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THE NATIONAL ASSOCIATION FOR THE PREVENTION OF CONSUMPTION AND OTHER FORMS OF TUBERCULOSIS

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1071 be obtained on application to the honorary secretary of the Scientific Research Committee, Odontological Society of Great Britain, 20, Hanover-square, London, W. THE third Huxley Memorial Lecture will be delivered by Professor D. J. Cunningham before the Anthropological Institute of Great Britain and Ireland in the lecture theatre, Burlington House, London, W., on Tuesday, Oct. 21st, at 5.30 P. M. The subject taken by the lecturer is Right- handedness and Left-brainedness. AT the National Dental Hospital and College, Great Portland-street, London, W., on Wednesday, Oct. 29th, Sir Thomas Barlow will distribute the prizes to the successful students of the past year. I MEDICAL STAFF COLLEGE, LONDON. THE inaugural dinner of the Medical Staff College, London, took place on Oct. 8th at the temporary mess, Hotel Belgravia. The following had been invited as guests : The Right Hon. St. John Brodrick, M.P. (Secretary of State for War), Field Marshal the Right Hon. the Earl Roberts, V.C. (Commander-in-Chief), Colonel Sir Edward Ward, K.C.B. (Permanent Under Secretary of State), Major- General Sir Henry Trotter, K C. V. O. (commanding the Home District), Colonel W. L. Gubbins, M.V.O., R. A. M. C. (principal medical officer, the Home District), Colonel F. C. Ricardo, M.V.O. (chief staff officer, Home District) ; and the members of the Advisory Board, Army Medical Service, as follows : Colonel Sir Frederick Treves, Bart , K.C.V.0., C.B., Colonel W. A. Dunne, C.B., Mr. A. D. Fripp, C.B., C.V.O., Dr. C. B. Ball, Surgeon-General W. R. Hooper, C.S.I., I. M.S. (retired), Dr. E. C. Perry, and Dr. J. Galloway. The Commander-in-Chief and certain other dis- tinguished-persons were unfortunately unable to be present, but the Director-General and the Deputy Director-General of the Army Medical Service and the commandant and pro- fessors of the college were amongst the guests. After the health of the King had been drunk Surgeon- General Sir WILLIAM TAyLOH., K.C.B. (Director- General, Army Medical Service), proposed the health of the guests, coupled with the name of Mr. Brodrick. He remarked that the presence of the Secretary of State for War and the Permanent Under Secretary oi State at a gathering of the Army Medical Service was a circumstance unique in the history of that branch of the service and constituted a most happy augury for the future. The active interest of the I medical profession at large in the military medical service was manifested by the presence of the most eminent members of the profession who had lent their aid in further- ing the objects of the service and whom, as constituting the Advisory Board, he welcomed at their table. The occasion marked a new departure, for he could remember a time when the prospects of the army medical officer were not so bright as they were at present. Formerly the calculation of prospects of promotion by time was a matter of certainty and a certain prophet had worked out the date at which he (Sir William Taylor) would arrive at the rank of surgeon-major as March, 1903, but now, happily, promotion by merit and not by time was secured. He concluded by thanking the Secretary of State for War and also the members of the Advisory Board for their presence. Mr. BRODRICK, in reply, congratulated Sir William Taylor upon the honours that had been conferred upon him by the King, not only as testifying to his distinguished services in many campaigns but also as showing His Majesty’s appre- ciation of the Army Medical Service of which he was the head. Pointing out that as a general rule dinners of that sort were only possible at the successful end of the first stage of such an innovation as the present, Mr. Brodrick said that in that particular case the foundation of the new college was so successful that the dinner was given at its commencement. The Royal Army Medical Corps must not take too seriously the criticism to which it, in common with all other public bodies, had been subjected. The new conditions of service in that corps offered many advan- tages. He (Mr. Brodrick) had introduced into it among other advantages the short service system, in which he was a believer. It was recognised that a diminution in the frequency of foreign service and frequent moves could only be coped with by increasing the establishment. He con- gratulated the young medical officers on joining the service and congratulated the service itself upon the large number of candidates who had presented themselves to compete for vacancies, the proportion being as large as that for commis- sions in the army generally. It was necessary that the Army Medical Service should be kept abreast of the advances in medical science and this, the speaker pointed out, was now assured. A new power had been added to the Army Medical Service ; the director-general had at his back all military medical officers and now in addi- tion he had the assistance of the whole medical profession represented by the Advisory Board whose aid was of inestimable value. He assured the Army Medical Service of his desire to help it and he hoped to see the Medical Staff College accommodated in suitable buildings in London. Mr. Brodrick thanked the members of the Committee on Reorganisation of the Army Medical Service for their labours and congratulated the corps on the success of the deliberations of that committee. He pointed out that if any- thing was required to assure such success it was the fact of Colonel James being at the head of the college, possess- ing as he did the entire confidence of the corps. He con- cluded by proposing "Health and Success to the New College," coupled with the name of Colonel James. Colonel JAMES returned thanks in the name of the insti- tution which he represented and thanked the Secretary of State for War for his presence on that occasion. I THE NATIONAL ASSOCIATION FOR THE PREVENTION OF CONSUMPTION AND OTHER FORMS OF TUBERCULOSIS. THE provision of sanatoriums for the reception and sys- tematic treatment of tuberculous subjects has now become a regular proceeding in progressive communities desirous of promoting public health. We record below evidence from different parts of the kingdom that the work of the National Association for the Prevention of Consumption and other Forms of Tuberculosis is taking practical effect. WEST WALES. A meeting of the joint committee of the West Wales branch of the association (representing the counties of Pembroke, Carmarthen, and Cardigan) was held at the Guildhall, Carmarthen, on Sept. 22nd, the chair being taken by the Archdeacon of St. Davids (the Venerable D. E Williams, Steynton). Dr. Douglas A. Reid. honorary secretary, reported that since the last meeting on June 14th, and in accordance with the resolution then passed, 102 representatives from among the three county councils, 22 district councils, 60 medical officers of health and the Poor-law medical officer-; had been appointed members of the committee and had agreed to serve. (The committee now numbers about 250.) Dr. Reid recalled the principal resolution passed at the previous meeting, viz. :- That one or more sanatoria for the open-air treatment of consump- tion shall be established within the area of the three counties and one special sanatorium for the treatment of the tuberculous diseases of children. He had pleasure in reporting that Mr. Colby of Rhosygilwen had placed at the disposal of the committee a site with as many acres of ground as may be wanted or an equivalent in value; also that another site had been suggested on the Grwbert. Estate near the town of Cardigan. As regards the resolution that an appeal should be made to the county councils and other authorities for contribution s Dr. Reid said that there were three county councils and 46 other authorities who could contribute and who ought to be able to support at least one sanatorium. In West- morland, he said, with an acreage of one-third and a population of one-fourth those of the three Welsh counties, there were only five authorities who could contribute and they found E1200 annually for a sanatorium with 20 beds In compliance with the resolution passed asking clergymen to set apart one Sunday in each year for special sermon’- and
Transcript

1071

be obtained on application to the honorary secretary of theScientific Research Committee, Odontological Society of

Great Britain, 20, Hanover-square, London, W.

THE third Huxley Memorial Lecture will be delivered byProfessor D. J. Cunningham before the AnthropologicalInstitute of Great Britain and Ireland in the lecture theatre,Burlington House, London, W., on Tuesday, Oct. 21st, at5.30 P. M. The subject taken by the lecturer is Right-handedness and Left-brainedness.

AT the National Dental Hospital and College, Great

Portland-street, London, W., on Wednesday, Oct. 29th, SirThomas Barlow will distribute the prizes to the successfulstudents of the past year.

I

MEDICAL STAFF COLLEGE, LONDON.

THE inaugural dinner of the Medical Staff College,London, took place on Oct. 8th at the temporary mess,Hotel Belgravia. The following had been invited as guests :The Right Hon. St. John Brodrick, M.P. (Secretary of Statefor War), Field Marshal the Right Hon. the Earl Roberts,V.C. (Commander-in-Chief), Colonel Sir Edward Ward,K.C.B. (Permanent Under Secretary of State), Major-General Sir Henry Trotter, K C. V. O. (commanding theHome District), Colonel W. L. Gubbins, M.V.O., R. A. M. C.(principal medical officer, the Home District), Colonel F. C.Ricardo, M.V.O. (chief staff officer, Home District) ; andthe members of the Advisory Board, Army Medical Service,as follows : Colonel Sir Frederick Treves, Bart , K.C.V.0.,C.B., Colonel W. A. Dunne, C.B., Mr. A. D. Fripp, C.B.,C.V.O., Dr. C. B. Ball, Surgeon-General W. R. Hooper,C.S.I., I. M.S. (retired), Dr. E. C. Perry, and Dr. J.

Galloway. The Commander-in-Chief and certain other dis-tinguished-persons were unfortunately unable to be present,but the Director-General and the Deputy Director-General ofthe Army Medical Service and the commandant and pro-fessors of the college were amongst the guests.

After the health of the King had been drunk Surgeon-General Sir WILLIAM TAyLOH., K.C.B. (Director- General,Army Medical Service), proposed the health of the guests,coupled with the name of Mr. Brodrick. He remarked thatthe presence of the Secretary of State for War and thePermanent Under Secretary oi State at a gathering of theArmy Medical Service was a circumstance unique in the

history of that branch of the service and constituted a most happy augury for the future. The active interest of the Imedical profession at large in the military medical servicewas manifested by the presence of the most eminentmembers of the profession who had lent their aid in further-ing the objects of the service and whom, as constituting theAdvisory Board, he welcomed at their table. The occasionmarked a new departure, for he could remember a time whenthe prospects of the army medical officer were not so brightas they were at present. Formerly the calculation of

prospects of promotion by time was a matter of certainty anda certain prophet had worked out the date at which he (SirWilliam Taylor) would arrive at the rank of surgeon-majoras March, 1903, but now, happily, promotion by merit andnot by time was secured. He concluded by thanking theSecretary of State for War and also the members of theAdvisory Board for their presence.

Mr. BRODRICK, in reply, congratulated Sir William Taylorupon the honours that had been conferred upon him by theKing, not only as testifying to his distinguished services inmany campaigns but also as showing His Majesty’s appre-ciation of the Army Medical Service of which he was thehead. Pointing out that as a general rule dinners of thatsort were only possible at the successful end of the first stageof such an innovation as the present, Mr. Brodrick said thatin that particular case the foundation of the new collegewas so successful that the dinner was given at itscommencement. The Royal Army Medical Corps must nottake too seriously the criticism to which it, in commonwith all other public bodies, had been subjected. Thenew conditions of service in that corps offered many advan-

tages. He (Mr. Brodrick) had introduced into it among

other advantages the short service system, in which he wasa believer. It was recognised that a diminution in thefrequency of foreign service and frequent moves could onlybe coped with by increasing the establishment. He con-gratulated the young medical officers on joining the serviceand congratulated the service itself upon the large number ofcandidates who had presented themselves to compete for

vacancies, the proportion being as large as that for commis-sions in the army generally. It was necessary that the ArmyMedical Service should be kept abreast of the advancesin medical science and this, the speaker pointed out,was now assured. A new power had been added tothe Army Medical Service ; the director-general had athis back all military medical officers and now in addi-tion he had the assistance of the whole medical professionrepresented by the Advisory Board whose aid was ofinestimable value. He assured the Army Medical Serviceof his desire to help it and he hoped to see the MedicalStaff College accommodated in suitable buildings in London.Mr. Brodrick thanked the members of the Committeeon Reorganisation of the Army Medical Service for theirlabours and congratulated the corps on the success of thedeliberations of that committee. He pointed out that if any-thing was required to assure such success it was the factof Colonel James being at the head of the college, possess-ing as he did the entire confidence of the corps. He con-cluded by proposing "Health and Success to the New

College," coupled with the name of Colonel James.Colonel JAMES returned thanks in the name of the insti-

tution which he represented and thanked the Secretary ofState for War for his presence on that occasion.

I

THE NATIONAL ASSOCIATION FOR THEPREVENTION OF CONSUMPTION

AND OTHER FORMS OFTUBERCULOSIS.

THE provision of sanatoriums for the reception and sys-tematic treatment of tuberculous subjects has now become aregular proceeding in progressive communities desirous of

promoting public health. We record below evidence fromdifferent parts of the kingdom that the work of the NationalAssociation for the Prevention of Consumption and other

Forms of Tuberculosis is taking practical effect.WEST WALES.

A meeting of the joint committee of the West Walesbranch of the association (representing the counties ofPembroke, Carmarthen, and Cardigan) was held at theGuildhall, Carmarthen, on Sept. 22nd, the chair beingtaken by the Archdeacon of St. Davids (the Venerable D. EWilliams, Steynton).

Dr. Douglas A. Reid. honorary secretary, reported thatsince the last meeting on June 14th, and in accordancewith the resolution then passed, 102 representatives fromamong the three county councils, 22 district councils, 60medical officers of health and the Poor-law medical officer-;had been appointed members of the committee and had

agreed to serve. (The committee now numbers about 250.)Dr. Reid recalled the principal resolution passed at the

previous meeting, viz. :-That one or more sanatoria for the open-air treatment of consump-

tion shall be established within the area of the three counties and onespecial sanatorium for the treatment of the tuberculous diseases ofchildren.

He had pleasure in reporting that Mr. Colby of Rhosygilwenhad placed at the disposal of the committee a site with asmany acres of ground as may be wanted or an equivalent invalue; also that another site had been suggested on theGrwbert. Estate near the town of Cardigan. As regardsthe resolution that an appeal should be made to thecounty councils and other authorities for contribution sDr. Reid said that there were three county councils and46 other authorities who could contribute and who oughtto be able to support at least one sanatorium. In West-morland, he said, with an acreage of one-third and a

population of one-fourth those of the three Welsh counties,there were only five authorities who could contribute and

they found E1200 annually for a sanatorium with 20 bedsIn compliance with the resolution passed asking clergymento set apart one Sunday in each year for special sermon’- and

1072

.collections for a sanatorium, Dr. Reid had communicatedwith 300 beneficed clergymen and about 300 Nonconformistministers and he calculated upon receiving an average of £1 1a year from each. In pursuance of the resolution solicitingcontributions from employers, workmen, and private persons,Dr Reid said that, failing suggestions, he had drawn up aspecial form of appeal, with reply-form annexed, of which hehad had 500 copies printed and sent to the lord-lieutenants,- chairmen of county councils, Members of Parliament, all thecounty and borough magistrates, medical practitioners,newspaper proprietors, and other ladies and gentlemen whocould contribute ; also an amended form had been sent to 125.employers of labour. Encouraging replies had been receivedeither inclosing cheques or promising support. CaptainBarlow, captain-superintendent of H.M.’s Dockyard, Pem-broke, had organised a monthly collection among the 3000workmen under his charge ; cards were placed in the sheds.and workshops.inviting contributions. Dr. Reid said that he’had also prepared a number of collecting-books and askedladies and gentlemen to take them and return them when £1 1had been collected. He expected each book would produce’that sum. The policy of the committee was not to pauperisebut to assist those who could not afford to go to

costly institutions, as in Wales the only two sanatoriumsthat had been established charged from five guineas- upwards. He assumed that each patient or his friendsor the parish or district that sent him would pay at least10s. a week, and 20 patients at 10s. a week would be E520 ayear, or about one-third of the whole annual cost of upkeep.He calculated on receiving from the various sources namedabout £1715, exclusive of private contributions. He had anestimate that the cost of a sanatorium of 20 beds would beE2000 or £2200. The furnishing and other expenses wouldprobably bring the cost to .62500. The building would beof wood and iron. On hearing the report from Dr. Reid asite committee of nine members (three from each county)and three alternative members (one from each county) assubstitutes in case of necessity was appointed and author-ised to inspect and to report on the sites. Steps are

also to be taken to appoint a medical man in each countyschool centre to lecture on the prevention of consumption,and Dr. Reid offered the use of lantern-slides to illustrate thelectures and advocated as an auxiliary only the distributionof leaflets and cards to hang up in cottages with instructions..as to the care of the health and the avoidance of thedisease. Dr. Reid added that with regard to the resolution,requesting the Government to legislate to make spitting apunishable offence the many circulars and appeals sent toMembers of Parliament had elicited only one reply. He saidit. did not appear to be generally known that under the Local’Government Act of 1888 county councils were given the power to make by-laws for the ’’good rule and government of their county," and a by-law with reference to spitting had ,not only been drafted by the county councils of Glamorgan- shire and Brecknockshire but had been submitted to the Home Secretary who had written to the effect that he would iallow it to come into force if its operation was confined topublic carriages, public waiting-rooms, public halls, and ,places of public entertainment, but not to churches, chapels, schools, and shops. J

During the first year of its existence the South Wales and Monmonthshire branch of the association has done excellent work not only directly but indirectly. Indeed, the indirect I 1influence of the association is probably as powerful as that which it exerts more directly. It is hardly likely, for I- example, that the by-laws prohibiting spitting which have Ibeen adopted by the Glamorganshire and Brecknockshire 1

,county councils would have been so readily accepted had it not been for the educating influence exercised by the asso- s

ciation. The first report of the branch was presented to s

the annual meeting held at Cardiff on Oct. 6th and e

disclosed a total membership of 257 persons, an expen- Jditure of £96, and a credit balance of £53. At the Isame meeting the sanatorium committee recommended the terection of a sanatorium to accommodate 20 patients at a a

cost of £5000. It is suggested that the building should be c

erected by voluntary donations, but that the cost of main- c

’tenance, which is estimated at £1600 per annum, should be Iborne by the county and district councils, friendly societies, r

and other bodies of Glamorganshire and Monmouthshire. fDr. Arthur Latham, in the course of a most interesting e

address, emphasised the importance of improving the dwell- c

ing-! of the poor and also suggested the establishment of o

.ant i- tuberculous dispensaries for the treatment of patients k

-,suffering from the disease. s

KENDAL.

On Sept. 29th, at the Town Hall, Kendal, a conferenceof representatives of sanitary and other public authoritiesin the district was held to consider the best plan of dealingwith persons in Westmorland suffering from consumptionin too advanced a stage for admission into the consumptivesanatorium at Meathop and without adequate means ofisolation at home. The Mayor of Kendal (Mr. G. Gilkes)presided and there was a considerable discussion in whichDr. W. R. Parker, Dr. W. S. Paget-Tomlinson, Mr. R. M.Craven, and others took part. It was eventually resolvedthat the conference recognised the importance of isolationin advanced cases of consumption and agreed that stepsshould be taken to establish an isolation hospital ; further,that the several sanitary authorities should be asked to takethe matter into consideration with a view of bringing itbefore the county council and requesting it to take actionthereon; and also that a committee should be formed toobtain information bearing on the advantages and the cost ofaccommodation and maintenance of such an institution.

LEICESTER.

The Leicester branch of the association held its annual

meeting on Oct. 2nd at the Town Hall, Leicester. The

mayor (Alderman Wood) presided. The annual reportshowed that the branch was in a prosperous condition. Afeature of the work during the year had been the lecturesdelivered in the town and county. The committee had hadunder consideration the question of voluntary notificationof consumption and had approached the sanitary authorityon the matter. The disinfection of rooms occupied bypatients suffering from this disease was gradually beingrecognised by the public as an important safeguard for thehealth of other inmates of the house. Dr. R. Prattmentioned that in response to the committee’s representa-tions the sanitary committee had requested the medical

practitioners of the town to notify cases of phthisis so thatadvice might be given as to the treatment of patients andthe disinfection of rooms. The report was adopted and theofficers for the ensuing year were elected.

MEDICAL SCHOOL DINNERS.

St. Mary’s Hospital.-The annual dinner of St. Mary’sHospital Medical School was held at the Hotel Metropole onOct. 3rd. It was made the occasion of the presentation toMr. Edmund Owen of the testimonial from past and presentstudents, to which about 400 had subscribed. The testi-monial took the form of antique silver plate and jewelleryfor Mrs. Owen and her daughters, together with an illu-minated album containing an address and the names of thesubscribers. Abcut 220 sat down to dinner and the chair-man, Mr. Owen, was supported by Sir William H. Broadbent,Sir Anderson Critchett, Mr. H. W. Page, Dr. D. B. Lees, SirAlfred Cooper, Dr. H. Franklin Parsons, Mr. Malcolm A.Morris, the dean (Dr. H. A. Caley), Dr. S. P. Phillips, Mr.J. E. Lane (honorary secretary of the dinner), Dr. G.Danford Thomas, Major G. E. Hale, R.A.M.C., D.S.O.,Major A R. S. Anderson, I.M.S., and many others. The

loyal toasts were proposed by the chairman and dulyhonoured. Mr. Page then gave the toast of "Past and

Present Students." In the course of his remarks he said that

past and present students were the life-blood of the hos-

pital’s corporate existence. The prestige which had beenbuilt up by St. Mary’s Hospital in the last 50 years waswonderful indeed, and in the loyalty and devotion of paststudents in all parts of the world they had a priceless pos-session. The task of to-day was by emulating their physicaland mental powers to hand on that prestige undiminished.The toast was responded to by Dr. Parsons and MajorHale, representing past students, and Mr. M. F. Kelly forthe present students. Sir William Broadbent, in the un-avoidable absence of Dr. W. B. Cheadle, then rose amid loudcheering to present Mr. Owen with the illuminated albumcontaining the names of the subscribers to the testimonial.He said that though it contained 400 names it was a poorrepresentation of the affection and admiration all feltfor his old friend the chairman. He could say from experi-ence that nothing could compensate a man fully for beingcut off from the scene of his labours. Their first thoughtof Owen was his character-straight, upright, strong ; heknew no better representative of professional honesty a.ndsincerity. Another admirable feature was his unsparing


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