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CITY OF LONDON HOSPITAL FOR DISEASES OF THE CHEST, VictoriaPark, E.-House Physician for six months. Salary at rate of R,50per annum, with board, residence, &c.

DERBY, DERBYSHIRE ROYAL INFIRMARY.-Assistant House Surgeonfor six months. Salary 230, with board, residence, and washing.

EGYPTIAN GOVERNMENT, MINISTRY OF EDUCATION.-Professor of Mid-wifery and Gynaecology. Salarv £400 a year. Also Medical Tutorand Registrar to Kasr-el-Ainy Hospital. Salary .c400 a year.

GLOUCESTER GENERAL INFIRMARY AND GLOUCESTFRSHIRE EYE IN-STITUTION.-Assistant House Surgeoncy. Salary at rate of B30 perannum, with board, residence, and washing.

GREAT NORTHERN CENTRAL HOSPITAL.-Ophthalmic Surgeon.HARTLEPOOLS HOSPITAL.-House Surgeon. Salary £100 per annum,

with board, washing, and lodging.HASTINGS, ST. LEONARDS, AND EAST SUSSEX HOSPITAL.-Assistant

House Surgeon for six months. Honorarium J620, with residence,board, and washing.

HOSPITAL FOR SICK CHILDREN, Great Ormond-street, London, W.C.-House Physician, unmarried, for six months. Salary B20. withboard and residence. Also Assistant Casualty Medical Officer,unmarried, for six months. Salary B20, with board and residence,&c. Also Radiographer.

HOSPITAL FOR WOMEN, Soho-square, W.-Medical Registrar. Hono-rarium 25 guineas.HULL, ROYAL INFIRMARY.—Casualty House Surgeon. Salary £50 perannum, with board and lodging.

LIVERPOOL STANLEY HOSPITAL.-Lady Honorary Medical Officer forWomen’s Diseases.

MANCHESTER, CHORLTON-UPON-MEDLOCK DISPENSARY.-Resident HouseSurgeon, unmarried. Salary oEl20 per annum, with rooms andattendance.

MANCHESTER, UNIVERSITY OF.-Junior Demonstrator in Physiology.Salary £100, rising to oEl50 per annum.

NORWICH, NORFOLK AND NORWICH HOSPITAL.-Surgeon and AssistantSurgeon.

OXFORD, LITTLEMORE PAUPER LUNATIC ASYLUM.-Second AssistantMedical Officer, unmarried. Salary oEl50 per annum, with roomsand board.

PLYMOUTH. SOUTH DEVON AND EAST CORNWALL HOSPITAL.-AssistantHouse Surgeon for six months, renewable. Salary at rate of £50 perannum, with board, residence, and washing.

ROYAL DENTAL HOSPITAL OF LONDON.-Demonstrator in MechanicalPupils’ Department. Salary £120, rising to £150.

SHEFFIELD ROYAL HOSPITAI,.-Assistant House Surgeon, unmarried.Salary oE50 per annum, with board and lodging.

8TOCKPORT INFIRMARY.-Junior Assistant House Surgeon for sixmonths Salary at rate of oE40 per annum, with board, washing,and residence.

WANDSwORTH UNION INFIRMARY, St. John’s-hill, near ClaphamJunction -Junior Assistant Medical Officer, for six months. Salaryat rate of £100 per annum, with board, lodging, and washing

WOLVERHAMPTON AND MIDLAND COUNTIES EYE INFIRMARY.-HouseSurgeon. Salary R70 per annum, with rooms, board, and washing.

THE Chief Inspector of Factories, Home Office, S.W., gives notice ofvacancies as Certifying Surgeons under the Factory and Work.shop Act at Whaley Bridge, in the county of Chester, and atStaindrop, in the county of Durham.

Births, Marriages, and Deaths.BIRTHS.

BENNETT.-On June 28th, at Hillcrest. Northwood, the wife of NormanG. Bennett, M.A., M.B., B.C.. L.D.S., of a daughter.

EYRE.-On June 7th, at Holmsdale, Wandsworth Common, to Dr. andMrs. Eyre, a son.

GORDON-WILSON.-On July 1st, at Philbeach-gardens, South Ken-sington, the wife of Dr. A. Gordon-Wilson, of a son.

HANCOCK.-On June 28th, at Escott, Streatham, the wife of W. IlbertHancock, F.R.C.S., of a son.

HAY.-On July 2nd. at Lincoln-road, Peterborough, the wife of WilliamPeach Hay, M.B. and C.M., of a daughter.

JOHNSON.-On June 29th, at Ellerker-gate, Richmond-hill, Surrey, thewife of John Robert Johnson, M.R.C.S., L.R.C.P., of a daughter.

PARK.- On June 26th, at Knighton, Radnor, the wife of Wm. NorrisPark, M.B., of a daughter.

MARRIAGES.LEEMING-LAMPREY.-On June 28th, at Wandsworth Common, Arnold

Leeming, M.B., B.S.Lond., M.R.C.S., LR.C.P., of Sudbury,Suffolk, elder son of Joseph Leeming, F.R.I.B.A., to Annie Maud,elder daughter of Charles Lamprey, Westwood Tower, WandsworthCommon.

ROOKE—GOODMAN.—On June 27th, at Christ Church, Guildford,W. Stanley Rooke, M.R.C.S., L.R.C.P , of Fairfield, North Finchley,to Elsie May, eldest daughter of Sir William Goodman, of Clavadel,Guildford, late Chief Justice of Hong-Kong.

STAFFORD—NIBLOCK.—On June 27th, at St. Michael’s Church, Bourne-mouth, A. M. Stafford, M.B., to Miss Mary Niblock, daughter ofthe late Mr. J. Niblock.

STOCKWELL—COSTIGAN.—On July 3rd, at the Parish Church, St.Marylebone, G. E. St. Clair Stockwell, M.B., B.C. Cantab., toGertrude Frances, second daughter of the late Thomas Costigan,Esq., of Birmingham.

WHARTON-ORME.-On June 28th, at the Baptist Church, King-street, Uldham, Alwyn Wharton, M.B., Ch.B., to Katie, onlydaughter of Daniel Orme, Wellington House, Oldham.

,N.B.-A fee of 5s. is charged for the insertion of Notices of Births,Marriages, and Deaths.

Notes, Short Comments, and Answersto Correspondents.A POINT IN POOR-LAW.

A CORRESPONDENT recently asked us : "Am I as a Poor-law medicalofficer to attend paupers removed to an isolation hospital (not underthe control of the guardians) by order of my relieving officer, suchhospital being situated in my district ? " The point is an interestingone and others of our readers may have been in a similar difficulty.There is no option in the matter if the isolation hospital is situatedwithin his district and has no special medical officer appointed toattend to the inmates; the Poor-law medical officer must attend.The only remedy a Poor-law medical officer has when improperlydirected by a relieving officer to attend a patient is to bring thematter before the guardians at their next meeting, but in the mean-time he should obey the order. Of course, where a pauper has beensent into an institution where there is a medical officer appointed totake charge of all the inmates, then a Poor-law medical officer mightbe justified in disobeying an order to attend a pauper there, but thehonorary secretary of the Poor-law Medical Officers’ Association, Dr.Major Greenwood, informs us that he has never known an instanceof an order of attendance being given in such circumstances.Where the medical officer of health has charge of an isolation hos-pital and is specially appointed with such a charge he should receivea special stipend for extra work, as it does not necessarily belong tohis duties.

SIGHT DEFECTS AMONGST THE GENERAL POPULATION.

To the Editors of THE LANCET.

SIRS,—May I ask if any of your readers will furnish me with infor-mation bearing on the following subject? Ate there any availablestatistics, reliable and ample, relative to the increase and prevalence ofeye defects amongst the general population of this country other thanthose recently issued by certain of the local educational authorities?In asking for this information I do not refer to the statistics obtainableat the several eye hospitals, as obviously these relate only to the

patients of these institutions and do not, except indirectly, affect thesubject of the conditions of eyesight deficiency amongst the generalpopulation. Further, may I ask where, if at all, I can obtain similarinformation relative to the general population of the United States ? ?

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I am, Sirs, yours faithfully,London, June 28th, 1906. VIATOR.

PRESTON’S WATER WITH A FISHY SMELL.

COMPLAINTS of the water-supply of Preston having a fishy smell ledto a discussion at a council meeting on June 29th. One member

thought that the smell attributed to the Grimsargh reservoir reallycame from "a neighbouring sewage works." The reservoir and the

sewage works do not seem well-assorted neighbours. Another

gentleman thought that there were too many fish in the reservoir,while a third did not think that any number of fish would affectthe water. He thought that the smell was due to the great numbersof shell-fish and had heard of cases where fish had been put in topreserve the purity of the water. Dr. Brown, chairman of the healthcommittee, thought that the " dead ends " of the pipes were the sourceof the trouble. As bearing on this question there may be recalleda similar complaint made several years ago of the fishy smell of thewater in some of the Manchester reservoirs. It happened fortunatelythat Mr. Estcourt, the chemist of the corporation, was also a fisher-man. The reservoir was full of small water-snails but contained nofish to keep down their numbers and he advised the introduction oftrout. In a short time the nuisance subsided and has not recurred.In all probability the same explanation and the same remedy, assuggested by one cf the members, will be found applicable.

THE LEGISLATURE AND VIVISECTION.

A WRITER above the signature " Canny Scot " takes in the columns ofthe Tribune shrewd vengeance upon Mr. A. Lupton, M.P., whorecently informed the readers of that excellent paper that " everybodynow knows what the word vivisection means and what the practiceis." " Canny Scot" proves that Mr. Lupton, at any rate, has no sharein this general knowledge. " I do not know," writes " Canny Scot,’," why Mr. Lupton should apply the contemptuous word ’ clique’ tovivisectors, for they are in no way banded together; they form nooffensive or defensive associations; they hold no exclusive meetings;they conduct no political propaganda; in fact, they have no interestto serve save the furtherance of the knowledge of disease and howbest to combat it-surely a sufficiently high aim to save them fromungenerous detractors. Mr. Lupton may be able in the future tosupply us with a little from his store of knowledge of the abhorrentpractice’; at the present time, where his facts are not wrong, his con-clusions are illogical. It is not essential, as he says, for a studentstudying for the London M.D. ever to witness a single experi-ment on any animal coming within the scope of the Vivi-section Acts; it is not essential for him to perform any suchexperiments; and he is never asked by an examiner to per-form a vivisection experiment during the examination, for such a

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thing would be illegal. Mr. Lupton talks about vivisectors holdingimportant salaried posts. I hope he does not mean to insinuate thatthe salary is important. May I tell him a little secret? If he were totake the average salary of British vivisectors he would probably findthat in comparison his Chinese labourer on the Rand was living in acompound affluent paradise." " Canny Scot" then points out that thefacts that in 1876 there were 23 vivisectors and in 1904 366 do not

prove that the law has encouraged men to engage in the practice.11 I suppose," he says, " there are more motor-cars in use this yearthan there were three years ago, but I am sure the increase is notdue to the issuing of licences. Within the last 30 years the modernadvance in medicine has taken place; surgery has almost whollychanged during that time, while bacteriology and pathology ingeneral have grown from comparative nothingness. To these he

may attribute the increase in vivisection experiments." Alas, it ismore than probable that the good humour and good sense of thecorrections will be passed by unheeded by Mr. Lupton.

A POINT IN POOR-LAW.

To the Editors of THE LANCET.

SIRS,-Is not a workhouse medical officer entitled to £2 for instru-mental midwifery in a difficult case of childbirth and entailing con-siderable attendance afterwards ? I know a medical officer of a work-house who always is paid that fee. A district medical officer alwaysgets it. I am told it is always paid in London to workhouse medicalofficers. I am, Sirs, yours faithfully,July 2nd, 1906. M.P.

UNMANNERLY.

To the Editors of THE LANCET.

SIRS,-The following incident is, I hope, unique. I was rung up byA, a patient, who employs a large number of men, and told that one,B, who is a foreman in A’s establishment, was very ill-he was, in

fact, said to be almost in extremis I was asked if I would kindly seeB on A’s behalf and let him (A) know whether anything could be doneto relieve or to help him. A also asked what was the "etiquette insuch a case; Dr. D was attending B. I replied that Dr. D must beapproached and should be told that Mr. A, the employer of B, wouldbe glad if Dr. D would meet Mr. A’s own medical attendant, Dr. C-i.e., the present writer-in consultation. This would show Dr. D, I

suggested, that Mr. A desired to be pecuniarily responsible for thewhole business. Mr. A accordingly sent his son and partner on thiserrand and promised to let me know later what time Dr. D had fixedfor consultation. I was astonished later to receive the followingstatement from Mr. A’s son. He had seen Dr. D. Dr. D was annoyedand had asked who was Dr. C. He was told that he was another generalpractitioner living some two and a half miles away. Dr. D then

flatly refused to see anyone else in consultation. He asserted that hewas as good as any other general practitioner-a fact that was not inissue-and that he was not going to surrender his patient to any otherman’s treatment. Pressed further, he said that he would meet Dr. E,a consultant, but no one else. And there, so far as I was concerned,the matter ended. I was naturally rather vexed at receiving such asingularly uncivilised message through the agency of my own patient,although Mr. A took the trouble to state very plainly what he thoughtof Dr. D. What should I do ? Personally I think I had better do

nothing. I might add as facts relevant to the issue that Dr. D isL.R.C.S., L.R.C.P. Edin., while as you will see by reference to theDirectory, I am certainly on the staff of a hospital. I inclose my card,and am, Yours faithfully,June 26th, 1906. M.D. Lond. I

** We agree with our correspondent that he should do nothing. The

story as it is told reflects badly on Mr. D.-ED. L.

ST. LUKE’S HOME FOR THE DYING POOR.

AT a drawing-room meeting on behalf of this charity recently held bypermission of Mrs. R. W. Perks at Kensington Palace Gardens,statements were made by Mr. A. Pearce Gould and Mr. HowardBarrett to show that the safety and protection of public health mightconsist in the multiplication of such homes. The majority of thepatients seeking refuge were suffering from pulmonary tubercu,osisor cancer and in regard to the first of these, at any rate, the cause ofpublic health is served bv removing sources of infection from crowdedcentres. Mr. Arnold White, who took the chair, commented on thefact that even the most debased savage crept away into some quietcorner to die and maintained that the natural instinct for privacyand dignity in dying was denied to our poor at home. The meetingwas a cordial one and some substantial promises of assistance werereceived from the guests. The patroness of the charity is Her

Majesty the Queen and full particulars will be gladly given bythe honorary secretary, Miss Helen E. Don, St. Luke’s House,14, Pembridge-square, Bayswater, W.

Spes.-The regulations differ in different States. If our corre-

spondent will send in his name and the date of his diplomas, andwill also indicate the State in which he intends to practise, wemay be able to tell him what he wants to know.

CoxnzuxicATioxs not noticed in our present issue will receive attentionin our next.

Medical Diary for the ensuing Week.OPERATIONS.

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METROPOLITAN HOSPITALS.MONDAY (9th).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St.

Thomas’s (3.30 P.M.), St. George’s (2 P.M.), St. Mary’s (2.30 P.M.),Middlesex (1.30 P.M.), Westminster (2 P.M.), Chelsea (2 P.M.),Samaritan (Gynaecological, by Physicians, 2 P.M.), Soho-square(2 P.M.), City Orthopaedic (4 P.M.), Gt. Northern Central (2.30 P.M.),West London (2.30 P.M.), London Throat (9.30 A.M.), Royal Free(2 P.M.), Guy’s (1.30 P.M.), Royal Ear (2 P.M.), Children, Gt. Ormond-street (3 P.M.).

TUESDAY (10th).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St.Thomas’s (3.30 P.M.), Guy’s (1.30 P.M.), Middlesex (1.30 P.M.), West-minster (2 P.M.), West London (2.30 P.M.), University College(2 P.M.), St. George’s (1 P.M.), St. Mary’s (1 P.M.), St. Mark’s(2.30 P.M.), Cancer (2 P.M.), Metropolitan (2.30 P.M.). London Throat(9.30 A.M.), Samaritan (9.30 A.M. and 2.30 P.M.), Throat, Golden-square (9.30 A.M.), Soho-square (2 P.M.), Chelsea (2 P.M.), CentralLondon Throat and Ear (2 P.M.), Children, Gt. Ormond-street(2 P.M., Ophthalmic, 2.15 P.M.).

WEDNESDAY (llth).-St. Bartholomew’s (1.30 P.M.), University College(2 P.M.), Royal Free (2 P.M.), Middlesex (1.30 P.M.), Charing Cross(3 P.M.), St. Thomas’s (2 P.M.), London (2 P.M.), King’s College(2 P.M.), St. George’s (Ophthalmic, 1 P.M.), St. Mary’s (2 P.M.),National Orthopaedic (10 A.M.), St. Peter’s (2 P.M.), Samaritan(9.30 A.M. and 2.30 P.M.), Gt. Northern Central (2.30 P.M.), West-minster (2 P.M.), Metropolitan (2.30 P.M.), London Throat (9.30 A.M.),Cancer (2 P.M.), Throat, Golden-square (9.30 A.M.), Guy’s (1.30 P.M.),Royal Ear (2 P.M.), Royal Orthopaedic (3 P.M.), Children, Gt.Ormond-atreet (9.30 A.M., Dental, 2 P.M.).

THURSDAY (12th).-St. Bartholomew’s (1.30 P.M.), St. Thomas’s(3.30 P.M.), University College (2 P.M.), Charing Cross (3 P.M.), St.George’s (1 P.M.), London (2 P.M.), King’s College (2 P.M.), Middlesex(1.30 P.M.), St. Mary’s (2.30 P.M.), Soho-square (2 P.M.), North-Wee,London (2 P.M.), Gt. Northern Central (Gynaecological, 2.30 P.M.),Metropolitan (2.30 P.M.), London Throat (9.30 A.M.), Samaritan(9.30 A.M. and 2.30 P.M.), Throat, Golden-square (9.30 A.M.), Guy’s(1.30 P.M.), Royal Orthopaedic (9 A.M.), Royal Ear (2 P.M.), Children,Gt. Ormond-street (2.30 P.M.).

FRIDAY (13th).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St.Thomas’s (3.30 P.M.), Guy’s (1.30 P.M.), Middlesex (1.30 P.M.), CharingCross (3 P.M.), St. George’s (1 P.M.), King’s College (2 P.M.), St. Mary’s (2 P.M.), Ophthalmic (10 A.M.), Cancer (2 P.M.), Chelsea (2 P.M.), Gt.Northern Central (2.30 P.M.), West London (2.30 P.M.), LondonThroat (9.30 A.M.), Samaritan (9.30 A.M. and 2.30 P.M.), Throat,Golden-square (9.30 A.M.), City Orthopaedic (2.30 P.M.), Soho-square(2 P.M.), Central London Throat and Ear (2 P.M.), Children, Gt.Ormond-street (9 A.M., Aural, 2 P.M.), St. Mark’s (2.30 P.M.).

SATURDAY (14th).-Royal Free (9 A.M.), London (2 P.M.), Middlesex(1.30 P.M.), St. Thomas’s (2 P.M.), University College (9.15 A.M.),Charing Cross (2 P.M.), St. George’s (1 P.M.), St. Mary’s (10 P.M.).Throat, Golden-aquare (9.30 A.M.). Guy’s (1.30 P.M.), Children, Gt.Ormond-street (9.30 A.M.).

At the Royal Eye Hospital (2 P.M.), the Royal London Ophthalmic(10 A.M.), the Royal Westminster Ophthalmic (1.30 P.M.), and theCentral London Ophthalmic Hospitals operations are performed daily.

S 0 C I E T I E S.TUESDAY (10th).-SOCIETY FOR THE STUDY OF INEBRIETY (11,

Chandos-street, Cavendish-square, W.).-3.30P.M.: Council Meeting.4 P.M.: Discussion on the Relations of Inebriety and Crime (openedby the Rev. Canon J. W. Horsley).

WEDNESDAY (llth).-DERMATOLOGICAL SOCIETY OF LONDON (11,Chandos-street, Cavendish-square, W.).-5.15 P.M. : Meeting.

THURSDAY (12th).-BRITISH GYNECOLOGICAL SOCIETY (20, Hanover-square, W.).-8 P.M.: Specimens will be shown by Dr. Macnaughton-Jones, Dr. J. Aarons, and Dr. C. Maunsell. Papers:-Dr. J. Oliver:A Study of Hydatidiform Mole, with Records of Three TypicalCases.-Dr. Macnaughton-Jones: Remarks on Closure of SmallRecto-vaginal Fistula involving the Sphincter.

FRIDAY (13th).-OPHTHALMOLOGICAL SOCIETY OF THE UNITEDKINGDOM (11, Chandos-street, Cavendish-square, W.).-8 P.M. : CardSpecimens, 8.30 P.M.: Papers :-Mr. W. T. H. Spicer : IntraocularInfectives.-Mr. A. R Brailey: Congenital Distichiasis. -Mr. C. H.Usher (Aberdeen) : A Note on the Choroid at the Macular Region.Annual General Meeting. Election of Officers for 1906-07.

LECTURES, ADDRESSES, DEMONSTRATIONS, &0.MONDAY (9th).-MEDICAL GRADUATES’ COLLEGE AND POLYCLINIC

(22, Chenies-street, W.C.).-4 P.M.: Dr. J. Galloway: Clinique.(Skin) 5.15 P.M.: Lecture :-Mr. B. Harman: Blepharitis.

POST-GRaDUATE COLLEGE (West London Hospital, Hammersmith-road, W.).-2 P.M. : Medical and Surgical Clinics. 2.15 P.M.: X Rays.2.30 P.M.: Operations. Disea es of the Eye. 5 P.M.: Lecture:-Mr. Dunn : Ocular Diseases of Childhood.

LONDON SCHOOL OF CLINICAL MEDICINE (Dreadnought Hospital,Greenwich).-2.30 P.M.: Operations. 2.30 P.M.: Sir D. Duckworth :Medicine. 3.15 P.M. : Mr. W. Turner: Surgery. 4 P.M.: Dr. StClairThomson: Throat and Ear. Out-patient Demonstrations:-10 A.M.:Surgical and Medical. 12 noon: Ear and Throat.

CHARING CROSS HOSPITAL.-4 P.M.: Dr. Routh: Demonstration(Gynaecological). (Post-Graduate Course.)

TUESDAY (10th).-MEDICAL GRADUATES’ COLLEGE AND POLYCLINIC(22, Chenies-street, W.C.).-4 P.M.: Dr. T. Williams: Clinique.(Medical.) 5.15 P.M. : Lecture:-Dr. L. Smith: Some Points inthe Treatment of Epilepsy.