840

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

IT is most Important that communications relating to theEditorial business of THE LANCET should be addressedexclusively " To THE EDITORS," and not in any case toany gentleman who may be supposed to be connected withhe Editorial staff. It is urgently necessary that attentionbe given to this notice.

-

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

Lectures, original articles, and reports should be written onone side ot the paper only.

Letters, wether intended for insertion or for private informa -tion, must be authenticated by the names and addresses oftheir writers, not necessarily for publication.

We cannot prescribe or recommend practitioners.Local papers containing reports 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."

We cannot undertake to return JISS. not used.

MANAGER’S NOTICES.THE INDEX TO THE LANCET.

THE Index for the current half-year is given in this week’sssue, which completes the first volume of the year 1896."fhe practice of supplying loose copies of the Index has beendiscontinued, and it is now placed in the centre of the journal, whence it can easily be detached, and placed eitherat the beginning or at the end of the volume.

VOLUMES AND CASES. AVOLUMES for the first half of the year 1896 will be

A

ready shortly. Bound in cloth, gilt lettered, price 18s.Cases for binding the half-year’s numbers will also be

ceady in a few days. Cloth, gilt lettered, price 2s.To be obtained on application to the Manager, accompanied

by remittance. -

" SAFETY PARAFFIN LAMPS."MR. R. P. BEATTIE, of 16, Arcadia, Gt. Dover-street, Borough, S.E.,

sends us a description of a safety lamp of which he is the inventor.Its chief merit is simplicity of construction, while there is little doubtthat it would burn ordinary illuminating oil quite safely. It answersto the description of a safe lamp as laid down by THE LANCET Com-mission. The wick is contained loosely in a wick chamber, except atthe bottom where it passes tightly through a plug into the oil

,reservoir. Thus while the wick absorbs enough oil to feed the flame*the wick chamber itself is always empty; leakage, therefore, throughtthe wick tube of oil is prevented. The inventor states that he

-demonstrates the safety of this burner by throwing a burning lampinto a bed to convince his audience that no disaster can happen, and’he adds that " many of the more nervous spectators make for the.door and appear relieved when the experiment is over."A very ingenious invention is the " Equipose Lamp " of Mr. A. H.

’Thompson, of 18, Garford-street, Poplar, E., which was referred to in l-our notice of safety lamps in THE LANCET of May 16th. We havesince had an opportunity of inspecting the mechanism of this lamp...As its name indicates, the device upon which its safe working.depends is a delicate universal joint, by means of which, no matter*what position the body of the lamp may take, the reservoir and -chimney are always vertical. When the lamp is upset it is imme- I.diately extinguished, since the ingress of air is at once stopped.Indeed, when required, the lamp may be conveniently extinguished Irin this way. It is obvious that this principle can be applied to various

a.grades of lamps. Lamps of this safe construction are particularly 1well adapted for use in warehouses containing inflammable goods,-when, colza oil being used, they give a brilliant light and for thispurpose have, further, the advantage of being easily extinguished twithout unlocking the lantern.

M.D.-The medical man’s first duty is undoubtedly towards his patient.As she would be so much better off if she took her parents into her t

.confidence his advice to her to do so would be sound. But the moral

point is one for her to decide, while it is his first business to attendto her physical condition. )

"DOES ILLNESS HAPE ANY BENEFICIAL EFFECT ON ITS"DOES ILLNESS HAVE ANY BENEFICIAL EFFECT ON ITSSUBJECT?"’-’ - To the Editor8 of THE LANCET..... rrw..vv..a .... ....m.... .

SIRS,-I am afraid it is rather late in the day to answer Dr. HarrySIRS,-I am afraid it is rather late in the day to answer Dr. HarryCampbell’s request in THE LANCET of Sept. 28th, 1895. I well remembera case which somewhat applies. During an epidemic of enteric fever aman came to hospital with gonorrhoea; in three or four days hedeveloped enteric fever, the gonorrhoea disappeared, and I well recollectsome four weeks later, on the first day of normal temperature, my wardorderly (male nurse) saying, " His gonorrhoea has come back." Thestatement I was easily able to verify; there was no gonorrhoea duringthe active process of the enterica. I made an entry in the case book tothat effect at the time. I regret that as the case occurred abroad somethree years ago I have not access to the record of the case so that Icould give accurate dates, &c., but the incident has not faded from mymemory. I think such an occurrence is not very uncommon, thoughat present I can give no others.

I am, Sirs, yours truly,sneemess, june i itn, 1895.

va o, .r u. o . u.y,

M. P. HOLT, Surgeon-Captain A.M.S.

M.D. ld., &c.-Our correspondent had better apply to the School ofLanguages, 161, Fulham-road. Arabic is not a difficult language tolearn to speak fairly fluently; to read or write it is a different thing

C. G. H.—The work done by the unqualified assistant, as described byour correspondent, falls within the proper scope which has been

defined by the General Medical Council.

WRIGHT AND WRONG.

The Jarrow Guardian of June 19th publishes the following :-" Mr. and Mrs. Wright and Family wish to thank the large circle

of kind friends for their warmest sympathy, and are thankful to saytheir son George is progressing favourably under the skilful treat-ment of Dr. J-.

11 June 18th, 1896. " 9. Park-road..Tarrow."

We omit Dr. J-’s name, and recommend him to insist that the

grateful patients shall do so also in their advertisement to theirfriends.

M.R.C.S.-The objections to such a scheme for payment are innumerable.Has our correspondent any idea of the difficulty the country rectorexperiences in collecting his tithe r

THE VACCINATION ACTS AND BOARDS OF GUARDIANS.A CORRESPONDENT calls our attention to an anti-vivisection leafletwhich professes to show how the Vaccination Acts may be legallyrepealed by boards of guardians. Under the heading of "Sug-gestions " it is stated that it is not obligatory on boards of guardiansto prosecute defaulters under the Vaccination Acts, and our corre-spondent asks for reference to the law on this point. The

27th Clause of 30 and 31 Victoria, Chapter 84 (1867) states positivelyand clearly that the guardians shall make inquiry, and " if they findthe provisions of the Act have been neglected shall cause proceedingsto be taken against the persons in default." There is no mistakingthis language, but, unfortunately, by the Vaccination AmendmentAct 34 and 35 Victoria, Chapter 98, the above Clause (Section 27 of the1867 Act) is repealed. It is clear, however, that according to the prin-cipal Act any parent or person having the custody of a child, &c.,who shall neglect " shall be guilty of an offence and be liable to beproceeded against summarily, and, upon conviction, to pay a penaltynot exceeding 20s." We take it, therefore, that any one can prose-cute-the guardians may, of course, if they like, and certainly, if any" Registrar" (Clause 31 of the Act of 1867) " shall give information toa Justice of the Peace, the Justice may summon the Parent orPerson." It seems a great pity that Section 27 of the 1867 Actshould have been repealed, as it has evidently left the matter some-what in a state of uncertainty.

A. T.- We do not recommend individual practitioners. The matter is

one upon which the family medical man is fully competent to advise.

THE WRIGHT DEFENCE FUND.Tn thop. Editors nf Tux LANCET

SIRs,-This fund is now closed and the balance (after expenses) hasbeen handed over to Mr. Wright, who is grateful to the subscribers.Will you kindly allow me to add the following to the previous lists :-u - - . __. __ £ s. d. _ __ _ . - - E s. d.

- .I’-lit:: %ulLiu.LLIIjt:u uurjirt5 me uu express their Thanks to the Editors for

their kindness inserting the appeal in THE LANCET free of cost. lor

their kindness in inserting the appeal in THE LANCET free of cost.I am, Sirs, yours truly,

Wigan, June 22nd, 1896. WM. BERRY.

Shenly.-A piece of pressed yeast, about one-third of an inch cube,should suffice. By taking a small portion of the washed yeast andadding a drop of diluted tincture of iodine, a blue colour will result ifstarch is present.

1841

"A DOCTORLESS HOSPITAL."

THE following very amusing if rather unkind skit on the recent positionof affairs at the Liverpool Ladies’ Charity and Lying-in Hospital isextracted from the Liverpool Review of June 6th. We regret to beunable to find room for a larger quotation, but refer our readers tothe original :-

A DOCTORLESS HOSPITAL.

PROSPECTUS.

The List opens to-morrow and will close on the lst of April next.No promotion money. No underwriting. No humbug. No prefer-ence will be shewn except to midvives. Doctors (sixpenny included),rigidly excluded.A strong feeling having existed from time immemorial among

midwives and old women that doctors should be abolished on the

ground that those who superintend the arrival of passengers onthis planet are quite capable of superintending the exit as well, it isproposed to start a new parent company to acquire and work, freefrom medical and surgical control, a number of Lying-in Hospitalsthroughout the country.«’?????* #

GENERAL MANAGER : THE MATRON MIDWIFE.CONSULTING ENGINEER : THE MATRON MIDWIFE.SECRETARY, PRO TEM.: THE MATRON MIDWIFE.

In order to ensure absolute freedom to the patients and thematron-midwife from the inhumanity of the medical profession,and the continuous annoyance arising from new and improvedmethods of treatment, the directors and the matron midwife havedecided to open a Marine Lying-in or Laying-out Hospital andSanatorium, on the most insalubrious portion of the ManchesterShip Canal. Any temporary rise in the death-rate will be compen-sated for by the certain absence of the medical profession.

* * * * * x- * #

Any qualified man found prowling within five miles of the doctor-less hospitals of the company will be arrested and dealt with asthe Matron-Midwife Commanding-in-Chief shall direct. Medicalstudents caught poaching in the grounds will be summarilyexecuted on the spot.Any newsagent, porter, messenger, street arab, or other person

found introducing THE LANCET, or any other medical paper,periodical, or book containing up-to-date professional literature,into the company’s doctorless hospitals, either on land or water,will be carried before the Matron-Midwife Comn-landing-iia-Chiefand incontinently birched or lashed at her discretion.Any director presuming to differ from the matron-midwife upon

any point will be permitted to resign upon getting a written orderfrom the matron-midwife.

* * * * * * *

Intending patients must give notice at least twelve months inadvance to the matron-midwife, of their intention to avail them-selves of the place. In order to prevent mistakes in delivery ofparcels, husbands are advised to have their wives photographedprior to despatching them to the company’s doctorless hospitals, asthe hospital will not hold itself responsible for errors in packingand transit.Patients who have been seen by qualified doctors during the five

years immediately preceding admission into the company’s doctor-less hospitals must sign a renunciation in the presence of thematron-midwife.Patients who presume to expedite matters with undue pre-

cipitancy without consulting the matron-midwife will be expelled.* * * * * * *

Each matron-midwife appointed by the directors of this companyshall assume the courtesy title of doctor, and as many other titlesas appeareth good in her sight. Each director may assume the

style and title of matron-midwife if so inclined, and strive to live ’

up to it.* * * * * *

Dying is strictly prohibited in all the doctorless hospitals of this company, and any patient suspected of a tendency to bring the hospital into disrepute by so mean an act will be summarily ejected.Although dying on the company’s premises is rigorously dis-

countenanced, the directors do not wish to be harsh, and onapplication to the Matron-Midwife Commanding-in-Chief, printedapplication for leave to die at home or in the gutter may be obtainedby delicate or perverse patients.

It must be understood that the decision of the matron-midwife isfinal and irrevocable in all things, and that the directors only actas her mouthpiece.

Country Practitioner must consult a solicitor. The answer to his ques-tion depends upon the reading of the Medical Act (1886), and as wecannot refer him to any previous decision the matter is one for legaladvice.

"THE REMUNERATION OF MEDICAL MEN."

WE have had many letters on this subject, as the outcome of "M.D.’s" communication to us last week, for which we have been unable tofind room. One correspondent, who draws a fairly apt parallelbetween the positions of the medical man and the barrister, has

clearly no idea of the pecuniary position of the metropolitan hospitals.

THE HISTORY OF VACCINATION.

To the Editors of THE LANCET.

SIRS,-As the epidemic of small-pox is still raging at Gloucester;.evidently from the neglect of vaccination, I venture to add my testi-mony to the many proofs of prevention, or at least palliation, of thissloathsome and fatal disease. To Dr. Jenner we shall always feel a debtof gratitude, not only in this country but all over the world; but the-operation was practised long anterior to Jenner’s time, for it appears.that a Benjamin* Jesty of Downshay, as inscribed on his tombstone, was-said to have performed the operation in 1774, whereas Jenner’s firstvaccination experiment was in 1796. It appears also that the county ofDorset lays claim to having originated vaccination, a farmer named Nash.having performed the operation on himself with success. But I have-every reason to believe that vaccination was practised for a long period’anterior to either Jenner’s or Nash’s time. In the Sanscrit language-there is a book written by Hauvantori, which states that the Hindoos.at a very remote period practised vaccination, and I have in my posses-sion some interesting and valuable remarks written by Colonel Ellis,which I believe were published in THE LANCET some years ago,respecting a description of vaccination taken from an ancient medicalwork, which informs us that the "Sakteya Grantham "a work in whichvery precise rules for vaccination are laid down. Colonel Ellis, who wasmany years resident in India and was an accomplished Orientalscholar, informs us that Emanuel Timoni and Jacyes Pylanini, twoItalian doctors, are said to have introduced the operation from Circassiainto Europe in the sixteenth century, and a comparison of their travels.and writings with those of the Dhauwantari would tend to showwhether either had borrowed from the other, and which of them had’first practised this important discovery but none questioned benefit. Bdo not wish to detract from, or lessen, the reputation of the illustrious.Jenner, but simply to show that vaccination was popular from a remote-period. I would also mention that in the years 1839-40, when serving onboard H.M.S. Crocodile engaged in suppressing the slave trade, slavers.used to arrive from the coast of Africa to ports in the island of Cuba laden-with slaves suffering from small-pox in its most virulent form, many ofthe dead being thrown overboard to make room for the living sufferers.This was a great loss to slave owners and speculation in slaves, and was told that a doctor was sent out to vaccinate them previously to-embarkation, the consequence being that they arrived free from disease.So this affords a convincing proof of vaccination even from a commerelabpoint of view.

Alas, poor Jenner, his memory deserves a better fate; his statue stillremains in a conspicuous part of the nave in the beautiful cathedral or’Gloucester, also a painted window given by the local medical practitioners, whilst the city where he originated this beneficent boon ovaccination has found enemies to it. Trusting that when the Royal’Commission comes out it will urge on both Houses of Parliament com-pulsory vaccination. I am. Sirs, vours trulv._n__. J .

HENRY PEACOCK, M.R.C.P.Lond., F.R.C.S.Eng.,

Bath, June 19th, 1896. Retired Surgeon R.N.

THE LATE DR. CHARLES RUMNEY ILLINGWORTH.

The following subscriptions have been received in addition to those-announced in THE LANCET of June 20th:-

P, s. d. je s,. do.

M:.R.C.S., &c., has omitted to give his name and address, as also have’M.D. Ed., and F.R. C.S. Ed.

?.—The Health Committee of Glasgow will have made arrangements to-supply copies.

)uring the week marked copies of the following newspapershave been received:-Devon Gazette, Express and Star, GlasgowHerald, Hull Daily Mail, Manchester Evening Mail, SheffieldTelegraph, Sozcth Wales Post, East Anglian Daily Times, PioneerMail, Bristol Times, Huddersfleld Examiner, Liverpool Courier,Times of india, Newcastle Journal, Scotsman, Northern Echo, OldhamStandard, Derbyshire Times, Western Daily Mercury, Indicator,Architect, Leyton Independent, Birmingham Gazette, Midland EveningNews, Oswestry Advertiser, Yorkshire Post, Bristol Mercury, EasternDaily Press, Public Opinion, Grocer, Land Agents’ Record, LiverpooPDaily Post, Citizen, Builder, Brighton Gazette, Leeds Mercury, Sani-tary Record, Fauail,y Doctor, Dudley Herald, Walsall Free Press,Sporting Chronicle, Manchester Courier, Bath Argus, Courrier de laPresse, Essex Telegraph, Surrey Mirror, Hertfordshire Mercury, Local’Government Chronicle, City Press, Reading Mercury, Weekly FreePress and Aberdeen Herald, Mining Journal, Local Government

Journal, Gloucestershire Chronicle, Surrey Advertiser, Guy’s HospitalGazette, Jarrow Guardian, Iladras Times, Shrewsbury Chronicle,lVetccastle Daily Chronicle, Walsall Advertiser, Jlontrose, Arbroathand Brechin Adcertiser, Brewers’ Journal, Brisbane Courier, WestMiddlesex Herald, &c., &c.

842

Oommunications, Letters, &c., have beenreceived from-

. &_---___----3_- T__.:I . n n__.._a_ n r ’-’I’......"’...... ’tv....;’

A-Messrs. Armourand Co., Lond.; Messrs. Arnold and Sons. Lond. ;Apollinaris Co., Lond.; Asylum,Lond.

B.-Dr.J. E. Bowes, Stretford ; Dr.Bannatyne, Bath; Dr. J. W.

Black, Inverness ; Mr. A. Butler,Lond.; Mr. L. A. Bidwell, Lond.;’Miss Edith P. Bullar, Lond.; ’Messrs. Burroughs, Wellcome

and Co., Lond.; Messrs.Burgoyne,Burbidges and Co., Lond.; Messrs. 33elsbaw and Co , Lond.; BritishInstitute of Public Health,Lond, See. of; BacteriologicalInstitute, Leicester, Director of.

C.—Dr. W. Carter, Liverpool; Dr.C. W. Chapman, Lond. ; Mr. C.Campbell, Saddleworth ; Mr.

W. F. Clay, Edin.; Mr. T. Cooke,Lond. ; Messrs. A. H. Cox and Co.,Brighton ; Messrs. Cundy and

Mitchell, Lond ; Messrs. T.

Christy and Co., Lond ; Messrs.A. H. Cox and Co., Brighton;Messrs. Clayton and Son, Up-holland; Cambridge MedicalGraduates’ Club, Lond, Hon.

See. of.

S.—Dr. J. T. Davison, Buenos

Ayres; Dr. Richard Drews, Ham-burg ; Mr. B. L. Dhingra, Lond.;Mr. L. B. Dhargalker, Bombay;Mr. A. Denman, Beaconsfield ;’Mr. T. Dixon, Lond.; Messrs.

’Davy, Yates, and Hicks, Lond.;Dermatological Society of GreatBritain, Lond., Hon. Sec. of ;D. K., Newcastleon-Tyne.

E.—Dr. H. B. Esmond, Maine,U.S.A.; Mr. F.W. Eaton, Birming-ham ; Messrs. Elliott, Son andBoyton, Lond.

F.—Mr. W. T. Freeman, Reading;Mr. G. Fowler, Hanley; Messrs.Fannin and Co., Dublin; FreeHome for the Dying, Lond.,Hon. Sec. of.

G.—Dr. D. Grant, Lond.; Dr.W. R. Grove, St. Ives; Messrs.Greeff and Co., Lond.; GreatEastern Railwav Co., Lond.,Continental Traffic, Manager of.

EL—Dr. C. Holman, Lond.; Dr. J.Holmes, Whitefield; Dr. S. H.Habershon, Lond. ; Surgeon-

Captain G. D. Hunter, Wadi- sHaifa; Mr. T. Hohdav, Lond. ;Mr. J. Hardie Manichester; Mrs. U. J. H.tknrrs, Hampton

.

Hill; Highland Railway Co,Invernees, Managerof; HygienicCycle Saddle Syndicate. Lond.,Direct.or of; L’ Hygiene Populairi,Madrid, Editor ot.

L.-Interested, Buckfastleigh. U

J.-Johannls, Ltd., Lond.

L.-Dr. 0. L. Levy, Berlin ; Light,ing Corporation, Lond.; Liquor ACarnis Co., Aston Clinton.

M-Dr. N. Murray, Baltimore ; SMr. J. MeMurtrie, Glasgow ; Mr.N. H. Mason, Lond.: Mr. H.

Marsh, Lond ; Mr. P. Möller,Lond ; Mr. J. Manleod. M P.,Lond.; Messrs. Moore and Co.,Lond.; Messrs. Macmillan and (Co., Lond.; Messrs. Mather andCrowther, Lond ; Messrs. Maw,Son and Thompson. Lond ; Middlesex Hosp.. Lond.. See. of;M. D., London; M.D., Holm-wood ; M.R.C S., Burton-on-Trent ; Medicus, Lond ; M. M. C.,Lond.

N.-Messrs NewandMayne, Lond.;Newport and Monmouthshireriosp., Newport, Sec. of.

O.-Dr. J. W. Ogle, Lond.; Mr. W.Osborn, Milverton; Mr. E.

Owen, Lond.; Messrs. Oliver andBoyd, Edin.; Messrs. Orridgeand Co., Lond.

P.-Dr. J. F. Payne. Lond.; Mr. H.Peacock, Bath; Mr. Y. J. Pent-land, Edin.; Mr. D’Aroy Power,Lond.; Messrs. Pyke. Harris andCo., Lond.; Piccadilly Associa-tion of Trained Nurses, Lond.,Supt. of; Peptenzyme Co., Lond.;Paris, Lond.

R.-Dr. R. R. Ross, Minas de RioTinto ; Dr. A. Routh, Lond.: Dr.N. Rivellini, Morcone, Italy;Mr. J. Ritchie, Lond.; Mrs.E. Ralph, Billericay; Messrs.F. H. Hoyce and Co., Hulme;

’ Messrs. Robertson and Scott,Edin. ; Royal Society, Lond.,Sec. of ; Rus, Lond.

: S.-Dr. H. Simpson, Frodsham ;Mr. S. Stephenson, Lond.; Mr.

, A. T. Slade, Lond.; Messrs. A.Shrimpton and Sons, New York ;Messrs. Stubbs, Cork; Messrs.

. Squire and Sons, Lond.; Messrs.

. G. Street and Co., Lond.; Messrs.- Sampson Low and Co., Lond.;

St Luke’s Hosp., Lond., Sec. of;Socifh.v of Arts. Lend , Sec. of;Society of Apothecaries, Lond.,Sec.. of ; Swansea, Ho6p , Sec of;bignum, Lona.

T.-Mr. J Turne.-1’llrner. T,oii(iMr. J. J. Tate, Ilfraumhe, vir

A. Thompson. Lonrt ; Mr. A.T4vlor, Bedford; Messrs ThnmB n and Shephard, Lond., Tasma,Lond.

U.—University of AberdeenDean of.

V.-Miss Vicary, Bridgwater;Veritas, Lond.

W.-Dr. T. Wilson-Smith, Bath;Dr. H. W. Webber, Plymouth;Sir Henry Trueman Wood, Lond.;Mr. C. W. Williams, Norwich;Mr. J. E. Walsh, Lightcliffe;Mr. C. J. Webbe, Lond.; Mr.W. F. Webster, Silsoe ; Miss C. M.Wickham, Lond.; Miss Wood-ward, Folkestone; Messrs. Whit-

bread and Co., Lond.; Messrs.

Wilcox and Co., Lond.

Letters, each with enclosure, are alsoacknowledged from-----w - __

A.-Dr. A. E. Ash, Stokeville ; A., t

Lond.; A. B., Tooting. I

8.-Dr. Butters, Lavenham; Dr. M.C. W. Brown, Manchester ; Dr. P. H. Boyrion, Cape of Good Hope 1

Station, Zanzibar; Messrs Bton- deau et Lie, Land.; Beta, Lond.

C.-Dr. H. Case, Lightcliffe; Dr.J. Crabb, Lond.; Mr. W. H.

Carter. Congleton ; Mr. J. E.

Cornish, Manl’hester; Mr. J. N,Carter, Lond.; Citv of Birming-ham, Clerk of; Celeriter, Lund ;Calomel, Lond. o

D.-Dr. J. H. Dauber, Lond.; Dr.C. Dukes. Rugby; Delta, Lond.; pDentist, Lond.

F.-Dr. W. D. Forsvth, EveniouthDr. W. Fraser, Salfotd: Dr. P. gl

. Frank, Lond.; Miss Freeman,

t Lond.; F.R.C.S., Lond.

aL G.-Dr. W. W. Gibson, Kidder- minster; Dr. C. M. Grier, Meva-gissey ; Mr. B. Greene, Oban;

. Mr. W. Griffiths. Blaenavon ;,- Mrs. Gann, Hayling Island.

E.—Dr. H. Hewer. Lond.; Dr. T W. ,- Hime, Bradford; Mr. J. Hey-., wood, Manchester ; Mr. W. Hall,; Southampton Mr. W. A. Har-

diker, Priors Marston; Mr. A. S. Hanson, Vitchfield ; Hoxfon

o House Asylum, Sec. of; Howitt,r. Lond ; Dr. H. D , Lond.

s. I.-Institut fiir Infections Krank-s. heiten, Tokio ; Initium, Lond.;

t, J.—Dr. A. H. Jeremy, Halifax,l., N.S.; Dr. C. R. Jones, Calverly;

Mr. E. James-Gibhs, Horntou;Mr. G. James, Tenhy; Messrs.

Jones and Bruce, Lond.r.

k. K.-Dr. A. Kav, Treherbert; Mr.J. A. Kemp, Frithville.’a

°s. L.-Mr. G. H. Longton, Barford;s. Messrs. J. A. Lumley and Co.,Lond.;Messrs Lanfear and Co.,

Lond. ; Lanes., Lond.; L. P.,Lond.

.-Dr. F. V. Milward, Redditch;Dr. Macara, Crieff ; Mr. A. C.Morton. N. Walsham; Mr. H. C.Mole, New Ferry : Mr. Mason,Lond.; Medicus, Edgware-road;M.J., Lond.; Medicus, Battersea;Medicus. Ladbroke-grove; M.P.,Lond.; M., Lond.

’.-Nottingham General Hosp.,Sec. of; Norfolk, Lond.

(.—Dr. A.B. C. Orchard, Billesdon;Omega, Lond.

’.-Mr. G. W. Pauli, Heathcote;Physician, Lond.; Permanency,Lond.

R.-Mr. C. J. F. Rutley, Lond.;Rural, Lond.

S.-Mr. T. Smith, Lond.; Mr. A. B.Sturges, Moulton; Mr. J. S.Sharman, Lond.; Mr. H. W.Scriven, Lond.; South Metro-politan School District, Sutton,6ee. of ; Surgeon, Lond.

T.-Mr. J. Thin, Edin.; Mr. T D.Telford, Whitehaven; Tokio,Lond.; Theta, Lond.

V.-Mr. A. R. Verity, Garndiffaith;Veteran, Lond.

W.-Dr. L. Williams, Tottenham;Dr. F. Willcocks, Lond.; Dr. R. M.Wyckoff, Brooklyn, New York;Mr. W. Wallace, Loughton; Mr.F. W. Wilson, Bolton; Mr. R.Walker, Aberdeen; Mr. F. Whin-cup, Lond.; Messrs. C. H. andJ. W. Wilmott, Lond.; Messrs.Wright, Layman and Umney,Lond.; West End PathologicalLaboratory, Lond., Sec. of.

X.-X., Lond.; X. Y., Lond.

Y.-Mr. A. B. Youngman, LayerM arnev.

SUBSCRIPTION.POST FREE TO ANY PART OF THE UNITED KINGDOM._

POST FREE TO THE CONTINENT, COLONIES, UNITED STATES, INDIA, ICHINA, AND ALL PLACES ABROAD. ...

Subscriptions (which may commence at any time) are payable inadvance.

_ _ ,

Cheques and Post Office Orders (crossed "London and WestminsterBank, Westminster Branch") should be made payable to Mr. CHARLES 1

GOOD, Manager, THE LANCET Office, 423, Strand, London. t

ADVERTISING.

NOTICE.-Advertisers are requested to observe that it is contrary to.he Postal Regulations to receive at Post Offices letters addressed toietitious names or initials only.

An original and novel feature of " THE LANCET General Advertiser " is a special Index to Advertisements on pages 2 and 4, which not onlyaffords a ready means of finding any notice, but is in itself an additional advertisement.

Advertisements (to ensure insertion the same week) should be delivered at the Office not later than Wednesday, accompanied by a remittance.Answers are now received at this Office, by special arrangement, to Advertisements appearing in THE LANCET.The Manager cannot held himself responsible for the return of testimonials, &o., sent to the Office in reply to Advertisements; copies only

should be forwarded.Terms for Serial Insertions may be obtained of the Manager, to whom all letters relating to Advertisements or Subscriptions should be

4’.ddressed.THE LANCET can be obtained at all Messrs. W. H. Smith and Son’s and other Railway Bookstalls throughout the United Kingdom. Advet-

tisements are also received by them and all other Advertising Agents.

Agent for the Advertisement Department in France-J. ABTIBR, 8, Rue Traversiere Asnieres, Paria.