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THE ROYAL MILITARY TOURNAMENT

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1391 Dr. Eady, Mr. Brown, Mr. Beale, Dr. Oswald, Mr. Greaves, and Dr. Sharman were elected to form the deputation. A resolution authorising the Council to promote such a scheme of home hospitals and out-patients’ dispensaries as may seem to be most suitable to the needs of general practi- tioners and the public was unanimously adopted. Dr. Eady then delivered his valedictory address, in which he referred to his successful year of office and the help he had received from the Council and officers of the Association. He briefly passed in review the work of the year and called attention to the insurance department, which helped both the insured and the Association. He also referred to the success of the arbitration board. Referring to the friction between medical officers of health and practitioners, he thought a little good sense and kindly forbearance would effectually smooth over any difficulty that might otherwise arise. In conclusion, he paid a tribute to the memory of Dr. Henty, who had gone to his rest full of years and honour, and who had left behind a name that would always linger in the hearts of those who knew him. Dr. Eady then conducted Mr. Jackson to the presidential chair, and the meeting came to a close with the usual compliments to the chairman. THE DINNER. The members present afterwards adjourned to the Queen’s Salon for dinner, where Dr. Eady again took the chair. He was supported by Sir Walter Foster and Dr. J. G. Glover, and many friends and members of the Association, besides those present at the previous gathering, rallied round the retiring President. The loyal toast of "The Queen " having been duly honoured, Dr. Eady proposed the toast of the evening, "The Incorporated Medical Practitioners’ Association." After referring to the satisfactory position of the Association, he passed to the question of the Midwives Bill. He was sorry to say a few members of the profession had separated them- selves from the great majority, and because the latter did not think with them it was assumed that they did not want legislation on this important point. That was an error. They were fully alive to the evils of the present day and were anxious for legislation to remedy the existing state of things. They objected to the Midwives Registration Bill because it would in no way tend to mitigate those evils, but, on the con- trary, would increase them tenfold and foist on the general public a large number of practitioners belonging to an unedu- cated class who would know j just enough to be dangerous, and if licensed would with difficulty be constrained or controlled. There were no penal clauses in the Bill, and no penalty was provided in cases of a complicated character. Still-born children would become more common and other offences against the law would be rife. The Association had not con- fined itself to finding fault with the Bill, but had adopted an alternative scheme. The present Bill started with the assumption that a midwife was a necessity. He maintained that a midwife was not a necessity. What had been done for sick nursing must be done for obstetric nursing. This was not to be done by three months’ training. A better class of women must be taken and given a longer and better training. The scheme referred to did away with a midwife and substituted for her the obstetric nurse. Two years’ general training as a sick nurse and one year’s special training were proposed. The President-elect, Mr. George Jackson, spoke of the harm that the medical aid associations had done in Plymouth. Dr. Bedford Fenwick proposed "The Visitors," couplmg with the toast the names of Sir Walter Foster and Dr. James Grey Glover. Sir Walter Foster, M.P., Parliamentary Secretary to the Local Government Board, in responding, said he had made a special effort to be present at this dinner in order that he might show the interest which he took in the work of the Incorporated Medical Practitioners’ Association, and to apologise for his absence on previous occasions. No man had a greater interest than he had in the thorough training of women to look after their sisters in the peril of labour, and he was sure that all would desire to place them in a better position ; but he looked upon the present Bill as a severe blow not only to the public, but to the profession. The Midwives Registration Bill, he thought, was a contravention of the Medical Acts of 1886. He had laid it down in a Minute, which he hoped the Local Government Board would be guided by, that no woman was to be recognised by the Local Government Board as capable of attending midwifery cases unless she was fully qualified in medicine, surgery, and midwifery. If she had not those three qualifications she must attend cases only under the direct superintendence of a medical officer. He (Sir Walter Foster) stated that he had given notice to the General Medical Council that at their meeting in the ensuing week he would move the following resolution : "That this Council, while desiring to improve the education, training, and control of women who act as midwifery nurses, is unable to give any support to the Midwives Registration Bill, inas- much as that Bill would give women a legal status to under- take the sole charge of cases of midwifery, for which no persons are qualified unless qualified in medicine, surgery, and midwifery." Speaking of the competition among medical men, he said all attempts to raise salaries of medical officers were rendered futile. Cases were sent up to him where he considered the fees inadequate, but if he told the local bodies so they replied that they could have half a dozen medical men at the same price. As long as this insane com- petition went on no Minister, however strong his desire might be to benefit them, could do any good. Dr. Glover congratulated the Incorporated Medical Practi- tioners’ Association upon the satisfactory state of its affairs. He wished to touch for a few moments on the question of the Midwives Bill, but he could not help feeling that there were other matters of importance besides this Bill, and he did not wish them to lose sight of other things which were eating into the dignity and character of the profession. There were members of the profession pursuing methods of practice on a huge scale which would very seriously alter its whole character. With regard to the Midwives Bill he recognised with pleasure the amount of unanimity among them. He was deeply sensible of the evils caused by untrained midwives, and some remedy must be found. He recognised the respect that had been paid to the General Medical Council, and he believed that that body would not wantonly disregard the interests of the profession. It was suggested that the women should have three years’ training like the highly trained nurse. But such highly trained nurses were the luxury of the rich. The only way to supply them to the classes who now employ midwives would be to make mid- wifery free, like education, and throw it on the rates. This would be a serious course, and one of very questionable advantage to the profession. If the provision of a humble class of midwives acting in strict subordination to medical men is a blow to the profession, the provision of a class of highly trained nurses would be "a staggering blow." Other toasts followed, and the meeting was brought to a close. THE ROYAL MILITARY TOURNAMENT. , THE Royal Military Tournament no ov being held at the Agricultural Hall, Islington, promises to prove in every way as successful as its predecessors and in many respects to surpass them. From a spectacular point of view it is a decided success, and we sincerely hope that when the Tournament closes on June 6th we may say as much from a financial point of view. To Colonel Onslow and to Colonel Tully and his committee the highest praise is due, not only on account of the efforts they have put forth to please the public, but also for the way in which they have endeavoured to minister to the health and comfort of the troops. The main object of the Royal Military Tournament is to provide money for military charities; but apart from this the amount of good that must be done to the soldier throughout the British army, both moral and physical, is almost incalculable. Only the men who have proved their ability at local tournaments are allowed to compete at the Royal Military Tournament, and thus a spirit of emula- tion is fostered among the troops for the honour ; and this increased interest in feats of strength, skill, and pre- cision must necessarily improve the moral tone, for intem- perance of living and high physical skill are incompatible. No colonial troops have entered for competition this year, but almost all branches of the services are represented, ard a small contingent of the Egyptian army, or fellaheen soldiery, under the command of Sergeant-Major De Vere, a past instructor in the gymnasium at Aldershot, who go through some gymnastic exercises, show what excellent soldiers they make when properly trained.
Transcript
Page 1: THE ROYAL MILITARY TOURNAMENT

1391

Dr. Eady, Mr. Brown, Mr. Beale, Dr. Oswald, Mr. Greaves,and Dr. Sharman were elected to form the deputation.A resolution authorising the Council to promote such a

scheme of home hospitals and out-patients’ dispensaries asmay seem to be most suitable to the needs of general practi-tioners and the public was unanimously adopted.

Dr. Eady then delivered his valedictory address, in whichhe referred to his successful year of office and the help hehad received from the Council and officers of the Association.He briefly passed in review the work of the year and calledattention to the insurance department, which helped both theinsured and the Association. He also referred to the successof the arbitration board. Referring to the friction betweenmedical officers of health and practitioners, he thought alittle good sense and kindly forbearance would effectuallysmooth over any difficulty that might otherwise arise. In

conclusion, he paid a tribute to the memory of Dr. Henty,who had gone to his rest full of years and honour, and whohad left behind a name that would always linger in thehearts of those who knew him.

Dr. Eady then conducted Mr. Jackson to the presidentialchair, and the meeting came to a close with the usualcompliments to the chairman.

THE DINNER.The members present afterwards adjourned to the Queen’s

Salon for dinner, where Dr. Eady again took the chair. Hewas supported by Sir Walter Foster and Dr. J. G. Glover,and many friends and members of the Association, besidesthose present at the previous gathering, rallied round theretiring President.The loyal toast of "The Queen " having been duly

honoured,Dr. Eady proposed the toast of the evening, "The

Incorporated Medical Practitioners’ Association." Afterreferring to the satisfactory position of the Association, hepassed to the question of the Midwives Bill. He was sorryto say a few members of the profession had separated them-selves from the great majority, and because the latter did notthink with them it was assumed that they did not wantlegislation on this important point. That was an error.

They were fully alive to the evils of the present day and wereanxious for legislation to remedy the existing state of things.They objected to the Midwives Registration Bill because itwould in no way tend to mitigate those evils, but, on the con-trary, would increase them tenfold and foist on the generalpublic a large number of practitioners belonging to an unedu-cated class who would know j just enough to be dangerous, andif licensed would with difficulty be constrained or controlled.There were no penal clauses in the Bill, and no penalty wasprovided in cases of a complicated character. Still-bornchildren would become more common and other offencesagainst the law would be rife. The Association had not con-fined itself to finding fault with the Bill, but had adopted analternative scheme. The present Bill started with the

assumption that a midwife was a necessity. He maintainedthat a midwife was not a necessity. What had been done forsick nursing must be done for obstetric nursing. This wasnot to be done by three months’ training. A better class ofwomen must be taken and given a longer and better

training. The scheme referred to did away with a midwifeand substituted for her the obstetric nurse. Two years’general training as a sick nurse and one year’s specialtraining were proposed.The President-elect, Mr. George Jackson, spoke of the

harm that the medical aid associations had done in Plymouth.Dr. Bedford Fenwick proposed "The Visitors," couplmg

with the toast the names of Sir Walter Foster and Dr. JamesGrey Glover.

Sir Walter Foster, M.P., Parliamentary Secretary to theLocal Government Board, in responding, said he had madea special effort to be present at this dinner in order that hemight show the interest which he took in the work of theIncorporated Medical Practitioners’ Association, and toapologise for his absence on previous occasions. No manhad a greater interest than he had in the thorough trainingof women to look after their sisters in the peril oflabour, and he was sure that all would desire to placethem in a better position ; but he looked upon the presentBill as a severe blow not only to the public, but to theprofession. The Midwives Registration Bill, he thought,was a contravention of the Medical Acts of 1886. Hehad laid it down in a Minute, which he hoped theLocal Government Board would be guided by, that nowoman was to be recognised by the Local Government Board

as capable of attending midwifery cases unless she was fullyqualified in medicine, surgery, and midwifery. If she hadnot those three qualifications she must attend cases onlyunder the direct superintendence of a medical officer. He(Sir Walter Foster) stated that he had given notice to theGeneral Medical Council that at their meeting in the ensuingweek he would move the following resolution : "That thisCouncil, while desiring to improve the education, training,and control of women who act as midwifery nurses, is unableto give any support to the Midwives Registration Bill, inas-much as that Bill would give women a legal status to under-take the sole charge of cases of midwifery, for which nopersons are qualified unless qualified in medicine, surgery,and midwifery." Speaking of the competition amongmedical men, he said all attempts to raise salaries of medicalofficers were rendered futile. Cases were sent up to himwhere he considered the fees inadequate, but if he told thelocal bodies so they replied that they could have half a dozenmedical men at the same price. As long as this insane com-petition went on no Minister, however strong his desire mightbe to benefit them, could do any good.

Dr. Glover congratulated the Incorporated Medical Practi-tioners’ Association upon the satisfactory state of its affairs.He wished to touch for a few moments on the questionof the Midwives Bill, but he could not help feeling that therewere other matters of importance besides this Bill, and he didnot wish them to lose sight of other things which were eatinginto the dignity and character of the profession. There weremembers of the profession pursuing methods of practiceon a huge scale which would very seriously alter its wholecharacter. With regard to the Midwives Bill he recognisedwith pleasure the amount of unanimity among them. He wasdeeply sensible of the evils caused by untrained midwives,and some remedy must be found. He recognised the respectthat had been paid to the General Medical Council, and hebelieved that that body would not wantonly disregard theinterests of the profession. It was suggested that thewomen should have three years’ training like the highlytrained nurse. But such highly trained nurses were theluxury of the rich. The only way to supply them to theclasses who now employ midwives would be to make mid-wifery free, like education, and throw it on the rates. Thiswould be a serious course, and one of very questionableadvantage to the profession. If the provision of a humbleclass of midwives acting in strict subordination to medicalmen is a blow to the profession, the provision of a class ofhighly trained nurses would be "a staggering blow."

Other toasts followed, and the meeting was brought to aclose.

____________

THE ROYAL MILITARY TOURNAMENT.

, THE Royal Military Tournament no ov being held at theAgricultural Hall, Islington, promises to prove in every wayas successful as its predecessors and in many respects tosurpass them. From a spectacular point of view it is adecided success, and we sincerely hope that when theTournament closes on June 6th we may say as much from afinancial point of view. To Colonel Onslow and to Colonel

Tully and his committee the highest praise is due, not onlyon account of the efforts they have put forth to please thepublic, but also for the way in which they have endeavouredto minister to the health and comfort of the troops.The main object of the Royal Military Tournament is to

provide money for military charities; but apart from thisthe amount of good that must be done to the soldierthroughout the British army, both moral and physical, isalmost incalculable. Only the men who have proved theirability at local tournaments are allowed to compete at theRoyal Military Tournament, and thus a spirit of emula-tion is fostered among the troops for the honour ; andthis increased interest in feats of strength, skill, and pre-cision must necessarily improve the moral tone, for intem-perance of living and high physical skill are incompatible.No colonial troops have entered for competition this year,but almost all branches of the services are represented, arda small contingent of the Egyptian army, or fellaheensoldiery, under the command of Sergeant-Major De Vere, apast instructor in the gymnasium at Aldershot, who gothrough some gymnastic exercises, show what excellentsoldiers they make when properly trained.

Page 2: THE ROYAL MILITARY TOURNAMENT

1392

It is invidious to single out any one item from the pro-gramme, but the grand historical military pageant and thedisplay by non-commissioned officers deserve at least a

passing word of notice. In the former the 3rd (King’s Own)Hussars and the Buffs march past dressed in the variouscostumes worn by the respective regiments from Stuart timesto the present day. Both foot and horse soldiersare represented, and the pageant, in regard to whichno efforts have been spared to make it historicallyaccurate, down to the minutest details of the horses’ bridles,reflects great credit upon its organisers and makes it one ofwhich they may be justly proud. The other display to whichwe have referred is under the command of Colonel Fox, andillustrates the system of physical exercise as taught torecruits and soldiers in the army. Major Greatrex is alsoresponsible for the training. About sixty of the 140non- commissioned officers now under training at the

head-quarter gymnasium at Aldershot, representing dif-

ferent branches of the service, go through a drillwhich develops in a scientific manner, not only themuscular strength, but also the intellectual faculties.It would be difficult to explain the modus operandi of theexercises on paper, and it must suffice to say that whileequal attention is paid to the upper and lower limbs all themuscles of the trunk are brought into play. After six

months’ training (working five hours a day) the chest measure-ment on an average increases by three inches, and a mostdesirable sense of interdependence is developed among themen. To a certain extent they each act independently; thesystem teaches them to support each other under difficulties,and, besides generally "sharpening" them up, we are assuredthat the moral effect is great, and that the men feel notendency to indulge in those intemperate habits to whichthe ordinary soldier is too often unfortunately addicted.The object of the training is that the men shall qualify at theend of six months for a gymnastic certificate in order thatthey may go back to their regiments as instructors. Everyregiment is obliged by regulations to have at least three ofthese instructors on its strength. This regulation will havethe effect in a very short time of showing a great improve-ment in the physique of our army. Colonel Fox endeavoursto maintain in his men that mens sana in corpore sano whichshall fit them for the exigencies of modern warfare, and therapidity,of movement and precision of action displayed by themen under his command seem to show that that end has beenattained.From time to time during the fortnight that the Tourna-

ment is in progress as many as 1500 troopa, representingevery branch of the service, occupy the building, and 300horses are in requisition. This year, as last, the men arequartered in cubicles instead of in tents, and as far as ispossible everything is done to ensure their comfort. Themess-rooms are well provided, and the food and cooking Iexcellent. One thing that seems to have escaped attention, Ihowever, might easily be remedied. The cubicles are erectedin the galleries immediately below skylights, and the raysof the sun pouring down on the men must only tendto discomfort, especially after a hard contest in thearena. Draw-blinds, or even a strip of canvas, wouldobviate this, and the cost would be infinitesimal. The

sanitary arrangements are almost as perfect as can bedesired, the latrine accommodation is sufficient, and the

water-supply is quite satisfactory. There is a little moreventilation than last year, but in this direction there isstill much room for improvement. What is really wantedis a steam punkah, or something of that kind, to force theair through the building, and until this is supplied the venti-lation cannot be considered satisfactory. Another point thatcalls for attention is the non-efficient lighting of dark corners.In the stables peat moss is used in the place of the ordinarylitter, and so well are they kept that the absence of effluviumis remarkable. The foul litter is cleared away twice a day,and the scavenging, which is very systematic, takes placebetween 5 and 6 A.M., when the horses are out for exer-cise, and the last thing at night. This year some of thehorses have been stabled outside the building upon someadjacent ground, and this necessarily is an advantage froma hygienic aspect. In order to lessen the risk of fire theforage is stored outside the building.

Surgeon-Major Tyrrell, A. M.S., who is assisted by Surgeon-Lieutenant Cameron, A.M.S., is the principal medical officer incharge of the troops, and the remarkably good health of thelatter speaks well for the ability of these officers. Surgeon-Major Tyrrell has made every effort to induce the authorities

to adapt the building to hygienic requirements, and in a verygreat measure his efforts have been crowned with success.There has been only one hospital case, diagnosed as infl Ilenza,and this has been sent to the divisional hospital. No seriousaccidents have occurred. The temporary hospital is advan-

tageously situated outside the building, where almost

perfect quiet can be maintained, and is fitted with twobeds and all the necessary medicines and appliancesrequired in a hospital of this kind. An orderly is in constantattendance.The ambulance department is under the command of

Surgeon-Major Lawless, Army Medical Reserve, and amplearrangements are made to treat any accident that may happento the audience. A trained orderly is always stationed closeto the spectators with a bag containing splints, dressings,&c., and there are two dressing stations in the Arcade, whichhave been fitted up with all necessary material by Messrs.Evans and Wormull, 31, Stamford-street, for male and femalecases. Two trained orderlies are in attendance at the malestation, and Miss C. J. Woodward and Miss A. Woodwardare the Sisters who minister to the female cases.

NATIONAL HEALTH SOCIETY.

A MEETING of this society took place at Grosvenor Houseon May llth. Dr. Edward Seaton, after commenting on theexcellent course of instruction given by the lecturers

appointed by the society and the success achieved bySurrey students, proceeded to offer a few remarks underthe following heads-viz. : (1) the advantages of popularteaching in matters relating to public health ; (2) rural sani.tation as part of popular teaching; and (3) village nurses.

1. The advantages of popular teaching in matters relatingto public liealth.--This he illustrated by past experience inrelation to improved dwellings for the working-classes. In1875 he had, at the suggestion of a well-known citizen ofNottingham, Mr. Richard Enfield, inaugurated lectures onhealth, especially in relation to the influence of dwellings andthe necessity for sufficient light and air about them. Atthat time the town council of Nottingham was attemptingto deal with unhealthy areas (rookeries) by street improve-ments. That was a highly important work, but it was stillmore important that the dwellings of the future should bebuilt with sufficient air space about them. The LocalGovernment Board had issued an admirable aeries of modelby-laws to ensure this, but it needed the force of localpublic opinion to secure their adoption and observance.Land-owners and builders were a powerful class, and theywere generally more than sufficiently represented on towncouncils and local governing bodies. Their views did notalways coincide with those of the guardians of thepublic health in the essential matter of light and airabout dwellings. For that reason public opinion neededto be created or aroused. He (Dr. Seaton) found that

popular lectures were most useful for this purpose. He couldnot but think that in London they were much wanted, as hehad in the course of inquiries made about four years ago,under the directions of the Home Office, become acquaintedwith cases where lofty buildings, arranged on the "flat"system, had been allowed to be erected-in the East-end-under conditions that made it impossible that the lower

dwelling-rooms could ever be penetrated by the sun’s rays.There were other illustrations he could give of the advantagesof popular teaching as to public preventive measures; as aninstance he mentioned the notification of infectious diseases,a system which had been adopted throughout the wholecounty of Surrey in a voluntary manner.

2. Rural sanitation as part of popular teaching.-He thenspoke of the views of Miss Florence Nightingale as to theneed of giving instruction to cottagers and members of parishcouncils respecting the best methods of safely disposing ofrefuse matters-liquid and solid-so as to prevent countrydwellings and their immediate surroundings from becomingunhealthy. Dr. Poore had partly dealt with this subject inhis most interesting and valuable book on Rural Hygiene.He (Dr. Seaton) believed the subject to be one of vitalimportance to dwellers in the country. It was constantlybefore him in connexion with river pollution, which hadfrom the first engaged the attention of the Surrey CountyCouncil, whose responsible adviser and official he was. The


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