995OBITUARY.
importance of focal sepsis. Sir Gould May’s contentionthat continental medical men do not attribute the sameimportance to focal infection from the teeth as we dois, in part, true, although the most exhaustive treatiseson the effects of pyorrhcea are by French authors. Butif we are to be accused of being crazy on this subject,the French can with equal justification be accused ofbeing crazy on hereditary syphilis and tuberculosis.
In conclusion, I would say that the last three reportsI have received from dental radiologists stated thatthere was no evidence of infection of the teeth ; andthat, even if there is obvious dental sepsis, I do notadvise extraction unless I consider the patient’scondition warrants it, for artificial teeth can never bean effective substitute for the real article.
I am, Sir, yours faithfully,H. W. BARBER.
Devonshire-place, W., Nov. 2nd, 1925.H. W. BARBER.
To the Editor of THE LANCET.
SIR,-It would be interesting to know on whatexperience Sir Gould May bases his remark that"
everyone whose apparently sound teeth are X rayedis said to have diseased ones." Simple inspection ofa tooth does not reveal the presence of a root abscess,and many sufferers from maladies, undiagnosed byeminent specialists, are relieved when X rays exposea septic focus and an offending molar is removed.Sir Gould May’s informant on the continental atti-tude to this question is in error, for in the ZentralRontgen Institut in Vienna there is a special sectiondevoted to the study of teeth alone, with resultswhich well satisfy the Viennese doctor. Taking theline of argument adopted by Sir Gould May, it wouldbe just as competent for the radiologist to urge thephysician to give up percussing the chest and torelegate his stethoscope to the dustbin. The argumentin his case would be even stronger, for physical signsin diseases of the lungs reveal very superficial infiltra-tion, leaving it for the radiologist to discover themore deep-seated mischief. It is not in this way thatprogress in medicine is made.
I am, Sir, yours faithfully,PETER KERLEY, M.B., Ch.B. (N.U.I.),
D.M.R & E. Camb.,Zeugnis der Universit&t (Vienna).
Richmond, Surrey, Nov. 1st, 1925.
PETER KERLEY, M.B., Ch.B. (N.U.I.),D.M.R & E. Camb.,
Zeugnis der Universität (Vienna).
STANDARDISATION OF BACTERIALVACCINES. S.
To the Editor of THE LANCET.
SIR,-I am doubtless not alone in welcomingMajor Brown’s method of making the standardisationof vaccines a more certain procedure as outlined inhis letter in vour issue of Oct. 31st. Admittedly, theordinary opacity method such as Gordon’s is a roughand ready procedure, but I am sure it does comparequite favourably with any counting method. Apartfrom cholera vibrios, the opacity is the thing we want, ifwe cannot have weight, for it is the amount of bacterialsubstance that matters. Counting methods can takeno stock of autolysed organisms, and the standardisa-tion of the streptococcal vaccine by counting methodsseems to me to be futile, for in a well-shaken vaccinesome of the chains break up into diplo-, triplo-cocci,into chains of all kinds of length, and some cocciautolyse so that one is quite at sea to know whatconstitutes a single streptococcus. Wherefore inthis case an opacity method is probably the morecorrect, but it may be questioned whether any knownmethod of standardising streptococcal vaccines issatisfactory. The same applies to staphylococcalvaccines, but perhaps not quite so forcibly.Too much importance should not be attached to
any vaccine count, for no two patients have the sametoleration and no two vaccines have the same toxicity.That fine adjustment which makes for success invaccine therapy is born of long experience and isa comparatively rare quality, but I am equally sure
that some practitioners have an uncanny flair bothfor choosing the right case for vaccine therapy andfor giving the optimum dosage. It will also be notedthat for curative specific therapy stock vaccines areof very limited value, since in a mixed vaccine thecorrect dose of the requisite organism is masked bydilution with other unnecessary organisms, and theirinelastic composition is rarely likely to be compatiblewith any given case.We owe a great debt to Major Brown for his work
in correlating weight and opacity standards.I am, Sir, yours faithfully,
A. GEOFFREY SHERA, M.D. Cantab.Welbeck-street, W., Nov. 1st, 1925.
A. GEOFFREY SHERA, M.D. Cantab.
Obituary.GEORGE HAYNES FOSBROKE, M.R.C.S. ENG.,
D.P.H.
THE death is announced of Dr. G. H. Fosbroke,medical officer of health for Worcestershire, atBidford-on-Avon, Warwickshire, after nearly a year’sillness.
George Fosbroke was born in 1850 at Bidford-on-Avon, where his family have been known for more than500 years. He was educated at St. Michael’s College,Tenbury, and Swansea Grammar School, and enteredWestminster Hospital in 1867. Having become anL.S.A. in 1871 he acted as assistant surgeon to theNational Society during the Franco-Prussian War, andfor his services was given the war medal by the FrenchGovernment. He took his M.R.C.S. diploma in 1872,.and for two years occupied the posts of resident.obstetric physician and resident house physician atWestminster Hospital. In 1873 he returned to his owncounty as whole-time medical officer of health to theStratford-on-Avon Combination of Sanitary Authori-ties, which included Poor-law unions in Worcestershire,and thus became one of a very small number of whole-time officers for groups of sanitary districts. In 1875.he sat for the first examination at Cambridge for theDiploma in Public Health, and in 1881 becamePresident of the Birmingham and Midland Associationof Medical Officers of Health. The WorcestershireCounty Council was one of the first to appoint a countymedical officer of health ; the decision to do so wasnot reached without considerable opposition, andmeetings of protest were held in a great number of’places in the county. The county council was fortunateenough to appoint Dr. Fosbroke as county medicalofficer in 1890 and with his assistance became one ofthe most progressive authorities in promoting publichealth measures. Dr. Fosbroke acted as adviser to theGloucestershire County Council from 1900-02, and wasthe representative of the Local Government Board onthe London Sanitary Inspectors’ Examination Board,and examiner for the Royal Sanitary Institute. In1902 he was largely instrumental in founding theKnightwick Sanatorium for tuberculosis which,starting with 16 beds, became in 1915 the KingEdward VII. County Memorial with 86 beds. Thoughnot a profuse writer, he contributed several articlesto professional journals, and his routine reports tothe county council contained matter of more than
ephemeral interest.Dr. Fosbroke’s quiet and unassuming manner of
overcoming difficulties and prejudices bore fruit inmuch valuable work for his county. His friendlyrelations with his colleagues in general practice in dayswhen friction was common was shown by his electionas president of the Worcestershire and Herefordshirebranch of the B.M.A. in 1894. As a man few were morewelcome in any sphere of life. He was a keen sports-man, and until prevented by an accident was wellknown to followers of three Midland packs of foxhoundsas a hard rider. In 1887 he married Miss Mary ThorpeLane, of Dorsington Manor, Gloucestershire, but hehas left no children.
996 MEDICAL NEWS.
NINA HENRIETTA BEATH, M.B., CH.B. EDTN.THE death of Miss Nina Beath in London on
Oct. 27th follows rapidly on her return from her workfor the Presbyterian Church of England at the Women’sHospital, Swatow, China. She had been unwell forsome months, but only gave up her arduous duties atthe hospital at the beginning of June and reachedLondon on Oct. 3rd. The daughter of the lateLieut.-Colonel John Henry Beath, C.B., R.A.M.C., shewas born at Stirling in 1872, and after taking herdegrees at Edinburgh in 1902 she went out to Swatowtwo years later. Her death deprives the EnglishPresbyterian Missions in China of their leading womanmember. In addition to her hospital duties she trainedmany Chinese students of medicine, employing forthe purpose their own language, of which she was amaster. She was also as active as her medical dutieswould allow her to be in the evangelistic work of themissions, and often preached to large gatherings ofwomen andchildren.
Medical News.UNIVERSITY OF LONDON : University College
Hospital.-Four lectures on the History of Medicine, illus-trated by lantern slides, will be delivered at UniversityCollege Hospital Medical School by Dr. Charles Singer onThursdays at 4.15 P.M., from Nov. 12th to Dec. 3rd. The.subjects will be the History of Influenza, Diphtheria, EntericFever, and Small-pox, and the lectures will be open to allmedical students of the University of London.
ROYAL COLLEGE OF PHYSICIANS OF LONDON.-An.ordinary quarterly Comitia of the College was held on
Oct. 29th, the President, Sir Humphry Rolleston, occupyingthe chair. The following candidates having passed thenecessary examinations were admitted as Members of the.College :-
Drs. William F. Addey, Harold G. Anderson, Tridib NathBandgopadhyay, Ambuj Nath Bose, Reginald T. Brain,Oscar Brenner, Frederick J. H. Campbell, Weldon D.Champneys, Samuel H. Cookson, Gerard J. Crawford,Thomas H. Crozier, Cyril L. Elgood, Rowland B. Fawkes,Louis Forman, William I. Gerrard, Paul C. Gibson, FrancisH. K. Green, Geoffrey Hadfield, Frederick W. Hamilton,Richard A. Hickling, Ronald E. Lane, Edward B. Marsh,James Maxwell, Alan A. Moncrieff, Benjamin B. Morgan,Milroy A. Paul, Wilfred P. H. Sheldon, John F. Smith,Norman W. Snell, Frederick H. W. Tozer, Francis C. O.Valentine, Richard H. Wade, George F. Walker, and AdamWhite.
Licences to practise physic were granted to 211 candidates.(including 36 women) who had passed the necessary examina-tions. The following are the names and medical schools ofthe successful candidates :-
A. R. Adderley, St. Thomas’s ; R. D. Aiyar, Madras andLondon ; V. M. Albuquerque, King’s Coll. ; C. R. Alderson,Univ. Coll. ; R. B. Alston and R. C. Amies, St. Thomas’s ;Leah Appell, Charing Cross ; H. K. Ashworth, Manchester ;A. A. Atkins, London ; D. G. Balakirsky, Liege andMiddlesex; C. V. N. Baldry, Sydney and St. George’s ;W. A. Ball, King’s Coll. ; K. Bandaly, Univ. Coll. ; J. V.Bannehr, St. Bart.’s; T. F. Barlow, London ; J. M. Bassett,Edinburgh; J. R. Beal, Manchester; A. D. Belilios, St.Thomas’s ; H. S. Bell, Liverpool; W. T. E. Blackmore,Cardiff and London ; Kathleen Blake, King’s Coll. ; V. H.Brink, Oxford and London ; J. M. Brodrick, Liverpool;G. P. Brooks and W. Buckley, London ; Margaret A. L.Buckner, Univ. Coll. ; Olive K. Burnett, Royal Free ;Isabella M. G. Butler, Univ. Coll. ; J. P. Carpenter,Birmingham ; Fanny L. Cattle, Univ. Coll. ; R.T.Chadwick,Cambridge and St. Bart.’s ; W. S. Chapman, Univ. Coll. ;Dorothy A. Chown, Royal Free and St. Mary’s ; L. M.Clark and C. D. Cogswell, King’s Coll. ; R. Collins, Leeds ;A. N. Coomarasamy, Madras and London ; P. F. S. Court,Guy’s ; Anne A. Craig, Royal Free ; P. E. J. Cutting,St. Bart.’s ; A. J. Daly, London ; A. C. Dalzell, King’s sColl. ; S. W. Davies, Cardiff ; G. Dietrich, St. Bart.’s;J. Dockray, Cambridge and St. Bart.’s; W. H. Dowell,Guy’s ; Muriel E. Drew, Bristol; J. J. F. Dunn, Calcuttaand St. Mary’s ; Dorothy Durance, Royal Free ; J. Y.Eccles, St. Thomas’s ; N. L. Edwards, Manchester; A.Elliott, Guy’s ; Norah A. M. Empson, King’s Coll. ; BrendaH. English, Royal Free ; I. A. Evans, Cardiff and Man-chester ; O. F. Farndon and R. R. Fells, St. Bart.’s ;S. J. Firth, Manchester; P. H. Flockton, St. Bart.’s;A. C. Gairdner, Oxford and London ; S. E. Gawthrop,Cambridge and Durham ; H. Geary, Manchester and Guy’s ;J. F. E. Gillam, St. Thomas’s ; B. M. C. Gilsenan, St. Bart.’s ;G. N. Golden, London ; J. G. Goodman, Guy’s ; M. Gottfried,St. Mary’s; E. P. Gough, Cambridge and St. Bart.’s ;Phyllis M. Grainger, Birmingham ; H. W. Greenwood,Middlesex ; Margaret H. Greg, Royal Free and Manchester ;
G. J. Gregerson, Adelaide and London ; J. C. P. Grey,Cambridge and St. Thomas’s ; H. R. Griftin, Middlesex ;Sarah 1’. M. Griffiths, Cardiff and Westminster; T. A.Griffiths, Liverpool; W. S. Grove, Cambridge and Guy’s ; L. J. Haydon, Cambridge and St. George’s; A. B. Hewlett,King’s Coll. ; J. D. llindley-Smith, Cambridge and St.George’s ; J. C. Hogg, Cambridge and St. Bart.’s ; D. P,Holmes, Westminster; L. Holmes, St. Bart.’s.; T. K.Homer and J. P. Huins, Birmingham ; Ruth T. HurnardRoyal Free ; D. S. Jackson, Madras and St. Mary’s; I. A.Jackson, Cambridge and Guy’s ; Isabel E. S. James, King’sColl; R. Jones, Cardiff and Charing Cross ; Adele A. Kahan, .Charing Cross ; M. E. Lampard, Cambridge and King’s Coll. ;1. London, St. Bart.’s ; D. M. Lang, Guy’s ; C. G. LeCouilliard, Middlesex; A. H. Levers, Cardiff and West-minster ; H. M. Levy, Middlesex ; S. Levy-Simpson,Cambridge and London ; 1-t. Lewthwaite, Middlesex;D. W. E. Lloyd, Guy’s ; Mary C. Luff and Joan L. Lush,Univ. Coll. ; J. D. S. McGeoch, Birmingham ; B. W. S.Mackenzie, Cambridge and Univ. Coll. ; W. K. McKinstry,Cambridge and St. Bart.’s ; S. B. Malik, Punjab andCharing Cross ; Margaret C. Malone, King’s Cnll. ; C. Marian,Univ. Coll. ; R. Marnham, Cambridge and St. George’s;R. G. Mathews, Oxford and Univ. Coll. ; R. C. May, Guy’s;K. V. Mead, St. Thomas’s ; J. A. A. Mekelburg, Capeand Guy’s ; Clara Mendelssohn, Westminster; R. D.Milford, Cambridge and St. George’s; Mary A. Monro,Royal Free ; D. G. Morgan, Cardiff ; Gertrude M. E. Morgan,Cambridge and St. Mary’s ; W. S. Morgan, Cardiff and St.Bart.’s ; G. C. Morris, St. Mary’s ; Una F. M. Morton,Univ. Coll. ; W. Murphy, Leeds; R. G. Nethery and F. VI.Newnham, Guy’s ; H. A. Nicholls, St. Bart.’s ; G. A. H.Norman, Westminster ; D. W. C. Northfield, Guy’s ; H. E.Nourse, Cambridge and Middlesex ; Eileen A. Nugent,
’ Royal Free ; T. C. Oakley, Birmingham ; M. Odess, St.Mary’s; D. Oliver, St. George’s; C. J. S. O’Malley, St.Thomas’s ; A. Orliansky, Geneva and Middlesex; SharadaG. Pandit, Bombay; C. F. Parry, Cardiff and Guy’s;F. B. Parsons, Cambridge and St. Bart.’s ; G. Paterson,St. Thomas’s ; H. L. Peake, Guy’s ; L. V. Pearson, Cam-bridge and St. Bart.’s ; B. Perchman, Charing Cross;J. D. L. Perera, Ceylon and London ; D. Plum, St. Thomas’s;C. G. E. Plumstead, Cambridge and St. Georges ; F. H.Pratt, Guv’s ; J. D. Procter, Cambridge and Univ. Coll. ;W. E. H. Quennell, St. Bart.’s ; R. L. Quilliam, King’sColl. ; R. J. Rankin, Cardiff and St. Bart.’s ; J. D. Rear,Guy’s ; L. D. Richards, Charing Cross ; K. E. R. Robertson,Calcutta and St. Mary’s ; P. H. Rossier, Lausanne andZurich; C. J. Rozario, Calcutta and St. Thomas’s ; E. J.Itubra, Westminster; N..L Russell, St. George’s; I. J.Sachs, Middlesex; K. G. Salmon, Cambridge and St.Bart.’s; J. N. Sankey, Birmingham ; Ethel M. Sargant,Cambridge and St. Mary’s ; A. G. Schroeder, Adelaide andLondon ; C. R. Selous Jones, Cambridge and St. Thomas’s;E. M. Shackel, Cambridge and St. Thomas’s ; J. W. Shackle,Cambridge and Guy’s ; Sara C. A. Sharpe, Royal Free andSt. Mary’s ; J. Silverstone, Westminster; T. St.J. H.Silvester, Guy’s ; H. Simmonds, St. Bart.’s; G. Simon,Cambridge and St. Bart.’s; E. M. Smith, Univ. Coll.;K. S. Smith, Middlesex ; R. E. Smith and E. Sorabjee,Guy’s ; J. Spencer, St. Bart.’s ; A. L. Stephen and I. H. K.Stevens, Univ. Coll. ; Gertrude H. C. Stinson, Royal Free ;Mary Stirk, Manchester, R. G. Strouts, London ; B. R.Sworn and C. C. Taffs, St. Thomas’s ; G. K. Taylor, Cam-bridge and St. George’s; S. P. Taylor, Bristol; ElizabethL. Taylor-Jones, Royal Free ; G. A. J. Teasdale, Middlesex;E. J. S. Topham, Cambridge and St. Bart.’s ; Mary C.Tugman, St. Mary’s ; A. B. W. Van Zyl, Amsterdam andMiddlesex; W. A. Vickers, Liverpool; D. Vidofski, London;J. Viljoen, Cape and Manchester; R. J. Vince, Cambridgeand London ; D. C. Virmani, Lahore and Charing Cross;I. N. Vitenson, London ; Florence M. Wallen, Cardiff ;W. F. Waudby-Smith, St. Bart.’s ; J. K. G. Way, Guy’s;R. Wear, Durham ; Elizabeth M. Weideman, St. Mary’s;P. Weiner, King’s Coll. ; A. S. Wesson, Univ. Coll. ; JoyceE. M. White, Royal Free and London ; J. D. V. Wijeyaratne,Ceylon and King’s Coll.; D. P. Williams, Middlesex andCardiff; T. 1. Williams, Guy’s ; H. L. Wilson, St. Bart.’s;H. F. Wilson, London ; F. G. Winterton, Cambridge andSt. Bart.’s ; J. T. Woodhead, Cambridge and St. George’s ;A. T. Worthington, Cambridge and St. Bart.’s; andE. W. C. Woutersz, Calcutta and St. Mary’s.
Dr. J. A. Nixon, of Bristol, was elected an Examiner inMedicine, to serve until July, 1927, in the place of Dr.J. W. Russell, of Birmingham, deceased.-A report wasreceived from the President of the College who had attendedthe International Prison Congress as delegate.-The altera-tions in the by-laws relating to the examinations for theMembership were read a second time and passed. Theseinclude a provision designed to meet the case of medicalmen who have been engaged in special branches of practicelying outside the direct course of clinical medicine. Thoseover 30 will now be permitted to submit work they havepublished in any branch of medical science or in generalliterature, and if the Censors’ Board decide that it is ofsufficient merit they may excuse the candidate part or thewhole of the examination. Another concession permitsa referred candidate, in the absence of any special prohibitionby the Censors’ Board, to submit himself for re-examinationwithout waiting for the expiration of six months, as hashitherto been the case. [A reference to these changesappears in our editorial columns.]-A letter from Dr. DanielO’Connell Finigan asking that the Membership which heresigned in 1912 may be restored to him, was read a secondtime. The applioation was granted.-A report was received