SUPPLEME1:13NT TO THE BRITISH MEDICAL JOUtNAL.

LONDON: SATURDAY, AUGUST 14TH, 1915. CONTENTS.

PAGE WAR EMERGENCY COMMITTEE...... 85 MEETINGS OF BRANCHES AND DIVISIONS ... 90

INSURANCE ACTS COMMITTEE...... 87 BRITISH MEDICAL ASSOCIATION: FURTHER EXTRAORDINARY GENERAL MEETING ...... 90 LOCAL MEDICAL AND PANEL COMMITTEES: NAVAL AND I[tlITARY APPOINTMENTS ...... 90 Middlesex (Panel Committee) ...... 88 VITAL STATISTICS ...... 91 Coventry (Panel Committee) ...... 89 .. ... 92 Liverpool (Panel Committee) ...... 89 VACANCIES AND APPOINTHENTS Shropshire (Panel Committee ...... 89 BIRTHS. HARRIAGES. AND DETaL-I ., . .. 92 CORRESPONDENCE ...... 89 DIARY OF THE ASSOCIATION ...... , .. 92

to the best possible use; to deal with all nmatters affecting the medlical profession arising in conneRxion 'i'nt'tsb grttztat Asraz with the war; and to report to the Council. M71embers of Commnnittee. WAR EMERGENCY COMMITTEE. Sir Thomas Clifford Allbutt, K.C.B.. M$.D., F.R.S., Cambridge. Sir William Osler, Bt., M.D., F.R.S., Oxfor(l. IT lhas already been reported that the War Emergency Dr. A. E. Shipley, F.R.S., Master of Christ's Collegce, Committee appointed by the Representative Meeting on Cambridlge. July 23rd lhad at its meeting on July 30tlh elected Dr. T. Sir Alex. Ogston, K.CX.O., Aberdeen (Presidenzt, British Mledical Jenner Verrall chairnman, Dr. A. E. Slhipley, Master of Associattioni). Mr. E. B. Turner, F.R.C.S., London (Cha,iirmiiani of I?epresentatire Clhrist's College, Cambridge, and Mr. E. B. Turner, Chair- llMeetingls, Britishl Medical Association). nman of Representative Meetings, vice-clhairmen, and Mr. Dr. J. A. Macdonald, LL.D., Taunton (Chairmnan of Conne1cil, Bishop Harman and Dr. Alfred Cox, Medical Secretary of British Mlledical Associa tion). the Association, joint secretaries. The memberslhip of the Dr. Edwin Rayner, Stockport (Tieasnirer, British ille(licaL Committee as at present constituted is shown below. Association). Lieutenant-Colonel Sir James Barr, M.D., LL.D., Liverpool. Tlle Committee met for the second time on Wednesday, Lieutenant-Colonel R. A. Bolam, Newcastle-tipon-Tyne. Augrust 4th, whlen Dr. T. JENNER VERRALL was in the Dr. C. Buttar, London. clhair. The otlher members preselnt were Sir T. Clifford Major Russell Coombe, Exeter. Allbutt, K.C.B., M.D., F.R.S., Lieutenant-Colonel Sir Major J. Galloway, Londoni. James Barr, LL.D., Major James Galloway, Major W. J. Major W. J. Greer, Newport, Monimoulthshire. Mr. N. Bishop) Harman, London. Greer, Mr. N. Bislhop Harmian, Dr. J. A. Macdonald, LL.D., Major Albert Lucas, Birmingham. Dr. Edwin Rayner, Dr. A. E. Shipley, F.R.S., and Mr. E. B. Dr. T. Jenner Verrall, LL.D., Bath. Turner. [Dr. Frederick Taylor, President of the Royal College of It was -announced tllat Professor Harvey Littlejohn, Physicians of London, and Sir Rickman Godlee, Bt., ex- Dean of 'the Faculty of Medicine of the University of President of the Royal College of Surgeons of England, have Edinburgh, lhad accepted the invitation to become a sinice joined the Committee.] member of thle Committee; he was co-opted accordingly, The meeting to-day appointe(d Dr. Verrall as its and -was present at tlle meeting. Chairmnan. A letter was read from Sir Donald MacAlister, President We are instructed to say that the Committee desires tc of the General Medical Council, stating that wlhile he was place itself freely at the disposal of the War Office for any very willing, as in the case of the Scottish Emnergency purposes includedl in its reference in which you think it Committee, to co-operate with the Committee to the best could be of service. of hiis power, he preferred, having regard to hlis official As you are already aware, the British Medical Asso- ciation has for some time been engagedl in forming a position, not to accept the responsibility of membership. register of the whole medical profession in Englan(d and Wales an(d Ireland wlhich will shlow what the members of CORRESPONDENCE WITH THE WAR OFFICE. the profession are doing, or are prepared to do, in con- The following correspondence witlh tlle War Office was nexion with the war, and that register is now sufficiently read: complete as regards certain areas for the Committee July 30th, 1915. to ask practitioners who have stated their willingness Sir,-We are instructed to inform you that at the Annual to apply for commissions to (lo so. The Committee Representative Meeting of the British Medical Associa- feels, however, very stronaly that its position in approach- tion on Friday, the 23rd inst., it was resolved to appoint a -ing practitioners for this puirposewouldI be greatly strength- Special War Emergency- Committee with the following ened if the War Office would state, as far as could safely be constitution, reference, and personnel: done, its actual requirements as regards medical officers, and would give its authority to approach practitioners on 1. That a War Emergency Committee be appointed behalf of, and,in the name of, the War Office. Doubtless for the Session 1915-16. you will be best able to indicate the way in which this 2. That it consist of the four ex officio members, could be- dop , but the Committee is flrmily convinced that four members elected by the Council from its own without some such authorization its usefulness will be number, four members elected by the Representatives greatly limited. We are authorized to say on behalf of the present in the Representative Me6ting, and four other Chairman that we, together with the Chairman,-if thought members elected in the same way, who shall them- desirable, would be rea(ly to confer w%vith vou on this selves be Representatives. matter, in order to further tlle objects for which the 3. That it shall have power to co-opt not more than Committee has been constituted. - We are, Sir, your six other members representative of universities, obedient servants, colleges, and other medical bodies. (Signed) N. BISHOP HARMAN, 4. That the reference to the Committee be to ALFRED COX, organize the medical profession in England, Wales, Secretaries. and Ireland in such a way as will enable the Govern- Surg.-Gen. Sir Alfred Keogh, K.C.B., ment to use every medical practitioner fit to serve the Director-General A.M.S., country in such a manner as to turn his qualifications War Office, S.W. [590]. ro T}R 86 BVERZTIS1IBrITPLrFMEDICALEDNT JOERNAL I WAR EMERGEN[CY COMMITTEE. AUG. I4, I9I5 War Office, WAR EMERGENCY COMMITTEE. London, S.W., Offices, 429, Stranid, 31st July, 1915. London, W.C., Sirs,-I am directed to acknowledge your letterof the 1915. 30th July and am to request you to convey to the War August, Eiimergency Committee the To M1eembers of the 3ledical Profession ntot on Active deep appreciation of the Scrvice. Director-General, Army Medical Service, for the good Dear work they have done and are doing in organiizing the Sir,-The War Emergency Committee is anxious to medical profession so as to meet the requiremients of the impress on every medical practitioner not at preseint on wvar. whole-time-naval or military service its opinion that the I am to say that Sir Alfred Keogh would be gla(l to meet immense military effort in which this country is eilgaged representatives of the Committee, say six, at 11 a.m., on necessitates a further and immiiediate response froiii our Wednesday, 4th August, whlen he would be glad to explain profession. to them tlle present aind the anticipated future nieeds of A deputation of the Conmmittee miet Sir Alfred Keoglh, the Army Medical Services, and to discuss with them the Director-General of the Armly Medical Service at the War best ieans of meeting them. Office, on August 4th, and received from hiin such iiifor- I am to add that the Director-General suggests that mation as left no doubt in its mind as to the vital anid Major Galloway slhould be appointed to represent the immediate necessity for more medical officers of military Arimiy Medical Service on the Committee as this gentle- age--namely, 40 years and under. Sir Alfred Keoghl has man has been for somlie years on our Advisory Board and authorized the Conimittee to act as his agent in securing is tlherefore inform-ied as to our military necessittes, and is this further response from the profession, wlhich, in view in close touch with the medical represenitatives of the War of the fline -way in which the profession has already risen Office Staff;-I am, Sirs, your obedient Servant, to the occasioni, we have no doubt will be forthcominiRoyal Army Medical Corps. are necessary. In order that there may be no doubt as to the close It is realized that the responsibilities for carrying on .relationship which I hope will exist between your Com- your work must rest primarily with your neighbours, but ;mittee and this department, I have pleasure in stating we invite you to look to this Committee for any advice or that I recognize in it an excellent medium for dealing assistance that can be given centrally, and the Committee, with the great problem which now faces the profession acting in co-operation with the local Committee, will by -namely, how to supply medical officers for the forces and every means in its power try to protect the interests of at the same time to protect the needs of the civil popula- practitioners who respond to the call of their country. tion as far as possible, and I gladly authorize the Com- Finally, we ask you to believe, on the strength of mittee to make appeals to the profession with the object confidential information which has been given to this -of securing these ends. Committee, that the need for medical officers of military After nmy conversation with your deputation, I need age is extremely urgent, and the Committee has no doubt only enmphasize the importance of prompt and increas- that it is the duty of every medical man of military age who ing supplies of medical officers by saying that, in my can by any possibility offer himself for service, to do so. opinion, you cannot put the claims of the Medical De- (Signed) T. JENNER VERRALL, Chairmani. partment of the War Office too strongly.-I am, yours N. BISHOP HARMAN, ) faithfully, ALFRED COX, f Secretaries. (Signed) ALFRED KEOGH, D.G., A.M.S. The Secretaries, Conditions of Service. Offices of the British Medical Association, Offers for whole-time service may be divided into two 429, Strand, W.C. classes: Sir Alfred.jieogh went very tllorouglhly with tlme depu- tation into the 1. Men under 40, whose services will be accepted for a period question of the number of practitioners wlho of twelve months, and who will be liable for service at home or during the next six months would be required by the War abroad. Office. 2. Men over 40, who may offer their services for a period of Having heard the correspondence and the statenments of six or twelve months. These willnot in present circumstances tIme members of the deputation, the Committee resolved that be sent to the front, but will be employed in!this country (if the they have joined for six months oiily) or at home or in suchl following letter, based upon that recently issued by the st-ations as Egypt, Malta, and Gibraltar (if they have joined for $cotti9h:l.Emergency Committee, should be sent to every twelve months). If they desire it, and -hsve been fouud setvice- p-actition,er in England and Wales, except those at present able, they may be re-engaged at the end of six months. Men on active service, pointi-ng out -the u-gent needs of the not much over 40 of good physique shoulti, however, offer for general service, as they may be required to do duty with the army for medical practitioners under 40 years of age. Expeditionary Force later on. INSURANCE ACTS COMMITTEE. 13U"LZMZNT To Tun AUG. I4, 1915] [BRITISHMEDICALJOUSNAL 87 wenrol their names the \ War Men may witlh P Emergency t -Mr. Jones Jolhnson (Btury), P. Napier (Reading), Dr. B. A. Comnmittee, declaring their readiiness to joiln after a certain Richmond (London), Dr. T. Ridley-Bailey (l3ilston), Mr. date on receiving thirty-six hours' notice from the War Hardingy H. Tomkins Dr. B. Crawford Offlee that their services are forthwith required. If they (Leyton), WN. engage on a twelve months' contract they will receive Treasure (Cardiff), Dr. T. Jenner Verrall, LL.D. (Batlh). temporary commissions in the R.A.M.C., with an allow- Scotland: Dr. John Adamri,s (Glasgow), Dr. J. R. Drever ance of £30 for outfit, and pay at the rate of 24s. a day, (Glasgow), Lieutenianit J. Hunter (Corstorplhine). Ex with ls. 9d. for ration allowance, and a gratuity of £60 at officio: Mr. E. B. Trierni-, Clhairman of Representative the termination of the engaaement, subject to satisfactory Meetings (Lolndon), Dr. E. Rayner, Treasurer (Stockport). service. If the engagement is for six miontbs the terms are the samle as for the longer period, but the gratuity APPOINTMENT OF CHAIRMAN. would be £15 instead of £60. Dr. J. A. Macdonald was reappointed Chlairman for tlhe ensuing session. It . was also resolved to issue a letter to Division secretaries and secretaries of local War Emergency Committees (1) inforninlg them of the issue of the ELECTION OF REPRESENTATIVE MEMBERS. above circular letter to every practitioner, and (2) Dr. Olive Claydon (Oldlhain), lhaving been nomiiinated by stating (a) tllat the Committee now left it to each the two Associations of Registered Medical Womiien, was area to supply its quota of the number of practitioners appointed a member of the Commnittee. still required (tlhe actual proportionate number required of each area being given), .(b) that in those areas wlhere a INSURED TUBERCULOUS PERSONS AND INSTITUTIONAL War Emergency Commnittee was already in existence it TREATMENT. should deal witlh the questioln, and suclh Committees repre- A correspondence witlh the Joinit Clommittee of Inisur- sentative of the wlhole of the local profession, and not ance Conmmissioners regarding tlle position of insured restricted to members of the Association, shiould be tuberculous persons suspenided fromi institutional treat- appointed in all other areas for the purpose; (c) that tlle ment because of refusal to obey orders lhaviirg been read, local War Emergency Commlittee should proceed to obtaini it was resolved: the signatures of the nulmiber of nmen required from its area That the Commissioners be iliformed that the Committee is to the conitract form of the War Office, forms, after of opinion thiat the stuspensioin of such recalcitrant insure(d wlhichl persons from sanatorium benefit is not the best method of being duly noted by the local Conmmittee, should be for- punishment, and would, in ad(ldition, be unfair to the Drug warded to the Central War Emergency Committee, and Fund and the insurance practitioller; and be asked wlhethler (d) that the local Com:mittee, when urgina practitioners to the model rules for the administration of medical benefit, join tlle R.A.M.C., slhould advise them whiclh confer power on Insurance Committees to inflict fines in similar cases occurring in connexion witlh medical (i) To enter inlto a properly drawn agreement with their local benefit, apply to sanatorium beinefit. That the Commis- colleagues as to the workinig of tlleir practices while absent; sioners be also iniformedl of the opiinion of the Committee (ii) To appoint a legal representative who could be conisulted that if the rules do not so apply steps should be taken to on their affairs during their absence; extend their range to such cases. (iii) To applv to the Centrtal War Emergency Committee for advice in case any difficulty is experienced in making arranige- ments for the carrying on of their practices during absence; and NURSES AS SICK VISITORS. (iv) That the Cenitral Commlittee was prepared, in co-opera- With regard to the question of nurses acting as sick tion with the local Committee. to safeguard their interests both visitors, it was decided to communicate witlh the Victoria dluring their absence an(d on their return, to the best of its Jubilee Institute for Nurses, as tlle principal representative ability. body of nurses, to suggest that it slhould use its influence to SUPPLY OF MEDICAL OFFICERS. persuade other nursing Essociations to adopt the view It was reported that the following reply lhad been already approved by it, namely, tllat the functions of received from the Director-General to the letter written to nurses and sick visitors are essentially different, and could hlim on May 26tlh on belhalf of the Association concerning not be properly combined in one individual. the grievances of medical men serving in tlle army, and the difficulties which are preventing medical practitioners APPROVED SOCIETIE1S AND SICKNESS BENEFIT from accepting commissions: CERTIFICATES. WNar Office, Lonldon, S.W., After considering a circular issued by an approved society 31st July, 1915. stating that no payment was to be made for sickness benefit Sir,-With reference to your letter of the 26th instant I am in cases in which tlle certified cause of illness was included (lirected to acquaint-you that the points mentioned in your in a list of 141 illnesses named until tlhe case had been letter of 26th May are still under consideration. visited by the sick visitor from the district office of the Approval has, however, been given to the promotion of society, the Coommittee expressed tlle following SpecialReserve and Territorial Force Lieutenants to the rank opinions: of Captaini after six months' mobilized service, but no pro- (1) That it was inadvisable for tlle profession to concern motion to be antedated beyond 1st April last.-I am, Sir, your itself in matters primarily concerning tlle insured persons obedient servanit, and the approved society; and (2) that in suitable cases (Signied) A. P. BLENKINSOP, Colonel, aggrieved insured persons should be advised to lay a com- for Director-General, Army Medical Service. plaint witlh tlle Insurance Committee. The Medical Secretar, British Medical Association, APPOINTMENT OF EXECUTIVE SUBCOMMITTEE. 429, Strand, W.C. A Subcommittee was appointed to consider. subjects referred to it by the Insurance Acts Committee and to EXECUTIVE SUBCOMMITTEE. take action wheni authorized, to keep in close touclh with It was resolved to appoint an Executive Subcommittee and assist in the co-operatioR of all Local Medical and as follows: The Chairmiian, Dr. T. Jenner Verrall, Major Panel Committees, advising them on all circulars, memo- Galloway, Mr. E. B. Turner, Dr. Clharles Buttar, and the randums, and documents issued locally or centrally, two Secretaries. having reference to tlle medical service under the NEXT MEETING. Insurance Acts, and generally to advise the Insurance Tlle next meeting of tlle Committee will be held on Acts Committee. Wednesday, August 25tlh. Thle members of th Subcommittee are tlle Clhairman (Dr. J. A. Macdona1,t ,Lr. John Adams, Mr. H. B. Bracken- bury, Dr. Olive Claydon, Dr. John Divine, Lieutenan%L INSURANCE ACTS COMMITTEE. E. R. Fotlhergill, Mr. P. Napier Jones, Dr. B. A. Richlmond, A MEETING of the Insurance Acts Committeo was held at Dr. W. B. Crawford Treasure, Mr. E. B. Turner. the office of the Association on Tliursdav, August 5th, The following matters were referred to the Subcom. wlhen Dr. J. A. MACDONALD, LL.D., was in the clhair, and mittee: (1) The question of tlle amendment of regulations the otlher members present were :-England and Wales: with power to make representations to the Commissioners. Mr. H. B.- Brackenbury (London), Dr. T. Campbell (2) The furtlher consideration of matters arising out of the .(Wigan), Dr. J. Divine (Hull), Major A. C. Farqularson conference of representatives of Local Medical and Panel (Spennymoor), Lieutenanit E. R. Fothergill (Hove), Dr. Committees and the deputation to the Commissioners P. V. Fry (Sowerby -Bridge), Dr. Major Greenwood tlhereon. (3) The resoluiiasns adopted by the Annual (London), Mr. R. Harding (New Radnor), Dr. 1. W. Representative Meeting.coriderning the Insurance Acts. 88 Guppmamrr To Tim I tOCAL MEDICAL ALND PANEL COMMITTttg. 88BaTBMDAJUNLRITISH MIEDICAL JOUISNA! LOA EIA N-~A E OM IT1~.[U.',I[AUG- 149 1)15 CENTRAL INSURANCE DEFENCE FUND. Captain A. C. Farquharson, Spennymoor, Durham (member Two applications for assistance from the fund were con- of County of Durham Local Medical and Panel Committees, and member of Durham County Insurance Committee). sidered. Witlh regard to one it was decided to make a Lieutenant E. R. Fothergill, Hove, Sussex (member of Local grant of £50. In the other the Committee found it im- Medical and Panel and Insurance Committees of Brighton). possible to accede to the request. Mr. R. Harding, Radnor (Chairman and Secretary of Local Medical and Panel Committees, and Chairman of Insurance Committee of Radnorshire). CONFERENCE OF LOCAL Lieutenant J. Hunter, Corstorphine (Secretary, West Lothian REPRESENTATIVES OF Local Medical and Panel Committees). MEDICAL AND PANEL COMMITTEES. Dr. I. W. Johnson, Bury (member of Local Medical and Panel DEPUTATION TO COMMISSIONERS. Committees of Bury). Dr. B. A. Richmond, London (Secretary, Local Medical and Under date of July 29th tbe Medical Secretary hias Panel Committees for County of London, and member of addressed a letter to the lhonorary secretaries of Local Insurance Committee). Medical and Panel Committees enclosing a copy of the Mr. Harding H. Tomkins, Leyton (Secretary, Local Medical agreed report of tlhe deputation from the Insurance Acts and Panel Committees of County of Essex). Comiimittee of the Association on July 9th to the Chairman Dr. W. B. Crawford Treasure, Cardiff (Secretary, Local of the National Healtlh Insurance Joint Committee with Medical and Panel Committees, and member of Insurance respect to the resolutions passed by the conference of Committee of Cardiff). representatives of Local Medical and Panel Committees Nominee of Poor Lawc MIedical O icers Association. held on June 16th. The report was published in the Dr. Major Greenwood, London (member of Local Medical SUPPLEMENT of July 31st, p. 68, et seq. The report was and Panel Committees of London). adopted by the Annual Representative Meeting on Nominee of Society oj Mledical Officers Associationz. July 24th (SUPPLEMENT to the JOURNAL of July 31st, p. 64). Not yet appointed; the late representative (who may probably The Medical Secretary in hiis letter to the honorary secre- be reappointed) was Lt.-Colonel Herbert Jones, M.O.H. Here- taries of Local Medical and Panel Committees called atten- fordshire Combined Districts, member of Advisory Committee tion to thefact that from the report of the conference itwould and of the Insurance Act Committee since its inception. be seen that tlle Commiissioners were willing to recognize Nominee of Registered Medical Women's Associations. the British Medical Association as the mouthpiece of the Dr. Olive Claydon (Secretary, Oldham Panel Committee). Local Medical and Panel Committees of the country knowing that the Association would continue to consult with and support those Committees in their work for the LOCAL MEDICAL AND PANEL protection of the interests of insurance practitioners. Dr. Cox went on to request the secretaries to keep him COIlMITTEES. acquainlted with any matters of interest dealt with by MIDDLESEX. their committees, and to ask for any help the Insurance PANEL COMMITTEE. Acts Committee or the central office could give to those THE Middlesex Panel Committee has issued its report for committees. 1914-15. The first Panel Committee for tlhe County of INSUJRANCE ACTS COMMITTEE. Middlesex came into office in January, 1914, the second in The six luembers of the Insurance Acts Committee July, 1914. The Committee consists of 39 members- selected by the conference on June 16th for appointment 36 elected and 3 co-opted. Up to the present there have upon the new standing Insurance Acts Commnittee of the been held 12 meetings of the Committee and 30 of Sub- Britislh Medical Association were at the meeting of that committees. Committee on Saturday, July 24th, unanimously appointed Mllethod of Election.-The scheme imposing the method muembers of the Committee, which is constituted as of election issued by the Insurance Commissioners was follows; found to be totally unsuited to the conditions of Middlesex. Nomiiin(ated by thte Conference. Dr. T. Ridley-Bailey, Bilston, Staffs (Chairman, Local Medical Serious representations were made to the Commissioners, Committee and member of Insurance Committee of County of and certain amendments of the scheme have now been Staffordshire). adopted by the Committee, which it is hoped may be Mr. H. B. Brackenbury, London (Chairman of Panel Com- accepted and found suitable. mittee aiid member of Insurance Committee of County of 1915.-The Middlesex). Agreement for agreement which practi- Dr. T. Campbell, Wigan (Secretary, Local Medical ancd Panel tioners have signed with the Insurance Committee is not Committees and member of Insurance Committee of Lan- yet exactly in the form in which the Panel Committee cashire). would wish to bave it, but after conferences with the Dr. J. R. Drever, Glasgow (Secretary, Local Medical and Insurance Committee and the Commissioners certain Panel Committees of Glasgow). modifications were an Dr. P. V. Fry, Sowerby Bridge (Treasurer and Assistant secured which seemed to be Secretary, Local Medical and Panel Committees of West Riding improvement on the original provisions, and the Panel of Yorkshire). Committee therefore feel justified in recommending prac- Mr. P. Napier Jones, Crowtherne, Berks (Chairman of Local titioners to accept it. The Panel Committee, however, Medical, and member of Panel and Insurance Committees of made it a condition of this recommendation that rules for Berkshire). the conduct of insured. persons should be made by the Ex officio. in Sir Alex. Ogston, K.C.V.O., M.D., Aberdeen, President of the Insurance Committee accordance with a form approved Association. by the Panel Committee, and this was accordingly done. Mr. E. B. Turner, London, Chairman of Representative Drug Tariff.-The drug tariff has never been submitted Meetings (member of Advisory Committee and late member of to the Panel Committee in sufficient time to allow of its London Insurance Committee). proper examination. The Committee has protested Dr. J. A. Macdonald, LL.D., Taunton, Chairman of Council, as Direct Representative on General Medical Council (member of against this, it is convinced that the tariff still contains Advisory Committee and of Local Medical, Panel, and Insurance anomalies which it would be advantageous and economical Committees of County of Somerset). to correct. The Committee has not been able to recom- Dr. Edwin Rayner, Stockport, Treasurer of the Association. mend the adoption of a special pharmacopoeia for the county, but it has now prepared a list of some twenty Two Co-opted NVont-panel PractitionZers. simple prescriptions of an economical kind. Dr. T. Jenner Verrall, LL.D., Bath, late Chairman of Repre- sentative Meetings, Direct Representative on General Medical Treatmient of Unallotted Insured Person.-The insur- Council (member of Advisory Committee and member of Insur- ance practitioners of Middlesex are collectively responsible anice Act Committee since its inception). for giving to all properly authenticated insured persons in Vacancy. the county who have not been allowed to make other Elected by the Representative Body. arrangements such treatment as they may require. The Dr. J. Adams, Glasgow (member of Advisory Committee; assignment of the comparatively few cases in which there member, late Chairman, of Local Medical Committee, and member, Panel Committee of Glasgow). is some difficulty in obtaining treatment to practitioners Dr. J. S. Darling, Lurgan, co. Armagh (member, Advisory by any lay body seemed to the Panel Committee to be an Committee). objectionable course, and it has been avoided by the adop- tion of a scheme made pursuant to Regulation 21 whereby Elected by the Representatire Body. tllese cases are to be dealt with the them- Dr. John Divine, Hull (Secretary, Local Medical and Panel by profession Committees, and member of Insurance Committee of Kingston- selves acting througlh a local representative of the Panel upon-Hull). Gommittee in each insurance area. The number of cases AUG- 149 19151 NATIONAL INSURANCIE: CORRESPONDENCE. rBm iTIns MEDICALT ToJouZAN _ 8 AUG. I4, 1915:1 NATIONAL INSURANCE CORRESPONDENCE. dealt witlh under tllis schemue has so far been very few, it was agreed that two-thirds should be paid to the absentee but it is essential that in anv difficultythe provisions of doctor, and one third to the locum provided the absent the sclheme should be loyally adlhered to by every prac- practitioner approved. titioner, as it is by virtue of these arrangements that prac- Arrangements had been made witlh Insurance and titioners are assured of the distribution amongst them of the Pharmnaceutical Committees tllat emergency drugs and wlhole of the available medical benefit funds. dressings should now be paid for at a flat rate of ls. per Doctors' Lists.-At one period so great was the con- annuiu per 100 insured persons. fusion witlh regard to the issue of medical cards wlhereby The Commissioners lhaving dispensed with an election practitioners miglht accept patients, to the correctness of this year owing to the war tlle personnel of the Committee the lists of persons whio had been accepted, and to the remains tlle same. correspondence of pavments miade to practitioners with LIVERPOOL. the numbers on their lists, that the Panel Committee sent PANEL CO-MMITTEE. a very strongly-worded protest to tlle Insurance Com- A MEETING of the m-lemibers elected by the panel prac- mittee. In consequence of this, steps were immediately titioners to form the Panel Committee was lheld at tlhe taken by the latter Committee to remove sucll of the Medical Institution on July 23rd, wlhen Dr. BAXTER was in causes of the muddle as lay witlhin their control, and a the clhair. clearer understanding was arrived at as to the correction Co-option of Meembers.-The following were co opted of practitioners' lists and the calculation of the numbers members of thie Committee: Mr. F. Charles Larkin, Dr. tlhereon. Though there has been a considerable improve- F. H. Bai-endt, Dr. T. R. Bradslhaw, Dr. T. Clarke, ment, the position is still far from satisfactory, and the Dr. Richlardson, Dr. J. G. Moyles, Mr. G. P. Newbolt. Panel Committee are at present in communication witl the Insurance Committee and the Commissioners with A meeting of tlle Committee was hleld on July 30th, regard to certain irregularities, and are making inquiries when Mr. LARKIN was requested to act as Clhairman of in order to discover wlhether it would be practicable to tlhe meeting. advise all practitioners in the county to refuse attendance Electionz of Officers.-Tlle following officers were elected on any inisured person wlho could not produce a medical for 1915-16: card or suclh a form of application for a medical card as Chairmzan: Mr. F. Charles Larkin. would enable the practitioner to signify his intention to Vice-Clhaih)ian: Dr. J. C. Baxter. accept the patient. Honiorary Treasurer: Dr. Hamilton Shaw. Honiorary Secretary: Dr. W. T. D. Allen. Checking of Prescriptions.-With a view to preventing Atuditors: Drs. Barendt and Baxter. any undue demands upon tlle drug fund and tllereby Rep eseuttatives on Mledical Service Suibcommittee: Drs. Richards securing at least a full payment of the pharmacists' son, Bennett, and Paterson. accounts and possibly some surplus for distribution among Sanatoriu?n Benefit.-A communication was received practitioners, the Panel Committee have entered into an from the Insurance Committee suggesting a joint con- arrangement jointly witlh the Pharmaceutical Committee ference to consider tlhe questioln of sanatorium benefit- and the Insuranlce Committe6 for clhecking all the prescrip- domiciliary sixpence. The Panel Cominittee decided that tions written and reporting as to any that appear extrava- before considering the desirability of a joint conference gant. The Panel Committee has not initiated any investi- the Honorary Secretary be directed to write to tlle gation, but it lhas inquired carefully into a number of cases Administrative Officer inquiring wlhat were the "several to which the Plharmaceutical Committee has drawn its " on wlhicll tlle Insurance Committee considered attention, and in ten of these cases it has felt compelled to grounds advise the Insurance Committee to make some deduction the present arrangements unsatisfactory. froim11 the amount payable to tlle practitioner. The Panel SHROPSHIRE. Committee has appointed tvo menmbers of the Medical PANEL CO.MMITTEE. Service Subcommittee, and has carefully watclhed the pro- A MEETING of the Sliropslhire Panel Comllmittee, convened ceedings of that subcommittee. It is glad to report that to was held in no case has any serious complaint against a practitioner by tlle elerk the Salop Insurance Committee, been substantiated. at Slhrewsbury on July 30tlh. Expenses of Committee.-The expenditure of the Panel Electioni of Offlicers.-Tlle following officers were elected: is met a sum the Commis- Chiairm72an1: Dr. Exham, Market Drayton. Committee by autlhorized by Vice-Chainrman: Dr. Lytle, Shrewsbury. sioners to be deducted from the medical benefit fund, suclh Secretary: Dr. Cuthbert, Newport. sum not to exceed one halfpenny per insured person in the area. Special lMileage Funzd.-It was decided to adopt tlie Derbyslhire Insurance Conmmittee's scheme, withl an addi- COVENTRY. tion that 6d. be paid the doctor for every insured person PANEL COMMITTEE. on hiis list residing a quarter of a mile off a metalled road. TilE annual report of the Panel Colmmittee states that Medical Service in the Munslow Area.-The area being there had only been one complaint by the Insurance without a medical man, tllrough death, it was decided that Committee against a medical practitioner; it related to the neighbouring practitioners slhould endeavour to provide hiis refusal to supplv clharts and reports in tuberculous an adequate service in tlle area. cases; the Panel Committee replied tllat the charts and Scrutiny of Prescriptions.-The Committee decided to reports should be kept in accordance with the doctor's pay one-third (about £25) of the salary of tlle official agreement. cliecker of clhemists' prescriptions, and for this and other The local pharmacopoeia lhad been amended and in- expenses it was decided to raise a voluntary levy of id. serted in the drug tariff, 1915. A memorandum issued by the per insured person on eachl doctor's list. Commissioners in October, 1914, gave the Panel Committee. power to specify a certain number (not exceeding ten) of stock mixtures wlliclh should be dispensed at half rates. The Panel Committee, however, did not think this re- CORRESPONDENCE. duction in dispensing fee called for, and gave an under- taking to the Plharmaceutical Committee that they would THE GOVERNMENT GRANT OF 2s. 6D. PER INSURED PERSON not in future star any stock mixtures to be dispensed at a TO PANEL PRACTITIONERS. reduced rate. DR. E. ROWLAND FOTHERGILL (Hove) writes: A copy of An analysis of prescriptions for one quarter of 1914 hlad what a certain periodical lhas termed " a stirring appeal" slhown that the doctors generally were endeavouring to has been received during the past few days by every keep within reasonable limits, and the Secretary had inter- insurance practitioner wlho happens not to be a member viewed most of those practitioners whose prescriptions of that trade union organization called " the Panel Medico- cost above the average, and endeavoured to show how Political Union." their cost could be reduced without loss of efficiency. In As similar appeals lhave been issued by that body in the future all prescriptions would be analysed by a special past it would be well to consider this one carefully before prescription clerk in the offices of tlle Insurance Com- adopting the advice given therein, naiuely, to put one's mittee. trust in it and to join forthwitlh. Witlh regard to the fees received in connexion with the This stirripg appeal contains two statements in its practices of those doctors who had gone on active service, argument. duS-m-WT TO TRI IAUG. 14, 1915 9 DsTIS MDIQAL JOURKALj NAVAL AND MILITARY APPOINTMENTS. ------I 1. That the Commission intend at a few weeks' notice to introduce in the regulations what certain members of that union have termed "revolutionary 30ritish tIR 5aItg changes." 2. That the 2s. 6d. per head grant is in jeopardy and FURTHER EXTRAORDINARY GENERAL probably will not be paid ior 1916 as the Government is being urged on all sides to effect all possible MEETING. economy. MEMBERS are llereby informed that as there was not a The appeal terms tile former "a tllreatened momentous quorum present at the Further Extraordinary General alteration," wllilst it considers tile latter a "special Meeting of tlle Britishl Medical Association called for sacrifice" of panel practitioners. It urges all to join the Wednesday, the lltIl day of August, 1915, at 2 o'clock in union at once and by so doing place it in funds to fight the the afternoon, at the registered offices of the Association, enem-y. Wlhat are the true facts on tllese twvo points? 429, Strand, London, W.C., by notice published in the A. That the Commiission notified last March through SUPPLEMENTS of 31st Jtuly and 7th August, 1915, sudcl stands to the of the British Medical Association that it had " no meeting adjourned Wednesday, 18tlh day changes of any kind uinder consideration for adoption August, 1915, at 2 o'clock in the afternoon, at tile regis- during the currency of the present year." This was tered offices of tile Association, in accordance witlh the published in the BRITISH MEDICAL JOURNAL and the provisions contained in the By-laws of the Association. Panel Medico-Political Union periodical. By order of the Council, B. That on July 14th last Parliament passed the GUY ELLISTON, Estimates for Civil Services, 1915-16, which included Finanmcial Secretar1y anlfd Bnsiness Manager. the 2s. 6d. grant for 1916 (Class VII, pages 12, 16, Dated this Eleventh day of August, 1915. and 20). That being so, this stirring appeal for money lhas been issued either in total ignorance of these two facts, ttus pritrnentz. marking the Panel Medico-Political Union as an unreliable 4JabaI antb fttifitavrV body, or with the deliberate intention and hope to trade on ROYAL NAVAL MEDICAL SERVICE. the probable igtiorance of the average panel practitioner. THE following appointments are announced by the Admiralty: M. P. This circular goes on to state that tlhe Panel Medico- Jones to the Exmout7h, vice Mlacleod; C. H. Rock to the Racer, for R.N. College, Osborne, vice Jones; J. A. L. Campbell to the Victory, Political Union obtained recently certain delayed pavments. for R.N. Division, Crystal Palace, vice Rock; H. L. Geoghegan, M.B., $hortly, probably, we sliall hear tllat it has obtained the to the Black Printce, vice Parish. Staff Suirgeon G. P'. Adshead, M.B., of this 2s. 6d. hlead to the Victory, additional, for Haslar Hospital. Surgeon R. F. Quinton paymont per grant. to the Victory, additional, for Portland Hospital. Temiiporary Sur- At this time, when every medical practitioner, even if he geons: G. L. Ranking to the Victory, additional, for disposal; J. C. can only crawl into a mnotor or carriage, is trying to repay Watt, M.B., to the Pembroke, additional, for disposal; J. L. Plringle, M.B., and R. W. Townley, to the Hindustan; J. D. Judsoni, M.B., to in part Ilis debt to his country, tllis appeal for funds for an the Pembroke, for R.N. Barracks; P. U. Mawer to the Victory, addi- aggressive campaign is greatly to be deprecated, especially tional, for Haslar Hospital. will when it is based on fiction. Panel practitioniers do ROYAL NAVAL VOLUNTEER RESERVE. well to consult some reliable and recognized autthority for Surgeon W. J. Quine, M.B, to the President, additional. Surgeon confirmation of "facts " before they part witlh their Probationers: J. H. Hughes to the Spitfire, B. Barrowmiian to the lhardly To be Surgeon Probationers: L. V. Gatt, D. J. Morrison. earned guineas in response to any " stirring appeals " tllat Biflemtan. may reach tlhem. ARMY MEDICAL SERVICE.' Colonel R. S. F. Henderson, K.H.P., is seconded for service under the Colonial Office. To be temporary Colonels: Lieutenant-Colonel C. Stonhamn, C.M.G., . F.R.C.S., R.A.M.C.(T.); Lieutenant-Colonel W. Thorburn, M.D., gtttti gs-of36ratttsauib Wbisiout F.R.C.S., R.A.M.C.(T.); Major G. L. Gulland, M D., R.A.M C.(T.); Colonel C. S. Ryan. M.B., Australian A.M.C.; Lietutenant- proceedings of t7e Divisions and Branches of the Colonel F. D. Bird, M.B., F.R.C.S.; temporary temilporaryMajor Sir Victor A. 1I. [EThe Horsley, M.B., F.R.C.S.. R.A.M.C. Association relating to Scientific and Clinical Medicine, Lieutenant-Colonel R. J. Blackham, C.I.E., from the seconded list, iwhen reported by the Honorary Secretaries, are published is restored to the establishment. in the the Temporary honorary Lieutenant-Colonel G. S. Buchanan, M.D., to body of JOURNAL.] be tempcrtry Lieutenant-Colonel. SURREY BRANCH. ROYAL ARMY MEDICAL COUPS. T. P. Legg, M.B., F.R.C.S., to be tenmpor-ary Lieutenant-,Colonel. THE annual meeting of the Branch was lield at the house H. G. Ashwell to be temporary Lieutenant-Colonel whilst employed of the Association, 429, Strand, on July when the at the Bagthorpe War Hospital. lst, J. F. W. bilk, M.D., to be temporary Major. President, Dr. A. R. WALTERS, was in the chair. Sir John Collie, M.D., to be temnporary honorary Major. Election of Officers.-Owing to the war the officers were Temporary honorary Lieutenant T. G. Evans, M.D., to be temporary as follows: honorary Captain whilst serving with the Welsh Hospital, Netley. re-elected Captain R. J. B. Buchanan is placed temporarily on the half-pay list Presidlenit: Dr. A. R. Walters (Reigate). on account of ill health. Vice-Presidlentts: Dr. A. M. Mitchell (Guildford), Dr. J. To be temporary Captains: J. C. Woods, M.D., P. H. Gillies, M.B., late Captain 8th (Argyllsbire) Battalion (Territorial), Princess Louise's Hewetson (Reigate). (Argyll and Sutherland Highlanders), Captain Norval J. Watt, M.B., Hontorary Secretary anzd Treasutrer: Mr. Cecil P. Lankester South African Medical Corps, R. R. Wallace, M.1B.,R. H. Makgill, M.D., (Guildford). temporary Lieutenant F. R. Featherstone, late Surgeon R.N., tem- Honorary Ausditors: Dr. A. M. Mitchell, Dr. F. K. Weaver. porary Lieutenant A. Matthey, late Captain British Guiana Militia Force. Annual Report and Financial Statemnent.-The annual Temporary Lieutenant G. W. Maw relinquishes his commiiission. report and financial statement for the year were adopted. (Substituted for notiftcation published in the Lontdont Gazette of with one or- two July 7th.) Moodel Rules.--The meeting adopted, Temporary Lieutenant J. L. Ferris, M.B., relinquishes his com- sliglht modifications, the new model Branch rules issued mission. by the Association as the rules of the Branch, and also the To be t-emporary Lieutenants: L. J. Legris, M.D., D. T. Skeen, M.B., T. C. Ritchie, M.D., J. E. Power, M.B., A. L. Saunders, Lieutenant A. model ethical rules of the Association. Peden, M.B., R.F.A., (T.F.). A. F. Flower, K. B. Pinson. M.B.. E. D. F. Motor Amibulanceefor th-e War.-The SECRETARY reported Hayes, M.B., G. 0. F. Alley, M.B., F. Green, M.D., S. G. Vinter, H. the Armstrong, J. C. Fisher, M.B., A. D. Hamiilton, M.B., F. G. Ralston, 1lhat, in response to the appeal, £300 required for the M.B., D. Renton, M.B., L. S. Shoosmith, E. H. Paddison, M.D., R. Dow, purchase of a motor ambulance liad been subscribed by M.B., A. G. Cook, M.B., N. Macleod, M.B., J. M. Smeaton, G. De P. and an ambulance to form one of a D'Amico, M.D., T. S. Reeves, M. T. Morgan, M.B., J. R. McVail. MB., Surrey doctors, convoy H. P. Hall, M.B., G. Buchanan, M.B., A. F. Studdert, G. R. Plaister, organized by Mr. Arthiur du Cros, M.P., lhad been presented A. R. Young, C. L. Miller, M.B., E.. A. Lindsay, A. Z. Philips, M.D., to the War Office for service c' the Continent. H. LI.K Greer, M.B., A. J. W. Cunningham., M.D., F. McE. Sinclair, M.B., J. Cook, M.B., A. Patrick. M.D., F. B. Martin, M.B., F.-R.C.S. official and R. N. Geach, F.R.C.S., J. Patrick, M.B., D. Glen, M.B., A. Gibson. A list of periodical publications, reports, Blue M.B., F.R.C.S., C. B. Davies, W.. Yorke, M.D., J. C. Spillane, M.B., Books in the Library of the British Medical Association W. C. McN. Dickey, W. C. Butrns, M.D., R. T. McKenzie, M.D., H. S. for issue to members on loan has and Smith, M.B., E. Fullerton, M.B., P. A. Sullivan, W. P. Jones, C. Russell, available been-printed, M.B., R. Rimmer, M.B., A. C. Major, F. C. H. Piggott, M.D., C. H. copies can be obtained free on application to the Librarian, Shearman. MB., 0. F. McCarthy, S. W. Williams, G. R. B. Purce, at the house of the Association, 429, Strandl, W.C. The M.B. A. W. Mitchell, J. K. Small, M.B., J. Hegkrty, W. Hutcleson, M.D., W. H. NT. Bright, M.B., R. W. Statham, A. F. G. Codd, M.B.. regulations governing the loan of these publications are F.R.C.S., J. C. Watson, M.B., D. A. Hirrell, M. 0. Cruickshank, F. H, stated in the introduction to tile list. The Library is open Allfrey- M.B., W. Russell, M.B., W. H. McWalter, M.B., T. D. Moffat, M.B., . M. J.- Halligan, J. Brown-Sim, M.B., A. H. Cra l. M.B., C. S. for consultation from 10 a.m. till 5 p.m. (on Saturdays Miller, M.B., F. C. Tibbs, W. Wiglesworth, D. Wilson, M.D., C. Wace. till 2 p.m.). F.R.C.S., Lieutenant V. F. Stock, M.B., Canadian A.M.C. BT:.LEMWT fb TWA AlCG. T4,1015- 'NTAL STATISTITC.- BIxTIsH MEDICAL JOURsNAL Y

To be tem-iporary honoraryLieutenants: Eric A. Scot, J. R. Tibbles, C. -S. Dodson, H. J. Bower. The appointment to a temnporary honorary lien'tenancy of Wini. F. Thomiipson, published in the London Gazette of July 21st, is cancelled.

TERRITORIAL FORCE. VITAL STATISTICS OF LONDON DURING THE SECOND ROYAAL AnR3IY MEDICAL CORPS. QUARTER OF 1915. 1st lVessex Field Amnbulance.-E. H. Helby to be Lieutenant. [SPECIALLY REPORTED FOR THE "BRITISH MEDICAL JOURNAL."] 1st WVestern1 Gener-al Hospital.-Major C. Rundle, M.D.. to be IN the accompanying table will be found stumm-lilarized the vital templlorary Lieutenant-Colonel. statistics of the City of London and of the m-netropolitan boroughs, '27ntd Southl-Vestern Mounted Brigade Field Ambitlance.-Captain based upon the Registrar-General's returins for the second quarter of R. WN'aterhouse, M D., to be tempjorary Major. the year. The miortality figures in the table relate to the deaths of 1st Soutlhernt General AIospital.-To be Captains whose services persons actually belonging to the several boroughs, and a-re obtained by will be available on mobilization: Lieutenant E. C. Bradford; B. S. distributing the deaths of persons in institutions aimong the several Jones, F.R.C.S. boroughs irn which the deceased persons had previously resided. The 1st E,astern General Hospital.-Major H. A. Ballance, M.D., F.R.C.S., 27,095 births registered in the quarter under notice were equal to an to be temlporary Lieutenant-Colonel. annual rate of 24.1 per 1,000 of the' population; in the correspondince *1st London General Hospital.-Lieutenant A. W. Stott is seconded quarters of the three preceding years the rates were 24.7, 25.2, and for duty with a General Hospital overseas; J. D. L. Currie to be 25.2 per 1,000 respectively... The lowest birth-rates last quarter were Lijeutenant. 11.0 in tlhe City of Westmiinster, 14.0 in Holborn, 17.2 in Hampstead, 27n London Santitary Conpany.-C. D. Edcwards, M.D., to be 18 2'in Kensington, 18.6 in Paddington, and 18.8 in Chelsea and in Stoke Lieuitenant. Newington; aimiong the highest rates were 28.3 in Sotithwark, 29.4 in 2n1dt East Anglian Field Ambutlaczee.-To be Lieutenants: J. Ander- Poplar, 29.7 in Bermondsey, 30.0 in Stepney, 30.3 in Shoreditch, and 35.0 son, Al B., N. McG. Smlith, M B., W. J. Wilkinson, J. Humphrey, A. D. in Finsbury. IReid, M.B. The surnamer of Lieuitenant Arthur Greene, M.D., F.R.C.S., During the qtuarter the deaths of 17,120 London residents were is as now stated, and not as announced in the London Gazette of registered, equal to an annual rate of 15.2 per 1,000; in the corre- July 20th. spondiing quarters of the three precedin)g years the rates were 12.4, 13.3, 1st IVest Riding Field Amnbulance.-Lieutenant H. W. Shadwell to and 13.1 per 1,000 respectively. Tile deathi-rates last quarter raniged be Captain. Ir from 11.0 in Le ;ishamii, 11.7 in Wandsworth, 12.0 in Hampstead, 13.0 in lst WVest Lancashire Fielcl Amnbulance.-'Major W. T. Blackledge, Woolwich, 13.6 in Hackney, and 13.8 in Stoke Newington, to 17.1 in M.B., to be temnporary Lietutenant-Colonel. Poplar, 17.4 in Finsbury, in Southwark, and in Greenwich, 19.2 in the l1t South Midlaundc MouniitedI Briyade Field Amnbulance.-Major City of Londoni, 19.3 in Bermiiondsey, and 19.7 in Shoreditch. T. H. F'orrest, MI.B., to be Lieutenant-Colonel. The 17,120 deaths fromii all causes included 24 from enteric fever, 1st Northiern General Hospital.-To be Lieutenants: A. J. W. 916 from measles, 90 fromn scarlet fever, 417 frolmi whooping-cough, Stephen, MB.., R. A. Hooper, MB.., late Cadet, University Contingent, 136 from diphtheria, anid 201 fromii diarrhoea aild enteritis amonig Seniior Division, O.T.C. children uilnder two years of age. Of the 24 deaths fromii enteric fever, 3rd Northern Genter-al Hospital.-J. S. C. Douglas to be Captain, whose 4 belonged to Hackney, 3 to Camberwell, and 2 each to Paddington and services will be available on miiobilization. To be Lieutenants: Southlwark. Measles was proportionally most fatal in Fulliami, J. Pearson, M.B., F. Harvey. Chelsea, Shoreditch, Poplar, Bermondsey and Battersea; scarlet fever 1st Northliznbrian Field Amnbulance.-To be Lieutenants: F. J. B. in Fulham, Islington, Stoke Newington, -Finshury and Shoreditcl Robson, M.B., C. G.- Strachan, M.B., Cadet A. G. McFarlane, M.B., whooping-cough in Fulhami, Islington, Finsbury, Shoreditch, Ber fromi Durham University Contingent, Senior Division, O.T.C. mondsey, Battersea, Deptford and- Greeniwich; and diphtberia in 3rd Northumbrian Field Ambulance.-Major J. Gray to be Holborn, Bethnal Green, Poplar, Stepney and Southwark. Tlhe temnporary Lieutenant-Colonel. mortality from diarrhoea and enteritis amiionig children under two 1st Lowvland(c Field Ambulance.-E. S. Forde, late Captain 5th years of age in proportion to the births registered daring the quarter (Dumfries and Galloway) Battalion, King's Own Scottish Borderers, was greatest in Paddington, Kensington, the City of Westminster, to be Major, temporary. Stoke Newington, Bethnal Green, and Poplar. .3rd Lomvlantd Field Amnbutlance.-R. Lawson, M.B., to be Lieutenant. The deaths from-1 phthisis among Lonidon residents last quiarter Highland Mounted Brigade Field Amnbulance. -Major J. Leach, numnbered 1,597, and were equal to an anllnual rate of 1.42 per 1,000, M.B., from Attached to Units other than Medical Units, to be Major. against 1.21, 1.27, and 1 28 in the corresponding quarters of the three 3rd Highland Fieldl Ambulance.-Lieutenant F. C. Chandler, M.B., preceding years. The death-rates from this disease last quarter to be temporary Captain. ranged from 0.72 in Lewisham-, 0.79 in Hanmpstead, 0.95 inl Stoke Attaichied to-)Units Othier than Medical Untits.-H. W. Clark to be Newington. 1.11 in Fulham, and 1.12 in Wandsworth, to 1.83 in Fins- Second Lieutenant. temporary, for service with the Queen Mary's bury, 1.84 in Greenwich, 1.85 in Stepney, 1.92 in Shoreditch, 1.95 in Gramiimar School Contingent, Junior Division, O.T.C. To be Majors: Southwark, and 2.03 in Berinondsey. Captain W. L. Martin, M.B., Captain S. W. Plummer, M.D. To be Infant mortality, measured by the proportion of deaths among Captain: G. Higginson (late Lieutenant, 1st B3hropshire and Stafford- children under 1 year of age to registered births, was equal to 93 per shire R.G.A. (Vols.)). 1,000 last quarter, against 82, 81, and 79 in the corresponding (luarters of the three preceding years. Among the lowest rates recorded la it quarter were 38 in the City of London, 54 in Hampstead, 74 ;in Laimi- TERRITORIAL FORCE RESERVE. beth, in Lewishami, and in Woolwich, and 79 in Greeniwicli; the ROYAL ARMy MEDICAL CORPS. highest rates were 113 in Deptford, 114 in Battersea, 115 in Southwark, Captain A. C. Bird, from Attached to Units other than Medical Units, 122 in the City of Westminster, 126 in Bermondsey, 127 in Shoreditch, to be Captain. and 131 in Kensington. Analysis of the Vital Statistics of the Metropolitan Boroughs and of the City of London after Distribution oJ Deaths occurring in Public Institutions during the Second Qutarter of 1915.

Annual Rate Deaths from per 'o 1,000 Living. -aD 4 o X a) BOROUGHS. 5D 0 a) 00 .X v d E CD a); a; Go ka)W m m - c .) A1- .. 0 Cd 0 0 a) ) -, a)I e4 0 0 Az .. '4 A .1-a) XAtoc X 2 aw _ X- .1. ,a4 i d) noin 0)00k

I ..l 1..[ 11--l COUNTY O F 0 4,518,021 27,095 17,120 24.1 15.2 24 946 93 417 136 .,L Nt D ON ...... 201 1,597 93 142 193 657 523 18.6 14.8 2 Paddington ... 25 2 14 2 11 43 773 661 18 2 15.5 87 Kensington ... 171,234 41 3 7 3 ..11 50 Haiimmersmith 708 479 22 8 15.4 131 ... 123,853 1 9 3 9 .4 6 46 Fullam 983 566 24 8 14.3 57 100 ...... 157,303 7 23 6 5 44 Chelsea 64,511 299 267 18.8 16 8 33 2 107 ...... 1 1 -27 City of Westminster 154,544 419 535 11.0 14.1 1 20 4 .81 . .. 3 3 5 51 122 'St. Marylebone ... 114,355 978 401 34.8 14.2 27 3 7.' 1 ... 4 33 43 86,388 372 260 17.2 12.0 6 .1 t . Hailipstead ...... 3 2. 1 17 54 St. Pancras 214,133 1,130 795 21.3 15.0 37 2 24 4 ... *.. 11 95 95 Islington 325,495 1,895 1,348 23.4 16.6 1 86 13 43 10 ...... 14 107 88 Stoke Newington 50,511 273 174 18.8 13 8 8- 2 4 *.. 13 12 223,393 759 24.3 13.6 4 24 2 105 $Hackney ...... 1,353 19 3 7 66, 169 167 14.8 14.6 5 87 *Holborn. ... 46,832 3 3 1 16 71 84,521 726 360 35.0 17.4 1 20 4 .1Finsbur ...... *.. 20 2 5 38 City of London 17,831 106 82 24.8 1 81 ... 19.2 11 5 Shoreditch 109,569 822 535 30.3 19.7 1 47 4 17 38 .... 5 7 52 Bethnal Green 127,807 880 520 27.7 16.3 1 34 1 15 127 ... 11 13 *56 100 .Stepney 275,081 2,044 1,047 30.0 15.4 40 7 8 ...... *]. 13 18 126 85 160,839 1,176 684 -29.4 17.1 .I 52 4 Poplar. ... 15 -11 13' 60 Southwark 188,321 810 28.3 17.4 2 30 5 109 ...... 1,319 11 9 9 91 Bermondsey 124,683 919 £99 29.7 193 1 49 2 25 2 115 ... 9 63 126 297,094 -1,983 1,174- 26.& -15 9 26 7 16 .10 Lamsbeth. ... 117 74 Batterse& 167,451 986 685 23.2 16.4 87 .2 31 ... 3- 51 114 Wandsworth 331,321 1,684 993 19.7 11.7 63 5 19 11 '10 ... 11 95 86 Camberwell 261,828 1,575 24.1 14.6 1 27 1 Is16 . 4 ... -"956 85 89 Deptford 109,269 751 454 27.6 16.7 . 29. .2 .-i3 ... *]. -1 37 Greenwich 25.9 17.4 17 1 113 *@* 96,018 621. 416 13 17 3 44 169,211 4-4972 19.5 '11.0 1. 26 i.1 79 rLewisham ... 12 2 4 31 Woolwich 122,431 7836 -598.3 233 113.0 22 1 6 74 ... 731- 5 4 39 74 I I'-I -- Nco n is.m.aefrb in l-, -in J I c . * No correction is made for births in lying-in institutions; the boroughs principally affectied are markced thius (*), SUPPLE MVT VACANCIES AND 9 92TS92 BRITISMJOU}lN JOUNAL APPOINTMENTS. [AUMG. 14, 19T5 P

HEALTH OF ENGLISH TOWNS. MANCHESTER: COUNTY ASYLU Hl, Prestwich -Assistant Medical IN ninety-six of the largest English towns 7,946 births and 3,954 deaths Officer. Salary, £250 perannunrl, increasing to £300, and on pro- were registered during the week ended Saturday, July 31st. The annual motion£450.to rate of mnortality in these towns, which had1177,11.4,been and 11.4 in MANCHESTER NORTHERN FOR WOMEN AND the week under HOSPITAL the three preceding weeks, was again 11.4 per 1,000 in Salary, £120 per aninum. notice. In London the death-rate was equal to 10.9, while among the CHILDRENC-House-Surgeon. niniety-five other large towns it ranged from 3.5 in Wimbledon, 5.6 in NORTHAMPTON COUNTY BOROUGH. Clinical Tuherculosis tiouthend-on Sea, 5.9 in Hornsey, 6.3 in Cambridge. 6.5 in Southport, Officer. Salary, £400 per annum. OXFORD EYE £100 per and 6.6 in Edmionton, to 16.6 in Northampton, 16.7 in Warrington, HOSPITALO-House-Surgeon. Salary, 17.0 in. Acton, 17.6 in Aberdare, 17.8 in Gillingham, and 17.9 in Wallasey. annum. Measles caused a death-rate of 1.6 in Middlesbrough, 1.7 in Walsall, 1.9 RHONDDA URBAN DISTRICT COUNCIL.-Temporary Assistant i-i Balrnsley, and 2.6 in Lincoln; and diphtheria of 1.8 in Bournemouth. Medical Officer of Health and School Medical Officer. Salary, 'Ifhe miiortality from the remaining infective diseases showed no £350 per annum. mnarked excess in aniy of the and no fatal case of small- large towns, ST. MARK'S HOSPITAL FORCANCEER, FISTULA, ETC., CitY pox was causes or 1.0 per cent., registered during the week. The of 39, Road, E.C.-House-Surgeon. Salary, £150 per annum. of the total deaths were not certified either bya registered medical prac- ST. PETER'S HOSPITAL FOR Henrietta Street, W.C.- Litioner or by a coroner; of this number, 6 were recorded in Birming- STONE, hamn, 4 each in Gillingham and in Liverpool, and 3 in Stoke-on-Trent. JuniorJ ouse-Surgeon. Salary, £75 per annum. The number of scarlet fever patients under treatment in the Metro- SALISBURY GENERAL INFIRMAR.Y.-Assistant House-Surgeon. politan Asylums Hospitals and the London Fever Hospital, which had Salary, £100 per annum. been 2,471, 2,468, and 2,483 at the end of the three preceding weeks, fell SHEFFIELD ROYAL INFIRMARY.-(l) House-Surgeon; (2) Assis- to 2,431 on Saturday, July 31st; 294 new cases were sdmitted during tant House-Physiciau. Salary,£100 per annum. the week, against 322, 290, and 342 in the three preceding weeks. SHEFFIELD UNIVERSITY.--( Demionstrator of Pathology and Bacteriology. (2) Demonstrator of Anatomy. HEALTH OF SCOTTISH TOWNS. SOUTHAMPTON: ROYAL SOUTH HANTS AND SOUTHAMPTON IN thie sixteen largest Scottish towns, 1,C68 births and 622 deaths were HOSPITAL.-Junior House-Surgeon. Salary,pere£120 nnum. regcistered during the week ended Saturday, July 31st. The snnual SUNDERLAND: ROYAL INFIRMARY.-Junior House-Surgeon ratemioortalityof in these towns, which had beeni 15.7. 12.5, and 14.2 in (meale). Salary, 150 per annumi. the three preceding weeks, fell to 13.8 per 1.000 in the week under SURREY EDUCATION COMMITTEE.-FemAle Assistant School niotice, and was 2.4 par 1,000 above the rate recorded in the ninety-six Medical Officers. largest English towns. Among the several towns the death-rate ranged fromi 4.7 in Clydebank, 9 1 in Falkirk, and 11 3 in Motherwell, SWANSEA EDUCATION COMMITTEE.-M1) Lady Assistant School to 1 0 in The mortality Medical Officer; (2) Temporary Assistant School Medical Officer. 16.9 in Leith, 17 in Aberdeen, and 18 Greenock. Salary, £300 per annum each. fromii the principal infective diseases averaged 1.9 per 1,000, and was h:ighest in Paisley and Aberdeen. The 288 deaths from all causes in WALSALN I AND DISTRICT HOPITAL.-Assistant Housge-Surgeon Glasgow included 32 from miieasles, 7 from infantile diarrhoeal and Anaesthetist. Salary, £150 per annum. diseases, 5 iromn scarlet fever, 2 from diphtheria, and 1 from whooping- WEST HAM AND EASTERN GENERAL HOSPITAL, Stratford.- cough. Five deaths froma mieasles were recorded in Aberdeen, 3 in (11 Resident Medical Officer; (2) House-Physicians and House- Leith, and 2 in Paisley; from scarlet fever 4 in Aberdeen and 2 in Surgeons. Salary for (1) £160 per annumi, and for (2) £120 and £100 fPaisley; fromii diphatheria 3 in Aberdeen; and from infantile diarrhoea per annum respectively. 5 in DundLo. WEST HAM UNION.-At the Infirmiaary: Third Assistant Medical Officer (male); Fourth Assistant (Resident Lady) Medical Officer. HEALTH OF IRISH TOWNS. Salary, £200 and £180 per aninum, rising to £220 and respec- DWi'cG the week ending Saturday, July 31st, 560 births and 327 deaths tively. At the Workhouse: Rtesident (lady) Assistant Medical were registered in the twenty-seven principal urban districts of Ire- Officer. Salary, £180, rising £200.to land.a, against 559 births and 341 deaths in the.preceding period. WEST RIDING COUNTY COUNCIL.-Resident Medical Supe-in- These deaths represent a mortality of 14.1 per 1,000 of the aggregate tendent at the Middleton-in-Wharfedale Sanatoriuim. Salary, l)npulation in the districts in question, as against 14.7 per 1,000 in the £400 per annum. previous period. T he mortality in these Irish areas was therefore 2.7 WESTMINSTER GENERAL DISPENSARY, Gerrard Street, Solio, uer1.000 highier than the corresponding rate in the ninety-six English W.-Resident Medical Officer. Salary, £120 per annum. towns during the week ending on thesam e date. The birth-rate, on WIGAN: ROYAL ALBERT EDWARD INFIRMARY AND DIS- the othier hiand, -was to 24.1 per 1,000 of population. As for equal House-Surgeon. Salary, £150 per imiortality of individual localities, that in the Duiblin registration area PENSARY.PJunior annumu was 13.6 (as against an average of 15.7 for the previous four weeks), in CERTIFYING FACTORY SURGEONS.-The Chief Inspector of the Ashton- Dniblin city 14.0 (as against 16.1), in Belfast 15 0 (as against 12 4), in Factories nunounces followingvacaant appointmlients: Cork 9.5 (as against 14.8), in Londonderry 16.5 (as against 23.1), in under-Lyne (Lancashire), Saltash (Cornwall). Limerick 23.0 (as againist 21.6), a-nd in Waterford 11.4 (as against 10.9). To ensutre notice in this colninit-whtich is contpiledl front our The zymotic death-rate was 1.3. as against 1.1 in the previous period. aeuvertiseittent columns, whtere fultl 2mairitzcuas wvill be found- it is ntecessary thtat audcertiseimients shtou7ld be receivedt ntot later tlthas 7the fitrst post on1Wednestlay morniug. Persons interested shos7u?tlreefer also to the 1index to Avtlitertisements wh01lich.tollo IJ1aratca ies } oiut tthe Table of Cottente s in the JOiIINAL. ut APPOINTMENTS. is NOT'ICESR EIGARDING A PPOINTM31ENTS.-Atteution called AHERN, M. J., L.R.C.P. and S., Certifying Factory Surgeon for the to a Notice (seeX index to Adlvertisem)tentts-Inopottantt Noticee Charlestown District, co. Mayo. appearing imu our adtvertiseminetit eotimnns, givintg Appoiuttn)eipts) HINE, Montague L., M.D.. F.R.C.S.. Assistant Surgeon to the Royal particutlars of vacancies as to which intqutiries shlould be mado Westminster Hospital. before application. Ophthalmic VACANCIES. MOSELY, Lewin L., L.D.S.Eng., Honorary Dental Surgeon to the Royal Hospital, Richmond, Surrey. AND MIDLAND EYE BIRMINGHAM HOSPITAL.-Junior Houise- W. L., L.S.A., District Medical Officer of the Kensington Surgeon. Salary,£100 per annum and£5 laundry allowance. ROBERTS,Parish. BIRMIINGHAM EDUCATION COMMITTEE.-Tewporary Assistant SEPHTON, R. B., L.R.C.P. and S.Edin.. L.F.P.S.Glasg., District School Medical Officer. Salary, £300 per annum. Medical Officer of the Leigh Union. BRISTOL ROYAL INFIRMARY.-Resident Obstetric and Oph- thalmic House-Surgeon. Salary,2120 par annum. BURNLEY: VICTORIA HOSPITAL.-House-Surgeon. Salary,£135 BIRTHS, MARRIAGES, AND DEATHS. per annuim. for announcemtents of Births, Marriages, and INFIRMARY. - per Tlie c7harge intser'itng BURY Senior House-Surgeon. Salary, £250 is which t be Post annum. Death8s 5s., sium s7tould forucarded it Office Orders or Stamps not post ST. EDMUND'S for St. James's suit/l thel notice late, than theffirst BURY UNION.-Medical Officer Wedntesdaym71or-nling in order to ensure insertio?n in tite current District. Salary, £100 per annum. issue. CROYDON UNION.-Assistant Medical Superintendent of Infirmary BIRTHS. and Assistant Medical Officer of Union House and Children's Homes. Salary,£225 per annum, rising to£250. BOND.-On the 3rd August, at Warrington Lodge (nursing home), Warrington Crescent. W., the wife of C.- Hubert Bond, D.Sc., DEVONPORT: ROYAL ALBERT HOSPITAL.-House-Surgeon. M.D., of the Board of Control-a daughter. Salary,£150 per 21s. allowed weekly for working single- Commissioner handed. annumr; CRICHTON-MILLER.-At Bowden House, Harrow, oni 6th inst., the wife DONCASTER: ROYAL INFIRMARY AND DISPENSARY.-Resi- of11. Crichton-Miller, M.D., 114A, Harloy Street, W., of a son. dent House-Surgeon. Salary, A2E0 per annum. MARRIAGE. DORSET COUNTY COUNCIL EDUCATION COMMITTEE.- GROGONO-STEELE.-On duly 29th, at St. Paul's Church, Hammer- School Dentist. Salary,£260 per annum. smith, Dr. Jonathan Grogono, third son of late Dr. Grogono, of FwOLKESTONE: IROYAL VICTORIA HOSPITAL.-House-Surgeon. Withamn Lodge, Stratford, anwl Mrs. Glogono, Herne Bay, to Salary,£150 per annumn. Florence Mturiel (Sissie), elder daughter of late Pr. Itiissell Steele, GUILDFORD: ROYAL SURREY COUNTY HOSPITAL.-House- of Hempstead House, Hemiiel Hempstead, and Mrs. Steele, Surgeon. Sa'ary, £150 per annum. 32, Aynhoo Road, West Kensington. HOSPITAL FOR CONSUMPTION AND DISEASES OF THE CHEST, Brompton, S.W.-House-Physician. Honorarium, 30 guineas for six m6nths. DIARY OF TIHE ASSOCIATION. ISLE OF WIGHT UNION.-Medical Officer and Ptublic Vaccinator for the Ryde District. Salary, £100 per annum and fees. Date. Meetings to be Held. ITALIAN HOSPITAL, Queen Square. W.C.-House-Surgeon. Salary, £80 per annum. -LANCASHIRE COUNTY COUNCIL.-Medical Superintendent at AUGUST. High Carley Sanatorium. Salary, £450 per annum, rising to £550. 18 Wed. FURTHER Medical Officer. EXTRAORDINARY G-ENERAL MVEET. LEEDS PUBLIC DISPENSARY.-Lady Resident 2 p.m. Salary, £130 per annum. ING, 429, Strand, London, W.C., LIVERPOOL EYE AND EAR INFIRMARY.-Honorary Anaes- 19 Thur. London: InsuLrance Acts Committee. tthetist. 25 Wed. London: War Emergency (Com-mittee, 2 p.m. Printed and published by the British Medical Association at their O2ice, No. 4n Strand, in the Parish of St. Marcin-in-the-Jields, in the County of M1i,dlesex.