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SUJPPLAEMENTTO THBBRITISH MEDICAL JOURNAL.LONDON: SATURDAY, SEPTEMBER 16TH, 1911.PAGEThe Annual Exhibition of Foods, Drugs, Instruments,CONTENTS.Meetings of Branches and Divisions:Books, and Sanitary Appliances.-SIXTH NOTICE ... 345 Bombay Branch ... ... ... ... ... 348ASSOCIATION NOTICES ... ... ... ... ... 349 Gibraltar Branch ... ... ... ... ... 349INSURANCE BILL.-BRIGHTON DIVISION OF THE BRITISH MEDICAL 'VITAL STATISTICS ... ... ... ... ... 351AsSOCIATION MEDICAL PRACTITIONEaRS' DEPENCE FUND.- VACANCIES AND APPOINTMENTS ... ... ... 351MR. HARMSWORTH'S AMENDMENT.-THE INSURANCE BILL ANDTHE PUBLIC ... ... ... ... ... ... 350 BIRTHS. MARRIAGES, AND DEATHS ... ... ... 352NAVAL AND MILITARY APPOINTMENTS... ... ... 350 DIARY FOR THE WEEK ... ... ... ... 352PAGESEVENTY-NINTH ANNUAL MEETINGOPTHEHeld in Birmingham on JUly 218t, 22nd, 24th, 25th,26th, 27th, 28th, and 29th, 1911.FOODS,E X H I B I T IO NOFDRUGS, INSTRUMENTS, BOOKS, ANDSANITARY APPLIANCES.NOTICE.1[SIXTHBUXTON THERMAL MINERAL WATER STATION. Theauthorities of this inland health resort had a stall atBirmingham chiefly devoted to the interests of what ispractically a new enterprise on their part. This is thesale of Buxton water in a bottled form; the main objectin view is to secure the use of the water for table purposes;so far the effort has proved even unexpectedly successful.Tile spring used is that arising at the bottom of St. Ann'swell. Indications of the general advantages with whichNature has supplied Buxton were also afforded by thestall while we were informed by the official in charge thatthe number of different treatments of a hydropathic orderavailable at the bathing establishment has now beenbrought up to over eighty. The latest additions includearrangements for " Greville " hot air and " Miramond"treatment. This spa therefore being fully up to date in alldirections feels confident that it will at least hold its owndespite its many rivals abroad and at home.A. WM ULFING AND COMPANY (12, Chenies Street, London,W.). Of the three exhibits of this firm the most importantwas Albulactin, a preparation which when first brought outa few years ago, seemed to us decidedly worth attention.Its point of interest is that it is not an addition to themultiplicity of infant foods constantly being pressed on thenotice of medical men, but a preparation which in theory,at any rate, represents quite a new departure. It hasbeen known for many years that the proteid of milk iscomposite, but comparatively little attention has been paidto this fact, and practically no use could be made of theknowledge very easily until a method of isolating lactalbumin,as distinct from casein, in a soluble form had beendevised. This having been effected some three or fouryears ago in Germany, experiments were undertaken totest the physiological value of the product in relation toinfants. The points of special importance in this connexionare that in cow's milk the proportion of lactalbumin tocasein is very small, whereas in human milk it is large;hence it follows that the more cow's milk is diluted, thegreater is the difference between cow's milk and humanmilk in respect of lactalbumin contents. This is thedifficulty that is claimed to be overcome by the preparation.One is often indisposed, for reasons which havebeen fully stated in the reports of the German MedicalPress Association, to attach much weight to Germanreports on new preparations, but in this particular instancetheir style seemed to entitle them to unusual respect.Summed up they indicated that by tile use of Albulactinthe lactalbumin contents of diluted cow's milk could bemade identical with that of human milk and that thiswas of definite value in facilitating assimilation of the milkand in securing absence of intestinal disorders in artificiallyreared children. The only point on which we can ourselvesspeak is in respect of the curd formed: it very closelyresembles that of human milk. But we are aware that thepreparation has been used extensively for many monthspast at one of the large children's hospitals in London,and have seen a paper in which an English physician ofhigh repute in connexion with diseases of children speaksvery definitely of the value of Albulactin as the result ofpractical tests. The other exhibits of the firm wereSanatogen and Formamint, both of which are too wellknown to require description.BRAND AND CO. (Mayfair Works, 74-84, South LambethRoad, Vauxhall, S.W.). This firm had upon view a fairlycomplete collection of its dietetic specialities, the majoritybeing products too long and favourably known to requiredetailed description. One specially useful preparation isBrand'8 Meat Juice, which is simply the liquid obtainedby pressure from, we understand, British-grown beef. Inour experience a teaspoonful of this liquid in a wineglassfulof cold water makes a very stimulating beverage, and ifthe flat bottles in which it is vended are corked with ascorched pledget of cotton wool it keeps good for manydays. According to an analysis which we have seen, itcontains 30 per cent. of beef extractives and 10 per cent. ofmineral matter, chiefly in the form of soluble phosphatesand common salt. About the earliest product of the firm,Concentrated Beef Tea, is still vended in its original form,in the sausage-like skin in which it has been familiarto several generations of medical men. The firm's[3F6]

U68UPPLRMZNT TO TH 13 t BRITISH MEDICAL JOURNAL] ANNUAL EXHIBITION.Essence of Beef is put up in round glass pots, correspondingpreparations of chicken, mutton, and vealbeing vended in the same style. Of the same generalcharacter, and specially intended for hospital use, is thefirm's Beef Broth; like the similar preparations of mutton,chicken, and game, it is really a jelly which can be eatenwith a spoon or turned into a fluid to be drunk. Alsouseful at times are the firm's Beef Tea Tabules, since theycan be carried about in the pocket, and with the help of alittle hot water can be converted into beef tea at amoment's notice. Another speciality of value is Brand'sFever Food, a mixture of meat essence, yolk of egg, andfresh cream. It sounds a curious combination, but it iscertainly palatable, and appears to have been carefullythought out on scientific lines. It is intended more particularlyfor use in the tropics, but should be useful anywhere.We also noted Glaxo, a dried milk, which figuredvery creditably in a trial of a number of artificial foods forinfants which was undertaken on a large scale at Sheffieldsome three years ago.THE SACCHARIN CORPORATION, LIMITED (10, Arthur StreetWest, London, E.C.). This firm, which has long beenwell known in connexion with novocain, brought out lastyear a preparation of quite a different order, named Pergonal,and confined its exhibit to this drug, to novocain,and to some tablets for the immediate preparation ofnormal saline. Each of the latter, on solution in half apint of sterilized water, suffices to form a physiologicalsaline solution -with a concentration of 0.8. As forPergonal, this is a solid compound of hydrogen peroxideand boric acid, in the form of a white freely solublepowder. The relative proportions, we understand, arerespectively 12 per cent. and 22 per cent. It was broughtout in order to permit of hydrogen peroxide being storedunchanged for any length of time, and yet ready for therapid preparation for a hydrogen peroxide solution of anydesired strength whenever required. It appears to fulfil thispurpose excellently, and as the therapeutic use of hydrogenperoxide has increased of late years, the preparation isthoroughly worth noting. It is also put up in the form ofmouth pastilles, for use in the course of an oral toilette.As for Novocain, this is almost too well known now torequire description. It is a drug of definite chemical composition,whose value as a local anaesthetic is hardly opento dispute, while its claims to be regarded as the best drugfor use in spinal anaesthesia have been strongly advocated.The choice of a drug for this purpose is a point on whichevery employer of spinal anaesthesia has his own opinion.From a pharmacological standpoint the claims of the principalcompetitors were reviewed at considerable length in areport to the Therapeutic Committee of the BritishMedical Association by Dr. C. N. le Brocq, which will befound in our issue for March 27th, 1909. This investigatorconcluded that novocain was the most satisfactory of theseven drugs with which he experimented, its anaestheticaction being equal to that of cocaine, while its toxicity andirritating effect on the tissues was much smaller. Healso showed that it dissolved very readily, even in coldwater, and formed a neutral solution which could be boiledwithout alteration of its effects. It is also compatiblewith suprarenalin and with strychnine, points of someimportance in spinal anaesthesia. It was shown atBirmingham in solutions of various strengths and also intablets containing suprarenin borate and novocain in dueproportion for use in dental surgery.THEINHARDT'S FOOD COMPANY (6, Catherine Court, TrinitvSquare, London, E.C.). The exhibits of this firm weretwo foods, to both of which we drew attention at the datenow several years ago when they were introduced fromGermany, where they had been well known for a longtime. The one is known as Infantina and the other asHygiama. The former is intended for infants, from birthuntil 2 years of age, and the latter for children and adults,either in health or sickness, and neither of them is costlv.Infantina, or Theinhardt's Infant Food, contains, itappears, 16.1 proteins, 5.0 fat, 53.6 soluble carbohydrates,16.7 insoluble carbohydrates, and 3.4 salts. The compositionof Hygiama is of corresponding character, but theproteins and fats are higher and the carbohydrates lower.In each case the salts represent rather over 1 per cent. ofphosphoric acid. Both a.re intended for use with milk,[SEPT. i6, igi-i.and the Hygiama is flavoured with cocoa. Both preparationsare made, we were informed, from dextrinizedcereals, with the addition of dried cow's milk, lactose, andordinary sugar. The makers claim that by varying theproportion of Infantina, milk, and water a food can beprepared more closely resembling in composition anddigestibility human milk than any other infant's food.It is also suggested that if Infantina is prepared with rice-water instead of milk it makes an excellent food for useduring attacks of infantile diarrhoea, in which the useof milk is contraindicated. Personal experience withHygiama goes to show that a pleasant beverage can beprepared from it with little trouble, and that it canbe turned into a variety of dishes. The firm, we understand,is prepared to supply any medical man whodesires to try its preparations with a sufficient quantityof either of them to gain a thorough knowledge of theirvalue.W. GAYMER AND SONS (Attleborough, Norfolk). There isa popular theory that, while apple trees will grow anywhere,only those growing on certain soils will produceapples from which any satisfactory cyder can be produced.Some support for this belief is offered by the fact that,with one exception, all the counties with a reputation forcyder are contiguous, and in one part of England namely.the west. The notable exception is Norfolk, in whichcounty the firm represented by Messrs. Gaymer and Sonshas been carrying on the manufacture of cyder for tllepast two hundred years. Until some four years ago it didnot concern itself much with markets outside the easterncounties, but it is now a serious competitor to cyder makersthroughout the country. This cyder can be obtained bothin bottles and in barrels, and in both cases a strong pointis that the firm is able to secure year by year a cyder ofclosely corresponding character. It is failure in thisrespect in the cyder trade as a whole which in the past hashelped to diminish the popularity of cyder as a beverage.Messrs. Gaymer's bottled brands number some half dozen,and there is much to be said in their favour from aneconomic and dietetic standpoint. In flavour each ofthe brands differs, as do champagnes, from extra dryto sweet. It is, indeed, with champagne that one ortwo of the brands may quite well be compared, whilechemically their alcoholic contents vary according to thebrand from what in temperance circles are commonlyclassed as non-alcoholic drinks to about 7 or 8 per cent.In respect of their dietetic value there is a good deal ofevidence to show that cyder is a better drink for personsof rheumatic and uric acid tendency, as well as for largemeat eaters, than either wine or beer. This is possiblydue to the presence of malic acid in cyder.ILIFFE AND SONS, LIMITED (22, North Street, London,E.C.). This firm is.the proprietor of the Autocar, one ofthe earliest journals devoted to the automobile industry,and now presumably well known to all users of automobilevehicles, since it deals with the subject on very comprehiensivelines. Its exhibit at Birmingham consisted of anissue of the Auetoca containing features of special interestto medical men, and of a number of miscellaneous publications,either compiled from its columns or preparedspecially. Among them were the Autocar Handbook,which treats of the management and upkeep of moderncars, Faults and Howv to Find Them, a book intendedspecially for those who are either total novices or comparativelyinexpert, and the Autocar Sectional Map fortouring purposes. The special issue of the Autocar, towhich reference has been made, appeared on July 22nd,but reprints of the parts relating to the medical use of carshave been made. One of them would be worth obtainingby any one who is contemplating the question of changinga horse-drawn carriage for an automobile, for he would findtherein a considerable number of records by individualdoctors of their experiences of the precise cost of usingvehicles of different kinds.ALEXANDER RIDDLE AND Co. (36 and 38, CommercialStreet, E.C.). Most medical men who visited the exhibitionat Birmingham were probably already familiar withone at least of the two exhibits of this firm, which is themanufacturer of Stowver's Lisle Jlitce Cordial. The limeis not a very easy fruit to lhandle, but the firm has been

SEPT. i6, I9II.] ANNUAL EXHIBITION. r 81UPPLIxT To Tr1E[BRITIH MXDICAL JOURNAL 347engaged in dealing with it for over forty years, and haslong since learnt how to bottle its juice in a thoroughlysatisfactory fashion. About some bottled lime juices thereis a certain musty flavour which many people find veryobjectionable, but from defect of this character this particularpreparation is entirely free. It presents the trueflavour of the fresh lime and much of its bouquet, andto be favoured by many dentists as a local anaesthetic.As for Euquinine, this is an ethyl-carbonate of quinine, andbeing practically tasteless lends itself well to the treatmentof small children, more especially as in the hands of manypractitioners it has proved itself an effective substitute forquinine sulphate. Another preparation of the firm whichhas obtained a good deal of favour is Allosan; it is statedmixed either with soda water or with plain water Stower's to be an allophanic acid ester of santalol, and to possess allLime Juice Cordial is certainly entitled to be regarded as the powers of that drug in the treatment of gonorrhoea.a very pleasant beverage for either the healthy or the sick One justification of its existence lies in the fact that, beingand feverish. An analysis of its contents undertaken some an odourless solid, it can be made up in tablets which canyears ago showed no acid except citric acid, and there isevery reason to believe that it is not be carried about in the pocket, and taken whenever desiredonly free from contamination,but contains no addition beyond the necessary sugar. Eustenin (the name representing the double salt theo-without attracting attention. Other salts shown wereClinically, lime juice has long since been proved to be of bromine sodio-iodine sodium), which some physiciansvalue in the prevention and treatment of scurvy, and on appear to have found useful in dealing with arteriosclerosis;and Urosin, which is a quinate of lithia statedthe basis of this fact it seems not unreasonable to assumethat when properly preserved, as in this preparation, the to have the power of converting uric acid into hippuricjuice of limes contributes to the blood an unknown somethingwhich, whatever it may be, is missing from it in this salicin, introduced a few years ago as a powder for applica-acid. Finally may be mentioned Dymal, a derivative ofand probably many other morbid conditions. In any case tion to open wounds, and as fulfilling much the samethere are many who believe that in feverish disorders, as purposes as iodoform, but being free from smell andwell as in dealing with rheumatic and gouty persons, lime non-poisonous.juice is of definite therapeutic value. The second of thetwo products shown by the firm was Stower's Clarified PHILIP HARRIS AND Co. (Edmund Street, Birmingham).Lemon Squash, one which lends itself with attractive ease A good many well-devised surgical and other appliancesto the preparation of lemonade. Its manufacturers state were shown by this firm, all of them being of its ownthat nothing enters into its composition except the juice manufacture. Perhaps the most novel was the operatingof the finest Messina lemons and refined lump sugar, and table which was described in our issue for July 22nd bythat the latter, both in the lemon squash and in the lime Mr. B. J. Ward of Birmingham, on whose suggestion itjuice cordial, is during manufacture converted by a special was made. It is entirely of metal, but nevertheless comparativelylight, a fact which, since the table is intendedprocess into pure glucose.for use away from the surgeon's ordinary working environment,is one of importance. It also packs very neatly, andG. VAN ABBOTT AND SONS (Baden Place, Crosby Row,London, S.E.). The majority of the exhibits of this firm is thus easily portable in a motor or other vehicle, and canat Birmingham were probably familiar to those among the be got ready for use very rapidly. A further point worthvisitors who take an interest in diabetic and other allied noting in this connexion is that there are no loose parts topreparations. In these gluten and almond flour are the get lost or left behind. In respect of its merits whenchief constituents, and the firm, we believe, is the only ready for use it seems to supply, despite its portability,one in the United Kingdom which depends on its own practically all the advantages of the more ordinary kindsefforts for its gluten. Their exhibit included almond of fixed operation tables, positions such as the Trendelenburgbeing readily obtained even when the patient is onbread, gluten bread, almond biscuits and flour, glutensemolina, bran cocoa-nut, and several other varieties of the table. It is also very rigid and of convenient height.biscuits, all these, as well as a number of other preparationssuch as soups, jellies, and glycerine jujubes, being do many operations away from home or hospital and thusIn short, it is a table thoroughly worth note by those whoapproximately free from either starch or sugar. The require a table of this order. Another good appliancebread of the firm is soft, and hence, like bread intended shown by the firm was the carbon dioxide snow apparatusfor ordinary consumption, will only keep good for three or made on the suggestion of Dr. Hall Edwards. The collectorfour days; but the biscuits retain their quality and flavour is attached by a plug connexion to the cylinder of CO2for any length of time if kept in a moderately dry place. which is in use and there is thus no waste of gas, and theTwo or three varieties of the latter are worth special snow as it forms is compressed into a hard cone, themention; for instance, Medolia biscuits, which, in addition point of which can be readily cut down to the requiredto their starch and sugar free composition, are unusually size.cheap, and thus well suited for use in hospitals at whichdiabetic patients are under treatment. Another biscuit THE MIOL MANUFACTURING COMPANY (82, Southwarkworth special note is termed "Kalos," it having been Bridge Road, S.E.). The product from which this companytakes its name is an oleo-maltose compound whichintroduced for the benefit not of diabetics but of thosewho are struggling with obesity. A third instance is made its appearance some six or seven years ago as a substitutefor cod-liver oil, and for this or other use seems toa biscuit of a different order-namely, a hypophosphiteof lime biscuit intended for the use of delicate children command a steady sale. It is a homogeneous mixture ofor of adults suffering from nervous depression. Many of palatable taste which is stated to be readily taken both bythe preparations of this firm are decidedly palatable, and children and adults, and to cause neither nausea norall deservedly enjoy a good reputation among dietetic gastric irritability. Since its first introduction somespecialists.albumen, we understand, has been added to it, so wecannot state what its precise composition now is. AtWIDENMANN, BROICHER, AND CO. (33, Lime Street, London, the time, however, that we analysed it, we found thatE.C.). This firm is the representative of Messrs. Zimmer it contained 22 per cent. olive oil, 0.04 per cent. nitrogen,and Co., of Frankfort-on-Main, some of whose preparations, which would represent 2.5 per cent. protein, and 47 perand more especially Validol and Euquinine, have been cent. of reducing sugars, calculated as maltose. Freefavourably known in this country for a good many years. phosphorus was also found to exist, and also iodine inThe former is a compound of valerianic acid and menthol combination; while, tested with starch, it showed goodwhich was originally brought out as a nerve sedative suitablefor use in cases in which valerian is commonly used, its constitution unfavourably, so the preparation woulddiastatic power. The addition of albumen would not alterbut soon began to obtain a certain repute as a preventive of seem worth trying in cases in which a combination of codliveroil with iodine and phosphorus would be indicated,train and sea sickness. The circumstances of sea vovages,whether short or long, vary so greatly that it is never possibleto speak with much assurance as to the value of any By way of facilitating its use, the firm supplies a teaspoonbut cannot be taken owing to its objectionable flavour.remedy praised in this connexion; but the amount of with a capacity of exactly 1 drachm and a handle so longtestimony in favour of Validol is considerable, and we have that it will reach the bottom of all bottles in which miolrecently seen some which is of an impressive character. is vended. It is made of aluminium, and thus, if wipedIt can be obtained in tablets, as gelatine perles and other dryforms, but seems most commonly used as a liquid. Acorresponding drug, known as Validol Camphoratum, gratis, after we use, understand, always keeps to all its purchasers lustre. It of is miol. suppliedTheseems latter, it should be added, can now be obtained with a

8R BsVN3NT XO TlU 13 BDamam MZDICAL JOU31UNALJ MEETINGS OF BRANCHES AND DIVISIONS. [SEPT. 6, I I9II.certain proportion of guaiacol added, so as to make it stillmore adapted to the treatment of phthisical cases. Thefirm states that in this particular form miol has met withconsiderable favour among medical men at health resorts,and that in respect of ordinary miol it is in possession ofa large number of reports regarding its clinical value, theoriginals of which it is prepared to show to any medicalman who may be interested.THE DOWsING RADIANT HEAT COMPANY (24, Budge Row,Cannon Street, London, E.C.). All the devices of this firmhave one common object-namely, the application ofluminous heat rays to the whole body or parts thereof.It is claimed that a large number of these rays penetratethe body, produce rapid sudation, greatly increase metabolism,and at the same time almost immediately relieveany pain that may exist. The principal appliance is akind of bed which is now so familiar an object in mosthydropathic institutions that it scarcely requires detaileddescription. In its general form it is a broad couch surroundedby electric lamps and provided with a cover. Thelatter is divided into two parts, each side being separatelyremovable so as to allow of the result of treatment beingobserved from time to time. The lamps are carried on astrong framework, all wires being well insulated and keptclear of the patient and nurse. It is claimed that in thisbed practically the whole of the patient's body is submittedto light and heat rays simultaneously. Smallerappliances were shown for treating the hands and feet, asalso for localizing the rays on any special organ or otherpart of the body. On the stand was to be seen a long listof branches showing over one hundred places in Englandand abroad where this light treatment can be obtained, thechief of them being in York Place, Baker Street. All ofthese institutions, we understand, are under direct medicalsupervision.NESTLE' AND ANGLO-SWISS CONDENSED MILK COMPANY(6 and 8, Eastcheap, London). What difference Mr.Burns's Milk Bill is going to make still remains to be seen,and meantime there is plenty of room for the products ofthis firm. The oldest of them, Nestle's Swiss Milk, establishedits reputation at least thirty years ago, and hasretained it unblemished up to the present date. We havehad long experience of its use both at home and abroad,and have often found it a much more desirable substitutefor human milk than the cow's milk commonly obtainableat dairies. A strong point in its favour is the absence ofvariation in its quality, and in spite of the number of driedmilks now on the market, and the improvement in themilk trade as a whole which it is to be hoped will be witnessedin the early future, the demand for Nestle'sseems likely to continue. The unsweetened condensedmilk sold under the name of Viking Milk was put uponthe market at a considerably later date, but maylikewise be regarded as having attained the position of aclassic among milk foods. Most people, too, are probablyacquainted with Milo Food, at any rate by name; it isintended both for the use of infants and invalids. Theother brands of milk shown included Milkmaid CondensedMilk and Ideal Unsweetened Milk. Some chocolates werealso on view, one being a chocolate prepared by the firmitself, Nestle's Milk Chocolate, and another the first ofthe milk chocolates to appear-namely, Peter's Swiss MilkChocolate. An assortment of Kohler's bonbons andchocolate were also shown. Though we have mentionedthem as sweetmeats, all these articles have a strong claimto be regarded as dietetic preparations, for they are usefulin dealing both with children and invalids, and withadults, as an addition to or temporary substitute for otherfood.SLACK AND BROWNLOW (Abbey Hey, Gorton, Manchester).This is a firm of filter makers whose appliances, thoughmade entirely in England, are constructed on the samegeneral principles as are Pasteur filters; in other words,the filtering medium is porous porcelain thrown into theform of hollow cylinders or candles. The advantage offilters of this kind is that when the candles are kept cleanand in good order and have initially been soundly constructedof material sufficiently dense in character theysupply thoroughly sterilized water. On the other hand,the ordinary user is somewhat apt to believe that they canbe used with quite foul water for an unlimited periodwithout risk of bacteria growing through their interstices,and he thus often uses water which is not what he believesit to be, namely, thoroughly pure. In their general makethe firm's filters vary according to the precise purpose forwhich they are to be used-whether, for instance, the filteris to be attached to the main supply of a house for filtrationof water under pressure, or for filtration of water atordinary atmospheric pressure in the pantry or on thetable. An appliance which would seem very likely torepay attention is a hospital sterilizer for use in theoperating room; it has a thermometer attached and provideswater of any temperature desired. The exhibitalso included a filter which has a compartment for theinsertion of ice to keep the water cool, and a bulb ofloose textured porcelain filled with crystals of potassiumpermanganate, which is intended to be placed in a lavatorycistern. Its use is to impregnate the water with anamount of this salt varying according to the length of theintervals elapsing between the times the cistern isemptied.Aetttti s of Vranrbi s & )ibibsiattn .[The proceedings of the Divisions and Branches of theAssociation relating to Scientific and Clinical Medicine,when reported by the Honorary Secretaries, are publishedin the body of the JOURNAL.]BOMBAY BRANCH.THE first annual meeting of this Branch was held in theUniversity Library on Thursday, April 27th, at 5.45 p.m.,when Lieutenant-Colonel L. F. CHILDE, I.M.S., occupiedthe chair. The following members were also present:Drs. Sorab Nariman, K. R. Dalal, M. P. Kerrawalla,H. N. Anklesaria, De Monte, Major Evans, I.M.S., MajorMarjoribanks, I.M.S., Major Novis, I.M.S., Drs. P. A.Dalal, Engineer, Vazifdar, Heerjee Dadysett, B. Gonsalves,C. Fernandes, A. P. Bacha, J. B. Mama, and theHonorary Secretary and Treasurer, Dr. D. R. Bardi.Confirmation of Minutes.-The minutes of the lastordinary meeting were read, confirmed, and signed by theCHAIRMAN.Election of Office-Bearers. The result of the voting forthe office-bearers and the Branch Council, according toRules 5, 6, and 9, was declared as follows: President,The Hon. Surgeon-General H. W. Stevenson, I.M.S.; Vice-Presidents, Lieutenant-Colonel L. F. Childe, I.M.S.,Sorab K. Nariman, M.D.; Honorary Secretary and:Treasurer, D. R. Bardi, F.R.C.S.I; iMembers, R. Row,M.D., D.Sc., Major S. Evans, I.M.S., Major E. GordonTucker, I.M.S., H. J. Dadysett, L.R.C.P. and S., Sorab K.Engineer, M.R.C.P.Ed., Miss A. M. Benson, M.D.Report of Council.The following report was presented:The Bombay Branch of the British Medical Association,recognized in 1889, remained practically inactive, exceptfor a solitary meeting in 1907, and existed only in nametill a few members arranged to call together the membersand discuss the future of the Branch. This was done onSeptember 26th, 1908, when Captain Gordon Tucker,I.M.S., who had charge of the funds, called a meeting inthe University Library. At this meeting it was resolvedthat the Surgeon-General with the Government of Bombay,and the Principal of the Grant Medical College beappointed President and Senior Vice-President respectively,and that Dr. Sorab Nariman be the other Vice-President. Dr. D. R. Bardi was appointed HonorarySecretary and Treasurer, and the following were elected toform the Branch Council with the above office-bearers:Lieutenant-Colonel M. A. T. Collie, I.M.S., Lieutenant-Colonel L. F. Childe, I.M.S., Dr. R. Row, M.D., D.Sc.Lond.,Major S. Evans, I.M.S., Dr. H. J. Dadysett, L.R.C.P. andS.Edin, Dr. Sorab K. Engineer, M.R.C.P.Edin.During the period under report certain changes occurredin the council, due to the transfer, etc., of the members.The report is for the period of two and a quarter years,and was delayed on account of the delay in passing the

SEPT. i6, I9II.] MEETINGS OF BRANCHES AND DIVISIONS. [ sDPLXu U TOIBBM8ITI MNDIA JOTE )349rules, which were not considered earlier on account ofthe question of registration, which took up a lot of time.Two meetings were held in 1908, five in 1909, and six in1910, besides the two meetings of the profession under theauspices of the Branch for the consideration of the questionof registration of medical practitioners, and severalcommittee meetings as well as meetings of the council.The average attendance at the ordinary meetings hasincreased from 5 or 6 to over 15, and both the meetings ofthe profession were crowded.Paipers etc., Read anid Disciissed.-(1) Dr. R. Row read theinaugural paper on serum treatment in tuberculosis. (2) Dr.Sorab Engineer read notes of cases showing the relation ofsyphilis to phthisis pulmonalis. (3) Dr. F. N. Kapadia readnotes on a case of Landry's palsy. (4) Dr. Jal R. Vakil readnotes on a case of acute rheumatism, with severe heart complicationsand paralysis, ending in perfect recovery. (5) Dr.M. P. Kerrawalla read a paper on milk factor in infant mortality.(6) Dr. H. J. Dadysett read a paper on a plea for earlyoperation in cancer, with cases. (7) Major E. F. GordonTucker, I.M.S., read a paper on yellow fever, India's futuredanger, Dr. Charles Bentley showing the stegomyia specimens.(8) Miss J. B. Engineer, L.R.C.P. and S.Ed., read a paper onthe relation of chorea to rheumatism, with notes of cases.(9) Dr. Sorab Engineer read a paper on serum treatment ofplague, and this was supplemented by the remarks of Dr. N. H.Choksy, who related the latest results of the researches of thePlague Commission. (10) Dr. H. J. Dadysett showed many newand recent instruments and apparatuses for ear, throat, andnose diseases.The Branch Council takes this opportunity of thankingall these members for their interesting papers, and hopesthat many others will follow this example and read papersand show interesting cases.The Branch Council has pleasure in informing themembers that their efforts in connexion with the questionof registration of qualified medical practitioners have sofar been quite successful, and that their efforts will becrowned with success in the very near future. During thediscussion of this question many side questions wereraised both in our meetings and in those of the profession,and appeals were made to the Central Council, which has,after a careful consideration, approved of the action of theBranch Council in each case.The second thing of note during the period under reportis the passing of the rules for the Branch, and theCouncil notes with great satisfaction the co-operation ofthe members in facilitating the same. The rules havebeen approved by the Central Council, and will be nowprinted and circulated. We might congratulate ourselves,as ours is the first Branch out of the United Kingdomwhich has passed its rules and has considered such animportant question as that of the registration of medicalmen within two years of its real existence.The number of members of the Branch has increasedfrom 68 (in 1908) to 201 with the beginning of this year(1911).We subscribed Rs.50 towards the funds of the BombayMedical Congress, and our Secretary, who was our representative,was given a place on the Subcommittee.With this report the Council begs leave to retire thisday, and congratulates the Branch on its choice of theCouncil for the new year.The following acted as our Representatives in RepresentativeMeetings of the Association: Major E. F. GordonTucker, I.M.S. (1909-10), Lieutenant-Colonel L. F. Childe(1910-11); Dr. R. Row and Lieutenant-Colonel H. P.Dimmock, I.M.S., acted as substitutes for Lieutenant-Colonel Childe, I.M.S.The Report of Council as well as the statement ofaccounts were received and adopted by the meeting, on themotion of Dr. M. P. KERRAWALLA, seconded by Dr. B.GONSALVES.Rep)resentative at Representative Meetings.-On themotion of Dr. SORAB ENGINEER, seconded by Dr. SORABNARIMAN, Lieutenant-Colonel H. P. Dimmock, I.M.S., wasappointed Representative in Representative Meetings ofthe Association for 1911-12._ Votes of Thanks.-Lieutenant-Colonel L. F. CHILDE,I.M.S., on the conclusion of the business of the meeting,remarked that the Branch had done very good work, andafter complimenting the Honorary Secretary for the zealand energy displayed in his work, moved that he beaccorded a hearty vote of thanks. This was seconded byIMajor EVANS, I.M.S., and carried unanimously. TheHONORARY SECRETARY suitably responded, and after thecustomary vote to the Chair the meeting was dissolved.GIBRALTAR BRANCH.A GENERAL meeting of this Branch was held on September4th, at 4 p.m., by kind permission of Deputy Surgeon-General T. J. Lilly, R.N., at the Naval Hospital. All themedical men in the ships in the harbour were invited tojoin in contributing to the meeting. After tea at Dr. Lilly'shouse those present adjourned to one of the large dayrooms, and the proceedings began.The PRESIDENT (Dr. P. F. Lyons) took the chair, andthere were present: Deputy Surgeon-General T. J. Lilly,R.N.; Colonel H. H. Johnstone, R.A.M.C.; Fleet SurgeonsJ. Andrews (H.M.S. Exmouth), 0. W. Andrews (H.M.S.Bacchante), J. T. Hall (H.M.S. Duncan), Mowatt (H.M.S.Swiftsure), and Vizard (H.M.S. Queen); Staff SurgeonsBastian (H.M.S. Bacchante), and A. Davidson and Rooney(Royal Naval Hospital); Surgeons Fairley (H.M.S. Aboukir),Malcolm (H.M.S. HU8sar), Grimwade (H.M.S. Exmouth),Hadwen (H.M.S. Cornwallis), P. D. Ramsay (Royal NavalHospital), and Loughlin (H.M.S. Triumetph). Dr. L. H.Gill and Dr. L. D. Parsons also attended.Confirmation of Minutes.-The minutes of the lastmeeting were read.Angio-neurotic Oedema.-Dr. PARSONS showed a case ofangio-neurotic oedema for diagnosis.Salvarsan in Syphilis.-Dr. LYONS showed the followingcase of tertiary syphilis treated by " 606." The followingare notes of the case:A woman, aged 35 years, was infected nine years before, andfor the past four years was bedridden and unable to walk. Shehad been treated with mercurial injections and variousmedicines internally till she was tired of taking them. Oncoming to Dr. Lyons her condition was as follows: Half of thenose was ulcerated away; the inner angle of the left eye wasscarred and ulcerated; all the forehead and part of scalp wasscarred and ulcerated; right elbow with large deep ulcer; onthe right shoulder there was a large scar; on the left elbow alarge scar and a large ulcer on the left forearm. The rightknee was contracted and ulcerated; both legs a mass of ulcerationsand scabs all down anterior part. There was perforationof the soft palate, and the uvula was ulcerated away.On March 21st, 1911, she received an injection of 0.6 gr. " 606"in the buttock.March 22nd. Patient passed a good night; temperature 98.60.Hardly any pain at site of injection and no inflammation.March 23rd. Temperature normal. Patient says she feelswell, ulcers healing and much cleaner looking.Her condition went on improving, and in about a week everythinghad healed; she was able to straighten her right leg andto get out of bed and walk a little. Since then she has continuouslyimproved and has put on weight and has made amarvellous recovery. She had no other treatment but " 606."Members present expressed themselves as very much impressedwith this case. The large clean scars on legs,knees, elbows, face, etc., were clearly visible, giving onesome idea as to what a dreadful state the patient was inbefore treatment.Fleet Surgeon MOWAT showed a case in a man treatedby " 606 " with excellent results. He also showed a caseof haemorrhage into the vitreous or retina in a bluejacket,the cause of which could not be ascertained.Fleet Surgeon 0. W. ANDREWS, of the Bacchante, thenread a paper on "606," and showed 7 cases treated byhimself.Tuberculin in Diagnosis.-Dr. PARSONS made someremarks on this subject. This brought a very successfulmeeting to a close.Votes of Thanks.-Votes of thanks were passed toDr. Lilly for his kind hospitality and to those who readpapers or showed cases.BRANCH AND DIVISION MEETINGS TO BE HELD.EAST ANGLIAN BRANCH.-The autumn meeting will be heldat Braintree on Thursday, October 26th. Members wishing toread papers or to show specimens or cases should communicateat once with the Secretary, Dr. B. H. NICHOLSON, East Lodge,Colchester.

SUPPLEMENT TO THU 1350 BBITI8H MZDICAL JOURNALJ INSURANCE BILL. [SEPT. i6, I9II.INSURANCEBILL.BRIGHTON DIVISION OF THE BRITISH MEDICAL AssoCIATIONMEDICAL PRACTITIONERS' DEFENCE FUND.NESTOR writes: I see in the SUPPLEMENT of September 9ththat the Brighton practitioners have instituted a defencefund. I note that in Clause 4 a practitioner holding clubappointments is to guarantee a sum equal to at least 25per cent. of his gross annual club income; those not holdingsuch appointments to guarantee at least £10. I do notknow how many doctors hold club appointments in such afashionable resort as Brighton, nor do I understand thisunequal guarantee. Whatever the effect may be upon theprofession as a whole when this bill is passed, it is quitecertain that the men who hold the club appointments willbe the lminediate sufferers should it be found necessaryfor them to resign their club appointments. In fact theselatter, in most country practices, form a very valuableasset, both from a capital as well as an income value.Surely, then, it is the duty of men who do not hold clubappointments to see that the sacrifice of their brethrenshould not be left uncompensated. It would seem to me,if there be any difference in the amount of the guarantee,it is those who do not hold these appointments who shouldsubscribe the larger sum. Better still, all should guaranteea minimum sum of the same value. Such as are able toafford it should give more. It is the club doctors who canmake or mar this bill, but I hardly think any other Divisionwould introduce such a flagrant inequality as is containedin the clause already referred to.MR. HARMSWORTH'S AMENDMENT,H. D. writes: As the acceptance of Mr. Cecil Harmsworth'samendment is a contradiction to Dr. Addison'samendment, as will be found in the working, would it notbe as well to try and prevail on the author of the billto accept some way out of his difficulties-he is clearlytrying to concifiate two classes, the medical professionand the friendly societies, so far with poor success? Itseems to mie the only way to do it is to throw the wholebody of doctors open to clubs by paying medical men forwork done per scale. If the expense is a formidableobjection a modification of the same idea would be tocompel clubs to pay medical men for work done per scaleand to compel clubs to form a fund for such a purpose by,in the first instance, a levy of 4s. a member per year.Should the fund so started be insufficient for the purpose, afresh levy on the members could be made to meet the deficit.The prospect of a fresh levy, which would be a varyingsum, would prove a great check on the clubs and membersgoing to the doctor too freely.I, with a great many others, will rejoice to see ourprofession stripped of the contract system. The first tobenefit by any change of this kind would be the clubmembers themselves, as it provides them with a realchoice of doctor, for they can consult which doctor theyfancy provided he accepts the scale fees. Under thissystem medical men will at once begin to take an intelligentinterest in club work, and the best men will get themost work. This is as it should be, in everybody'sinterests.THE INSURANCE BILL AND THE PUBLIC.Dr. WM. EARDLEY (Goole) writes: I read with interestbut also with surprise the article in the NineteenthCentury of July, which was reviewed in the BRITISHMEDICAL JOURNAL of September 2nd. The article, as itseemed to me, was a, misstatement of our positionso misleading to the public as to call for an answerfrom some medical man knowing the facts and able tostate them. Hence we may be glad to see the NineteenthCentury of this month (September) contains an article byProfessor Lindsay of Belfast entitled The Ethics ofMedical Practice, in which the writer ably, briefly, andimpartially states the truth in regard to the medicalprofession, disproving the charges brought against it.Written in language which the laity can understand,Professor Lindsay's article is in the main a reply tothat in the July magazine, and may well convince anybut the most ignorant and bigoted of the following facts:that, so far from being " actuated only by the most sordidmotives," the medical profession is at bottom essentiallyaltruistic; no other profession does so much unpaid work;doctors generally are not mere self-seekers, but highminded,public-spirited men, concerned at least as muchwith promoting the welfare and health of the public aswith filling their own pockets; we do not blow our owntrumpets, " the medical profession is intolerant of selfadvertisement,"but we yield to none in our desire to helpthe poor, a desire put into practice by almost every doctorevery day; and finally, thanks to the energies of medicalmen, to the spirit and performance of present-day medicalscience, this is pre-eminently the age, not of mere quackeryand humbug, but of preventive medicine.The extraordinary suggestion that the medical Drofessionis " parasitic upon diseased persons " is too silly to domuch harm. As well say the legal profession is "parasitic" upon the rogueries, or the Church " parasitic " uponthe sins, of mankind. Such language exceeds the boundsof common sense." The art of medicine needs no apology," as ProfessorLindsay observes. " Its triumphs are written on the pageof history, and shine nowhere more brilliantly than in therecords of the last few decades."He concludes with a passage from R. L. Stevenson,which may encourage us when we feel disheartened evenby unjust criticism:There are men and classes of men that stand above thecommon herd-the soldier, the sailor, and the shepherd notunfrequently, the artist rarely, the physician almost as a rule.He is the flower (such as it is) of our civilization. . . . Generosityhe has, such as is possible to those who practise an art,never to those who drive a trade; discretion, tried by a hundredsecrets; tact, tried by a thousand embarrassments; and whatare more important, Herculean cheerfulness and courage. Soit is that he brings air and cheer into the sick-room, and oftenenough, though not so often as he wishes, brings healing.The verdict of Stevenson may well be allowed to outweighthat of a writer who attacks, disparages, and misrepresentshis own profession.LIBRARY OF THE BRITISH MEDICALASSOCIATION.LENDING DEPARTMENT.A LIST of periodical publications, official reports, and BlueBooks in the Library of the British Medical Associationavailable for issue to members on loan has been printed, andcopies can be obtained free on application to the Librarian,at the house of the Association, 429, Strand, W.C. Theregulations governing the loan of these publications arestated in the introduction to the list.The Library is open for consultation from 10 a.m. till5 p.m. (on Saturdays till 2 p.m.).ja l aub ftiIitarg Appoinntnts.ROYAL NAVY MEDICAL SERVICE.FLEET SURGEON J. L. THOMAS has been placed on the retired list,with the rank of Deputy Surgeon-General, September 3rd. He wasthe senior Fleet Surgeon in the Royal Navy, having been appointedSurgeon, February 11th, 1884; Staff Surgeon, February 11th, 1896; andFleet Surgeon, November 9th, 1896. He was Surgeon of Temeraire(Flag) Mediterranean, and attached to torpedo boat flotilla during theblockade of Greek ports by the International Fleet (1886). Surgeon incharge of Britannia (Cadets' School), and mentioned to their Lordshipsfor introducing and conducting classes on " First Aid."Especial mention by their Lordships for medical services renderedduring an epidemic of yellow fever (November, 1891, to February,1892), whilst Surgeon of the Naval Hospital, Jamaica. Surgeon ofPorpoise during the China-Japan war, 1894-95, and witnessed thesurgical treatment of the Japanese wounded immediately after the.Yalu naval action; present at the storming and fall of Port Arthur(November, 1894), and at the bombardment and capitulation ofWei-hai-Wei (February, 1895): landed at Chefoo in charge of a nativehospital there, and received their Lordships' thanks for services performedto the wounded Chinese soldiers and sailors; favourably notedby the Admiralty for this service; bestowed by the Imperial ChineseGovernment (through the British Minister, Peking) with the GrandOrder of the Double Dragon of China of the First Division, 3rd Class;P.M.O. of the Naval Brigade in the advance with the Allied Forcestowards Peking; present in the actions on the route Tientsin toPeking and Relief of the Legations (1900), (mentioned in dispatches,promoted to Fleet-Surgeon, medal with clasp).The following appointments have been made at the Admiiiralty:Fleet Surgeon J. C. FERGUSON, M.B., and Surgeon A. C. W. NEWPORTto the Japiter, on its becoming the parent ship, September 1st; Fleet

F1EPT. i6, 1917.] VACANCIES AND APPOINTMENTS. E lPPLUMXNT TO THU IBnrriTSH MMmDICA JoussL 35DSurgeon A. KIDD to the Glory, September 7th; Surgeon E. R. TOWN-END to the Done7al, September 7th; Fleet Surgepons J. D. HUGHES,J. McELWEE, M.D., G. T. BISHOP, and L. T. REID; Staff Surgeons E.FOLLIOTT, A. J. LAURIE, J. VERDON, L. M. MORRIS, R. H. ATKINS, M.B.,and M. W. IREDELL, and Surgeons W. R. HARRISON, R. F. MACMAHON,G. H. S. MILLN, M.B., A. D. C. CUMMINS, G. MOIR, and J. MCCUTCHEON,all to the President, additional, for Civil Hospital Course, to join theRoyal Naval College, October 2nd; Fleet Surgeon E. R. D. FASKEN, tothe Devonshire, October 2nd; Fleet Surgeon A. X. LAVERTINE to theTerrible, October 2nd; Fleet Surgeon E. A. SHAW, M.B., to the Antrim,October 2nd; Fleet Surgeon B. F. PARISH to the Actaeon, October 2nd;Staff Surgeon E. D. J. O'MALLEY to the Amethyst, October 2nd;Surgeon A. R. DAVIDSON, M.B., to the Indefatigable, October 2nd;Surgeon R. H. ST. B. E. HuGHES to the New Zealand, additional, forthe Portsmouth Subdivision of the Home Fleet, October 2nd; SurgeonJ. D. KEIR to the Venzerable, October 2nd; Surgeon G. W. M. CUSTANcEto the Pembroke, additional, for disposal, undated, and for ChathamHospital, October 2nd; Staff Surgeon W. E. MATHEW to the Forth,September 13th; Staff Surgeon J. R. L. PAGE to Devonport Dockyard,September 28th; Staff Surgeon G. C. C. Ross, M.B., to the Vivid,additional, for disposal, September 28th.ARMY MEDICAL SERVICE.ROYAL ARMY MEDICAL CORPS.CAPTAIN H. H. KIDDLE is placed temporarily on the half-pay list onaccount of ill health, September 2nd. He was appointed Lieutenant,Indian Medical Service, September 1st, 1902, and Captain, September1st, 1905; he was transferred to the Royal Army Medical Corps,December 18th, 1907.INDIAN MEDICAL SERVICE.LIEUTENANT-COLONEL P. HEHIR, M.D., assumed charge as OfficiatingPrincipal Medical Officer, Burma Division, on August 1st.TERRITORIAL FORCE.ROYAL ARMY MEDICAL CORPS.Attached to Units other than Medical Units.-Lieutenant JOHNLEACH, M.B., to be Captain, May 18th, 1911. Major W. C. BEATLEY,M.D., resigns his commission, retaining his rank and uniform,September 9th.COLONIAL MEDICAL SERVICES.THE following changes have been notified by the Colonial Office:WEST AFRICAN MEDICAL STAFF.Retiremsent.-J. B. H. DAVSON, M.R.C.S.Eng., L.R.C.P.Lond., SeniorMedical Officer, Sierra Leone, retires on pension.Promotions.-J. P. FAGAN, F.R.C.S., L.R.C.P., L.M.Irel., D.P.H.Dub.,Deputy Principal Medical Officer, Northern Nigeria, to be PrincipalMedical Officer, Northern Nigeria. F. G. HOPKINS, M.D., B.Ch.Dub.,Deputy Principal Medical Officer, Southern Nigeria, to be PrincipalMedical Officer, Gold Coast. F. MANNING, L.R.C.S., L.R.C P.Irel.,Senior Medical Officer, Northern Nigeria, to be Deputy PrincipalMedical Officer, Northern Nigeria. E. H. TWEEDY, L.R.C S., L.R.C.P.,L.M.Irel., Provincial Medical Officer, Northern Territories of the GoldCoast, to be DeputyPrincipal Medical Officer, Gold Coast.Reappointments.-R. H. BRIERLEY, L.R.C.P., L.R.C.S.Edin.,L.F.P.S.Glas., D.P.H., formerly a Medical Officer in Southern Nigeria,has been reappointed to the staff.Death.-H. G. LEWER, L.R.C.S., L.R.C.P.Edin., L.F.P.S.Glas.,Medical Officer, Northern Nigeria.New Appointments.-The following gentlemen have been selected forappointment to the staff :-L. W. DAVIES, M.D., Ch.B.Edin., NorthernNigeria. J. B ALEXANDER, M.B.. Ch.B.Edin., D.P.H.Cantab., GoldCoast.OTHER COLONIES AND PROTECTORATES.W. H. BOMFORD, L.R.C S., L.R.C.P.Irel., has been selected forappointment as a Medical Officer in Fiji. W PARSONS, M.R.C.S.Eng.,L.R.C.P Lond., has been selected for appointment as Medical Officerin charge of the Quarantine Station at Singapore E. SUTCLIFFE,M.R.C.S.Eng., L.R.C.P.Lond., has been selected for appointment asa Supernumerary Medical Officer in the Leeward Islands.Vital Statistirs. -HEALTH OF ENGLISH TOWNS.IN seventy-seven of the largest English towns 7,750 births and 5.889deaths were registered during the week ending Saturday last, September9th. The annual rate of mortality in these towns, which hadbeen 20.9, 21.2, and 20.6 pmer 1,000 in the three preceding weeks, fell lastweek to 19.0 per 1,000. In London the death-rate last week did notexceed 17.4 per 1,000, against 19.1, 19.0, and 17.6 in the three previousweeks. Among the seventy-six other large towns the death-rates lastweek ranged from 9.4 in Hastings, 10.6 in Barrow-in-Furness, 11.2 inWallasey, 11.8 in Derby and in Halifax, and 12.2 in Croydon to 26.5 inHull, 27.9 in Liverpool and in Burnley, 28.5 in Aston Manor, 28.6in' Stoke-on-Trent. and 33.1 in Sunderland. Enteric fever causeda death-rate of 1.2 in Birkenhead and 1.8 in Wigan; measlesof 2.2 in Wolverhampton; diphtheria of 1.5 in Coventry; anddiarrhoea and enteritis (of children under 2 years of age) of 10.8 inSt. Helens, 10.9 in Stoke-on-Trent, 11.8 in Aston Manor, 13.2 in Grimsby,13.5 in Merthyr Tydfil, and 13.7 in Burnley. The mortality fromwhooping-cough and scarlet fever showed no marked excess in any ofthe large towns, and no fatal case of small-pox was registered duringthe week. Of the 5,889 deaths in the seventy-seven towns last week,the causes of 24, or O.4 per cent., were not certified either by a registeredmedical practitioner or by a coroner after inquest, and included 5 inLiverpool, 4 in Birllmingham, and 2 in London. The number of scarletfever patients under treatment in the Metropolitan Asylums Hospitalsand the London Fever Hospital, which had been 1,388, 1,352, and 1,327at the end of the three preceding weeks, rose to 1,349 at the end of theweek under notice; 217 new cases were admitted during the week,against 149, 132, and 168 in the three preceding weeks.HEALrH OF SCOTTISH TOWNS.IN eight of the largest Scottish towns 758 births and 536 deaths wereregistered during the week ending Saturday last, September 9th. Theannual rate of mortality in these towns, which had been 15.5 and 17.2in the two preceding Nveelts, declined to 16.4 in the week under noticeand was 2.6 per 1,000 below the mean rate during the same period inthe large English'towns. Among the several Scottish towns the deathrateslast week ranged from 11.1 in Paisley and 12.2 in Edinburgh to19.4 in Greenock and 20.1 in Aberdeen. The mortality from theprincipal epidemic diseases averaged 3.2 per 1,000, and was highest inDundee and Perth. The 262 deaths from all causes registered inGlasgow included 40 (of children under 2 years of age) from diarrhoeaand enteritis, 4 from whooping-cough, 3 from diplhtheria, 2 frommeasles, and 1 from enteric fever. Twelve deaths from infantilediarrhoea were recorded in Dundee, 4 in Aberdeen, 3 in Greenock, and3 in Perth; 2 deaths from scarlet fever in Aberdeen; and 2 deathsfrom diphtheria in Dundee and 2 in Leith.HEALTH OF IRISH TOWNS.DUIRING the week ending Saturday, September 2nd, 609 births and462 deaths were registered in the twenty-two principal urban districtsof Ireland, as against 623 births and 426 deaths in the preceding period.The annual death-rate in these districts, which had been 17.1, 19.4, and19.3 per 1,000 in the three preceding weeks, rose to 21.0 per 1,000 in theweek under notice, this figure being 0.4 per 1,000 higher than the meanaverage death-rate in the seventy-seven English towns for the correspondingperiod. The figures in Dublin and Belfast were 25.8 and 18.6respectively, those in other districts ranging from 4.2 in Drogheda and4.4 in Newry to 49.6 in Kilkenny and 57.2 in Newtownards, while Corkstood at 24.5, Londonderry at 12.8, Limerick at 17.7, and Waterford at9.5. The zymotic death-rate in the twenty-two districts averaged 6.9pei 1,000, as against 6.1 in the preceding week.During the week ending Saturday, September 9th, 598 births and 487deaths were registered in the twenty-two principal urban districts ofIreland, as against 609 births and 462 deaths in the preceding period.The annual death-rate in these districts, which had been 19.4,19.3, and21.0 per 1,000 in the three preceding weeks, rose to 22.1 per 1,000 in theweek under notice, this figure being 3.1 per 1,000 higher than the meanaverage death-rate in the seventy-seven English towns for the correspondingperiod. The figures in Dublin and Belfast were 27.1 and 19.7respectively, those in other districts ranging from 3.9 in Galway and4.2 in Drogheda to 27.5 in Armagh and 31.9 in Wexford, while Corkstood at 25.2, Londonderry at 16.6, Limerick at 17.7, and Waterford at26.6. The zymotic death-rate in the twenty-two districts averaged 5.9per 1,000 as against 6.9 in the preceding week.ffarauiez antbpotitmunts.This list 'of vacancies is compiled from our advertisement- columns,where full particulars will be found. To ensure notice in thiscolumn, advertisements must be received not later than the first poston Wednesday morning. VACANCIES.BANGOR: CARNARVONSHIRE AND ANGLESEY INFIRMARY.-House-Surgeon. Salary, £100 per annum.BEDFORD COUNTY HOSPITAL.-1) House-Physician. Salary, £80per annuim. (2) Male Assistant House-Surgeon. Salary, £80per annumBIRKENHEAD AND WIRRAL CHTLDREN'S HOSPITAL.-MaleHouse-Surgeon. Honorarium, £100 per annum.BODMIN: CORNWALL COUNTY ASYLUM. -Third AssistantMedical Officer (male). Salary, £140 per annulm.BRISTOL ROYAL INFIRMARY.-41) House-Surgeon. Salary, £100per annum. (2) Resident Casualty Officer. Salary at the rate of£50 per annum.BRITISH LYING-IN HOSPITAL, Endell Street, W.C.-(1) ResidentMedical Officer. Salary at the rate of £50 per annum. (2) Physiciansto Out-patients.CANCER HOSPITAL (FREE), Fulham Road, S.W.-House-Surgeon.Salary, £70 per annum.CHESTERFIELD AND NORTH DERBYSHIRE HOSPITAL. -House-Physician. Salary, £70 per annum.COUNTY OF LONDON.-Medical Officer of Health. Salary commencing at £1,250 psr annum.COVENTRY AND WARWICKSHIRE HOSPITAL.-Junior House-Surgeon. Salary, £80 per annum.DEVONPORT: ROYAL ALBERT HOSPITAL.-(1) House-Surgeon(male); salary, £125 per annum. (2) Assistant House-Surgeon;salary at the rate of £75 per annum.DUNDEE: UNIVERSITY COLLEGE.-Assistant in the Departmentof Physiology. Salary, £150 per annum.DUNFERMLINE: THE CARNEGIE DUNFERMLINE TRUST.-Assistant Medical Officer. Salary at the rate of £250 per annum.EAST LONDON HOSPITAL FOR CHILDREN, Shadwell, E.-House-Surgeon (male). Salary at the rate of £75 per annum.EDINBURGH SCHOOL BOARD.-Assistant Medical Officer. Salaryat the rate of £250 per annum.EDMONTON UNION.-Second Assistant Medical Officer (male) at theInfirmary. Salary, £120 per annum.ENNISKILLEN: FERMANAGH COUNTY HOSPITAL -House-Surgeon (male). Salary, £72 per annum.EXETER: ROYAL DEVON AND EXETER HOSPITAL.-House-Physician and Assistant House-Surgeon. Salary at the rate of£60 each per annum.GLASGOW ROYAL ASYLUM.-Junior Assistant Physician. Salaryat the rate of £150 per annum.GUILDFORD: ROYAL SURREY COUNTY HOSPITAL.-AssistantHouse-Surgeon. Salary, £75 per annum.HAMPSTEAD GENERAL AND NORTH-WEST LONDON HOS-PITAL.-House-Physician. Salary at the rate of £70 per annum.HASTINGS: EAST SUSSEX HOSPITAL. - House-Surgeon andAssistant House-Surgeon (males). Salary, £100 and £50 perannum respectively.HOLBORN UNION.-Public Vaccinator for the ClerkenwellDistrict.INVERNESS DISTRICT ASYLUM.-Junior Assistant Physician(male). Salary, £120 per annum.LEAMINGTON: WARNEFORD, LEAMINGTON, AND SOUTHWARWICKSHIRE GENERAL HOSPITAL. - House-Surgeon.Salary, £100 per annum.

3 5 2 SUPPL3XUZIT TO TXBUITIKM MXDIA4L JOUBNAJ] DIARY. [SEPT. i6, igii.LEEDS MATERNITY HOSPITAL.-Vacancy on the Honorary Staff.LEICESTER: BOROUGH LUNATIC ASYLUM. - Medical Superintendent.Salary, £800 per annum.LEICESTER ISOLATION HOSPITAL.-Resident Medical Officer.Salary, £150 per annum.LISTER INSTITUTE OF PREVENTIVE MEDICINE, ChelseaGardens, S.W. - Assistant Bacteriologist. Salary, £250 perannum.LIVERPOOL EYE AND EAR INFIRMARY.-Honorary AssistantSurgeon.LOUGHBOROUGH AND DISTRICT GENERAL HOSPITAL ANDDISPENSARY. - Resident House-Surgeon. Salary, £100 perannum.MANCHESTER CORPORATION.-Assistant Medical Officer at theBaguley Sanatorium. Salary, £100 per annum.MANCHESTER ROYAL INFIRMARY.-Resident Surgical Officer.Salary, £150 per annum.MARGARET STREET HOSPITAL FOR CONSUMPTION ANDDISEASES OF THE CHEST, Margaret Street, W.-1) HonoraryPhysician; (2) Honorary Dental Surgeon.MELROSE: ROXBURGH DISTRICT ASYLUM.-Assistant MedicalOfficer. Salary, £160 per annum.MIDDLESBROUGH: NORTH RIDING INFIRMARY.- AssistantHouse-Surgeon (male). Salary at the rate of £75 per annum.NEWCASTLE-ON-TYNE DISPENSARY.-VisitingMedical Assistant.Salary, £160 for first year, increasing to £180.NEWPORT AND MONMOUTHSHIRE HOSPITAL.-House-Surgeon.Salary, £60 per annum.NOTTINGHAM GENERAL DISPENSARY. - Assistant ResidentSurgeon (male). Salary, £160 per annum.NOTTINGHAM GENERAL HOSPITAL.-Assistant House-Surgeon.Salary, £100 per annum.PRESTON: COUNTY ASYLUM, Whittingham.-Assistant MedicalOfficer. Salary, £150 per annum, rising to £250.PRESTON ROYAL INFIRMARY.-Senior House-Surgeon (male).Salary at the rate of £80 per annum,PRETORIA LUNATIC ASYLUM.-Junior Medical Officer. Salary,£350 per annum, rising to £400.QUEEN CHARLOTTE'S LYING-IN HOSPITAL. Marylebone Road,N.W.-Resident Medical Officer for Out-patient Department.Salary at the rate of £60 per annum.QUEEN'S HOSPITAL FOR CHILDREN, Hackney Road, N.E.-House-Surgeon. Salary at the rate of £80 per annum.READING: BERKSHIRE EDUCATION COMMITTEE.-AssistantMedical Inspector of Schools. Salary, £300 per annum.ROCHDALE INFIRMARY.-Senior House-Surgeon. Salary, £100per annum.ROYAL LONDON OPHTHALMIC HOSPITAL, City Road, E.C.-Third House-Surgeon. Salary at the rate of £50 per annum.ROYAL NATIONAL ORTHOPAEDIC HOSPITAL,Street, W. - Resident House-Surgeon. SalaryGreat Portlandat the rate of£100 per annum.ROYAL WATERLOO HOSPITAL FOR WOMEN AND CHILDREN,Waterloo Road, S.E.-Honorary Dental Surgeon.ST. MARY'S HOSPITAL,Out-patients.Paddington, W.-Surgeon in charge ofST. PETER'S HOSPITAL FOR STONE, Henrietta Street, W.C.-Junior House-Surgeon. Salary at the rate of £50 per annum.SAMARITAN FREE HOSPITAL FOR WOMEN, Marylebone Road,N.W.-Resident House-Surgeon. Salary, £80 per annum.SOUTHPORT INFIRMARY.-Resident Junior House and VisitingSurgeon (male). Salary, £70 per annum.STOCKPORT INFIRMARY.-Junior House-Surgeon (male). Salary,£80 per annum.TAUNTON AND SOMERSET HOSPITAL. - Resident AssistantHouse-Surgeon. Salary at the rate of £70 per annum.WALSALL AND DISTRICT HOSPITAL. - House-Physician andCasualty Officer. Salary, £80 per annum.WIGAN: ROYAL ALBERT EDWARD INFIRMARY.-Junior House-Surgeon. Salary, £100 per annum.WOLVERHAMPTON AND STAFFORDSHIRE GENERAL HOS-PITAL.-House-Surgeon. Salary, £80 per annum.CERTIFYING FACTORY SURGEONS.-The Chief Inspector ofFactories announces the following vacant appointments;Beverley, Yorkshire, East Riding; Crossabeg, co. Wexford; andWhitehouse. co. Antrim.APPOINTMENTS.ALLANSON, H. E., M.B Ch.B.Vict Manch., Resident Assistant MedicalOfficeir of the Salford Union Infirmary.AMBROSE, E. Q., L.R.C.P., L.R.C.S.Edin.. District Medical Officer ofthe Whitechapel Union.IBEDDOW, J., M.R.C.S., L.R.C P.Lond., District Medical Officer of theTiverton Union.BOULTON, Arthur, M.R.C.S., L.R.C.P.. D.P.H.Eng., Medical Officer ofHealth for the Urban District of Horncastle.BROWN, R., M.R.C.S., L.R.C P.Lond., District Medical Officer of theHackney Union.DOWNES, T. W. H., M.R.C.S., L.R C.P Lond., District and WorkhouseMedical Officer of the Ludlow Union.DUPRI, W. H., M R.C.S., L.R.C.P., House-Surgeon to the Kent andCanterbury Hospital.GLENNY, Elliott T., M.B, B.S.Lond., M.R.C.S., L.R.C.P.Lond.,Visiting Medical Officer to the Ferrotamba Mining Company,Apurimac, Peru.GRIFFITH, G. R., M.B., C.M.Glasg., Medical Officer of Health of thePort of Carnarvon.HARRIS, D. Fraser, B.Sc.Lond., M.D.Glas., Professor of Physiologyin the Dalhousie University, Halifax, Nova Scotia.HARTIGAN, J., L.A.H.Irel., Assistant Medical Officer of the NottinghamUnion Infirmary.HIBBERT, W. L., M.R.C.S., L.R.C.P.Lond., Assistant Resident MedicalSuperintendent of the Lewisham Infirmary.=HOLMES, P. J., L R C.P.I., L.R.C.S.I., L.M, Certifying FactorySurgeon for the Killaloe District, co Clare.HoSEGOOD, S., M.R.d.S Eng., L.S.A., Certifying Factory Surgeon forthe Swinton District, co. Lancaster.IVES, W. F. H.,L.R.C.P.,L.R.C.S.Edin., L.F.P.S.Glas., DistrictMedicalOfficer of the Southampton Union.KIRx, T. D., M.D, M.Ch., L.S.A., Certifying Factory Surgeon for theMontgomery District, co. Montgomery and Salop.LAWRENCE, W. B., M.R.C.S., L.R.C.P.Lond., Assistant Medical Officerof the Cardiff Union Workhouse.MERCER, R. H., M.B., Ch.B.Vict.Manch., District Medical Officer ofthe Pewsey Union.MILBURN, 0. Le F., M.R.C.S., L.R.C.P.Lond., District Medical Officerof the Biggleswade Union.MoXoN, H. W., B.A.Cantab., M.R.C.S., L.R.C.P.Lond., CertifyingFactory Surgeon for the Matlock District, co. Clare.STEVENS, B. C., M.D.Durh., F.R.C.S.Edin., D.P.H.Oxon., MedicalOfficer of Health and School Medical Officer to the Burgh ofHartlepool.STEVENSON, C. K., M.B., Ch.B.Glas., Assistant Medical Officer of theEdmonton Union Infirmary.WHELAN, J. B. B., M.D.Durh., Certifying Factory Surgeon for theRuskington District, co. Lincoln.WHITEHO1USE, William Henry, M.D., B.S.Durh., D.P.H.Edin., MedicalOfficer of Health for Deptford.WHITTINGTON, T. H., M.R.C.S., L.R.C.P.Lond., Assistant MedicalOfficer of the St. Marylebone Union Infirmary.WILLCOX, J. W. J., M.B., B.S.Lond., M.R.C.S., L.R.C.P.Lond., DistrictMedical Officer of the Wells Union.BIRTHS, MARRIAGES, AND DEATHS.The charge for inserting announcements of Births, Marriages, andDeaths is 38. 6d., which sum 8hould be forwarded in Post OfficeOrders or stamps with the notice not later than Wednesday morningin order to ensure insertion in the current issue.BIRTHS.HODDER.-On the 13th inst., at 21, Foregate Street, Stafford, toDr. A. E. and Mrs. Hodder (nee Mary Haddon) a son, stillborn.POWELL -On September 8th, at 2, Gloucester Road, Bristol, the wifeof John Joseph Powell, M.D., of a son.MARRIAGES.EVANS-SMITHSON.-On September 6th, at St. Catharine's Church,Barmby Moor, East Yorkshire, by the Rev. A. A. R. Gill, Vicarof Market Weighton, assisted by the Rev. W. D. Wood Rees, Vicarof Barmby Moor, Dr. Alexander Evans, of Market Weighton,East Yorkshire, to Martha Elizabeth (Lily) Smithson, youngestdaughter of Francis Smithson, Esq., of Dolman House, Pocklington,East Yorkshire.FOLEY-JOYCE.-On September 6th, at the Pro-Cathedral, Dublin, bythe Rev. M. Conroy, P.P., Lisdoonvarna (uncle of the bride),assisted by the Rev. Father MacArdle, S.J., Galway, Rev. FatherMcDonagh, Oughterard, and Rev. Father Fitzgerald, O.S.F.,Dublin, Dr. C. H. Foley, of Ardrahan, co. Galway, to Ina,daughter to John H. Joyce, Oughterard, co. Galway.DEATH.PETTIFER.-On August 23rd, at Weymouth, Edmund Henry Pettifer,M.R.C.S., late of 32, Newington Green, London, aged 83. R.I.P.DIARY FOR THE WEEK.POST-GRADUATE COURSES AND LECTURES.EDINBURGH SEPTEMBER POST-GRADUATE COURSE.-The second fortnightof this course commences at 9 a.m. on Monday,and continues daily throughout the week. It includesclasses on errors of refraction, surgical anatomy,infant feeding, histological methods, x-ray work,gynaecology, general surgery, general medicine,dermatology, otology rhinology and laryngology,ophthalmology, obstetrics, bacteriology, haematology,fevers, and a lecture on some subject of currentmedical or surgical interest.LONDON HOSPITAL MEDICAL COLLEGE, E.-Monday, 2 p.m., PulmonaryDiseases. Tuesday, 2 p.m., Disease GivingRise to Morbid Renal Excretion. Wednesday, 2 p.m.,Abdominal Disease. Thursday, 2 p.m., Diseases ofthe Nervous System. Friday, 2 p.m., Diseases of theHeart.MEDICAL GRADUATES' COLLEGE AND POLYCLINIC, 22. Chenies Street,W.C.-The following Clinical Demonstrations havebeen arranged for next week at 4 p.m. each day:Monday, Skin; Tuesday, Medical: Wednesday,Surgical; Thursday, Surgical; Friday, Ear, Nose, andThroat.WEST LONDON POST-GRADUATE COLLEGE, Hammersmith Road, W.-Medical and Surgical Clinics, X Rays, and Operations,2 p.m. daily. Monday: Gynaecology, 10 a.m ; Eye,2 p.m. Tuesday: Gynaecological Operations, 10 a.m.;Throat, Nose, and Ear, 2 p.m.; Skin, 2 p.m. Wednesday:Diseases of Children, 10 a.m. Throat, Nose, andEar Operations, 10 a.m.; Eye, 2 p.m.; Gynaecology,2p.m. Thursday: Eye, 2 p.m.; Orthopaedics, 2p.m.Friday: Gynaecological Operations, 10 a.m.; Throat,Nose, and Ear, 2 p.m.; Skin, 2 p.m. Saturday: Diseasesof Children, 10 a.m.; Throat, Nose, and EarOperations, 10 a.m.; Eye, 10 a.m.Printed and published by the British Medical Assoiantion. at their Offloe. No. 429. Strand in the Parish of St. Martin-in-the-Fields, in the County of Middlesex.