, BristoL District Asylum, Armagh; WM. RICHARD DAWSON, M.D., Farnham House, Finglas, co. Dublin; ROBERT HBNRY Honorary Secretaries: VICTOR GEORGE LEOPOLD FIBLDEN, COLE, M.D., 25, Upper Berkeley Street, London, W.; M.B., 84, Dublin Road, Belfast; HECTOR CHARLBS CAMERON, MICHAEL JAMES NOLAN, L.R.C.P. and S.I., Down Distriet M.B., Guy's Hospital, London, S.E. Asylum, Downpatrick. The following subjects have been suggested for dis. Honorary Secretaries: WALTER SAMUBL SMYTH, M.B., icussion: District Asylum, Antrim; SIDNBY HERBERT CLARKB, M.B., 1. Spinal Anaesthesia. To be opened by Mr. George Leicester and Rutland Asylum, Narborough, Leicester- Chiene, F.R.C.S.Edin., to be followed by Dr. Dudley shire. Buxton, Mr. Robert Campbell, and others. The following subjects have been selected for special The following is a synopsis of the opening address by Mr. discussion in this Section: GEORGE CHIENE, F.R.C.S.Edin.: Somatic Delusions and Local Lesions. Short historical summary of spinal anaesthesia; the July 28th.-(1) drugs at present employed and the amount injected; the To be opened by Dr. C. A. Mercier. technique; the advantages and disadvantages of spinal Dr. MERCIER'S paper describes a case in which delusions anaesthesia compared with other methods (1) before the of complete obstruction of the bowels, and of having been operation, (2) during the operation; the comparative raped "per rectum" were found to be coexistent with immediate and tuberculous ulcers of the jejunum, and of the rectum, and results, remote; the comparative mortality; between the delusions and the lesions is dis- question of the use of spinal anaesthesia alone or the relation combined with other methods. cussed. Three possible hypotheses suggest themselves: 2. The Treatment of Oedema. To be Dr. H. D. (1) That the lesions were the cause of the delusions. This opened is rejected. (2) That the lesions were responsible for the Rolleston. delusions in a The a of particular character of the person who following is synopsis Dr. H. D. ROLLESTON'S would, without them, have had delusions of some kind paper introducing the discussion: That the localization of the Oedema, a manifestation of numerous and very This also is rejected. (3) being lesions was due to failure or disorder of the neurotrophic different conditions, certain distinct groups of it are the cerebrum whose disorder recognized: (1) Cardiac oedema and oedema of venous influence of the parts of obstruction, primarily mecbanical, and due to hydrostatic underlay the delusions. This is regarded as the most factors; renal in some probable hypothesis. (2) dropsy which, though instances, 29th.-(2) Considerations upon the Commissioners' as in granular kidney, largely cardiac, is in its proper July Control of the Feeble-minded. sense more toxic oedemas other than Report of the Care and complicated; (3) To be opened by Dr. W. R. Dawson. Dr. G. E. those due to renal disease; (4) inflammatory oedema; W. J. will also (5) oedemas due to nervois causes, that is, hysterical Shuttleworth and Dr. Maguire speak. oedema; (6) oedema due to lymphatic obstruction (7) oedemas of doubtful origin, for example, Milroy's disease. The following papers have been accepted: Discussion of treatment is mainly directed to the forms of MACCORMAC, Dr. J. M. The Superficial and Deep Reflexes aas more widespread oedema. (1) Cardiac Dropsy: Good effect an Additional Means in the Diagnosis of the Principal Forms of the recumbent and of cardiac tonics such as of Mental Diseases. position CROTHERS, Dr. T. D., U.S.A. A Study of the Hereditary digitalis, caffeine, and its allies diuretin, theobromine, Influence in the Causation of Inebriety. and theocin; restriction of fluid and of intake of salt. SHUTTLEWORTH, Dr. G. E. Mongolian Imbecility. (2) Renal Dropsy: The complicated etiology and the SCHOFIELD, Dr. A. The Present Position of Applied Psychology natural variations in the amount of urinary excretion in Medicine. make treatment much more problematic and its effects will be to receive offers of other more difficult to estimate with accuracy than in cardiac The Secretaries glad dropsy. Cases of uirinary crises occurring under caffeine, papers. and without any special treatment, are given to illustrate this point. Is reduction of oedema always beneficial in SURGERY. renal disease? Conceivably renal oedema is part of a President: Professor THOMAS SINCLAIR, M.D., F.R.C.S. compensatory process whereby waste products are ex- 22, University Square, Belfast. creted into tissue spaces, and in this event absorption of oedema fluid may increase toxaemia. An important ques- Vice-Presidents: CHARLBs ALFRBD BALLANCE, M.V.O.,. tion is, Should the ingestion of fluid be restricted or not? M.S., F.R.C.S., 106, Harley Street, W.; Sir PETER If an increased consumption of fluid is followed by O'CONNELL, M.D., 9, College Square North, Belfast; increased excretion of water and solids, and so by diminu- ARTHUR JOHN DREW, F.R.C.S., Water Hall, St. Aldate's, tion of toxaemia, this is justified; if, on the other hand, Oxford; JOHN GALWAY COOKE, M.B., City and County increased ingestion of fluid is not followed by increased Infirmary, Londonderry; ARTHUR BRowNLoW MITCHELL, diuresis and excretion of solids, a restricted regimen is F.R.C.S.I., 18, University Square, Belfast. indicated in order to avoid hydraemic plethora. Probably Honorary Secretaries: W. TIHELWALL THOMAS, F.R.C.S.,. no hard-and-fast rule can be adopted but each case should G. LENTHAL be investigated as to the excreting powers of the kidneys. '84, Rodney Street, Liverpool; CHEATLE, C.B Brief statement of the effect of increased F.R.C.S., i17, Harley Street, London; HowAR STEVENSON, diaphoresis M.B., F.R.C.S.I., 2, College Square North, Belfast; according to von Noorden's views. Effect of purgation Clifton Belfast. partly to remove fluid, partly to diminish toxaemia. JAs. BBRNARD MooRs, M.B., 11, Street, of a Influence salt-free diet. Question of incision of Special discussions on the following subjects will be- oedematous parts and drainage so as to diminish the held on and 29th: osmotic tension of the tissues and the local toxic Wednesday, July 28th, Thursday, July accumulation; method of incision, risks of the procedure. 1. The Operative Treatment of Obstructive Jaundice Combination of drainage with free ingestion of fluid. and the Proper Selection of Cases. Introduced by Various drugs in the treatment of dropsy in patients with (1) Mr. B. G. A. Moynihan; (2) Sir Thomas Myles. renal disease. The following have signified their intention of taking JUNE 12, lo".] PROGRAMME OF ANNUAL MEETING. Jo 379 part: Mr. E. Stanmore Bishop, Mr. Douglas Drew, PROVISIONAL TIME TABLE. Mr. A. B. Mitchell, Mr. W. I. de C. Wheeler, and lMr. K. W. Monsarrat. 2. Modern Methods in the Treatment of Tuberculous FRIDAY, JuLY 23RD, 1909. Disease of Joints. Introduced by (1) Sir William 12 noon.-Annual General Meeting, followed by Repro- Macewen, F.R.S.; (2) Mr. Robert Jones. The following sentative Meeting. will speak: Mr. Douglas Drew, Mr. A. B. Mitchell, Mr. R. C. Dun, and Mr. T. S. Kirk. Friday, July 30th, will be devoted to the reading of SATURDAY, JULY 24TH, 1909. papers on subjects other than the above. 9.30 A.X.-Representative Meeting. The following papers have been accepted: SYME, G. A. Some Unusual Cases of Echinococcus (Hydatid) M1ONDAY, JULY 26TH, 1909. Cyst, with remarks on Diagnosis and Treatment. 10 A.M.-Representative Meeting. GROVES, ERNEST W. H. The Radical Treatment of Cancer of the Stomach-Methods, Results, and Statistics. T.30 P.x.-Annnal Conference of Secretaries of Division FREYER, P. J. A recent series of 200 cases of Enucleation of and Branches. the Enlarged Prostate, with special reference to the operation (1) in octogenarians, (2) in cases of extremely large prostate. BIRD, F. D. Operation for Liver and Lung Hydatids. TUESDAY, JULY 27TH, 1909. MWITCHELL, A.B. Perforative Duodenal Ulcer. 10 A.M.-Council Meeting. NEWBOLT, G. P. Some Cases of Resection of Intestine. BLANEY, ALEXANDER. Notes on Four Cases of Removal of the 10.30 A.M.-Representative Meeting (if required). Gasserian Ganglion. 2.30 P.x.-Adjourned General Meeting. induction of President. Facilities will be provided for showing specimens and P.M.-President's Address. drawings to illustrate subjects under discussion. 8.30

WEDNESDAY, JULY 28TH, 1909. TROPICAL MEDICINB. President: CHARLES WMIBBRFORCE DANIELS, M.B., London 9.30 A.M.-Council Meeting. School of 10 A.M.-Sectional Meetings. Tropical Medicine, Albert Docks, London. 10.30 A.M.-Representative Meeting (if.required). Vice-Presidents: Lieutenant-Colonel ANDREW DBANE, 12.30 P.M.-Address in Medicine. M.D., F.R.C.S.I., LM.S., Royal Victoria Hospital, Belfast; 7.30 P.M.-Annua1 Dinner. Surgeon.General W. R. BROWNE, M.D., C.I.E., 5, Royal Crescent, Holland Park Avenue, London. THURSDAY, JULY 29TH, 1909. Honorary Secretaries: JAMES COLVILLB, M.D., 7, Uni- 8 A.M.-National Temperance League Breakfast. versity Square, Belfast; Dr. ANTON BREINL, Director 9.30 A.m.-Council Meeting. Runcorn Research Laboratories. 10 A.M.-Sectional Meetings. The following subjects have been selected for discussion: 12.30 P.M.-Address in Surgery. Wednesday, July 28th, 10 a.m.-Persistence of the 8.30 P.x.-Reception. Tropical Diseases of Man due to Protozoa. The discus- sion will be opened by the President. FRIDAY, JULY 30TH, 1909. Thursday, July 29th, 10 a.m.-Treatment of Chronic 10 A.M.-Sectional Meetings. Recurrent Dysentery, with Special Reference to the Possi- 12.30 P.x.-Address in Obstetrics. 'bilities of Surgical Treatment. The discussion will be 8 P.M.-Popular.Lecture. opened by Mr. J. Cantlie. Friday, July 30th, 10 a.m.-Feeding and Treatment of 8.30 P.m.-Reception. Children in the Tropics. The discussion will be opened by Dr. W. Carnegie Brown. SATURDAY, JuIIY 31ST, 1909. Dr. CARNEGIE BROWN, in introducing the discussion, will Excurjsions. deal with the following points: Infant mortality in the tropics: comparative statistics. Feeding problems: Unsatisfactory supply of fresh milk; THE PATHOLOGICAL MUSEUM. utility of preserved milk; other substitutes. Relative THE following Committee has been appointed to organize infrequency in the tropics of the zymotic diseases of early the museum: life-for example, diphtheria, scarlet fever, acute rheuma- pathological tism, etc.; consequent rarity of serious after-effects. President: Professor W. ST. CLAIR SYMMERS. Prevalent disorders of children: Tetanus, infantile diar. Honorary Secretaries: THOMAS HOUSTON, M.D.; thoea, helminthiasis, dysentery, continued fevers, malaria, W. J. WILSON, M.D. infantile splenomegaly, biliary cirrhosis, anaemia, and J. S. DIcKiE, M.B. C. H. P. D. GRAVES, M.D. other marasmic conditions, yaws; prevention and treat. ROWLAND HILL, M.B. (Cookstown). ment. Possibility of rearing healthy European children in C. G. LOWRY, M.D. Professor MCWEENEY (Dublin). the tropics; age for return to a temperate climate. J. E. MACILWAINE, M.D. Professor MOORE (Cork). JOHN MILEISH, M.B. C. H. NESBITT, M.D. (Randals- The Committee will be glad to receive pathological W. J. MAGUIRE, M.D. town). specimens, photographs, drawings, or microscopical pre- J. C. RANKIN, M.D. Professor O'SULLIVAN (Dublin). parations illustrative of any subject in Tropical Medicine. FRED. SMYTH, M.D. R. T. ROWLETTE, M.D. (Dublin). ERNEST WALES, M.D. Professor WHITE (Dublin). J. SINGLETON DARLING, M.D. JOHN WILSON, M.D. (Castle- (Lurgan). blayney). Honorary Local Secretaries- EX-OFFICIO MEMBERS. HBNRY LAWRENCE MCKISACK, M.D., M.R.C.P., The President-elect: Sir WILLIAM WHITLA, M.D., LL.D. 17, University Square, Belfast. The Local Honorary Treasurer: JOSEPH NELSON, M.D. The Local Honorary Secretaries: 'H. L. MCKiSACK, M.D.; C. E. SHAw, M.D.; HOWARD STEVENSON, F.R.C.S.I. CECIL EDWARD SHAW, M.A., M.D., M.Ch., The Committee propose that the material should be 29, University Square, Belfast. arranged under the following heads: I. Exhibits bearing on discussions and papers in the various sections. HOWARD STEVENSON, B.A., M.B., F.R.C.S.I., IL Specimens and illustrations relating to any research 2, College Square North, Belfast. work. SUPLEMENT TO EE 1 .390 BRmTsH XDICAL JOUENLJ MEETINGS OF BR&NCHFlS AND DIVISIONS. .[JUNFI 12, 1909.

-- ---i - III. Instruments relating to clinical diagnosis and BORDER COUNTIES BR&NCH. pathological investigation. A GENERAL meeting of the Branch was held in the IV. Individual specimens of special interest, or a series Lochmaben Combination Hospital for Infectious Diseases illustrating some special subject. on Friday, May 21st. The President of the Branch, It Dr. JAMES MACDONALD, of Carlisle, was in the chair, and is also proposed to make a special effort to gather there were about thirty other members of the Branch together a series of exhibits relating to: present. (a) Tuberculosis. Confirmation of Minutes.-The minutes of the previous (b) Diseases of warm climates. meeting were read by the SECRETARY, approved, and signed (c) Cancer of the uterus. by the President. (d) X-rays and photography. Apologies.-Apologies for absence' were intimated from Drs. Edington, Harrison-Mitchell, N. Maclaren, Morison, The Committee wish it to be understood that the above and Doughty. are only suggestions, and if there is any subject in which Local Government Board and Unqualified Practice.-A Members are specially interested, and of which interesting short informal discussion on the subject of the Local specimens can be supplied, they will be glad to hear from Government Board's circular regarding unqualified prac- them. tice then took place. This was followed by the discussion The Museum will occupy a central position, and will be of a most excellent afternoon tea, which was provided by easy of access. the kindness of the hospital authorities, to whom and to Dr. Maxwell Ross the success of an unusual type of It is hoped that it will be possible for arrangements to meeting is largely due. be made whereby exhibitors may have an opportunity of Visit to Hospital.-A walk through the hospital had demonstrating their specimens. preceded the general meeting, and the members had the THOMAS HOUSTON, advantage of having everything explained and demon- W. J. WILSON, strated to them by Dr. Maxwell Ross. To many of the Honorary Secretaries. members the hospital is a striking example of the most Communications should be addressed to one of the up-to-date method of dealing with infectious diseases. Honorary Secretaries at Queen's University, Belfast. Lochnmaben Sewage Works.-The local motorists having very kindly put their cars at the disposal of members attending the meeting, the venue was adjourned to the Lochmaben Sewage Works, a very recent installation and a very successful one. As a means of disposing of the ftittinLgs of anranrjjtflbi5i& . sewage it is perfectly satisfactory; and as in the four years of its existence it has only cost £40 altogether, including repairs, it must surely rank as one of the cheapest in the [The proceedings of the Divisions and Branches of the country. Provost HALLIDAY, of Lochmaben, attended the meeting and kindly explained to the members the methodc Association relating to Scientific and Clinical Medicine, by which it destroyed the sewage, anid the effluent was when reported by the Honorary Secretaries, are published exhibited and tested in the presence of every one who- in the body of the JOURNAL.1 was able to get sufficiently near to see what was being done. Lockerbie Sewage Works.-A different method of sewage, disposal was demonstrated by a visit to the Lockerbie Sewage Works, a larger and more costly affair, where BATH AND BRISTOL BRANCH: everything was again explained and where the result TROWBRIDGE DIVISION. gained more than justified the expenditure. THE annual meeting was held at the Town Hall, Trow- Dinner.-Dinner at the Blue Bell concluded the day's. bridge, on Saturday, May 29th, at 3 p.m., Dr. TUBB-THOMAS proceedings. Nearly all the members present at the in the chair. Eleven members were present. meeting stayed to dinner, at which Provost Halliday and Election of Officers.-The following were elected to the Mr. McJerrow, the town clerk of Lockerbie, were also, various offices for the ensuing year: Chairman, Dr. Rattray present. In proposing the health of the two latter (Frome); Vice-Chairman, Dr. H. P. Tayler (Bradford-on- gentlemen the PRESIDENT delighted the large company by Avon); Secretary, Dr. Pearse; Representatives on Branch making one of those apposite and eloquent speeches for Council, Drs. Tubb-Thomas, Rattray, and H. P. Tayler; which he has long been renowned. Executive Committee, Drs. Rumboll, Shorland, and Bond. Financial Statement.-The financial statement was presented and adopted. Medical Certification of Suitability for Ho8pital Treat- ment.-The report on medical certification of suitability of patients for hospital treatment was considered, and it CONNAUGHT BRANCH. was resolved: THE annual meeting of this Branch was held at 1 pn. That the meeting approves the recommendation of Council. on May 20th, at Ryan's Hotel, Claremorris, Mr. R. B. MAHON in the chair. Contributions to os8pitas by Employers and Employees. Confirmation of Minutes.-The minutes of the last -The report on contributions to hospitals by employers of meeting were read, confirmed, and signed. labour and employees was considered, and it was resolved: Apologies for Non-attendance.-A number of letters of apology for non-attendance were That the meeting disapproves the motion of the Representa- read. tive Meeting. Election of Officers.-The following members were elected officers for the ensuing year: President, Mr. R. B. Fresh Public Medical Institutions.-With regard to the Mahon; President-elect, Dr. Joseph MacDonnell (Ros- statement as to fresh public medical institutions it was common); Honorary Secretary, Dr. John Mills; Repre- resolved: sentative for the Representative Meeting, Dr. T. B. Costello. That the The Branch Secretary was given power to appoint a meeting approves the motion of Council. deputy if he was unable to attend. Sanatorium for Tuberculous Workers.-On this subject Executive Committee.-The following Executive Com- it was resolved: mittee was elected for the year: Drs. C. L. Birmingham, J. Carroll, T. B. Costello, J. A. Hanrahan, R. W. Kelly, That the meeting accepts the resolution of the Representa- tive Meeting on the ground that the institution referred to R. J. Kinkead, Joseph MacDonnell, R. B. Mahon, R. J. is not a charitable institution. Martyn, John Mills. Report of Executive Committee.-The report of the Examination of Recruits for Territorial Forces.-Dis- Executive Committee recomiending the adoption of oussion took place on the question of examination of ethical rules was received and adopted. recruits for the Territorial Forces. It was resolved that New Members.-The committee also reported that Drs. the fee for such examination should be not less than 2s. 6d. Crowley and Quinlan were elected members. r WIT.zNT TO TM JUNE 12, t909.] MEETINGS OF BRANOHES AND DIVISIONS. LBamu MEDICL JOAL 38I M.B., James Battersby, F.R.C.S.Eng., W. J. H. Sinclair EDINBURGH BRANCH: M.B. SOUTHERN DIvIsION. Representation of the Local Medical Profession on Hasf THE annual meeting of the Division was held in the pital Boards.-On this question it was resolved by 5 to 3 Oddfellows' Hall, Forrest Road, on Friday, June 4th, at to support the action taken by the Hampstead and 8.15p.m., Dr. MATHBSON in the chair. There were also Wandsworth Divisions. present Drs. Bowie, Cumming, Boyd Jamieson, H. Jamieson, Johnston, McDonald, Marshall, Simla Paterson, NOTICES OF MOTION. Gordon Price, Proudfoot, Salt, Scott, Stevens, A. D. (a) Notices Affecting the Charter.-The Representative Stewart, A. Walker, and Dewar (Honorary Secretary). was instructed to oppose these. Apologies for Non-attendance.-Apologies for unavoid- (b) Notices Affecting the Present Regulations of the able absence were received from Drs. Allan, Blaikie, and Association.-The Representative was instructed to give Edmund Price. these his support. Confirmation of Minutes.-The minutes of the last (c) Notices Affecting the Administration of the A880cia- meeting and adjourned meeting were read, approved, and tion.-These were the subject of considerable discussion. signed. Dr. RUSSELL moved and Dr. SERVICE seconded that the Election of Officers.-The following gentlemen were Representative be asked to oppose the motion by the Wands- elected officers for the ensuing year: Chairman, Dr. worth Division regarding the distribution of the capitation Lundie; Vice-Chairman, Dr. Proudfoot; Representative to grant. As an amendment Dr. SEMPLE moved and Dr. Representative Meetings, Dr. A. Walker; Joint Secretaries, SCOTT seconded the recommendation of the Executive Com- Drs. Dewar and S. Paterson; Representatives on Branch mittee, that the Representative give this motion his support, Council, the Chairman and Junior Secretary; Executive and this was carried by 6 to 3. The Representative was Committee, Drs. Scott, Johnston, Porter, G. Price, E. Price, instructed to give the other motions his general support Matheson, Gullen, Dickson, and Stevens. with the exception of that regarding the scientific work Earlier Election of Representative.-A motion to alter of the Association, where he was left to use his own Divisional Rale 7 so as to permit of the election of the discretion. Representative to the Representative Meeting " not more (d) Notices Affecting the Policy of the Association.- than nine months nor less than three weeks" before the The Representative was instructed to support these, with Annual Representative Meeting, was unanimously the exception of those relating to medical teaching and adopted. medical examinations, which he was to oppose. The late Dr. C. Kennedy.-A feeling reference was made to the late Dr. C. Kennedy by the Chairman, and a Medical Examination of School Children.-The recom- minute expressing the deep regret of the Division for his mendations of the Medico-Political Committee were untimely death and their sympathy with Mrs. Kennedy unanimously approved, and the Representative instructed Lnd family was ordered to be engrossed in the minute accordingly. book. The Secretary was instructed to send an extract of Sanatoriums for Tuberculous Workers.-The Division the minute to Mrs. Kennedy. concurred with Paraaraph-3 (a), (b), and (c), and also with Representation of Local Medical Profession on Hospital the resolution of the last Representative Meeting. Boards.-The report on this matter was unanimously Earlier Election of Representative.-Dr. MUIR moved, approved. and Dr. FINDLAY seconded, that in Rule 7 "' three months " Ophthalmia Neonatorum Report.-This report was be altered to "' nine months," to allow of the earlier elec- unanimously approved. tion of the Representative in Representative Meetings. Instructions to Representative.-The Provisional Agenda Dr. SERVICE, seconded by Dr. RuSSELL, moved that the of the Representative Meeting was then discussed in detail, Rule remain as it stands at present. On a vote the and Dr. Walker was fully instructed as to the Division's alteration was carried by 7 to 2. findings on the various matters. Motion 76, by the Annual Meeting of Division.-It was unanimously Liverpool (Western) Division, was to be vigorously agreed to alter Rule 11 so that the annual meeting of the opposed. Division might be held either in May or June instead of in Arrangementsfor Future Meetings, etc.-Medicalsubjects June as at present. for discussion at next meeting were considered. It was This concluded the business. unanimously resolved to hold a "smoker" in the early winter, the carrying out of the details of which being referred to the executive. An executive meeting will be GIBRALTAR BRANCH. held in September or October. A MEETING of this Branch was held on May 25th. Colonel Vote of Thanks to Retiring Chairman.-In proposing MURRAY was in the chair, and the following were present: a vote of thanks to the Chairman, Dr. PROUDFOOT Deputy Inspector-General F. J. Lilly, R.N., Staff Surgeon expressed the regret of the members at his compulsory Daw, R.N., Drs. Oman, Abrines, Lyons, Gill, and L. Di demission of office, and their feelings of gratitude to him Parsons, Honorary Secretary. for his unfailing attendance and unvarying tact and Election of Representative.-Major H. A. L. Howell, courtesy in presiding over the affairs of the Division R.A.M.C., was elected Representative for the Branch, and during the past three years. This was seconded and Dr. A. W. W. Dowding a delegate. unanimously carried. Dr. MATHESON in a few well-chosen Caes.-In addition to the previous business several words replied. cases were shown by the HONORARY SECRETARY (Dr. L. D. Parsons). Paper.-Staff Surgeon DAw read a paper on Bier's GLASGOW AND WEST OF SCOTLAND BRANCH: congestive treatment. GLASGOW EASTERN DIVISION. THKE annual meeting of this Division was held in Bcllgrove U. F. Church Hall on Friday, June 4th, at 4 p.m.; Dr. LANCASHIRE AND CHESHIRE BRANCH: MILLBR SEMPLE, the Chairman of the Division, presided, SALFORD DIvISIoN. and eleven members were present. Confirmation of Minutes.-The minutes of the last THE annual meeting of the Salford Division was held on meeting were read, approved, and signed. May 28th, Dr. O'GRADY being in the chair. Election of Officers.-The office-bearers for 1909-10 were Election of Officers.-The following officers were elected elected as follows: Chairman, John Patrick, M.B.; Vice- for the ensuing year: Chairman, Dr. W. C. Brown; Vice- Chairman, Malcolm Black, M.D.; S-ecretary and Treasurer, Chairman, Dr. J. Price Williams; Secretary, Dr. Taylor- William Bryce, M.D.; Representative to Representative Representatives on the Branch Council, Dtr,1amill and the Meetings, W. L. Muir, L.R.C.P., etc.; Representatives to Secretary; Representative to the Annual Representative Branch Council, W. L. Muir, L.R.C.P,, etc., William Bryce, Meeting, Dr. Taylor; Executive Cormmittee,. Dra. A. C. M.D.; Executive Committee, Miller Semple, M.B., H. A. Clarke, Carr, O'Grady, Stuart, and Wolstenholme; Repre McLean, M.13., Robert Scott, M.B., James Dunlop, M.B., sentatives to the Joint Committee of Divisions, Drs. Bell, T. C. Barras, M.B., R. McC. Service, M.D., P. S. Buchanan, Hamill, Owen, Wolstenholme, and the Secretary. 382 RunmmzDx"yjnn=AzlDU wwo. MEETINGS OF BRANCHES AND DIVISIONS. [JUNE 12, I909. -I Annual Report.-The annual financial statement for 1908 was read, and showed that the Division had at the METROPOLITAN COUNTIES BRANCH: end of the year a balance in hand of £3 18s. 2d. MARYLEBONE DivisioN. Overcrowding of the Profeesion. - The SECRBTARY THE annual meeting of the Division was held at the rooms announced that it was too late for a notice of motion for of the Medical Society of London, Chandos Street, W., on the Representative Meeting advocating that a letter should Wednesday, May 26th, at 5 o'clock, Dr. DE HAVILLAND be sent to head masters of public schools with reference to HALL (Chairman of the Division) in the chair. the overcrowded state of the profession, but it might be Confirmation of Minutes-The minutes of the last possible to introduce such a motion on the report of the meeting were read and confirmed. Medico-Political Committee, and the Representative was Election of Officer8. -The following having been instructed to do so if possible. nominated by the Executive Committee were elected The Referendum.-The Representative was instructed officers for the ensuing year: Chairman, Dr. F. J. Smith; to propose the following motion when the subject Vice-Chairman, Mr. L. E. Creasy; Honorary Treasurer, of the Charter was considered by the Representative Dr. Comyns Berkeley; Honorary Secretary, Mr. Donald Meeting: Armour; Representatives of Division on Branch Council, Sir Victor Horsley, Dr. Lauriston Shaw, Dr. G. A. Heron, That this Representative Meeting is convinced that the Dr. W. E. Burton, Mrs. Berry, M.D., Honorary Secretary; Charter as it stands represents the opinion of the great majority of the members of the Association, but that, Representative in Representative Meetings, Mr. Donald nevertheless, with a view to allaying the anxiety expressed Armour. by certain Branches as to the provisions for the Referendum, Nominations for Election to the Central Council.-The it be an instruction to the Council to consider and report to meeting recommended the nomination of Sir Victor the Representative Meeting as to the practicability and Horsley, Dr. Lauriston Shaw, and Dr. F. J. Smith. desirability of amending the ordinances and by-laws so as to provide that whenever, in the opinion of the Council, the Report of Executive Committee.-The annual report of Referendum is concerned with any of the following subjects the Executive Committee was read and ordered to be -namely: placed on the minutes. 1. Promoting the candidature of members for Parlia- Proposed Alteration of Rules.-Report of the Executive ment. Committee upon the proposed alterations in the Rules of 2. Establishing or abandoning any scheme for medical the Division. The report was received, and after dis- defence. cussion thereon it was adopted with certain amendments. 3. Establishing or abandoning any provident or benevo- Whole-time Medical Officers of Health.-The Pablic lent scheme for the benefit or assistance of members Health Committee's memorandum on whole-time medical of the profession or of the Association or of the staff officers of health (SUPPLEMENT to the BRITISH MEDICAB. employed by the Association. JOURNAL, January 23rd, 1909) was discussed. The meeting 4. Any increase in the annual subscription amounting to expressed the opinion 5s. or over 5s. That as far as possible medical officers of health should be In all such cases the Referendum shall be taken by means debarred from in of voting papers sent to eve ry member of the Association, engaging private practice. due safeguards being provided for the questions submitted Federated Societies' Medical Benefit Association.-This in such voting papers being impartially placed b~efore the MEDICAL members, and that on all other subjects the Referendum subject (BRITISH JOURNAL, February 13th, p. 425) shall be taken by voting of members attending in Division was discussed. It was proposed by Sir VICTOR HORSLEY, meetings as at present provided by the Charter. seconded by Dr. HERON, and carried unanimously: That inasmuch as the scheme of the Federated Societies' The Warehousemen and Clerks' Association.-It was Medical Benefit Association is contrary to the essential announced that full information had now been obtained principles regulating contract practice agreed to by the through the Medical Secretary as to the Warehousemen British Medical Association, the Marylebone Division is of and Clerks' Association, and the Division thereupon opinion that the scheme in question should be strenuously authorized the Joint Committee of the Manchester and resisted by the medical profession. Salford Divisions to deal with the matter, with full power Departmental Committee re Midwives Act.-It was to act for the Salford Division. decided to refer the Central Office to the report issued The Midwives Act.-Dr. TAYLOR announced that he had by the London and Counties Medical Protection Society been appointed to represent the Association to give upon the subject. evidence before the Departmental Committee on the Vote of Thanks to Retiring Chairman.-It was proposed working of the Midwives Act, and he had given evidence by Sir VICTOR HORSLEY, seconded by Dr. LAURISTON SHAW, specially as to the working of the Act in Manchester and and carried with acclamation: had the of the Salford Salford, and urged suggestions That a hearty vote of thanks be tendered to the retiring Division and of the Joint Committee of the Divisions. He Chairman, Dr. F. de Havilland Hall, for his services to said that the suggestions from Manchester and Salford in the Division during the past year. every respect supported the general evidence of the Association. After Dr. DE HAVILLAND HALL had replied the meeting Earler Appointment of Representative.-It was unani- terminated. mously resolved to alter the Division rules so as to provide for the election of the Representative to the annual Repre- sentative Meeting being made as early as possible after TOTTENHAM DIVISION. January 1st in each year. TH:E annual general meeting of the Tottenham Division The Rochdale Division Proposal for Two Grades was held at the Prince of Wales's Hospital at 4.30 p.m., of Members.-The Representative was instructed to on June 4th. ,vote against the proposal of the Rochdale Division Confirmation of Minutes.-The minutes of the last which would areate two grades of members in the meeting were read and confirmed. Association. Earlier Election of Representative.-It was resolved: in House Lords.-It was re- Representation the of That Rule 7 be altered to read " not more than nine months" solved to support the recommendation of the Medico- instead of " not more than nine and less than three." Political Committee that members of the House of Lords should be nominated by the Association to repre- Unqualified Practice.-A letter from the Medical Secre- sent it officially on questions coming before the House of tary regarding unqualified practice was read. The con- Lords. sideration of the matter was postponed to the next Distribution of Capitation Grants.-The meeting re- meeting. solved to oppose the motion of the Wandsworth Divsion Election of Offieers.-The following officers were elected dealing with the distribution of capitation grants to for the ensuing year:-Chairman, Dr. F. Tresilian; Vice- Divisions. Chairman, Dr. J. Richmond Bryce; Representative at On other matters coming before the Representative Representative Meeting, Dr. J. R. Fuller; Honorary Secre- Meeting, and not dealt with by the Division, the tary and Treasurer, Dr. H. F. Staunton; Executive and Representative was instructed to use his discretion in Ethical Committee, Drs. Chappel, Fogarty, Greenwood, voting. Grant, Orlebar, and Smith. tfppx..= TO JUNE 12l IMfil MEETINGS OF BRANCHE13 AND DIVISIOSS. I JOMMAL 383 JUNEI2- 1909.] MEETINGS OF BRANCHE AND DIVISIONS. [BmzuuxXuDIoajoumuI3 SOUTHERN BRANCH: Balance Sheet.-The following balance sheet was PORTSMOUTH DIVISION. presented: THE annual meeting of this Division was held at Balance brought forward ... £19 12 1 5, Pembroke Road, Portsmouth, on June 2nd, at 3.45 p.m., Capitation grant ... 13 14 0 Dr. W. CARLING in the chair. There were also present: Drs. McEldowney, Colt, Hann, Blake, Leon, Hackman, James Green, Sheahan, Milne Thomson, J. Phillips, Childe, £30 6 1 Bosworth Wright, L. Maybury, and B. H. Mumby. Stride, for printing ...... £6 14 5 ,, ,,9 ...... 2 8 10 Apology for Non-attendance.-A letter of apology for Rent...... 5 0 0 absence was read from Dr, Gittings, R.N., H.M.S. Fore. Expenses of clinical meeting... 0 12 0 8ight. Postages, wrappers ...... 0 5 81 The Division and the Election of a Representative.-A Stamps, Secretary ...... 0 3 9 letter was read from Mr. Smith Whitaker, stating that the 15 4 8t Council of the Association had decided that the Ports- mouth Division should form an independent constituency for the election of a Representative at the Representative Balance ...... £15 1 41 Meeting for the year 1909-10. Medical In8pection of School Children.-The report of The above accounts have been audited and found correct the Medico-Political Committee to the Divisions on medical by Drs. James Green and Leonard Hackman, and were inspection of school children, and treatment of those found approved on the proposition of Dr. LEON, seconded by defective, based upon consideration of the replies of Divi- Dr. MILNE THOMsON. sions to the report of the Committee issued on December 22nd, 1908 (see SUPPLEMENT of BRITISH MEDICAL JOURNAL, May 15th, 1909), was considered. Dr. McELDOWNEY pro- posed, and Dr. HACKMAN seconded, and it was carried SALISBURY DrvISION. unanimously: THE annual meeting of the Division was held on May 19th That the Recommendations A. to M. inclusive in that report at the Infirmary, Salisbury, at 8.15 p.m. Dr. L. S. be agreed to, but that this Division supports the original was in and were notice of Dr. A. H. Williams (Watford and Harrow) as it LUCKHAM the chair, there present appears on p. 19, Subappendix II in that report instead of Drs. Richmond, C. R. Straton, Kempe, Baskin. Saunders, Recommendation N. Genge, Blackmore, March, Fison, Armitage, W. Gordon, Douglas, Atkinson, and J. E. Gordon (Honorary Secretary). Ophthalmia Neonatorum Report.-The report of the Dinner.-The meeting was preceded by dinner at the Ophthalmia Neonatorum Committee (see SUPPLEMENT to County Hotel at 7 p.m. BRITISH MEDICAL JOURNAL, May 8th, 1909) was considered. Confirmation of Minute8.-The minutes of the last Dr. SHEAHAN proposed, Dr. LEON seconded, and it was meeting were read and approved. carried unanimously: Medical Inspection of School Children.-The HONORARY That this Division supports the recommendation for preven- SECRETARY gave an account of the conference held on tion, paragraphs (a) to (f) in that report. March 31st at the infirmary relating to the medical inspec- tion of school children, called by the Salisbury Division, Election of Officer8. - Dr. CARLING proposed, Dr. and attended by representatives of the infirmary, provident HACKMAN seconded, and it was carried unanimously: dispensary, and the Salisbury, Wilton, Amesbury, Tisbury, That Dr. T. A. Colt be Chairman of this Division for the and Warminster Boards of Guardians; by six medical ensuing twelve months. inspectors of school children in the district, and by six Dr. COLT then took the chair amidst applause. Dr. COLT members of the Division. The following resolutions were proposed, Dr. J. PHILLIPS seconded, and it was carried passed by the conference: unanimously: 1. That the present means available are sufficient for the That Dr. McEldowney be Vice-Chairman. carrying out of treatment, but require organization and co-operation to make them thoroughly effective. To Dr. MILNE THOMSON proposed, Dr. SHEAHAN seconded, and effect this organization this meeting is of opinion that the it was carried unanimously: infirmary out-patient department should be utilized in That Drs. Blackman, L. Maybury, and Hackman be the conjunction with the dispensary and other provident on the Council. organizations, so that treatment may be kept as much as Representatives Branch possible on the provident basis. Dr. LEON proposed, Dr. R. J. GREEN seconded, and it was 2. That the treatment for ordinary illness is arranged for by carried unanimously: the present contracts of medical officers with their authorities. That Dr. B. H. Mumby be the Representative for this Division in 3. That a special scale of fees for minor operations, eye Representative Meetings. examinations, and consultations should be drawn up and It was proposed by Dr. COLT, seconded by Dr. McELDOWNEY, submitted to the various authorities for their guidance. and carried unanimously: Election of following office-bearers were That the Executive Committee be composed of the following Officers.-The members: Drs. Burrows, Carling, J. W. Cousins, J. Green, elected for the ensuing year: Chairman, C. A. Ensor, Leon, Phillips, Sheahan, Milne Thomson, H. M. Way, and Tisbury; Vice- Chairma4n, L. S. Luckham, Salisbury; Bosworth Wright. Honorary Secretary and Treasurer, J. E. Gordon, Salis- bury; Representative for Representative Meetings, C. R. It was proposed by Dr. LEON and seconded by Dr. Straton, Wilton; Representatives on Branch Council, L. S. HACKMAN, and carried unanimously: Luckham, Salisbury; J. 0. March, Amesbury; Executive That Mr. C. P. Childe be Clinical Secretary. Committee, H. P. Blackmore, Salisbury; G. Kempe, Salis- bury; R. L. Willcox, Warminster; J. A. Armitage, Salis- It was proposed by Dr. COLT, seconded by Dr. HACKMAN, bury. and carried unanimously: Honorary Secretary's Report.-The Honorary Secretary's That Dr. Mumby be Medico-Political Secretary and Honorary report and balance-sheet were passed, showing a balance Treasurer. in hand of £11 15S. 9id. Whole - time Medical Officers of Health.-The question Date of Election of Bepresentative.-Mr. CHILDE pro- referred to the Division-Should medical officers of health posed, Dr. COLT seconded, and it was carried unanimously: be debarred from engaging in private practice ?-was dis- That the Representative of this Division in the Representa- cussed, and Dr. STRATON proposed that part-time medical tive Meetings of the Association be elected at the first officers of health are preferable in country districts. This meeting of the Division after October 31st of each year. was seconded by Dr. BLACKMORE. Dr. KEMPE moved an Promised Paper. Dr. VICTOR BLAKE kindly promised to amendment that: read a paper on the medical inspection of school children Regarding the question as one of principle, that the answer early in 1910. be in the affirmative. *u mu 1 'I 384 IB Dns.Krnzoa.JSuAQJ MEETINGS OF BRANCHES AND DIVISIONS. LJUNE I2, i909g = a This was seconded by Dr. W. GORDON. Dr. Kempe's Fresh Public Medical In8titutione-.It was resolved amendment was carried by 4 votes to 3. It was then that the proposal- carried, nemine contradicente, as a substantive motion. Medical Certification of Suitability for Hospital Treat- That it is desirable that no fresh public medical institution should be opened without previous consultation with the ment.-This question was next considered. It was pro- local medical profession through some organized body, such posed by Dr. J. E. GORDON, seconded, and carried nemine as the Division of the British Medical Association in the contradicente (5voted for): area of which it is proposed to establish such new institu- tion, and that it be an instruction to the Council to give That this Division approves of medical certificates of suit- effect to this principle in considering applications from ability for hospital treatment being required as a condition Divisions or Branches for support in dealing with hospital of hospital treatment, except in case of casualties. questions- be approved. Contributions to Hospitals by Employers and Employees. Sanatori Mrs for Tuberculou8 Workers.-The sugges- -This matter was left to the discretion of the Repre- tions and the statement as to sanatoriums for workers sentative of the Division. suffering from tuberculosis were approved. Fresh Public Medical Institutions.-This matter was Medical Inspection of School Children.-The recom- also referred to the discretion of the Representative. mendations in the report on medical inspection of school Sanatoriums for Tuberculous Workers.-On this subject children and treatment of those found defective, based it was proposed by Dr. KEMPE: upon consideration of the replies of Divisions to the report That, in the opinion of the Representative Meeting, it is not of the Medico-Political Committee issued on December 22nd, advisable that members of the Association should in future 1908 (BRITISH MEDICAL JOURNAL SUPPLEMENT, May 15th, accept or continue to hold appointments as honorary local 1909), were approved, on the distinct understanding that medical referees to the National Association for the Esta- school clinics, if established, should be staffed by members blishment and Maintenance of Sanatoriums for Workers of the local profession. suffering from Tuberculosis. Representation of Local Medical Profession on Hospital The resolution was seconded by Dr. STRATON and carried Boards.-The proposal that the local medical profession nemine contradicente (8 voted). should be represented on the boards of hospitals and Representation of Local Medical Profession on Hospital similar bodies was approved. Board8.-On this question Dr. J. E. GORDON moved: Report of Ophthalmiia Neonatorum Committee.- The report of the Ophthalmia Neonatorum Committee was That it is not practicable or desirable that medical men received. shoruld act on committees of hospitals, etc., unless qualified Contributions to Hospitals by Employers and Employees. to act in the usual way. -The report on contributions to hospitals by employers of labour and employees was discussed at length, and a final Dr. KsMPE seconded the resolution, which was carried decision was postponed until the next meeting. nemine contradicente (8 voted). Earlier Election of Representative.-It was unanimously Paper.-Mr. BASKIN read a paper on Obsession and decidedithat the Representative of the Division should in Insane Movements. The insane movements were shown future be elected at the November meeting, and the rules 'by the cinematograph. Mr. Baskin also showed by means were altered accordingly. ,ot the cinematograph a series of films illustrating various Dates for Meetings.-It was unanimously decided that gaits and reflexes in nervous disorders. A unanimous the meetings for the ensuing year should be held at vote of thanks was accorded Mr. Baskin for his paper and Chepstow on July 9th, 1909, Abergavenny on September the films shown. 24th, 1909, Newport on November 26th, 1909, Ponty- Next Annual Meeting of the Southern Branch.-It was pool on February 25th, 1910, and Newport on May 27th, decided that the Salisbury Division should invite the 1910 (annual). Southern Branch to hold their annual meeting in 1910 at Correspondence.-A circular from the Chelsea and Salisbury. Fulham Division was read. Nomination to Branch Council.-Mr. L. S. Luckham, as Vote of Thanks.-A vote of thanks to the Directors of Vice-Chairman of the Branch, was nominated to the the Newport and Monmouthshire Hospital for their kind- Branch Council. ness in permitting meetings of the Division to be held in the board room of the hospital was passed unanimously.

SOUTH WALES AND MONMOUTHSHIRE BRANCH: MONMOUTHSHIRE DIVISION. CARDIFF DIVISION. Election of Officers.-The following members have been THE annual meeting of this Division was held in the elected officers for 1909-10: Chairman, Dr. Powell (Barry); Newport and Monmouthshire Hospital on Friday, May Vice- Chairman, Dr. Tatham Thompson; Represen tatives on 28th. Dr. W. F. NELIS, Chairman, presided, and the Branch Council, Drs. Leigh, Brierley, Edwards, Treasure, attendance numbered 26. Lynn Thomas, and Powell; Executive Committee, Drs. Confirmation of Minutes.-The minutes of the previous Rassell Thomas, Herbert Cook, Milward, and F. W. S. meeting were read and confirmed. Davies; Contract Practice Committee, Drs. Reidy, Milward, Election of Officers.-The following officers were elected and Leigh; Representative, Dr. Ewen J. Maclean; Repre- for the ensuing year: Chairmitan, 0. E. B. Marsh; Vice- sentative on Queen's Nurses Committee, Dr. Eric Evans; Chairman, A. G. Lawrence; Honorary Secretaries, Honorary Secretaries, Drs. Cyril Lewis, 27, Windsor Place, R. J. Coulter, W. Basset; Representative at Representa- Cardiff, and Owen L. Rhys, 22, St. Andrew's Crescent, tive Meeting, W. J. Greer; Representatives on Branch Cardiff. Council, 0. E. B. Marsh, W. F. Nelis, W. D. Steel, and T. Morrell Thomas. Members of Executrve Committee, J. S. Clarke, S. Hamilton, R. W. Hazlett, and J. 0. Keefe. Representatives on Branch Contract Practice Committee, WORCESTERSHIRE AND HEREFORDSHIRE W. J. Greer, J. W. Mulligan, and D. T Richards. BRANCH: Installation of New Chairman.-On the election of Dr. Marsh, Dr. Nelis vacated the chair in his favour. HEREFORD DIVIsION. Report of Executive Committee.-The report of the THE annual meeting of this Division was held on Executive Committee was read and adopted. June 23rd. Medical Certificates as to Suitability for Hospital Treat- Election of Officers.-The following members were ment.-It was resolved: elected officers for the ensuing year: Chairmnan, Dr. William Ainslie (Kington); Vice-Chairmzan, Dr. J. 0. That the Division approves of the proposal that a medical Lane (Hereford); Honorary Secretary and, Treasurer, certificate of suitability for ho3pital treatment should be Arthur at tive required as a condition of hospital treatment except in Dr. Wood; Bepresentative Representa lMeeting, cases of casualties. Dr. Arthur Wood. NOTICES. my 5 JUNE I2 Xg".] ASSOCIATION Sum !D - 38 address. Further details of information will be sent to each To ensure tMIe inserticn of notices in this column, they member by post.-FRANcIs R. HILL, Honorary Secretary, must be received at the Central Offices of the Association 62, Warwick Road, Carlisle. not later than the first post on Tuesday. CAMBRIDGE AND HUNTINGDON BRANCH.-The annual meeting of the Cambridge and Huntingdon Branch will be held at Cambridge on Tuesday, July 13th, at 12.30.-H. B. RODERICK, Honorary Secretary, Cambridge. >zs rnri at itn Xti rgS . DORSET AND WEST HANTS BRANCH.-The summer meeting of this Branch will be held in Christchurch, Hants, on Wed- ANNUAL GENERAL MEETING. nesday, July 7th. Members wishing to read papers, show cases, exhibit specimens, or propose new members, must communi- Notice is hereby given that the 1909 Annual cate with the undersigned not later than Thursday, June 24th.-JAMES DAVISON, Honorary Secretary, " Streateplace," General Meeting of the British Medical A8sso- Bournemouth. ciation will be held in the Assembly Hall, EAST ANGLLAN BRANCH.-The annual meeting of the Branch Belfast, on Friday, July 23rd, at Twelve noon. will be held at the Grand Hotel, Clacton-on-Sea, on Thursday, July 8th.-B. H. NICHOLSON, East Lodge, Colchester, Honorary [This Meeting i8 to comply with Article XI), and Secretary. will adjourn forthwith until Tuesday, July 27th, at EAST YORK AND NORTH LINCOLN BRANCH.-The annual 2.30 o'clock.] meeting of this Branch will be held at the Grimsby Hospital on Saturday, June 19th. Further particulars as to the time of meeting and business to be transacted will be published later in the JOURNAL and communicated by circular to each member.-EDWARD TURTON, M.D., Honorary Secretary, 1, ANNUAL REPRESENTATIVE MEETING. Albion Street, Hull. that the 1909 Also, notice is hereby given EDINBURGH AND FIFE BRANCHES.-The attention of members Annual Representative Meeting will be held of these two Branches is drawn to the fact that nominations for the election of two members upon the Central Council of the in the Assembly Hall, Belfast, on Friday, Association should be sent in to one of the Secretaries not later than June 16th.-A. LOGAN TURNER, 27, Walker Street, Edin- July 23rd (and following days as required), burgh; FRANCIS D. BOYD. 22, Manor Place, Edinburgh immediately after the Annual General Meeting, BALFoUR GRAHAM, Leven, Fife. fixed for Twelve noon, on Friday, July 23rd. FIFE BRANCH.-The seventh annual meeting will be held in BY ORDER OF THE COUNCIL, the Hotel, Thornton, on Thursday, June 17th, at 3 p.m.- Secretary, Leven. GUY ELLISTON. R. BALFOUR GRAHAM, Honorary May, 1909. LANCASHIRE AND CHESHIRE BRANCH.-The annual meeting of the Branch will be held at Chester on Wednesday, June 16th. Members desiring to make scientific, clinical, or other com- COUNCIL MEETING. munications will please communicate at once with the Branch A MEBTING of the Council will be held at 2 o'clock in the Secretary, F. CHARLES LARKIN, 54, Rodney Street, Liverpool. afternoon of Wednesday, June 30th, in the new Council Room, at 429, Strand, London, W.C. LANCASHIRE AND CHESHIRE BRANCH.-SCience Committee.- Gentlemen who would be willing to give addresses, demonstra- By Order, tions, etc., at Division meetings during the course of next winter will oblige by sending their names and the title of the June 10th, 1909. GUY ELLISTON. subjects they propose to deal with as soon as possible to F. CHARLES LARKIN, Branch Secretary, 54, Rodney Street, Liverpool. BRANCH AND DIVISION MEETINGS TO BE HELD. LANCASHIRE AND CHESHIRE BRANCH: ALTRINCHAM DIVISION. BATH AND BRISTOL BRANCH: BATH DIVISION.-The annual -Clinical and Scientific Meeting. - A meeting will be held meeting of this Division will be held at the Royal United Hos- at the Board Room of the Altrincham Hospital at 5 p.m. pital on Saturday, June 26th, at 6.0 p.m. Business: (1) To elect on Thursday, June 24th. (Afternoon tea 4.30 p.m.) Clinical officers. (2) To receive annual report. (3) To consider business cases will be shown, and Dr. Rhodes will read a paper on of Annual Representative Meeting. (4) To consider matters Scarlet Fever, to be followed by a discussion. Dinner at the referred to Divisions (see SUPPLEMENT to BRITISH MEDICAL Brooklands Hotel, 7.30 p.m. Ladies invited. Names must be JOURNAL, May 8th). (5) To modify Divisional Rule No. 7, for given to the HIonorary Secretary by Monday, June 21st.- ensuring earlier appointment of Representative.-D. LESLIE T. W. H. GARSTANG, Honorary Secretary. BEATH, Honorary Secretary. LEINSTER AND SOUTH-EAST OF IRELAND BRANCHES.- BIRMINGHAM BRANCH.-The annual meeting of this Branch Nonminations for Central Council.-Nominations of candidates will be held at the Medical Institute, Edmund Street, on June for the two seats on the Council of the Association should be 17th, at 3.30 p.m. Business: (1) Election of officers. (2) Elec- sent to the undersigned on or before June 21st.-ARTHUR H. tion of Representatives on Central Council. (3) Annual report WHITE, Malvern, Terenure Road, Dublin. of Council and balance sheet. (4) Report of Ethical Committee. (5) Report of Pathological and Clinical Section. (6) The Presi- dent for the ensuing session, Dr. Herbert Manley, will deliver MIDLAND BRANCH: BOSTON AND SPALDING DIVISION.-The his Inaugural Address on the " Medical Aspect of the Report of annual meeting of this Division will be held on Tuesday, June the Poor Law Commission.-ALBERT LUCAS, J. FURNEAUX 22nd, at the White Hart Hotel, Boston, at 12.45 p.m. Luncheon JORDAN, Honorary Secretaries. will be provided at 2 p.m.; tickets, 3s. 6d. each (exclusive of wine). Members are requested to reply not later than June 19th if they intend to be present at the luncheon, as those members BIRMINGHAM BRANCH: CENTRAL DIVISION. -The annual accepting will be held responsible for the value of their tickets. meeting of this Division will be held at the Medical Institute Members may bring guests to the luncheon. Agenda: on Wednesday, June 30th, at 3.30 p.m., at which the election of (1) Election of officers, including the President-elect of the officers for the ensuing year will he held. Nominations in Branch. (2) Programme for the year. (3) Matters referred to writing for the offices of Chairman, Vice-Chairman, and two Divisions: (a) Treatment of school children; (b) unqualified Honorary Secretaries must reach the Honorary Secretaries not practice. (4) Annual report. (5) Motor meet. (6) Invitation to later than Wednesday, June 9th.-A. W. NUTHALL, W. TRACY Midland Branch to meet in the Division. (7) Any other LYDALL, Honorary Secretaries. business.--A. E. WILSON, Honorary Secretary, Boston.

BORDER COUNTIES BRANCH.-The annual general meeting NORTH OF ENGLAND BRANCH: NORTH NORTHUMBERLAND of the Branch will be held in the County Hotel, Carlisle, on DIVISION.-The annual meeting will be held at the Plough Friday, June 25th. Business: To receive the report of the Hotel, Alnwick, on Thursday, June 24th, at 3.30 p.m. Business: council for the past year; to elect the officers of the Branch; (1) Election of officers. (2) Midwives question. (3) Any other and Dr. Murdoch, of Annan, will deliver his Presidential business.-C. CLARK BURMAN, Honorary^Secretary. 386' 1w METROPOLITAN COUNTIES BRANCH. [JUNE 12, I".

I NORTH LANCASHIRE AND SOUTH WESTMORLAND BRANCH.- STAFFORDSHIRE BRANCH.-The thirty-sixth annual meeting The annual meeting will be held on Wednesday, June 30th, at of the Branch will be held at the White Hart Hotel, Burton-on- the Grand Hotel, Moreoambe, at 3.30 p.m. Members willing to Trent, on Thursday., June 24th, at 4 p.m., when an address will show cases or specimens are requested to communicate with be delivered by the President-elect, W. G. Lowe, M.D. Agenda: A. S. BARLING, Honorary Secretary, Lancaster. (1) Minutes of the last annual meeting. (2) Introduction of the new President. (3) Correspondence. (4) Address by the Presi- dent. (5) Report of the Council. (6) The financial statement. (7) Election of officers for the ensuing year-President-elect, SOUTH-EASTERN BRANCH.-The sixty-fifth annual meeting of Secretary, and Treasurer. (8) To decide the place of holding the Branch will be held in the Town Hall, Croydon, on Wed- the next annual meeting. (9) Report on the election of the nesday, June 23rd, at 2.15 p.m. Dr. J. J. Macan (President- Representative of the Branch on the Council of the Association. elect) kindly invites members to lunch at the Greyhound Hotel Members have the privilege of introducing friends. Dinner at from 1 to 2 p.m. Agenda: In addition to the business of an 6 p.m.; charge, 5s. The first general meeting of the session ordinary meeting: (1) To receive the report of the election of will be held at Stoke, on Thursday, November 25th. Members new omfers, who shall thereupon take office. (2) To receive desiring to read papers are requested to communicate the titles the report of the Council on the affairs of the Branch and the to the General Secretary as soon as possible.-G. PETGRAVE annual financial statement. After the meeting members are JOHNSON, Honorary General Secretary, Stoke-on-Trent. invited by Dr. Pasmore to a garden party at the Mental Hos- pital Warlingham. The dinner will be held at the Greyhound YORKSHIRE BRANCH.-Nominations for the election of Re re- Hotel at 6.15 p.m., charge 5s. Wine will be provided by the sentative members of the Central Council (two), each signe by local members. Those who propose to be present at lunch, the at least three members, must be forwarded to me not later than garden party, or dinner, are requested to signify their intention June 15th. The present Representatives are Drs. Goyder and to Dr. E. H. Willock, 91, London Road, Croydon, not later than Sinclair White. - ADOLPH BRONNER, Elonorary Secretary, Saturday, June l9th.-H. M. STEWART, Honorary Secretary. 33, Manor Row, Bradford. YORKSHIRE BRANCH.-The annual meeting of the Branch SOUTH-EASTERN BRANCH: CHICHESTER AND WORTHING will be held at the Grand Hotel, Scarborough, on Saturday, DIvISION.-The annual meeting of this Division will be held June 26th.-ADOLPH BRONNER, Honorary Secretary, 33, Manor at the Pier Hotel, Bognor, on Friday, June 18th, at 3.30 p.m. Row, Bradford. Mr. W. S. Simpson, Chairman of the Division, will preside. Agenda: (1) Minutes of the last meeting. (2) To appoint the place of next meeting. (3) Election of officers: Chairman, tice-Chairman, Secretary, Representative on Branch Council, METROPOLITAN COUNTIES BRANCH. Representative at Representative Meeting, and Members of the Executive Committee. (4) Report of the Honorary Secretary. CENTRAL COUNCI ELECTION, 1909. (5) Report of Representative. (6) Matters referred to the WE have received the following letter for publication: ivision: (a) Report of Ophthalmia Neonatorum Committee; (b) unqualified practice; (c) report on the medical inspection of London, June, 1909. children and treatment of those found defective; (d) representa- TO THE MEMBERS OF THE BRANCH. tion of local medical profession on boards of hospitals and similar bodies; (e) medical certificates of suitability for hospital Ladies and Gentlemen,-As Candidates at the forth. treatment. (7) Dr. Last (Littlehampton) will show some cases. coming Election to the Central Council we desire to ask -H. C. L. MORRIS, Honorary Secretary, Bognor. for the support of our colleagues in the Metropolitan Counties Branch. Finding ourselves in agreement upon many points in the policy of the Association, we think it SOUTH-EASTERN BRANCH: MAIDSTONE DIVISION.-The next may be convenient to the electors if we indicate in a joint meeting of this Division will take place on Thursday, June 17th, in for the purpose of electing officers for the ensuing year. It has letter the directions which, working together, we been proposed to have a dinner afterwards. The Honorary should endeavour to influence the Council in promoting Secretary would feel greatly obliged if each member would the interests of the profession. kindly intimate his intention of being present or not as early as possible.-GEORGE POTTS, Honorary Secretary. The Future of the A8socication. We have no doubt as to the absolute necessity of such an Association as ours gradually enrolling a higher and SOUTH MIDLAND BRANCH.-The annual meeting of this higher proportion of the members of the profession, and Branch will be held at the General Hospital, Northampton, on Friday, June 18th, at 2.30 p.m., under the presidency of Dr. steadily increasing its influence and power, in order to Alfred Linnell of Paulerspury. The President invites the secure for the medical profession an opportunity of fulfill- members to lunch with him at Franklin's Restaurant, Guild- ing its beneficent functions without undue interference by hall Road, Nottingham, at 1.30 p.m. All members who accept the State, and on conditions which are fair, both as to con- this invitation must please inform the Secretary not later than ditions of work and remuneration as between the public Wednesday, June 16th. Agenda: Minutes. Letters and com- munications. New members elected by Branch Council. and ourselves. President's address. Address by Mr. Jonathan Hutchinson, The Charter. F.R.C.S., Surgeon to the London Hospital, entitled, The Surgery We believe that the Charter for which application is of the Tongue. Dr. Larking of Buckingham will read a paper, now being made if entitled, The Aims of our Association, based on his experience will, obtained, facilitate the work of as member of Council, etc. The Secretary will be pleased to the Association in forwarding the best interests of the hear from any members who wish to read papers or show speci- public and the profession.* We recognize that the mens. A meeting of the Branch Council will be held at Charter has its present form because it is in accor- Franklin's Restaurant, Guildhall Road, Northampton, at dance with the wishes of the majority of the Associa. 1 p.m., on Friday, June 18th (immediately previous to the annual meeting), under the presidency of Dr. Wickham.- tion expressed in the manner provided for by our E. HARRIES-JONES, Honorary Secretary, 16, Castilian Street, laws and regulations. While regretting that unanimity Northampton. is not possible in such a complicated matter, we deprecate any opposition to the terms of the Charter during its con- SOUTH MIDLAND BRANCH: BUCKINGHAMSHIRE DIvISION.- sideration by the Privy Council, especially in view of the The annual meeting will take place on Tuesday, June 15th, at fact that the Association can at any subsequent period the Royal Bucks Hospital, Aylesbury, at 3.30 p.m.-Agenda: secure such alterations as may appear to it to be (1) Election of officers: (a) Representatives on Branch Council; expedient. Our view of this question, so all-important (b) Executive Committee; (c) Ethical Committee; (d) Repre- to the welfare of the Association, was supported by an sentative to Annual Meeting and Deputy. (2) Receive Annual Report of Committee. (3) Instruct Representative to Annual overwhelming majority at a special meeting of the Branch Meeting: Re Hampstead Hospital dispute; re title of " General on December 31st, 1908. Secretary; re treatment of defective school children; re public medical services; re should all M.O.H.'s be whole-time officers? The EXisting ConstitUtion. (4) Any other business. The following resolution will be moved: Werecognize in the existing constitution, should the grant- That the Committee take steps to secure that every medical ing of the Charter be delayed, a very valuable means of dis- man in the area of thb Division give an undertaking to accept no new club or contract work at a lower sum than that fixed as covering the wishes of the majoritv of the profession, and of a minimum by the Association in the report on contracc prac- exerting pressure where necessary upon outside bodies in tice, namely, 5s. per adult member. Also to endeavour to order to secure that these wishes shall prevail. In our secure united action in cases where the present club fees are work upon the Council we shall loyally uphold the position lower than this amount and to report to the Division. Dr. laid down in the Articles and the that the Lauriston Shaw, Physician to Guy's Hospital, will open a dis- By-laws Repre- cussion on " Dilatation of the Stomach and the Use and Abuse sentative Meeting is the body especially constituted to give of the ' Emergency Exit."' Tea will be ready punctually at expression to the desires of the Association on broad 3.30 p.m.-ARTHUR E. LARKING, Honorary Secretary. questions of policy. m n . .JUNE 129 IM.] METROPOLITAN COUNTIES BRANCH. IBU. Jog=" 387 I.1 The Work of Next Se8sion. the voluntary hospital charities and the services of The work immediately before the Association is of a very their Staff in the out-patient and other exacting character. The questions of medical inspection departments.honorary and medical treatment of Elementary School children; In the opinion of the Branch Council this proposal the reform of the Poor Law Medical Service; the Medical really involves a large increase of the unpaid work Act Amendments Bill; the administration of the Midwives already done for the community by the medical pro- Act; and the reform of Coroners' Law are all pressing for fession, and a diversion of the funds, premises and settlement. In handling each of these questions the materials of the charitable institutions from the pur- utmost care will have to be exercised to safeguard the poses for which they were given by the benevolent, legitimate interests of the profession, whilst securing that and for which the medical profession have contributed the best possible service shall be provided for the public. in charity, their services, and their time. Hospital Reform remains one of the most serious The Association has long accepted the principle that problems before the profession, and assumes ever greater the out-patient departments should be consultative importance as developments take place in other forms of institutions, and until the hospitals are municipalized medical service. as part of a State Medical Service, the Branch Council The records of the last six years' work show that the considers that the State has no right to claim for a Association has through its Divisions and Branches, its nominal payment to the Administrative Committee, Representative Meeting, its Council, and, above all, its the advantages of charity and the gratuitous services Committees, secured for the public and profession useful of the medical staffs. Neither can it be admitted that reforms, and has upheld the standard of Medical science the proposed capitation grant in any way alters the and -practice. We seek election to the Central Council in position or principles, as capitation grants for inspec- the wish to help in forwarding this National Service. tion or treatment have, on inquiry, been found by the We are, yours faithfuilly, Medico-Political Committee of the Association to be J. FORD ANDERSON, undesirable, and the attempt to allot such in hospital G. E. HASLIP, work would be obviously impossible. VICTOR HORSLEY, In the absence of the proper appointment of School HUGH R. KER, Medical Officers the Branch Council (in view of the LAIURISTON E. SHAW. foregoing considerations) is of opinion that the mem- bers of the Staffs of the hospitals in London should unanimously oppose the project of the County MEDICAL INSPECTION OF SCHOOLS. Council. The following letter has been sent to all the members In conclusion, the Branch Council also considers the of the staffs of hospitals in London likely to be affected County Council proposal to be contrary to the public by the proposals of the Education Committee of the interest in that it disregards the evidence published in London County Council to which reference is made: the Report of the County Council Subcommitte (see May 21st, 1909. BRITISH MEDICAL JOURNAL, January 9th, 1909, with Dear Sir or Madam,- map). That evidence shows that the hospitals and The Council of the Metropolitan Counties charitable institutions are in the main situated at con- Branch of the British Medical Association invites siderable distances from the centres of the child your consideration of the following points in respect population of the Metropolis, that the difficulties of of the recent proposal of the Education Committee of transport are so great that nothing but a properly the London County Council to use the voluntary organized local medical service will meet the require- hospital charities of the metropolis as part of a State ments, and that the hospitals are not competent with medical service, and request your co-operation in their present establishment to deal with the number opposing the course which has, unfortunately, been of children needing attention. provisionally adopted by the County Council. The Metropolitan Branch Council, therefore, trusts It has been found by a composite Subcommittee of that in the interest of the public, the efficiency of the the London County Council Education Committee school medical service and the interests of all branches that on medical inspection of the elementary schools of the profession, you will co-operate in resisting the an enormous number of children are defective, and proposal of the Education Committee of the London it follows that in the prevention of national phvsical Countv Council. deterioration provision must be made for the treat- We have the honour to remain, ment of the more obvious deficiencies and disease Yours faithfully, conditions-that is, of the eye, ears and throat, VICTOR HORSLEY, teeth, etc. President of the Metropolitan Counties Branch. The British Medical Association has consistently ATWOOD THORNE, held the view that if the State assumes the responsi- E. W. GOODALL, bility of the school child's health it must, in the first Counties Branch. instance, refer the child found defective to its private Hon. Secretaries, Metropolitan medical practitioner. The Metropolitan Counties Branch Conncil has so SCHOOL CARE COMMITTEES. far succeeded in supporting this principle that, on The following resolutions were unanimously passed at their request, the Education Committee of the County the meeting of the Council of the Metropolitan Counties Council have embodied it on a treatment reference Branch on 1909: card issued by them, and removed therefrom a sen- May 27th, tence the to take the child to a 1. That the Council of the Metropolitan Counties Branch of advising parent the British Medical Association, representing over 2,700 hospital. registered members of the medical profession resident in, In the large number of cases where the parent is too and for the most part practising in, London, would respect- poor to pay a private practitioner, and is unwilling to fully urge on the London County Council, and also on all pass under the Poor Law the boards of managers of elementary schools in London, that, existing system, respon- in view of the questions of physical welfare. which will be sibility for provision of a properly remunerated medical undertaken by the School Care Committees and the local service rests upon the State, and cannot be evaded by associations of Care Committees about to be formed, it is reference of the children to charitable institutions. desirable to include in the membership of each of those The reports of the Medico-Political Committee of the committees one or more registered medical practitioners. in full detail the methods which 2. That a copy of the preceding resolution be sent to the Association, giving by following-namely, (1) the chief officials of the Education the statutory authorities can carrv out this duty, are Department of the London County Council; (2) the summarized in the last Report, published in the Honorary Secretaries of Divisions of the Metropolitan SUPPLEMENT of the BRITISH MEDICAL JOURNAL, May Counties Branch of the British Medical lissociation; 15th, 1909, and it is not necessary at this moment to (3) the divisional correspondents of the London County the discussion on such alternative the Council; (4) the honorary correspondents of non-provided repeat schemes, Church schools; (5) the clerks of all borough councils in immediate points for consideration being the serious London, with an appropriate covering letter in each case; proposal that the State-that is, Education Committee also to (6) the Lancet and BRITISH MEDICAL JOURNAL, and (London County Council) should take advantage of any other suitable medical or nursing journal. 388 Bay JoL ,]. LANCASHIRE AND CHESHIRB BRANCH. [JUNE 12, 2909.

- We have for the second year fought the election on a LANCASHIRE AND CHESHIRE BRANCH: definite policy in Association matters, which we have done CENTRAL COUNCIL ELECTION. our best to explain fully to every elector. Thz following is the report of the scrutineers as to the results of the Central Council election: The following is the substance of our address: Votes. Our Policy and United Aims. Larkin, F. C...... 689 Our policy is that of progress along constitutional Garstang, T. W. H...... 655 lines. We are attempting to make the Association Macfie, Chas...... 598 an active bond of scientific, social, and political union Taylor, J. H...... 538 between medical men, a means whereby the profession Bradshaw, T. R...... 326 may offer an organized resistance to all encroach- ments on its rights, and may attain a position more in (The first four are elected.) harmony with its importance to the community. The Charter. Division. Membership. Votes Polled. Percentage. We firmly believe that should the Charter be ob- tained it will be of immense benefit-to the profession. 1. Altrincham ...... 69 53 76.8 We recognize that though it was finally adopted by 2. Ashton-under-Lyne ... 49 21 42.8 the Representative Meeting by a vote of 106 to 1, it may still contain some clauses with which a minority 3. Birkenhead ...... 87 43 49.4 will disagree, but we deprecate in the highest degree 4. Blackburn ...... 72 45 62.5 the action of the party we oppose, which though re- peatedly defeated by large majorities, both in the 5. Blackpool ...... 53 16 30 2 Representative Meeting and in the Council, is trying 6. Bolton ...... 59 40 67.8 to over-ride the majority, and carrying its opposition to ...... 60 24 40.0 the Charter before the Privy Council, and so not only 7. Burnley ... putting the Association to great expense, but doing all 8. Bury ...... 31 7 22.5 in its power to cause the rejection of the Charter, and 9. Chester and Crewe ... 69 17 24.6 to frustrate several years' work of the Association. We ask you to show your disapproval of this disloyal 10. Glossop ...... 6 4 66.6 and unconstitutional procedure by returning us by a 11. Isle of Man ...... 13 7.7 large majority. 12 Leigh ...... 29 22 75.8 The Present Constitution. 13. Liverpool (Bootle) ... 62 28 45.1 We are upholders of the present constitution as long 14. ,, (Central) 61 45 73.7 as it is in force, and of government of the Association by the majority of those who vote in a constitutional 15. ,, (Northern).. 47 28 59.5 manner. We have therefore no sympathy with those 16. St (Sou'.hern).. 65 31 47.7 who are forever trying to thwart decisions of the 17. t, (Western)... 60 39 65.0 Association on the assumption that members who do not vote are on their side. 18. Manchester (Central). 71 13 18.4 19. ,, (North)... 65 13 29.2 The Repre8entative Meeting. 20. (Salford). 69 42 60.8 We hold that for the good government of the Asso- ciation there must be one, and only one, final authority .21. (South) ... 81 37 45.6 in all matters of policy and finance, and we recognize 22. (West) ... 69 24 34.7 that Article 35 of our constitution makes the Repre- sentative Meeting that authority. 23. Oldhain ...... 57 24 42.1 24. Preston. 51 30 58.8 The Council. 25. Rochdale ...... 43 19 44.2 We farther recognize that Article 39 makes the Council the Executive of the Association, and as such 26. St. Helens ...... 29 16 55.1 we have successfully used our influernce to strengthen 27. Southport ...... 65 31 47.7 its hands. But we oppose those who would induce 23. Stockport, Maccles- 73 24 32.8 the Council to take up an unconstitutional position of field, and East rivalry and opposition to the Representative Meeting. Cheshire

29. Warrington ...... 27 17 62.9 Organization. We are supporters of the Divisional organiza- 30...... 36 22 61.1 strong Wigan tion, but admit that there are many ways in which it might be improved. We consider that each Division Total votes polled, 788. Branch iuembership, 1,628. should be a complete local medical society, and to that Percentage polled, 48.4. end we have supported the Science Committee in its scheme to put the Central Library of the Association The above includes all the papers received. The at the disposal of the Divisions, and to encourage the analysis will not be found to correspond, because several formation of local libraries., as well as to improve the papers were unsigned, and consequently could not be organization of Divisions and Branches for scientific allotted to Divisions. purposes. We consider the Branch organization important for (Signed) HERBERT ARMSTRONG, co-ordinating the work of Divisions, and we have all F. H. BARENDT, taken an active part in perfecting our local Branch June 1st. Scrutineers. organization.

[This report was received on the afternoon of Thursday, Medical Politc. June 3rd, after the SUP1'LEMENT of last week had gone to We have taken an active interest in all current press.] medical politics. Last year we specially mentioned in our address the Midwives Act, and we are pleased to report that one of us (Dr. Taylor), owing to his SIR,-May we ask for space in the JOURNAL to thank intimate knowledge of the subject, was selected to our supporters for returning us as their Representatives represent the Association, and has recently given on the Central Council? evidence on behalf of the profession before the r JUNE 12, Igog.] GENERAL MEDICAL COUNCIL. eLEmhumMuLvm"M JOUSA 3893^ Government Departmental Committee now sitting. This resolution was presented by Dr. T. D. Griffihs, We still consider Hospital Reform and Contract then President of the British Medical Association, to Lord Practice two of the most important questions, and Londonderry, at that time President of the Board of we have constantly kept them in the foreground, Education, at the deputation on July 11th, 1904, when endeavouring to promote that union between all the petition of the members of the medical profession members of the profession without which nothing urging the importance of the teaching of hygiene and really effective can be done. temperance was also presented. That petition was Such is our policy, and if it recommends itself to signed by 14,718 registered medical practitioners, and you, we ask you to return us all four to the Central asked the Board to consider whether it would not be pos- Council, as our election will ensure that there will be sible to include in the curricula of the public elemen- none of that cross-voting which on many important tary schools, and to encourage in the secondary schools occasions in the past has virtually disfranchised the such teaching as might,without developing any tendency to Branch. dwelling on what is unwholesome, lead all the children to appreciate at their true value healthful bodily conditions These views have been supported by personal visits to as regards cleanliness, pure air, food, drink, etc. The more than half the Divisions. The majority of votes in President of the Board of Education, in his reply to the our favour is so decisive that we claim it as a proof of deputation, said that the Board considered it advisable that loyal support of the constitution of the Association (and the students at training colleges should have knowledge of disapproval of the internal dissension recently.fostered by school hygiene, personal hygiene, and of the physiological a minority) on the part of the general body of members principles upon which their rules were based, and was when fully acquainted with the facts, and as such we able to state that a reference to the matter had been think it may be of interest to members of other Branches introduced into the code of regulations for public elemen- also.-We are, etc., tary schools for 1904 to the effect that the school should F. C. LARKIN, afford the children " every opportunity for the healthy T. W. H. GARSTANG, development of their bodies, not only by training them in C. MACFIE, appropriate physical exercises and encouraging them in J. H. TAYLOR. organized games, but also by instructing them in the working of some of the simpler laws of health." He also said that the Board was about officially to express the opinion that a course of instruction in hygiene should GENERAL MEDICAL COUNCIL. form part of the work for the two upper classes of every EXECUTIVE COMMITTEE. school. girls' in was held on Comparing that attitude with the attitude expressed A MEETING of the Committee Wednesday, it will be seen May 26th. Sir DONALD MACALISTER, President, was in the prefatory note published below, that very remarkable progress has been made, and that the the chair, and Sir Hugh Beevor, Mr. Tomes, Sir John staff of Tuke, Dr. McVail, Sir John Moore, and Sir Charles Ball teachers, whether members of the regular schools were present. or supplied by special organizations, are now provided with a definite syllabus which they will be requiired to illedical Laws of the United States. follow. The PRESIDENT laid on the table an abstract which had been prepared of the laws regulating the practice of SYLLABUS OF LESSONS ON "TEMPERANCE " medicine in the United States, based upon information FOR SCHOLARS ATTENDING PUBLIC furnished through the Privy Council, and it was resolved: ELEMENTARY SCHOOLS. That this abstract be substituted for the existing precis on PREFATORY NOTE. the subject in the appendix to the second report of the 1. It is hoped that in course of time such instruction on Unqualified Practice Prevention Committee, and that the the of " in its restricted sense, as is completed pamphlet be placed on the list of the Council's subject Temperance," publications. suitable to Public Elementary Schools will be given by the regular Staff as part of the teaching of the elementary rules of personal health which should be included in the Draft Charter, British MIedical Association. curriculum of every school. Article 2 (9) of the Code for The Committee considered the Draft Charter of the 1908 indicates that such instruction should be given where- British Medical Association. The LEGAL ASSESSOR, who ever possible, and Hygiene (which, of course, comprehends as requested by the Executive Committee, had examined instruction relating to alcoholic drinks) is now included as the Draft Charter, offered criticisms, and expressed his one of the regular subjects for Two Year Students in opinion regarding certain of its features. The Committee Training Colleges (Article 15 (a) of the Regulations for the drew up a report and directed that it should be presented Training of Teachers for Elementary Schools). to the General Council in camera. 2. At present, however, some Schools have on their staff no teachers who have the special knowledge required for giving teaching of this kind, and in order that the scholars may receive instruction in " Temperance," the services of special peripatetic teachers have been offered by various HYGIENE AND TEMPERANCE IN ELEMENTARY Societies and Organizations, and have in many cases been SCHOOLS. accepted by Local Education Authorities and Managers of Schools. Such instruction has been allowed to count THi Board of Education will issue this week a syllabus of towards the period of secular instruction required by the lessons on temperance for scholars attending public ele. Code. These extraneous teachers, however competent mentary schools. The syllabus is preceded by a prefatory they may be, have not always the particular qualifications note signed by Sir Robert Morant, and this note and the required by the Code, nor the experience of the methods syllabus are reproduced below. Appended to the syllabus of teaching suitable to scholars in Public Elementary fcr the use of which it has Schools, which are possessed by the regular teachers on are a number of notes teachers, the not been deemed necessary to reproduce here. the staff of the schools. Further, syllabuses of " Temperance" lectures to be given by ex- It will be interesting to members of the British Medical traneous teachers which have been submitted for Association to be reminded that the Central Council on the Board's have been and the resolution, approval very various, January 20th, 1904, adopted following in some cases have not been specially designed for the afterwards approved by the Representative Meeting, in instruction of scholars in Public Elementary Schools, nor support of the movement of public opinion-then in an have they always been appropriate to that purpose. In ,early stage-with regard to the prevention of national these circumstances the Board have come to the conclu- physical deterioration. sion that the time has come for the issue of an offlcial Syllabus to which all instruction in " Temperance '1 It is of urgent importance that elementary scientific instruc- (whether given by extraneous teachers or by teachers on tion in health subjects, including temperance, should be the should conform in character provided in all the primary schools by the educational ordinary staff) general and, to some extent, in detail. The Board believe this authorities in order that the condition which leads to dete- that rioration of national physique may be understood, and as course to be essential in order to provide security far as possible prevented. the teaching given on this difficult matter shall be both .390 BmTIHMNXOW JoW J HYGIENE AND TEMPERiNCE IN ELEMENTARY SCHOOLS. [JUNE 12, 1909. accurate in its statement of facts, and suitable in its should be based upon the broad facts of common experi- manner of presentation to scholars in Public Elementary ence, such as children can readily understand, and upon Schools. the conclusions of trained observers (e.g., as to the 3. The following Syllabus has accordingly been framed extent to which the power to do mental and physical work as a "Model" Syllabus for use by teachers in Public is affected by the consumption of alcohol in its ordinary Elementary Schools, whether they are or are not members forms), rather than upon the results of laboratory experi- of the School Staff, and the Board of Education will not in ments or pathological studies. The latter may be valuable ordinary circumstances be prepared to approve under in the teaching of advanced students of Hygiene, but can Article 3 of the Code any Syllabus of instruction which have little, if any, real meaning for children. The teacher departs substantially from this Model. It is suggested should carefully avoid anything, whether in the details or that at least three lessons in the subject should be given in the methods of dealing with them, calculated to excite to the children each year. It is, however, desirable morbid curiosity or fear. Instruction on the subject of to arrange, so far as may be possible, that if any "',Temperance " should itself be temperate and should part of the instruction is given to children who are make a sober appeal to such reasoning capacity as a under 10 years of age, it should be only that which child possesses and to the ideas of decent, self-respecting, is of the broadest and most general character, and and dutifuil living which every good teacher endeavours that lessons on the matter of the Third Section should to present to and cultivate in the children under his only be given to children who are over 12 years of age. charge. Where three lessons cannot be given, the teacher may ROBERT L. MORANT. be able to cover the ground in rather less detail in two June 1st. 1909. lessons, and where one lesson only is given, it is preferable that the matter in Section III of the Syllabus should be SYLLABUS. very lightly touched, the main attention being concen- SECTION I. trated on Sections I and II. Where the lessons are given EATING AND DRINKING: FOOD AND ITS USE at distant intervals, as will sometimes be the case, it is 1. What things do we eat? clearly desirable to begin the later lessons by a brief recapitulation of those which have preceded. There is an 2. The different kinds of food. obvious advantage in securing that a series of three lessons Meats, fats, starches, sugars, salts. Water in food. is given to the children within a comparatively short 3. What is the use of our food? Why food is necessary. period. Lessons on this subject need not necessarily be (a) Food is necessary for the growth of the body. grouped under a separate head in the curriculum, but can (b) Food prevents the body from becoming thin and wear- appropriately be included in instruction on Hygiene, of ing away. It repairs waste. which, indeed, they form a part. (c) It is from food that we get our strength and power to It will be observed that the of the is work. principle Syllabus (d) It is by our food that the body is kept warm. to proceed, as far as possible, by means of question and (e) The working of the mind depends upon the condition answer, from what the child already knows to what it of the body. If the body is not properly fed the mind dIoas not know. By this means the child is brought to will not work so well. express what it has already experienced, and is led on, by 4. Overfeeding and underfeeding. Too little food is bad for the amplification and illustration, to realize what is most con- body; too much food is bad also. ducive to a healthy life. Technical terms and language a child would not understand have 5. The special usefulness of the different kinds of food. Why which been avoided as eat various kinds of and are wise to far as practicable, and it is of the highest importance that people food, why they in using the Syllabus the teacher should be careful to do so. employ only the simplest language. 6. ThiDgs which people eat and drink for pleasure. Sweets, 4. Some Notes for the guidance of teachers have been cakes, tea, coffee, and cocoa. Some of these things are appended which elaborate the necessarily condensed state- foods or quench thirst. The value of each. Why people ments of the Syllabus, and indicate under each heading drink tea and coffee. the line which should be taken and the material which 7. Other beverages. can be safely used in enforcing or illustrating the several Besides these beverages, which are in part useful, people points. It is not, of course, intended that these Notes also take for pleasure other beverages, such as beer, wine, should ever be read to the class or used in such a way as spirits. These are not useful in the ways in which our ordinary food, and such things as cocoa and milk, are to overload the teaching with detail. It may be taken that useful. People often do themselves great harm by taking the statements of fact made both in the Syllabus and in too much beer, wine, and spirits. the Notes have been carefully verified, and that the The chief reason for this is that these beverages contain inferences drawn from the facts are supported by scientific Alcohol and little or no real food-substance. opinion of high authority. Children and young people ought never to take alcoholic 5. It has been alleged that some of the " Temperance'" beverages in any circumstances, unless by a doctor's express teaching given in the past which was represented as order. " scientific " has, in fact, fallen short of a scientific standard as regards accuracy in stating facts, caution in SECTION II. drawing inferences, or methods of instruction. Indeed in ALCOHOL.-EFFECTS OF ALCOHOLIC BEVERAGES some cases it appears that attempts have been made to ON TEIE BODY. support the incontrovertible general arguments against 1. The presence of Alcohol in beer, wine, and spirits. the abuse of stimulants by suggesting that alcohol Not only are beer, wine, and spirits not useful to us in inevitably and invariably has deleterious consequences the same way that our ordinary food is useful; they also when taken as a beverage in any conditions whatever. contain varying proportions of alcohol, which in pure The supposed proof of this proposition, sometimes included form is injurious to the human body. in lectures on " Temperance " given in Public Elementary 2. Some characteristics and uses of pure Alcohol. Schools, occupied time that might have been better em- 3. The proportion of Alcohol in beer, wine, and spirits. ployed for the purpose of inculcating " Temperance I on It is impossible to drink alcohol undiluted, because of broad intelligible grounds, and as a scientific argument the direct injury and pain it would produce. rested on somewhat precarious foundations. The harmful effects of alcohol are weakened, though 6. The teacher will know that a temperate life depends not destroyed, when it is mixed with water and other mainly on good habits and the appreciation and practice of things, as in alcoholic beverages. a few simple and direct rules of health and conduct, and is 4. The drinking of alcoholic beverages may bring about in- therefore largely a matter of good training. There are jurious effects and changes in our bodies, which may be open to the teachers on the Staff of the School frequent considered under the following headings opportunities, apart from the regular lessons, of impress- The effect of Alcohol on: ing upon the scholars the importance of habits of self- (a) Growth. -control. It should be the object of any special instruction (b) The power of the body to resist disease. in " as in other departments of Hygiene, to (c) The body's strength and power to work. Temperance," (d) The proper digestion of food. supply in a simple intelligible form the broad truths of the (e) The heat of the body. subject and plain reasons for the good habits which it (f) The control of the body which is exercised by should be the constant aim of the School life, no less than the brain. of the Home life, to develop in the scholars. (g) The intelligence and understanding. 7. "Temperance" teaching in Public Elementary Schools of Alcohol: should aim 5. The effects of excessive drinking therefore mainly at impresing upon the scholars (a) The man or woman who habitually drinks too much the manifest advantages of abstemiousness, and the alcohol may become a mental or physical wreck. absence of advantage in, and the positive risks and dangers (b) Persons who drink in excess do not, as a rule, have of, any departure from it. The advice or injunctions given long or healthy lives. The evidence of this. JUNE 12, I9O9.] MILK AND DAIRIES BILLS FOR SCOTLAND. rBWmIDIUALTOTIBnm MUDICLOUHNJO. 39 SECTION III. authority, and the veterinary inspector must inspect the EVIL CONSEQUENCES OF INTEMPERANCE cattle in every dairy at least once a year, and report to TO THE INDIVIDUAL, the local authority. TO THE HOME, AND TO THE STATE. The local authority will be required to make by-laws (For Children over 12 only.) for the inspection of cattle, for prescribing and 1. The drinking of alcoholic beverages not only may have bad regulating effects upon the body and mind of the individual, but the structure, lighting, ventilation, cleansing, drainage, also may be followed by still more serious consequences- and water supply of dairies; for securing the health of the namely, moral injury to himself and great harm to others. cows, and the cleanliness of the person and clothing of 2. The importance of self-control and temperance in all those engaged in the business, and of the milk, cows, things. dairies, and utensils used for the reception, conveyance, Freedom is lost if evil habits are acquired. storage, or sale of milk; and will also be requested to 3. The personal consequences of excessive drinking of prescribe precautions to be taken by dairymen against alcohol: infection or contamination. (a) Waste of money which could be wisely spent or saved. If the medical officer of a district has evidence that a The value of thrift. (b) Loss of self-respect. person in the district is suffering from infectious disease (c) Unfitness for work *loss of employment. Pauperism. attiibutable to milk, or attributable to milk supplied from (d) Ill-health; disease. Insanity. a dairy in the district, or that the milk from such a dairy (e) Neglect of duty; moral degradation. Crime. is likely to cause disease, he shall examine the dairy and (f) The ruin of homes; unhappiness and suffering of men, every person engaged in it or resident on the premises, and women, and children. if accompanied by the veterinary inspector shall examine 4. The social evils which result from alcoholic excess. the animals, and if evidence or suspicion of infectious pro- The habit of alcoholic excess affects not only the in- perties in the milk is discovered, the medical officer shall dividual and his family, but also the State, that is, tha whole of the people. There is wasteful expendi- notify the medical officer of health of the district in which ture of money; and paupers, lunatics, and criminals the dairy is situated, and the latter shall be bound as soon are a heavy burden on the public. The working as practicable to examine the dairy. and the persons powers of the people as a whole are impaired, and so engaged in or about it, and report to the local authority, the prosperity of the nation itself is undermined. which shall meet forthwith to consider the report or reports, and decide whether an order requiring the dairy- man not to supply millk from 'the dairy shall be made. MILK AND DAIRIES BILLS FOR SCOTLAND. Right of appeal to the sheriff is reserved, and if a dairy- IMMEDIATELY before the commencement of the Whitsuntide man sustain damage by reason of the order, and be notf recess a bill was introduced into the House of Lords by the himself in default, the local authority making the order Secretary for Scotland, entitled the Milk and Dairies will be liable to compensate him. The dairyman will be (Scotland) Bill, and another bill, entitled the Milk Control required on demand by the local authority to produce litst (Scotland) Bill into the House of Commons by Mr. Watt, of customers and invoices, and the local authority or its but copies of the bills were not obtainable until after the officers will have power to enter and inspect or examine at adjournment. all reasonable times any dairy, any person employed or residing in any dairy, and the veterinary inspector power MILK AND DAIRIES (SCOTLAND) BILL. to examine any cattle in any dairy. The Government bill introduced into the House of Lords on May 24th is a bill to ensure the purity of milk supplies Tuberculous Milk. and to regulate dairies in Scotland, and for other purposes The sale of milk from a cow apparently suffering from connected therewith. tuberculosis, with emaciation, or tuberculosis of the udder, or any sore on the teats accompanied by suppuration, or Definition of "Dairy " and " Dairyman." from any disease liable to infect or contaminate the milk, The word " dairy " is defined to include any creamery, or any cow which gives tuberculous milk, will be rendered farm, farmhouse, cowshed, byre, milk store, milk shop, or illegal, and a dairyman will be required to give written other premises from which milk is supplied or in which it notice to the local authority of any such disease among is stored or kept for purposes of sale, or which are used his cows, and shall not keep such cows with healthy for the making of butter or cheese; and "dairyman" is animals. defined as any cowkeeper, purveyor of milk, occupier of a If a person employed in connexion with any dairy, or dairy, or maker of butter or cheese. resident there, or residing in the same house as any Licen8ing of Dairie8. person employed, suffer from sore throat or diarrhoea, or The bill requires that premises in which the business of from any infectious disease, the dairyman must forthwith is carried on shall be licensed the local report to the medical officer of health of every district to dairyman by - authority after a report made by the medical officer of which the milk is consigned information regarding all such health or other authorized officer or person. The licence cases of infectious disease, and the persons indicated shall will be renewable annually. If a licence cr its renewal be not assist in the dairy. refused by the local authority or only granted provision- ally, there will be a right of summary appeal to the sheriff. Taking Samples. The cart, van, or other vehicle in which a person sells The medical officer of health or veterinary inspector milk supplied from without the district will be deemed will have the right, if required by the medical officer of premises within the meaning of the bill. The local health of the district to which the milk is consigned, to authority will be required to keep a register of licensed take samples of milk, and the veterinary inspector may dairies, and any person carrying on the business of apply the tuberculin or any other reasonable test to any dairyman without a licence will be guilty of an offence. cow in a dairy for the purpose of discovering whether such cow is suffering from tuberculosis, provided that In8pection and Prohibition of Sale. the consent of the owner has previously been obtained. Every local authority may, and when required by the Local Government Board for Scotland sLhall, appoint a Defaulting Authorities. member of the Royal College of Veterinary Surgeons as If the local authority fail to perform its duty the Local veterinary inspector, and the incumbent of this office shall Government Board will have power to apply to the sheriff not engage in private practice in any district in which he by summary petition, and the sheriff may make a decree holds office, save with the consent of the Local Govern- accordingly, or the Local Government Board may, with ment Board. Two or more authorities may combine in the approval of the Lord Advocate, apply to the Court of appointing a veterinary inspector. If no veterinary Session. inspector be appointed, the duties of that office sball be If a local authority shall have reason to believe that the laid on a veterinary surgeon approved by the local provisions of the Act, or of the by-laws made under it, authority in terms of Section 43 of the Public Health are not carried out in any district to which the milk is (Scotland) Act, 1897. consigned, the local authority of the district to which the The medical officer of health, or other officer authorized milk is consigned may apply to the Local Government; by the local authority, will be required to inspect every Board, who will be required to inquire into the circum- dairy in the district once a year, and to report to the local stances and to take such proceedings as may be necessary. 392 Su MrTwOTO BU DI MUDOA I NAVAL AND MILITARY APPOINTHENTS.APPOINTMENTS. [JUNE 12,x,2, 1909.igog.

Orders. First London (City of Lond3m) General Hospital.-Officers whose services will be available on mobilization: Captain J. CALVERT, M.D., The Board will be authorized to make general or special to be Major, February 20th; Captain W. McADAM ECCLES, M.B., orders for carrying out the purposes of the bill, including, F.R.C.S.Eng., to be Major, March 13th. in particular, (a) measures for cooling milk and otherwise First Northern General Hospital.-The following to be officers whose protecting it against infection or contamination; (b) the services will be available on mobilization, dated March 30th :-To be Lieutenant-Colonels: D. DRUMuOND, M.D., Sir T. OLIVER, Kt., M.D., prohibition or the regulation of the use of preservatives; G. W. RIDLEY, M.B., F.R.C.S.Eng., and A. M. MARTIN, M.B. To be (c) the manner of conveyance of milk, and the identifica- Majors: H. B. ANGUS, M.B., F.R.C.S.Eng., T. BEATTIE, M.D., W. E. tion of vessels used for the HumrE, M.B., W. G.RICHARDSON, M.B., F.R.C.S.Eng., W. D. ARNISON conveyance; (d) prohibition or M.D., .J. D. WARDALE, M.B., and R. P. R. LIYLE, M.D. To be Captains: regulation of the mixing of milk; (e) the labelling of J. W. LEECH, M.D., F.R.C.S.Edin., G. G. TURNER, M.33., F.R.C.S.Eng., receptacles in which the milk is sold otherwise than in its H. DRUMMOND, M.B., A. PARKIN, M.D., F.R C.S.Eng., G. HALL, M.D., T. M ALLISON, M.D., J. C. STEWART, M.B., W. E. M. EDE, M.D., S. S. natural state. WHILLIS, M.D., D. W. PATTERSON, M.B., T. GOWANS, M.B., H. J. SLADE, M.B., H. H. MAREHAM, M.B., W. J. PILLIPS, M.B., and W. MILK CONTROL (SCOTLAND) ACT. SEYMOUR, M.B. First Eastern Genteral Hospital. - Lieutenant-Colonel JOSEPH This bill, introduced by Mr. Watt into the House of GRIFFITHS, M.D., to be Colonel, May 6th, 1908. Commons, would repeal the Cattle Sheds in Burghs London Mounted Brigade Field Ambulance.-The name printed (Scotland) Act, 1866, in so far as it relates to the licensing under this head in last week's SUPPLEMENT (p. 369) aev " Hugh S. of premises and places for the keeping of milch cows, and Bradley" should have been HUGHS. BEADLES. For Attachment to Units other th.an Medical Units.-Surgeon-Lieu the Dairies, Cowsheds, and Milkshops Orders of 1885, 1887, tenant-Colonel and Honorary Surgeon-Colonel DAVID LENNOX, M.D., and 1899, and would require the Local Government Board from the 1st (City of Dundee) Volunteer Battalion the Black Watch for Scotland to make regulations as to the structure and (Royal Highlanders), to be Lieutenant-Colonel, with the honorary rank of Surgeon-Colonel, with precedence as in the Volunteer Force, April sanitary condition of dairies, cleanliness of the milkers 1st, 1908. Surgeon-Lieutenant-Colonel and Honorary Surgeon-Colonel and utensils, and the prevention of infection or contamina- R. R. BROWN, fromi the 1st Kent Royal Garrison Artillery (Volunteers), tion of the milk. It the local to to be Lieutenant-Colonel, with the honorary rank of Surgeon-Colonel, would require authority with precedence as in the Volunteer Force, April 1st. 1908. Surgeon- inspect all cowsheds, to appoint a veterinary officer of Lieutenant-Colonel and Honorary Surgeon-Colonel H. COLGATE, M.D., to and to license no from the 2nd Sussex Royal Garrison Artillery (Volunteers), to be health, register dairymen, premises, Lieutenant-Colonel, with the honorary rank of Surgeon-Colonel, with cow to be kept for the sale of milk in any building not so precedence as in the Volunteer Force, April 1st, 1908. Supernumerary licensed. The bill would also require the dairyman to Surgeon-Lieutenant-Colonel and Honorary Surgeon-Colonel W. D. WATERHOUSE, from the 4th Volunteer Battalion the Royal Fusiliers give notice of diseased cows, and to give the vAterinary (City of London Regimiient), to be Lieutenant-Colonel, with the honorary officer power to order the separation, isolation, or slaughter rank of Surgeon-Colonel, with precedence as in the Volunteer Force, a April 1st, 1908. Surgeon-Lieutenant-Colonel and Honorary Surgeon- of diseased cow; the dairyman would also be required to Colonel J. B. RONALDSON, from the 7th Volunteer Battalion the Royal notify illness in persons residing at the dairy, or employed Scots (Lothian Regiment), to be Lieutenant-Colonel, with the honorary in connexion therewith. The local authority would have rank of Surgeon-Colonel, with precedence as in the Volunteer Force, April 1st, 1908. Surgeon-Captain A. C. HARTLEY, M.D., from the 1st power to take samples of milk, to enter dairies, and to Bedfordshire Royal Engineers (Volunteers), to be Captain, with prece- order milk to be destroyed or sterilized. The importation dence as in the Volunteer Force, April 1st, 1908. Surgeon-Captain of milk into Scotland would be forbidden without a G. H. GOLDSMITH, M.D., from the 1st Bedfordshire Royal Engineers permit (Volunteers), to be Captain, with precedence as in the Volunteer Force, from the Local Government Board. April 1st, 1908. Captain R. EMMETT, to be Major, October 23rd, 1908. Captain A. Y. GREENWOOD, M B., resigns his coussmission, March 22nd. FRANK J. HATHAWAY, M.D. (late Lieutenant United Services College Cadet Corps), to be Lieutenant, with precedence as fronm April 8th, 1908, dated July 15th, 1908. Lieutenant-Colonel and Honorary Surgeon- Colonel J. K. ANDERSON, M.D. relinquishes his commission, under the BaVal ant conditions of paragraph 59, Territorial Force Regulations, and is 0fltaMR AVVfittnwttz granted permission to retain his rank and uniform, March 3rd; OWEN J. PARRY-EDWARDS, M.B., to be Lieutenant, April 15th; Lieutenant- ROYAL NAVY MEDICAL SERVICE. Colonel A. D. WEBSTER, M.D., resigns his commission, retaining his STAFF SURGEON E. D. J. O'MALLEY has been appointed to the Boadicea, rank and uniform, April 20th; Surgeon-Captain J. H. DixoN, from the or commissioning, June 10th; and Staff Surgeon A. B. BEAN, to the Welsh Divisional Engineers, to be Captain, May 6th, 1908. President, additional, or temporary service in the Medical Depart- Unattached List.-Major J. M. ROBERTSON, M.B., from the Scottish ment, June 2nd. Command, Glasgow Companies, Royal Army Medical Corps (Volun- teers), is appointed to the Unattached List, with rank and precedence as in the Volunteer Force, dated April lst. 1908. ARMY MEDICAL SERVICE. ROYAL ARMY MEDICAL CORPS. CAPTAIN JAMES M BUIST, M.B., is placed temporarily on the half- pay list, on account of ill-health, June 4th. He was appointed Lieutenant, December 4th, 1899, and made Captain, December 4th. 1902. According to the Official Quarterly Army List, he was in the South African war in 1899-1902, was present in operations in the Orange Free State and Cape Colony, and has received the Queen's medal with three clasps and the King's medal with two clasps. HEALTH OF ENGLISH TOWNS. Lieutenant A. DAWSON, M.B., who is serving in India, is appointed Isseventy-six of the largest English towns, including London, 7,115 Specialist in Dermatology, 9th (Secunderabad) Division, with effect births and 3,893 deaths were registered during the week ending Saturday from the date of his assuming duties. last, June 5th. The annual rate of mortality in these towns, which had been 13.7, 14.7, and 13.9 per 1,000 in the three preceding weeks, further declined last week to 12.3 per 1,000. Thc rates in the several towns ranged from 3.1 in East Ham, 4.0 in Leyton, 5.1 in Wallasey, 5.9 in Handsworth (Staffs), 7.2 in Gateshead, 7.5 in Reading, and 7.7 in INDIAN MEDICAL SERVICE. Leicester, to 18.6 in Oldham, 18.9 in Walsall, 19.1 in Stockport, 19.4 in LIEUTENANT-COLONEL J. A. BURTON, Madras, has been selected to Wolverhampton, 20.1 in Wigan, and 24.0 in Merthyr Tydfil. In London officiate as Principal Medical Officer, Aden Brigade, with effect from the rate of mortality was 11.6 per 1,000, while it averaged 12.5 in the May 25th, vice Colonel W. A. Quayle, M.D., on leave. seventy-five other large towns. The death-rate from the principal infectious diseases averaged 1.1 per 1,000 in the seventy-six towns; in London these diseases caused a death-rate of 1.3 per 1,000, while among the seventy-five other large towns, the rates ranged upwards to 2.9 in Great Yarmiouth, 3.0 in Salford. 3.1 in South TERRITORIAL FORCE. Shields, 3.4 in Norwich, 3.5 in Wigan, 5.0 in Wolverhampton, INFANTRY. and 5.6 in Tynemouth. Measles caused a death-rate of 1.2 in Aston SURGEON-MAJOR AND HONORARY SURGEON.-LIEUTENANT-COLONEL T. Manor, 1.3 in King's Norton, 1.5 in West Bromwich, 1.7 in Wigan, 1.8 in FENNELL resigns his comlmission, retaining his rank and uniform, South Shields, 2.2 in Salford, 2.3 in Bootle, 3.4 in Norwich, and 4.0 in April 30th. Wolverhampton; scarlet fever of 1.0 in Burnley and 1.9 in Tynemouth; Supernumerary Surgeon-Lieutenant R. W. BRANTHWAITE, 15th whooping-cough of 1.6 in St. Helens, 2.0 in Great Yarmnouth, and 2.8 in (County of London) Battalion, the London Regimient (Prince of Wrales's Tynemouth; and diarrhoea of 2.1 in Walsall. The mortality from Own, Civil Service Rifles), to be Surgeon-Captain, anld to be absorbed diphtheria and from enteric fever showed no mnarked excess in any of into the establishment, May 1st. the large towns, and no fatal case of small-pox was registered during the week. The number of scarlet fever patients remaining under ROYAL ARMY MEDICAL CORPS. treatment in the Metropolitan Asylulmis Hospitals and the London South Wales Mounted Brigade Field Ambulance.-Captain J. R. I. Fever Hospital, which had been 2,173, 2,181, and 2,254 at the end of the RAYWOOD to be Major, February 25th. three preceding weeks, had fallen again to 2,223 at the end of last week; Secontd Home Counties Field Ambulance.-GEORGE T. WILLAN to be 275 new cases were admitted during the week, against 313, 348, and 335 Lieutenant, April 3rd. in the three preceding weeks. Second Wessex Field Ambulance.-THOMAS P. PUDDICOMBE to be Lieutenant, April 27th. Second London Sanitary CompatOy.-ARTHUR J. MARTIN to be Lieu- tenant, April 26th. HEALTH OF SCOTTISH TOWNS. First London (City of London) Field Ambulance.-Lieutenant D-URING the week ending Saturday last, June 5th, 989 births and 582 ANDREW ELLIOT, M.D., from the 2nd London (City of London) Field deaths were registered in eight of the principal Scottish towns. The Ambulance, to be Lieutenant, March 4th. annual rate of mortality in these towns. which had been 16.2,14.9, and Third South Midland Field Ambulance.-CHARLES CORFIELD to be 16.7 per 1,000 in the three preceding weeks, declined again last week to Lieutenant, March 18th; ALFRED COLERIDGE, M.B., to be Lieutenant, 16.3 per 1,000, but was 4.0 per 1,000 above the mean rate during the same March 23rd. period in the seventy-six large English towns. Among these Scottish 'First Welsh Field Ambulance.-Lieutenant T. DoNovARN to be towns the death-rates ranged from 12.3 in Greenock and 14.0 in Leith, Captain, December 12th, 1908. to 19.4 in Dundee and 19.8 in Perth. The death-rate from the principal sv"LR=NT To =2 JUNE 12, XWV.l HOSPITALS AND ASYLUMS. IOwn= XzDx"L JommAr. 393 l infectious diseases averaged 1.7 per 1,000, the highest rates being system; in 36 to senile decay and marasmus; in 2 to aocident recorded in Edinburgh and Greenock. The 258 deaths registered in or violence; in 1 to myxoedema, and in 59 to general diseases, Glasgow included3 which were referred to scarlet fever. 5 to diphtheria, 32 or 18 cent. of the total 13 to whooping-cough, 2 to enteric fever, 2 to cerebro-spinal meningitis, including deaths, per deaths, from and 5 to diarrhoea. Two fatal cases of scarlet fever, 9 of whooping- tuberculosis and 14 deaths from dysentery. cough, and 3 of diarrhoea were recorded in Edinburgh; 2 of diphtheria and 4 of diarrhoea in Dundee; 3 of diarrhoea in Aberdeen; and 2 of Chlartlhan. whooping-cough and 1 of cerebro-spinal meningitis in Greenock. The annual report of Dr. G. C. Fitzgerald, the Medical Superintendent of this asylum, shows that on January 1st, 1908, there were 1,038 patients on the registers, and 1,075 on the last day of the year. As at Barming fHeath, the numbers mount HEALTH OF IRISH TOWNS. steadily and discharges tend to dimiDish. The total cases DURING the week ending Saturday, May 29th, 62!i births and 442 deaths under care the numbered and the were registered in the twenty-two principal urban districts of Ireland, during year 1,274, average as against 659 births and 484 deaths in the preceding period. The numbers daily resident 1,052. During the year 236 were annual death-rate in these districts, which had been 18.3, 18.7, and 22.1 admitted, of whom 220 were direct and 16 indirect admissions. per 1,000 in the three preceding weeks, fell to 20.2 per 1,000 in the week In 183 the attacks were first attacks-in 33 not-first attacks, and under notice, this figure being 6.3 per 1,000 higher than the mean in 18 of congenital origin. As to duration of disorder on admis- annual death-rate in the seventy-six English towns for the corre- sion in the direct admissions, in 66 the attacks were first sponding period. The figures in Dublin and Belfast were 21.7 and 18.7 attacks within and in 50 more within twelve resDectively, those in other districts ranging from 4.2 in Newry and three, months of 4.7 in Wexford tc 39.9 in Dundalk and, 45.8 in Newtownards, while Cork admission; in 27 not-first attacks within twelve months of stood at 19.9, Londonderry at 25.4, Limerick at 27.3, and Waterford at admission, and in the remainder the attacks were of more 11.7. The zymotic death-rate in the twenty-two districts averaged than twelve months' duration. The 220 direct admissions were 1.3 per 1,000, as against 1.6 per 1,000 in the preceding period. classified, according to the forms of mental disorder, into: During the week ending Saturday, June 5th, 636 births and 360 deaths Mania of all kinds, 83; melancholia of all kinds, 31; secondary were registered in the twenty-two principal urban districts of Ireland, and senile delusional 8 as against 625 births and 442 deaths in the preceding period. The dementia, 35; insanity, ; general para- annual death-rate in these districts, which had been 18.7, 22.1, and ?0.2 lysis, 18: epileptic insanity, 18; insanity with gross brain per 1,000 in the three preceding weeks fell to 16.4 per 1,000 in the week lesions, 3; primary dementia, 2; confusional insanity and under notice, this figure being 4 1 per 1,000 higher than the miiean moral insanity, 1 each; congenital or infantile defect, 18; and annual death-rate in the seventy-six English towns for the correspond- not insane, 2. As to probable causation, alcohol was assigned ing period. The figures in Dublin and Belfast were 18.2 and 15.9 in 25, or 11.3 per cent., syphilis in 12, critical periods in 42, respectively, those in other districts ranging from 4.2 in Newry and 4.7 of in 27 in Wexford to 33.6 in Sligo and 45.8 in Newtownards, while Cork stood diseases the nervous (including epilepsy, 19), other at 18.5, Londonderry at 21.7, Limerick at 13.7, and Waterford at 13.6. bodily affections in 6, and mental stress in 38. An insane The zymiiotic death-rate in the twenty-two districts averaged 1.0 per heredity was ascertained in 45, of epilepsy in 13, of 1,000 as against 1.3 per 1,000 in the preceding week. eccentricity in 4, and of alcoholism in 19, giving an insane heredity in 20.4 of the direct admissions, and a total ascertained neuropathic heredity in 36.8 per cent. During the year 53 were discharged as recovered, giving a low recovery-rate on the direct admissions of 24.0 per cent., or of the recoveries in the direct admissions on the direct admissions of only 10.0 per cent. Also 6 were discharged as relieved, 14 as not improved, and 124 died. The deaths, giving a death-rate on the average numbers resident of 11.7 per cent., were due in 45 KENT COUNTY ASYLUMIS. to cerebro-spinal 22 from Barming Heatf. diseases, including general paralysis; IN his in 18 to diseases of the respiratory system; in 11 to diseases of annual report for 1908, Dr. H. Wolseley Lewis, the Medical the heart and blood in 1 to in 15 to Superintendent of Barming Heath Asylum, refers to some of the vessels; Bright's disease; recommendations senile decay, and in 33 to general diseases, including 25 deaths, of the Royal Commission on the Feeble- or 20 per cent. of the total from tuberculosis. There minded, and, in illustration of the desirability of legislation on deaths, the was no death rom accident or violence, and the general health lines of these recommendations, instances the conditions was satisfactory throughout the year. obtaining at Barming Heath, such as-an increasing pressure upon accommodation; the frequency of readmissions, and the consequent necessity "of some means of preventing these cases continuing their degenerate race "; and the large proportion of cases for whom more suitable provision might be made, either in special institutions or by family care. The statistics show THE WINSLEY SANATORIUM FOR CONSUMPTIVES. an THIs institution, intended primarily for the treatment of increase in the asylum population during 1908 of nearly twice the average; also that 39.40 per cent. of the direct admissions consumptives of the three counties, Gloucester, Wilts, and had been Somerset, has accommodation for 67 patients, the average previously discharged recovered, and that of these number of beds 58. The of Bristol nearly 60 per cent. were marriageable or married; that 21.29 per occupied daily being city cent. of the maintains 20 beds, and 20 beds are maintained by other admissions were over 60 years of age; whilst finally, towns, an analysis of the mental condition of those remaining at the end organizations, and firms in the three counties. The report for of the year showed that there were several hundreds of chronic 1908 states that since the opening of the sanatorium in Decem- of ber, 1904, close upon 800 patients have been admitted, of whom patients, many whom were quiet and harmless, deriving no half came from Bristol. special good from institutional treatment, and who might with nearly advantage have been boarded out with suitable persons in During 1908 219 patients were admitted. Of these, only the surrounding agricultural districts. On January 1st, 1908, 32 (14.6 per cent.) were classed as " good cases," and 71 (32.4 per there were 1,546 on the asylum registers, and on the last cent.) as " hopeful cases." Thus only half the cases admitted of the during the year were really suitable for sanatorium treatment, day year 1,620. The total cases under care during the in spite of an earnest entreaty to the medical men who fill in year numbered 1,977, and the average number daily resident 1,577. During the year 431 cases were admitted, of whom 394 the certificates not to recommend a case unless there is a were direct and 37 indirect admissions. Of the direct admis- reasonable prospect of permanent benefit, and a control sions the attacks were first attacks of less than three months in examination before admission by some member of the medical 112, and of less than twelve months' duration in 62 more; not- consultative board. Of the 215 patients discharged during the first attacks within twelve months of admission in 116; in 10 it year, 79 per cent. were improved, and the majority of these was unknown whether the attacks were first attacks or not, were able to return to work. The patients are admitted for and in the remainder the attacks were of more than twelve two months-instead of three, as was formerly the rule-and months' duration, including 30 congenital cases. The 394 their stay may be extended in suitable cases to sixteen weeks. direct admissions were classified according to the form The Finance Committee makes an appeal for funds to pay off of mental disorder into: Mania of all kinds, 75; melan- the mortgage which expires in 1912. The balance due stand, cholia now at of all kinds, 112; senile and secondary dementia, £11,400. 45; delusional insanity, 23; general paralysis, 28; in- sanity with epilepsy, 31 ; alternating insanity, 19; pri- mary dementia, 18; confusional insanity, 6; insanity with GLASGOW ROYAL ASYLUM, GARTNAVEL. gross brain lesions, 4; moral insanity, 2; stupor, 1; and cases of THE annual report for the year 1908, of Dr. L. R. Oswald, the congenital or infantile defect, 30. In the total direct admissions medical superintendent of this private asylum for Glasgow, the chief etiological factors assigned were: Alcohol in 49, or shows that there were 441 patients in the asylum on January 12.4 per cent., acquired syphilis in 17, influenza in 17, critical 1st, 1908, and 443 on the last day of the year. The total cases periods in 113, various nervous diseases in 62, other bodily affec- under care during the year numbered 568, and the average tions in 11, bodily trauma in 20, and mental stress in 103. An number daily resident 442. During the year 127 were admitted, insane heredity was ascertained in 125, or 31.7 per cent., an of whom 90 were first and 37 not-first admissions. In 32 the epileptic heredity in 12, a neurotic or eccentric heredity in 11, attacks were first attacks within three, and in 25 more within and an heredity of alcoholism in 25, giving a total ascertained twelve months of admission; in 25 not-first attacks within neuropathic heredity in 173, or 43 per cent. During the year twelve months of admission; in 42, whether first attacks or not, 141 were discharged as recovered, giving a recovery-rate on of more than twelve months' duration and the remainder were the admissions of 35.8 per cent., or of recoveries in the direct congenital cases. Of the admission 32 were voluntary patients, admissions on the direct admissions of 32.9 per cent.; 15 as a lower number than in the previous year, pointing, Dr. Oswald relieved and 25 as not improved. During the year 176 died, says, to a graver type of admission. The admissions were clas- giving a death-rate on the average numbers resident of 11.1 per sified according to the forms of mental disorder into: Mania of cent. The deaths were due in 26 to cerebro-spinal diseases, in- all kinds, 31; melancholia of all kinds, 41 ; secondary, senile, cluding 18 deaths from general paralysis; in 45 to diseases of and organic dementia, 10; delusional insanity, 19; general heart and blood vessels; in 5 to diseases of the respiratory paralysis, 8; alcoholic insanity, 7; confusional insanity, 3; organs (excluding consumption); in 2 to diseases of the digestive stupor and acquired epilepsy, 2 each; adolescent insanity, 1 394 Bamu KUDIGL JoUs J VACANCIES AND APPOINTMENTS. [JUNE I2, I90, and congenital or infantile defect, 3. With regard to causation, alcohol was assigned in 10, or less than 8 per cent., syphilis in 7, critical periods in 25, organic brain disease in 5, moral causes in 22, ffacande5t aut_~t6 influenza in 2; and boaily illness in 12. Previous attacks were ppinntntntts noted as cause in 8 and a hereditary predisposition ascertained in 9. With reference to bodily ill-health as a cause of insanity, This list of vacancies is compiled from our advertisemqent columns, the numbers given above refer only to severe illnesses, and Dr. where full particulars will be founzd. To ensure notice in this column, Oswald says that in few, if any, of the admissions was there a advertisenents must be received not later than the first post on healthy functional condition of all the organs. Many of the dis- Wednesday morning. orders seemed in themselves trivial-decayed teeth, indigestion, etc.-but mental improvement almost always followed their VACANCIES. removal. During the year 45 were discharged as recovered, BERMONDSEY MEDICAL MISSION.-Lady Resident Assistant. giving a recovery-rate on the admissions of 35.3 per cent. ; 31 as BIRMIINGHAM GENERAL DISPENSARY. -Resident Surgeon relieved, and 24 as not improved. Also during the year there Salary, £170 per annum, and £30 cab allowance. were 25 deaths, giving a death-rate on the average numbers BIRMINGHAM GENERAL HOSPITAL. - (1) House-Surgeon: resident of 6.0 per cent. The deaths were due in 10 to cerebro- (2) House-Physician; (3) Assistant House Surgeon. Z-alary at the 6 from in 6 to rate of £50 per annum for (1) and (2), and £40 per annum for (3). spinal diseases, including general paralysis; BOLINGBROKE HOSPITAL, Wandsworth Common.-(1) Resident chest diseases, there being none from pulmonary tuberculosis; Medical Officer; (2) House-Surgeon. Salary, £150 and £75 per in 6 to abdominal diseases, with 2 from enteritis, and 3 to general annum respectively. diseases. The asylum, which will in future be known as the BOURNEMOUTH: ROYAL BOSCOMBE AND WEST HkNTS HOS- Glasgow Royal Mental Hospital, continues its good work of PITAL.-House-Surgeon. Salary at the rate of £80 per annum. taking many patients at rates which are not remunerative. BRADFORD POOR LAW UNION. -Lady Assistant Resident Medical Officer. Salary, £130 per annum. BRECON AND RADNOR ASYLUM, Talgarth.-Assistant Medical Officer. Salary, £170 per annum. BRIGHTON. HOVE. AND PRESTON DISPENSARY.-House-Surgeon. Salary, £130 per annum. ADELAIDE HOSPITAL, DUBLIN. CANTERBURY: KENT AND CANTERBURY HOSPITAL.-(l) House- Surgeon; (2) Assistant House-Surgeon. Salary, £80 and £60 per THE fifty-first annual meeting of the supporters of the Adelaide annum respectively. Hospital, Dublin, was held on May 17th. Mr. Justice Ross CITY OF LONDON HOSPITAL FOR DISEASES OF THE CHEST. presided. The report stated that the number of patients Victoria Park, E.-House-Physician (male). Salary at the rate of treated in the hospital in 1908 was 1,275, a number slightly £75 per annum. less than that of the previous year. It included patients from DUDLEY: GUEST HOSPITAL.-Assistant House-Surgeon. Salary, every county in Ireland, as well as from other parts of the £75 per annum. United Kingdom. Dealing with additions and alteration to EXETER: ROYAL DEVON AND EXETER HOSPITAL.-Male the buildings, the report stated that the old roof had now been Assistant House-Surgeon. Salary, £60 per annum. replaced by a vulcanite flat roof, at a cost of £450, and the GLOUCESTERSHIRE EDUCATION COMMITTEE.-Medical In- result was in every way satisfactory, affording as it did open- spector of School Children. Salary, £250 rer annum, rising air accommodation and sunshinle to the inmates. Through to £300. the generosity of Mrs. Duckett the committee were also able to GRAMPIAN SANATORIUM, Kingussie.-Resident Physician (male). carry out their desire to erect and equip a new sanitary wing, Salary, £100 per annum. which was completed last November, and named " The Marie GUILDFORD: ROYAL SURREY COUNTY HOSPITAL.-(1) House- Duckett Wing." The report recorded the resignation of Miss Surgeon; (2) Assistant House-Surgeon. Salary, £100 and £50 per in annum respectively. Craig and the succession her place as matron of Miss Pate. INVERNESS: NORTHERN INFIRMARY.-House-Surgeon. Salary, The number of attendances of out-patients treated in the dis- £100 per annum. pensary during 1908 was 45,472, as compared with 32,812 in 1907. LINDSEY COUNTY.-Two Male School Medical Inspectors. Salary, No religious distinction is made in the admissions to the dispen- £300 per annum each. sary. It is believed that the large majority attending are Roman LIVERPOOL INFIRMARY FOR CHILDREN.-Two Resident Medical Catholics. The total receipts in 1908 were £9,252 14s. 8d., and Officers. Salary, £30 each for six months. the expenditure (including settlement of an outstanding debit LONDON CITY ASYLUM, Colney HP.tch, N.-Junior Assistant balance) was £8,568. At the end of the year there was a net Medical Officer. Salary, £160 per annumi. credit balance of £699, as compared with a debit balance last LONDON hIOSPITAL MEDICAL COLLEGE.-Assistant to the Bac- year of £254. The report was adopted on the motion of the teriologist and Lecturer on Bacteriology. Chairman, seconded by the Rev. Canon Mahaffy. Dr. Little LONDON TEMPERANCE HOSPITAL, Hampstead Road, N.W.- proposed and Rev. Dr. Clarke seconded a vote of thanks to the Assistant House-Surgeon. Honorarium at the rate of £75 per supporters of the hospital, and a vote of thanks to the Chairman annum. closed the proceedings. LONDON THRO kT HOSPITAL, Great Portland Street, W.-Assistant Anaesthetist. LURGAN UNION.-Resident Medical Officer for the Workhouse andl Fever Hospital. Salary, £80 per annum. MOUNT VERNON HOSPITAL FOR CONSUMPTION AND FREE HOSPITAL FOR SICK CHILDREN, DISEASES OF THE CHEST, Hampstead.-Junior Resident BIRMIN4GHAM. Medical Officer. Honorarium, £50 per annum. NORFOLK COUNTY ASYLUM, Thorpe.-Locumtenents as Assistant THE report presented to the annual meeting of the governors of Medical Officers. Salary, £3 3s. per week. the Birmingham Children's Hospital showed that 990 in- NORTH STAFFORDShIIRE INFIRMARY AND EYE HOSPITAL, patients, 13,850 out-patients, and 547 casualties, making a total Hartshill.-(1) Resident Surgical Officer; (2) House-Physician; of 15,387, were treated in 1908. This was an increase of 538 on (3) Junior House-Surgeon. Salary at the rate of £120, £100, and £50 the previous year. There were 121 deaths among the in-patients, per annum respectively. giving a mortality of 12.4 per cent. In 66 cases the patients died NORWICH: JENNY LIND INFIRMARY FOR CHILDREN.-Lady within seven days after admission. The number of opera- Resident Medical Officer. Salary, £50 per annum. tions performed was 2,138. The accounts for the year ROYAL WESTMINSTER OPHTHALMIC HOSPITAL, King Willira showed a deficiency of £294 as compared with £277 for the Street, W.C -Assistant Surgeon. preceding year; this makes a total adverse balance of ST. MARK'S HOSPITAL FOR FISTULA, etc., City Road, E.C.- £1,233. The appeal for funds to rebuild the hospital Three Clinical Assistants. was disappointing. The total sum that it was anticipated ST. MARYLEBONE GENERAL DISPENSARY, Welbeck Street, W.- would be required was £90,000, and the response to the appeal Honorary Physician. resulted in to the extent of The committee SHEFFIELD UNION HOSPITAL.-Resident Assistant Medicat promises £19,904. Officer. Salary, £100 per annum. has purchased and paid for the whole site, but after bringing in SOUTHAMPTON: ROYAL SOUTH HANTS AND SOUTHAMPTON the balance of legacies uninvested, amounting to £3,644, only H,OSPITAL.-House-Physician. Salary at the rate of £100 per about £6,500. remained with which to begin building. The annum. committee do not consider that this sum is anything like large VICTORIA HOSPITAL FOR CHILDREN, Tite Street, S.W.-House- enough to justify the commencement of building operations. Physician. Salary, £30 for six months. WEST BROMWICH DISTRICT HOSPITAL.-Resident Assistant House-Surgeon. Salary, £75 per annum. WESTON-SUPER-MARE HOSPITAL.-House-Surgeon. Salary, £100 per annum. DOWN DISTRICT ASYLUM. WINCHESTER: ROYAL HAMPSHIRE COUNTY HOSPITAL.- House-Physician. Salary, £65 per annum, rising to £75. AT the last meeting of the committee of management of the WOLVERHAMPTON AND MIDLAND COUNTIES EYE IN- above asylum, Dr. M. J. Nolan, the medical superintendent, FIRMARY.-House-Surgeon. Salary,180 per annum. read his annual report for the year 1908. The report has not yet been published, but from an account of the proceedings in CERTIFYING FACTORY SURGEON.-Ths Chief Inspector of the Down Recorder of April 24th, we see that the report was of a Factories announces a vacancy at Whitehaven, co. Cumberland. satisfactory character. The high recovery-rate attained in the preceding four years was more tjan maintained, being 49 per cent. on the admissions; the death-rate, 10.2 in 1907, fell to 6.8 APPOINTMENTS. per cent., and the cost of maintenance was reduced. Also for ARNOLD, Wallinger R. N., M.R.C.S., L.R.C.P., Medical Officer of the the first year, in the knowledge of the medical superintendent, Writtle Boys' Home of the Chelmsford Union. no case of dysentery, formerly prevalent in this asylum, had to HAILES, C. D. G., M.D.Edin., Certifying Factory Surgeon for the be recorded. Bristol District, co. Gloucester. su xunm JUNE 12, I9go.] DIARY. Duz wzmux L' 3OUSNA

MCKILOP, A. C., M.B.. Ch.B.Edin., Junior Assistant Physician to the Notes on Dental Anatomy. By G. A. Peake, M.R.4.S., L.D.S., etc. District Asylum, Inverness. London: C. Ash. Sons and Co., Limited. 1908. MASSON, Charles Armit, M.A., M.B., Ch.B.Aberd., Senior Assistant The Diseases of Women. By J. Bland-Sutton, F.R.C.S.Eng., and Physician to the District Asylum, Inverness. A. E. Giles, M.D., B.Sc., F.R.C.S. Sixth edition. London: SHARPIN, Walter A., F.R.C.S.Edin., M.R.C S.Eng., L.R.C.P.Lond., Rebman, Limited. 1909. lls. Honorary Assistant Surgeon to the Bedford County Hospital. A Practical Self-cure of Stammering and Stuttering. By W. A. WKIxNsoN, R., M.D., Medical Officer,of Health to the Penge Urban Yearsley. Accrington: Mrs. W. A. Yearsley. 1909. District. Oxford Medical Publications. Medical Inspection of Schools. By A. H. Hogarth, M.B., B.Ch., D.P.H. London: H. Frowde, and Hodder and Stoughton. 1909. 6s. BIRTHS, MARRIAGES, AND DEATHS. The Pocket Prescriber. By J. Burnet, M.A., M.D., M.R.C.P.E. The sharge for inserting announcements of Births, Marriages, and Edinburgh: J. Currio. 1909. ls. The Sanitary Officer's Handbook of Practical Hygiene. By C. F. Deaths is 3s. 6d., which sum should be forwarded inpost-office orders Wanhill, Major R.A.M.C., M.R.C.S., L.R.C.P., and W. W. 0. or stamps with the notice not later than Wednesday morning, in order Beveridge, D.S.O.. Major R.A.M.C., M.B., C.M.Edin. London: to ensure insertion in the current issue. Edward Arnold. 1909. 5s. BIRTHS. *** In forwarding books the publishers are requested to state the selling price, ALMOND.-On May 31st, at Lynvale, Bath, the wife of G. Hely-Hutchin- son Almond, M.A., B.M., Ch.B.Oxon., M.R.C.S., L.R.C.P., of a son. DENYER.-On May 30th, at 26. Albion Street, Hull, Yorks, the wife of Stanley E. Denyer, C.M.G., M.D.Cantab., F.R.C.S.Eng., of a daughter. EIALL.-On April 15th, the wife of George Hall, M.D., DIARY FOR THE WEEK. L.R.C.P. and S.Edin., 751, Wellington Street, Montreal, Canada, a son. WLsoN.-At 22, Hilgrove Road, South Hampstead, N.W., on June 5th, TUESDAY. the wife of J. Clark Wilson, M.D., F.R.C.S.Edin., M.R.C.P.Lond., ROYAL COLLEGE OF PHYsiCIANs OF LONDON, Pall Mall East, S.W.. of a daughter. 5 p.m.-First Croonian Lecture by Dr. W. S. Lazarus- Barlow: Radio-activity and Carcinoma (an experimen- MARRIAGES. tal inquiry). BABsT-JoHNsoN.-At St. Silas Church, Newcastle-on-Tyne, on June 3rd, by the Rev. Jesse Ison, Vicar, Charles Theodore Uvo Babst, THURSDAY. L.R.C.P. and S., of Willington-on-Tyne, to Elizabeth Florence ROYAL COLLEGE OF PHYSICIANS OF LONDON, Pall Mall East, S.W., Johnson, fourth daughter of the late William Johnson, of North 5 p.m.-Second Croonian Lecture by Dr. W. S. Lazarus- Shields. Barlow: Radio-activity and Carcinoma (an experimen- MILLER-WHITE.-On June 5th, at St. Mark's Church, Hamilton tal inquiry). Terrace, by the Rev. H. C. Frith, Vicar of the Church of the Holy ROYAL SOCIETY OF MEDICINE: Redeemer, Clerkenwell, Reginald Miller, M.D., M.R.C.P., to Ethel, DERMATOLOGICAL SECTION, 20, Hanover Square, 5 p.m.- youngest daughter of the late George White, of Newton Abbot. (1) Paper: Drs. Wilfred Fox and Rolleston: A Case of SHPmAN-BOUSFIELD.-On June 2nd, at the Parish Church, Grantham, Leukaemic Infiltration of the Skin. (2) Cases and George Alfred Cargill Shipman, M.A., M.B., to Dorothy Louisa, specimens. only daughter of the late Rev. Stephen Bousfield, M.A., Rector of FRIDAY. and Mrs. Bousfield, Grantham. Shelton, Nottingham, ROYAL SOCIETY OF MEDICINE: WANKLYN-RICE.-On June 1st, at the English Church, Munich, by OF the Resident Chaplain, the Rev. D. Cooper Hunt, M.A., William SECTION DISEASES OF CHILDREN.-Provincial meeting McConnel, second son of the late Rev. Edward Wanklyn, Vicar of at Edinburgh. St. Michael's, Bournemouth, to Ethel, fourth daughter of the late Rev. C. H. Rice, Rector of Cheam. POST-GRADUATE COURSES AND LECTURES. DEATHS. CENTRAL LONDON THROAT AND EAR HOSPITAL, Gray's Inn Road, W.C.-Lectures: Tuesday, at 3.45 p m.: Pharynx and LEEDS.-On May 31st, at Murrayfield, King's Road, Reading, Charles Naso-pharynx. Friday, at 3.45 p.m.: Pharynx and Naso- George Stretton Leeds, M.D., youngest son of the late Henry Leeds, pharynx. Cheltenham. LONDON SCHOOL OF CLINICAL MEDICINE, Seamen's Hospital, Green- SHERRITT.-On June 4th, at her father's house, Mary Dorothy Skerritt, wich.--Daily arrangements: Out-patient Demonstra- widow of the late Edward Markham Skerritt, M.D., F.R.C.P., of tions, 10 a.m.; Medical and Surgical Clinics, 2.15 p.m. Ivor House, Durdham Park, Bristol, and eldest daughter of John and 3.15 p.m. respectively; Operations, 2 p.m. Special Heelas, of Wniteknights Park, Reading, in her 60th year. Clinics: Ear and Throat, at noon and 4 p.m., Monday, and noon, Thursday; Skin, at noon and 4 p.m., Thurs- day, and noon, Friday; Eye, 11 a.m., Wednesday and Saturday; Radiography, 4 p.m., Thursday. Special BOOKS, ETC., RECEIVED. Lectures: Tuesday, 3.15 p.m., Fractures about the Ankle; Wednesday, 3.30 p.m., Glaucoma: Diagnosis Antichrist and the Man of Sin. By W. N. Stedman. England: W. N. and Treatment; Friday, 2.15 p.m., Some Varieties of Stedman. 1909. Anaemia. Parenthood and Race Culture: An Outline of Eugenics. By C. W. MEDICAL GRADUATE5' COLLEGE AND POLYCLINIC, 22, Chenies Street, London: Cassell and Co., W.C.-The following clinicaldemonstrations have been Saleeby, M.D., Ch.B.. F.Z.S., F.R.S.Ed. arranged for next week at 4 p.m. each day: Monday, Limited. 1900. 7s. 6d. Skin; Tuesday, Medical; Wednesday, Surgical; Thurs- Dictionary of National Biography. Edited by S. Lee. Vol. xv. day, Surgical; Friday, Eye. Lectures at 5.15 p.m. each Owens-Pockrich. London: Smith, Elder and Co. 1909. 15s. day will be given as follows: Monday, The Diagnosis Jena: G. Fischer. 1900: of Diseases of the Rectum and Anus; Tuesday, Climac- Weltsprache und Wissenschaft. Von. L. Couturat, 0. Jespersen, teric Haemorrhage; Wednesday, Persistent Symptoms R Lorenz, W. Ostwald, and L. Pfaundler. M. 1. after Head Injuries; Thursday, Affections of the Handbuch der gesamten Therapie in sieben Banden. Heraus- Umbilicus. gegeben von Drs. F. Penzoldt and R. Stintzing. Vierte Auflage. NATIONAL HOSPITAL FOR THE PARALYSED AND EPILEPTIC, Queen Dritte Lieferung. M. 4 50. Square, W.C.-Tuesday, 3.30 p.m., Tremor. Friday, Handbuch derBiochemie des Menschen und der Tiere. Herausgegeben 3.30 p m., Surgery of the Nervtous System. von Professor Dr. C. Oppenheimer. Ftlnfzehnte Lieferung. M. 5. NORTH-EAST LONDON POST-GRADUATE COLLEGE, Prince of Wales's Medizinal Berichte uber die Deutschen Schutzgebiete Deutsch Osta- General Hospital, Tottenham, N.-Monday, Clinics,' Guinea, 10 a.m., Sursical Out-patient. 2.30 p.m., Medical Out- frika, Kamerun, Togo, Deutsch-Sttdwestafrika, Neu patient: Nose, Throat, and Ear; X rays; 4.30 p m., Karolinen, Marshall-Inseln und Samoa fur das Jahr 1907-8. Medical In-patient. Tuesday, 10 a.m., Medical Out- Herausgegeben von Reichs-Kolonialamt. Berlin: E. S. Mittler patient Clinic; 2.30 p.m., Operations; Clinics: Sur- und Sohn. 1909. M. 9. gical, Gynaecological; 4.30 p.m., Lecture on the Path- Children of the Poor: Descriptions of their Life. By A. Davies ology of Cardiac Inflammations; Wednesday, 2.30 p m., Edwards, M.B., B.S., B.Sc., D.P.H., etc. London: Hammond, Medical Out-patient, Skin and Eye Clinics. Thursday, Hammond, and Co. 1909. is. 2.30 p.m., Gynaecological Operations: Clinics: Medical SymptomatolGgie und Diagnostik der Uro-genitalen Erkrankungen. Out-patient; Surgical Out-patient; X rays; 3 p.m., Von Dr. V. Blum. Zweiter Teil. Leipzig and Wien: F. Deuticke. Medical In-patient; 4.30 p.m., Lecture-demonstration on 1909. M.5=K.6. the Administration of Anaestheties; Friday, Clinic: The Practical Medicine Series. Edited by G. P. Head, M.D. Vol. ii. 10 a.m., Surgical Out-patient; 2.30 p.m., Operations; General Surgery. Edited by J. B. Murphy, AM., M.D., LL.D. Clinics: Medical Out-patient, Eye; 3 p.m,, Medical Series 1909. Chicago: The Year Book Publishers. In-patient. 120 Years of Life and How to Attain them. By C. Reinhardt, M.D. WEST LONDON HOSPITAL POST-GRADIUATE COLLEGE, Hammersmith London: The London Publicity Company, Limited. ls. Road, London, W.-Thefollowing are the arrangements for next week: Daily, 2 p.m., Medical and Surgical High Frequency Currents. By H. E. Crook, M.D., B.S., F.R.C.S. Clinics; X Rays; 2.30 p.m., Operations. Monday and Second edition. London: Bailliere, Tindall and Cox. 1909. 7s. 6d. Thursday and Wednesday, 2 p.m., Diseases of the Further Advances in Physiology. Edited by L. Hill, M.B., F.R.S. Eyes (also Saturday, 10 a.m.) Tuesday and Friday, London: E. Arnold. 1909. 15s. 10 a.m., Gynaecological Operations; 2 p.m. (and The Mystery of Existence. By C. W. Armstrong. London: Longmlans, Wednesday and Saturday at 10 a.m.), Diseases of Green and Co. 1909. 2s. 6d. Throat, Nose, and Ear; 2.30 p.m., Diseases of the Skin. Golden Rules of Dental Surgery. By C. W. Glassington, M.R.C.S., Wednesday and Saturday, 10a.m., Diseases of Children; L.D.S.Edin. "Golden Rules'" Series No. xiii. Third edition. 2.30 p.m., Diseases of Womqn. Lectures: 10 a.m., Mon- Bristol: J. Wright and Co.; London: Simpkin Marshall. ls. day and Thursday: Demonstration by Surgical Regis- and 1909: trar. Friday: Demonstration by Medical Registrar. Berlin and Wien: Urban Schwarzenberg. At 12 noon, Monday: Pathological Demonstration. At L. Landois's Lehrbuch der physiologie des Menschen. Zwolfte 12.15 p.m., Tuesday, Wednesday, and Saturday: Practi- Auflage. Bearbeitet von Dr. R. Rosemann. Erster Band. cal Medicine. At 5 p.m., Monday, Practical Surgery. M.9 -Kr.10.80. Tuesday, Valvular Disease; Aortic Obstruction. Atla der rectalen Endoskopie. Von Dr. A. Foges. I Teil. Wednesday, Medicine. Thursday, Clinical. Friday,. M.15=Kr.16.80. " PinikEye." TO 396 BaI3IsaSUPLRUNTMDICALJOU ]I CAl:,ENDAR. [JUNE 12, 19".. -~~~~~~~~~~AEDR [JN 12 Q0, CALENDAR OF THE ASSOC ITION.

Date. Meetings to be Held. Date. Meetings to be Held. JUNE. JUNE (Continued). 13 Sunba . 20 Sunbaq 14 MONDAY 21 MONDAY BUCKINGHAMSHIRE DIVISION, South BOSTON AND SPALDING DrvISION, 15 TUESDAY Midland Branch. Annual Meeting, MiIidland Branch, Annual Meeting, .. Royal Bucks Hospital, Aylesbury, 22 TUESDAY White Hart Hotel, Boston, 12.45 p.m.; 3.30 p.m. Luncheon, 2 p.m.I LONDON: Special Committee in regard HAMPSTE:AD DIVISION, Metropolitan to question of meetings of newly Counties Branch, Annual Meeting. appointed Standing Committees {London: Journal and Finance Com- during Annual Meeting, 10.45 a.m. mittee 2.30 p.m.B LONDON: Committee re Medical Secre- ISOUTH-EAST.ERN BRANCHI, Annual tary's Department, 11.15 a.m. 23 WEDNESDAY. Meeting, Town Hall, Croydon, LONDON Premises Committee, 2.15 p.m.; Garden Party, Mental 16 WEDNESDAY) 2 p.m. Hospital, Warlingham ; Dinner, LONDON : Medico-Political Warning Greyhound Hotel, 6.15 p.m. Notice 12.30 p.m. LONDON: Metropolitan Counties Branch LONDON Subcommittee,: Poor Law Committee, ( CouIcil, 4.30 p.m. 2.30 p.m. ALTRINCHAM DIVIsION, Lancashire and LANCA81pIRE AND CHEsHIRE BRANCH, Che8hire Branch, Scientiflc Meeting, Annual Meeting, Chester. 24 THURSDAY.. 5Boardp.m; Tea,Room,4.30Altrinchamp.m.; Dinner,Hospital,Brook- f BIRMINGHAM BRANCH, Annual Meet- lands Hotel, 7.30 p.m. ing, Medical Institute, Edmund Annual Street, 3.30 p.m. STAFFORDSHIRE BRANCH, 17 THURSDAY FIFE BRANCH, Annual Meeting, Hotel, Meeting, White Hart Hotel, Burton- Thornton, 3 p.m. on-Trent, 4 p.m.; Dinner, 6 p.m. MAIDSTONE DIvIsIoN, South-Eastern (BORDER COUNTIES BRANCH, Annual Branch. 25 FRIDAY .. General Meeting, County Hotel, CHICHESTER AND WORTHING DIVISION, Carlisle. South-Eastern Branch, Annual Meet- {BATH DIVISION, Bath and Bristol 3.30 p.m. Branch, Annual Meeting, Royal ing, Pier Hotel, Bognor, 26 SATURDAY United Bath, 6 p.m. 18 FRIDAY * SOUTH MIDLAND BRANCH, Annual Hospital, ( Meeting, General Hospital, North- YORKSHIRE BRANCH, Annual Meeting, ampton, 2.30 p.m.; Lunch, Frank- Grand Hotel, Scarborough. lin's Restaurant, Guildhall Road, 27 Sunba .. 1.30 p.m.; Branch Council, 1 p.m. 23 MONDAY .. (CEYLON BRANCH, Pathological Meet- 29 TUESDAY .. |ing, Colonial Medical Library, (Central Council, 2 p,m., New Council 19SAURDA.. 12.30 p.m. Room, 429, Strand, W.C. 19 SATUJRDAY EAST YORK AND NORTH LINCOLN 30 WEDNESDAY CENTRAL DIVISION, Birmingham BRANCH, Annual Meeting, Grimsby | Branch, Annual Meeting, Medical \ Hospital. Institute, 3.30 p.m.

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