$100,000, the amount necessary to erect and maintain an insti¬ The new laboratories at Manguinhos, Brazil, for the pro¬ tution of 100 beds at first. A suitable site for the building, duction of plague serum and vaccin are completed and are about nine miles from Toronto, has been secured. models in every respect, the Brazil Médico asserts. The differ¬ ent on 1500 feet with Montreal. pavilions are separate hills, about apart, the building for the horses in the valley between. The entire Dr. Laberge, city health officer, has returned from . establishment is in charge of Prof. Pedro Affonso and Oswaldo Dr. J. Alton Harris has returned from active service in Cruz. South Africa. The Deutsche Med. Woch. states that the calendar published The last case of smallpox has been discharged from the by the Bote has been confiscated by the authorities on civic hospital. account of the advertisements contained in it of Thierry's has shared The Medical Faculty of Bishop's College opened on October "Wunderbalsam" and salve. Another calendar the a in 1, with a fairly large attendance of students. same fate on account of advertisements of charlatan and the of a firm in The Bohemian The Medical Association for St. Frances Xavier District Saxony salve Budapesth. have the to met in Sherbrooke last week. An important question dis¬ authorities forbidden "Nature-Healing Company" establish new branch establishments. cussed was that of a medical tariff, and it was decided to pub¬ lish the discussion in the Montreal and country papers, so that The French Railway du Nord has constructed a two-story its for and there might be a clear understanding between the physicians building in connection with Paris depot receiving for the in an accident. detail to ensure and public generally on the subject. caring injured Every asepsis and ample illumination day and night has been care¬ three rooms on the first floor can FOREIGN. fully studied. The large be thrown into one if required. There are waiting and con¬ The library of the is now sold great chemist, Bunsen, being sultation rooms, facilities for massage and radioscopy and the at Leipsic. numerous attendants are drilled regularly in the entire pro¬ a of the notifica¬ Lannelongue, of Paris, has been made commander cesses of preparing for and applying first aid after French Legion of Honor. tion that an accident has occurred. The Lariboisiere Hospital be The professor of psychiatry at Jena, Dr. Ziehen, has ac¬ is close at hand and very severely injured persons will taken care will cepted a call "to the chair of psychology at Utrecht. directly there, but those requiring merely temporary be at railroad station. The friends of Senator and Busch, of , celebrated the treated the emergency twenty-fifth anniversary of their connection with the faculty September 14. Another medical victim to the Swiss glaciers is Dr. Max Schaeffer, a promising young rhinologist of Bremen, who was in found dead in a crevasse. Degeneracy the Army. The court physician to the Ameer of Afghanistan is, or Chicago, Oct. 4, 1900. was until recently, a woman. Her name is Miss Lillias Hamil¬ To the Editor:\p=m-\TheAmerican Journal of Insanity for July ton, M.D., Brux. and London School of Med. for Women. contains an article by Dr. Charles E. Woodruff on "Degeneracy Yersin was awarded the Audiffred prize of 15,000 francs in the Army," and remarks anent army musicians that "with last spring for "his acts of devotion," and has applied the sum the high musical sense there seems to be a liability of inferior- to the extension of his plague-serum laboratory at Nha-Trang. ity in some other ways, for they possess physical stigmata in of Ethiopia, has been awarded the first far greater proportion than does the average soldier. They Menelik, Emperor have to be different rules of prize on the list offered by the French Society against the managed by entirely discipline." What is true of musicians is also true of musicians in Abuse of Tobacco, as he prohibited the use of tobacco through¬ army state institutions for defective classes, etc. The most out his dominions under severe penalties. degen- erate individuals of an institution are usually to be found The death of Sir William Stokes in South Africa was fol¬ among the members of the band. In many cases they are the lowed in a few that of his talented sister, Miss Mar¬ days by most difficult to manage. A notable illustration is that of the Stokes, in . She was the author of several noted garet band at the New York State Reformatory at Elmira. At one works on Irish ecclesiastical architecture and archeology. time more than two-thirds of the band were dressed in the The friends and admirers of Professor Potain, of Paris, uniform of the lowest grade; physical stigmata were so marked to him a medal on the occasion propose present with souvenir as to attract special attention. of his retirement from the Charité next spring. Subscriptions It should also be remembered that marked imbecility may are received by P. Masson, 120 Boulevard Saint-Germain. co-exist with great musical powers, as witness the ease of The friends of Dr. Li Willems, of Hasselt, Belgium, have "Blind Tom." Music, being one of the primitive arts of the called upon all who profited by his discovery of preventive race, is hence less likely to be affected by degeneracy than later- inoculation of pleuropneumonia in cattle to co-operate in cele¬ acquired arts. brating his fiftieth professional anniversary, October 14. Eugene S. Talbot, M.D. The Graefe prize for the best works that appear in von Graefe's Archiv f. Ophthalmologie during the years 1896 to A Uniform Classification for Health Statistics. 1899, has been divided between Dr. Hess, for his work on "Ac¬ Lansing, Mich., Sept. 17, 1900. and for his studies on the "Nucleus commodation," Bernheimer, To the Editor:\p=m-\Referring to your editorial in The Journal of Motor Oculi." the of September 15, under the above title, I desire to say that it El Siglo Medico announces that the Spanish government gives a somewhat imperfect impression of the nature and Dr. has appropriated $8000 to enlarge Cajal's laboratory at progress of the movement for the adoption of a uniform classi- Madrid, with $4,800 annually for its maintenance and a pen¬ fication of causes of death, which is now an assured success. As of for the on the sion $1,600 distinguished scientist, whom the subject is one of very great practical importance, I trust Moscow was Medical Con¬ prize bestowed by the International that you will afford me the opportunity of making a more cor- gress. rect statement of the facts. The pilgrims constantly arriving at Rome to celebrate the In the first place the classification quoted by you on page "holy year" are filling the streets with beggars and the hos¬ 706 in the report of the proceedings of the International Con- pitals with incurables. The sanitary conditions are menaced gress of Hygiene and Demography is evidently one of the most by this state of affairs and the Italian minister of the interior condensed forms of the Bertillon classification, and does not has issued an order forbidding the further organization of fully exemplify its nature as usually employed. This classifi- pilgrimages composed entirely of the sick and indigent. cation is not merely the "Paris classification, but is the classifi-

Downloaded From: http://jama.jamanetwork.com/ by a DALHOUSIE UNIVERSITY-DAL-11762 User on 05/18/2015 cation recommended for adoption to the International Statis- [If the Bertillon classification is to be universally adopted tical Institute by a committee headed by Dr. Jacques Bertillon it is to be hoped it will receive the modification it needs. Up at its session in Chicago during the World's Fair in 1893. to the present time we can not consider it a satisfactory one Since that time it has been employed in Paris, Moscow, Madrid, by any means; it is in some respects out of accord with modera Buenos Ayres, Montevideo, Havana, Boston, Baltimore, Buf¬ pathologic ideas and almost ridiculous in some of its minor falo, Milwaukee, Toledo, and many other cities of this country, details, as given in the pamphlet published in this coentry. besides in the States of Michigan, Vermont and Indiana and the —Ed.] Canadian Provinces of Ontario and Quebec. The classification reported by Dr. Bertillon's committee to the International Statistical Institute was in three forms, viz., an extended or full classification, a short form and an intermediate form. The long form is that usually referred to and is best adapted to the use of states and large cities. It contains about 160 titles, Practical Gynecology. A Comprehensive Text-Book for instead of the 38 given by your correspondent from Paris, and Students and Physicians. By E. E. Montgomery, M.D., is abundantly full for all ordinary statistical purposes. The Professor of Gynecology, Jefferson Medical College. With all of which been drawn and short forms are presented merely for the use of such cities as 527 illustrations, nearly have for this work, for the most from may find a condensed list more convenient for use. engraved especially* part original sources. Cloth. Pp. 819. Price, $5.00. Phila- The American Public Health Association did not adopt the delphia: P. Blakiston's Son & Co. 1900. at in 1897, it as a measure of system Philadelphia regarding Fashion in medical book-making seems to be running to the and one the fullest very far-reaching importance requiring composite, which may be advantageous, and the means of consideration. After the of a however, at Ottawa, lapse year, producing a better book than one written by an individual. Canada, in 1898, the cordial assent of the Association was It may be the old-fashioned notions of the reviewer, but he and as I believe, has been a factor of great given, importance believes in the old idea of one book, one author, and he should in the of South uniting registrars America, Central America have all the all the criticism and all the glory and with the of in the responsibility, Europe, exception England only, adop¬ that attach to it. The composite is likely to be written under a tion of a uniform classification for the world. I may also say "rush" so much space, in so much for so mueh that the International Conference of State and Provincial order; time, The work before us is the work of one individual, and of indorsed the the money. Boards Health system most fully at meet¬ the of that individual is evident the whole held at Detroit in 1898 to session of the personality through ing just prior the book. American Publie Health Association at Ottawa. The author tells us in the preface that it has been under American Public Association The action of the Health in consideration for fifteen years and that much of it has been 1898 not only provided for the general adoption of the classi¬ rewritten several times. This may readily be believed, for the fication by the registration offices of Canada, Mexico and the result shows painstaking effort in every detail, in conciseness United States after its revision, but also provided a plan for of statements, in arrangement of subjects and in the systematic that revision and recommended that it be held at Paris in 190Ö order and completeness in which each is considered. The gen¬ under the auspices of the International Congress of Hygiene eral plan is entirely different from that usually adopted. In¬ and Demography. This plan was indorsed fully in its general stead of a division into chapters, the book is divided into sec¬ features by the International Statistical Institute at its session tions, consecutively numbered, and with heavy black-faced at Christiania, Norway, in 1899, and its completion constitutes "side-heads." While such an arrangement as the author uses the first decennial revision of the International Classification, has many advantages—an important one being an easy refer¬ which have It is intended such a you just announced. that ence to any subject—still it has a drawback in the fact that revision shall be made every ten years, with the full-co-opera¬ the main subject is given no more distinctive heading than its tion of all of the registration offices employing the system, to subdivisions. This objection, however, may be more apparent that classification shall be of the end the kept fully abreast than real when one becomes used to the style. By the way, the advances of medical science. Unless this is done, it will the various lacerations of the pelvic floor, vaginal fistula, etc., as have of the in rapidly grow obsolete, many systems now are classified under the general head of "malformations," pos¬ use soon to be in this country, which are supplanted by the sibly correctly so, but hardly, according to the generally ac¬ modern classification. cepted meaning of the term. The manner in which the author and of examina¬ A short paper on this subject of uniform classification considers the subjects of diagnosis methods he the needs of the was read by me before the Section of Hygiene and Sanitary tion shows that appreciates student, the Science of the American Medical Association at the last difficulties to be encountered and the importance of a thorough meeting, at Atlantic City, N. J., and a resolution was passed understanding of gynecological examinations. The technique in its favor by the Section. This resolution was indorsed by of the various operations, even the minor ones, is described the Executive Committee, but failed to carry in the general in sufficient detail to enable the student to understand every session, owing, I believe, to the expressed opinion that the sub¬ stage of procedure. This, with the wealth of illustrations, of various an matter. ject was a new one and the Association unprepared to take im¬ makes the appreciation the stages easy mediate action. As so much has been done since 1893, includ¬ The author is neither too radical nor too conservative in his ing the adoption of the system by nearly every registration consideration of the conditions that may need radical opera¬ State in the Union, I wish that this information could be tions. In the introduction he tells us that the true gynecolo¬ brought generally to the knowledge of the members of the As¬ gist must be "so conservative that he will sacrifice no organ sociation, so that they may be sufficiently informed to act at whose physiologic integrity is capable of being restored; so some subsequent session of the Association. bold and courageous that his patient shall not forfeit her op¬ Dr. Bertillon informs me that the revised classification will portunity for life or restored health through his failure to be ready for publication in about a month, and I trust that assume the responsibility of any operative procedure necessary the American Public Health Association, at its meeting soon to secure the object." This is the basal idea that permeates to be held at Indianapolis, will make provision for at once the book; the ultra-radical operator will find no endorsement, preparing a translation and getting it into the hands of Ameri¬ and the "tinkering" gynecologist—he who treats all diseases can registrars and public health officials, so that its use can be of women by means of a pledget of cotton and a speculum— begun promptly on January 1, 1901. We shall then have a no encouragement in its pages. definite basis, alike in all parts of the country, on which to The book is one that can be recommended to the student, base our public health work, and as a result we may fairly ex¬ to the general practitioner—who must sometimes be a gyne¬ pect a much increased use of mortality statistics in sanitary cologist to a certain extent whether he will or not—and to the work, of which they form the indispensable foundation. specialist, as an ideal and in every way complete work on the Cressy L. Wilbur, M.D. gynecology of to-day—a practical work for practical workers.

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