895

VACCINATION AWARDS.-R. Pringle, L.R.C.P. E.,&c., has received from the Local Government Board a

gratuity for the efficient state of the vaccinations in the

Osmotherley District of the Northallerton Union. Mr.G. F. Pritchard, L.R C.P. I., of Teynham, Kent, has forthe third time received an award of .614 6s.

THE PUBLIC HEALTH ACT, 1872.[In the following list the letters " P.S.D." signify Port Sanitary District," B.S.D." Rural Sanitary District, and " U.S.D." Urban Sanitary District.]

Diatricta, and Medical Officers Salary Area in Popn-Districts, and Medical Officers. per ann. Acres. lation.Aberayron, R.S.D.-viz,:

Llansantffraid Division.-Mr. E. Williams... £11 5s. 30323 7068Llandisilio " Dr. Thos. Evans ... £10 31697 6473

Ashborne, U.S.D.-Mr. John H. Casson .......610Barrow-on-Soar, R.S.D.-viz.:

Barrow Division.-Mr. Patrick Downey ... £ 20 10389 4938Belgrave " Dr. Henry Nuttall ...... JE20 8015 3679

Quorndon " Mr. Charles W. Wood ....E20 10678 2141

Rothl ey " Mr. William Pauison ....620 4015 3492

Lyston " Mr. William C. Dalley ... £20 13245 4364Belford, R.S.D.—Dr. Lewis G. Broadbent...... R50 12727 2700

Berwick-upon-Tweed, U.S.D.-Mr. R. C. Fluker .660 8766 13198Bideford,

Dulverton, )Okehampton, R.S.D.s-Mr. A. W. Blyth ... £550 460983 67595South Molton, ITorrington, J

Castle Ward, R.S.D., Ponteland Division.- R31 89918 5102Mr. David Bethune ..................

Charlton Kings, U.S.D.-Dr. Thomas Wright... R40 3120 3680

Chepping Wycombe, U.S.D.-Dr. R M. Bowstead de25 120 4811

Clayton West. U.S.D.-Mr. John S. Brookfield...... 1080 1531

Cosford, R S.D.-viz. :Bildeston Division.-Mr. John L. Grouse ...Boxford " Mr. Charles P. Mann ... Lavenham " Dr. William M. White... £100 48054 61393

Hadleigh "

Mr. Henry Newman ... )Hadleigh " Mr. John T. Muriel ...

Cottingham, U.S.D.-Mr. Richard W. Cooper ... £10 10000 4000Cuckfield,

Eastbourne, East Grinstead, IHailsham, R.S.D.s Hailsham, R.S.D.sNewhaven, Ticehurst, ) Dr. E. F. Fussell £800 367898 105867Uckfield,

Cuckfield, Eastbourne, U,S.D.sLindfield, U.S.D.sSt. Wilfreds,

Dulverton, R.S.D. - combined with BidefordR.S.D. and others.

Eastbourne, R.S.D. combined with CuckfieldEastbourne, U.S.D. R.S.D. and others.East Grinstead, R.S.D.-combined with Cuck-

field R.S.D. and others.Gainsborough, R.S.D.-Mr. Robert Eminson... iE150 102450 19593Gunthwaite and Ingbirehworth, U.S.D. - Mr. 1900 386

John S. Brookfield .................. 1900] 386

Hailsham, R.S.D. - combined with CuckfieldR.S.D. and others.

Haltwhistle, R.S.D.-Dr.Maclaren (of Hexham) R50 89392 6987Hartismere, R.S.D.-viz :

Botesdale Division-Dr. Arthur Pearse......jB26 16s. 4d. 11007 3832Eye " Mr. Edgar G. Barnes ... £21 19s. 2d. 11546 3189Gislingham " Mr. Samuel G. Downing.. R19 10s. 3d. 8652 2779Mendlesham " Mr. Wm. Cuthbert....., 929 3s. 6d. 15935 4207Rishangles " Mr. Thomas Radford ... £2 2 10s. 9d. 1546 349

Hayle, P.S.D. Mr. James Mudge e ......... R21 Is. 250 2500Hayle, U S.D. Mr. James MudgeKingsclere, R.S.D.-viz.:

Kingselere Division-Mr. Geo. P. Richards ... R25 24510 5420Highclere " Dr. Geo. L. Thomson... £15 19491 3152

Lindfield, U.S.D. - combined with CuckfieldR.S.D. and others.

Llanrwst, R.S.D.-Mr. Owen Evans ......... £25 91037 13028Midburst, R.S.D.-viz.:

Fernhurst Division-Dr. Alexander Yule ... £ 20 12845 2119Midhurst " Dr. John Bobinson ....613 15542 4570Tillington " Mr. Wm. Morris...... £15 10231 2188Rogate " Mr. Collins Curtis ....825 17737 2969Milland " Dr. Alexander Yule ... £10 7773 1209

Mildenhall, R.S.D.-viz.:Lakenheath Division-Mr. Alfred C. Mayo ... C35 40129 5086Worlington ,. Mr. Pelham Aldrich... £25 23500 4136

Newhaven, P.S.D.-Mr. Thomas M. Cann...... £10 - -

Newhaven, R.S.D.-combined with CuckfieldR.S.D. and others.

Okehampton, R S.D.-combined with BidefordR.S.D. and others.

Orsett, R.S.D.-viz.:Orsett-Mr. Rea Corbet ............... t32 10s. 12885 3451Stan ford-le-Hope-Mr. Arthur W. Mercer ... £32 10s. 13626 2372Grays-Mr. Alfred T. Roworth ............ £17 10s. 5543 4042South Ockendon-Mr. Robert B. Jordieon ... dE16 4540 1597Aveley-Mr. Charles G. Bott ............ £12 10s. 4407 1183Orsett Hamlet-Mr. Arthur Clarke......... £1 11s. 6d. - -

Penistone, R.S.D.-viz.:Division No. I-Mr. George F, Leigh ..... - 7550 936

" 2--Mr. John S. Brookfield...... - 740 239" 3-Mr. Charles 0. Rowley ...... £ 35 6770 4607

Districts, and Medical 0fficers. Salary dreain Popu-Districts and Medical Officers. per ann. Acres. lation.

Penistone, U.S.D.-Mr. George F. Leigh ...... - 1050 1557

Plympton St. Mary, R.S.D.-viz.:Division No. 1.-Mr. Richard Ellery .......S20 18540 5190

" No. 2.-Dr. W. Marshall Holmes ... £ 10 Is. 6d. 19250 3261" No. 3.-Mr. Edwin C. Langford ... £22 10s. 14920 6517" No. 4.--,Mr. Joshua E. Adkins,..." £22 10s. 15650 3901" No. 5 -Mr. Philip W. Govett ...... £15 5930 3753

Ramsbottom, U.S.D.-Mr. James Smith ...... X50 290 4205Reeth, R.S.D.-viz. :

Reeth Division.-Mr. Abraham B. Kernot ....625 29899 3569Muker Division.-Mr. Henry Towle ...... £15 40368 2627

Rothbury, R.S.D.-Mr. Robert Vardy......... £25 163616 7C93St. Germans, R.S.D.-viz. :

Division No. 1.-Mr. Robert W. P. Kerswill ... .. 12279 3236

" No. 2.-Mr. Charles W. Chubb ... 3222 3854

No. 3. Mr. Edwin J. Worth ...... 4365 KnoaNo. 3. Mr. Alexander B. Chevcs ... 1 4365 5069

" No. 4. Mr. William Littleton...... R, 0208 4677" No. 4.-Mr. William Littleton...... 10208 4677.. No. 5.-Mr. John Kempthorne ...J L 11815 1862

St. Wilfrids, U.S.D. - combined with Cuckfield,R.S.D. and others.

Shaftesbury, R.S.D.-viz.:Fontmell Division-Mr. Edwin Wykes...... £17 10s. 14458 3256Shaftesbury " Mr. Adam Wilkinson ... R12 10s. 7693 2584Gillingham " Mr. Theophilus Woods... £17 10s. 13406 4800

South Molton, R.S.D.-combined with BidefordR.S.D. and others.

South Shields, R.S.D.-Mr. John Grant ...... E25 11000 5734Swadlincote, U.S.D.-Dr. Christopher Hall ... £12 10s. - -

Tadeaster, R.S.D.-viz.:Division No. 1.-Mr. John E. Ellerton...... £22 19385 5920

" No. 2.-Mr. George Ellerton .......617 10630 5552

" No. 3.-Mr. Thomas Scott ...... £2l 20783 5058

" No. 4.-Mr. Thomas B. Ireland ... jE20 17654 4340Ticehurst, R.S.D. - combined with Cuckfield

R.S.D. and others.Thurlstone, U.S.D.-Mr. George F. Leigh ...... - 7740 2639Torrington, R.S.D. - combined with Bideford

R.S.D.and others.Uckfield, R.S.D.-combined with Cuckfield R.S.D.

and others.Wellington, Salop, R.S.D.-Mr. John C. Burchell R30 34318 25187Wells, R.S.D.-Dr. Thomas Purnell ......... £225 54616 11971Woburn, R.S.D.-Dr. Charles E. Prior......... £70 29600 11500

Medical Appointments.DAVIES, T., L.R.C.P.Ed., M.R.C.S.E., has been appointed Medical Officer for

the Creuddyn District of the Conway Union, vice Williams, resigned.Foxaxasr, H. 1., M.D., M.R.C.P.L., has been appointed Physician to the

Social Union Friendly Society, Duke-street, Aldgate.Hoaaa, W. P., F.R.C.S.E., has been appointed Certifying Factory Surgeon

for the District of Crayford, vice Grantham, deceased.KITTSON, E. J., L.K.Q.C.P.L, L.R.C.S.I., has been appointed Surgeon to the

Tipperary County Gaol, Nenagh, vice Frith, deceased.LAKIN, C., L.R.C.P., L.M., L.S.A., has been appointed Medical Officer to the

Templars’ and General Life Assurance and Sick Benefit Friendly Societyat Leicester.

Lows, J., M.B., C.M., Assistant Medical Officer, South Yorkshire Asylum,Wadsley, near ShetEeld, has been appointed Pathologist and AssistantMedical Officer to the West Riding Asylum, Wakefield.

MAYBURY, A. V., M.D., M.C., M.R.C.S.E., L.S.A., has been appointed House-Surgeon to St. Thomas’s Hospital.

NETHERCLIFT, W. H., M.R.C.S., L.S.A., late Assistant-Surgeon in H.M.’sConvict Service, &c., has been appointed Resident Medical Officer of theNew Chelsea Workhouse Infirmary.

OtCHAED, J. S., M.B., M.C., has been appointed Assistant Medical Officer(Resident) to the Salford Union Hospital, vice T. N. Orchard, M.B.,C.M., resigned.

OBCBABD, T. N., M.B., C.M., has been appointed Medical Officer and PublicVaccinator for the Townships of Pendleton, Pendlebury, and Broughtonof the Salford Union, vice R. N. Ingle, M.D., F.R.C.S.E., resigned.

PARSONS, W. A., M.R.C.S.E., has been appointed Medical Officer for theTanworth District of the Solihull Union, Warwickshire.

SINCLAIR, G. M., L.R.C.P.Ed., L.R.C.S.Ed.. has been appointed MedicalOfficer for District No. 6 and the Workhouse of the Ely Union, viceMuriel, deceased.

VORDON, H. W., M.R.C.S.E., L.S.A., has been appointed House-Surgeon toSt. Thomas’s Hospital.

WATTIE, C. L., M.B., C.M., has been appointed Assistant House-Surgeon tothe Metropolitan Free Hospital, Devonshire-square.

WIGNER, Mr. G. W., has been appointed Public Analyst for Woolwich : C50I per annum, and 2a. M. to 10s. per analysis.

Birtbs, Marriages, and Deatbs.BIRTHS.

BROWNE.-On the llth inst., at Dublin, the wife of Surgeon-Major JamesBrowne, M.D., F.R.C.S.I., H.M.’s Bengal Army, of a son.

HARLEY.-On the 14th inst., at Upper Berkeley-street, the wife of JohnHarley, M.D., of a daughter.

MATHESON.-On the 3rd inst., at Soho-square, the wife of Dr. F. Mac KenzieMatheson, of a son.

OWEN.-On the llth inst., at Kent Lodge, Southsea, Hants, the wife ofAlfred Lloyd Owen, B.A., M.B., of a son.

TEEVAN.-On the 16th inst., at Portman-square, the wife of W. F. Teevan,B.A., F.R.C.S., of a daughter.

WATERS.-On the llth inst., at Bloomsbury-square, the wife of John Waters,M.B.C.S.E., of a son.

896

MARRIAGES.MANSo—MAoSwiN-EY.—On the 6th inst., at Holy Trinity, Chesterfield,

David Manson, M.D., to Mary Louisa, daughter of James JosephMae Swiiiey, Esq.

PATtMr—ALZTEANDEB.—On the llth inst., at Elmbank-place, Glasgow, JohnWilson Paton, M.D., of Rock-ferry, Cheshire, son of Robert Paton,Esq., of Ayr, to Janet Ann, daughter of John Alexander, Esq.

DEATHS.BASAjr.—On the 9th inst., Horace Basan, L.R.C.P.Ed., of Welbeck-street,

aged 40.BzowNB.—On the 12th inst., at Dublin, James Graves, infant son of Surg.-

Major James Browne, M.D., H.M.’s Bengal Army.BuKT.—On the 14th inst., at Wood-green, Geo. Burt, F.R.C.S.E., formerly of

Ely-place, aged 85.BDMONDSojr.—On the 29th ult., James Edmondson, M.R.C.S.E., of Wands.

worth.road.FEBausotf.—On the 6th inst., D. M. Ferguson, M.D., of George’s-place,

Dublin, formerly of Enfield, Co. Meath.FiTzrATBiOK.—On the 30th ult., James Fitzpatrick, Surgeon, of Wood-

street, Northampton, aged 63.HILLMAN.-On the llth inst., Wm. A. Hillman, F.R.C.S.E., of Argyll-street,

Regent-street, aged 54.SxAiM.—On the 12th inst., at Easingwold, Yorks, Dr. John Skaife, late of

Northampton-square, London, second son of the late R. T. Skaife,Surgeon, of Easingwold, aged 40.

TMJfM.—On the 17th inst., at Mosley-street, Manchester, Thomas Turner,F.R.C.S.E., in his 81st year.

Notes, Short Comments, and Answers toCorrespondents.

H’oZborn Hill.-1. A medical man is not bound to see the club doctor before

attending a club patient; but if the club patient is attended by the doctorof the club, it is his duty before calling in another adviser to give theclub doctor due intimation of his intention2. Etiquette is the same inclub as in private practice.-3. Yes; but club patients must be allowedthe liberty of having another doctor if they think fit.

.A.muêtoB, (Maldon.)-THB LANCET is not addressed virginiòuB puerisque.

HEALTH OPRICE&9.

To the Editor ofTHB Lurc1IT.

Sm,—I live in a little village containing 1000 inhabitants. It is a prettyand a dirty village. It was never laid out and planned and built; it simply"growed." The tares sprang up among the corn, and the cottage wells andcesspools gradually flourished side by side. Dwelling-houses sprang uparound small farm-yards, which only betrayed their existence by peculiarpungent odours arising from uncarted manure and rotting farm refuse,festering in the dirty farm-yard. A slaughter-house modestly concealeditself in the centre of the townlet, and the effluvia from animal decomposi-tion successfully competed with those arising from vegetable decay. Hereand there drains were formed, and by degrees they established some sort ofconnexion with each other; and then people grew very fond of their sani-tary arrangements, and rested very thankfully. Sewage and surface waterstill drained away unnoticed into wells in many places, or found a passagein little rivulets to the ditches surrounding the village outskirts, and thereevaporated into black slimy pools-aye, lent additional force to the impurebreath of the slaughter-house and farm-yards ; but our feelings were blunted,and nobody complained. I think I ought to say nobody dared to complain.If anyone in our village tells on anybody else, somebody else is sure topunch the talebearer’s head, and my own head would not be safe if I datedthis letter aright. But supposing I wished to complain, to whom should Icry? There is no one here with an official iiose to investigate my grievance.There is a Board of Guardians seven miles off, and that Board employ amost worthy man, trained to agricultural pursuits, to investigate sanitarydefects over a large district, at a salary which must make it a most incon-venient matter for him to be frequently called upon to give a scientificopinion on matters of which he can know very little indeed; the origin offever has so little to do with the rotation of crops, and the causes of cholerahave nothing in common with researches among turnips. I preferred towait until my Board had been forced to appoint a sanitary medical officer;and what have my Board done ?

They palter with us in a double sense;They keep the word of promise to our ear,And break it to our hope.

The Board have appointed several sanitary officers. Every union medicalofficer is a sanitary officer, without salary, and only entitled to receive a feewhen called upon to exercise his scientific knowledge by the sanitary inspector,or by the Board when moved by that offleial. I think there is somethingwrong about this. I don’t like to see the cart running away with the horse.I object to the boatswain walking up to the captain, and telling him to firea broadside. I shudder at the thought of a sergeant-major directing thecolonel to order the regiment to fix bayonets, and I do not see why a sani-tary inspector should call upon a medical officer to interfere in sanitarymatters. I should like to see the inspector take the doctor’s orders insteadTo tell a medical man he is to receive a fee when called upon is to tell himto stop away until he is called upon. It is telling the Government thatdisease should be left alone until it is too late to combat it, and that sani-tary precautions are not worth a rush. Will you tell my Board that itwould be wiser, cheaper, better, to trust the union doctors; to pay them asalary, however small; and encourage them to speak out when silence is acrime. My Board, it appears to me, would rather, under all circumstances,employ a gag. Youra truly,

NO,Sweet Briar End, England, December, 1873. NBMO.

ROME.

DELIGHTFUL weather and satisfactory public health returns ought to attractmore visitors to Rome than at present appear to have arrived. Perhapsthe chief deterrent is Sindaco Pianciani’s chlorine vapour-bath at thestation in the Piazza di Termini. If so, we can assure the hesitatingtourist that the dreaded ordeal is at an end. He may now "breathe

freely," Sindaco Pianciani having abandoned a prophylactic as unpleasantas it was useless.

A Married Surgeon.MaJ01"s communication shall have our attention.

"A STRANGE STORY."To the Editor of Tss LANCET.

SiR,-While referring in THE LANCET of 1831-2, my eyes were suddenlyarrested by a letter which will, doubtless, clear up any uncertainty that maystill exist about the truth of the above. This letter, which I append, ap-peared in THE LANCET, vol. i., 1831-2, page 441, and was afterwards corro-borated by a letter from a clergyman (vide THE LANCET, vol. ii., 1831-2,page 20). I am, Sir, yours faithfully,London, December 12th, 1873. F. W. E.

"EXTRAORDINARY CIRCUMSTANCE." To the Editor of THE LANCET.

"SiE,—As your pages are frequently devoted to the communication ofinteresting subjects, not exclusively connected with physiology, I shouldfeel obliged by your insertion of the following well-authenticated narrative,which, if it cannot be satisfactorily explained, may serve as a cautionagainst rash vows, and that impious dissatisfaction which some express atthe providential dispensations of that God who governs all events with un-erring wisdom.

" The wife of a Mr. Higgins, a farmer, of Battonsborough, near Glastonbury,Somerset, having brought him three daughters in succession, and no son, hewas so disconcerted at the repeated disappointment that he vowed, shouldhis next child be a daughter, he would never speak to her. On the approachof his wife’s fourth confinement he repeated this vow. To his great joy hiswife gave birth to a son, and nothing occurred to lessen his satisfactionuntil the child began to speak. To his astonishment and distress he thenfound that, while the boy would readily address his mother and sisters,and, indeed, any female, nothing could induce him to utter a word to hisfather or any male person. This singularity continued during the whole ofhis father’s life (30 years) ; entreaties, threats, or promises were of no avail,and the unhappy man frequently bewailed, with tears, the distressing con.-sequences of his rash vow." On the death of Mr. Higgins, which happened about two months since,

the young man, to the astonishment of all who knew him, began to speakfluently to males as well as females, although for 30 years previously he hadnever been heard to utter a word to any one of the former sex. Mr. Higginshad no other son; he is in good health, and is ready, as are his mother andsisters, and many other respectable persons, to attest the truth of this nar.rative. I am, Sir, your obedient servant,"Warminster, Dee. 9th, 1831." " JOHN HOARE, M.R.C.S., &c.

THE CLIMATE OF SINGAPORE.A CORRESPONDENT is desirous of obtaining some information as to the

suitability of the climate of Singapore for a consumptive case.Dr. C. M. (Norwich) should apply to the Secretary of the institution.

SUBCUTANEOUS INJECTION OF MORPHIA.

To the Editor of THE LANCET.Sm,—In the various formulas which I have hitherto seen, the fact that a

solid dissolved in a given quantity of fluid increases the volume of thatfluid has been entirely overlooked : e. g., one drachm of morphia dissolvedwill increase the volume of that solution nearly one drachm, so that eachdrop of Mr. Vachell’s proposed solution would contain the one-thirteenthinstead of the one-twelfth of a grain. The difference might not be veryappreciable; but if we are to have a standard form it is as well to be exact.Having had to inject morphia in large doses, I have made my solution asfollows acetate of morphia, one scruple; distilled water, 140 minims;acetic acid, B.P., five minims : dissolve by a gentle heat in a test-tube.This solution measures exactly 160 minims; consequently eight minimswould contain one grain of acetate of morphia. As a standard solution, Iwould suggest one one-halfthe strength of the above.

I cannot agree with Mr. Buée that the solution of morphia B.P. is at allsuitable for hypodermic injection; moreover, I should be at a loss to knowwhere a suitable syringe that would hold a drachm and a half of fluid couldbe obtained.

I have observed that the slightest excess of acid beyond that required forthe solution of the morphia eauses more pain; so also does rapid injection.I have further observed that vomiting is more likely to occur when uniie-cessary pain is inflicted. The time employed in injecting properly a largedose of morphia with the B.P. solution would probably be tedious to the-patient, and could not be well spared by the busy practitioner.

Yours obediently,Park-terrace, Regent’s-park, Dec. 1873. E. WHITE, L.R.C.P. Ed.

To the Editor qfTHE LAnroM.

SIR, A very convenient solution of morphia for subcutaneous injec-tion is as follows :-Acetate of morphia, twenty grains; acetic acid, q. s.;distilled water to fourteen drachms. This was first recommended by Dr.Mackintosh, of the Perth District Asylum, some years ago, and I have usedit repeatedly here, in doses varying from five to sixteen minims, withoutever causing local irritation or inconvenience in any way. The ordinaryB.P. preparation of the acetate of morphia I regard as unsuited for subcu-taneous injection, on account of the large quantity required, and the greateramount of pain thereby inflicted on the patient; for I have often noticedthat it is not the puncture of the skin by the needle which is most painful,but the tension caused by the introduction of the fluid into the subcutaneouscellular tissue-tension which would be very much increased by injectingfrom a drachm to a drachm and a half of liquid, as recommended by Mr.Buée. I am, Sir, yours truly,

G. H. MACSEN2IE, M,B, Ediu,Fife and Kinross District Lunatic Asylum,

Cupar, N.B., December, 1873.