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Notes, Short Comments, and Answersto Correspondents.EDITORIAL NOTICES.

IT is most important that communications relating to theEditorial business of THE LANCET should be addressedexclusively " TO THE EDITORS," and not in any case to anygentleman who may be supposed to be connected with theEditorial staff. It is urgently necessary that attention begiven to this notice.

-

It is especially requested that early intelligence of local eventshaving a medical interest, or which it is desirable to bringunder the notice nf the pofession, may be sent direct tothis Office.

Lectures, original, articles, and reports should be written onone slde of the paper only, AND WHEN ACCOMPANIEDBY BLOCKS IT IS REQUESTED THAT THE NAME OF THE

AUTHOR, AND IF POSSIBLE OF THE ARTICLE, SHOULDBE WRITTEN ON THE BLOCKS TO FACILITATE IDENTI-

FICATION.

Letters, whether intended for insertion or for private informa-tion, mtust be tauthenticated by the names and addresses oftheir writers, not necessarily for publication.

1Ve cannot prescribe or recommend practitioners.Local papers containing rcports or news paragraphs should be

marked and addressed To the Sub-Editor."Letters relating to the publication, sale, and advertising de-

partments of THE LANCET should be addressed " To theManager."

117c cannot undertake to returtz MSS. not used.

MANAGER’S NOTICES.THE INDEX TO THE LANCET.

THE In(1ex to Vol. II. of 1898, which was completed withthe issue of Dec. 31st, and the Title-page to the Volume,are given in this number of THE LANCET.

VOLUMES AND CASES.

VOLUMES for the second half of the year 1898 will beready shortly. Bound in cloth, gilt lettered, price 18s.,carriage extra.

Cases for binding the half-year’s numbers are also ready.Cloth, gilt lettered, price 2s., by post 2s. 6d.To be obtained on application to the Manager, accompanied

by remittance. ____

TO SUBSCRIBERS.

The rates of subscriptions, post free, either fromTHE LANCET Offices or from Agents, are :-

FOR THE UNITED KINGDOM. To THE COLONIES AND ABROAD.One Year ......... £ 12 6 One Year ......... £ 14 8Six Months .., ...... 0 16 3 Six Months .,....... 0 17 4Three Months ...... 0 8 2 Three Months ...... 0 8 8Subscriptions (which may commence at any time) are payable in

advance.

A WORD TO OUR READERS.

WE publish this week an address from Dr. J. G. Glover who has beena Direct Representative of the profession upon the General MedicalCouncil since 1886, in which year the principle of direct representa-tion at the deliberations of the governing body of the profession wasfirst conceded to the general practitioner as a practitioner apart fromhis position as a graduate or diplomate. We are glad to find thatDr. Glover in his address to his constituency does not share thegeneral feeling of depression which seems to weigh down so manymembers of the medical profession. In the columns of THE LANCET,particularly in this department of the paper, we have often to note thatin many directions there might be considerable improvement in thestatus of the medical practitioner, but nevertheless we hold that thingsare not only much better than they were, but also that they are muchworse than they will be. Many abuses have grown strong of late thatwere weak or have crept in that were absent, but in spite of them wehave to remember that the medical profession as a whole is in a muchbetter plight than it was in fifty years ago and that simply no com-parison can be instituted between its position now and that which itoccupied a century ago, while there are signs on all hands that thisfavourable rate of progress is being maintained. A better educatedclass of men yearly aspire to become medical practitioners, whilemedical education is being perfected.

Seventy-five years ago, when THE LANCET was founded, consider-what were the facilities for progress in the profession enjoyed by tht

. medical man and for education enjoyed hy the student. The medicalman was protected by no laws worth speaking about from the entirelyunqualified practitioner and from his student days was made to helongonce and for all to the rank and file unless he possessed money orinfluence. A medical man in those days came to be a leader by pay-.ing high fees as the pupil of a leader with the umlerstanding that he-should enjoy a reversion of his master’s oflices. The number of menwho not having these initial advantages became distinguishedteachers or practitioners could be counted on the fingers of one hand.This senseless system has been entirely superseded and medical edu-cation is now so arranged that the best man should get the prizes.Whether the prizes are commensurate with the work which has to be-expended to gain them is another question, and one that we do notenter into now. We propose during the next year, in response tocommunications from careful readers and value< l friends, to endeavourto make these particular columns of THE LANCET more helpful to allgeneral practitioners. Hitherto our answers to correspondents havebeen as a rule mainly useful to the particular correspondent; butthe same difficulties constantly occur to medical men in differentparts of the country and we are certain that if the questionsasked us could sometimes be made public the replies would affordinformation which many would be glad to receive. May we thereforeask our readers to frame their questions as far as possible so that theycan be published ? This does not imply signature, although the nameand address of the writer must be communicated to us. We at the’same time seek the kind assistance of our readers. Many questionsare necessarily put to us to which we cannot reply at once or with

, the fulness of detail which is desired by the questioners. In suchcases we shall be always very gratefui to any of our readers who cansupply the gaps in our knowledge. By doing this they will be help -ing their brother practitioners who in turn may on another occasionbe able to help them.

CONCURRENT ENTERIC FEVER AND TRICHINOSIS.

IN the Deutsche Medicinische Wochenschrift of Dec. 29th, 1898, Pro-fessor M. Fischer of Berlin relates the case of a journeyman butcher,twenty-four years of age, who contracted enteric fever and trichinosis.simultaneously after partaking heartily of tainted pork, chopped andeaten raw. This meat was eaten on April 19th, 1862. On April 27thhe was admitted into the Charite Hospital with all the signs of enteric fever and the disease ran a severe course. A bedsore as large-as the palm of the hand formed over the sacrum and in removingthe sloughs on Sept. 24th a piece of healthy muscle was cut awaywhich was seen with the naked eye to be full of trichin2e. Underthe microscope the parasites were seen to be quite close-set and every--where encapsulated, the capsules being translucent and the parasites.in motion. The patient’s condition gradually became worse and he dierlfrom pleuro-pneumonia on Oct. llth. At the post-mortem examina-tion Peyer’s patches in the ileum were found to be pigmented andcicatrised. In the lower portions some of them contained hardlyany follicles, were deeply pigmented, and showed extensive denudedplaces, especially towards the ileo-caccal valve. Abundant trichin&aelig;were present in all the muscles and were especially numerous inthose of the larynx and tongue. Everywhere they showed verytransparent oval capsules with whitish opaque extremities. Professor-Fischer considers that the sequelm of enteric fever as seen in the.

Peyer’s patches and the transformations undergone by the trichina.pointed unmistakeahly to a simultaneous infection with the two.diseases by means of the raw pork. He also directs attention to the fact that although the case was under close observation no symptomsof trichinosis were perceived and the presence of the parasite wouldhave been unrecognised during the patient’s life but for the accidentalremoval of the piece of muscle.

VACCINATING INSTRUMENTS.To the Editors of THE LANCET.

SIRS,-I notice in THE LANCET of Dec. 31st an illustration of a newvaccinating instrument. It seems to me that all complicated instru--ments, especially those with prongs, forks, or concealed needles, are-

very likely to become septic and must be difficult to keep clean. I have-known practitioners using fork-like instruments who got a large per-centage of " ba(l arms." In my opinion the simplest and best instru-ment is an ordinary needle. It can easily be made absolutely aseptic -,

used carefully it causes little pain; a new "instrument" can be usedfor each case ; it is cheap, it is efficient, it is clean.

I am, Sirs, yours truly,Jan. 2nd, 1899. F. J. L.

BEQUESTS IN 1898 AND THE LONGEVITY OF TESTATORS.OUR contemporary the Daily Telegraph published an interesting

article in its issue of Dec. 30th on the public bequests in 1898. Underwills reported during the past year the bequests for charitable, religious,and educational purposes amounted to between oel,400,OOO and;Cl,500,OOO, which is considerably above the average of the ten yearsopreviously to 1897. That year being the Diamond Jubilee of the Queenspecial appeals were made and the amount that year totalled about.E3,000,000. The proportion of legacies left to the different kinds ofcharities varies from year to year, but according to our contemporarythe sum given for educational purposes last year was not so large as.in former years and the hospitals in the great provincial cities and.

69

towns do not appear to have had quite their usual share of legaciesof considerable amount. About half of the total sum of the legaciesof 1898 left for public uses go to hospitals and other charitableinstitutions. A list of 60 of the testators under wliose wills charita-

ble, religious, and educational institutions benefit to the amountof oel,089,965 out of an aggregate of ;C12,930,178 in personal estate isgiven and it is noteworthy that 37 of these testators at their deathhad attained the age of seventy years and upwards, while 24 wereover eighty years of age. Large bequests to charities are usually thoseof childless persons and it is pointed out that men in business whohave been liberal supporters of trade charities during their lives donot often leave money to them, that such persons have been used toregard the support of trade charities as an annual charge on thebusiness which their successors should properly continue, and it ishoped that this will be recognised by joint stock companies.

A SEX THEORY REFUTED.SEX THEORY REFUTED.

THE New York Medical Record, quoting the -Deutc7te Praxis for August,says that Dr. Winckel has shown the invalidity of the theory that theright ovary contains the germs for the masculine and the left for thefeminine offspring, by the following observation. " In 1891 a womanwas operated upon for left ovarian tumour. The entire ovary wasremoved. Since then she has given birth to five living children threeof whom are girls and two are boys."

DEATH AND STARVATION AT HAVANA.

ACCORDING to Spanish statistics the death-rate of the principal seaporttowns in Cuba has in more recent times varied from 31’9 to 66’7 per1000. In Havana the death-rate has been 36’3 per 1000, though inthe suburbs of Guanabacoa and Marianao the death-rate was 39’8 and39’5 respectively. But these figures represent the normal state ofaffairs and are very different from what the war has produced.From January to the end of November last year there were noless than 19,480 deaths recorded at Havana though the popula-tion of the city barely exceeds 200,000. By the end of the yearthere were probably over 20.000 deaths and thus we find

the terrible death-rate of 100 per 1000 and perhaps more. At thesame time it should be noted that the crowding of refugees into thetown must have greatly increased the population. The greatestmortality was in the months of September and October when thenumber of deaths was double that of the three previous months.The Americans who are now commencing to organise the governmentof the city hope to bring about rapidly a wholesome improvement.They argue that under British rule the death-rate which at Jamaicahad also reached the extraordinary average of 100 per 1000 per annumhas now been reduced to 21 per 1000. Why should not the same featbe accomplished for Havana ? The necessary improvementswill, it is true, cost a great deal of money; but if theycould be effected the result would be of great benefit politi-cally as well as from the public health point of view. Theywould materially tend to reconcile the populations to the neworder of things. The evils to be dealt with do not, however, con-sist merely of bad sanitation. Intense poverty and absolute starva-tion are the principal obstacles and at the present moment there are,it is said, some 30,000 people in Havana who are literally starving.Everything they possess has been sold long ago and for the sake ofeconomy many of them are huddled together in small and unhealthyhouses where dirt and insanitary conditions accentuate the fatal effectsof insufficient food. The only consoling consideration which can bebrought forward is the fact that probably the worst is now over andevery day some improvement will be effected.

A MILITARY QUACK.THE Derby Telegraph of Dec. 27th, 1898, quotes a correspondent to the

fact that "there is a strong feeling throughout the medical professionin this country that the time is ripe for a new Medical Act." We arequite certain that the law should be better able to deal than it is withoffenders who are found guilty of posing as medical men and thecolumns of the Derby Telegraph of Jan. 2nd supply us exactly with acase in point. It is the account of an inquest held at Derby. The

deceased was a little three-year-old boy and the day before his death aCaptain Fielden had given his mother some ointment to rub on hishead. The mother of the child said that she did not know whether

Captain Fielden was a qualified medical man, but the word dispen-sary " was on his window. Captain Fielden was next called and said thathe was a retired captain of the Scots Fusiliers, that he amused himselfby doctoring, and examined and prescribed for children and adults inthe ordinary way only making no charge. He added that he had beenin hospitals and therefore felt competent to diagnose cases, thathe " would give certificates for death or burial if the coroner

would let him," and that " qualified men were not allowedto use good remedies like he did as to do so was " againstmedical etiquette." The witness was then told by thecoroner to write down the constituents of the ointment whichhad been rubbed on the head of the deceased just before death.Dr. W. Spettigue of Derby having informed the coroner of the realcause of the child’s death said that the ointment in his opinion hadnot accelerated the fatal termination, evidence which for the timebeing saved Captain Fielden from serious consequences. The coronerhas, however, reported the facts to the proper authorities and thereought to be some way of compelling the ex-officer of the ScotsFusiliers to cease from deceiving his poor ill-educated neighbours withhis pretensions to medical skill,

CLUB PATIENTS AND CONSULTATIONS.

A DECISION given by his Honour Judge Bagshawe at the BiggleswadeCounty Court on Dec. 12th last goes to show that it would be moreprofitable to be a cabman or a day labourer than a medical man. Thecase was shortly as follows: A patient belonging to a club desired aconsultation between the club medical officer and a Bedford prac-titioner. Her husband, who was the defendant in the action, con-sented. The consultation was duly held and the consultant confirmedthe previously expressed opinion of his colleague the medical officerof the club. The latter claimed a guinea as his fee, but the ,judge,although holding the defendant liable, only allowed a fee of five

shillings. The defendant is an innkeeper and market gardener; he.lives close upon three miles from the medical man’s house, andthe latter spent the whole morning in attending to the consulta-tion. Now, an ordinary cabman in London would get for drivingsix miles, 3s. ; for waiting one hour, 2s. 8d. ; total, 5s. 8d. Pro-fessional skill and knowledge are apparently at a discount inBedfordshire-that is to say medical skill, for we are certain that legaladvice could not be obtained so cheaply. This case is only one moreexample of the abuse of clubs and the pass to which medical menhave been brought by doing acts of kindness. There is no professionmore ready to work for nothing than our own, and charity has atlength come to be looked upon as a right. The artisan class hasobtained many benefits for itself by organisation; it remains for themedical profession to do the same. The nobility of character andthe consciousness of duty done are all very well, but a man cannotlive by these alone and in these days when he has to provide not onlyfor his own wants but for those of other people and their children.a fair day’s wage for a fair day’s work is a necessity.

P. V.-In some country districts the fees are clearly too small and wehave recorded examples where the guardians have agreed to raisethem.

Sixteen must consult a medical man and it would be as well to do thiswith the concurrence of her mother or some female relation.

Viator.-We recommend " Elementary Practical Bacteriology" by thelate Professor Kanthack and Dr. J. H. Drysdale.

M.R. C.S. (Worcester) should try a soft answer, though he could justifya reply in a different spirit.

M.D.Brux. has given a wrong reference, nor can we ascertain to whatarticle he is alluding.

Randall.-" The Sanative Influence of Climate " was written by SirJames Clark, M.D.

M.R.C.S. (Brighton).-We have seen the style employed, but we do notapprove of it.

L. T.A.-There will shortly be a cheap re-issue.

Sufferer should consult his medical man.

METEOROLOGICAL READINGS.(Taken daily at 8.30 a.m. by Steward’s Instruments.)

THE LANCET Office, Jan. 5th, 1899:

During the week marked copies of the following newspapershave been received: Kidderminster Shuttle, Dundee Advertiser,H2cll News, Newcastle Chronicle, Manchester Guardian, Westl’tIiddlesex Advertiser, Pioneer Mail, Times of India, Isle of ElyAdvertiser, Architect, Scotsman, Yarmouth Advertiser, Builder,Bristol Mercury, Citizen, Hastin,gs Chronicle, Isle of Wight Times,Liverpool Daily Post, Cornish Telegraph, Brighton Gazette, GrimsbyObserver, Southport Visitor, Alnwick County Gazette, Leeds Mercury,Durham Chronicle, Harrogate Advertiser, Birmingham Gazette,Bridgwater Independent, Midland Counties Express, Bath Chronicle,East Sussex News, Cheltenham Examiner, Keene’s Bath Journal,Portsmouth Times, East Essex Advertiser, South Wales Daily News,Eastern Norning News, Cambridge Express, Loughborough Herald,Weekly Free Press and Aberdeen Herald, Sanitary Record, MiningJournal, Local Government Chronicle, City Press, Read’ing Mercury,Hertfordshire ill-erc?tg,y, Local Government Journal, Surrey Adver-tiser, Western Mail, Daily Telegraph, West Lothian Courier, York-shire Post, Halifax Borough Advertiser, Guernsey Mail, KetteringGuardian, Newauk Advertiser, Penai,t7t Chronicle, Runcorn TI-eeklg,News, Derby Daily Telegraph, &c., &c.

70

Oommuu1cat1ons, Letters, &c., nave beenreceived from-

A-Dr. J. Althaus, Lond.; Messrs. General Infirmary, Manager of ; IAllen and Hanburys, Lond.; Dr. L. N. E.; Mr. G. D. B. Levick,A. E. Abrahams, Lond. ; A. J.; A.; Pinner; Dr. A. W. W. Lea,Mr. W. Adams, Lond.; Ancoats Manchester; Dr. J. R. Lord,Hospital, Manchester, Secretary Lond.; Mr. F. J. Lander, Not-of ; Alpha, Coventry. tingham ; La Revue d’Hygi&egrave;ne,

B.-Dr. J. W. Blampied, Jersey; Paris, Editor of.

British Medical Journal, Lond.; M.-Mr. R. D. Morgan, Ynysybwl;Miss Boultbee, Lond.; Messrs. Messrs. Macmillan and Co.,Burroughs, Wellcome, and Co., Lond.; Manchester Royal In-

Lond. ; Mr. J. C. Brimacombe, firmary, Secretary of ; MedicalWorcester ; Brin’s Oxygen Co., Society of Victoria, Hon. Trea-Lond. ; Messrs. Brown, Gould, surer of ; Messrs. Mather andand Co., Lond.; Mr. L. Browne, Crowther, Lond.; Messrs. Man-

Lond. ; Messrs. Brady and Martin, love, Alliott, and Co., Notting-Newcastle-on-Tyne; Mr. R. Baker, ham ; Dr. A. McGillivray,Lond.; Mr. W. Benthall, Derby; Dundee; Medical Department ofMr. C. Birchall, Liverpool; Mr. Admiralty, Director-General of ;C. S. Bowker, Newport; Messrs. Messrs. J. Maythorn and Son"

IR. Bogle and Son, Lond.; Messrs. Biggleswade.Bone and Pratt, Boscombe ; Sir N.-Newark - on - Trent Hospital, IWilliam Broadbent,. Lond.; Mr. Secretary of ; Mr. H. Needes,

Bates, Hendy, and Co., Reading. Lond. F. E. Potter, Lond.; Mr.C.-Dr. L. Cane, Peterborough; M. F. E. Potter, Lond.; Mr.

Messrs. T. Christy and Co., Lond.; M. S. Prichard, Lond.; MissCambridge Scientific Instrument Penty, Scarborough; MessrsCo.; Mr. F Cufaude, Acle;

Potter and Sacker, Lond.; Publie

Co.; Mr. F._ Cufaude, Acle; Healtla Journal, New York;

Messrs. Oassell and Co., Lond.; Prince of Wales Hospital Fund

Messrs. D. Cooper and Co., Derby; for London, Hon. Secretaries of ;Dr. G. E. J. Crallan, Bourne- Parish of St. Marylebone, Clerkmouth; Mr. E. V. Crawford, Parish of St. Assurance CleriiLaunceston, Tasmania; Dr. T. C. of; Prudential Assurance Co.,Craig, Wolverhampton; Dr. Lond.; Messrs. Parke, Davis,

F. J. Wolverhampton; Mr. and Co., Lond. ; Mr. Y. J. Pent-F. J. H. Coutts, Manchester; Mr. land, Edinburgh; Philadelphia W. L. Crowdx, Lond. ; Messrs. Medical Journal, Editor of Dr.Carnrick and Co., Lond.; C. R. S.; Potter, Durham. Editor of; Dr.Mrs. A. M. Campbell, Lond.; Potter, Durham.

Messrs. G. Carre et Naud, Paris; R.-Mr. E. J. Reid, Lond.; Messrs.Mr. F. W. Clarke, Chorlton-cum- Ridges and Son, Wolverhampton ;-Hardy; Class Rooms, Edinburgh. Rotherham Hospital, Secretary

D.-Mr. H. Davis, Lond.; Dr. B. M. of ; Mr. R. Redpath, Newcastle-

Dockrell, Lond.; D.H.; Dr. on-Tyne; Dr.R. R. Rentoul,

Dockrell, Lond.; D.H.; Dr. Liverpool Dr. R. R. Rentoul,W. D. Donnan, Holywood; Liverpool; Rehman PublishingDumfries Royal Infirmary, Trea- Co., Lond. ; Messrs. Robertson .surer of; Denayer’s Peptonoids

and Scott, Edinburgh.Co., Lond.; Dorset County Hos- S.-Dr. S. Stronge, Lond.; Sanitas ,,

pital, Dorchester, Secretary of. ’ Co., Lond.; Mr. J. Shaw, Lond.;

E.-Mr. D. Edwards, Lond.; Eves- Messrs. Street and Co., Lond.;

E.-Mr. D. Edwards, Lond.; Eves- St. John’s Hospital for Diseases ham Public Library, Librarian of. St. John’s Hospital for Diseases ham Public Library, Librarian of. of the Skin, Lond., Secretary of;

F.-Fellows Manufacturing Co., St. George’s Hospital MedicalLond. School, Lond., Dean of ; Dr.

G.-Dr. G. Greswell, Grimsby ; Stewart, Clifton ; St. Mary’sDr. G. Godson, Lond.; Messrs.

Children’s Hospital, Plaistow,Dr. G. Godson, Lond.; Messrs. Secretary Hospital, Plaistow,C. T. Getting and Sons, Lond.; Secretary of ; Soci&eacute;t&eacute; AnonymeGeneral Nursing Hostel, Lond., des Instituts Marins, Paris ; Dr.Secretary of ; Dr. H. W. Gardner,

J. M. Schaub, Lond.

Shrewsbury ; . Messrs. Giles, T.-Mr. P. J. Thomson, Brussels ;Schacht, and Co., Clifton ; Staff- Tauntonand Somerset Hospital,Surgeon A. G. P. Gipps, Arosa ; Accountant of ; Therapie derGeneral Medical Council, Lond., Gegen2cart, Berlin, Editor of.Registrar of. U.-University College Hospital,

H.-Dr. R. A. Hibbs, New York, Lond., Secretary of; Dr. W. H.

U.S.A.; Mr. T. W. Hime, Brad- Unwin, Dresden.ford; Messrs. T. W. Holmes and V.-Mr. J. W. Vickers, Lond.;Co., Gateshead-on-Tyne ; Messrs. Victoria Hospital, Burnley, Secre-Hatch, Mansfield, and Co., Lond.; tary of. Vestry of Camberwell.Major F. W. C. Hawkms, Lewes ; ry of ry

Dr. J. Hawkes, Bournemouth; W.-Dr. D. Walsh, Lond.; Messrs.Hermes Stockinette Co., Lond.; H. Warke and Co., Birmingham;Mr. J. Heywood, Manchester. Wyleys, Ltd., Coventry ; Messrs.

,T,-Mons. T Jerome, Brussels ; W. and F. Walker, Liverpool;

J.&mdash;Mons. J. Jerome, Brussels; Mr. S. Wand, Leicester; Mr.

Messrs. Jones Bros., Clifton; F. Faulder White, Coventry ; Dr.

Messrs. W. and A. K. Johnston, R. T. B. Wild, Manchester ; Dr.Edinburgh; J. A. R. L. Wood, Prescot ; Mr. E.

K,-Mr. W. H. Kesteven, Lond.; Wickham, Tonypandy; W. M. J.;Mr. C. Kidd, Bromsgrove. Messrs. J. Ward and Co., Lond.;

L.-Messrs. .. and Nightingale, Messrs. J. Wright and Co.,

L.-Messrs. Lee and Nightingale. Bristol. J. Wright and Co.,

Liverpool; La Rifornta Medica, Bristol.

Palermo, Director of ; Leeds Y.-Mr. Harry Yearsley, Eccles.

Letters, each with enclosure, are alsoacknowledged from-

A.-Mr. H. R. Andreae, Lond.; Mr. Lauder, Southampton ; Mr. J. L.D. E. Anklesaria, Sadra, India; Lock, Lond.; Mr. C. Lund, New-A. K. ; A. W. J.; A. L.; A. E. T.; eastle-on-Tyne; L. L.; Messrs.Apollinaris Co., Lond.; A. J. H.; E. Loescher and Co., Rome.A. J. D. M.-Mr. J. Murray, Lond.; Mr. J.

B.-Mr. C. L. Bedford, Lond.; Mr. Montford, Upton-on-Severn ; Dr.A. G. Bagshawe, Lond.; Messrs. J. McCaw, Belfast; Mr. A.E. G. Berryman and Sons, Green- Mercer, Syracuse, U.S.A. ; Mon-wich; Dr. L. Brunton, Lond.; mouth Hospital, Secretary of ;Birmingham Free Hospital for Mr. S. Mackey, Newcastle; Mr.Sick Children, Secretary of ; H. V. Merry, Hemel Hempstead;Birmingham Daily Post; Mrs. Mr. C. T. B. Maisey, Manchester ;Bond, Brill ; Birkenhead Borough Mr. W. A. Mushe, Lond.; Mr. W.Hospital, Treasurer of ; Messrs. McGee, Dublin; Mr. S. Messulam,F. B. Benger and Co., Man- Shrewsbury; Dr. W. Mae-

chester ; Miss Boultbee, Leeds; Sweeney, killarney; Dr. H. M.B. T. Meyrick - Jones, Guilsborough ;

C.-Mr. C. Candler, Melbourne; Messrs. Miller and Hulbert,! Miss H. Crabb, Hove ; C. B. M.; Windsor; Mr. J. McClymont,! Dr. W. Craik, Thurnscoe ; Mr. Saltcoats ; Messrs. Macduff and

T. F. Chavasse, Birmingham; Co., Liverpool; Surgeon E. F.

, Dr. J. Cooke, Lincoln, New Mortimer, Walmer; M. H. S.;Zealand; Dr. J. M. Cowan, Medicus, Newcastle.on-Tyne; Dr.Glasgow; Mr. N. S. Campbell, W. J. McCardie, Birmingham;Hampton ; Messrs. S. Clark and Mr. F. A. Munke, Lond.; Mr. H.

: Co., Lond.; Mr. R. Creswell, Mobsby. Lond.; M. R.; Dr. C.’ Woolacombe Bay ; Mr. J. Carter, Macmaster, Perth.; Lond.; Mr. A. R. Chance, Lond.; N.-Mr. J. B. Neal, Lond.; Dr. D.’

Dr. A. M. Cane, Peterborough ; Newman, Glasgow; Newcastle-’ Messrs. Crossley, Moir, and Co., on-Tyne Dispensary, Hon. Secre-’ Lond.; Dr. C. Childs, Lond.; tary of; N. H. .; C. B.; Mr. W. Corkey, Glenairne ; 0.-Dr. F. de S. Oliveira, Porto,

C. D. N. ; C. R. S. Portugal; Mr. H. Oppenheimer,’ D.-Mr. A. K. Dresser, Padstow; Lond.

Mr. A. Denny, Gringley-on-the- P.-Dr. W. H. Packer, Cressage;’

Hill ; Mr. A. F. Dugan, Aberdeen; Dr. S. T. Pruen, Cheltenham;’ ’ Messrs. Douglas and Mason, Mr. R. Parker, Liverpool; Mr. A.’ Edinburgh; Dr. D.; Messrs. Pearson, De Aar, Cape Colony;

Davy Hill and Son, Lond.; Mr. Mr. A. H. Parker, Lond.! M. Deane, Parkstone; Derby- R.-Dr. A. Routh, Lond.; Mr. J. L.

shire Royal Infirmary, Secre- Rees, Glanamman ; Mr. J. D.r tary of. Rawlings, Dorking ; Mr. R.

E.-Mr. C. Ewart, Lond.; Dr. J. H. Reynolds, Steeple Bumpstead;, Ewart, Folkestone ; E. G. L. M., Messrs. Russell and Son, Inver-

Woodford Green. cargill, N. B.; Dr. G. J. Robertson,F.-Dr. W. B. Fergusson, Pains- Oldham; Mr. J. Rooney, Ply-

wick ; Dr. D. A. Fraser, Mont- mouth; Dr. G. Rankin, Lond.;rose: Mr. H. K. Fox, Cork; R. C. W.; Messrs. A. Riddle and

F. W. G.; Mr. A. W. Fairles, Co., Lond.; Reddal Hill, Staffs.Lond.; Mr. G. J. Fulluck, Lond.; S.-Mr. E. 0. Scallon, Wincanton ;

I Messrs. Festersen and Co., Basel; Mr. P. R. W. de Santi, Lond.; Messrs. Fletcher, Fletcher, and Messrs. Sharland and Co., Lond.;

Co., Lond.; F. S.; Filmer-road Dr. J. E. Squire, Lond.; Messrs.(14) Fulham. Salamon and Co., Rainham;

- G.-Dr. A. M. Gossage, Lond.; Mr. R. F. Scott, Cambridge;S Messrs. Gonzalez, Byass, and Co., Dr. W. W. Seymour, Troy. U.S.A.;, ! Lond.; Messrs. Gordon and Dr. T. W. Smith, Bath ; Dr. J. A.e Gotch, Lond.; Dr. J. Griffiths, Shaw-Mackenzie, Lond.; Mr. G.’

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