710

THE offices of the London and Counties reli

Medical Protection Society, Limited, have been removed adc

from 12, New-court, Lincoln’s Inn, to more commodious ,

premises at 31, Craven-street, Charing-cross, W.C. thePRESENTATION TO A MEDICAL PRACTITIONER.- 28t

Mr. C. J. Denny, M.R.C.S. Eng., L.R.C.P. Irel., on retiring mo

from practice in Blackwater, has been presented (by his ownrequest informally) with a cheque for f.121 10s. subscribed at by many patients and friends. lac

" THE CONSCIENTIOUS OBJECTOR." - At St. ligColumb (Cornwall) petty sessions on Feb. 25th a man sh(

applied for a certificate of exemption from vaccination for tht

his child on the grounds that he had a conscientious objection a to the operation. Five of the magistrates on the benchrefused to sign the certificate ; two, however, did so, hold- haing that under the law they could not refuse, but they yemaintained that vaccination should be made compulsory. H.HEALTH OF BATH RURAL DISTRICT. - Mr. C.

Harper, the medical officer of health, in his annual report of Tr

the Bath Rural District, states that the population of the H

district is 27,764 and the area of the district 27,266 acres. During 1901 there were 327 deaths registered, corresponding to a death-rate of 11-7 per 1000, as against 11-8 in 1900; W673 births were registered, equal to a birth-rate of 24’2 per J.

1000, compared with 24’3 in the previous year. A

VACCINATION RETURNS.—The vaccination re- D

turns issued by the Barnstaple Board of Guardians for The first six months of 1901 state that in the Bare staple district D

207 births were registered, 163 successful vaccinations wereperformed, and 15 certificates of conscientious objection hwere granted ; in the Ilfracombe district 188 births were dregistered, 141 successful vaccinations were performed, and F15 certificates of conscientious objection were granted ; and ain the Coombe Martin district 76 births were registered, 64 successful vaccinations were performed, and four certificates t;of conscientious objection were granted. THE LATE DR. T. R. LOMBE.—Dr. Thomas s

Robert Lombe died at his residence. Waldon Hill, Bemerton, fTorquay, on Feb. 23rd, in his 82nd year. Dr. Lombe received his medical education at St. Bartholomew’s Hos- x

pital, taking the qualifications of M. R. C. S. Eng. and L. S. A. tin 1843 and 1844 respectively. He graduated as M. D. ofAberdeen University in 1856. Dr. Lombe had been for several years in practice at Torquay and was physician to tthe Erith House Institution for Invalid Ladies and con-

sulting physician to the Western Hospital for Consumption.He took considerable interest in botany and his gardens atBemerton contained many rare plants. The funeral, which took place on Feb. 27th, was largely attended.

ROYAL LONDON OPHTHALMIC HOSPITAL.-Theannual general meeting of the governors of this hospitalwas held on Feb. 26th, in the board-room of the hospital.Mr. H. P. Sturgis (chairman of the committee of manage-ment) presided and moved the adoption of the annual

report. In doing so he stated that during the last yearthe institution had nearly 1900 in-patients and 31,200new out-patients, which involved over 100,000 attendances.He thought, therefore, that there could be very littledoubt that the hospital was required. They were fortunateenough to have a grant made to them in January byKing Edward’s Hospital Fund to enable them to open 18more beds. Those beds were opened in January and wereat once filled. The grant would probably enable them totake in some 400 additional in-patients during the year.There were 88 beds open at present, but still patients had towait for several weeks before they could be admitted, exceptin cases of urgency, and he was confident that if theycould open the 50 remaining beds they would be able to fillthem to-morrow. Referring to the efficiency of the hospitalhe pointed out that the institution had had strong testimonyon this point from King Edward’s Hospital Fund. In thefirst place it had received a grant of E1250, which was thelargest one received by any special hospital and the largestreceived by any hospital with the exception of two. As tothe financial position of the institution, he pointed out thatthey required £5169 to clear the hospital from its debt onDec. 31st last and also S8000 in further annual subscriptionsor donations for the expenses of the current year. He didnot see how it was possible to reduce the expenses, but hewas certainly of opinion that such institutions ought to be

relieved of the burden of rates. The report was unanimouslyadopted.

VACCINATION EXPENDITURE.-At a meeting ofthe St. Thomas (Exeter) Board of Guardians, held on Feb.28th, it was stated that the vaccination expenses for sixmonths amounted to iE600.

DEATH FROM ELECTRIC SHOCK.-On Feb. 28th,at the Alhambra Theatre, Attercliffe, Sheffield, an electrician’slabourer was amusing himself by swinging on an electric-light bracket when it gave way and he received a fatalshock, a current of 200 volts passing through his body. Atthe inquest, which was held on March 3rd, the jury returneda verdict of "Accidental death."

HUNTERIAN SOCIETY.-The following gentlemenhave been elected as officers of the society for the ensuingyear :-President : Dr. A. L. Galabin. Vice-Presidents : Mr.H. J. Sequeira, Mr. F. R. Humphreys, Dr. W. Rawes, andDr. W. A. Dingle. Treasurer : Dr. R. Hingston Fox.Trustees : Dr. H. I. Fotherby and Mr. F. M. Corner.

Honorary Librarian : Dr. T. H. Arnold Chaplin.Orator: Mr. T. H. Openshaw. Secretaries : Mr. J. H.

. Targett and Dr. T. Glover Lyon. Editorial Secretary : Dr.

. W. Rawes. Council: Sir Hugh Beevor, Bart., M.D., Mr.J. S. E. Cotman, Dr. A. T. Davies, Dr. Fortesque Fox, Mr.A. W. Galloway, Dr. J. Dundas Grant, Dr. E. W. Goodall,Dr. H. V. Hickman, Mr. J. Kearney, Dr. J. W. Oliver, Dr.

- David Ross, and Dr. J. H. Sequeira. Auditors: Mr. F.) Gordon Brown, Mr. Hope Grant, Dr. G. Newton Pitt, andb Dr. F. J. Smith.) THE ROYAL INSTITUTION. - Gold Mining in

Klondyke formed the subject of the Friday evening discourseí delivered in the Royal Institution on Feb. 28th by Professor

Henry A. Miers, who visited the district last August. Anarea of 20 miles square was occupied by the auriferous

region, the streams in which radiated from a central moun-stain called the Dome. Gold was obtained from gravel either

in the bed of the valley or in the hill-side. In the latter

Ssituation it was reached by means of tunnels driven in hori-l zontally. In the valleys great difficulties arose from the

efact that the gravel was covered by 10 or 15 feet of bog or,- peat, which was permanently frozen hard, and had to be

thawed either by dropping hot stones into a hole, or byf wood fires, or by steam heat. There was no crushing of

gold-ore in Klondyke. Landscapes on view in the library of0the institution contained references to extensive deposits of

vanadium ores.

ROYAL HOSPITAL FOR CHILDREN AND WOMEN.-rt A general court of the governors of this hospital was held on

March 3rd at the Mansion House, when the Lord Mayor pre-sided. In moving the re-election of officers the Lord Mayorremarked that considerable extension of the site in the

al Waterloo-bridge-road had been rendered necessary by thel1. increasing work of the hospital and additional land had beene- acquired in a great measure through the kindness and con-.al sideration of the Duchy of Cornwall and the influence andar personal interest of the King. Last year the in-patients00 numbered 488, the out-patients 8044, and the operations 416.s. There were only 68 deaths during the year. The average

cost of each in-patient was E7 7s. 4d., that of each bed,te occupied £78, and that of each out-patient 2s. 2d. £10,000by were required before the first half of the building operations18 could be carried out. The motion having been adopted Mr.re J. T. Richardson, the treasurer, said that a sum of £25,000to were required to make the building and extension scheme

’11’. complete, and towards that amount about B9000 had beento subscribed.

Parliamentary Intelligence.NOTES ON CURRENT TOPICS.

Royal Commission on Arsenical Poisoning.IN the Civil Service Estimates for the year ending March 31st, 1903,

financial provision is made for another year’s work on the part of theRoyal Commission on Arsenical Poisoning. The provision is as

follows-viz., salary of the secretary, £300 ; clerical assistance,£104 ; messenger, .827; typewriting, £50 ; travelling expenses of com-missioners, staff, witnesses, &c., £300 ; shorthand writing, £200 ;

postage, telegrams, &c., £100 ; and analysis of food samples and

experiments, jE600.

711

Royal Commission on Tuberculosis.The financial provision for this commission for the year ending

March 3lst. 1903. is as follows-viz., secretary, JE400; clerical assist-

ance. ;E104; messenger, .E36; travelling expenses, £500 ; shorthand

writing, B150 ; incidental expenses. £50 ; and scientific investigations,E12,OOO,

Laundries and Factory Legislation.A Bill introduced by the Earl of Lytton, bringing laundries within

the scope of factory legislation, has been read a second time in theHouse of Lords. There is little chance, however, of its passing intoi.iw, for the Government has intimated that it is not prepared to give itfacilities in the House of Commons where it is sure to meet with

strenuous opposition from Members interested in religious institutionscarrying on laundry business. It was the opposition of these Memberswhich caused Mr. Ritchie to abandon the laundry clause in the Factoryand Workshop Bill of last session.

Midwives Bill.Preparations are now being made for the consideration of the Mid-

wives Bill, by the Grand Committee on Law. At the beginning of eachsession of Parliament this committee is set up with a certain strengthof Members, but when a Bill is referred to it the Committee of Selectionnominates additional Members to take part in the discussion of thatparticular measure. In the case uf the Midwives Bill the following 15additional Members have been so nominated-viz., Mr. Ambrose, Mr.Griffith-Boscawen, Mr. John Burns, Mr. Caine, Mr. Emmott, SirMichael Foster, Sir Walter Foster, Mr. Heywood Johnstone, LordCecil Manners, Mr. T. P. O’Oonnor, Colonel Sadler. Mr. Schwann, SirBarrington Simeon, Sir John Tuke, and Mr. Eugene Wason. In

anticipation of the proceedings of the Grand Committee Sir JohnTuke has given notice of a number of amendments. One of

these proposes to make it an offence for an uncertified woman

habitually and for gain to attend cases of childbirth and anotherto subject to the approval of the General Medical Council therules framed by the Central Midwives Board instead of having them,as the Bill proposes, " subject to the approval of the Privy Councilafter consultation with the General Medical Council." With regard tothe licence question, Sir John Tuke proposes to insert these words-viz. : "No woman shall hold herself out as a practising midwife inany county or county borough without having previously obtainedfrom the local supervising authority a licence enabling her to practisetherein, which licence shall be granted.on proof by the woman that hername is on the midwives roll. The licence shall remain in force till the

thirty-first day of December following, and shall be revocable at anytime by the local supervising authority in case the holder be proved tothe satisfaction of the Central Midwive Board to have infringed anyof the regulations framed under this Act. The licence shall be issuedon payment of a fee of one shilling, it shall only be available in thecounty for which it is issued, and it shall be renewed annually on thefirst day of January." The Grand Committee will meet on Tuesday,March llth, to take up the consideration of the Bill, with Sir JamesFergusson in the chair. -

HOUSE OF COMMONS.

THURSDAY, FEB. 27TH.Enforcement of the Vaccination Acts.

Mr. JACOBY asked the President of the Local Government Boardwhether he was aware that the goods of Gershom Squires andJabez Hatfield of Wirksworth had been seized for the third time forrecovery of the same amount of costs incurred under the VaccinationActs, these men’s goods having been seized and sold in July last, againseized to the value of L400 in December last, but not sold owingto failure on the part of the auctioneer; whether he could explainunder what authority the third seizure was made; and if any actionwould be taken.-Mr. RITCHIE replied: I am informed by thechief constable of Derbyshire that the defendants named were

ordered in December, 1900, and January, 1901, respectively to pay thecosts of orders under the Vaccination Acts and refused to pay. Thewarrants were only partially enforced at the first distress owing to theaction of persons in sympathy with the defendants, and on the secondoccasion in December the auctioneer failed to attend. The police havenow taken further steps to recover the amount due. I have neitherthe authority nor the desire to interfere with the enforcement of thelaw.

Richmond Hospital, Dublin.Mr. PATRICK JOSEPH O’BRIEN asked the Chief Secretary to the Lord

Lieutenant of Ireland whether he was aware that a claim for;E20hadbeen made on the guardians of Nenagh Union by the governors ofItichmond Hospital, Dublin, for the maintenance and treatment ofpauper patients sent from the Nenagh workhouse To RichmondHospital in the year 1900, although paupers from this union had beensent to Richmond Hospital for treatment of special cases for upwardsof 30 years prior to 1895 without claim for payment by the hospitalauthorities; whether he was aware that at the said date a bill wasfurnished to the guardians for maintenance of pauper patientsfoi two years, but which they repudiated on the ground thatthe hospital, being maintained by Imperial grant, was boundto receive patients free lof charge; whether he was aware thatsince that time the hospital continued to receive the Board’sspecial cases without question till about 12 months ago, when theclaim in question was made, for which the governors were nowpressing for payment; and, seeing that this hospital was bound by itschdrter to receive pauper patients free, would he advise them to doso.-Mr. WYNDHAM replied : The authorities of this hospital are notaware that patients were maintained prior to 1895 without payment.The guardians declined to make any payment in November of last year.There is no obligation attaching to the conditions upon which the

Parliamentary grant is paid to the hospital that pauper patients shallbe maintained gratuitously. I may point out that the expenditureincurred by the Richmond and other hospitals in respect of publicgrants is not covered by such grants.

Sophistieation of Butter.Mr. O’SHAUGHNESSY asked the President of the Board of Agriculture

whether he was aware that considerable quantities of a material knownas nxilk-bleuded butter were now made by working milk into butter bya mechanical process whereby the amount of water in the originalbutter was increased irom a relatively small proportion up to 20 or 25per cent. ; and that quantities of foreign butter thus treated were soldmonthly; and what steps he would take to prevent this practice.-Mr.HANBURY replied that he was aware of this practice. Its legality wasnow before the law courts and he must await their decision before hecould properly deal with the subject by an amendment of the law orotherwise. As soon as he had had an opportunity of considering theevidence submitted to the Departmental Committee on Butter hewould fix a standard, and he hoped that that in itself would go far tomeet the difficulty which had arisen.

Vaccination in France and Germany.Mr. COGHILL asked the President of the Local Government Board

whether his attention had been called to legislation recently passed inFrance and Germany with the object of making vaccination and re-vaccination compulsory on all the population in these two countries ;and whether he had any information as to the success of such legisla-tion in diminishing the number of cases of small-pox.-Mr. GRANTLAWSON, answering for Mr. LONG, said : I understand that under alaw made this month vaccination and revaccination will be renderedcompulsory in France. In Germany vaccination and revaccinationhave been compulsory on the population generally since 1874. In-formation obtained by the Royal Commission on Vaccination andreferred to in their report, shows that the system has been highlyheneficial in diminishing small-pox.

FRIDAY. FEB. 28TH.The Fees of lifedical Witnesses.

Mr. BOWLES asked the President of the Local Government Boardwhether the instructions given to the auditors with respect to paymentof fees by a coroner to medical witnesses under Section 22 of theCoroners Act, 1887, necessitated the disallowance of all fees to medicalpractitioners who acted gratuitously as medical officers at a hospitalinfirmary or other medical institution ; and whether, if a medicalofficer attached himself to act gratuitously at any such institution, hewas entitled to be paid the fees specified in the said Section 22 of thesaid statute.-Mr. GRANT LAWSON, replying for Mr. LONG, said: TheLocal Government Board has not given any instructions to districtauditors on the subject referred to by my hon. friend. It restswith the auditor in any case to decide whether a particular payment isillegal and therefore one to be disallowed. The Board’s juris-diction arises only on an appeal from his decision. A questionof this sort was considered in 1898 by the Board and the Secretary ofState. The view taken was that the medical officer of an institution towbich the section applied would not be entitled to the fee in question,although he received no pay for performing the duty of medical officer.-Mr. BOWLES: Has that changed the procedure prior to 1898 ?-Mr.GRANT LAWSON : The question had not arisen prior to 1898. That wasthe decision given in a case then brought before the Board and theHome Office.

Army Medical Department.Mr. BRODRICK, in reply to a question by Sir JOHN TUKE, said that

the warrant bearing on the reconstruction of the Army Medical Depart-ment would be issued before the vote for the department was taken.

Influenza among Members.Mr. DILLON asked the Chancellor ot the Exchequer, as acting leader

of the House, whether he had turned his attention to the necessity ofdoing something to disinfect the House against the influenza. Thecasualty list was already heavy and no Member knew the moment whenhe might be struck down. He should have imagined that the experienceof the members of the Government themselves would have been enoughto turn their attention to this matter. He suggested to the Chancellor ofthe Exchequer the advisability of asking an informal committee of themedical men who were Members of the House to consider the matterand to report whether in their opinion anything could be done to protectthemselves and their fellows from this poisonous atmosphere. Failingthat he should ask permission to submit a motion that the House shouldadjourn for a week in order that the House might be disinfected.-SirMICHAEL HICKS-BEACH said that if any members had suffered fromthe influenza it was those who sat on the Treasury Bench. If it werepqssible to find a remedy no Members would be happier than theMinisters, but he was not prepared to say that this House was theonly place where they were exposed to infection. He would, however,make inquiries and see whether anything could be done.

Lead-poisoning in the Pottery Trade.In the course of a debate on this subject Mr. RITCHIE announced

that rules have now been agreed upon. They have been submitted toLord James of Hereford and have received his assent, and the HomeOffice proposes to circulate them among manufacturers with an expres-sion of the hope that advantage will be taken of them.

MONDAY, MARCH 3RD.Vaccination Fees.

Mr. CORRIE GRANT asked the President of the Local Government Boardwhether one of the public vaccinators of the Battle district, Sussex,had charged the guardians fees for the vaccination of certain personsafter he had already charged fees to the persons vaccinated for hisservices ; if so, could he state in how many cases this had occurred, andwhat steps he had taken, or proposed to take, with regard to this publicvaccinator, and to prevent the practice occurring elsewhere.-Mr. LONGreplied: I understand that the officer referred to in the question in-cluded in his register of persons vaccinated for the quarter ended Junelast the names of three persons for whose vaccination he was paid astheir private medical attendant. He thus contravened Section 22 ofthe Vaccination Act, 1867. On finding this to be the case he appears him-self to have drawn the attention of the guardians to the matter andreturned to them the fees they had paid him for the three vaccinations.I have only received the officer’s explanation within the last few days,and I am still in communication with the guardians on the subject. Ihave no reason to suppose that the practice complained of prevails, and

712

at does not seem to me necessary to take any general steps with regardto it. I may point out, however, that in any such case it is open to theguardians to terminate their contract with the public vaccinator bygiving him 28 days’ notice.

Death after Vaccination.l’lf Mr. CORRIE GRANT asked the President of the Local Government Boardif his attention had been called to an inquest before Dr. G. DanfordThomas on Jan. 31st into the death of Mr. Essex after vaccination ;was he aware that Mr. Essex was vaccinated on Jan. 15th, and diedon the 26th from blood-poisoning; whether the lymph from which hewas vaccinated was supplied by the Local Government Board, andwhether five other gentlemen vaccinated at the same time from thesame lymph were seriously ill ; whether the vaccination was from calflymph No. 1538; and whether anything was known of the history of thislymph.-Mr. LONG replied : The answer as regards the first three pointsis in the affirmative. The jury at the inquest found that Mr. Essex diedfrom " coma and septic meningitis, the septic condition occurring aftervaccination, from some external infection, from natural causes." Theyadded that they were " satisfied that the vaccination was duly andproperly performed." By my direction one of the medical inspectors ofthe Local Government Board attended the inquest and subsequentlymade further inquiry into the matter, and he concurred in the viewtaken by the jury. I am not aware that any of the five other persons referred to were seriously ill as suggested. In only two of’the casesdoes there appear to have been any trouble and in both of these theinspector ascertained that the arm was healing satisfactorily. Thelymph was from calf No. 1538 and was used in the vaccination of a large number of persons besides those mentioned and no ill-effects havebeen reported.

London Water Bill.This Bill was read a second time and referred to a Joint Committee

of’the two Houses of Parliament, who will have power to hear counsel- and,witnesses on behalf of the various interests concerned.

TUESDAY, MARCH 4TH.The Influenza Epidemic.

Mr. HENRY HOBHOUSE asked the President of the Local GovernmentBoard if, in view of the spread of the influenza epidemic and the uncer-tainty that prevails as to its causes and conditions, he would considerthe appointment of a small commission of experts to investigate andreport upon the subject.—Mr. GRANT LAWSON, in the absence of Mr.LONG, replied : The causes and conditions of influenza have already beeninvestigated by the medical staff of the Local Government Board and’by experts employed for the purpose, and two lengthy reports on thesubject have been issued by the department. In these circumstances it

does not appear to me that any good results would follow from afurther investigation of the kind suggested by my hon. friend.Mr. RUTHERFORD asked the First Commissioner of Works if he

would make arrangements whereby a sample of the atmosphere of theHouse during its sitting could be taken for the purpose of analysisand report thereon.-Mr. AKERS-DoUGLAS replied that he had giveninstructions that this should be done.Dr. FARQUHARSON asked the right hon. gentleman whether he would

take into consideration the advisability of reappointing the selectcommittee which sat on the ventilation and drainage of the House.The committee could take exert evidence and report generally as tothe sanitary condition of the House.-Mr. AKERS-DOUGLAS replied thatthe committee of last session recommended the appointment of a

Ventilation Committee, and this recommendation had been acted upon.The Army Medical Service.

Mr. BRODRICK, in introducing the Army Estimates of the year, madea statement with reference to the reform of the Army Medical Service.Last year, he said, he had the advantage of the assistance of severalof the very best civil practitioners in London in drawing up a newscheme for this service. The features of that scheme were that theyimproved the pay and increased the number of officers. They proposedto give zealous officers the opportunity of leave for study and toprovide the means for that, if possible, within the metropolis.They carried out by examinations the principle of promotionby merit, which was all-important in the medical service. Theyhoped for an interchange with the civil schools by bringing theseofficers into close touch with the civil schools. They proposed thatthe continual change of quartering of medical officers should bechecked and that as much as possible they should be kept in the samequarters for two years, and they proposed at the beginning of a man’sservice to attach the man to the battalion and thus to give him a home.He knew that a notice of motion had been given on this subject, buthe believed that he should be able to satisfy the House that nothingthat the wide experience of civil practitioners could bring to bearon the new system had been lost sight of in drawing it up. Withthe reform of the medical service was connected the reform of thenursing service, a warrant for which would be issued in a few days.They had got the advantage of the actual and practical assistance aspresident of the new nursing service of Her Majesty the Queen. Heattached great importance to that assistance, not merely from the factof the exalted position of Her Majesty, but because Her Majesty had apractical knowledge and personal acquaintance with nursing whichwere enjoyed by few women in the kingdom, and he believed that inselecting nurses for the army service the board which they were aboutto form would be as efficient a one as could be obtained.

Appointments.Successful applicants for Vacancies, Secretaries of Public Institistiona,

and others possessing information suitable for this column, areinvited to jorward it to THE LANCET Office, directed to the Sub-Editor, not later than 9 o’clock on the Thursday morning of eachweek, for p2cbtieatioaa in the next number.

ADAMS, JOSEPH DIXON, M.D. St. And., M.R.C.S., L.S.A., has beenre-appointed Medical Officer of Health by the Yeovil Rural DistrictCouncil.

AUSTEN, HAROLD, M.D., B.S. Loncl., M.R.C.S., L.D.S. Eng., has beenappointed Lecturer on Materia Medica to the Royal DentalHospital of London.

CALEY. J. W., L.R.C.P. Edin., M.R.C.S., has been re-appointed MedicalOfficer of Health for the Riccall Sub-district of Selby, Yorkshire.

DRINKWATFR, JAMES PBATCHETT, M.R.C.S., L.S.A., has been appointedMedical Officer of Health to the Llangollen District Council.

DRYLAND, J. W., M.R.C.S., has been re-appointed Medical Officer ofHealth to the Kettering Urban District Council.

FULCHER. G. F., M.B., M.S. Edin., has been appointed Medical Officerof Health to the Chingford Urban District Council.

GRIERSON, J. T., M.B., B.Ch. Vict., has been appointed to the CityHospital, Park-hill. Liverpool.

HALL, ALFRED, M.R.C.S., has been re-appointed Medical Officer ofHealth to the Mayfield Rural District Council, Derbyshire.

HUMPHRY, R., M.R.C.S., L.R.C.P. Edin., has been appointed MedicalOfficer of Health for the City of Chichester.

MILLER, J., M.R.C.S., L.R.C.P. Lond., has been appointed to the CityHospital, Fazakerley, Liverpool.

MILLER, J. W., M.B., Ch.B. Vict., D.P.H. Cantab., has been appointedAssistant Medical Officer to the City of Liverpool Hospitals forInfectious Diseases.

NESBITT, C., M.D. R.U.I., has been appointed Certifying Surgeonunder the Factory Acts for the Randalstown District of the Countyof Antrim.

SorER, G. MORGAN, M.R.C.S., L.R.C.P., has been appointed AssistantHouse Surgeon to the Royal Albert Hospital and Eye Infirmary,Devonport.

SwORDER, E. G., M.B., B.C. Cantab., has been appointed HonoraryMedical Officer to the St. Andrews Convalescent Home, Folkestone,vice Cecil Latter, deceased.

SYMONS, ROBERT Fox, M.R.C.S., L.R.C.P. Lond., has been appointedMedical Officer of Health for Pretoria and District and AssistantMedical Officer of Health for the Transvaal.

Vacancies.For further information regarding each vacancy reference should be

made to the advertisement (see Index).

BELGRAVE HOSPITAL FOR CHILDREN, 77 and 79, Gloucester-street, S.W.-House Surgeon for six months. Board and lodging provided anda gratuity of £5-

BIRMINGHAM GENERAL DISPENSARY.-Resident Surgeons, unmarried.Salary £150 per annum (with allowance of E30 for cab hlre),furnished rooms, fire, lights, and attendance.

BIRMINGHAM TAME AND REA DISTRICT DRAINAGE BOARD.-Bacterio-logist. Salary £160 per annum.

BRADFORD POOR-LAW UNION.—First Resident Assistant Medical Officer,unmarried. Salary £25, with rations, apartments, and washing.

BRADFORD ROYAL INFIRMARY.—Dispensary Surgeon, unmarried.Salary EIOO per annum, with board and residence.

BRIDGWATER INFIRMARY.—House Surgeon. Salary £80 a year, withboard and residence.

BRIGHTON, HOVE, AND SUSSEX THROAT AND EAR HOSPITAL, Church-street, Brighton.-House Surgeon for six months, renewable.Salary at rate of E75 per annum.

BRISTOL GENERAL HOSPITAL.-Assistant House Physician. SalaryE70 per annum, with board and residence. Also Assistant HouseSurgeon.

CARDIFF INFIRMARY.—Assistant House Surgeon, also Assistant HousePhysician. both for six months, renewable. Salaries at rate of oB75per annum, with board, washing, and apartments.

CORNWALL COUNTY ASYLUM, Bodmin.-Junior Assistant MedicalOfficer. Salary E120, rising to £150, with board, apartments, &C.

DORSET COUNTY HOSPITAL, Dorchester.-House Surgeon. Salary£100, with board and residence.

DUNDEE ROYAL INFIRMARY.—Two Resident Medical Assistants for sixmonths. Salary at rate of E40 per annum, with board and

washing.EAST SUSSEX COUNTY ASYLUM, Hayward’s Heath.-Second Assistant

Medical Officer and Pathologist, unmarried. Salary £175 perannum, with board, lodging, washing, and attendance.

ESSEX AND COLCHESTER GENERAL HOSPITAL.-House Surgeon. Salary£100 a year, with board, washing, and residence.

FISHERTON ASYLUM.-Assistant Medical Officer, unmarried. Salary£150 per annum, with board, lodging, and washing.

GREAT NORTHERN CENTRAL HOSPITAL, Holloway, N.-Junior HousePhysician for six months. Salary at rate of £30 per annum, withboard, lodging, and washing.

GREY’S HOSPITAL, Pietermaritzburg, Natal, South Africa.-ResidentMedical Superintendent. Salary, E350 first year, B400 second year,with board, lodging, and washing.

JESSOP HOSPITAL FOR WOMEN, Sheffield.—House Surgeon (unmarried).Salary E75 per annum, with board, lodging, &c.

KENT COUNTY OPHTHALMIC HOSPITAL, Maidstone.-House Surgeon.Salary £100, with board and residence.

LANCASHIRE COUNTY ASYLUM, Winwick, Warrington.-AssistantMedical Officer, unmarried. Salary E150 per annum, rising to .E200,with apartments, board. attendance, and washing.

LEEDS UNION WORKHOUSE SCHOOLS AND INFIRMARY, Beckett-street,Leeds.-Assistant Medical Officer, unmarried. Salary R130 perannum, rising to E150, with board, washing, apartments, andattendance.

LEICESTER INFIRMARY.—Honorary Assistant Physician.LIVERPOOL WORKHOUSE, Browntow-hill.—Assistant Medical Officer,

unmarried. Salary £80 per annum, with rations, and fees E20.LONDON LOCK HOSPITAL. Harrow-road, W.—Anæsthetist.MANCHESTER CLINICAL HOSPITAL FOR WOMEN AND CHILDREN, Park-

place, Cheetham Hill-road.-House Surgeon. Salary £80 perannum, with apartments and hoard.

METROPOLITAN HOSPITAL, Kingsland-road, N.E.-House Physicianand House Surgeon, with salary at rate of £40 a year each;Assistant House Physician and Assistant House Surgeon, withsalary at rate of E20 a year each. All tenable for six months.

METROPOLITAN EAR, NosE, AND THROAT HOSPITAL, Grafton-street,Tottenham-court-road, W.-Clinical Assistants.