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726 is at present under investigation, but it is thought that either petrol or benzine had been discharged into the sewer at some point and that one or other of these fluids vaporised in the sewer and escaped at the scene of occurrence. Girgenti Inebriate Home. The Glasgow corporation’s report on the Girgenti Inebriate Home has been prepared’ for transmission to the Secretary for Scotland. It is pointed out in the report that no patients have been admitted since March 7th, 1907, in accordance with the recommendation ; and of the 131 patients dealt with during and up to the end of 1907 there remained in the institution at the end of 1908 19 patients. 20 had been transferred to the State Inebriate Reformatory at Perth, five were discharged unfit for treatment, three escaped from the reformatory, three escaped from guardians, three died, and 78 were discharged at the expiry of sentence. During the year eight patients were allowed out on licence under the charge of suitable guardians. Of these, four relapsed and were taken back to the reformatory, while the others gave general satisfac- tion to their guardians. Of the patients discharged during 1908, one discharged on Feb. 1st has been eight times con- victed since discharge, one discharged on March 18th has been convicted five times, and one discharged on August 23rd has been convicted six times. Five have not been convicted since discharge, and against other five there is one conviction each. On the whole not a hopeful report. Legacies to Aberdeen Hospitals. By the will of the late Miss Anna Thomson, Plaidy Cottage, Turriff, the following sums are left to Aberdeen hospitals :- L100 to the Royal Infirmary, L50 to the Blind Asylum, L50 to the Sick Children’s Hospital, and L50 to the Hospital for Incurables. Miss Thomson directs that the residue of her estate is to be divided between the same institutions. Alarming Fire at a Decndee Hospital. On the evening of Feb. 27th a fire broke out in the Royal Victoria Hospital for Incurables, Balgay, Dundee, which resulted in the complete destruction of the boiler house and laundry of the hospital. Naturally there was great excitement in the institution, especially among the patients, while among the spectators gathered to view the conflagration all sorts of alarming rumours as to the safety of the invalids were rife. The damage is estimated at between 9400 and f:500.: Royal Aberdeen Sick Children’s Hospital : Annual Report. The report of the Royal Aberdeen Sick Children’s Hospital for the year 1908 states that during the year 2537 cases have been treated, compared with 2547 in the previous year. The average stay of each in-patient was 35 days, compared with 33 in 1907. In addition 49 convalescent children were sent from the hospital to the Eidda Home, which adjunct con- tinues to be of indispensable aid in the working of the hospital. The ordinary expenditure for the 12 months was .E2888 and the ordinary income was .S1892. During the year L600 were received from the trustees of the late Mr. John Fyfe, granite merchant, for the permanent endowment of a cot, to be known as the Barbara Fyfe " cot; and f:600 from the late Mr. and Mrs. Alexander Rae of Whitehall- road, Aberdeen, for the permanent endowment of a cot, to be named the "Forbes-Rae" " cot. March 2nd. IRELAND. (FROM OUR OWN CORRESPONDENTS.) " Clancy’s Act and the Housing for the Working Classes. THE housing of the poor, which is a chronic scandal in Dublin, has had public attention directed to it vigorously. At the opening of the Crown business last week the Recorder of Dublin, after congratulating the grand jury on the com- parative immunity from crime, proceeded to indicate the true method of preventing it. "I I venture, however, even at the risk of tiresome reiteration, to direct attention to the imperative claim of our toiling poor to decent and healthy housing. Our slums are, no doubt, a baneful heritage, but if any true spirit of civism is to be found in this capital of our country it is time that the cry of the wretched toiler should no longer be stifled in the welter of worthless discussion and I contention. There are nearly 25,000 families in our midst living in single rooms. Let every citizen who regards the honour of his city or his civic obligation consider what the continuance of this state of affairs means : a new genera- tion growing up in filthy squalor and in hopeless misery, ready recruits to crime, to disease, to intemperance, and vice. I earnestly appeal to you, and through you to the citizens, to force attention to those dread miseries of disease, of crime, and of drink." At a corporation meeting on the following day the subjoined motion was proposed by Alderman Dr. J. C. McWalter :- That the law agent and city treasurer be requested to report whether dwellings for the working classes can now be advantageously erected in some suitable streets between Ormond Quay and Britain-street under Clancy’s Act (Housing for the Working Classes, 1909), and whether it is desirable to re-borrow the sums now due by this corporation for work- men’s dwellings purposes under the most favourable terms of the new Act. A heated discussion followed, during which one member asked the very delicate question, " Would it not be well if the town clerk informed the Recorder that the biggest slum- owners of this city are members of this council ? " Alderman ’Kelly emphasised the financial difficulty of dealing with the question-over £300, 000 had been spent in providing dwell- ings for the poor-" an enormous burden "-and £ 1, 000,000 would be required to deal with the whole question. Meanwhile, it is very satisfactory to record that Drogheda has just decided to take advantage of the Housing for the Working Classes Act which became law in course of the last Parliamentary session. The town clerk has been directed to apply for a loan of 15,000, and the engineer instructed to make proper preparation of the neces- sary plans. To the credit of the Drogheda corporation it must be noted that during the past ten years they expended about £ 5000 in this direction, having built 42 houses for the accommodation of the working poor and their families. Time upon time their own sanitary officers kept them informed of the urgency of the want of providing sanitary lodgings on a larger scale ; but the rate of interest and other conditions of the requisite loan prevented the council from undertaking a more extended scheme for meeting a necessity which was so repeatedly pressed upon them. The recent Act has furnished the wished-for facility of escape from a very painful difficulty. 31-ortality in Trish Towns. The last death-rate return for Dublin was 27’ 5 per 1000, which is reducible to 25’8 by exclusion of the names of persons who had been admitted from without the Dublin registration area. Of the 211 deaths registered in the city 58 were of persons under four years of age-including 25 infants under one year; and 63 were of persons over 60 years of age-including 44 over 70 years, of whom eight were octogenarians and four nonogenarians. With regard to causes of death there were 42 from the various forms of tuberculous disease-including 28 from phthisis. The infectious fevers registered four deaths from measles, two from diphtheria, and one from scarlet fever; there were also two from whooping-cough. The February return for Belfast shows a death-rate of 17’ 9, with the zymotic death- rate 0-6, and that from chest affections 6’ 4. The highest death-rate of any Irish town is that of Waterford, where it has reached the ominous figure of 40 per 1000 ; in Galway and Sligo-also seaport towns-it exceeds 38 in the last returns ; in Newry and in Tralee it is 37. The Wexford rate in these returns had fallen from 33 (in each of the two previous weeks) to 14. On the other hand, no deaths were returned from Clonmel; while in Portadown it was but 5 per 1000, and in each of three other towns-Drogheda, Londonderry, and Lurgan- it was 8. In the other 17 principal town districts the rate exceeded 10 per 1000 ; in 12 of these the rate was over 20, while in seven it exceeded 30. So that it is very evident that our rural practitioners have had their hands pretty full-at least a large proportion of them-during the past weeks of an exceptionally dry and cold February. The Belfast Maternity Hospital. At the annual meeting of the friends and supporters of this old charity on Feb. 23rd, the 115th yearly report showed that 488 intern patients were treated during 1908 (an increase of 110 over the previous year). There were 416 extern cases. The total number of deaths was eight. There were 162 extern’ gynaecological cases. Financially there was an increase- in subscriptions of £36, and the year ended with a balance in hand of £522.
Transcript

726

is at present under investigation, but it is thought that eitherpetrol or benzine had been discharged into the sewer atsome point and that one or other of these fluids vaporisedin the sewer and escaped at the scene of occurrence.

Girgenti Inebriate Home.The Glasgow corporation’s report on the Girgenti

Inebriate Home has been prepared’ for transmission to theSecretary for Scotland. It is pointed out in the report thatno patients have been admitted since March 7th, 1907, inaccordance with the recommendation ; and of the 131 patientsdealt with during and up to the end of 1907 there remainedin the institution at the end of 1908 19 patients. 20 had beentransferred to the State Inebriate Reformatory at Perth, fivewere discharged unfit for treatment, three escaped from thereformatory, three escaped from guardians, three died, and78 were discharged at the expiry of sentence. During the yeareight patients were allowed out on licence under the chargeof suitable guardians. Of these, four relapsed and were takenback to the reformatory, while the others gave general satisfac-tion to their guardians. Of the patients discharged during1908, one discharged on Feb. 1st has been eight times con-victed since discharge, one discharged on March 18th has beenconvicted five times, and one discharged on August 23rd hasbeen convicted six times. Five have not been convictedsince discharge, and against other five there is one convictioneach. On the whole not a hopeful report.

Legacies to Aberdeen Hospitals.By the will of the late Miss Anna Thomson, Plaidy Cottage,

Turriff, the following sums are left to Aberdeen hospitals :-L100 to the Royal Infirmary, L50 to the Blind Asylum,L50 to the Sick Children’s Hospital, and L50 to theHospital for Incurables. Miss Thomson directs that theresidue of her estate is to be divided between the sameinstitutions.

,

Alarming Fire at a Decndee Hospital.On the evening of Feb. 27th a fire broke out in the

Royal Victoria Hospital for Incurables, Balgay, Dundee,which resulted in the complete destruction of the boilerhouse and laundry of the hospital. Naturally there wasgreat excitement in the institution, especially among thepatients, while among the spectators gathered to view theconflagration all sorts of alarming rumours as to the safetyof the invalids were rife. The damage is estimated atbetween 9400 and f:500.:Royal Aberdeen Sick Children’s Hospital : Annual Report.The report of the Royal Aberdeen Sick Children’s Hospital

for the year 1908 states that during the year 2537 cases havebeen treated, compared with 2547 in the previous year. The

average stay of each in-patient was 35 days, compared with33 in 1907. In addition 49 convalescent children were sentfrom the hospital to the Eidda Home, which adjunct con-tinues to be of indispensable aid in the working of thehospital. The ordinary expenditure for the 12 months was.E2888 and the ordinary income was .S1892. During theyear L600 were received from the trustees of the late Mr.John Fyfe, granite merchant, for the permanent endowmentof a cot, to be known as the Barbara Fyfe

"

cot; and f:600from the late Mr. and Mrs. Alexander Rae of Whitehall-road, Aberdeen, for the permanent endowment of a cot, tobe named the "Forbes-Rae" " cot.March 2nd.

IRELAND.(FROM OUR OWN CORRESPONDENTS.)

" Clancy’s Act and the Housing for the Working Classes.THE housing of the poor, which is a chronic scandal in

Dublin, has had public attention directed to it vigorously.At the opening of the Crown business last week the Recorderof Dublin, after congratulating the grand jury on the com-parative immunity from crime, proceeded to indicate thetrue method of preventing it. "I I venture, however, even atthe risk of tiresome reiteration, to direct attention to theimperative claim of our toiling poor to decent and healthyhousing. Our slums are, no doubt, a baneful heritage, but ifany true spirit of civism is to be found in this capital of ourcountry it is time that the cry of the wretched toiler shouldno longer be stifled in the welter of worthless discussion and Icontention. There are nearly 25,000 families in our midst

living in single rooms. Let every citizen who regards thehonour of his city or his civic obligation consider what thecontinuance of this state of affairs means : a new genera-tion growing up in filthy squalor and in hopeless misery,ready recruits to crime, to disease, to intemperance, and vice.I earnestly appeal to you, and through you to the citizens,to force attention to those dread miseries of disease, of

crime, and of drink." At a corporation meeting on thefollowing day the subjoined motion was proposed byAlderman Dr. J. C. McWalter :-That the law agent and city treasurer be requested to report whether

dwellings for the working classes can now be advantageously erected insome suitable streets between Ormond Quay and Britain-street underClancy’s Act (Housing for the Working Classes, 1909), and whether it isdesirable to re-borrow the sums now due by this corporation for work-men’s dwellings purposes under the most favourable terms of the newAct.

A heated discussion followed, during which one memberasked the very delicate question, " Would it not be well ifthe town clerk informed the Recorder that the biggest slum-owners of this city are members of this council ? " Alderman’Kelly emphasised the financial difficulty of dealing with thequestion-over £300, 000 had been spent in providing dwell-ings for the poor-" an enormous burden "-and £ 1, 000,000would be required to deal with the whole question.Meanwhile, it is very satisfactory to record that Droghedahas just decided to take advantage of the Housingfor the Working Classes Act which became law in courseof the last Parliamentary session. The town clerk hasbeen directed to apply for a loan of 15,000, and theengineer instructed to make proper preparation of the neces-sary plans. To the credit of the Drogheda corporation itmust be noted that during the past ten years they expendedabout £ 5000 in this direction, having built 42 houses for theaccommodation of the working poor and their families. Timeupon time their own sanitary officers kept them informed ofthe urgency of the want of providing sanitary lodgings on alarger scale ; but the rate of interest and other conditionsof the requisite loan prevented the council from undertakinga more extended scheme for meeting a necessity which wasso repeatedly pressed upon them. The recent Act hasfurnished the wished-for facility of escape from a verypainful difficulty.

31-ortality in Trish Towns.The last death-rate return for Dublin was 27’ 5 per 1000,

which is reducible to 25’8 by exclusion of the names of

persons who had been admitted from without the Dublinregistration area. Of the 211 deaths registered in thecity 58 were of persons under four years of age-including25 infants under one year; and 63 were of persons over 60years of age-including 44 over 70 years, of whom eightwere octogenarians and four nonogenarians. With regardto causes of death there were 42 from the various formsof tuberculous disease-including 28 from phthisis. Theinfectious fevers registered four deaths from measles, twofrom diphtheria, and one from scarlet fever; there werealso two from whooping-cough. The February return forBelfast shows a death-rate of 17’ 9, with the zymotic death-rate 0-6, and that from chest affections 6’ 4. The

highest death-rate of any Irish town is that of Waterford,where it has reached the ominous figure of 40 per 1000 ;in Galway and Sligo-also seaport towns-it exceeds38 in the last returns ; in Newry and in Tralee it is37. The Wexford rate in these returns had fallen from33 (in each of the two previous weeks) to 14. Onthe other hand, no deaths were returned from Clonmel;while in Portadown it was but 5 per 1000, and in each ofthree other towns-Drogheda, Londonderry, and Lurgan-it was 8. In the other 17 principal town districts the rateexceeded 10 per 1000 ; in 12 of these the rate was over 20,while in seven it exceeded 30. So that it is very evident thatour rural practitioners have had their hands pretty full-atleast a large proportion of them-during the past weeks ofan exceptionally dry and cold February.

The Belfast Maternity Hospital.At the annual meeting of the friends and supporters of

this old charity on Feb. 23rd, the 115th yearly report showedthat 488 intern patients were treated during 1908 (an increaseof 110 over the previous year). There were 416 extern cases.The total number of deaths was eight. There were 162 extern’gynaecological cases. Financially there was an increase-

in subscriptions of £36, and the year ended with a balance inhand of £522.

727

The Society for Providing N2crses for the Sick Poor, Belfast.At the annual meeting of this society held in the city hall

Belfast, on Feb. 23rd, 5t was reported that 1386 patient,had been attended by the society’s nurses during 1908, an incease of 95. More medical men took advantage of the nursesservices, especially in operation cases, which numbered 43Financially the income was £15 below the expenditure.

TU Samaritan Hospital, Belfast.During the last year, according to the report read at th

annual meeting on Feb. 24th, 699 patients were treated iithe extern department and 202 in the wards, of whom 14frequired surgical operations. Thanks to a fete last summerwhich realised over £500, the funds of the hospital are in ! aprosperous condition, but complaint is made of the difficultyin procuring new subscribers owing to the great competitiorof other charities.

Belfast Sewage Works.On Feb. 27th a number of surveyors and engineers fron

provincial towns visited the outfall works of the Belfast

sewerage system for the purpose of inspecting the nemDibdin slate beds which are being installed there. Thes<slate beds are used for the aerobic biological purification ofsewage ; they treat crude, unscreened sewage without anysettling tank except for grit, the solid matters being brokerdown by worms and other biological organisms living on th(slate in the presence of the air without forming sludge of

creating any nuisance whatsoever.March 2nd.

PARIS.

(FROM OUR OWN CORRESPONDENT.)

The SteriZisation of Water.M. Jules Courmont, professor in the Lyons Faculty, and

M. Nogier have just made a very interesting discovery-namely, a simple physical method of sterilising water. Allthat is necessary is to immerse in the water to be sterilised aquartz mercury vapour lamp traversed by an electric current.This gives off a green light and in one minute water con-taining numerous bacteria is completely sterilised over anarea of from 30 to 50 centimetres around the lamp, an effectpresumably due to the ultra-violet rays emitted by theelectric tube. The water is in no way altered, neither is itwarmed. Lamps immersed permanently in the deliverypipes of a water-supply will assure its purity, provided onlythat the water be clear, as is the case when it is derivedfrom springs. Professor Dastre has confirmed these observa-tions and at the present time in his Sorbonne laboratory heis engaged in investigating the bactericidal properties ofmercury lamps and other sources of ultra-violet rays.

The Gastrie Digestion of Human and Asses’ Milk.M. Gaucher, by means of studying dogs with a permanent

gastric fistula, has been able to compare the gastric digestionof human milk as against asses’ milk. Both human milk andthat of the ass pass through the stomach of the dog abouttwice as rapidly as cow’s milk. But the casein is not

peptonised in the stomach any more than the casein of cow’smilk. The extreme digestibility of both human and asses’milk is due to the manner of curdling. The curd of humanmilk comes down in small flakes and that of the ass in a veryloose clot. The curdled milk can thus pass out of thestomach with a minimum of trouble. M. Gaucher hasdescribed his observations at a meeting of the Academy ofSciences.

,

the Antimonial Treatment of Syphilis.An interesting communication was made at the same time

to the Academy of Sciences on this subject. On accountof the chemical resemblance between antimony andarsenic, an element which is of established value in thetreatment of syphilis, M. Paul Salmon has been led to makea research as to whether antimony were not equally effective,and he has investigated the matter in monkeys from a pre-ventive and in man from a curative standpoint, using organiccompounds of the metal. He found that the injection ofthese compounds rendered monkeys immune from infection,whilst metallic antimony and antimoniate of soda were in-effective under similar conditions. Tartar emetic gave incon-stant results so far as concerned prevention amongst animals.

In spite of this M. Salmon used the latter preparation in histherapeutical investigations on man. These experiments weresuccessful. Tartar emetic is an active drug in the treatmentof syphilis. Under its influence primary, secondary, andtertiary lesions are found to clear up, but relapses sometimesoccur with great rapidity. M. Salmon says that the injec-tions should be made daily and intravenously by preference,the dose should be of from five to seven centigrammes,increasing gradually until eight or ten centigrammes arereached.

Roux’s Serum in Medieal and Surgical Infections.At the Academy of Medicine on Feb. 16th M. Darier

expressed his belief that in many medical and surgicalinfections for which no specific serum has yet been obtainedRoux’s serum if given from the onset may check the infec-tive process, alleviate the symptoms, and even lead to acomplete cure. He has employed this paraspecific" orpolyvalent serum-therapy both by the mouth and hypo-.dermically in treating ulcerative infections of the cornea,infected wounds of the eye, and especially in complicationswhich still sometimes follow operations for cataract, wherehe has never failed to effect cure by this method. Indiseases of the interior of the eyeball-the so-called endo-genous infections-such as iritis and acute irido-cyclitis, theresults following the ingestion of, several spoonfuls of theserum are remarkable. The pain ceases, sleep is restored,and the sight is improved. In fact, M. Darier believes that toPasteur’s law of the specificity of serums the corollarymay be added that every antitoxic serum, besides its specific-ness, exercises a powerful influence over all infections ofless virulence, and over even very serious infections whenthey are thus treated from the outset.

The Treatment of Am&oelig;bic Dysentery.On Feb. 10th at the Society of Tropical Medicine

M. Vincent said that the best method of treating amoebicdysentery was based on the use of alkaline hypochloritesadministered by intestinal lavage. The stools on the follow-

ing day are generally normal and free from am&oelig;b&aelig; uponwhich the hypochlorites are supposed to have a directly fatalaction.Gastric Paralysis Following on Amputation at the Shoulder-

Joint.M. Reynier read a paper at the Surgical Society on

Feb. 10th dealing with an observation which M. Baillet hadsent him describing a very acute post-operative gastricparalysis which occurred with no apparent infection in a caseof amputation at the shoulder. It concerns a young man onwhom M. Baillet had performed this operation for sarcoma.The gastric symptoms supervened on the third day andrapidly became more severe. On the fifth day a gastriclavage resulted in the evacuation of two litres of greenishfluid. On the next day the patient vomited spontaneouslyone litre of a similar liquid, and another two litres wereremoved by a fresh lavage. These procedures resulted in aslight improvement, but at the end of a week the patient wasgrowing weak, and M. Baillet did a gastro-enterostomyduring which operation he thought he made out a strangula-tion of the intestine. Nevertheless M. Baillet was of opinionthat the case was one of acute post-operative gastricparalysis. M. Reynier, on the other hand, thought that itwas one of those cases of post-operative duodenal obstructionwhich have been described of recent years and which appearto result from post-operative dilatation of the stomach. The

patient in question died a few hours after the operation.Tlae Reform of the Medieal Curriculum.

By a decree dated Jan. llth the medical studies leadingto the doctorate were reorganised. The Minister of PublicInstruction, M. Doumergue, has accordingly addressed therectors of the several academies in a circular relating to theapplication of this decree. The Minister rehearses the longstudy which has been devoted to the reform, the inquiryundertaken in all the faculties of medicine, and the work ofthe commission of 74 members. This commission, in theMinister’s opinion, has fulfilled its task with the utmost com-petence and devotion. Before fixing the date upon which thereform shall come into furce the Minister wishes to ascertainexactly the measures which the faculties intend to take toestablish the new scheme in the most effective manner. Heasks for a reasoned reply before May lst.March 2nd


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