874

children to receive milk depends on a variety of factors,such as, for example, the condition of the child, the willing-ness or unwillingness of the parents to pay where able todo so, or the willingness of the parent to allow the childto receive milk.

Slum ClearanceSir PnjMTr HARRIS asked the Minister of Health in how

many slum-clearance schemes had the work of clearancebeen actually commenced for the year ended March 31st,1934, or the nearest available date; and how manypersons therefrom had been actually rehoused.-Sir E.HILTON YOUNG replied : The number of clearance schemes,that is, confirmed orders or purchases by agreement inthe course of the year ended March 31st last was 631,involving the demolition of 16,375 houses and the buildingof replacement houses for 73,718 persons, but I am notable to state the extent to which the work of clearanceand rehousing had gone by the end of the year.

Disposal of London RefuseMr. McENTEE asked the Minister of Health whether the

advisory committee on London refuse had finished theirwork and reported; and, if so, would he state the natureof their report.-Sir E. HILTON YOUNG replied : I under-stand that the committee have completed their inspectionof places where refuse is handled in the county, or disposedof outside the county, and also their inquiry into thecollection and disposal of house refuse and the cleansingof streets and gullies in all but one of the city and metro-politan borough councils ; and that the committee hopeshortly to be able to submit a report in the first placewith regard to the disposal of London refuse.

Health Insurance : Medical BenefitMr. THORNE asked the Minister of Health if he could

state, owing to continued unemployment, at the end ofDecember, 1933, the numbers of persons that had beendenied medical benefit from their various approvedsocieties.-Sir E. HILTON YOUNG replied: The returns

which have now been received from approved societiesindicate that the number of members who after a periodof prolonged unemployment were continued in insuranceduring 1933 by virtue of section 1 (5) of the NationalHealth and Contributory Pensions Act, 1932, but ceasedto be entitled to medical benefit on 31st December last(though continuing to be insured for pensions purposes) isapproximately 125,000. This number will, however, besubstantially reduced by reinstatements to medical benefit,notifications of which are now being received from societiesat the rate of several hundreds a week.

Small-pox at BlackburnMr. GROvES asked the Minister of Health whether the

medical officers of the Ministry reported the form of small-pox recently notified at Blackburn to have been of thevariola major or the variola minor type.-Sir HMTONYourrG replied : I am advised that the recent outbreak ofsmall-pox in Blackburn was an outbreak of variola major.

Mr. GROVES asked the Minister of Health how manycases of small-pox were wrongly diagnosed in connexionwith the recent outbreak at Blackburn ; and whether itwas proposed to take proceedings against the medicalattendant or attendants concerned for failing to notifythese cases as small-pox.-Sir HILTON YOUNG replied:Four of the early cases were originally diagnosed as

chicken-pox. The answer to the second part of thequestion is in the negative. An error in diagnosis doesnot constitute an offence under the Infectious Disease(Notification) Acts.Mr. GROVES asked the Minister of Health whether he

was aware that the first case which led to the recentoutbreak of small-pox at Blackburn was a man employedat a cotton-mill where he handled cotton daily; andwhether the evidence indicated that he contracted thedisease in the performance of his duties.-Sir HILTONYourrG replied : The answer to the first part of the ques-tion is in the affirmative. I have no satisfactory evidenceon the second part.

MEDICAL NEWS

Royal College of Surgeons of EnglandAt a meeting of the council held on April 12th, with

Sir Holburt Waring, the president, in the chair, theJacksonian prize for 1933 was awarded to Mr. EdgarSamuel John King, F.R.C.S., of Melbourne Hospital andMelbourne University, for his essay on the pathology,diagnosis, and treatment of localised rarefying changes in.bones. A certificate of honourable mention for an essay onthe same subject was awarded to Mr. H. Jackson Burrows,F.R.C.S., of St. Bartholomew’s Hospital. The Jacksonianprize subject for 1934 is the pathology, diagnosis, andsurgical treatment of the various forms of splenomegaly,and for 1935 the pathology, diagnosis, and treatment ofintrathoracic new growths, excluding neoplasms of theoesophagus.The John Hunter medal, with the triennial prize for

1931-33, was awarded to Dr. Dorothy S. Russell, of theLondon Hospital, for her work on the morbid histologyof the kidney and brain.

Dr. G. A. Buckmaster (Bristol) and Mr. G. F. Stebbing(London), being members of 20 years’ standing, wereelected to the fellowship. Diplomas of membership weregranted to T. S. Heslop (Manchester) and M. S. Shin

(University College). Diplomas in tropical medicine andhygiene were granted jointly with the Royal College ofPhysicians to the following :-

A. C. Banerjee, P. P. Bhavnagri, S. A. B. Black, I. E. Dirckze,V. L. Ferguson, Emily C. Greenfield, R. D. Harding, L. C.Mayne, K. S. Menon, T. H. L. Montgomery, M. G. Pradhan,H. A. F. Sallam, M. F. Seifi, F. J. Sladen, F. G. Smith, R. B. U.Somers, A. L. Stuart, T. H. Williams, Jayampathi Yatawara,and K. E. Yuill.The regulations for examinership in anatomy were

altered so that in future examiners in anatomy both forthe fellowship and for the membership will be electedfrom persons holding a medical qualification in this

country ; previously only fellows examined in anatomyfor the fellowship, and only fellows or members for themembership. Mr. F. M. Stent was appointed assistant

secretary to the examining board in England.

University of LondonFour lectures on the integration of the circulation will

be given by Dr. R. J. S. McDowall, professor of physiologyin the University, at King’s College, Strand, W.C., on.Thursdays, May 3rd, 10th, 17th, and 24th at 5 P.M.

Admission is without ticket.Eight lectures on the history of physiology are to be

given at University College, Gower Street, W.C., by Dr.Charles Singer, professor of the history of medicine in theuniversity, and Dr. K. J. Franklin, lecturer in physiologyat Oriel College, Oxford. The first three, by Prof. Singer,will be at 5 P.M. on April 30th, and May 1st and 2nd, andthe remainder, by Dr. Franklin, at the same hour onMay 7th, 8th, 14th, 15th and 22nd. Admission is withoutticket.The Bayliss-Starling scholarship, of an annual value of

about i120, is tenable at University College, and applica-tions are invited before May 12th. The successful candi-date will be required to follow a course of training in theprinciples and methods of research in physiology and/orbiochemistry. Particulars will be found in our advertise-ment columns.

Metropolitan Hospital: Proposed IncorporationThe appeal for :E30,000 for repairs and to pay off the

debt has produced 22,000. At the recent annual meetingit was decided to incorporate the hospital as a companylimited by guarantee. It was stated that the presentmembers of a committee of management might be liablefor unlimited sums, a consideration which has recentlyled to a refusal to serve on the committee.

Salford Royal HospitalLast year there were 4031 in-patients who stayed on

the average 20-48 days. There were 29,459 out-patients,an increase of 1180. Traffic-accident patients cost

JE1087, of which only ;E221 was recovered. The out-

patients’ department, built in 1911, is now inadequate,but lack of means prevents extensions.

875

Medical Tour in the Rhineland

A medical tour of Rhineland spas is being arranged forWhitsuntide. It will begin on May 18th and end on the28th. Further particulars may be had from Mr. R. 0.Rohme, 90, Sheaveshill-avenue, Colindale, London, N.W.9.

Society for Relief of Widows and Orphans ofMedical MenAt a quarterly court of directors held on April llth the

President, Mr. V. Warren Low, being in the chair, anapplication for relief was considered from the widow ofa member who had just died. He had been elected alife member in 1921 and the widow was left practicallydestitute with nine children, four under 16 years of age.The court voted her a yearly grant of E60 for herselfand of E50 a year for each child under 16, a total of 260.She will also receive at Christmas the usual present ofno for herself and :E40 for the four children. Membershipof the Society is open to any registered medical practitioner,who at the time of his election is resident within a 20-mileradius of Charing Cross. The annual subscription rangesfrom two to four guineas, according to the age of thecandidate. Particulars from the secretary, at 11, Chandos-street, London, W.I.

Institute of Medical PsychologyThis institute in London, formerly called the Tavistock

Clinic, has received an anonymous donation of £300 "tostart research work on the remedial treatment of childrenwho suffer nervous troubles as an after-effect of assault."It has also received an offer from a medical man whoundertakes to bequeath £100 to the institute if 29 other

persons will do the same. The arrangement, he suggests,would be a " gentleman’s agreement " and the bequestswould be revocable in the event of " difficult circum-stances." "

It is stated that 77 children from London CountyCouncil schools have been referred to the institute duringthe past 12 months, 15 being sent for consultation only.Of those who received treatment, "satisfactory adjust-ment " was effected in 23 per cent.,

" partial adjustment "

in 16 per cent., while 46 per cent. were still undergoingtreatment at the end of the period. The remaining 15per cent. are described as either unsuitable or affected byuncooperative parents.

Medical DiaryInformation to be included in this column should reach us

in proper form on Tuesday, and cannot appear if it reachesus later than the first post on Wednesday morning.

SOCIETIESROYAL SOCIETY OF MEDICINE, 1, Wimpole-street, W.

MONDAY, April 23rd.Odontolopy. 8 P.M. Paper. Dr. Franz Duyvensz(Amsterdam): Saliva. Mr. F. W. Broderick will openthe subsequent discussion.

TUESDAY.Medicine. 4 P.M. Clinical Meeting at University College

Hospital, W.C. 4 P.M. Cases at the Hospital. 5 P.M.Tea in the Refectory, Medical School. 5.15 P.M.Discussion in the Lecture Theatre of the Medical School.Cases : Dr. F. J. Poynton : 1. Hepatomegaly andSplenomegaly ; ? Lymphadenoma. Dr. J. W. McNee :2. Acute Lymphadenoma with Pleural Effusion.3. Lead Neuritis. 4. Multiple Neurofibromata. Dr.Kenneth Harris : 5. Chronic Lymphangitis of Face.6. Chronic Pulmonary Tuberculosis with GeneralisedAmylosis. 7. Aortic Aneurysm with Portal Cirrhosis.Dr. K. Harris and Dr. P. Kerley : 8. Vena AzygosLobe with Haemoptysis. 9. Vena Azygos Lobe in aChild with Chronic Bronchitis. Dr. Saxby Willis :10. Aortic Aneurysm and Syphilis of Lung. Dr. A.Hall: 11. Congenital Heart-block and PeronealAtrophy. Mr. G. E. 0. Williams : 12 and 13. Pain ofVascular Origin in the Toes Relieved by AlcoholInjection. Mr. C. W. Flemming: 14. RecurrentAbscesses in Neck. Mr. C. Dee Shapland : 15-18.Fundus Oculi Changes of Medical Interest. Dr. L. P. E.Laurent: 19. Myasthenia Gravis (for Dr. C. Bolton).20. Sarcoma of Spleen and Glands. 21. GranularKidney following Acute Glomerular Nephritis. 22.Intracranial Aneurysm with Signs of Pressure on Pons.Dr. H. P. Himsworth : 23. Haemochromatosis. 24.Parathyroid Deficiency. 25. Xanthoma Diabeticorum.Mr. Julian Taylor : 26. Chloroma. Dr. W. J. Pearson :27. Congenital Morbus Cordis with Adherent Peri-

cardium. 28. Hirschsprung’s Disease Improved bySympathectomy.

WEDNESDAY.Comparative Medicine. 5p.m. Discussion on the Results

of Suture of Divided Nerves, to be opened by SirCharles Ballance and Prof. John Beattie.

THURSDAY.Urology. 8.30 P.M. Discussion on Anæsthesia in Urinary

Surgery, to be opened by Dr. H. Featherstone andProf. C. A. Pannett. Members of the Section ofAnaesthetics are specially invited to attend.

FRIDAY.Epidemiology and State Medicine, and Psychiatry. 8 p.nz.

Special Discussion on the Value of the Treatment ofMental Deficiency, to be opened by Dr. F. C. Shrubsall,Dr. W. Rees Thomas, and Dr. Noel Burke.

MEDICAL SOCIETY OF LONDON, 11, Chandos-street,Cavendish-square, W.MONDAY, April 23rd.-8.30 P.M., Discussion on Failures

of Gastric Surgery, to be introduced by Dr. John Ryle,Mr. A. J. Walton, and Dr. Eustace Callender.

MEDICO-LEGAL SOCIETY.THURSDAY, April 26th.-8.30 P.M. (at 11, Chandos-street,

W.), Mr. Claud Mullins : How Should Sexual Onendersbe Dealt With.

SOCIETY OF MEDICAL OFFICERS OF HEALTH, 1, UpperMontague-street, Russell-square, W.C.FRIDAY, April 27th.-5 P.M. (Fever Hospital Medical

Services Group), Discussion on the Relationship ofMeasles and Whooping-cough to Chronic InflammatoryConditions of the Chest, to be opened by Dr. O. D.Agassiz, Dr. G. Jessel, and Dr. J. E. McCartney, dealingrespectively with the clinical, radiological, and patho-logical aspects of the subject. Members of the Tuber-culosis, School Medical, and M. and C. W. Groups areinvited to be present.

ST. JOHN’S HOSPITAL DERMATOLOGICAL SOCIETY.WEDNESDAY, April 25th.-5 P.M. (49, Leicester-square,

W.C.), Dr. Sibyl G. Horner : Industrial Dermatosis.

LECTURES. ADDRESSES. DEMONSTRATIONS. &C.FELLOWSHIP OF MEDICINE AND POST-GRADUATEMEDICAL ASSOCIATION, 1, Wimpole-street, W.MONDAY, April 23rd, to SUNDAY, April 29th.—BRITISH RED

CROSS CLINIC FOR RHEUMATISM, Peto-place, N.W.Tues. and Thurs., at 8.30 P.M. Course in Rheumatism.ROYAL EYE HOSPITAL, St. George’s-circus, S.E. Coursein Ophthalmology. Afternoons.—SAMARITAN HOSPI-TAL, Marylebone-road, N.W. Week-end Course inGynaecology. All day Sat. and Sun.-MEDICALSOCIETY OF LONDON, 11, Chandos-street, W. Dr. A. E.Clark-Kennedy: Lecture on Cardiac Irregularity, onTues., at 2.30 P.M. Dr. Philip Ellman: Lecture onSuppurative Diseases of Lungs, on Wed., at 8.30 P.M. Mr. E. A. Peters : Lecture on Septic Tonsils, Naso-pharyngitis, and its Results, on Wed., at 4 P.M. (freeto Members and Associates of the Fellowship ofMedicine and open to non-members). Dr. PhilipEllman : Lecture on Industrial Diseases of Lungs, onFri., at 8.30 P.M.—PANEL OF TEACHERS. Individualclinics in various branches of Medicine and Surgery areavailable daily by arrangement with the Fellowship.Courses of instruction, clinics, &c., arranged by theFellowship of Medicine are open only to Members andAssociates, unless otherwise stated.

WEST LONDON HOSPITAL POST-GRADUATE COLLEGE,Hammersmith, W.DAILY.-2 P.M., Operations, Medical and Surgical Clinics.MONDAY, April 23rd.—10 A.M., Skin Clinic, Medical Wards.

11 A.M., Surgical Wards. 2 P.M., Gynaecological andSurgical Wards, Eye and Gynaecologieal Clinics.

TUESDAY.-10 A.M., Medical Wards. 11 A.M., SurgicalWards. 2 P.M., Throat Clinic. 4.15 P.M., Lecture,Mr. Green-Armytage : Post Maturity.

WEDNESDAY.-10 A.M., Medical Wards, Children’s Wardand Clinic. 2 P.M., Eye Clinic.

THURSDAY.-10 A.M., Neurological and GynaecalogicalClinics. 11.30 A.M., Fracture Clinic. 2 P.M., Eye andGenito-urinary Clinics. 4.15 P.M., Lecture, Mr.Batchelor: Head Injuries.

FRIDAY.-10 A.M., Skin Clinic. 12 noon, Lecture on

Treatment. 2 P.M., Throat Clinic. 4.15 P.M., Lecture,Dr. Konstam : Megalocytic Anaemia.

SATURDAY.-10 A.M., Medical and Surgical Wards, Children’sand Surgical Clinics.

The Lectures at 4.15 P.M. are open to all medical practitionerswithout fee.

HOSPITAL FOR EPILEPSY AND PARALYSIS, Maida Vale,W.THURSDAY, April 26th.-3 P.M., Dr. Blake Pritchard:

Clinical Demonstration.

ST. MARY’S HOSPITAL INSTITUTE OF PATHOLOGYAND RESEARCH, Paddington, W.THURSDAY, April 26th.-5 P.M., Mr. Hugh W. Bell Cairns :

Intracranial Surgery.ST. PAUL’S HOSPITAL, Endell-street, W.C.WEDNESDAY, April 25th.—4.30 P.M., Mr. W. K. Irwin:

Diagnosis and Treatment of some Important BladderConditions.

ROYAL NORTHERN HOSPITAL, Holloway-road, N.TUESDAY, April 24th.-3.15 P.M., Dr. C. Gouldesbrough :

Spinal Abnormalities.