15, MEMORANDA. [ 115 JULY 1893.1 [MEDICALTnx BRiTXsHJOURNAL He was seein professionially witlhin tlhree-quarters of an hour following the receipt of tlle bite. At this time lhe MEMORANDAI presented two distinet punetures, situated about one-tenthl of an inclh apart, on tlhe middle phalailx of the righlt index MEDICAL, SURGICAL, OBSTETRICAL, THERA- ainger. There was no swelling, nio teilderness on pressure, no complaint of pain in thle part. Tlle case was regarded as PEUTICAL, PATHOLOGICAL, ETC. a bite from an ordinary " mounitaini sniake," and was treated IIEART DISEASE DUE TO BICYCLING. accordingly. The boy appeared to be of particularly robust patient came under my observation on account pllysique for his age. LAST year a At 5 P.M.-an hour and a half after being bitten-lie was of a feelincg of discomfort in the region of the heart following decidedly drowsy, anid gave evidence of great pain in the any severe or prolonged exertion. The interest of the case affected finger on being roused; vomiting had taken place; lies in the fact that there is a definite organic lesion con- his temperature in the axilla was normal; the right hand sequent on bicycling, and for that reason it seems worth was swollen, but didinot pit on pressure. The pupils were recording. widely dilated and reacted to liglht. A. K. C., aged 34, a clerk, had lhad no previous illness with At 8 P.M. the lhanld and forearm were very dark, swollen, the exception of influenza two years before; he dated his and brawny; there was excessive tenderness on pressure; cardiac affection from that. He also complained of occa- extension to the arm was evidenit. The pulse, temperature, sional indigestion and " pins and needles " in the feet. For and respiration were niormal; mydriasis was present, and he the last five years he lhad gone in largely for bicycling, and was still vomitinig. Ilis drowsiness had completely passed though lie had not attempted competitive races, for his own off, the mental faculties being wlholly undisturbed; lie com- amusement he lhad raced against time, trying weekly in plained of great tlhirst, alnd of severe pain at the site of the how short a time lie could ride down from London to initial wound. Briglhton. Previous to taking up bicyeling he lhad never At 8 A.M. it was found tllat there had been progressive indulged in any violenit form of exercise, and had lived a extension of swellilng, and duskiness of the involved tissues regular, sedentary life. His habits were temperate; lie during the niglht. The wlhole of the limb and a portion of smoked mloderately. There was a family history of plltliisis; the right side of the clhest and the side of the neck were nonie of morbus cordis, rheumatic affections, or gout. implicated tenderness aiid paini were aggravated. The He was well nourished and well developed. Tlle lieart's apex surface of the body was cold, the pulse at the wrist vel-y com- beat was in the sixth space in the nipple line; the impulse pressible and small, tlle temperature in the opposite axilla was diffused, slow, and heaving; the first sound was pro- niormal, and respiration normal lie vomited all ingesta. longed. A diastolic musical murmur was hieard over the There was no tendenicy towards delirium. second left intercostal space close to the sterlnum it was At 2 P.m. the upper part of tlle abdomen on the right side conducted down the left edge of the sternum as far as the hiad become affected. He was eyanotic, the countenance fifthl spaee, and gradually diminislhed in intensity downwards; pinched and anxious, and the surface covered with clammy the pulse was 54, regular, and rather sudden. perspirationi. No pulse could be felt in the radial artery; I have no doubt that tlle cause of this condition is over- preeordial pulsatioii was extremely faint. The temperature strain, giving rise to partial rupture of one of the aortic in the opposite axilla was 98° F., in the axilla of the affected valves. No doubt the fact that lhe took up bicycling com- side 101.5°F. Men-itally the boy was still quite undisturbed. paratively late in life, especially after living previously a The respiration-s were lowered. The pupils were still dilated distinctly sedentary life, had a good deal to do with it. lt and reacting to liglit. is also probable that the attack of influenza debilitated him At 7 P.M. informiationi was received to the effect that he was considerably, and that he is quite justified in datinig the very much better, aild that the parts were not so black." cardiac aff-ection from that illness. Wlhen seen, however, this improvemenit was found to be In conclusion, I think the case indicates that most serious fallacious. There was less discoloration of tissue, but muclh results may ensue from bicycling, and that such results are more cedema; all symptoms were aggravated, but his minld most likely to occur in the class of men who so largely was still perfectly clear. The respirations were lowered in depend upon this form of amusement for their weekly frequency. exercise; I mean the large body of clerks, living a sedentary From this time towards midnight lie continued much the life during the week, and attempting to gain health and same. Death occurred at 1 A.M. Consciousness was retained strength by over-violent exertion on Saturdays and Sundays. almost up to the moment of his decease. During no part of All suCh men ought to be warned to be moderate in their hlis illness lhad convulsions occurred. exercise, and more especially, not to attempt racing or lonig REM[ARKS.-The recorded fatal cases of snake-bite in this distance rides. country are comparatively rare. Naturally the main interest Upper Brook Street, Wv. EDMUND CAUTLEY, M.D.Canitab. in this connection is as to the determination of the exact type of tlle reptile. Presumably it beloniged to the.adder COMMUNICABILITY OF FOOT AND MOUTH DISEASE species. The respiratory and cardiac centres appear to liave FROM CATTLE TO MAN. been rapidly and progressively affected, while the sensorium HAVING lately had under my notice several cases in which remainied free. The questioni arises as to whether the fatal foot and mouth disease has been communicated from the Tesult was due to the toxic actioni of the specific virus itself contaminated animal to human beings, I think that a short or to poisolning of a ptomainous charaeter. In any ease, the statement regarding the mode and progress of the disease extreme vascular depression primarily, and the subsequent will be of some interest. lowering of respiratory function, coupled with the absence of In all the cases I have seen the virus has been imbibed mental disturbance markedly shown tllroughout, are faets of through drinking milk from some cow suffering from the great initerest. disease, and could be directly traced to that source. The first noticeable symptoms are pain in the mouth and throat, with cedematous swelling of the gums and enlargement of A SPANISH MEDICAL AssocIATION.-A medical association the tonsils and submaxillary glands. The processes of for the protection of the interests of the profession and the swallowing and mastication are attended with much pain and fosterinig of professional brotherhood has been founded in difficulty. The tongue at first appears red and slightly MIadrid, under the title of "Asociacion del Colegio Medico de swollen, followed by the formation of a white false membrane MIadrid." The constitution and by-laws of the Association over the whole surface of the organ, small pustular eruptions were agreed upon at a meeting recently held at Madrid, under appearing at the tip and along the margin. Small irregular the presidency of Dr. Julian Calleja, Dean of the Faculty of and superficial ulcerations now form, scattered over the Medicine, and a member of the Spanish Senate. Among the interior of the mouth, the roof and floor, and both surfaces members of the provisional committee of management are the of the gums being alike affected, as well as the mucous Marquis de Guadalerzas, the editor of the Si,lo MUedico, Dr. membrane of the lips. Thus the whole mucous lining of the Angel Pulido, the well-known medical publicist, and most of mouth and fauces is in a state of mucll inflammation, accom- the leaders of the profession in the Spanish capital. panied by numbers of small ulcerating points, thus causing 6 116 ETIICA BJOiRnAL] MEMORANDA. [JULY 15, 189S considerable pain and inconvenienice. The system generally lislhed where the worm has either passed througlh or lodged- is also affected, as the disease is attended by febrile symptoms itself witlhin the phalynx, mouth, and niasal passages; malny more or less marked, and a general feeling of malaise. instances are also on record where the worm has passed into. .The peculiar poilnt in connection with this affection, in the larynx, the trachea, and even into one or other of the- which it differs from that of cattle, is that the trouble seems bronchi. The urgent symptoms in the cases in which the confined to tlle moutlh and throat alone, no abnormal appear- air passages happened to be invaded were commonly hurried ances of the feet liavimig been noticed. respiration, acceleration of the pulse, dyspncea, convulsions, The disease yields readily to treatment, a wash for the and more or less rapid asphyxia; but neither in these, lnor in mouth and throat of chlorate of potassium, along with the those more numerous cases where the gullet alone was in- application of borax honey, being in all cases successful in vaded is there, so far as I am aware, any record of the oc- producing a cure wlhen combined witlh general tonic treat- currence of severe febrile disturbance suclh as you describe in mnent by iron and quiniine. your patient's ease; at all events, elills and rigors are not G. TRAFFORD TUKE, L.R.C.P. and S.E., L.F.P.S.G. mentioned. Clinically, tlherefore, I think the case of much Bultfontein, Orainge Frec State, South Africa. interest." ALFRED T. CORRIE, Fleet-SurgeoI, R.N A CASE OF ASCARIS LUMBRICOIDES CAUSING MARKED CONSTITUTIONAL DISTURBANCE. A CASE OF POISONING BY BELLADONNA, OPIUM, [Communicated by the DIRECTOR-GENERAL OF THE MEDICAL AND CONIUM. DEPARTMENT OF THE NAVY.] ON the evening of November 8th I was called to Mrs. B., G. C., aged 18, seaman, was placed on the sick list on Sep- aged 79, who had had administered to her inadvertently a tember 19th, 1884, complaining of occasional rigors followed tablespoonful of a liniment intended for outward application- by much lheat of skin and pain in the epigastric region; the The tablespoonful she had swallowed contained 10 grains of breathing was hurried, the pulse full and rapid, the tongue extract of belladonna, 10 grains of extract of conium, and coated thlickly with a dirty white fur, and the breath foetid; 80Gn of tincture of opium. It was 5 P.M. when this tihere was much thirst and anorexia, but no headache or happened, and it was not till 6 P.M. that the mistake was vomiting. The temperature was 103.4°; the respirations 292; discovered by lher stupor and eomatose condition. On and the pulse 120. arriving at 7 P.M. I found the following symptoms: TotalL The patient stated that he first felt ill on the evening of insensibility and coma, stertorous breathing, pupils largely September 17th, feeling a chill whenever lie went to lie down, dilated and irregular, cold hands and feet, pulse 130, exceed- but this did not prevent hiim doing his usual work. On Sep- ingly feeble and intermittent, hurried respiration, and ptosis tember 18th the cold chills continued wlhen lying down, and of both eyelids. lie felt for the first time a pain in the epigastric region. Tlle stomachl pump was immediately used, bringing away a On admission a careful examinlation was made of the quantity of black grumous-looking fluid. The stomach was back and front of the chest; air was found to enter both thoroughly washed out, and strong coffee injected. Mustard lungs freely, and no dulness on percussion was discernible poultices were applied to the nape of the nieck, calves of the anywhere; the heart's action was rapid, the sounds perfectly legs, and over the region of the heart, galvanism was kept up normal. The rigors, higlh temperature, and hurried breatlh- for an hour, and cold-water flippinig and friction witlh a rougl ing led one at first to suspect " pneumonia." At 9 P.M. the towel over the chest and limbs. temperature was 102.4'. Tlle first symptoms of consciousness were noticed about On September20th the patient still complained of epigastric 10 o'elock, tlhree hours after I arrived, and five lhours from. pains, the rigors had ceased, the temperature was 100°; there the time of the accident. If left alone for a few seconds slhe was less heat of skin, tlhe pulse was quieter, 86; the tongue would again lapse into unconsciousness, so the treatment continued coated; there was no appetite; tlle bowels were was continued till 3 A.M., wlhen she was allowed to rest. On irregular. He was ordered ol. ricini 3 vjss and mist. quinive visiting her again at 9 A.M. she was perfectly sensible, but, bis die. At 9 P.m., when the temperature was 1030, the bowels extremely exhausted. The temperature was 1030, pulse 120, had been freely open, and lie had takeni a little food during the tongue and throat dry and parched. She took nourish- the day; the body felt warmer, and the skin was acting well. ment fairly well, but gradually sank forty-eight hours after On September 21st the temperature was 99.80, and the pulse taking the cdose. Although she apparently recovered from 100. The patient stated that he felt better. At 11.30 A.M. he the direct effect of the poison, her death must be attributed felt a peculiar choking sensation in his throat; on spitting, to exhaustion owing to the shock the system had received. lie spat up a fair-sized " ascaris lumbricoides," alive and of a Beckenham. GEORGE WELLER, M.R.C.S.Eng. bright red colour. An emetic was administered, thinking there miglht be anotlher worm or a part of one. He vomited RECURRENT SPINDLE-CELLED SARCOMA OF LOWER most freely, but no signs of anotlher intruder of the above JAW: EXCISION: CURE. clharacter were evident; slhortly after this lie lost all pain in C. M., aged 51, came under my care in November, 1S8G. the epigastrium, felt very muclh better, and commenced to Six months previously an epulis had been removed from thme eat hlis food heartily. gum, together witlh several teeth; immediate recurrence had On September 22nd the temperature was 98.4°, the pulse 80, taken place, and the disease was now advancing very rapidly- and he complained only of being weak. He was taking food The whole body of the lower jaw was greatly thickened, thl well; the tongue was cleaner; there was no thirst or sweat- gum being ulcerated. From the symphysis a large hard ing; he was, in fact, free from all febrile symptoms. nodular tumour projected backwards under the tongue. During the few following days the patient rapidly got wlich was healthy. On both sides were several tender and stronger, and was finally discharged to duty on September 25tl, enlarged lymph glands adherent to the preceding. Super- feeling in perfect lhealtlh. ficially tlle disease almost exactly resembled epitlhelioma Remarks.-The points of interest about this case are, first, advancing from the floor of the mouth, and infiltrating the the well-marked febrile symptoms at the onset of the disease, bone; had it been the latter an operation would have been leading one at first very naturally to suspect some congestion futile and worse. The history, absence of pain, and good of the lungs, or the commencement of one of the eruptive general health proclaimed, however, a sarcoma, and the mass fevers; and, secondly, the rapid declilne of temperature and was accordingly excised by median incision, the jaw being almost immediate abatement of all the severe symptoms and divided on the left side immodiately below the coronoid gradual return to lhealth and vigour on tlhe passing of an process; on the right, a little lower. The microscope proved entozoon. the lesion spindle-celled sarcoma; there were no myeloid The late Dr. Spencer Cobbold, F.R.S., withl whom I cor- corpuscles. Rapid recovery followed; and there has been no responded relative to this case, kindly sent me the following further recurrence, the patient being last seen in the best of statement, witlh full permission to make use of it: " There is health on July 3rd, 1893. An interesting point iil illustration no parasite so capable of producing anomalous symptoms as of the remedial powers of Nature was that for several months " ascaris lumbricoides." This arises from its well-known after thme operation the saliva continuously dribbled from the erratic habits. Quite a multitude of cases lhave been pub- mouth, and a sponige apparatus had to be worn. A ridge was JULY 15, 1893.] HOSPITAL REPORTS. [. TIHzBaRi?xsu 11]7 then formed in the mucous membranie of the floor, which by writer). It involved the whlole left side of the face; spas- completely stopped this troublesome symptom. inodic movements of tlle tongue were also present. The HERBERT SNOW, patienit was conscious. The duration of twitching was as be- Gloucester Place, W. Surgeoni Caincer Hospital, Broiiipton. fore. Speech was iiow much clearer. Twitching came on again the next (eighth) day, lasting the best part of one hour. It was said by the nurse to be localised precisely as before. The patient remarked that it was pre- REP O RTS ceded by a "numb feeling" in the tongue and a "bitter ON taste." This had been the case with each attack. Speech by this time was nearly as good as before operation. There was MEDICAL & SURGICAL PRACTICE IN THE HOSPITALS slight twitching of the same parts again on the eleventh day; AND ASYLUMS OF GREAT BRITAIN, IRELAND, this soon passed off. No more occurred. The speech was not again defective. On the twelfth day the patient spoke of a AND THE COLONIES. " singing noise " in the left ear, whichl troubled her a good deal; it was presently experienced in the right ear as well. WEST RIDI(NG ASYLUM, WAKEFIELD. After persisting in both ears simultanieously for two or three days it disappeared. There was never a more highly TRANSIENT MOTOR AND SENSOItY DISTURBANCES FOLLOWING elaborated aural hallucination than tlhis. No delusion arose UPON TREPIIINING IN A CASE OF GENERAL PARALYSIS out of it. The patient recovered from the effects of the opera- OF THE INSANE. tion without further symptoms. (By EDWIN GOODALL, M.D.Lond., B.S., M.R.C.P,, Assistant REMARKS.-The events described (the localised convul- Medical and Patlhologist.) sions, the articulatory defect, the aural lhallucinations) one Officer naturally accounts for on the theory of irritation, by a THE after-history of this case was marked by certaini events spreading congestive, possibly inflammatory, process of the of interest whielh it is proposed to note here, without, for the cortical centres connected with the parts involved in dis- present, enterilng illto the theory of the operation performed, turbance. A temporary defect of articulation may no doubt or the effect produced by it uponl the patient's disease. The arise from a one-sided affection of the cortex, or path from it. operation was undertaken quite early in the secolid stage of the Tlle accidental motor disturbances were quite unexpected, as disorder. At the time the patientwas working actively in tle it was with the object of avoiding interference with the motor ward; shehadhadno fits. I trepllined the skull at the right side functions that the part operated on was selected. In view of at a point 1Ll incll behilnd the centre of the external auditory the site of operatioin, it seems strange that the local spasms meatus, on Reid's base line, andl 2T1 inches above this line. were preceded by subjective seinsations in the tongue always, On turninlg aside the dura mater, incised crucially, a sulcus and never by aural hallucinations. The singing in the ears of considerable size was seen, running about horizontally did Inot, indeed, come on until the day after the spasms from before backwards, rather below the centre of the tre- finally disappeared. This last occurrence is of much interest, phiine lhole. The otlher objects visible were two gyri above as the posterior portion of the first temporo-splhenoidal gyrus and below the suleus respectively, and much more could be was involved in the operative procedure. seen of the superior than of the inferior. From experience In order to gain thorough access to the sulcus below the on the dead body the writer concluded that the exposed por- gyrus, the pia-araclinoid was incised along the centre of the tions of brain formed part of the superior and middle tem- latter, and torn up for a length of about one-half inch; in this. poro-sphenoidal gyri towards their posterior extremity; tlie proceeding the subjacent cortex was unavoidably injured. In sulcus was the first temporo-sphenoidal. Its size precluded making a space in the sulcus for the horse-hair drain slight the suppositioln that it was a minor sulcus, and operations additional injury was doubtless inflicted. The drain itself on the cadaver at this site had never broughit into view the possibly acted as an irritant. The fact that the singing Sylvian fissure or tlle second temporo-splhelnoidal sulcus. The was heard in the right ear as well as in the left-in which pia-arachlnoid over tlle lower half of the superior gyrus was it was first experienced-is intelligible on the considera- torn up, and a director passed beneath it into the sulcus; tion that each auditory nerve is connected with both hemi- thus a large vein in the arachnoid bridging the latter was spheres. avoided. Sufficient space was cleared, and a rather large horselhair drain inserted into the sulcus. The fluid which escaped on incision of the lepto-meninges was quite insig- NOTTINGHAM GENERAL HOSPITAL. nificant in amount. The subdural fluid, also, was scarcely FOREIGN BODY IN THE NOSE FOR TWENTY-SEVEN YEARS. noticeable. The bone was not replaced. The wound was (Under the care of Dr. HANDFORD.) dressed with boracie lint. The patient went on well until the fifth day. The evening [By ALFRED WARING, M.B., House-Phiysician.] temperature on the day following operation was 10"°, but J. A., aged 31, nursemaid, was admitted on May 20tlh, 1893, afterwards the temperature was never more tllan 100°. On the suffering from nasal obstruction and a discharge from the morning of the fifth day her articulation was noticed to be left nostril. It was said to have followed an attack of in- considerably slurred; before operation but little speech de- fluenza. A watery discharge from the left nostril was first fect was noticed. On the following day the speeclh was so noticed 2- years ago after the attack of influenza, which con- defective that it was quite impossible to understand most of tinued until Christmas, 1892. Since then it has been thicker what she said. Slhe spoke like a person in an advanced stage and "yellow, like matter," having an extremely offensive of genleral paralysis, though not so slowly. There was nio smell, recognised even by those standinig at a distance, but aplhasia, sensory or motor; the articulation alone seemed at only slightly by herself. On forcible expiration through the fault. Mentally there was no change. On the morning of nose the left side proved to be completely obstructed, and this (sixtlh) day she had a convulsion, not seen by the writer. the right side moderately free. The patielnt was a healthy The nurse in charge said the spasm involved the whole left and intelligent woman, withl no sign of organic disease. side of the face and the left limbs. She appeared tlhroughout There was no history of tubercle or syphilis. She appeared to be conscious. The attack lasted, perlhaps, one quarter of to have undergone the routine course of constitutional and an lhour. The writer saw her directly after it, when she was local treatment, and said that on two occasions her doctor in her niormal state. On the eveniing of the same day the removed pieces of bone from her nose. seizure recurred, and was seen by the writer. The lower part On May 22nd, the patient having been placed in a suitable of the left side of the face and the tongue were involved in a position for examination by strong sunlighlt, the interior of series of short sharp twitches. The mouth was drawn over the mouth and pharynx were first examined and fQund to the left. The upper part of the face and the eyes were un- normal. A nasal speculum was then passed into the left affected, so also were the limbs. The patient was quite con- nostril, well dilated, and held in situ. The appearance pre- scious. The twitching. lasted one quarter of an lhour. sented by the nasal cavity was that of a decaying or necrosing Speech was still very defective. The horselhair drain was condition of the mucous membrane, with yellow and grey removed. On the following day the twitching recurred (seen sloughy patches, combined with hypereemia around and a 158 TxV BOURl ] UNIVERSITIES AND COLLEGES. [JULY 15, 1893.

CHANGING THE "DOCTOR." Hospital; F. Golding-Bird, Guy's Hospital; H. 0. B. Browne- "B." to "A.'s" statement of the case Mason, St. Mary's Hospital; W. D. Perry, Middlesex Hospital. EXCErTON having been taken by Three gentlemiien were referred in Anatomy only, six in Physiology only, related in the BRITISH MEDICAL JOURNAL of July lst, p. 43, unider- the anid eleven in both subjects. above heading, we give insertion to the former's (B.'s) versioni of the Thursday, July 6th: facts without comment, as the ethical principle inivolved therein Anatomy and Physiology.-N. S. Bickford, Charing Cross Hospital; H. Cardin, P. G. Temple, and W. R. Davies, Guy's Hospital; A. Tenison, remains unaffected. F. A. St. John, and F. J. Pearson, St. Mary's Hospital; WV. H. Thou- B. is unable to accept A.'s account as conveying a fairly accurate ian, Cambridge University and St. Thiomas's Hospital; H. M. version of the facts, owing to two important omissions: (1) That B., at Cooper, St. George's Hospital; J. V. Worthington, Londoii the time he was called to the house, did not know that A. was in Hospital; J. A. P. Ba'rnes and S. L. Box, St. Bartholomew's Hos- attendance; that he found the patient in such a state of excitement pital; E. G. D. Piiio, University College; G. P. Ambrose, West- concerning what he supposed was a wrong done him by A. that argu- minster Hospital. ment or the suggestion of a consultation would have been futile. The Anatomy only.-J. A. Alston, University College; F. E. Mead, Yorkshire patient flatly refused to have anything more to do with A., and College, Leeds, and St. Bartholomew's Hospital; and E. L. Ward, expressed a hope that he should never see A.'s face again-a wish Middlesex Hospital. which has since been met with the rejoinder from A. that he hoped Physiology only.-F. H. Niimmo and H. G. Berry, St. Bartholomew's so, too, and did not care a " brass farthing," shaking his gloves as he Hospital; G. J. Hynes anid J. G. Wallis, London Hospital; and W. spoke in the patient's face! (2) A. and B. are both surgeons to a club H. Pearse, Middlesex Hospital. which covers a considerable district; they live some one and a-half Tllree gentlemen were referred in Anatomy only, 3 in Plhysiology only, hour's drive from one another, and the members have a right to choose and 15 in both subjects. their own doctor, this usually resolving itself into a question of dis- Friday, July 7th: tance-except in the case of the village in which C. resides, which is Anatomy and Physiology.-H. W. Evanis, London Hospital; H. E. Irzart, midway between the two. B. thinks it may be worth while to state that F. W. Ta Bois, A. Earnshaw, and C. E. S. Watson, Guy's Hospital; the case was one of influenza, which A. had declared fit for work in J. H. Murray and A. C. J. H. Hackney, University College; F. Ben- spite of the man's declarations to the contrary, and which was followed netts, St. Mary's Hospital; J. H. Jones and A. J. Ridett, Middlesex within the next two or three days by subacute rheumatism, with Hospital; D. G. Kennard, Westminster Hospital; D. H. F. Cowim effusion into some of the joints; and further, that the rules of the ;and R. S. C. Edleston, St. Bartholomew's Hospital; C. J. W. club necessitate a certificate from one of the surgeons of thle club to Gren-drod, St. George's Hospital. enable a member to continue on its funds. Anatomy only.-P. M. Brittaiin, St. Bartholomew's Hospital: A. J. Wernet, B. Instoiie, anid C. H. Mulray7 Guv's Hospital; J. W. Ford- ham, London Hospital; N. Hi. Austin anid E. W. Herrington, St- Mary's Hospital. Physiology only.-W. L. Hughes, R. Hedden, and E. S. Hall, Guy's Hos- UNIVERSITIES AND COLLEGES, pital; F. A. H. Clarke and E. J. Deck, St. Bartholomiiew's Hospital; P. Wykesmith and C. A. Ljuniggen, St. George's Hospital; and E. E. UNIVERSITY OF EDINBURGH. Lloyd, St. Mary's Hospital. FINAL EXAMINATIONS FOR THE DEGREES OF M.B. AND C.M.-Of some Five gentlemen were referred ili Anatomy only, 7 in Physiology only, 320 candidates who presented themselves, the tollowing lhave passed tile anid 8 in both subjects. Final Examination, and wvill on August 1st be formally admitted to the Monday, July 10th: degrees: Anatomy and Physiology.-T. O'N. Roe, Uiiiversity College; T. C. Last, de,yAnderson, W. C. Anderson, M.A., G. J. Auburnl. R. Ballantyne, J. T. St. George's Hospital; C. Farrant, Westminster Hospital; H. Balmford, H. P. Barlow, W. D. Barrow, D. H. Beegling, B.A., *W. B. Weeks, J. H. Tomnlinson, E. G. Simmons, N. E. Grosvenor, and E. Bell. H. P. Bennett, W. T. Blackledge, J. Blyth, M. R. Bow, A. S. Lloyd, St. Bartholomew's Hospital; E. L. N. Hopkins, Middlesex Boyd, C. W. Brand, A. H. Buchan M A, J. M. Buist, J. C. Caldwell, Hospital; H. Alexander and T. Davies, Guy's Hospital; M. M. A. W. C. Cameroin, P. Campbell, F. Cargill. H. W. Case, *J. G. Bernstein, Imperial University of Moscow; W. A. Montgomery, St Cattanaeh, W. Catto, M.A., W. R. Center, J. E. A. Chatelier, C. Thomas's Hospital; J. B. Reid, Trinity College, Toronto. Christy, J. Clark, T. A. Cliach, G. A. Cohen, G. P. Coldstream, D. M. Anatomy only.-A. H. Finch and E. A. Prebble, Guy's Hospital; E. A. Conacher, R. A. G. Constantian, J. N. Craig, G. P. Crarar, C. Crerar, Weber and H. J. Godwin, St. Bartholomew's Hospital; W. B. Price, D. B. Crerar, D. R. Crow, N. C. Das, A. Denison, G. R. Denton, C. B. St. Thomas's Hospital and Mr. Cooke's School of Anatomiiy and Dobell, J. K. Drysdale, J. B. Duff, R. C. Dun, J. D. Duncan, R. W. Physiology- and J. H. Fergusson, St. George's Hospital. Duncan, T. Dunlap, J. C. Dunn G H Dubont, A. M. Easterbrook, Phlysiology onty.-E. Millais and G. H. Alcock, St. Thomas's Hospital; E C. Edwards, S. Evans, D. M. Ferguson, J. L. Ferris, P. D. Fick, H. E. Goulden and W. J. A. Kirby, Middlesex Hospital; T. J. A_ D. Findlay, A. M. Fleming, W. E. Foggie, M.A., A. W. Forrest, A. Tulk-Hart and WV. F. Reckitt, Guy's Hospital; S. V. H. Underhill, Foster, *W. E. Fothergill, M.A., B.Sc., J. A. Foulis, D. P. Foulkes, St. George's Hospital; W. W. Walker, St. Mary's Hospital; and H. R. A. Fox, A. M. Fraser, J. G. Fraser, A. Gardner, H. B. Gladstone, Jackson, Yorkshire College, Leeds, and St. Mary's Hospital. J. H. Glover, S. D. Grallam, J. T. Grant, H. Grey, A. Gwyther. W. T. wvere referred in Anatomy only, 7 in Plhysiology only, Hall, W. C. Hamilton, R. Hanton, C. Hardeastle, F. P. Hearder, T. Eight gentlemeli B. Heardel, G. Hodges, C. A. Hogg. R. Hoggan, C. W. Holmiie, J. anid 9 in both subjects. Hume, G. P. Humphrey, *R. Hutchison, J. W. Hyslop, E. IV J. Ire- land, R. C. Jameson, T. J. Jehu, R. Kenyon, C. Kerr, C. T. C. King- ROYAL COLLEGE OF SURGEONS. don, J. Kippie, W. C. C. Kirkwood, L. F. E. B. Knuthsen, F. W. AT the quarterly meeting of. the Council of the College, Mi. Leonard Langton, B.A., J. A. Lee, E. S. Lewer, G. 0. M. Lunt, G. A. Mac- of Mason and General Hospi- donald, H. M'Donald, A. W. J. M'Fadden, G. MacGibbon, J. A. Mac- Parker Gamgee, L.R.C.P.Lond., College kenzie, A. Macintosh, J. D. P. M'Lutchic, J. D. Macleani, J. D. tal, Birmingiham, having previously passed the necessary examinlations M'Millan, J. G. M'Naughton, R. H. Makgill, J. Marsh. R. B. Martin, anld having now attained the legalage of 25 years, was admitted a Fellow. A. C. Matchett, R. M. Matheson, J. C. Maxwell, M.A., W. Millar, T. B. Moore, B.A., J. M. Morris, M.A., C. G. Murray, D. Murray, D. G. Newton, J. D. Noble, L. S. Norman, G. W. Park, C. H. Papman, *J. SOCIETY OF APOTHECARIES OF LONDON. V. Paterson, M.A., F. R. Patterson, J. Pearse, J. Penny, G. Phillips, PRIMARY EXAMINATION, PART I. July, 1893.-The following candidates J' C. Potter, R. H. Piice, G. L. H. Pringle, S. W. Prowse, B.A., E. B. passed in: Purdon, G. M. Rae, M. B. Rae, J. Reiach, R. Rendall, A. Robertson, Chemistry, Materia Mled:ica, Botany, and Pharmacy.-M. Fenioulhet, W. Robertson, E. Robinison, L. N. Robinson, F. W. H. Robson. J. E. Zurich; M. Paine, Royal Free Hospital. Rogers, R. Rosie, W. A. Rutherford, S. M. J. Saliba, C. E. Salt, M. Biology.-F. M. Cooper, Royal Free Hospital; M. Joyce, Royal Frc- Sandeman, M.A., H. Schmitz, T. G. Scott, H. Scott, W. E. Scott-Mon- Hospital; M. Paine, Royal Free Hospital. crieff, W. M'D. Selby, J. P. Silver, B.A., A. H. H. Sinclair, A. A. Chemistry.-A. T. Griffiths; M. Joyce, Royal Free Hospital. Scot-Skirving, G' Smith, M.A., T. Smith, J. Sorley, M.A., St. J. Mlateria Medica, Botany, and Pharmacy.-D. Hamilton, Royal Free Hos- Stanwell A P. Steavenson, J Steed, J. W. Stenhouse, C. P. Stewart, pital; E. H. Kenny, Manchester. D. W. Suiherland, J. M. Sutter, J. Tennant, M.A., G. St. C. Thom, D. Pharmacy.-M. H. Crulkshank, Royal Free Hospital. Thomas, M.A., E. S. Towert, W. B. Turnbull, H. W. Vaughan- PRIMARY EXAMINATION, PART II. July, 1893.-The following candidates Williams, H. Walker, M.A., J. G. Walker. H. S. Walsh, E. E. Waters, passed in: F. H. Watling, R. H. Watson, M.A., T. Watson, W. T. Wearing, D. Anatomy and Physiology.-C. Adams, Royal Free Hospital; E. G. Adams, A. Welsh, M.A., B.Sc., T. R. Williams, T. Yeates, J. B. Yeoman, and Royal Free Hospital; E. C. D. Bascombe, Middlesex; H. L. Billett, Y. M. Yorab. Royal Free Hospital; F. Butcher, Royal Free Hospital- E. L. Cole- * w brook, Royal Free Hospital; M. H. Cruikshank, Royai Free Hos- Those namnes marked with an asterisk lhave passed with distinctioni." pital; H. S. Desprez, Guy's Hospital; D. Hamilton, Royal Free Hospital; M. H. Halris, Royal Free Hospital; M. K. S. Holst, Royal EXAMINING BOARD IN ENGLAND BY THE ROYAL COLLEGES OF Free Hospital; J. G. Horwood, Royal Free Hospital; C. E. Long, PHYSICIANS AND SURGEONS. Royal Free Hospital; E. Millais, St. Thomas's Hospital; J. T. New- THE following gentlemen passed the Second Examination of the Board at ton, Birmingham; V. A. Settle, Middlesex Hospital; J. K. H. a meeting of lhe Examiners on Wednesday, July 5th: Smyth, St. Mai'y's Hospital; M. M. Townsend, King's College; C. S. Anatomy and Physiology.-F. R. Orella, student of Cooper Medical Vines Royal Free Hospital; Von Himpe, Royal Free Hospital; C.. College, San Francisco; F. M, Seal, H. A. Gunther, and J. Shardlow, H. Wiiliains, St. Bartholomew's. University College, London; C. Bramwell and H. Dingle, King's Anatomy.-A. M. Browne, Royal Free Hospital; A. N. Clemenger, St. College; H. W. Silver and W. Wallis, Charing Cross Hospital; P. A. George's Hospital; M. S. S. Coghill, Royal Free Hospital; J. W. A. Palmer, St. Bartholomew's Hospital: R. A. Cooper, St. George's Coopeir, King's College; H. G. C. Dring, St. Bartholomew's Hos- Hospital H. E. Haymes and J. T. Vulliamy, St. Thomas's Hospital;, pital; C. G. Etches, Leeds; F. H. Fawcett, London Hospital; H. F. F. H. Hardy, T. W. Stanton, and W. W. Farnfield, Guy's Hospital; Forty, Middlesex Hospital; E. M. Gough, Royal Free Hospital" C. W. Seccombe and E. G. Grove, St. Mary's Hospital. F. C. Gould, Birmingham; E. J. Gruchy, London Hospital; A. J_ Anatomy only.-C. G. Moffitt, University College, London; R. G. Knox, Hayes, Middlesex Hospital; G. P. Y. Hulbert, Birmingham; J.. King's College; A. Woollcombe; A. E. Hodgkins and P. W. James, Jacob, King's College; C. A. K. Renshaw, Cainbridge Utniversity, St. Bartholomew's Hospital. and Manchester: R. P. II. WVhitmarsh, St. Thomas's Hospital; T- Physiology only.-G. E. Gardiner anid H. Clarke, St. Bartholomew's H. Wilkins, Char iig Cross IHospital. JULY 15, 1893.] PUBLIC HEALTH. THED BRITS 159

Physiology.-C. C. Bulmore, University College; P. J. Curtis, Guy's Hospital; C. A. S. Fitter Royal Free Hospital; W. J. Henson, Guy's Hospital; H. Jackson, Si. Mary's Hospital; E. J. Maegowan, Royal PUBLIC HEALTH Free Hospital; J. C. MeWalter, Dubliu. AND POOR-LAW MEDICAL SERVICES. ANNUAL REPORT TO THE ESSEX COUNTY COUNCIL. MEDICO-PARLIAMENTARY. AN abstract of the report by Dr. Thresh on the reports of the local medical officers of healtprepraredwithin the administrative county of Essex IIO USE OF COMMONS.-Tuesday, July Wih. lias been compiled by a subcommittee of the Essex Counity Council. This Thle Instrction of Army Surqeons in Field Exerci8es.-Mr. A. C. MOIRTON abstract, though brief, sufficiently indicates that the report is a compre- asked the Secretary of Stateufor War whether representations had been hensive one, and it is gratifyin to note that it is to be printed in full. made to hini oni the part of the army surgeons as to the sufficiency of Durinig the year a circular letter was sent to local sanitary authorities their powers to properly carry out their duties to the sick and wounded asking that celtain definite information should be furnished in the in the field and that they did not receive the assistance and protection of annual reports of the several medical officers of lhealth. In this manner the authorities in time of peace in properly carrying out their sanitary Dr. Thresh has been enabled to give an epitome of the water supplies, duties towards the rank and file of the army; what training did army systems of sewerage, hospital accommodatioin, etc., in the various dis- surgeons anid their corps receive in time of peace to enable them to efficl- tricts of the county. Attention is drawn to the fact that the death-rate in ently carry out their duties on the field of battle ?-Mr. CAMPBELL-BAN- the rural districts continues year after year to be markedly higher than NERMAN: No representations such as are referred to in the first para- in the urban districts of Essex. In many of the rural districts the graph of the hon. member's question have been received from army medi- systems of sewerage and drainage are still very defective. The Notifica- cal officers. There are two courses of instruction for medical officers on tion Act is now in force throughout the entire county, but the hospital joining the service: (a) At Netley, in hospital organisation anid routine for accommodation is stated to be most inadequate. The County Council in peace and wvar, and the study for special tropical diseases, military sur- any case appears to be fully alive to its responsibilities, and determined gery, and hygiene. (b) At Aldershot, in military duties, miiedical staff to do all itl its power to bring about a hi standard as r corps and ambulance work generally, such as they would have to perform gh egards public on tlle battlefield. They are instructed in the practical duties of bearer health adiiiiiiistration in Essex. company and field hospital work, and for this purpose the equipment of the field lhospital and the bearer company is kept at the Medical Staff HEALTH OF ENGLISH TOWNS. Corps Depot, Aldershot. As I stated a few days ago, it was intended that IN thirty-three of the largest English towns, inieluding London, 5,786 ome additional opportunity shall be afforded for special training in field births and 4,702 deaths were registered during the week ending July 8th. duties. The annual rate of mortality in these towns, which had increased from 17.5 to 22.7 per 1,000 in the preceding six weeks, further rose to 23.8 during Thursday, July 6th. the week under niotice. Thie rates in the several towns ranged from 11.8 Tests for Coloucr Blindness.-Dr. MAcGREGOR asked the President ot the in Derby and in Oldham, 13.5 in Norwich, and 15.0 in Plymouth and in Board of Trade whether his attention had been drawn to a report pre- Huddersfield, to 32.0 in Bolton, 32.1 in Leicester, 32.2 in Manchester, 34.9 sented to the Board last summer by the Council of the Royal Society on in Liverpool, and 42.1 in Preston. In the thirty-two provincial towns the the best inethods of testing for colour blindness among railway servants mean deatlh-rate was 24.8 per 1,000, and was 2.5 above the rate recorded in and mariners; whether he had also seen a report, which was sent to the London, which was 22.3 per 1,000. The 4,702 deaths registered during the Board in June, 1892, by the Council of the British Medical Association, week under notice in the thirty-three towns included 1,197 which were showing the inefficiency of the methods of sight testing employed on referred to the principal zymotic diseases, against numbers increasing most of the railways of the United Kingdom; and whether the Board from 415 to 1,108 ln the preceding five weeks; of these, 816 resulted from had taken, or was about to take, any steps to secure a more efficient diarrhcea, 112 from measles, 85 from whooping-cough, 76 from diphtheria, control of the eyesight of such seamen and railway-men as were respons- 54 from scarlet fever, 41 from "fever " (principally enteric), and 13 from ible for the safe conduct of traffic.-The PRESIDENT OF THE BOARD OF small-pox. These 1,197 deaths were equal to an annual death-rate of 6.0 TRADE said that the attention of the Board of Trade had been called to per 1,000; in London the zymotic death-rate was equal to 5.2, while it the reports referred to in paragraphs 1 and 2, and the matter was receiv- averaged 6.6 per 1,000 in tiie'thirty-two provincial towns. The lowest ing attention. With regard to seamen, steps were being taken for a rates for these zymotic diseases were recorded in Bristol, Plymouth, revised system of colour tests; and as regards railway servants, a circular Huddersfield, and Halifax, and the highest rates in Birmingham, Liver- letter on the subject had been addressed to all the railway companies, pool, Blackburn, Bolton, Leicester, aiid Preston. Measles showed the and as soon as the correspondence was complete the Board would con- highest proportional fatality in Liverpool, Cardiff, Burnley, Blackburn, sider whether it could be usefully laid before Parliament. Preston, and Newcastle-upon-Tyne; scarlet fever in Bolton; whooping- Monday, July 10th. cougl in Birkenhead, Blackburni, and Gateshead; "fever " in Burnley, Vaccination and Tuberculosis.-Mr. HOPWOOD asked the President of the Huddersfield, and Sunderland; and diarrheea in Sheffield, Wolver- Local Government Board whether the department supplied calf lymph hamptoii, Manchester Liverpool, Birmingham, Boltoii, Leicester, and £or vaccination purposes, whether it could guarantee the Public Preston. The 76 deaths from diphtheria included 54 in London, 5 in the inoculation of tuberculosis from that source, and whetheragaiiisttuber- Manchester, and 4 in West Ham. Nine fatal cases of small-pox were culosis had been communicated to animals by vaccination in experi- registered in London, 2 in Birmingham, 1 in West Ham, and 1 in Brad- ments by Mr. Wilson Fox and others.-Sir WALTER FOSTER said the ford, but not one in any other of the thirty-thlree towns; .381 small-pox Local Government Board supplied calf lymph for vaccination purposes. patients were under treatment in the Metropolitan Asylums Hospitals The Board had no information of tuberculosis having been communi- and in the Highgate Small-pox Hospital oni Saturday last, July 8th, cated through such lymph, and, until science had taught them that, the against numbers declining from 570 to 397 at the end of the preceding Board were not prepared to issue a guarantee as asked for by the eight weeks; 68 new cases were admitted during the week, against 105, hon. member, which was superfluous. 59. and 76 in the preceding three weeks. The number of scarlet fever AduUerated Butter.-Mr. JOHN ELLIS asked the Under-Secretary for patients in the Metropolitan Asylums Hospitals and in the London Fever Foreign Affairs whetlher a proposal had been received from the Danish Hospital was 2,885, against numbers increasing from 2,024 to 2.775 on the Government for the meeting of a conference with a view of dealing with preceding twelve Saturdays; 362 new cases were adnmitted during the the international trade that now existed in adulterated butter, and what week, against 264, 309, and 364 in the precedinig tlhree weeks. The 235 course the Government proposed to take in the matter.-Sir E. GREY deaths referred to diseases of the respiratory organs in London were 36 said that the Danish Government had made such a proposal, and, after above the average, and were equal to an annual rate of 2.9 per 1,000. consultation with the various departments concerned, a reply had been returned to the effect that Her Majesty's Government would not feel HEALTH OF SCOTCH TOWNS. justified in taking the initiative in the International action proposed, but DURING the week ending July 8th, 841 births and 607 deaths would be glad to consider any further practical suggestion which the were registered iii eight of theSaturday,principal Scotch towns. The annual rate Danish Government might have to make. of mortality in these towns, which had been 22.0 anid 21.5 per 1,000 in the preceding two weeks, was again 21.5 during the week under notice, and Tuesday, July 11th. was 2.3 per 1,000 below the mean rate during the same period in the Rivers Pollution Prevention Bill.-This Bill passed tlhrough Committee, thirty-three large English towns. Among these Scotch towns the lowest and was thell read a third time and passed. rates were 16.1 in Aberdeen and in Leith, and 17.3 in Edinburgh and the highest rates 25.2 in Glasgow and 25.7 in Greenock. The 607 aeaths in and these towns included 132 which were referred to the principal zymotic Police Sanitary CoMMnittee. The Select Commiiiiittee on Police and diseases, equal to an annual rate of 4.7 per 1,000, which was 1.3 below the ,Sanitary Bills, held their filial sitting for the sessioni oni July 11th, lhavinlg mean zymotic death-rate during the same period in the large English .disposed of fifteen measures during the forty-three days of inquiry. Onl towns. The highest zymotic death-rates were recorded in Edinburghl. the motion of Mr. WALTER LONG, the chairman, it was agreed to presenit Glasgow and Greenock. The 328 deaths registered in Glasgow incluild a special report to the House, suggesting the appointment of an official 43 from Aiarrhaea, 20 from measles, 15 from whooping-cough, aiid 6 fronii ;adviser of thie Committee, occupying a post in reIation to the Committee diphtheria. Ten fatal cases of measles were recorded in Greenock. The ;analogous to that of parliamelntary agent to promoters of the Bills re- death-rate fromii diseases of the respiratory oi-gans in thlesc townis was ferred to the Committee. It was also aecided to recommend that a Cir- 2.9 in Lonidoni. cular should be issued by one of the departments, such as the Local equal to 3.1 per 1,0CO, against ,Government Board for Englanid and Wales, and the Scotch Office in the case of Scotland, to ever-y local authority conveying tlle precise terms of HEALTH OF IRISH TOWNS. the instructions of the House of Commlions, and calling the attentioni of IN sixteen ot the piincipal town districts of Irelanid the deatlhs registered .these local authorities to the necessity of confining their proposals duriing the week ending Saturday, July 1st, were equal to ail al anial rate within the limits which Parlianiient lhas expressly laid down. The Com- of 24.9 per 1,000. The lowest rates were recorded in Sligo and Lurg n, miiittee believe that if local autlhorities were by some such means made and tlle highest rates in Galway and Drogheda. The deatli-iate froni ho fully aware of the position in the matter, it would lend to the savin)g of prinicipal zyniotic diseases averaged 5.0 per 1,000. The 206 dcii lis regis- much time and money, which is now w:sted when Bills are presented tered in Dubliii were equal to an aniiual rate of 30.7 per 1,OC0 (api inst 28.2 containiing proposals wlhich the Commit tee feel that they are debarred and 25.4 in the preceding two weeks), the rate during the sani e leriod under-the iistriuetion frcm entertaining lzeing 22.2 in London anid 22.0 in Edinburgh. Time 206 dcitlis a Bui-lin TM [JULY 15, 160 MrDICALBaLTOUJOIJNALJL,I MEDICAL NEWS. JL 5 1893.83 included 35 which were referred to the principal zymotic diseases (equal Shelter has not yet been terminated, and last week, oii the to an annual rate of 5.2 per 1,000), of which 22 resulted froin diarrhcea, 7 from whoopilng-cough, and 4 from enteric fevcr. application of the defendant's'solicitor, a furtlier adjourn- ment for two weeks was granted upon payment of certain FEES UNDER THE NOTIFICATION ACT. costs by the defendant. A MEDICAL OFFICER OF HEALTH writes: Four cases of scarlet fever arise in a tradesman's house. I am notified by him. On my requestiing him to THE Professorial College of the University of Viennia has send for his own doctor he declines for fear of publicity. I decline to recommended Professor Bernhard Naunyin, of Strassburg, as attend as the doctor, but advise parents as to all sanitary precautions, successor to the late Professor Kahler in tlie Chair of Medi- etc. Must I certify each case, and charge half-a-crowni fee for each of cine. Professor Erb, of Heidelberg, to whlomn it was first them ? offered, felt himself compelled to decline the invitation.- * ,As our correspondent points out, thc words of the Act are "' every medical practitionier attending on, or called in to visit, the patient DR. VALLAS lhas published a paper on etlher as an anaes- shall forthwith, on becoming aware, etc., send to the medical officer of thetic in the Revue de Chiruryie. He states that the Lyons health of the district a certificate." Inasilmuch as our correspondent School of Surgery, after an experience of fifty years, has visits the patients in his official capacity on the notification of the declared in favour of ether, as being, on the wlhole, the best parent, and declines to act as their private miiedical attendant, we and safest aneesthetic. It is admitted that clhloroform has advise him lnot to claim any notification fee. advanitages in the case of young patients, but otlherwise with them ether holds tlhe field. POPLAR HOSPITAL FOR ACcIDENTS.-Sir Donald Currie M.P. HOSPITAL AND DISPENSARY MANAGEMENT. has contributed £500 towards the £3,000 needed to complete the building fund of the Poplar Hospital far Accidents, with THE HOSPITAL CONVALESCENT HOME AT SWANLEY. a strong expression of opinion that a hospital for accidents THE beds in this home are allotted as follows:-London Hospital, 30 beds; is an absolute necessity in that district. Guy's Hospital, 30 beds; St. Thomas's Hospita1w 20 beds; Middlesex Hos- pital, 20 beds; Westminster Hospital, 15 beds; and St. fMary's Hospital, MEDICAL AID FOR INDIAN WOMEN.-The ainilual meeting of 1.5 beds. The nursing staff consists of matron, assistant matron, two the United Kingdom branlch of the Countess of Dufferin's' charge nurses, and six assistant nurses. The home has been built and wvill be maintained out of a gift of £100,000 fromn Mr. Peter Reid, supple- Fund for supplying medical aid for the women of India was mnented by £50,000 fromii an anonymous donor. The chapel is the gift of held on July 12tli, Sir A. Lyall presiding. Thle annual report Mr. Ebenezer Homan. stated that the work of the association now extended from the camps in Beloochistan to in and COLNEY HATCH ASYLUM. Rangoon Burmah, from La- THE conduct and demeanour of the patielits at Colney Hatell were, says hore to Tinnivelly. Tllere were eleven provincial branches thie Daily News, found by the Commissioners of Lunacy, on their recenit under the central commliittee, and 120 local and district visit of inspection, to be very good on the whole, and no serious coin- branches. More tllan 12 lakhs of rupees had been spent in plaiints of rouglh usage were inade. It does not appear, lhowevel, that the patients have becomiie reconciled to the disuse of beer as a beverage at the ereetion of buiidings specially adapted to afford medical dinnier, and many complaints oni the subject reached the Visitors. As it relief to native women. The number of women who liad re- lhad been so long the custom to give it here, the Commissioners thinik it ceived medical aid during the past year was 466,000. Nine was a pity to introduce the chanige, thc benefit of which to the cause of lady doctors with English qualifications, and tlhirty-two temperance they " very much doubt," wlhile it has, in their opinion, cer- assistant-surgeons and female medical practitioners, were tainly rendered the patients less contenlted. working in connection with the fund. The United Kingdom branch brought the aims of the association before the public raised subscriptions and selected lady doctors for India. OBITUARY, LiP READING.-The annual meeting of the Association for the Oral Instruction of the Deaf and Dumb was held on July THE death is reported of Mr. Johll Paxton, of Norham-on- 12th in the (irafton Galleries, when Her Royal Highness the Tweed, at the age of 81. The deceased took the diploma of Duchess of Fife presented prizes to the successful students L.R.C.S.Edin. in 1833, and that of L.R.C.P.Edin. in 1863. Mr. of the school. The Duke of Fife, who took tlle chair, in Paxton was. one of the oldest medical practitioners on the moving the adoption of the report, said he could hardly Borders, he having been fifty-six years at Norham, wlhere he exaggerate his admiration for a system which enabled those lhad an extensive practice. wlho lhad been less fortunate than the generality of mankind not only to converse among themselves, but to communicate' with the outside world almost as freely as those whose hear- ing was p'erfect. Before the prizes were distributed a short MEDICAL NEWS, demonstration of some points in the system was given by Miss BALFOUR, who will be accompanied by her brother, Mr. Van Praagh and the teachers in the school, It was ex- Mr. A. J. Balfour, will open the Willesden Cottage Hospital, ceedingly interesting to observe the care witlh which each built by Mr. Passmore Edwards, on July 18tlh. individual child had been trained to produce the elementary sounds of the language, to combine them into words-words THE London Hospital Club IJnioni have received a new re- which the poor eliildren had never heard-and to attach creation ground at Lower Edmonton. Tlle ground was meanings to the various combinations of muscular move- opened recently with some ceremony by Lady Clark. ments involved in the operation. The lip readinig itself is THE foundation stone of the first homceopathic hospital in clearly a much more simple process, and is, in fact, but a Russia was laid at St. Petersburg oIn June 24th. It is esti- refinement to a high degree of a faculty we all make use of in mated to cost £20,000. ordinary conversation; everyone can follow a speaker better SEMMELWEISS MEMORIAL.-Dr. Elischler, treasurer of the when he can see his face. f-u-nd for the erection of a memorial to Semmelweiss, has THE DEEP WELLS IN THE CITY.-Tlie report of Dr. Sedg- published a statement showing thlat to the present the wick Saunders, the City analyst, iii regard to. the water amount collected for the purpose is 2,039 gulden (about £170). derived from the deep water-bearing strata under the city; MEDICAL MAGISTRATE.-Mr. S. Macmillanl Challinor, shows that there is a remarkable agreement in the composi- L.R.C.P., M.R.C.S., of Askam, Barrow-in-Furmess, has been tion betweeln that raised at the differe'nt artesian wells at placed on the Commissioni of the Peaee for the County of Queen Victoria Street, Broad Street Ihouse, the Manchester Lancashlire. Hotel, and the Artizans' Dwellings, indicating that the supply is all drawn from the same beds. It is stated to be PRESENTATION.-Tlle members of the Cooklham St. John softer than the water supplied by the companies, also that it A. nbulance Class lhas presented Dr. Mason witlh a handsome is occisionally turbid from the preseniee of a little suspended silver-mounted riding whip, as a token of their appreciation argillaceous matter, and of course it is of a very uniform tem- ofihis services in giving the lectures. perature. Tlle point of interest in all these deep well under- NIGHT SHELTERS AND INFECTIOUS DISEASE.-Tlle prosecu- takings is tlhe amount of water they can be trusted to supply ti in instituted by the Vestry of St. George, Southwark, continuously. and this can only be determined by ste idy a;ainist the officer in charge of the Blackfriars Salvatioii Army pumping. That consider .! ie movenent of iindergro :ncl JULY 15, 1893.] MEDICAL NEWS. [IEDIL JOUAL 161 water has already been set up by the increased calls upon TRAINED NURSES IN WORKHOUSES INFIRMARIES.-Ill con- -it seems to be indicated by the occasional appearance of nection with the work of the Association for Providing turbidity. Trained Nurses in Workhouse Infirmaries, a meetinLg was hela DR. R. T. PLIMPTON has been appointed Lecturer on on July 11th at Lady Wantage's residence, 2, Car ton Gar- Chemistry in the Middlesex Hospital Medical School. dens, which was largely and influentially attended. Among those present were Dr. Savill, Mr. Bousfield, Sir Douglas ENGLISH SUBJECTS IN THE OXFORD AND CAMBRIDGE LOCAL Galton, and Mr. Ernest Hart, and many ladies of dis- EXAMINATIONS FOR JuNIoRS.-At a conference lheld recently at tinction. Princess Christiaii had been expected to pre- Oxford the committee of the Head Masters' Association re- side, but she wrote regrettilng that, owing to indisposi- ported that in their opinion the several periods in English tion, she was unable to keep the engagement. She as- history being felt to be too long, there should be three divi- sured Lady Wantage of her deep, sympathy with the work. sions of the whole subject, one being set each year, and that Lord Wantage spoke of the excellent results achieved by the the period for special study be abolished. This is a matter Association, and of the appreciation and sympathy which we endorsed in this JOURNAL on April 25th, 1885, and their efforts had met with. It was pointed out that up to the we niow hope that tlle authorities at Oxford and Cambridge present time the Committee have been largely dependent on -who have the management of the local examinations will the services of nurses trained by other institutiolns. The carry out this needful reform, and so prevent as far as Committee, therefore, lhad made an earnest appeal for a sum possible unnecessary and injurious cramming. of £2,000 to formii a training fund. Lord George Hamilton, ST. JOHN AMBULANCE BRIGADE AND THE ROYAL PROCES- M.P., in moving a resolution urging the establishment of sIoN.-Too much praise cannot be accorded to the members such a fund, dwelt on the fact that while good nursing was of the St. Johni Ambulance Brigade for the excellent way in always within- reach of the well-to-do, it was not always pos- which they carried out their arduous duties on the occasion sible to the poorer classes, to whom health was of most vital of the great assemblage whichl took place to witness the importance. Miss Twining narrated the history of the move- Royal Procession on July 6th. The nlumber of cases treated ment. It was impossible to meet the many and growing de- at Buckingham Gate was 300, at Broad Street 250, and at mands made upon the Association with their inadequate in- St. James's 125. The zeal with whielc medical officers, come. The provision of the nursing staff of the Hampstead nurses, and ambulance officers and men worked won the Workhouse Infirmary, St. George's in the' East, Cardiff, warm admiration of the vast crowds among whom they Hartlepool, and Norwiclh Union Infirmaries lhave been en- mingled in the exercise of their Samaritan duties. Altogether trusted to the care of the Association. Besides these, twenty- 1,500 cases were treated, and many of the men were on duty eight boards relied entirely on the Association for their sup- from 6 A.M. on July 6th until 2 A.M. on July 7th. The cheer- ply of nurses, and over one lhulndred boards had applied to fulness with whichl these arduous services were rendered tlhem, but many applicants lhave had to be refused, owing to deserves, and we lhope will receive, the warmest recognition want of funds. During the year 1892, 132 applications were from the public. made for nurses, of whichl it was only possible, for want of DEATHS IN THE PROFESSION ABROAD.-Anmong the memibers funds, to respond to seventy, as compared with 82 in the pre- of the medical professioln in foreign coulntries who have ceding year. The *funds of this institution are extremely recently died are Dr. Nils Gustaf Kjellberg, Professor of well administered, the expenditure is kept at the lowest Psychological Medicine in the University of Upsala, and the possible level, and altogetlher the Associatioln is worthy of leading authority on the subject in Sweden, aged 66; Dr. Benjamin Georg von Lange, the oldest medical practitioner every support. of Itiga, formerly a distilnguished military surgeon who MEDICAL VACANCIES. served in the Crimean war, in thme Polish campaign of 1863, *1n(l in the Russo-Servian war, and autlhor of a small work on The following vacancies are announced: ASYLUM FOR IDIOTS, Earlswood, Redhill, Surrey.-Assistant Medical clholera, oftwhichl he had seen several epidemics, aged 81; Officer. Salary, £150per ainnum, with board and residence. Applica- -Dr. Juan Vilanova y Piero, formerly Demonstator of Anatomy tions, in envelope marked " Assistalnt Medical Officer," to the Secre- in the University of Valencia, afterwards Professor of Geology tary, 36, King Wllliam Street, Lonidon Bridge, E.C., by July 25th. aind Palmeontology in the University of Madrid, author of BRAINTREE UNION RURAL SANITARY AUTHORITY.-Medical Offi- cer of Health. Salary, 2100 per annum. Applicationls to Fred. nutimerous valuable works on these subjects, a member of the Smiioothy, Clerk, by July 18th. Rloyal Spanish Academy of Medicine and of all the leading CAERPHILLY LOCAL BOARD.-Medical Officer of Health. Salary, £40 scientific societies in Spain, Commalnder of the Orderof Charles per annum. Applications to David Lewis, Clerk to the Board, Caer- tlhe Third and of the Crown of Italy, etc., aged 72; and Dr. philly, by July 19th. Beniamino Luzzatto, Professor of Medicine in the University CHARING CROSS HOSPITAL, W.C.-Assistant Surgeon, must be F.R.C.S.Eng. Applications to the Chairman of Committee by July of Palermo, and autlhor of treatises on Auscultation and 24th.- .Percussion, Diseases of the Circulatory Apparatus, etc., CHELSEA HOSPITAL FOR WOMEN, Fuilham Road, SAW.-Lady Dis- aged 44. penser. Salary, £60 per annum. Applications on foi'ms to be ob- *WEST LONDON M5DICO-CHIRURGICAL SOCIETY.-At tlle tained at the Hospital to the Secretary by July 17th. annual meeting of the above, held oln July 7th, COUNTY ASYLUM, Lancaster.-Assistant Medical Officer; unmarried general Salary, £100 per annum, increasing 225 annually to £200 per annum, F. Swinford Edwards, F.R.C.S., President, in the chair, the with furnished apartments, board, etc. Also Clinical Assistant. No report of the secretaries showed the Society to be in a highly salary; board, lodging, etc., provided. Applicatiolns to Dr. Cassidy, satisfactory condition. The average attendances during the Medical Superinten-dent, by July 24tlh. session had amounted to forty-three ; thirty-four new GENERAL HOSPITAL FOR SICK CHILDREN, Pendlebury, Manchester. past -Junior Resident Medical Officer; doubly qualified. Salary, 280 per members had been admitted, while the Society regretted .the anlnum, with board and lodging. Applications to the Chairman of loss of five by death-H. C. Andrews, M.D., C. E. Cotes, the Weekly Board by July 29th. M.B., F.R.C.S., W. B. Hadden, M.D., J. Ingleby Mackenzie, GENERAL INFIRMARY, Leeds.-Resident Medical Officer. Salary, £100 M.D., and Charles Vasey. Under the able treasurership of per annum, with board, washing, and lodging. Applications to Mr. Dr. Gunton Alderton, the funds of the Society were shown to Littlewood, Secretary to the Faculty, Infirmary, Le eds, by July 21st. GREAT NORTHERN CENTRAL HOSPITAL, Holloway Road, N.-House- be in a most favourable state. The officers elected for the Surgeon. Salary, £60 per annum, with board and lodging in the hos- enisuing year are as follows :-President: *Dr. Donald W. C. pital. Applications to William T. Grant, Secretary, by July 24th. 1-hood. Vice-Presidents: Mr. Keetley, Dr. Travers, Dr. GREAT YARMOUTH HOSPITAL.-House-Surgeon; doubly qualified. (ampbell Pope, Mr. T. Gunton Alderton, Dr. Charles Wells, Salary, £90 per ainnum, with board anid lodging. Applications to *Mr. Swinford Edwards, Mr. Leonard Mark, Dr. Symons Richard F. E. Ferrier, Honorary Secretary, by August 1st. HEREFORD COUNTY AND CITY ASYLUM.-Locumii Tenens. £29 2s. per Eceles, *Mr. Bruce Clarke, *Mr. J. Herbert Menzies. week, with board alnd lodginig. Applicatiolns to the Mledical Superin- Co,uncil; Dr. Abraham, Dr. J. B. Ball, Dr. Banning, Mr. W. tendent. Steer, Dr. C. W. Chapman, Dr. Clippingdale, Mr. H. P. HOSPITAL FOR CONSUMPTION AND DISEASES OF THE CHEST, I)unn, *Dr. W. T. Gardner, Mr. Rickard Lloyd, Dr. Masters, Bromiipton.-Residenit Medical Officer; doubly qualified and niot under 25 years of age. Salary, £200 per aninumii, with board anld residence. l)r. Schacht, *Dr. Henry Sutherland. Tr(asurer: Mr. T. Applications to Heniry Dobbin, Secretary, by July 26tli. (hunton Alderton. Secretaries: Dr. A. Clemow, *Mr. Riehard HOSPITAL FOR EPILEPSY AND PARALYSIS, 32, Portland Terrace. Lqke. Librarian: Dr. Schacht. Those marked * hold this Regent's Park, N.W.-Physician. Applications to the Secretary, H. office for the first time. loirgrave Graham, by July 1.5th. 162 MTDICALBJOniAL] MEDICAL APPOINTMENTS. [JULY 15, 1893.

HOSPITAL FOR SICK CHILDREN, Great Ormond Street, Bloomsbury, HARWOOD, Charles, M.D., L.R.C.S.Edin., reappointed Medical Officer of W.C.-Assistant House-Surgeon (Non-Resident); appointment for six Health for the Shardlow Rural Sanitary District. months. Salary, £20. Applications to the Secretary by July 26th. HICKEY, William Lacy, M.D., B.Ch.Dub., appointed Medical Officer for KIDDERMINSTER UNION.-Medical Officer for the Bewdley District. the Gainsford District of the Teesdale Union. Salary, £eloo per annum and vaccination fees. Applications to Mr. F. HILLYARB Dr. Cecil B., appointed Medical Officer for the Milton. Abbot Burcher, Clerk, Workhouse, Braintree, by July 24tlh. District of the Tavistock Union, vice J. T. Hislop, L.R.C.P., L.R.C.S. LIVERPOOL DISPENSARIES.-Assistant Surgeon; unmarried. Salary, Ediii. £80 per annum, with apartments, board, and attendance. Applications HODGsoN. Harold, M.R.C.S.Eng., L.R.C.P.Lond., appoinited Medical Offi- to R. R. Greene, Secretary, by July 24th. cer far the Blisworth District of the Toweester Unioii. LONDON SCHOOL OF MEDICINE FOR WOMEN, 30 Handel Street, HOGARTH, Anidrew Allison, M.B., C.M.Glasg., appointed Medical Officer Brunswick Square, V.C.-Lectureship of Midwifery. Applications to for the Third District of the Cheltenham Union. the Secretary by July 21st. HUSBAND, Charles, M.R.C.S.Eng., L.S.A., reappointed Medical Officer of MACCLESFIELD GENERAL INFIRMARY. - Junior House-Surgeon; Health for the Ripon City. doubly qualified. Salary, £70 per annum, with board and residence- KNo'rr, John, M.D., B.Ch., M.R.C.P., F.R.C.S.I., appointed Medical Officer Applications to the Chairman of the House Committee by July 22nd. to the Society for the Prevention of Cruelty to Children, Dublin. MANCHESTER ROYAL INFIRMARY.-Resident Medical Officer, not less than 25 years of age and unmarried; doubly qualified. Appoint- LAWSON, Tllomas C., M.R.C.S.Eng., appointed Medical Officer for the War- ment for one year, but holder of office may be re-elected. Salary, boys District and Wistow Districts of the St. Ives Uniion. 2150 per annum. with board and residence. Applications to the LEACHMAN, A. W., M.D.St.And., M.R.C.S., D.P.H.Camb., appointed Medi- Clhairman of the Board by July 29th. cal Officer of Health for the Horshani Urban Sanitary District. NORTH-EASTERN HOSPITAL FOR CHILDREN, Hackney Road, N.E.- LOGIE, James, M.B., C.M.Aberd., appointed Public Vaccinator for Resident Clinical Assistant. Applications to the Secretary, 27, Woolwich. Clement's Lane, E.C., by July 22nd. -LOYND, William, M.R.C.S.Eng., L.R.C.P.I., reappointed Mledical Officer of NOTTINGHAM AND BOROUGH ASY'LUI.M-Seconid Assistant Medical Health to the Church Local Board. Officer; unmarried. Salary, £100 per annum, with apartments, board, MAIR, L. W. Darra, M.D.Lond., D.P.H.Lond., M.R.C.S., L.R.C.P., appointed and, washing. Applications to the Medical Superintendent by Medical Officer of Health of the Croydon Rural Sanitary Authority. July 25th. MAURICE, George Thelwall Kindersley, L.R.C.P.Lond., M.R.C.S.Eng., ZPONTYPRIDD RURAL SANITARY AUTHORITY.-Medical Officer of appointed Medical Officer for the First District and the Workhouse of Health. Salary, £50 per annuiim. Applications to E. C. Spickett, the Marlborough Union. Clerk, by July 27th. MUDGE, James, L.R.C.P., L.M.Edin., M.R.C.S., reappointed Medical Offi- -ROYAL FREE HOSPITAL, Gray's Inn Road, W.C.-Assistant Physician. cer for the Phillack Urban Sanitary District of the Redruth Union. Applications to the Secretary by July 31st. OGDEN, Charles, L.R.C.P., L.M.Ediu., M.R.C.S.Eng., reappointed Medical ROYAL HOSPITAL FOR DISEASES OF THE CIIEST, City Road, E.C.- Officer of Health for the Milnrow Urban Sanitary District of the Roch- Physician and Assistant Physiciani; must be Fellows or Members of dale Union. the Royal College of Plhysicians of Lonidoni. Applications to the PALMER, Ambrose M., L.R.C.P., L.M.Edin., M.R.C.S.Eng., appointed Secretary by July 15th. Medical Officer of Health to the Whittington Local Board. ROYAL PORTSMOUTH, PORTSEA, AND GOSPORT HOSPITAL.-As- RICHARDS, Harold Meredith, M.B., B.S.Lond., M.R.C.S.Eng., appointed sistant House-Surgeon; appointment for six months. Board, r'esi- Medical Superintendent to the City Hospital, Birmingham. dence, and washing, and an honorarium of 215 15s. Applications to ROBERTS, A., F.R.C.S.Edin., M.R.C.S.Eng., reappointed Assistant Surgeon J. A. Byerley, Secretary, 137, Queen Street, Portsea, by July 27th. to the Royal Berkshire Hospital, vice Oliver C. Maurice, M.R.C.S.Eng. ROYAL SOUTH HANTS INFIRMARY, Southampton.-Assistant House- Surgeon. No salary; board and rooms provided. Applications to T. Ross, Mr. Charles A., appointed Medical Officer for the Tenbury District A. Fisher Hall, Secretary, by July 31st. and the Workhouse of the Tenbury Union. STAFFORD GENERAL INFIRMARY, Stafford.-Assistant House Sur- THOMPSON, Mr., appointed Medical Officer for the Abbotshalm District of geon. Board and residence provided. Applications to the House- the Bideford Union. Surgeon by July 20th. TUCKER, Robert Goldsworthy, L.R.C.P.Edin., M.R.C.S.Eng., appointed STOCKPORT INFIRMARY.-Junior Assistant Surgeon; appointment for Medical Officer for the Third District of the Dartford Union. six months. Board anid residence provided, and an honorarium of WATERHOUSE, Herbert F., M.D., C.M.Edin., F.R.C.S.Eng., appointed £10 after satisfactory service. Applications to Lieutenant-Colonel S. Surgeon to Out-patients, Victoria Hospital for Sick Children. W. Wilkinson, Honorary Secretary, by July 25th. WEIR, George Wetherall, M.D., M.Ch., D.P.H.Camb., reappointed Medical THE YORKSHIRE COLLEGE, Leeds.-Demonstrator of Anatomy. Par- Officer of Health for Jarrow-on-Tyne. ticulars from the Registrar. WHICHER, Alex. Hastings, M.R.C.S.Eng., L.S.A., appointed Medical Officer UNIVERSITY COLLEGE, Lon'don.-Assistant Obstetric Physician. Ap- of Health for the Midsomer Norton Urban Sanitary District. plications to J. M. Horsburgh, M.A., Secretary, by July 18th. WIGGINS, Dr., appointed Deputy Medical Officer and Public Vaccinator to WHIT,EHAVEN AND WEST CUMBERLAND INFIRMARY, Whitehaven. the Bacup District of the Haslingden Union. -House-Sur"eon; doubly qualified. Salary, £120 per annum, and £30 per vear for dispensing, with furnished apartments and attendance. Applications to Tyson Kitchen, Secretary, by July 29th. WIRRAL CHILDREN'S HOSPITAL, Woodchurch Road, Birkenhead.- BIRTHS, MARRIAGES, AND DEATHS. Resident House-Surgeon. Salary, £50 per annum, with board, lodg- The charge for inserting announcements of Births, Marriages, and Deaths is ing on the premises and washing. Applications to P. W. Atkin, Hon- 3s. 6d., which sum should be forwarded in post-office orders or 8tamps with orary Secretary, 25, Eord Street, Liverpool, by July 19th. the notice not later than Wednesday morning, in order to ensure insertion in WOLVERHAMPTON AND STAFFORDSHIRE GENERAL HOSPITAL, the current issue. Wolverhampton.-Honorary Gynscologist; doubly qualified. Appli- BIRTHS. cations to the Chairmani of the Weekly Board by July 24tlh. SIBLEY.-On July 9th, at 7, Harley Street, Cavendisli Square, Georgina Marie, the wife of W. Knowsley Sibley, M.A., M.D., B.C., M.R.C.P., of a son. MEDICAL APPOINTMENTS. TOWNSEND.-On July 7th, at Ivy House, Normanby, Yorks, the wife of APTHORP, Frederick Wm., L.R.C.P.Edin., M.R.C.S.Eng., appointed Medi- Francis E. Towinsend, M.D., of a soin. cal Officer for the No. 5 District of the Cuckfield Union. BARKER, Dr. W. J. T., appointed Medical Officer for the No. 2 (Streatham) MARRIAGES. District of the Wanidsworth and Clapham Union. COOK-MACDONALD.-On July 5th, at the Cathedral of St. Ninian's, Pertl, BARRINGTON, Frederick Albert, L.R.C.P., L.M., L.R.C.S.I., appointed by the Lord Bishop of Argyll and the Isles, assisted by the Dean of Assistant Medical Officer of Health to the Lynin Towin Council. St. Andrew's, Philip Inkerman Cook, M.D., etc., son of the late Dr. BOTHWELL, George Granville, M.B., C.M.Aberd., appointed Assistant John Cook, of Glais, Swansea Valley, to Miss Caroline Burns Mac- House-Surgeon to the Infirmary, Halifax. donald, daughter of the late Mrs. Macdonald, of Glencoe, and A. BRANDER, Thomas, M.B., C.M.Aberd., appointed Medical Offcer to the Burns Macdoniald, Pertlh. Lossiemouth Parochial Board. FOLKER-AsHWORTH.-On July 5th, at Shelton Churchl, Hanley, by the Rev. Prebendary Plant, of Westoni-on-Trent, cousin of the bridegroom, BROWNE, Ralph H., L.R.C.P.Lond., M.R.C.S.Eng., appointed Physician to assisted by the Rev. Percival Sabeni, of Bradford, Herbert Henry the Chelsea, Bromptoni, and Belgravc Dispenisary, vice R. Haynes Folker, M.R.C.S., L.R.C.P., to Eliza Georgina, younger daughter of Lovell, M.R.C.S., L.R.C.P., resigned. Taylor Ashwortlh, Esq., J.P., of Sunny Bank House. No cards. BRYAN, Thomas Leigh, M.B.Durh., appointed Medical Officer for the MORISON-APPLEBY.-At St. John's Clhurch, Greatliam, co. Durham, on Borough District of the East Ward Unioni. July 3rd, by the Rev. W. W. Morrison, M.A., and Rev. R. Waters, M.A., DRAKE, Alex. T., M.B., L.R.C.S.I., appointed Medical Officer for the No. 4 Albert E. Morison, M.B., C.M., F.R.C.S.Edin., of liartlepool, to Etta, (Deptford) Sanitary District of the Grcenwicll Uiiioii, vice G. P. eldest daughter of T. Appleby, Esq., J.P., of Ashfield House, Rogers, L.R.C.P.Edin., L.R.C.S.I. Greatliam. 1GODsoN, A. H., B.A., M.B., B.C.St.John's,Cambridge. aind of Guy's Ilospi- VAN. ROoYEN-VANDERSTRAATEN.-On July 6tlh, at St. Mary's, West Ke::- tal, appointed House-Surgeon to tlle Croydon Genieral Hospital, vice siu-gtoni, Glanville St. Clair Vanl Rooyell, L.R.C.P.& S.Ediin., Di9trict T. A. Dukes, M.B., B.S., M.R.C.S., L.R.C.P., resigued. Surgeoni, Linduilla, Ceylon, to Ur-sila. eldest dauglhter of Dr. J. L. GOODING, Matthlew Richard, L.R.C.P.Lond.. M.R.C.S.Eng., appointed Vanderstraaten, ColoInial Surgeoni, Coloiiibo. Ceylonl papers please Medical Officer of Ilealth to the Bidefoid Urban Saniitary District, copy. vice Williaan Henry Ackland, M.D.St.And., resignied. DEATH. CTRIFFITHs, William Huglhes, M.R.C.S.Eng., L.S.A., reappointed IMedical GRAHA.-Oll JuIne 25th, on Iboai:d the stCamslihip Ther,nopyle, George (Officer of Hevltli for time Hincklev- lUrball Sanlitarv Disti-ict. Grahanm, M.D.. of Richilmond. Mclbouminn. BurieCd at sea.