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1261 two parallel metal tubes, with curved ends, one for each nostril, the distance between the tubes being adjustable to suit the size of the nose. The Anaesthetic tube carried on its inner end a short length of rubber tubing with a terminal opening, which, when in the nose, lay at the level of the posterior nares, the outer end being attached to the tubing of a .Tunker bottle. The evacuation tube had on its inner end a piece of rubber tubing whose end, having a lateral opening in addition to the terminal opening, lay in the pool of blood and saliva which collects in the nasopharynx of a cleft-palate case when the patient’s head is drawn over the end of the table. These two suckers are described in the Medical Annual for 1902. During operation suckers are useful for removing fluids from cavities and from hollow organs. Their employment for removal of blood from superficial wounds, in my opinion, has little to recommend it. Suction was provided by an ordinary Higginson enema syringe worked by a nurse. The sucking end of the syringe was fitted into six inches of stout rubber tubing, this large tubing being linked up by a tapered metal tube with the six feet of small tubing leading from the sucker. When required a collecting bottle was interposed between the syringe and the end of the tubing attached to the sucker. The reversed enema - syringe is very efficient, is available at any time and -anywhere, and does away with the need for suction - apparatus worked either by water, electricity, or gas bottles. In my own theatre for 12 years I have used a suction apparatus worked by water, on the principle .of that used by dentists. Recently, in a theatre which 1’ad no water-suction apparatus, I was glad to revert to the enema syringe, which, during an operation on .a ruptured ovarian cyst, evacuated from the pelvis half a gallon of fluid. . I am, Sir, yours faithfully, Plymouth, Dec. 6th, 1924. C. HAMILTON WHITEFORD. A WELCOME DISCLAIMER, To the Editor of THE LANCET. SIR,-I am very much alive and am going away for - a trip to Florida, Cuba, and California, and will put in my time fishing, golfing, &c. I will appreciate it -greatly if you will see that THE LANCET corrects the .error, as I do not wish to have my many friends in London think I am no more when I am enjoying -the most active time of my life. With very best wishes, I remain, Sincerely yours, New York, Nov. 24th, 1924. S. G. GANT. - * * Our review of Prof. Gant’s great treatise on I Proctology (THE LANCET, Nov. 8th) suggested that its author was dead. Our error is corrected above on :good authority and in conclusive terms, we are glad .to say.-ED. L. CHELSEA HOSPITAL FOR WOMEN.——This hospital - and its convalescent home at St. Leonards-on-Sea are able to look back upon an excellent year’s work. Great progress has been made at the hospital during the past year in the builcTing of its nurses’ home and in the completion of the fund for its erection. When the festival dinner was held in May last under the presidency of the then Lord Mayor, the - amount of the appeal was 220,000 for the purpose and for the opening of the 47 additional beds. Of this sum there still remains to collect JE8500. This is urgently needed so that the home may be opened in the new year free of debt, .and also that additional regular income may be forthcoming in view of the great increase which will shortly be possible in the work of the hospital. Some of the additional beds will .be devoted to the treatment of those who can no longer, As formerly, afford to pay the fees of nursing homes. The long " waiting list " which has been for many years past a .Source of much concern to the medical staff will, it is con- fidently anticipated, soon be eliminated. Contributions are greatly needed, and will be thankfully received by the Jion. treasurer or- the secretary at Arthur-street, at the - Chelsea Hospital for Women. 0; Medical News. UNIVERSITY OF CAMBRIDGE : Diploma,in f/C/tOCC Medicine.—A course of instruction covering the material necessary for the psychiatrical portion of the examinations in Part II. of the Diploma in Psychological Medicine will be held in the psychological laboratorv of the University and in the Fulbourn Mental Hospital on Tuesdays and Fridays of the Lent Term, 1925, from Jan. 16th to March 10th inclusive. Those wishing to take this course should communi- cate not later than Dec. 31st next with the secretary, Committee in Psychological Medicine, Psychological Laboratory, Cambridge, from whom further particulars may be obtained. UNIVERSITY OF LONDON.-At a recent meeting of the Senate the following were constituted the Boards of Examiners acting with the External Examiners for the First and Second Examinations for Medical Degrees in 1925, the examiners whose names are marked with an asterisk being appointed chairmen of their respective boards :- Inorganic Chemistry : *Mr. J. A. Gardner (St. George’s Hosp. Med. Sch. and Lond. Sch. Med. Women) and Prof. C. S. Gibson (Guy’s Hosp. Med. Sch.). General Biology : Dr. Doris L. Mac- Kinnon (King’s Coll.) and Dr. E. J. Salisbury (Univ. Coll.). Physics : *Mr. J. H. Brinkworth (St. Thomas’s Hosp. Med. Sch.) and Mr. B. L. Worsnop (King’s Coll.). Organic Chemistry : *Mr. J. A. Gardner (St. George’s Hosp. Med. Sch. and Lond. Sch. Med. Women) and Prof. J. C. Drummond (Univ. Coll.). Anatomy: *Prof. E. Barclay-Smith (King’s Coll.) and Prof. F. G. Parsons (St. Thomas’s Hosp. Med. Sch.). Physiology: *Prof. H. E. Roaf (London Hosp. Med. Coll.) and Prof. Swale Vincent (Middlesex Hosp. Med. Sch.). Pharmacology: Dr. 0. F. F. Leyton (Lond. Hosp. Med. Coll.) and Dr. 0. Inchley (King’s Coll.), and *Prof. A. J. Clark. The following were appointed Associate Examiners for the M.B., B.S. Examinations in 1925:- Medicine : Prof. F. R. Fraser, Prof. F. S. Langmead, Prof. H. MacLean, and Dr. Gordon M. Holmes. Surgery : Mr. H. S. Souttar, Mr. C. H. S. Frankau, Mr. E. D. Telford, and Prof. C. A. Pannett. Obstetric Medicine : Mr. M. H. Phillips and Prof. Louise McIlroy. Pathology: Prof. S. MacDonald and Prof. E. H. Kettle. Dr. Joseph Bamforth was recognised as a teacher of Bacteriology at St. Thomas’s Hospital Medical School.- Dr. F. L. Hopwood, D.Sc. Lond., was appointed as from Oct. 1st, 1924, to the University Chair of Physics, tenableat St. ]3art-holomew’s Hospital Medical College.-The title of Reader in the University was conferred on Dr. R. J. Gladstone in respect of the post held by him at King’s College.-It was resolved to institute, in accordance with the regulations on University titles, a University Chair of Pathology tenable at the London School of Medicine- for Women. TORONTO UNIVERSITY AWARD.-The Council of the Faculty of Medicine of the University of Toronto have- awarded the Charles Mickle Fellowship of the University to Sir James Mackenzie, M.D., LL.D., F.R.S., Honorary- Physician to the King in Scotland. The Fellowship, which is of the value of approximately 1500 dollars, is awarded annually to that member of the medical profession who is- considered by the Council to have done most during the preceding ten years to advance sound knowledge of a practical kind in medical art or science. AN EMPIRE FOOD COUNCIL.—A conference will be held in the new year, by consent of the Royal Colonial Institute, in their council room to inaugurate an Empire Food Council, organised to encourage the consumption in the United Kingdom of the food products of the over-seas part of the Empire and of Great Britain herself ; to spread. general information about food ; and to arrange a British Empire bread campaign to popularise bread made from wheat grown in Great Britain and the Dominions and ground in Great Britain and Ireland. The chair will be taken by Prof. H. R. Kenwood-, supported by Lord Bledisloe, Sir Arthur Crosfield, Sir Harry Baldwin, Sir Arthur Mayo- Robson, Sir Frederick Mott, Major J. Elsdale Molson, Dr. Nathan Raw, and Dr. C. W. Saleeby. Representatives will attend from the Australian Commonwealth (commercial department), the Canadian Chamber of Commerce, the British Empire League, the British Empire Producers’ Organisation, the British Empire Union, the Empire Development Union, the Overseas Farmers Cooperative Federations, the Bread and Food Reform League, the Food Education Society, the People’s League of Health. Further information can be obtained from Miss May Yates, hon. secretary, Bread and Food Reform League, 37, Essex- street, London, W.C. 2.
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1261

two parallel metal tubes, with curved ends, one

for each nostril, the distance between the tubesbeing adjustable to suit the size of the nose. TheAnaesthetic tube carried on its inner end a shortlength of rubber tubing with a terminal opening,which, when in the nose, lay at the level of the posteriornares, the outer end being attached to the tubing of a.Tunker bottle. The evacuation tube had on its innerend a piece of rubber tubing whose end, having alateral opening in addition to the terminal opening,lay in the pool of blood and saliva which collects inthe nasopharynx of a cleft-palate case when thepatient’s head is drawn over the end of the table.These two suckers are described in the Medical

Annual for 1902.During operation suckers are useful for removing

fluids from cavities and from hollow organs. Theiremployment for removal of blood from superficialwounds, in my opinion, has little to recommend it.Suction was provided by an ordinary Higginsonenema syringe worked by a nurse. The sucking end ofthe syringe was fitted into six inches of stout rubbertubing, this large tubing being linked up by a taperedmetal tube with the six feet of small tubing leadingfrom the sucker. When required a collecting bottlewas interposed between the syringe and the end of thetubing attached to the sucker. The reversed enema- syringe is very efficient, is available at any time and-anywhere, and does away with the need for suction- apparatus worked either by water, electricity, or gasbottles.

In my own theatre for 12 years I have used asuction apparatus worked by water, on the principle.of that used by dentists. Recently, in a theatre which1’ad no water-suction apparatus, I was glad to revertto the enema syringe, which, during an operation on.a ruptured ovarian cyst, evacuated from the pelvishalf a gallon of fluid.

.

I am, Sir, yours faithfully,Plymouth, Dec. 6th, 1924. C. HAMILTON WHITEFORD.

A WELCOME DISCLAIMER,To the Editor of THE LANCET.

SIR,-I am very much alive and am going away for- a trip to Florida, Cuba, and California, and will putin my time fishing, golfing, &c. I will appreciate it-greatly if you will see that THE LANCET corrects the.error, as I do not wish to have my many friends inLondon think I am no more when I am enjoying-the most active time of my life.

With very best wishes, I remain,Sincerely yours,

---

New York, Nov. 24th, 1924. S. G. GANT.

- * * Our review of Prof. Gant’s great treatise on IProctology (THE LANCET, Nov. 8th) suggested thatits author was dead. Our error is corrected above on:good authority and in conclusive terms, we are glad.to say.-ED. L.

CHELSEA HOSPITAL FOR WOMEN.——This hospital- and its convalescent home at St. Leonards-on-Sea are ableto look back upon an excellent year’s work. Great progresshas been made at the hospital during the past year in thebuilcTing of its nurses’ home and in the completion of thefund for its erection. When the festival dinner was held inMay last under the presidency of the then Lord Mayor, the- amount of the appeal was 220,000 for the purpose and forthe opening of the 47 additional beds. Of this sum therestill remains to collect JE8500. This is urgently needed sothat the home may be opened in the new year free of debt,.and also that additional regular income may be forthcomingin view of the great increase which will shortly be possiblein the work of the hospital. Some of the additional beds will.be devoted to the treatment of those who can no longer,As formerly, afford to pay the fees of nursing homes. Thelong " waiting list " which has been for many years past a.Source of much concern to the medical staff will, it is con-fidently anticipated, soon be eliminated. Contributionsare greatly needed, and will be thankfully received by theJion. treasurer or- the secretary at Arthur-street, at the- Chelsea Hospital for Women.

0;

Medical News.UNIVERSITY OF CAMBRIDGE : Diploma,in f/C/tOCC

Medicine.—A course of instruction covering the materialnecessary for the psychiatrical portion of the examinationsin Part II. of the Diploma in Psychological Medicine willbe held in the psychological laboratorv of the Universityand in the Fulbourn Mental Hospital on Tuesdays andFridays of the Lent Term, 1925, from Jan. 16th to March 10thinclusive. Those wishing to take this course should communi-cate not later than Dec. 31st next with the secretary,Committee in Psychological Medicine, PsychologicalLaboratory, Cambridge, from whom further particulars maybe obtained.

UNIVERSITY OF LONDON.-At a recent meeting ofthe Senate the following were constituted the Boards ofExaminers acting with the External Examiners for theFirst and Second Examinations for Medical Degrees in1925, the examiners whose names are marked with anasterisk being appointed chairmen of their respectiveboards :-

Inorganic Chemistry : *Mr. J. A. Gardner (St. George’s Hosp.Med. Sch. and Lond. Sch. Med. Women) and Prof. C. S. Gibson(Guy’s Hosp. Med. Sch.). General Biology : Dr. Doris L. Mac-Kinnon (King’s Coll.) and Dr. E. J. Salisbury (Univ. Coll.).Physics : *Mr. J. H. Brinkworth (St. Thomas’s Hosp. Med. Sch.)and Mr. B. L. Worsnop (King’s Coll.). Organic Chemistry :*Mr. J. A. Gardner (St. George’s Hosp. Med. Sch. and Lond. Sch.Med. Women) and Prof. J. C. Drummond (Univ. Coll.). Anatomy:*Prof. E. Barclay-Smith (King’s Coll.) and Prof. F. G. Parsons(St. Thomas’s Hosp. Med. Sch.). Physiology: *Prof. H. E.Roaf (London Hosp. Med. Coll.) and Prof. Swale Vincent(Middlesex Hosp. Med. Sch.). Pharmacology: Dr. 0. F. F.Leyton (Lond. Hosp. Med. Coll.) and Dr. 0. Inchley (King’sColl.), and *Prof. A. J. Clark.

The following were appointed Associate Examiners for theM.B., B.S. Examinations in 1925:-

Medicine : Prof. F. R. Fraser, Prof. F. S. Langmead, Prof.H. MacLean, and Dr. Gordon M. Holmes. Surgery : Mr. H. S.Souttar, Mr. C. H. S. Frankau, Mr. E. D. Telford, and Prof.C. A. Pannett. Obstetric Medicine : Mr. M. H. Phillips andProf. Louise McIlroy. Pathology: Prof. S. MacDonald andProf. E. H. Kettle. -

.

Dr. Joseph Bamforth was recognised as a teacher ofBacteriology at St. Thomas’s Hospital Medical School.-Dr. F. L. Hopwood, D.Sc. Lond., was appointed as fromOct. 1st, 1924, to the University Chair of Physics, tenableatSt. ]3art-holomew’s Hospital Medical College.-The title ofReader in the University was conferred on Dr. R. J.Gladstone in respect of the post held by him at King’sCollege.-It was resolved to institute, in accordance with theregulations on University titles, a University Chair ofPathology tenable at the London School of Medicine- for .

Women.

TORONTO UNIVERSITY AWARD.-The Council of theFaculty of Medicine of the University of Toronto have-awarded the Charles Mickle Fellowship of the University toSir James Mackenzie, M.D., LL.D., F.R.S., Honorary-Physician to the King in Scotland. The Fellowship, which isof the value of approximately 1500 dollars, is awardedannually to that member of the medical profession who is-considered by the Council to have done most during thepreceding ten years to advance sound knowledge of a

practical kind in medical art or science.

AN EMPIRE FOOD COUNCIL.—A conference willbe held in the new year, by consent of the Royal ColonialInstitute, in their council room to inaugurate an EmpireFood Council, organised to encourage the consumption in theUnited Kingdom of the food products of the over-seas partof the Empire and of Great Britain herself ; to spread.general information about food ; and to arrange a BritishEmpire bread campaign to popularise bread made fromwheat grown in Great Britain and the Dominions andground in Great Britain and Ireland. The chair will betaken by Prof. H. R. Kenwood-, supported by Lord Bledisloe,Sir Arthur Crosfield, Sir Harry Baldwin, Sir Arthur Mayo-Robson, Sir Frederick Mott, Major J. Elsdale Molson,Dr. Nathan Raw, and Dr. C. W. Saleeby. Representativeswill attend from the Australian Commonwealth (commercialdepartment), the Canadian Chamber of Commerce, theBritish Empire League, the British Empire Producers’Organisation, the British Empire Union, the EmpireDevelopment Union, the Overseas Farmers CooperativeFederations, the Bread and Food Reform League, theFood Education Society, the People’s League of Health.Further information can be obtained from Miss May Yates,hon. secretary, Bread and Food Reform League, 37, Essex-street, London, W.C. 2.

1262

METROPOLITAN ASYLUMS BOARD. — Courses ofinstruction for medical graduates and students will be heldunder the Board from January to March as follows :-

Hospital Administration (for the Diplomain Public Health).-A three months’ course of lectures and demonstrations at the North-Western Hospital, Lawn-road, Hampstead, 3N.W. 3, by Dr. E. W. Goodall, medical superintendent,on Mondays and Thursdays at 4.30 P.M., and alternate Saturdays at 10.30 A.M., beginning Monday, Jan. 5th.

Diagnosis and Treatment of Fevers.-During Januarynext courses will be held at various hospitals under theBoard. Dr. F. M. Turner, medical superintendent of theSouth-Eastern Hospital, Avonley-road, Old Kent-road,S.E., will give a two months’ course at that hospital onTuesdays and Fridays at 11 A.M., beginning Tuesday,Feb. 3rd. Further particulars may be obtained fromthe Clerk to the Metropolitan Ayslums Board, Victoria .Embankment, E.C. 4.

FELLOWSHIP OF MEDICINE AND POST-GRADUATE {MEDICAL ASSOCIATION.—The Fellowship of Medicine pro- gramme of special courses for the month of January includes various specialties as well as a two weeks’ intensive coursefrom Jan. 12th to 24th at the London Temperance Hospital.The programme will cover the whole day and will includeall the general and special departments of the hospital ill" jaddition to a special lecture at 4.30 P.M., to which membersof the medical profession are invited. Bethlem RoyalHospital, the Royal Westminster Ophthalmic Hospital,and the North-Western Fever Hospital will be cooperatingwith the London Temperance Hospital. An intensivecourse will also be held in cardiology at the National Hospital

for Diseases of the Heart from Jan. i2th to 23rd ; a seriesof lecture-demonstrations on the treatment of commonnervous diseases will be given at the West End Hospitalfor Nervous Diseases in the out-patient department, 73,Welbeck-street, W., from Jan. 5th to 31st; a two weeks’ coursein ophthalmology at the Royal Eye Hospital from Jan. 5thto 17th, comprising clinical cases, followed by a lectureon the more important diseases of the eye ; eight lecture-demonstrations in psychological medicine at Bethlem .Royal Hospital, and a four weeks’ course in urology atSt. Peter’s Hospital from Jan. 12th to Feb. 7th. Copiesof the syllabus of each of the above-mentioned courses,together with the list of special courses arranged up toJune, 1925, may be obtained on application to the secretaryto the Fellowship of Medicine, 1, Wimpole-street, W. 1.Arrangements are being made for a series of Fellowshiplectures to be delivered at the House of the Royal Society ofMedicine.

POST-GRADUATE ENTENTE BETWEEN AMERICA ANDENGLAND.-The Inter-State Post-Graduate Assembly ofAmerica, directed by the State District Medical Associationof that country, is visiting the British Islands during the firstthree weeks of June, 1925, in order to hold the annualcongress of the Association, under the presidency of Dr.W. J. Mayo. The itinerary includes, as well as London,Edinburgh and Dublin, Leeds, Liverpool, Manchester,and Newcastle, Belfast and Glasgow. An advisory committeehas been formed to organise the reception of the visitorsin London, consisting of Sir Humphry Rolleston, S,r WilliamHale-White, Sir StClair Thomson, and Mr. H. J. Waring,while the arrangements in the provincial cities will be inthe hands of Sir Robert Jones, Sir Berkeley Moynihan,Mr. Grey Turner, Sir William Milligan, Sir Harold Stiles,and Sir William Wheeler. Prof. Tuffier will make thepreparations for a visit to Paris later. The arrangementsof the professional and social programme of the tourhas been placed in the hands of Mr. Philip Franklin, whogave a dinner at Claridge’s Hotel last week to enablethe American Ambassador to meet some of those interestedin the movement, The guests included, as well as theadvisory committee and the Presidents of the Royal Colleges,the American Consul-General; Lord Desborough, Presidentof the Pilgrims Society; Lord Dawson ; Prof. C. M. Gayley,Director of the American University Union in Europe;Mr. Wilson Cross, President of the American Society inLondon; Mr.F.E.Powell,President of the American Chamberof Commerce; Sir Squire Sprigge, Editor of THE LANCET;Mr. Donald Armour, representing Canada ; Dr. R. A. Bolam,Sir D’Arcy Power, Sir Arbuthnot Lane; Mr. Robert Grant,jun., of the American Red Cross; and Dr. Arthur Ellis, Mr.Girling Ball, Mr. H. W. Carson, and Dr. Eric Pritchard, thehonorary secretaries of the programme committee. Therewere no formal speeches on this occasion, but after a welcomefrom the American Ambassador, Sir Humphry Rollestonand Sir John Bland-Sutton spoke of the interest that wouldbe felt by the Colleges, and Sir StClair Thomson, Presidentof the Royal Society of Medicine, invited the visitors touse two of the lecture rooms in the Society’s house duringthe necessary days—namely, from June lst to 6th. Otherspeakers, advocating the practical need of entente, wereMr. Waring, Mr. Powell, Mr. Armour, and Sir Squire Sprigge.

ROYAL INSTITUTION OF GREAT BRITAIN.-Thejuvenile Christmas lectures will be delivered at 3 P.M. onDec. 27th and 30th, 1924, and Jan. 1st, 3rd, 6th, and 8th, 1925.They will be given by Mr. Frank Balfour Browne, lectureron entomology in the University of Cambridge, under thegeneral title Concerning the Habits of Insects. The subjectwill be divided among the six lectures as follows : (1) InsectCollecting and What It Leads to ; (2) Habits of Bees andWasps; (3) Habits of Caterpillars ; (4) Habits of the Dragon-fly ; (5) Habits of the Water-beetle; and (6) Hab,ts ofInsects and the Work of Man.

BETHLEM ROYAL HOSPITAL.-The spring course

of study for the D.ploma in Psychological Medicine of thevarious universities will commence at the bosp.tal onJan. 5th, 1925. The course consists of lectures and demon-strations in (a) the anatomy, histology, and physiology ofthe nervous system ; (b) psychology ; (c) neurology ; (d)psychological medicine; and (e) mental deficiency. A fullsyllabus of the course, together with a list of the lectures,may be obtained from the physician-superintendent at thehospital, London, S.E. 1.PRESENTATION TO DR. H. CAMPBELL THOMSON.-

Following the recent retirement of Dr. H. Campbell Thomsonfrom the staff of the Middlesex Hospital, his colleagues andold fellow students entertained him to dinner at Oddenino’sRestaurant on Dec. 3rd. Eighty-nine sat down to d.nner,and Dr. Campbell Thomson was presented with a pair ofprismatic field glasses, and a George III. silver tankard, ona base suitably inscribed, as a memento of the occasionand a mark of affection and appreciation.NEW CHILDREN’S HOSPITAL FOR KENSINGTON.-

On Dec. 3rd, in the Kensington Town Hall, the Mayor of £Kensington, Alderman Archibald Allen, presided over ameeting in support of the proposed Princess Louise Hospitalfor Children in North Kensington. The hospital is intendedto replace the 11 cots at the Children’s Hospital in Church-street, and an appeal is being made for £80,000. LordBalfour of Burleigh, the hon. treasurer of the build.ng fund,stated at the meeting that Princess Louise had -ntimatedher intention of giving £1000, the Mayor of Kensington hadsubscribed £500, and an anonymous donor through Mr.Percy Gates, M.P., had promised £500 if nine others gave asimilar amount each. Sir Henry Seymour King has promisedto be one of the nine.

PRESENTATION TO DR. E. W. HOPE.-Dr. Hope,who recently retired from the post of medical officer ofhealth for Liverpool after 41 years’ service, was on Nov. 25thentertained at luncheon at the Exchange Station Hotel,Liverpool, by the members of the city council, and presentedwith an illuminated address and a handsome antique silver-tray and tankard. Sir Archibald Salvidge presided, andthere was a large and representative gathering, including theLord Mayor and Lady Mayoress. Since his retirementDr. Hope has been the recipient of expressions of friendshipfrom many of those with whom he has been associated,including his colleagues and staff, the Medical Institution,the Mersey Docks and Harbour Board, the LiverpoolSteamship Owners’ Association, and the Midwives’ andWelfare Associations.

CHRISTIE HOSPITAL AND CANCER IN MANCHESTER-At the recent annual meeting of the hospital board it wasstated that the number of patients treated during the past12 months was 482, and was a record. Of the 423 newin-patients 125 were inhabitants of Manchester, and theremaining 280 came from many parts of the North ofEngland as far away as Penrith and Newcastle-on-Tyne; ;.302 suffered from cancers and tumours, and 121 from pre-cancerous conditions or chronic ulcerations. Of the 448in-patients, 358 had been discharged, 72 had died, and 18remained in hospital. During the year the hospital hadprovided a permanent abode for 76 patients who could notproperly be treated at home owing to the grave cbaracterof their ailment, having been admitted at a late stage ofthe disease. The chairman of the medical board said thatthere was a definite increase in the number of apparentcures, and methods of alleviation had increased so con-

siderably that patients could be made fit for treatment athome where formerly they had to be kept in hosp;tal.Fewer patients died to-day from the primary form of cancerowing to the radium, X ray, and operative treatment nowavailable, and the secondary form, which was internal, notexternal, was, as a rule, not so foul or painful. Prof. R. B.Wild welcomed the interest shown by the public in cancerresearch. We knew, he said, a great deal more aboutcancer than about some of the more common diseases.This year the committee had offered a prize of 9300 for thebest essay on the aetiology of cancer, based on originalobservations or experimental work. Their object was tofind one or more men suitable for carrying on the work ofresearch.

1263

BURY INFIRMARY,—A new children’s ward hasbeen added to the Bury Infirmary at a cost for erection andequipment of £12,000 and with an endowment of 30,000.This ward represents the principal of two schemes in thetown’s war memorial, the other being a cross in the centreof the town. The total sum subscribed was £46,300, ofwhich sum Lord Derby and Lord Stanley jointly gave£5000 and Lord Doverdale, a native of Bury, £4000.

SOCIETY OF APOTHECARIES OF LONDON.-A Liverydinner of the Society was held on Dec. 9th, the Master, Dr.Algernon Brenchley, presiding, supported by the JuniorWarden, Dr. Alfred Hepburn, and the Deputy SeniorWarden, Mr. Samuel Osborn. The toast of The CombatantForces, proposed by Mr. Osborn, was responded to bySurgeon Vice-Admiral J. Chambers and Lieut.-GeneralSir William Leishman ; and that of the Royal Collegesand Universities, proposed by the Master, by Sir HumphryRolleston and Dr. E. Graham Little, M.P. The toast of TheGuests was responded to by the Rt. Hon. Sir Henry Craik.and Mr. Walter G. Bell, whose literary and archeologicalinterest in the history of London was well displayed in hiswords. Among those invited were Sir George Makins,Sir George Buchanan, Sir Arbuthnot Lane, Sir RonaldRoss, Dr. de Havilland Hall, Mr. Malcolm Hepburn, andSir Squire Sprigge. A good musical programme was inter-spersed with the speeches.

ST. GEORGE’S HOSPITAL: NEW OUT-PATIENTDEPARTMENT.—The new department at St. George’sHospital, London, which has been constructed and equippedat a cost of some £16,000, was formally opened by SirHumphry Rolleston, the President of the Royal College ofPhysicians, on Dec. 5th, when he also unveiled a bronzebust of John Hunter which has been mounted over thegateway in Knightsbridge. The bust formerly adorned theboard room of the hospital. In opening the new departmentSir Humphry Rolleston said that besides providing reliefto the sick poor the out-patient department was importantas a centre for consultation with general and panel practi-tioners who could thus obtain an opinion by letter. Some- 60 per cent. of the patients were sent to the hospital with thatobject. The out-patient, also, was in the position to benefitfrom the highest form of medicine, the ideal of the preventionof disease. Lord Maidstone, the hon. treasurer, referring tothe financial struggle which the - hospital was making tomaintain itself, said that the method of meeting the annualdeficit of £20,000 by encroaching on capital could notcontinue indefinitely. In the new department provision hasbeen made for the different sections-medical, surgical,gynaecological, ophthalmic, and throat, ear, and nose. Thebuildings are of the most modern type. In the ophthalmicsection five special dark-rooms for eye-testing have been

Imade under the road.

Parliamentary Intelligence.NOTES ON CURRENT TOPICS.

Opening of the Session.-The King’s Speech.PARLIAMENT was opened in State by the King on Dec. 9th.

In the course of the Speech from the Throne it was statedthat a Bill was under consideration for safeguarding employ-ment in efficient industries where, after inquiry, the needfor such exceptional action was established. His Majesty’sMinisters were deeply impressed by the continued shortageof housing accommodation. Private builders would beencouraged and the Government would devote their atten-tion to overcoming the rising cost of houses and the shortagein the available supplies of labour. New methods of con-struction would also be encouraged. Something was

already being done under existing legislation to clear theworst areas and to remedy sanitary and structural defectsin those which remain. As new building increased it wouldbe possible largely to develop this process and the Govern-ment would take every opportunity of pressing it forwardwith vigour. The Government were engaged upon inquiriesinto the possibility of combining with existing systemsof insurance provisions for improved old age pensions andpensions for widowed mothers. Steps would be taken tocarry out the principal recommendations of the Committeeon the use of preservatives and colouring matter in food,and for the ascertainment of costs and profits in the distribu-tion of milk.

HOUSE OF COMMONS.TUESDAY, DEC. 9TH.

The Debate on the Address.IN the course of the debate on the Address in reply to the

King’s Speech, Lieut.-Colonel FREMANTLE said that thedeath-rate from tuberculosis had been reduced by one-halfin the last 30 or 40 years, and if the other half could be

removed, the nation would save £90.000,000 of the nationalincome and about £5,000,000 to the Exchequer annually.A Milk Bill to deal with tuberculous milk was passed atthe beginning of the late war, but was never enforced.The time had come when it should be re-enacted.

Referring to the housing question, Colonel Fremantlesaid the essential thing was to see to the distribution of thehouses built. House-building was at present being carriedon to a certain extent under town-planning schemes. Buttown-planning schemes had lagged behind since 1909,when that great ideal was first established. An Act wasbrought in in 1919 to make the adoption of town-planningschemes compulsory, but the schemes so far referred onlyto areas that were to be built up. He hoped to see thepace increased and that they would insist that all areasshould get town-planning schemes prepared very soon.In addition, they needed new legislation to enable them tocomplete town-planning by applying it to already built-upareas. All who had had experience in the large municipalitiesrecognised how difficult it was to deal with the large areaswhere slums were being pulled down, or were to be pulleddown with the intention of building up again. Therewere no powers for town planning in such cases. The needof a Bill to enable town planning to be adopted for areasalready built up was urgent. The replacement of oldhouses should be done on proper lines. The authoritiesshould have power to take over sufficiently large areasand to reconstruct them, not simply to improve streetswhere they were, but to make a change on a much largerscale. This procedure would have to be brought intorelation with the traffic problem, which was only at thebeginning of its difficulties. It was owing to the trafficproblem that the attention of the public had been directedto the fact that it was necessary to get people out of London.They could not do that with a population congested as itwas now. It could be done with improved prosperityand an enormous increase of motor-cars, as in other townsabroad. The two questions must be dealt with together.The problem could be solved only on the principle of the" satellite " city-the principle of the garden city whichhad already been tried at Letchworth and Welwyn. Hehoped that the larger scheme he had suggested might finda part in the Government programme.There were certain other health services which he hoped

that the Government would be able to help. They had beentold that a Factories Bill, a consolidating and amendingmeasure, was to be brought in. The Bill introduced in thelast Parliament was a very mixed Bill and from the healthpoint of view it was sadly lacking, especially in organisa-tion. It was retrogressive and reactionary in one sense.It took a large measure of local administration out of thehands of the local sanitary authorities and brought it backto Whitehall. It made no arrangement for a proper medicaland health department in Whitehall, and it showed nounderstanding of the necessity of linking up health in thefactories with the general health systcm of the countryunder the Ministry of Health. Some such system mustbe devised and carried through in the near future. Therewere several Ministries of Health now in existence. TheFactory Department at the Home Office was almost aMinistry of Health in itself. Health problems under theBoard of Education almost demanded a ministry in them-selves. The Ministry of Health was the third. There werealso large health departments in most of the other Govern-ment departments. Yet there was no scheme for linkingthese things together. It was puerile and absurd to go onin this way. They must have a proper staff arrangementto get them linked up together, with a common policy forworking together instead of working as now, in separatecompartments.

Other things ripe for solution were being inquired into byRoyal Commission or Committee. In the case of the RoyalCommission on the Insurance Acts he hoped that the medicalprofession would make a very great contribution to theinquiry in order to get a national solution of the problemof panel treatment. Then there was the Royal Commissionon London Government. He hoped that they wo-uld getthe problems of London government finally settled, especiallywith a view to a proper settlement of the health services.Unfortunately, the position of the medical service in Indiawas such that young medical men were being frightenedfrom giving their services to India as so many magnificent mendid in the past. What was the attitude of the Governmenttowards the Lee Commission with regard to the medicalservices in India ? If it was proposed to abolish the medicalservice and to provincialise it the result would be that theywould not get men for this essential and humane work inIndia. The Royal Army Medical Corps was in a mostperilous position. Recruits could not te obtained. Thesame remark applied to the Colonial Medical Services.These questions should be looked at by the Government,not in a piecemeal way, but as part of a definite healthpolicy which would have regard to all the different factors.


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