BRITISH 375 8 November 1969 MEDICAL JOURNAL 375

News and Notes

PARLIAMENT

Queen's Speech the problem, he hoped, and it should be reorganized local government. The Govern- possible to provide a selective range of control ment aimed to make known its views on local In addition to promising legislation to of new substances and drugs very quickly government reorganization in a White Paper. improve the control of dangerous drugs (see after they came on the scene. His present At the same time it would issue for public B.M.J., 1 November, p. 312) the Queen's intention was to ask that the Government discussion a revised Green Paper on the Speech on 28 October foreshadowed legisla- should be given power to license the produc- administrative structure of the Health Ser- tion arising from the Seebohm Committee's tion and distribution of drugs which could vices. A small interdepartmental social work recommendations on local authority and allied be misused, as well as the import and export group was considering those matters together. personal social services, fresh proposals about of such drugs. LORD AMULREE said that he still had grave the future administration of the N.H.S., He was consulting a wide range of pro- doubts about the wisdom of many of the legislation to rationalize the work of the fessional and other organizations to get recommendations of Seebohm. The terms of Monopolies Commission and the National absolutely right the control over prescription the committee's inquiry omitted reference to Board for Prices and Incomes and to combine of drugs. The doctor who did not resist the social workers in hospitals, so no cognizance them in a new body, further efforts to secure importuning of a drug misuser or would-be had been taken of the work of medical social a ban on biological methods of warfare-a trafficker undermined the work of his pro- workers or psychiatric social workers. This particular concern with chemical and biologi- fessional colleagues. There had been a recent made for some difficulty, if the intention was cal weapons was mentioned-and legislation illustration of how long it took to deal with to create a separate social work department, for the safety, health, and welfare of those on that kind of doctor. Drtug trafficking was a and would tend to increase the gap between offshore drilling stations. more vile trade than drug-taking and the Bill local authority and N.H.S. work. The medi- would distinguish in penalty between those cal profession seemed to be largely excluded who pushed and trafficked in drugs and those from the proposed social work department, Control of Dangerous Drugs who took them. The difference in definition but many problems which came before a would be difficult and was one of the matters social welfare department had a medical back- Speaking in the Commons on 29 October in which he would need the help of the ground, and doctors should be more strongly the Home Secretary, Mr. JAMES CALLAGHAN, House. He proposed steep penalties for those involved than had been recommernded in the said that the Drugs Bill he would be bringing who trafficked. Seebohm Report. forward would replace the present rigid and ramshackle collection of Drugs Acts by a single comprehensive measure. Present legis- Seebohm and the Green Paper lation was fragmentary and inadequate. Ten Rabies Quarantine years ago, when heroin and cannabis had In the House of Lords on 29 October the occupied practically the whole stage, the LORD CHANCELLOR was asked about the The quarantine regulations on the import drugs problem was small and seemingly implementation of the Seebohm Report. He of dogs into Britain are to be extended to simple, but today the scene was much wider. said that the reference in the Queen's Speech cover certain exotic species of animals subject The misused drugs now included a wide was an earnest of the Government's intention to rabies, said Mr. CLEDWYN HUGHES, range of stimulants, sedatives, and hallucino- to make a start with the drawing together of Minister of Agriculture, Fisheries and Food, gens. The problem was mainly of young the local authority social work services and to on 29 October, in a statement on the case of people, and although the effects of some of settle the future structure of the Health Ser- rabies in a dog at Camberley (see B.M.7., 1 the drugs was not measurable, enough was vice. Consultations on Seebohm were being November, p. 310). An official of the known to say that many young people were pressed forward, but final decisions could not Ministry said later that exotic species included running into grave dangers. sensibly be taken on that or on reorganization monkeys, animals of the squirrel family, The Bill would demonstrate that we were of the Health Service until the Government badgers, gophers, genet cats, pine martens, moving towards a more scientific control of had taken a view of the basic structure for pole cats, and skunks.

EPIDEMIOLOGY

Laboratory Reports been higher than average in most weeks of gastroenteritis were admitted to an infectious- this year. The increase is explained in part diseases hospital. All were found to be The following notes are based on reports to by the identification and reporting of types excreting E. coli type 0.119 in their stools, ihe Laboratory Service from that have not been routinely recorded in pre- and though they were admitted from home public health and hospital laboratories in the vious years. Many of the cases have been it was discovered that all had been born in United Kingdom and Republic of Ireland for in outbreaks, nearly all in hospital wards, the same maternity hospital. Admissions to the week ending 24 October. involving two or more children from the maternity hospital were stopped and whom the same serotype has been isolated. rectal swabs were taken from 60 babies there Escherichia coli Altogether there have been 55 such episodes. and in another hospital to which some babies The serotypes most commonly responsible were transferred after birth. Cultures of 14 So far this year over 5,000 cases of gastro- were types 0.26, 0.86, 0.114, 0.125, and swabs yielded E. coli of the endemic type. enteritis in children under the age of 2 years 0.126. Seventeen deaths have been associated Two of 70 staff were also infected. Nine have been reported from whom enteropatho- with infection by this organism. of the 14 babies with positive swabs and 14 genic Escherichia coli was isolated. This One of the largest of the outbreaks, which other babies born in the same materaity represents a considerable increase on the took place in May, illustrates the well-known hospital were later admitted to the Infectious- average number for the corresponding months pattern of spread of infantile enteritis. In diseases hospital, though three had litde of the last three years, and the number has a period of 12 days seven young babies with diarrhoea. 376 8 November 1969 News and Notes MEDICALBRITLSHJOLRNAL

Thus, altogether 30 babies born in the Abortions and Chelsea, and Merton (2) ), 8 from Tees- cases from Cambridge same hospital were admitted during a period side C.B., and single of about four weeks, and 21 of them had In the second quarter of this year 13,116 M.B., Portsmouth C.B., Nottingham C.B., diarrhoea with E. coli type 0.119 isolated abortions were performed in England and Staines U.D., and Lanark county. from stools. All but one of the babies with Wales. Of these, 9,358 were for risk of positive stool cultures were born in the three injury to the physical or mental health of the Malaria weeks before the closing of the maternity patient ; 532 for risk of injury to health of Cases of malaria were reported during the hospital. existing children; 459 for risk to life of the week ending 24 October from: Westminster 1 On the assumption that all the babies were patient; 357 for substantial risk of the baby (Greater London), Richmond R.D. 1 infected while in hospital an indication of being abnormal; and 11 in emergency. (Y.N.R.), Bradford C.B. 1 (Y.W.R.). the probable incubation period can be deduced Some 2,400 others were performed for combi- for those discharged home within one or two nations of reasons.-Registrar General's days of birth. There were four such babies, Quarterly Return for England and Wales, Graphs of Infectious Diseases in whom the interval from birth to onset of No. 482 (H.M.S.O., 1969). symptoms ranged from five to ten days, with The graph below shows the uncorrected an average of seven days. By contrast, in Infectious Diseases numbers of cases of whooping-cough in those transferred to another hospital before England and Wales. Figures for 1969 are going home (10 babies) the interval ranged Hong Kong 'Flu in New (Guinea compared with the highest and lowest figures from seven to 23 days, with an average of for each week in the previous years shown. 13 days, which suggests that some children Nearly 2,000 deaths from influenza have NoOF WHOOPING COUGH were infected in the second hospital. been reported from New Guinea in the last CASE S Sixteen of the 26 strains of E. coli isolated month. The situation is made worse by a 1800- were resistant only to streptomycin, two to serious shortage of food in the worst-hit 1700- J-'HIGHEST 1960-68 colomycin and streptomycin, one to colomycin areas. Rice and fish are being flown in, and 1600 - 1500 - and terramycin, one to ampicillin, and one to relief flights will continue until March, when I 1400- aw ampicillin and terramycin; the remainder local crops are due to be harvested. were all sensitive to all antibiotics tested. The epidemic, due to the Hong Kong virus, 1300 - Some infants were very ill on admission, but, has also affected Australia, but the epidemic 1200- because of the risk that strains with multiple there has not been severe and is now past it.- 1100- resistance might emerge, none was given anti- peak. 1000 - biotic treatment except for four babies with 900- - , suspected bacteraemia. All received correc- Typhoid and Paratyphold Fevers 800 -1969 tion of dehydration and all recovered. 700- After closure of the maternity hospital During the week ending 24 October 3 cases 600- 500- were sent home as soon as possible of typhoid fever were notified in Greater LOWEST 1960-68 patients 400- or transferred to other institutions. The London (Barnet, Greenwich, and Islington), was washing down and single cases in Royal Tunbridge Wells hospital cleaned by 200- and equipment was M.B., Birmingham C.B., and Bradford C.B. rooms with disinfectant, 100 no more cases During the same week 7 cases of paratyphoid sterilized. Since reopening 0 of gastroenteritis due to E. coli 0.119 have fever were notified in Greater London 4 8 12 16 2024 28.32 36 40444852 occurred. (Barnet (2), Ealing, Hackney, Kensington WEEKS

MEDICAL NEWS Hazards of Boxing Child Health at Liverpool Coming Events Severe acute injury to the brain is un- The Ingtitute of Child Health at Alder St Johns Hospital, Lincolm-Annual day Liverpool, was common in amateur and professional boxing, Hey Children's Hospital, conference on , 16 November, on 30 October by LoRD according to a report issued last week by the officially opened 10.15 a.m. Applications to Dr. W. A. S. Royal College of , but there is a RHODES, Lord Lieutenant of Lancashire. The FALLA, St. John's Hospital, London Road, danger of chronic brain damage among pro- institute conducts research into a variety of Lincoln. fessional boxers. Few boxers were severely child illnesses and disabilities and is part of disabled by traumatic encephalopathy, but the university department of child health Vascular Surgical Society of Great Britain evidence was found of lesser degrees of this with Professor J. D. HAY at its head. It was and Ireland.-Annual general meeting and disorder in an alarmingly high proportion of built and equipped with the aid of a grant scientific meeting, 21 November, Glasgow careers from the Children's Research older boxers who had pursued their of £160,000 Royal Infirmary. Details are obtainable for over 10 years. The report considers that Fund. from Mr. J. A. Gillespie, St. George's the supervision which has become increasingly Hospital, Hyde Park Corner, London S.W.1. a feature of the sport in recent years may Dean at Bart's reduce the chances of its developing, but the Dr. J. S. MALPAS has been appointed dean Audio-Visual Techniques.-A symposium in sport will remain.- hazards inherent the of St. Bartholomew's Hospital Medical on the "Application of Audio-Visual Tech- Report on the Medical Aspects of Boxing School. niques in the Teaching of " (Royal College of Physicians, 2s. 6d. net). will be held in the Edward Lewis Theatre of The evidence before the committee which 224 W.H.O. in Africa the Middlesex Hospital on prepared the report included a survey of 21 November. The symposium is ex-professional boxers which has been pub- Dr. ALFRED QUENUM was unanimously Friday, Brain W.H.O. Regional Director for intended to be of interest to dermatologists, lished as a separate monograph: re-elected and Further Damage in Boxers, by Dr. A. H. Roberts Africa at the nineteenth session of the medical artists, photographers. details can be obtained from Mrs. N. (Pitmn, £1 lOs. Od. net). Regional Committee which has been meeting in Abidjan. SUTHERLAND at 01-636 7991. Transpltion at Manchester A W.H.O. study conducted in 1967 in Conference on A renal transplantation unit was opened eight English-speaking countries of Africa C.B.W.-International MICHAEL WOODRUFF, and 14 French-speaking countries showed Chemical and Biological Warfare at the at Manchester by Sir London W.C.1, on 31 October. It has facilities for that in the English-speaking countries only Nufto Hall, 14 Jockey Fields, F.R.S., Details from the at least 30 transplantations a year. The 15% of the doctots and paramedical staff on 21-23 November, capital cost is about £15,000 and the running stayed in the cities, whereas in the French- Organizing Committee, c/o W.I.L.P.F., 29 cost about £35,000 a year. speaking countries 56% did so. Great James Street, London W.C.1. BRfTiSH 8 November 1969 News and Notes MEDICAL JOURNAL 377

INSTITUTE OF AND .-At ROYAL FREE HoSPITAL.-5.15 p.m., Dr. P. "Migraine and M ipulaton"-Sympo- Hammersmith Hospital, 2 p.m., Mr. R. G. Law: Haemmerli (Zurich): LIactulose and Hepatic sium, 22 November, Wellcome Building, Carcinoma of the Cervix; 3 p.m., Professor P. Coma. Polani: Significance of Chromosome Abnor- SOCIETY FOR DRUG RESEARCH.-At 17 Bloomsbury Euston Road, London N.W.1, presented by Mr. G. malities in the Human Subject-I ; 4.30 p.m., Square, London W.C.1, 7 p.m., Teeling- the British Association of Manipulative Professor E. C. Amoroso F.R.S.: Implantation Smith: Paying for Pharmaceutical Research. and Early Development of the Ovum.0 SOUTHAMPTON POSTGRADUATE MEDICAL FEDERATION. in conjunction with the British ISRAEL MEDICAL ASSOCIATION: BRITISH FELLOW- -(1) At Southampton General Hospital, day Migraine Association. Admission by ticket SHiP.-At 11 Chandos Street, London W.1, 8.30 course in , Mr. D. Brock: Minor Oral p.m., the Chief Rabbi. Dr. I. Jakobovits, Ph.D.: Procedure-; 5 p.m., symposium: Is the (free). Details from Honorary Secretary, The Jewish Contribution to Medical Ethics. Patient Hysterical ? (2) At Royal South Hants B.A.M.M., 3 Arundel Terrace, Brighton KENT POSTGRADUATE MEDICAL CENTRE AT CANTER- Hospital, 8.15 p.m., Medical Society clinical BN2 IGA. BURY.-At Kent and Canterbury Hospital, 8.30 meeting. p.m., Mr. H. J. Shaw: Diagnosis and Treat- STOKE MANDEVILLE HosPITAL.-l p.m., Dr. A. G. S. Hill: clinical cases. ment of Cancer in Nasal Cavity and Sinuses. Dr. A. B.M.A. (South Lancashire and East LONDON MEDICAL GROUPI.-At Middlesex Hospital WEST MIDDLESEX HoSPITAL.-1.30 p.m., Medical School, 5.45 p.m., symposium by Lloyd: Anaemia and Jaundice; 5 p.m., Dr. Cheshire Branch). Symposium, "Pul- Baroness Wootton, Dr. D. Hawks, Dr. N. B. P. J. Dally: Psychotropic Drugs. Conservative monary Thromboembolic Disease," 23 Nov- Malleson: The Cannabis Report. WORING MEDICAL SOCIETY.-At Club, MNCHESTER MEDICAL SOCIETY.-At Large Anatomy Dr. M. O'Donnell: Looking Sideways at Medical ember, Cheadle Royal Hospital. Professor Theatre, Manchester University Medical School, Journalism. will preside. Fee lOs. 6d. (1) 4.30 p.m., university lecture on history of W. I. C. MORRIS medicine by Sir George Pickering, F.R.S.: Thursday, 13 November (including lunch). Applications should be Creative Illness; (2) 8 p.m., Section of Surgery ABERDEEN UNIVERSITY.-At large lecture theatre, made Regional Officer, Boyd meeting by Mr. D. L. Harris and Mr. A. Gunn. University Medical Buildings, 5 p.m., D!r. J. R. to the B.M.A. NEATH POSTGRADUATE MEDICAL CENTRE.-At Neath Batchelor: The HL-A System and its Influence House, Upper Park Road, Victoria Park, General Hospital, 4.30 p.m., Mr. M. Davies: on Craft Compatibility. M14 5RH. (Tel. 061-244 2382.) Group and Hospital Administration. BRITISH POSTGRADUATE MEDICAL FEDERATION.-At Manchester NORTH LONDON POSTGRADUATE MEDICAL CENTRE.- Institute of Child Health, 5.30 p.m., Dr. C. E. At St. Ann's General Hospital, 12.45 p.m., Gordon Smith: Marburg Disease-Problems alLd Victor Horsley Memoril Fund.-The clinical meeting, case presentation. Implications. PLYMOUTH MEDICAL CENTRE.-At Greenbank Ter- BRITISH SOCIETY FOR THE HISTORY OP . 13th Victor Horsley memorial lecture will be race, 8.30 p.m., Dr. M. D. Churcher: Drugs -At 17 Bloomabury Square, London W.C.1, 7 held at University College Hospital Medical Used in Treatment of Pain. p.m., Mr. W. K. Fitch: The Martindales. ROYAL MEDICo-PSYCHoLoGIcAL AssocIATIoI.-At CRIPPS POSTGRADUATE MEDICAL CENTRE.-At School, Huntley Street, London W.C.1, on Royal Society of Medicine, 6 p.m., Dr. Felix General Hospital, Northampton, 1 p.m., meet- Tuesday, 25 November, at 6 p.m. Professor Post: Recent Developments in Psychogeriatrics- ing: Medical Selection of Emigrants. the diagnostic process. DUNDEE UNIVERSITY.-At Physiology Department J. Z. YOUNG, F.R.S., will speak on "What ROYAL SOCIETY oP AND Lecture Theatre, 5 p.m., Dr. C. 0. Carter: Can we Know about Memory ? " Further HYGIENE: EDINBURGH BRANCH.-At Pfizer Foun- Genetics of Common Diseases. dation, Hill Square, 7.45 p.m., Major-General INSTITUTE OF OBSTETRICS AND GYNAECOLOGY.-At details from the Secretary, B.M.A. House, J. P. Baird: Leishmaniasis in Southern Arabia Chelsea Hospital for Women, 3 p.m., discussion Tavistock Square, W.C.1. (with slides). by Mr. J. HartgIl, Mr. E. Parry-Jones: Lymph- ST. STEPHEN'S HOSPITAL, LoNDoN.-S.30 p.m., atic Drainage of the Pelvis.- Professor R. B. Welbourn: Surgery of Hyper- LEEDS MEDICAL SCIENCES CLUB.-At General In- Society for Drug Research.-Symposium, tension. firmary at Leeds, 7 p.m., meeting. SOUTH ESSEX POSTGRADUATE MEDICAL ASSOCIATION. LIVERPOOL MEDICAL INSTITUTION.-8 p.m., Sir "Cancer Chemotherapy," 26 November, all- -At St. Andrew's Hospital, Billericay, 8.30 p.m., Derrick Dunlop: Ill-health due to Drugs. day, Shell Centre, London S.E.1. Fee £1 Dr. J. Kershaw: Future Development of the LONDON MEDICAL GRouP.-At U.C.H. Medical School Health Service. School Union, 5.45 p.m., Dr. J. Mathers: (non-members). Details from Dr. ALMA B. TUNBRIDGE WELLS POSTGRADUATE MEDICAL CENTRE. Family of Mentally Afflicted Patient. SIMMONDS, Chelsea College of Science, -At Elizabethan Barn, 8 p.m., Mr. C. Wastell: LONDON UNIVERSITY.-(-> At St. Mary's Hospital Modern Treatment of Chronic Duodenal Ulcera- Medical School, 5 p.m., Professor 0. Kaser Manresa Road, London S.W.3. tion.- (Frankfurt): Evaluation of Different Methods for WEST MIDDLESEX HosPrTAL.-4 p.m. M.R.C.O.G. Diagnosis of Chronic Fetal Distress. (2) At Uni- lecture by Mr. S. Campbell: Clinical Usefulness versity College, 5.30 p.m., Professor Jane M. West Middlesex Hospital-Symposium, of Diagnostic Ultrasound in Obstetrics. Oppenheimer (Pennsylvania): Science and "Coronary Heart Disease," 28 November, WESTMINSTER MEDICAL SCHOOL.-At Page Street Nationality in the 19th Century-a character wing lecture theatre, 5.15 p.m., surgical con- study of K. E. von B-aer. 2 p.m. Open to consultants and registrars ference by Professor G. Gregor (Prague): ST. MARY'S HOSPITAL MEDICAL SCHOOL.-5 p.m., without fee. Details from the Secretary, Epidemiology of Gastric Cancer. Professor 0. Kilser (Frankfurt): Evaluation of Middlesex Hospital, Different Methods for Diagnosis of Chronic Fetal Medical Centre, West Wednesday, 12 November Distress. Isleworth, Middlesex. (Tel. 01-560 2121.) SOUTHAMPTON POSTGRADUATE MEDICAL FEDERATION. CHILTERN MEDICAL CENTRE.-At Wycombe General -At Southampton General Hospital, 3 p.m., case Hospital, High Wycombe, 12.15 p.m., Dr. C. J. conference; 8.30 p.m., Professor W. S. Peart, Dickinson: Pathophysiology of Heart Failure. F.R.S.,: Aspects of . FOREST MEDICAL SoCIET.-At Whipps Crom Hos- Societies and Lectures pital, London E.ll (1) 2 p.m., Dr. A. Wisdom: Friday, 14 November Investigation of Urethritis ; (2) 3.15 p.m., Miss FOREST MEDICAL SOCIETY.-At Whipps Cross Hos- For &ttending lectures marked' 9 a fee is charged M. T. Challis: Ophthalmic Do's and Dont's; pital, London E.11 (1) 11.30 a.m., child psychi- or a ticket is required.. Applications should be (3) 8.30 p.m., Dr. G. Bennett: The Concorde atric case conference by Dr. R. i,ttle (2) 1 made first to the institution concerned. and her Passengers-Medical Problems of Super- p.m., seminar. sonic Sound. GENETICAL SOCIETY.-At University College, Lon- GWENT POSTGRADUATE MEDICAL CENTRE.-At Royal don, 2 p.m.-10 p.m., meeting: Chromosome Monday, 10 November Gwent Hospital, Newport, Mon., 2.15 p.m., Mapping in Man. INSTITUTE OF DERMATOLOGY.-4.30 p.m., Dr. T. J. medical meeting. INSTITUTE O' DISEASES OP THE CHEST.-5 p.m., Ryan: Microcirculation of the Skin. INSTITUTE OF CHILD HEALTH.-5.30 p.m., Professor Dr. S. Godfrey: Physiological Response to Exer- iNSTITuTE O' LARYNGOLOGY AND OTOLOGY.-S.30 R. W. Smithells: Some Aetiological Factors in cise in Man. p.m., Dr A. E. Wilkinson: Serological Diag- Neural Tube Malformations. INSTITUTE OF OBSTETRICS AND GYNAECOLOGY.-At nosis of Syphilis; 5.30 p.m., combined staff con- INSTITUTE oF DERMATOLOGY.-4.30 p.m., Dr. L. Queen Charlotte's Hospital, 9.45 a.m., Mr. R. sultation clinical meeting. Szur: Radiotherapy of Malignant Skin Diseases Beard: Acid Base Balance.0 LONDON UNIVERSITY.-At London School of -11. LANCASTER POSTGRADUATE MEDICAL CENTRE.-At Hygiene and Tropical Medicine, 5.30 p.m., Pro- INSTITUTE OP ORTHOPAEDICS.-At 234 Great Port- Royal Lancaster Infirmary, 1 p.m., tape record- fessor D. S. Munro: Nature of Long Acting land Street, London W.1, 9.30 a.m.-12.45 p.m., ing by Professor I. Johnston: Diagnosis and Thyroid Stimulator. and 8 p.m., instructional course: Congenital Management of Swellings in the Breast. NORTH LONDON POSTGRADUATE MEDICAL CENTRE.- Disorders. NUPPIELD DEPARTMENT OF ORTHOPAEDIC SURGERY. At Prince of Wales's General Hospital, 12.45 INSTITUTE OF PSYCHIATRY.-5.30 p.m., Mr. P. H. -At Nuffield Orthopaedic Centre, Headington, p.m., Mr. K. P. Abel: The Ischaemic Limb. Schurr: Leucotomy-the present position. Oxford, 6.30 p.m., Professor C. Dent, F.R.S.: INSTITUTE OF .-5 p.m., Mr. R. Osteomalacia. Tuesday, 11 November Kilpatrick: Surgery of the Bladder Neck. ROYAL MARSDEN HOSPITAL CLINICAL SOCIETY.- B.B.C. 2 TELEVISION.-1.15 p.m., Medicine To- LIVERPOOL UNIVERSITY JOINT COMMITTEE POR 5.15 p.m., Dr. R. Powles: The I.B.M. Cell day: Late Effects of Head Injuries. (Prepared in REGIONAL POSTGRADUATE .- Separator. collaboration with A.S.M.E.) At Clatterbridge.Hospital, 1 p.m., Dr. J. Dalby: ROYAL POSTGRADUATE MEDICAL SCHOOL.-10 a.m., BRIDGEND POSTGRADUATE MEDICAL CENTRE.-At Treatment of Carcinoma with Radiotherapy. staff round * 11 a.m., profile on Kidney Tumours Bridgend General Hospital, Glam., 4.30 p.m., LONDON MEDICAL GROUP.--At 7 Seaford Court, 222 by Mr. Gordon Hard, Dr. K. C. B. Pugh, Pro- Mr. C. Havard: surgical demonstration. Great Portland Street, W.1, 8 p.m., study fessor R. S. Shackman. BRITISH POSTGRADUATE MEDICAL FEDERATION.-At seminar, Rev. J.-M. Charles-Roux: Man's Place Institute of Child Health, 5.30 p.m., Professor in Nature-(IV). Saturday, 15 November A. P. Waterson: Nature of Viruses. MANCHESTER MEDICAL SOCIETY.-At Large Anatomy CAMBRIDGE UNIVERSITY MEDICAL SCHOOL.-At CRrsPS POSTGRADUATE MEDICAL CENTRE.-At Theatre, Manchester University Medical School, Chesterton Hospital, 10.30 a.m., study day in 8.30 p.m., col- General Hospital, Northampton, 5 p.m., Section of meeting, Dr. D. M. .& loquium: Health Centres. Jones: Mycoplasmas in Search of Disease. LANCASTERt POSTGRADUATE MEDICAL CENTRE.-At CROYDON MEDICAL CENTRE.-At Mayday Hospital, NEATH POSTGRADUATE MEDICAL CENTRE.-At Neath Royal Lancaster Infirmary, 9.30 a.m., residential 12.30 p.m., Mr. I. J. MacQueen: Foot Deform- General Hospital, 4 p.m., tape-slide lecture: weekend course on Nutrition. Wes and their Treatment. Embryology in Man in Relation to Timing of NUPPIELD DEPARTMENT OP ORTHOPAEDIC SURGERY. EDINURGH AND EAST OF SCOTLAND SOCIETY OF Starting Points of Development Errors. -At Nuffield Orthopaedic Centre, Headington, ANAESTHETISTS.-At Royal College of Surgeons OXFORD UNIVERSITY.-At Radcliffe Infirmary, S Oxford, 8.30 a.m., Professor C. Dent, F.R.S.: of Edinburgh, 8 p.m., presidential address by p.m., Dr. I. C. M. MacLennan: Lymphocyte Os,teoporosis ; 9.45 a.m., Dr. C. G. Woods: Dr. A. S. Crawford. Mediated Cell Damage. Osteoid.. EDINBURGH UNIVERSITY.-At Medical School, 6.15 PLYMOUTH MEDICAL CENTRE.-At Greenbank Ter- p.m Dr. Gweneth Whitteridge: St. Bartholo- race. 1 p.m., Dr. P. F. Goddard: Developments Sunday, 16 November meWs Hospital, London-the Post-reformation in Biochemistry; 8.30 p.m., general practitioners' EDGWARE POSTGRADUATE MEDICAL SociETY.-At Organization of Care of Patients. education group. Edgware General Hospital, 11 a.m., Mr. R. J. FOREST MEDICAL SOCIETY.-At Whippa Cross Hos- ROYAL COLLEGE OF PATHOLOGISTS.-At Royal Col- Ryall: Ageing and the Aged-Gastrointestinal pital, London E.11, 1 p.m., clinical meeting. lege of Physicians of London, 5.45 p.m., sixth Haemorrhage. HEATHERWOOD HOSPITAL, ASCOT.-8.45 p.m., Mr. foundation lecture by Sir Harold Himsworth. SOUTH ESSEX POSTGRADUATE MEDICAL ASSOCIAnON. R. C. F. Catterall: Fractures-the Use and F.R.S.: Admnstraon and the Structure of --At St. Andrew's Hospital, Billericay, 10.30 Abuse of Splints. Scientific Knowledge. a.m., clinical meeting. 378 8 Barns November 1969 News and Notes MEDICAL JoususAL

Appointments Dr. W. L. Barton, senior lecturer at the Lon- Angela Curran, F. M. A. Daher, Fiena J. Dear, don School of R. J. Dobbs, N. A. Don, M. A. P. S. Downham, MANCHESTER Hygiene and Tropical Medicine, R. C. F. D. S. C. E. REGIONAL HOSPITAL BOARD.-R. P. has been appointed to the readership in Drummond, Dry, Effiong, Davies, M.D., F.R.C.S. (whole-time or maximum tropical Mary L. Evans, J. S. Fenton, H. G. M. Forsyth, part-time consultant surgeon, Wythenshawe and hygiene tenable at that school. W. A. Fraser-Moodie, M. M. Friedlaender, North Cheshire group of hospitals); W. A. Wall- Dr. Helen N. Duke has had the title of reader Carole A. Frost, Christine Garrett, Rebecca George. bank, M.B., F.F.A. R.C.S. (whole-time or maxi- in F. K. Ghishan, M. L. Gibbs, J. R. Gill, Anastasia mum part-time consultant anaesthetist, South Man- physiology conferred on her in respect of her Giourda, A. W. Goodwin, Adenike 0. Grange, at chester group of hospitals) ; D. McIntyre, M.B., post the Middlesex Hospital Medical School. K. K. Gupta, F. Hafeez, D. L. Harding, A. H. F.R.C.S. (whole-time or maximum part-time con- Hardy, D. W. Hillier, A. Husn, Manasree M.D.-B. A. Senewiratne. Anne sultant urologist, Salford, North Manchester and PH D.-In the Faculty of Medicine: A. R. Isarangkura, Johnstone, L. B. Kachoria, South Manchester groups ; A. M. M. S. R. 0. A. of hospitals) F. N. Michell. Kasi, Khokhar, Kramer, Campbell, M.B., F.F.A.R.C.S. (whole-time or Kuforiji, W. H. Leadston, G. T. Lealman, R. L. maximum part-time consultant anaesthetist, Oldham Logan, Diana P. Y. W. Loh, Mary H. Lysaght, and District group of hospitals); A. E. Goetzee, Anthea R. Maitland, Alison M. Marriott, G. R. M.D., M.Ch.Orth., F.R.C.S.Ed. (whole-time or ROYAL COLLEGE OF PHYSICIANS OF Mayze, F. C. Megyesi-Schwartz, W. J. Moore, maximum part-time consultant traumatic and ortho- LONDON S. H. Naidu, Jacqueline Nicholson, S. paedic surgeon, Burnley and District group of hos- Nousia-Arvanitakis, Kathleen F. O'Sullivan, C. T. pitals). At a quarterly meeting of the College held Parthew, Ashalata V. Patel, S. C. Patel, M. A. Preece, Elizabeth H. Price, Dilys A. Rapson, S. A. NORTH-EAST METROPOLITAN REGIONAL HoSPITAL on 30 October, with the president, Sir Max Rauf, Patricia V. Rountree, N. G. Saha, Amel A. Z. BOARD.-C. D. Binnie, M.D. (part-time consultant Rosenheim, in the chair, Dr. W. S. C. in clinical Copeman Salelh, M. S. Shaha, S. A. Shaikh, Zaibunnisa S. and neurophysiology to Runwell Hospi- was elected second vice-president; Dr. J. R. Shaikh, Rosemary S. Shannon, R. K. Shastri, V. D. tal); K. C. Martin, M.D., D-P.M. (part-time con- M. R. H. Taylor, D. D. S. J. sultant with the Department of Child Psychiatry to Ellis, Dr. G. M. Komrower, Dr. J. C. Gilson, Sukhia, Walters, the Ware, Ruth M. L. Warren, R. J. West, Rosemary London Jewish Hospital); N. Peters, M.B., and Dr. G. 0. Richardson were elected coun- Whitehead, S. Williamson, J. B. Witcombe, M.R.C.P. (consultant to Enfield group of cillors of the Maureen B. A. M. M. Zam Zameer. hospitals); R. A. Spils'bury, M.B., F.F.A. R.C.S. College. Yates, (consultant anaesthetist to Chelmsford group of Sir Kenneth Robson was elected College DIPLoMA IN MEDICAL RADIO-DIAGNOSIS.- hospitals); M. Spiro, M.B., M.Chir., F.R.C.S., representative on the Committee of Management. T. N. K. Allan, S. S. Amar, P. H. Amin. P. J. and R. D. Stedeford, Ph.D., B.M., F.R.C.S. (con- Sir and Sir Kenneth Robson Anderson, Aye Aye Yi, L. G. Brock, Moira B. sultant surgeons to Romford group of hospitals). Caulfield-James, A. S. Chaudry, D. B. Crawford, were elected members of the Joint Consultants S. J. Daryabeigi, J. F. Dyet, W. T. Easson, J. R. SOUTH-EAST METROPOLITAN REGIONAL HOSPITAL Committee. Fullerton, S. C. Gupta, H. A. Haji, Luena H. BoAPD.-P. L. Brooks, M.B., F.R.C.S. (consultant Elizabeth A. P. Norah M. in , Eastbourne The appointment of Dr. R. De Alarcon as Hatcher, Hewitt, Hicken, group); J. L. Hudson, K. B. M. L. Husain, V. Jayabalan, B. R. Brudenell, M.B., F.R.C.S., M.R.C.O.G. (consult- Milroy Lecturer for 1971 was announced. M. Y. K. C. D. ant in obstetrics and John, Kadwa, Laplsa, B. gynaecology, Tunbridge Wells The appointments of Dr. W. D. Barritt as Lindenbaum, B. J. Loveday, D. P. McCarthy, C. P. group); T. D. Cochrane, M.B., F.R.C.S.Ed. (con- McCavana, C. C. McCormick G. Mackie, A. sultant in , Canterbury, Tunbridge College representative on the Jenner Trust, the Mackintosh, W. J. McNeilly, J. H. Newton, W. J. Wells, Medway and Gravesend groups); B. President and Dame Albertine Winner as College Norman, D. N. Orman, Elizabeth S. Padfield, C. Crymble, M.B., F.R.C.S. neuro- (consultant in representatives on the Working Party on Com- Psillos, R. Rahman, B. R. Reid, M. A. Riaz, M. A. surgery, St. Francis, Brighton and Lewes, Mid- Rudwan, A. A. M. Salyani, A. Schulman, A. I. Sussex groups); D. G. Jenkins, M.B., F.R.C.S. munity Medicine, and Dr. E. F. Scowen as K. Somasegarampillai, R. H. (consultant in general surgery, on the Simpson, Stephenson, Medway and Graves- College representative Poisons Board D. J. Stoker, D. Svenne, A. Thomas, R. S. Ward, end group); M. I. S. Keir, B.M., M.R.C.P.Ed. were announced. Y. Wardat, Diana M. Werry, B. P. Whitney, R. N. (consultant in dermatology, Isle of Thanet, Canter- Wilkinson, Yat Tung Wong, Eileen J. Zimmerman. bury and South-east Kent groups); D. M. Lawrie, The award of the Gilbert Blane medal for M.B., M.R.C.P. (consultant in general medicine, 1969 to Surgeon Commander N. J. Blacklock, DIPLOMA IN OPHTI{ALMOLOGY.-L. P. I. Hastings group); Margaret L. Heath, M.B., F.F.A. R.N., was announced. Wickramasinghe. R.C.S. (censultant in anaesthetics, Lewisham group>; Kathleen McCarthy, M.B., F.F.A. R.C.S. Licences to practise were conferred upon the consultant in anaesthetics, Bromley group); following candidates: A. N. M. Mobarak, M.B., M.R.C.P.Ed., D.C.H. S. A. Ali, M. W. Ashmore, A. Azeez, P. C. (consultant in paediactrics, Dartford, Medway and Badcock, G. R. H. Baker, Kathryn L. Barnett, J. P. Gravesend groups); D. J. Pe&bles, M.B., F.F.A. Barter, D. W. Bartlett, J. P. Beacon, M. J. Beeby, R.C.S. (consultant in anaesthetics, Bromley group); R. A. Bellenger, D. A. Berstock, Frances A. Bilton, Notice to Authors N. C. R. W. Reid, M.D., M.R.C.P. (consultant in A. F. Boatman, P. J. Bolton, C. M. Booth, P. general medicine, Hastings group); M. G. Royle, Bunyaratavej, C. R. Calman, L. E. Cebrian, D. P. When articles and letters for M.B. FR C S. (consultant in urology, Brighton Chamberlain, J. M. Chapman, P. J. Clements, original publica- and Lewes group); I. Smith, M.Chir. F.R.C.S. M. A. Clifton, J. M. Cockburn, P. J. Corbett, tion are not submitted exclusively to the British (consdltant in general surgery, Lewisham Seamen's T. P. Jasmine Medical this must be stated. group); Margaret E. R. Stoneman, M.D., A.. Cummins, J. Dady, G. Davies, 7ournal M. H. 0. Dawson, R. C. Desborough, Jenndfer M. on editorial business should M.R.C.P., D.C.H. (consultant in paediatrics, Cen- Duckham, A. J. Bdwards, J. A. Edwards, A. Correspondence tral Kent, Medway and Gravesend groups); M. F. Eggleston, P. J. Fairclough, M. Fayyaz M. D. be addressed to the Editor, British Medical Terry, M.B., F.R.C.S.Ed., M.R.C.O.G. (consult- Gareh, D. M. J. Geewater, N. J. R. G;ge, S. S. 7ournal, B.M.A. House, Tavistock Square, Lon- ant in obstetrics and gynaecology, Bromley group); Ghatak, A. Ghosh Roy, D. C. Gibbons, J. N. G. don W.C.1. Telephone: 01-387 4499. Tele- C. W. T. Ussher, M.R.C.S., M.R.C.P.Ed. (con- Gilchrist, Patricia A. Goodchild, G. Gordon, sultant in geriatrics, Tunbridge Wells group). J.D. G. Gower, K. R. Greene, Moira A. Gribbin, grams: Aitiology, London W.C.I. IM. H. Harris, R. I. Harris, R. R. Harrod, M. M. Authors wanting reprints of their articles Ali Hashmi, B. Hayhow, M. R. Hendry B. L. should notify the Publishing Manager, B.M.A. Hercules, C. M. B. Hewitt, T. K. Idicula, tIdzabeth Tavistock on of Jacob, J. V. Jestico, R. T. Jolly, Ann M. Jones, House, Square, W.C.1, receipt M. V. Joyner, V. Jurkovid, Laila H. Kapadia, proofs. Universities and Colleges P. T. 0. von K,ufmann, Jean M. Kay, Valene M. Keeble, J. 3. Kensit, P. J. C. Kerrigan, M. F. Subscriptions CAMBRIDGE Khan, Susannah Kurian, M. F. Laker, N. J. Lattimer, A. M. S. Leaman, Beatrice A. Leigh, Members' subscriptions should be sent to the M.B.-D. L. Aston, R. B. Graf, B. J. Salter, A. D. Logan, Cynthia N. Ludford, G. A. N. Luft, Carole G. Lane, Helen M. Chapel Dorothy A. R. G. McKinlay, G. R. Major, R. H. C. Secretary of the British Medical Association, Lederer, Halcyon S. D. Markham, Leonard, Stelta M. Pollard. 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Members' rate: the (lecturers, of D. G. E. Wood, R. M. Wright, Benita A. Wylie. department clinical surgery); Dr. A. minimum cost is 40s. for six weeks' supply, for Muir, Dr. J. L. Jenkinson, Dr. J. C. Southam Diplomas were granted, jointly with the Royal (lecturers, department of dental surgery) ; Dr. which copies of vacancies in up to five sections D. M. Brown (lecturer, department of general College of Surgeons of England, as follows: of the classified advertisements will be sent. practice); Dr. B. J. Kirby, Dr. J. A. Siddorn DIPLOMA iN CiLa HEAuTH.-Adrienne Muir, Non-members' rate 60s. minimum for six weeks' (lecturers, department of medicine, Royal JA. Stokes, M. B. Abaza, Hana I. Dr. F. Cleland Abbawi, supply of five headings or less. Additional Infirmary); J. (lecturer, department Husnara M. F. Ali, K. N. AI-Jiboun, Varuni of medicine and therapeutics); Dr. S. B. Henriques Amoradhat, J. M. Annear, W. A. headings (for members and non-members) 10s. (lecturer, department of Arrowsmith, molecular biology). Rosemary A. Baker, A. R. Barthakur, Jane L. each for six weeks' supply. Orders for specific Baxter D. L. Beales Judith M. Bell, R. A. F. grades in any section cannot be accepted. LONDON Bell, b;o Htut Annie C. Boratein, Claire N. Pay- Burchardt, R. burford, Doreen r. Carlton, D. B. ment must be prepaid and enclosed with the Dr. J. Lee has had the title of professor of Carseldine, S. K. W. Chan Sumitra K. Chande, application. endocrine physiology conferred on him In Christine M. Cheesman Ail Iu Chen, P. M. Coats, Details of rates, etc., for classified advertise- Anne Cobbe, Caroline L. A. G. respect of his post at Charing Cross Hospital Cochrane, Cohen, ments appear on the first page of the clamified Medical R. W. Coles, Jennifer A. Connaughton, W. T. School. Conner, Mary M. K. Craig, Jean B. Cumming, section.