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that these discrepancies would not now exist, orcertainly not in the same degree.

INSURANCE AND VOLUNTARY HOSPITALS.

The presentation and adoption of the reportof the Nottingham Hospital Saturday Committeerecently gave occasion for discussion as to theeffect of the Insurance Act in checking sub-

scriptions to hospitals. The general opinion of

delegates who spoke appeared to be in accordwith the views expressed in the report thatState Insurance was to a great extent responsiblefor a somewhat marked falling off of income, butthat slackness in some trades and industrial unrestwere contributory causes. It was also suggestedthat many insured persons and others, some ofwhom were not affected in any way by the Act,were making it an excuse for withholding sub-

scriptions to medical charities. It was urged thatit should be recognised by all that the Act did notaffect the position of those for whom treatmentas in-patients in a hospital was a necessity, andthe executive body responsible for the report laidstress upon the fact that the monthly board ofthe Nottingham General Hospital did not in anycircumstances claim the sick pay of insured personsunder treatment in the hospital.

NON-INSURED MEMBERS OF SOCIETIES ATLAUNCESTON.

At a meeting of non-insured members of FriendlySocieties at Launceston recently a subcommitteereported the result of negotiations with the medicalmen of the district for attendance upon them. Itwas stated that it had been agreed that memberswho had joined the societies before January, 1913, i

should be attended at 9s. per annum irrespective of IIincome; that members who joined after that dateshould be treated at the same rate if their incomeswere below .f:2 a week; and that members livingmore than two miles from their medical man’s

surgery should be treated at 2s. extra, these beingthe terms adopted in the county of Devon.

THE TREATMENT OF TUBERCULOSIS IN GLASGuW--The twelfth annual report of the council of the Glasgowand District Branch of the National Association for the Pre-vention of Consumption and other Forms of Tuberculosisstates that owing to the operation of the National InsuranceAct changes have had to be effected in the methods bywhich the association has been accustomed to promote its-

objects. During the year 195 cases were admitted to thesanatorium at Bellefield, Lanark, which, added to those

previously reported on, makes the total of 1164 patients whohave been treated since the opening of the institution inNovember, 1904. Of 194 patients dismissed during the year36 had the disease apparently arrested, 45 were much

improved, 66 were improved, while 21 were described as notimproved." The income has not only been sufficient to meetthe ordinary expenditure for the year, but to permit of abalance of almost £ 89 being carried to extraordinary income.The principal increase was attributable to the greater numberof patients treated and to the sums received under arrangementon account of those patients entitled to sanatorium benefitunder the Insurance Act. Regarding the proposed trans-ference of dispensary and sanatorium benefit to the corpora-tion of Glasgow, the report states that at present the councilhas under consideration an offer from the corporation to

acquire Bellefield Sanatorium for the sum of B10,000. subjectto the condition that the association should employ that sum.and any revenue accruing therefrom. on behalf of personsresident in the city suffering from tuberculosis who mightrequire assistance over and above the treatment provided bythe corporation under its statutory powers. At an early datethe council of the association intends to lay before theassociation and the ladies’ auxiliary proposed new spheres ofoperation.

Medical News.I ROYAL COLLEGE OF SURGEONS OF ENGLAND,-The undermentioned diplomas have been conferred upon thefollowing candidates, who have complied with the respectiveby-laws :-

f.JS.C.R’.—Tott-’kat KrishnaMenon, M.B., B.S. Madras, Madras Uni-versity and Charing Cross Hospital; and Philip Savage, Guy’sHospital and Durham University.

Z.jD.-S.—Henry Montague Browne, Birmingham University.

UNIVERSITY OF LONDON. - At the SecondExamination for Medical Degrees, Part II., for internal andexternal students, held recently, the following candidateswere successful :-

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Ivor Aubrey, University College, Cardiff, and University College;Augustus }{.)Ilo Balmain, University of Birmingham ; CharlesDouglas Banes, King’s College; Christopher Percival Barber,King’s College and Charing Cross Hospital; Harold John Bensted,Guy’s Hosprtal; Richard Vincent Bevan. King’s College andCharing Cross Hospital; Christian Frederick Beyers, St. Bartholo-mew’s Hospital; Gilbert Blurton, University of Birmingham;Marian Noel Bnstuck, London (Royal Free Hospital) School ofMedicine for Women; Harold George Broadbridge, LondonHospital; William Wallace King Brown, St. Thomas’s Hospital ;Louis Arthur Celestin. Univers ty College; John Eric Cheesman,St. Mary’s Hospital; Clement Clapton Chesterman, University ofBristol; Hetty Ethelberta Claremont, London (Royal FreeHospital) School of Medicine for Women: Ailwyn Herbert Clarke,St. Thomas’s Hospital ; W<tlt"r Herbert Coldwell, King’s Collegeand Westminster Hospital; Julien David Constantin, St. Bartholo-mew’s Hospital; Mervyn Clement Cooper, London Hospital;Ragbunath Ganesh Dani and Mahmoud Ahu Bakr Demerdash,University College; Hilda Margaret Denton, London (Royal FreeHospital) School of Medicine for Women ; Elizabeth CowperEaves, B.Se., Hdinburgh School of Medicine for Women andUniversity of Sheffield ; Arthur William Foster Edmonds, West-minster Hospital; Florence Marjory Edwards, London fRiyal FreeHospital) School of Medicine for Women ; Leonard Wynne Evans,St. Bartholomew’s Hospital: Guy Fehrsen, London Hospital;William Fletcher-Barrett, King’s College: Jean Louis RogerFortier, St. Bartholomew’s Hospital; Andrew Radburne Fuller,St. Mary’s Hospital; William Lawson Mabson Gabriel, Uni-versity of Leeds; Arthur Edwards Gravelle, King’s College:Hugh Morgan Gray, Guy’s Hospital; Llewellyn Grey andGrace Mary Gulston, University College, Cardiff; HildaMary Holiday. London (Royal Free Hospital) School ofMedicine for Women ; Richard Brunel Hawes, St. Thoma,’s Hos-pital ; William Broke Heywood-Waddington, St. Bartholomew’sHospital; Patrick Hughes, St. Mary’s Hospital ; John Basil Hume,St. Bartholomew’s Hospital; Helen Ingleby, London (Royal FreeHospital) School of Medicine for Women; David Bruce StewartJones. King’s College and Charing Cross Hospital; Percy TudorJones, University College, Cardiff; James Kyle, Guy’s Hospital;E igar Howard Lake Middlesex Hospital; Herbert John Leviseur,Guy’s Hospital; David John Adams Lewis, London Hospital;Harold Warburton Lewis, Middlesex Hospital ; Annie Lloyd,London (Royal Free Hospital) School of Medicine for Women;Ifor Hughes Lloyd. King’s College; rKatharine Lloyd, London(Royal Free Hospital) School of Medione for Women; VernonElmund Lloyd Guy’s Hospital; *John Edward George McGibbon,University of Liverpool; Sydney Alan Stormer Malkin, UniversityCollege; Francis Courtenay Mason, B.A., Middlesex Hospital ;Duncan Menzies, St. Mary’s Hospital ; Gladys Mary Miall-Smith,London (Royal Free Hospital) School of Medicine for Women;Geoffrey Moulson. St. Thomas’s Hospital ; William HowardNicholls, Guy’s Hospital; Domid Craig Norris. London Hospital;Ray Verner Norton, London (Royal Free Hospital) School ofMedicine for Women ; Jehangir Hormusji Oonva’a. Grant MedicalCollege, Bombay ; Eleanor Joyce Partridge and Enid Maud Pfeil,London (Royal Free Hospital) School of Medicine for Women; JohnWilliam Glanmor Phillips, St. Mary’s Hospital; Cyril ValentinePink. St Thomas’s Hospttal; Rhys Vaughan Powell, King’s Collegeand Universitv College. Cardin; Sydney Devenish Rhind. King’sCollege and St. George’s Hospital ; Theodore Ernest Roberts,University of Gl,sgow; Kenneth Mackinnon Ross, LondonHospital ; tEphraim Sakoschansky, University College ; BasilSampson, Guy’s Hospital ; Paul Robert John Schmidt andt Morris Schwartz. University College; Alan Selby-Green,Middlesex Hospital; Ahmad Shafeek and George Harold Sims,St. Thomas’s Hospital; Glyde Philip Tatton, London Hospital :Lily Dorothea Taylor, London (Royal Free Hospital) School ofMedicine for Women ; Rufus Clifford Thomas, University Collegeand University College, ,’arc1iff; John Ferdinand Twort, B.Se., andDouglas James Valentine, London Hospital: William John Vance,Herbert. Stewart Wacher, and Morris John Theodore Wallis, Guy’sHospital; Cyril James Berkeley Way, Middlesex Hospital; Jamesde S’!B’a Wi,jeyeratne, University Collegp; Thom’ls Pearse Williams.Middlesex Hospital ; Alfred Williams-Walker. University ofBirmingham ; Alban Wilson. University College ; and CecilWilliam Wilson, London Hospital.

* Distinguished in Anatomy. &icirc; Distinguished in Pharmacology.

UNIVERSITY OF DURHAM : FACULTY OFMEDICINE.&mdash;At the Convocation held on March 28th thefollowing degrees were conferred :-Doctnr of Medicine.-Sam Phillips Bedson, William James NathanieVincent, and James Carruthers Young.

Doctor of Medicine for Practitioners of Fifteen Years’ Standing.-Henry William Collier, George Fitzjames Darker, John Shortt.Evers, Duncan McArthur, and George Harper Pearce.

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Bachelor of JIedicine (M.B.).-William Bell, Cyril Duncan, WalterArmstrong Elliott, Idris David Evans, Laurence Heber WarnefordIredale, Robert Rutherford Lishman, Edward Rowland AlworthMerewether, Sydney Ellington Murray, William SomervilleMurray, and Frederick John Nattrass, College of Medicine,Newcastle-upon-Tyne; Roger Paul Ninnis. Guy’s Hospital; andCharles O’Hagan, Ivan Miller Pirrie, Evelyn Ritson, William KerrRussell, Arthur Sutcliffe, and Sydney Thompson, College ofMedicine. Newcastle-upon-Tyne.

Bachelor of Surgery (B.S.).-William Bell, Walter Armstrong Elliott,Laurence Heoer Warneford Iredale, Robert Rutherford Lishman,Edward Rowland Alworth Merewether, Sydney Ellington Murray,William Somerville Murray, and Frederick John Nattrass, Collegeof Medicine, Newcastle-upon-Tyne; Roger Paul Ninnis, Guy’sHospital; and Charles O’Hagan, Ivan Miller Pirrie, Evelyn Ritson,William Kerr Russell. Arthur Sutcliffe. and Sydney Thompson,College of Medicine, Newcastle-upon-Tyne.

Bachelor of Hygiene (B.Hy.).-George Cuthbert Mura M’Gonigle andJohn Steedman.

The following Diplomas and Licence were also granted :&mdash;

Diploma in Public Health (D.P.H.).-George Cuthbert MuraM’Gonigle and John Steedman.

Licence in Dental Surgery (L.D.S.).-Wallace Edwin Hurford, College.

of Medicine, Newcastle-upon-Tyne.

UNIVERSITY OF SHEFFIELD.-Mr. A. E. Barnes,M.B., Ch.B. Sheffield, M.B. Lond., M.R.C.P., has been

aopointed lecturer in materia medica, pharmacology, andtherapeutics, and Mr. Wilfred Jevons, B.Sc. Lond., juniorlecturer and demonstrator in physics.THE HEALTH OF BUDLEIGH SALTERTON (DEVON).

-The medical officer of health (Mr. C. Beesley) in hisannual report for 1913 states that the death-rate of BudleighMalterton was 13-8 per 1000 and the birth-rate 11-6 per1000. Mr. Beesley states that the " age distribution " is theprincipal cause of the low birth-rate.

DONATIONS AND BEQUESTS.-By will the lateMr. Robert Kelsey Hill, Doncaster, has left &pound; 1000 each tothe Huddersfield Infirmary, the Dewsbury Infirmary, the

Wakefield Infirmary, and the Doncaster Infirmary.-The lateMiss Elizabeth Catherine Wagstaffe, of Cheetham Hill,Manchester, has left by will Z500 each to the Salford RoyalHospital and the Cancer Pavilion, Manchester.-The late3Jf. James Gresham, of Ashton-on-Mersey, has left Z500cach to the Manchester Royal Infirmary, the Salford BlindHospital, the Old Trafford Blind Asylum, and the OldTrafford Deaf and Dumb School.-Miss Helen Murray, ofEdinburgh, has given &pound; 8000 to the Western Infirmary,Glasgow, for the purpose of naming a ward in memory ofher late brother and sister.

UNIVERSITY COLLEGE HOSPITAL.-At the annualgeneral meeting of the members of the corporation ofUniversity College Hospital the Duke of Bedford wasre-elected president. The chairman, Captain the Hon.E. S. Dawson, moving the adoption of the report and.accounts for the hospital and medical school, congratulatedthe meeting on the general satisfactory conditions whichprevail in every department. He alluded to the valuableservices of the honorary medical and surgical staffs, andspoke of the re-establishment of an inoculation departmentuader the superintendence of Dr. F. H. Thiele, through thegenerosity of Sir Harry Waechter, as one of the events oftthe year. The opening of a tuberculosis dispensary in thehospital would enable them to deal with those cases in thesphere allotted to the hospital in the most satisfactorymanner. Their thanks were again due to the Ladies’ Associa-tion, in which Lady (Rose) Bradford continued to take suchan active interest, and equally to the junior branch, overwhich Mrs. Blacker presided. The chairman proceededto speak of their experiences regarding the working ofthe National Insurance Act. While on the one hand acertain amount of money had been received for servicesrendered, on the other hand the workmen’s contributionscontinue to decrease. It was probable that the receiptsreferred to might increase in future years, but it couldnot be too often emphasised that under the InsuranceAct only minor cases were treated by the panel doctors,and there was no diminution whatever in the callsmade on the hospital for the more serious cases. Themedical school showed a small increase in the number ofstudents. The loyalty of the students was illustrated in apractical manner during the coal strike, when they went tothe depots and brought back 30 tons of coal for use in thehospital. Sir Ernest Hatch, the treasurer, regretted that heagain had to record a heavy deficit. Practically they were&pound; 7004 to the bad, and a considerable portion of this sum

had to be made up out of receipts from legacies. The

report was adopted.The King has appointed Sir Herbert Smalley,

M.D. Durh., to be one of the Commissioners under thePrison Act, 1877.

Dr. H. R. Wilson, tuberculosis physician tothe Welsh National Memorial to King Edward VII.,Merthyr Tydfil, has been appointed by the Southwarkborough council tuberculosis officer for the borough.

Parliamentary Intelligence.NOTES ON CURRENT TOPICS.

Tropical Diseases Research Ftmd. -

DURING 1913, as the annual report of the Advisory Committeeshows, the expenditure of the Tropical Diseases ResearchFund exceeded the revenue. The revenue was &pound; 3445 andthe expenditure &pound; 3600. It appears that the excess of ex-penditure was met, as in the previous year, by drawing onthe accumulated balance of the fund. The committee placesupon record the importance of increasing the amount at itsdisposal, having regard to the large number of directions inwhich important research could be carried on if the meansat its disposal could be permanently increased. The reportnotes how the grants to the London and Liverpool Schoolsof Tropical Medicine and to the Universities of London andCambridge have been expended. It goes on to state thatthe committee were consulted on various matters duringthe year by the Secretary of State for the Colonies, includingthe important question of the measures to be taken to safe-guard India and the eastern colonies against the danger of theintroduction of yellow fever on the opening of the PanamaCanal. Reports received from certain colonies and pro-tectorates on anti-malarial measures are appended.

Death Registration and Burials Bill.A memorandum explains the purposes of this measure,

introduced by Mr. RADFORD and read a first time.Its object is to give effect to the principal recommenda-tions put forward in 1893 by the Select Committee on DeathCertification, and intended to guard against (1) crime, and (2)premature burial. The Committee reported that they weremuch impressed " with the serious possibilities implied in asystem which permits death and burial to take place withoutthe production of satisfactory medical evidence of the causeof death. It is a most important duty of society to guard itsmembers against foul play, and it appears to your Com-mittee that, as far as may be, it should be made impossiblefor any person to disappear from his place in the com-munity without any satisfactory evidence being obtained ofthe cause of his disappearance. Your Committee, fortifiedwith the weighty opinions of the witnesses who have appearedbefore them, have arrived at the conclusion that uncertifieddeaths should, as a class, cease to exist, and that meansshould be devised whereby a medical certificate should beobtained in every case not certified by a registered medicalpractitioner in attendance." The Departmental Committeeon Coroners, which sat in 1909, in their second report statethat " It is no fault of the law if premature burials do nottake place. The present law of death certification offersevery opportunity for premature burial and every facilityfor the concealment of crime. In connexion with the lawof coroners, we think that ...... a certificate of death shouldnot be accepted from a medical practitioner unless it statesthat he has, by personal inspection of the body, satisfiedhimself as to the fact of death. At present he may certifymerely on the information given by the relatives, and wehave had evidence that many certificates have been care-lessly or even recklessly given." During the seven years1907 to 1913 inclusive there were 47,911 deaths in Englandand Wales, the causes of which were not certified.

HOUSE OF LORDS.

WEDNESDAY, APRIL 1ST.

Midwives (Scotland) Bill.Lord BALFOUR of BuRLEIGH, in introducing this measure

in the House of Lords last week,I said that some years agoan Act for a similar purpose was passed for England.Opinion was not sufficiently ripe at that time to extendsimilar proposals to Scotland. Now opinion in Scotland, hebelieved, was unanimous that it was necessary to have ameasure of this kind. A measure had been introduced intothe House of Commons in previous years to regulate thepractice of midwives in Scotland. He had made some

1 THE LANCET, April 4th, 1914, p. 1008.