825

St. Andrew’s Hospital, Dollis Hill, London, N. W.-Res. M.Q. £80. l

St. Helena.-Asst. to Colonial Surgeon. £350. ‘ ‘

St. Thomas’s Hospital. London, <S.-E.&mdash;Physicians, Surgeons, and Asst.Physician.

Scottish Women’s Flnspitals.-Female Asst. M.O. &pound;300.Sheffield City Education Committee.-School Dent. S. -e350.Slteffield, East End Branch oj the Children’s Hospital.-H.S. 2150.Shefield Royal Hospital.-Aural H.S. &pound;125.Sheffield Royal Infirmary.-Cas. Officer. Also Ophthal. H.S. &pound;15C.Southampton County Borough.-Female Asst. 61.0. &pound;400.Southampton, Free Eye Hospital.-H.S. 2150.Sunderland County Boro2sgh Education Committee.-Chief School M.O.

&pound;600. ’

i

Swansea General and Eye Hospital.-Two Res. M.O.’s JB250. ,

Taunton Borough.-M.O.H. and School M.O. :e500.Trinidad and Tobago.-Supernumerary M.O.’s. :e250.

Ventnor, Isle of Wight, Royal National Hospital for Cnnsumption and Diseases of the Chest.-Two Asst. Res. M.O.’s. &pound;200.Warford, Alderley Edge, Cheshire, David Lewis Epileptic Colony.- I. ’Asst. Director. &pound;400.Wrexham Infirmary.-H.S. - ,

THE Chtet Inspector of Factories, Home Oflice, S.W., gives notice, of avacancy for a Certifying Surgeon under the Factory and WorkshopActs at Uxbridge.

.., . 1

A VACANCY for a Medical Referee under the Workmen’s CompensationAct, 1906. in County Court Circuit No. 11. attached more particu-

t

larly to the Burnley and Colne and Nelson County Courts, is ’

announced: Applications should be addressed to the Private r

Secretary, Home Office; not later than May 28th. ’

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Births, Marriages, and Deaths.BIRTHS.

GARDINER-HILL.-On May 1st, at Hileote, Lancaster-road, Wimbledon,the wife of Clive Gardiner-Hill, M.B. Cantab., of a son.

HUTCHINSON.-On May 3rd. at Lady Howard de Walden’s MaternityHospital for Officers’ Wives, 34. Albert-road, Regent’s Park, toDora (ne Crockett) and Samuel Hutchinson, M.M.C.S. (England)-a son.

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ROOKE.-On May 2nd. at Knole-road, Bournemouth, the wife ofA. Basil Rooke, F.R.C.S., of a son.’

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Ross.-On April 29th. at Edinburgh, the wife of Surgeon Lieutenant-Commander Campbell Ross, R.N., of a son.

SOLOMONS.-On May 3rd, at Fitzwilliam-square, Dublin, the wife ofBethel Solomons, M.D., F.R.C.P.I., of a son.

MARRIAGESCOCHRANE-HELEN.-At All Saints Church, Eastbourne, Captain

Andrew Cochrane, R.A.M.C., to Peg, daughter of LieutenantCommander S. Helen, R.N. (retd.), London.

LOWNDES-FORSTER.-On April 12th, at St. Mary’s Church, IfHey,,

Oxford, Arthur Lowndes (late Captain, R.A.M.C.), to Alice Joan,daughter of Mr. and Mrs. William Foster, of Beechwood, ISey,Oxford.

WILKINSON-STURROCK.-On May 3rd, at St. Peter’s, Bournemouth,Captain Stephen Harold Witkinson. R.A.M.C.,- to Ida, widow of

Lieutenant Arthur Hill Sturroc.. and second daaghter of Mrs.Vaughan, St. George’s-square. London, S.W.

DEATHS.ALDRICH.-On April 27th. Arthur Worlledge Aldrich, L.R.C.P., ofManor-road. Leyton.DRAKE-BROCKMAN.-On May lst. 1919, at Dalreg, Hatch End. Edward

Forster Drake-Brockman, F.R.C.S., Lieutenant-Colonel. I.M.S.(retired), aged 76 years, sometime Fellow of the Madras University.

POTTER.-On May 1st, at Tatsfield, George William Potter, M.D., ofTatsfield and King-street, E.C.

SMITH.-On April 30th, at Colyton House, Colyton. Devon, FrederickJohn Smith, M.D., F.R.C.P., F.R.C.S., Consulting Physician at theLondon Hospital, late of Harley-street, W., aged 62.

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

BOOKS, ETC., RECEIVED.CAMBRIDGE UNIVERSITY PRESS, London.Eugenics Lecture Series. By Karl Pearson, F.R.S. The Function ofScience in the Modern State, and National Life from the Stand-point of Science. 2nd ed. Each 2s.

DENT, J. M., London.New Town : A Proposal in Agricultural Industrial Education, Civicand Social Reconstruction. By’W. R. Hughes, M.A. 2s.

MILFORD, HUMPHREY. London. _.

The Treatment of Gout. By J. B, Berkart. M.D. Is. 6d.Effect of Diet on Endurance. By Irving Fisher. 2s. 6d.

MILNE, J. S., Lilburn House, Beech Grove, Swalwell-on-Tyne.Neurasthenia and Shell Shock and a New Life. By J. S. Milne.

2s. 9d. post free. ’

SAUNDERS (W. B.), London and Philadelphia.Principles and Practice of Obstetrics. By Joseph B. Delee, M.D.3rd ed., thoroughly revised. Pp. 1089. 36s.

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A Text-book of General Bacteriology. By Edwin O. Jordan, Professorof Bacteriology in the University of Chicago. 6th ed., thoroughlyrevised.’ Pp.691. 17s. .. , ,

A Manual of Gynecology. By John Cooke Hirst, M.D. Pp. 466.12s.

Notes, Short Comments, and Answersto Correspondents.

COLONIAL HEALTH REPORTS.

Trinidad and Tobago.-According to the latest Blue-bookthe estimated population is 377,021. The birth-rate of thqcolony in 1917 was 33’46 per 1000 and the death-rate 21.25per 1000. The Colonial Hospital, Port of Spain, with 320-beds, is the chief institution for the care of the sick and,diseased in the colony. 4972 persons were admitted during,the year and 4573 discharged; there were 655 deaths. Atthe San Fernando Hospital, which has 122 beds, 3074.patients were admitted and 2708 discharged. There are

seven Government district hospitals at Tobago, Arima,St. Joseph, Tacarigua, Couva, Princes Town, and Cedros,with a total of 246 beds; while there are also small tem-porary hospitals at Chaguanas, Sangre Grande, Mayaro,and Toco. The St. Augustine Yaws Hospital, situatedabout seven miles east of Port of Spain, contains 200beds. 129 patients were in this hospital at the beginning,of the year; 1203 were admitted during the year and 1159were discharged as cured; there were 13 deaths. ’At theTobago Yaws Hospital, which has 60 beds, there were 44patients at the beginning of 1917; ’300 were admitted duringthe year, 240 were discharged as cured, and 1 died. In the Lep6t,Asylum, situated at the village of Cocbrite, about two miles.westward of Port of Spain, there were on Dec. 31st. 1917, 502;inmates. There were,34’deaths during the year and 87 personswere discharged as relieved. 150 patients employ themselvesin gardening within the grounds of the institution, while,16 work at their trades, and 170 do household work, drawwater, &c. In the St. Ann’s Lunatic Asylum, Port of Spain,there were at the end of 1917 444 males and 234 females.Gambia.-In his report on the Blue-book for 1917 Mr. J. I.

Lauder, officer in charge of the Secretariat, states that thepopulation of Bathurst at the last census was 7700 and thatthe latest estimate of the population of the Protectorate is176,500. No reliable information is obtainable in regard, tobirths and deaths in the Protectorate. The total number ofrEuropeans resident was 130, of whom 116 were males and14 females. There were no deaths among Europeans and nobirths; four were invalided, of whom one was an officialand three were non-officials. The birth-rate amongst thenative population of Bathurst was 43-77 per 1000 andthe death-rate 34’29. There was a distinct drop ininfantile mortality, as compared with previous years.Malarial fever was, as usual, the most prevalent disease.In Bathurst one death (a native) occurred from yellow fever,but there was no epidemic. Small-pox was reported in theProtectorate in April. The total number of cases seen was50, the death-rate being 4 per cent. 664 vaccinations wereperformed in Bathurst and 8120 in the Protectorate. Vaccina-tion is performed in the Protectorate by the Travelling Com-missioners during the cool season, and the natives havelearned to appreciate its value. Generally, the health of thepopulation during the year was good. The daily averagenumber of patients in the Victoria Hospital, Bathurst, was12; there were 45 deaths. Out-patients were attended to6600 times and 25 operations were performed. The onlyhospital in the Protectorate is at Georgetown, MacCarthyI-sland; there were 19 persons admitted in 1917 and threedeaths. In the out-patients’ department there were 1223cases. At the Infectious Diseases Hospital, near Bathurst,three cases of chicken-pox were treated and there was nodeath.Gibraltar.-The estimated civil population in the city and

harbour in 1917 was 18,526-(9105 males, 9421 females). Therewere 377 births during the year and 356 deaths. The dailyaverage number of patients under treatment in the colonialhospital was 66; there were 64 deaths. The number ofout-patients treated was 8769; of these,.1357 were Spaniardsrecommended by the Spanish authorities and BritishVice-Consul at the neighbouring town of La Linea. Nocase of small-pox was treated during the year. The numberof persons attending the tuberculosis dispensary averaged53 a month, and about 48 visits a month were ’paid topatients in the tuberculosis home. 23,241 pints of milkand 14,070lb. of beef were issued to persons in distressedcircumstances. Nine families, consisting of 18 adults and15 children, were given quarters, rent free, in the tubercu-losis home. During the year the medical officer of healthwas authorised to interview and advise expectant mothersof the poorer classes and to furnish them with midwiferyand medical assistance at the cost of the Colonial Govern-ment funds.

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Bermuda.-The total resident population at the end of 1917was estimated to be 21,629 (7396 white- and 14,233 coloured.The birth-ra’te among the white population was 23.79 and

826

among the coloured population 34’65 per 1000. The death-rate was 14-8 per 1000 among the white and 20-65 among thecoloured population. Amongst the whites are a consider-able number of Portuguese, principally engaged in agri-culture ; the rate of natural increase among this section ofthe population is considerably higher than in any other.Illegitimate births numbered 16-9 of the total. Deaths fromcancer among the civil population numbered 12 and thoseattributable to pulmonary tuberculosis 30. There was nooutbreak of epidemic disease during the year. There is acottage hospital in Hamilton, maintained by voluntary con-tributions and receipts from paying patients, and a smallnursing home, also in Hamilton, intended principally foruse by members of certain Friendly Societies, though otherpatients are willingly taken. The accommodation at thesefrequently proves inadequate for the needs of the island,and a Government Hospital, to be known as the KingEdward the Seventh Memorial Hospital, was projected in1912, and is partly built. There is a lunatic asylum main-tained at the cost of the Colonial Government, under thesupervision of the medical officer of health. At the endof 1917 there were 65 patients in this institution ; 8 diedduring the year. One patient was admitted as a result ofinsanity caused or aggravated by active service in France.

SPIRIT DUTY (VOLUNTARY HOSPITALS) GRANT.THE Local Government Boards for England and Wales

and for Scotland are prepared to receive applications fromvoluntary hospitals for grants in respect of payments ofduty involved by the use during the year, 1918, in thesehospitals of duty-paid spirit or drugs containing duty-paidspirits for medical and surgical purposes. Forms of applica-tion will be sent only to those hospitals to which a grant waspaid last year. Any other hospital which desires to makeapplication should communicate immediately with theSecretary to the Local Government Board for England andWales, or the Secretary to the Local Government Board forScotland as the case may be.

A TENSOR.

THIS simple and effective apparatus to assist in therestoration of supination and pronation in wounded or

stiffened joints of the forearm is now in use at the SpecialMilitary Surgical Hospital, Tooting. The instrument I have

called a. tananr uuh4-.rph-,T a continuous nnll may

be kept up for any required period. Asshown in the accompanying sketch, it con-

sists of a hook-shape plate to fit over andpartially enclose the ulna side of the hand forsupination, the plate being modified in itsshape to embrace the radial aspect for prona-tion. A strap, 24 in. in length, is attached, thecentral portion of which is of strong rubberwebbing, and the proximal end of the strapis fastened to a buckle secured over the inneror outer condyle with a band of adhesiveplaster. It is applied by enclosing the ulnaror radial border of the hand-the former forsupination and the latter for pronation-inthe metal grip and pulling the band round thehand to below the pisiform bone, across thedorsal aspect of the arm to the inner condyle,putting on the strain desired and fastening tothe buckle. The spiral is reversed, of course,for %pronation. A continuous and not uncom-fortable pull is attained and the using of thehand is scarcely impeded. With a modificationit’ is useful in flat-foot or where a valgus orvarus deformity requires correction. In torti-collis with a cap fitted round the forehead it is

s in many conditions where a continuouseiiuuutvu, as iu many uuuuiuiuus wuese a continuous

opposing strain is desired. -

My designs for these appliances have been most ingeniouslycarried out by Messrs. Allen and Hanburys, of Wigmore-street, W. J. IRWIN PALMER,

Civil Surgeon, Special Military Surgical Hospital, Tooting.

PUBLIC HOUSE REFORM.THE report for the year 1918 of the People’s Refreshment

House Association, which will be submitted to the annualgeneral meeting at St. George’s House, Regent-street,London, W., on May 12th, shows a very satisfactory workingcondition of the association, notwithstanding the increasedprice and shortage of commodities. The association, whichexists for the purpose of encouraging temperance in the useof alcoholic drinks at licensed inns, public houses, andcanteens, and the provision of facilities for the supply offood and non-alcoholic refreshment at such houses, possessedup to the end of December, 1918, 141 licensed inns; duringthe present year eight others have been taken over. Managersreceive no profit on alcoholic drinks, while they have a largeshare of profit on temperance drinks and food. The balancesheet shows a satisfactory trading profit of nearly &pound;10,000.

SACCHAROSE INJECTIONS IN PULMONARYPHTHISIS.

To the Editor of THE LANCET.SIR,-In answer to the question put by Mr. J. Lavens West

in THE LANCET of March 29th, p. 540, I may state from mypersonal experience, from that of many colleagues, and fromwhat has been recently published in the Italian medicalpapers, that the saccharose treatment of tuberculosis hasbeen quite a failure.-I am, Sir, yours faithfully,,Roma, April 29th, 1919. Dott. ESCHILO DELLA SETA.

THE CARE OF BOOKS IN LARGE LIBRARIES.IN the valuable library belonging to the College of Phy-

sicians of Philadelphia a new method has recently beenadopted by means of which books and periodicals in the" stack " room are kept free from the danger of deteriora-tion. In Philadelphia, as elsewhere, dust mixed with soot

’

finds its way even through the cracks of closed steel window-frames, and this insidious mixture cannot be removed withthe type of high-power vacuum cleaner employed inAmerica. When the stacks were erected in 1908, welearn from the Annual Report of the Library Com-mittee that their architect was under the impressionthat light and air were necessary for the care andpreservation of books. This has proved not to beso. All windows in the library stacks have now beenhermetically sealed, and a complete ventilating system,including air-washing machine, heating radiators, thermo-static control, and so forth, has been installed with excellentresults. The Library Committee’s conclusion is that theonly feasible plan for the proper care of large collections ofbooks, open and ready for use at all times, is the provisionof stacks built without windows or skylights, artificiallylighted and ventilated by filtered air with exhausts. Theonly dirt which can then reach the books will be thatcarried in by attendants and Fellows who have free accessto the library. Colonel W. H. Willcox, C.B., C.M.G., has been

appointed a Knight of Grace of the Order of the Hospital ofSt. John of Jerusalem in England.Dr. George R. Murray, having relinquished the

appointment of consulting physician to the Italian Expe-ditionary Force, has returned to Manchester.

Commuuications, Letters, &c., to the Editor havebeen received from-

A.-Lieut. E. Allen, Lond.; APurchaser; Archives M&eacute;dicalesBeiges. Li&eacute;ge, Sec. of; Dr. C.Achard, Paris; Messrs. Allenand Hanburys, Lond.; Mr. W.Arnold. Lona.

B.-Dr. W. Brown, Lond.; Capt.G. A. Bird, M.C., R.A.M.C.; Dr.S. G. Billington, Hythe; Prof.W. M. BayOss, Loud.; Dr. R. T.Bailey, Liverpool ; Dr. G. Blacker,Lond.; Majjr W. Broughton-Alcock, R.A.M.C.(3.R.); MissW. F. Buckley, M.R.U.S.Lond.;Dr. 1. Bram, Philadelphia ; Mr.F. E. Beddard, Lond. ; MissR. M. Bloch. Lond. ; Mr. H.Bazett, Chard ; Dr. C. H.Browning, Lond.

C.-Dr. A. Comptoti. Lond.; Dr.E. L. Collis, Lond.: Child StudySociety, Lond., Sec. of; Mr.A. E. Chisholm, Edinburgh;Conjoint Board of ScientificSocieties, Lond.; Dr. A. K.Chalmers, Glasgow ; Dr. H. P.Cholmeley, Forest Row; Mr. J.Cabburn, Lond.; Dr. F. G. Crook-shank, Lond.; Mr. S. Coltson,Lond.

D.-Dr. E. Della Seta, Rome; Dr.J. F. H. Dally, Lond. ; Surg.-Lieut.-Com. S. F. Dudley, R.N.;Mr. L. Doncaster, Sheffietd; Dr.G. Dinolt, Vienna.

E.-Dr. R. A. Ellis, Middles-brough.

F.-Fight the Famine ’Council.,Lond., Hon. See. of; Dr. T.Fisher. Norwich ; F. D. P.; Prof.A. Fleming, Lond. ; Capt. C. W.Farquharson, C.A.M.C.

’ H.-Mr. C. Higgens, Lond.; Lieut.-Col. E. R. Hunt. R.A.M.C. ; Dr.

! C. T. W. Hirsch, Lond.; Dr. 1. D.Harris, Liverpool.

J.-Dr. W. Johnson, Lond.i K.-Mr. F. Karslake, Lond.; Dr.

P. Kidd, Lond. ; Dr. F. Kennedy,New York.

L.-Dr. T. Lewis, Lond.; Dr. C.Lillingston; Local Government-Board, Lond.; Dr. T. Lumsden,Lond. ; Dr. 0. E. Lakin, Lond.;Dr. T. B. Layton, Lond. ; Lieut.-Col. Clayton Lane, I.M.S.

M.-Dr. J. H. Macdonald, Glasgow;I Dr. D. Martin, South Shields ;

Mr. T. H. Morse, Deal: MedicalSociety of London, President and.Councit of ; Le IKoniteur M&eacute;dical,Paris, Director of; Capt. W. M.Munby, R A.M.C.(T.) ; Mr. J. S.Milne, Swalwell-on-Tyne; Dr.Irwin Moore, Lond.

N.-Dr. H. P. Newsholme, Brad-ford-on-Avon.

O.-Dr. S. A. Owen, Lond.P.-Dr. A. H. Priestley, Ogbourne

St. George; Dr. E. E. Prest,Glenafton ; Dr. R. H. Paramore,Rugby; Surg.-Lieut. T. D. Power,R.N.; Dr. A. G. Phear.

R.-Dr. A. Routh, Lond.; Dr. W. J.Rutherfurd, Renfrew; Dr. J.Ryle, Lond.; Lieut.-Col. H. B.Roderick, R.A.M.C.(T.); RoyalAcademy of Medicine in Ireland,Dublin; Royal Society, Lond. ;Royal Institution, Lond.

S.-South London Hospital forWomen, Board of Managementof; Mr. P. Smith. Tredegar ;Prof. W. Stirling, Manchester;Dr. C. N. Slaney, Parkhurst;Mr. R. A. Stoney. Oublin.

T.-Dr. A. Turner, Plympton ; Mr.jS. T. Thompson, Lona. ; Capt.J. G. Thomson, R.A.M.O.; Mr.T. Thomas, Huddersfield.

W.-Welcome Bureau of ScientificResearch, Lond., See. of ; Mr.W. T. Wright, Eastbourne; Dr.G. Ward, Sevenoaks; Dr. F. J.Waldo, Lond. ; Mr. R. Warren,Lond.

Communications relating to editorial business should be

addressed exclusively to the Editor of THE LANCET,423, Strand, London, W.C. 2.