329 Company’s medical man, and in two to three hours sent home to Birkenhead, where a Dr. O’Neil, a homceopathic practi- tioner, attended him. He considered him to be suffering from concussion of the brain. In a day or two his own medical at- tendant, also a homoeopath, returned, and took charge of the ease. By this time he had become much worse, and a third homceopath from Liverpool was sent for, and these gentlemen have been attending him ever since. They state in evidence that he suffered from acute inflammation of the membranes of the brain, that though he rallied somewhat for a time he re- lapsed again, lost flesh, and has now no power to raise himself. One considered that he would become completely paralysed, the other that he would not live long. The plaintiff was not placed in the witness-box because the learned counsel was afraid of a scene : he always vomited when he was spoken to, and was unable to speak to a stranger. The following cross-examination is transcribed from the reporter’s notes :- Judge : "In what respect does your treatment in such an ailment as this differ from that of allopathic practitioners ? " Dr. Hayward : " It differs in reference to the particular medicines used, the dose administered, and the non-use of severe measures, such as bleeding." His Lordship : "What would be the object of the medicine you would give ?" " Dr. Hayward : "In order to remove the congested and in- flammatory condition of the brain, homoeopaths use aconite and belladonna, which operate directly on those parts." His Lordship : "In that you do not differ from the others ?" Dr. Hayward : " Not from one advanced section, probably, of the allopathic school; but it has only lately been broached." His Lordship : " Then you do not offer any other treatment than you think the best educated of the allopathic practitioners would do ? " Dr. Hayward : "I cannot say that, because the usual treat- ment of such a case would differ. They would not use aconite or belladonna." His Lordship : "Do you use it in quantities which, accord- ing to the allopathic system, would produce any effect what- ever." Dr. Hayward : "Probably not; it would be dangerous to do so in this case." Counsel: "These medicines, then, have been beneficial in cases of affection of the brain ?" Dr. Hayward: "Always, and remarkably so in this case." The advanced section of the allopathic school thus so coolly declared by Dr. Hayward as at one with him, are far re- moved from the transparent folly of homœopathy. Their patient investigation and close research into the structure of brain matter and other tissues, and the physiological effect of medicines upon them, may have opened out to them a wider application for the use of drugs, and at the same time have impressed a greater caution in interfering with nature in her process of recovery from a lesion, but it has not led them to profess or practise a delusion. It is difficult to understand the witness’s reply to the last question. He had just before stated that he did not think the plaintiff would live long. In what way, then, had the medicines been "remarkably" bene- ficial ? The next witness called on the part of the plaintiff was Mr. Long Consulting Surgeon to the Royal Infirmary. He stated that he had examined the plaintiff twice, and did not take so unfavourable a view as the other witnesses, and thought that by rest and quiet the patient might ultimately recover. This evidence brought the case to an abrupt conclusion, as it would have been corroborated still more strongly by the medi- cal men, Drs. Vose and Cameron, and Mr. Bickerton, who had examined the patient for the Railway Company. A confer- ence between the Counsel at once took place, resulting in both sides agreeing to a verdict for jE2500, each to pay their own costs. Sopt. lst, 1869. Medical News. APOTHECARIES’ HALL. - The following gentlemen passed their examination in the Science and Practice of Medi- cine, and received certificates to practise, on the 27th ult. :- Bridges, William Perey, Cirencester. Clarke, John Chaund, Gilders0me, near Leeds. Lightburne, Joseph, Geashil), King’s County. Ireland. Martin, William Young, Little Hulton, near Manchester. Raine, George Rolph, Billericay, Essex. Robertson, Frederick, Peckham. Wade, Charles, Cross, Weston-super-Mare. The following gentlemen also on the same day passed their first examination :- Allen, Thomas, King’s College Hospital. Box, William Henry, Westminster Hospital. Eager, Wilson, Guy’s Hospital. Matthews, James Forrester, Middlesex Hospital. , Parkinson, Charles Henry Watts, Guy’s Hospital. I Slaughter, William Budd, St. Thomas’s Hospital. Stone, Vincent, St. Bartholomew’s Hospital. THE ROYAL HOSPITAL FOR IMBECILES, PUTNEY.- A gratifying meeting took place in the general room of the above institution on Monday evening. All the patients, male and female (except those who were bed-ridden or too ill to at- tend) assembled together to celebrate the first anniversary of the appointment of the present governor and matron (Mr. and Mrs. Haughton). The governor, with his usual good-nature and kindness, had provided (out of his own pocket) special refreshments for the occasion, and he and his wife amused them for several hours with music, singing, recitations, and readings, which seemed to be thoroughly enjoyed. The super- intending nurse, who is very popular with the patients, had at their wish collected small contributions from those who de- sired to give, and purchased two handsome dressing-cases for presentation to the governor and matron, as an acknowledg- ment of their unwearied efforts to promote the comfort and happiness of the inmates generally. These dressing-cases, with an appropriate address, were presented, and the governor who was unprepared for such a demonstration towards him, was quite overcome at the cordial and enthusiastic manner in which the presentation was made. It is hoped that the vastly improved condition of this institution under the efficient management of Mr. and Mrs. Haughton will be properly ap- preciated by the authorities of this useful home for the afflicted. PROSECUTION FOR NON-CO31PLIANCE WITH THE VAC- CINATION ACT.-The guardians of the Brighton Union have unanimously appointed a Prosecutor. Their wise determina- tion is that the law shall be enforced, with due notice, and as much leniency as possible, but that parents shall be compelled to have their children vaccinated. The Prosecutor appointed is Mr. Samuel Thomasoft, assistant-overseer. He is to receive lOs. 6d. per case. MR. HUMPHREYS held two inquests on Monday upon babies which it was said had been suffocated in bed, the evi- dence given at which is as instructive as it is painful. The first case was that of a boy nine months old, at Bethnal Green. The mother said she found it dead by her side. She had in- sured its life because the doctor said it would not live ; she did not tell the insurance office what the doctor said. In this case a surgeon named Hare had given a certificate that the child died from suffocation, without having seen it after death, and the jury very properly appended to their verdict (which was an open one) a censure upon his conduct. The second case was that of a girl, three months old, at St. Luke’s, the fourth il- legitimate child of Elizabeth Wayte. This woman admitted that two of her former children had died, and said she insured this one the day afcer it was born for 30s. The jury found in this case that the cause of death was suffocation, but they declined to say whether or not the suffocation was wilful.- Pall Mall Gazette. ’ MOSQUITOES IN ENGLAND.-In the current number of Science Gossip it is shown that the statements recently made affirming the presence of mosquitoes at Woolwich, Ports- mouth, and other parts, are erroneous. The insects dignified by the title of mosquitoes are certain species of British gnat, especially the anopheles maculipennis. QUEKETT MICROSCOPICAL CLUB. - The monthly meeting was held on Friday, the 28th ult., A. E. Durham, Esq., President, in the chair. A paper was read by Mr. Martinelli "On the Tubules of Crabshell." At the conver- sazione, with which the meeting concluded, there were ex- hibited amongst other things hippocampi, the electric spark from induction coil with magnesium terminals, specimens of so-called mosquitoes, British gnats, &c. Eight new members were elected. WE understand that for the convenience of readers in remote parts of the country, and abroad also, the proprie- tors of the Pall Mall Gazette intend to issue a new weekly publication, which shall comprise a collection of all the prin- cipal articles printed in the Pall Mall from day to day.
Transcript
329
Company’s medical man, and in two to three hours sent hometo Birkenhead, where a Dr. O’Neil, a homceopathic practi-tioner, attended him. He considered him to be suffering fromconcussion of the brain. In a day or two his own medical at-tendant, also a homoeopath, returned, and took charge of theease. By this time he had become much worse, and a thirdhomceopath from Liverpool was sent for, and these gentlemenhave been attending him ever since. They state in evidencethat he suffered from acute inflammation of the membranes ofthe brain, that though he rallied somewhat for a time he re-lapsed again, lost flesh, and has now no power to raise himself.One considered that he would become completely paralysed,the other that he would not live long. The plaintiff was notplaced in the witness-box because the learned counsel wasafraid of a scene : he always vomited when he was spoken to,and was unable to speak to a stranger.The following cross-examination is transcribed from the
reporter’s notes :-Judge : "In what respect does your treatment in such an
ailment as this differ from that of allopathic practitioners ? "Dr. Hayward : " It differs in reference to the particular
medicines used, the dose administered, and the non-use ofsevere measures, such as bleeding."His Lordship : "What would be the object of the medicine
you would give ?" "Dr. Hayward : "In order to remove the congested and in-
flammatory condition of the brain, homoeopaths use aconiteand belladonna, which operate directly on those parts."His Lordship : "In that you do not differ from the others ?"Dr. Hayward : " Not from one advanced section, probably,
of the allopathic school; but it has only lately been broached."His Lordship : " Then you do not offer any other treatment
than you think the best educated of the allopathic practitionerswould do ? "
Dr. Hayward : "I cannot say that, because the usual treat-ment of such a case would differ. They would not use aconiteor belladonna." His Lordship : "Do you use it in quantities which, accord-
ing to the allopathic system, would produce any effect what-ever."
Dr. Hayward : "Probably not; it would be dangerous todo so in this case." Counsel: "These medicines, then, have been beneficial in
cases of affection of the brain ?" Dr. Hayward: "Always, and remarkably so in this case."The advanced section of the allopathic school thus so coolly
declared by Dr. Hayward as at one with him, are far re-moved from the transparent folly of homœopathy. Theirpatient investigation and close research into the structure ofbrain matter and other tissues, and the physiological effect ofmedicines upon them, may have opened out to them a widerapplication for the use of drugs, and at the same time haveimpressed a greater caution in interfering with nature in herprocess of recovery from a lesion, but it has not led them toprofess or practise a delusion. It is difficult to understand thewitness’s reply to the last question. He had just beforestated that he did not think the plaintiff would live long. Inwhat way, then, had the medicines been "remarkably" bene-ficial ?The next witness called on the part of the plaintiff was Mr.
Long Consulting Surgeon to the Royal Infirmary. He stated that he had examined the plaintiff twice, and did not take sounfavourable a view as the other witnesses, and thought thatby rest and quiet the patient might ultimately recover. Thisevidence brought the case to an abrupt conclusion, as itwould have been corroborated still more strongly by the medi-cal men, Drs. Vose and Cameron, and Mr. Bickerton, who hadexamined the patient for the Railway Company. A confer-ence between the Counsel at once took place, resulting in bothsides agreeing to a verdict for jE2500, each to pay their owncosts.
Sopt. lst, 1869.
Medical News.APOTHECARIES’ HALL. - The following gentlemen
passed their examination in the Science and Practice of Medi-cine, and received certificates to practise, on the 27th ult. :-
Bridges, William Perey, Cirencester.Clarke, John Chaund, Gilders0me, near Leeds.Lightburne, Joseph, Geashil), King’s County. Ireland.Martin, William Young, Little Hulton, near Manchester.
Raine, George Rolph, Billericay, Essex.Robertson, Frederick, Peckham.Wade, Charles, Cross, Weston-super-Mare.
The following gentlemen also on the same day passed theirfirst examination :-
Allen, Thomas, King’s College Hospital.Box, William Henry, Westminster Hospital.Eager, Wilson, Guy’s Hospital.Matthews, James Forrester, Middlesex Hospital.
, Parkinson, Charles Henry Watts, Guy’s Hospital.I Slaughter, William Budd, St. Thomas’s Hospital.
Stone, Vincent, St. Bartholomew’s Hospital.
THE ROYAL HOSPITAL FOR IMBECILES, PUTNEY.-A gratifying meeting took place in the general room of theabove institution on Monday evening. All the patients, maleand female (except those who were bed-ridden or too ill to at-tend) assembled together to celebrate the first anniversary ofthe appointment of the present governor and matron (Mr. andMrs. Haughton). The governor, with his usual good-natureand kindness, had provided (out of his own pocket) specialrefreshments for the occasion, and he and his wife amusedthem for several hours with music, singing, recitations, andreadings, which seemed to be thoroughly enjoyed. The super-intending nurse, who is very popular with the patients, hadat their wish collected small contributions from those who de-sired to give, and purchased two handsome dressing-cases forpresentation to the governor and matron, as an acknowledg-ment of their unwearied efforts to promote the comfort and
happiness of the inmates generally. These dressing-cases,with an appropriate address, were presented, and the governorwho was unprepared for such a demonstration towards him,was quite overcome at the cordial and enthusiastic manner inwhich the presentation was made. It is hoped that the vastlyimproved condition of this institution under the efficient
management of Mr. and Mrs. Haughton will be properly ap-preciated by the authorities of this useful home for theafflicted.
PROSECUTION FOR NON-CO31PLIANCE WITH THE VAC-CINATION ACT.-The guardians of the Brighton Union haveunanimously appointed a Prosecutor. Their wise determina-tion is that the law shall be enforced, with due notice, and asmuch leniency as possible, but that parents shall be compelledto have their children vaccinated. The Prosecutor appointedis Mr. Samuel Thomasoft, assistant-overseer. He is to receive
lOs. 6d. per case.MR. HUMPHREYS held two inquests on Monday uponbabies which it was said had been suffocated in bed, the evi-dence given at which is as instructive as it is painful. The
first case was that of a boy nine months old, at Bethnal Green.The mother said she found it dead by her side. She had in-sured its life because the doctor said it would not live ; she didnot tell the insurance office what the doctor said. In this casea surgeon named Hare had given a certificate that the childdied from suffocation, without having seen it after death, andthe jury very properly appended to their verdict (which wasan open one) a censure upon his conduct. The second case wasthat of a girl, three months old, at St. Luke’s, the fourth il-legitimate child of Elizabeth Wayte. This woman admittedthat two of her former children had died, and said she insuredthis one the day afcer it was born for 30s. The jury found inthis case that the cause of death was suffocation, but theydeclined to say whether or not the suffocation was wilful.-Pall Mall Gazette.’
MOSQUITOES IN ENGLAND.-In the current numberof Science Gossip it is shown that the statements recentlymade affirming the presence of mosquitoes at Woolwich, Ports-mouth, and other parts, are erroneous. The insects dignifiedby the title of mosquitoes are certain species of British gnat,especially the anopheles maculipennis.QUEKETT MICROSCOPICAL CLUB. - The monthly
meeting was held on Friday, the 28th ult., A. E. Durham,Esq., President, in the chair. A paper was read by Mr.Martinelli "On the Tubules of Crabshell." At the conver-sazione, with which the meeting concluded, there were ex-hibited amongst other things hippocampi, the electric sparkfrom induction coil with magnesium terminals, specimens ofso-called mosquitoes, British gnats, &c. Eight new memberswere elected.
WE understand that for the convenience of readersin remote parts of the country, and abroad also, the proprie-tors of the Pall Mall Gazette intend to issue a new weeklypublication, which shall comprise a collection of all the prin-cipal articles printed in the Pall Mall from day to day.
330
MEDICAL APPOINTMENTS.ADAMS, J. E., M.R.C.S.E., has been appointed Assistant-Surgeon to the
London Hospital.Bucx, J. R., L.R.C.P.Ed., has been appointed Medical Officer for the Ink-
berrow District of the Alcester Union, Warwickshire, vice J. W. Lea-croft, M.B., whose appointment will expire on the 29th inst.
BURDETT, Mr. H. C., has been appointed Resident Secretary and GeneralSuperintendeat of the Queen’s Hospital, Birmingham, vice Mr. W. A.Edwards, resigned.
BYRNE, J. P., L.K.Q.C.P.I., has been appointed Medical Officer to the Augh-rim and Aughavanagh Constabulary, Co. Wicklow, vice J. Kearney,M.R.C.S.E., deceased.
FENWICK, S., M.D., has been appointed an Assistant-Physician to theLondon Hospital.
GiMs, S., M.D., B.A., has been appointed Medical Examiner to the CrownLife Assurance Company.
GOLDING, J. P., M.D., has been appointed Medical Officer for No. 4 CorkDispensary District of the Cork Union, vice O’Flynn, appointed to No. 8.
Hixox, W. N., M.R.C.S.E., has been appointed Resident Medical Officer tothe Westminster General Dispensary, Gerrard-street, Soho, vice F. Amy,M.D., resigned.
HOLMES, Dr., has been appointed Medical Officer for No. 7 Cork DispensaryDistrict of the Cork Union, vice Jones, appointed to No. 3.
JONES, H. M’N., M.D., has been appointed Medical Officer for No. 3 CorkDispensary District of the Cork Union, vice Golding, appointed toNo. 4.
KEARNEY, J. P., L.R.C.S.I., has been appointed Surgeon to the Cronebane,Tegrony, and Carysfort Mines, Co. Wicklow, vice J. Kearney, M.R.C.S.E.,deceased.
MACAULAY, F. E., M.R.C.S.E., has been appointed Medical Officer for theOvenden District of the Halifax Union, Yorkshire, vice James Holt,L.R.C.P.Ed.
1IANISTY, Mr. F. S., has been appointed Medical Officer for the Gresford Dis-trict of the Wrexham Union, Denbighshire, vice T. R. Mitchell, M.D.,resigned.
MOORE, J. D., M.D., F.L.S., has been appointed Deputy Coroner for theCounty Palatine of Lancaster.
O’FLYNN, J. D., M.D., has been appointed Medical Officer for No. 8 CorkDispensary District of the Cork Union, vice R. T. Fowler, M.D., de-ceased.
PAXENHAM, Mr. W. J. (Dublin), has been appointed Apothecary and Regis-trar to the Monaghan County Infirmary, vice G. M’B. Davis, M.D.,resigned.
PAYNE, C. J., M.D., has been appointed Medical Officer to the Workhouseand Fever Hospital, and Medical Officer, Public Vaccinator, and Regis-trar of Births &c., for the Clifden Dispensary District of the ClifdenUnion, Co. Galway, vice W. H. Suffield, M.D., resigned.
PEIRCE, G., M.D., has been appointed Medical Officer to the Workhouse andFever Hospital of the Newcastle Union, Co. Limerick, vice J. Peirce,M.D., resigned.
PRITCHARD, H. J., M.R.C.S.E., has been appointed Junior Assistant MedicalOfficer to the County Lunatic Asylum, Gloucester, vice Charles Lewis,M.R.C.S.E., resigned.
SHAW, Mr. H. S., has been appointed Senior Resident Medical Officer andSecretary to the Leeds Public Dispensary, vice E. Casey, M.B., appointedSenior Assistant Medical Officer to the Gloucester County Lunatic Asy-lum, Wotton.
TODD, Dr. J., has been appointed Medical Officer, Public Vaccinator, andRegistrar of Births &c., for the Drumquin Dispensary District of theCastlederg Union, Co. Tyrone, vice W. Sproule, M.R.C.S.E., deceased.
WATSON, W. R., L.R.C.S.Ed., has been appointed Medical Officer and PublicVaccinator for the Parish of Kirkmabreck, Kircudbrightshire, vice J.Coutts, L.F.P. & S. Glas., resigned.
WILSON, W. S., L.R.C.P.L., has been appointed Medical Officer for the Burn.ham District of the Eton Union, vice G. J. Gillam, M.R.C.S.E., resigned,
Births, Marriages, and Deaths.BIRTHS.
JEPSON.-On the 27th ult., at Stone, near Dartford, Kent, the wife of OctaviusJepson, M.D., of a daughter.
KIRK.-On the 19th of July, at Zanzibar, the wife of J. Kirk, M.D., BritishVice-Consul, of a daughter.
RICHMOND.-On the 22nd ult., at Northallerton, Yorkshire, the wife of S.Richmond, M.D., of a son.
SHONE.-On the 25th ult., at Great Marlow, Bucks, the wife of W. J. Shone,M.R.C.S.E., of a son. ____
MARRIAGES.BOGGS-D’IVOLEY.-On the 27th’ult., at Paris, Alexander Boggs, M.D., late
of the Madras Medical Service, to Marguerite Berthe, daughter of theBaron and Baroness D’Ivoley.
GRIMBLY-CHEYNE.-On the 1st inst., at Woodstock, Richard Grimbly,M.R.C.S., of Banbury, to Frances, second daughter of the late JohnCheye, Esq., Solicitor, of Liverpool.-No Cards.
DEATHS.BROADBENT.-On the 28th ult., Richard Broadbent, F.R.C.S.B., of Altrincham,
Cheshire, aged 73.HYDE.-On the 27th ult., G. C. Hyde, M.R.C.S.E., of Upper Belmont-place,
Wandsworth- road, aged 51.LACY.-On the 29th ult., at Panton, in Lincolnshire (the residence of his
brother), James Prior Lacy, Esq, of Newark-on-Trent, aged 72. Uni-versally beloved and respected.
MARSTON.-On the 29th ult., at Ivy Cottage, Brigg, Janet, relict of the lateHenry Marston, M.R.C.S.E, &c., aged 54.
MILNER.-On the 17th ult., Wm. Ralph Milner, M.R.C.S.E., of Wakefield,aged 58.
MINAS.-On the 24th ult., Robert Minas, Surgeon-Dentist, of Truro.
MERRYWEATHER.-On the 14th ult., at Colville-road, Bayswater, EdithCollins, youngest daughter of P. C. Merryweather, M.R.C.S.E., aged4 years and 9 months.
MONCKTON.-On the 29th ult., at Rugeley, Ernest William Parr, son of Wm.Monckton, Surgeon, of Brenchley, aged 4 months.
ROBERTS.-On the 21st ult., at the Royal Hospital for Incnrables, H. Roberts,M.D.
ROWLAND.-On the 20th ult., at the Carnarvonshire and Anglesey Infirmaryand Dispensary, Bangor, John Rowland, M.R.C.S.E., House-Surgeon forupwards of twenty years, aged 50.
SMITH.-On the 18th ult., F. P. Smith, M.R.C.S.E., of Aylsham, Norfolk,aged 69.
TROTTER.-On the 29th ult., at the residence of his uncle, T. Batten, F.R.C.S.,Charles Hardy Trotter, M.D., M.R.C.S., of Park-end, near Lydney,Gloucestershire.
WHIFFIN.-On the 4th of June, Elzeard Henry Whiffin, M.D., aged 68.WILSON.-On the 25th ult., J. W. Wilson, M.D., of Regency-square, Brighton,
formerly of the H.E.I.Co.’s Service.
To Correspondents.THE STUDENTS’ NUMBER OF THE LANCET
will be published on Saturday next, September 12th. Those
gentlemen holding official situations connected with MedicalInstitutions in the United Kingdom, who have not yet for-warded the necessary information to our Office for publica-tion in that Number, are earnestly requested to send itwithout the delay of a single post.
Plato.-The Vaccination Act of 1867 does not require a medical practitionerwho is not a public vaccinator to transmit to the registrar of births dupli-cate certificates of successful vaccination ; but the Act does require the
’
medical practitioner to fill up and sign the certificate of vaccination, whichmust be presented to him by the parent or custodian of the child on the !
day of inspection. Section 23 of the Act says: "Where the vaccinationshall be successfully performed by a medical practitioner not being a publicvaccinator, the parent or other person as aforesaid causing the child to bevaccinated shall submit a certificate according to the said form, marked D,to such medical practitioner to be filled up and signed by him, and shallwithin twenty-one days after the performance of the operation transmit thesame so signed, by post or otherwise, to the registrar of the district."Section 30 imposes a penalty on any medical practitioner who shall refuseto fill up and sign the certificate when it is submitted to him as the Actdirects.
Mr. Riley should consult a qualified practitioner in the neighbourhood.
ST. PANOEAS WORKHOUSE.
To the Editor of THE LANCET.
SiR,-I was astounded when I read in your journal the paragraph in theReport on the State of St. Pancras Workhouse relating to the children’snursery, which states that " on the whole we are bound to say that, while thenumbers are limited to twenty or twenty-five, the space is sufficient." Thevery lowest amount of cubic space allowed by the Poor-law Board for anadult is 500 cubic feet. Deducting 1500 feet, the amount needed for the.three adult assistants, from 7865 feet, 6365 cubic feet only remain, whichsum, divided by 25, gives a quotient of 254 feet for each child, or, allowing fortwo adults, only 274 feet.At a late inquest I was asked by Dr. Lankester " was the atmosphere of
that room fit for children in such a delicate state of health as the deeeased?’My answer was "No." I maintain that that answer was right.
Yours faithfully,F. W. Gzasox, M.D. Lond.,
St. Pancras Infirmary, Aug. 30th, 1868. Resident Medical Officer.
P.S.-The Poor-law Board in a recent order fixed the amount for each childat the Plaistow Schools at 500 cubic feet. If this amount is needed for child-ren in the country, how can 274 cubic feet be sufficient for those living in a.crowded workhouse ?
*** The amount of cubic space which should be given to the children in theshort nursery of the St. Pancras Workhouse is a question on which con-siderable difference of opinion may be reasonably permitted. Dr. Gibsonhas not stated the case quite fairly. There are, indeed, two or three adultattendants; but only one sleeps and takes her meals in the apartment.Moreover, the children, under ordinary circumstances, do not remain morethan a few days, and the extra number is due to the existence of ophthalmiaat the Plaistow Schools. The apartment, with the exception of the water-closet, is clean, wholesome, well ventilated, and quite suitable. There isau excellent play-yard, and no washing is done in the room. The actualaverage, under the present unfavourable circumstances, has been 370 cubicfeet for each child, and the general appearance of the children is, as wasadmitted by the jurors, extremely healthy. We have no desire, however, tocurtail the space allowed for children, and perhaps it would be better toplace the extreme limit at the lower number mentioned in our Report. Ifthe atmosphere was unfit for a child in such a delicate state of health, wethink it should have been ordered either into the infirmary or the sickwards at Plaistow, and we can scarcely understand that the gangreneshould be attributed to overcrowding in the nursery, seeing that the childwas removed to the infirmary the day after the accident.-THE LANCMCOMMISSIONER.
