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rate of mortality in these towns, which had been 24’0, 121’9, and 18’9 per 1000 in the three preceding weeks, rose <

to 19’1 per 1000 in the week under notice. Duringthe first seven weeks of the current quarter the mean Iannual death-rate in these Irish towns averaged 22-1 per 1

1000 ; in the 97 large English towns the corresponding rate 7did not exceed 17’0, while in the 16 Scotch towns it was equalto 19-0 per 1000. The annual death-rate last week was equal ito 20-7 in Dublin (against 14-2 in London and 15-6 in Glasgow), i18-8 in Belfast, 19-0 in Cork, 10-1 in Londonderry, 23’0 in gLimerick, and 17-1 in Waterford, while in the 21 smaller --towns the mean death-rate did not exceed 17-8 per 1000. !The 441 deaths from all causes were 4 in excess of the

number in the previous week, and included 26 which werereferred to the principal epidemic diseases, against 37 and35 in the two preceding weeks. Of these 26 deaths, 10 resultedfrom infantile diarrhceal diseases, 6 from whooping-cough,4 from diphtheria, 3 from measles, and 3 from scarlet fever,but not one from enteric fever or from small-pox. Themean annual death-rate from these diseases last weekdid not exceed 1-1 per 1000, which coincided with that in the97 large English towns, while in the 16 Scotch towns thecorresponding rate reached 1-9 per 1000. The deaths ofinfants (under 2 years) attributed to diarrhoea and enteritis,which had been 6, 7, and 8 in the three preceding weeks,further rose to 10 last week, of which 4 were recorded inDublin and 2 in Tralee. The deaths referred to whooping-cough, which had been 7, 6, and 9 in the three precedingweeks, fell to 6 last week, and included 3 in Dublin. The4 fatal cases of diphtheria, 2 of which occurred in Belfast.were slightly in excess of the average in the earlier weeksof the quarter. The deaths attributed to scarlet fever,which had been 5, 10, and 9 in the three preceding weeks,declined to 3 last week, and were recorded in Belfast, Cork,and Limerick respectively. The deaths referred to measles,which had averaged 6 in the earlier weeks of the quarter,fell to 3 last week and were all registered in Dublin.The deatns referred to diseases of the respiratory system,

which had been 157, 132, and 99 in the three precedingweeks, further fell to 91 in the week under notice. Of the 441deaths from all causes, 129, or 29 per cent., occurred in publicinstitutions, and 8 resulted from various forms of violence.The causes of 17, or 3-9 per cent., of the total deaths werenot certified either by a registered medical practitioner orby a coroner after inquest; in the 97 large English townsthe proportion of uncertified causes of death last week did notexceed 0’7 per cent.

THE SERVICES.

ROYAL NAVY MEDICAL SERVICE.IN accordance with the provisions of Order in Council of

April lst, 1881, Fleet-Surgeon Morris Charles Langford hasbeen placed on the Retired List at his own request (datedFeb. 19th, 1914).The following appointments have been notified :-Staff-

Surgeons : A. A. Forrester to the Itxplacccble L. F. Cope tothe Victory, for R.N. Barracks, temporary ; and L. Warrento the Halcyon, additional, for the Speedy, on recommission-ing. Surgeon : A. B. Clark to the Halcyon, additional, for theSeagull, on recommissioning.

ROYAL ARMY MEDICAL CORPS.Lieutenant-Colonel William Turner is placed on retired

pay (dated Feb. 25th, 1914).Major Samuel H. Withers to be Lieutenant-Colonel, vice

W. Turner (dated Feb. 25th, 1914).The undermentioned to be Lieutenants (on probation)

(dated Jan. 30th, 1914) :-Lieutenant Treffry Owen Thompson,from the Royal Army Medical Corps Special Reserve;Stanley James Linzell, Lewis Rudall Shore, John GalbraithGill, John William Cotter Stubbs, Sidney Martin Hattersley,David Wylie Rintoul, and Allan Watson ; Lieutenant NormanVeitch Lothian, from the Royal Army Medical Corps SpecialReserve ; Thomas Francis Pennefather Breen ; LieutenantJohn FitzGerald Gwynne, from the 3rd West Riding FieldAmbulance, Royal Army Medical Corps (Territorial Force) ;and Arthur John Alexander Menzies.The undermentioned Lieutenants are seconded under the

provisions of Article 343 Royal Warrant for Pay and Promo-tion, 1913 :-Bernard Woodhouse (dated Jan. lst, 1914);Treffry O. Thompson, Stanley J. Linzell, and Lewis R.Shore (dated Jan. 30th, 1914).

Colonel C. E. Nichol, D.S.O., has been selected for appoint-ment as Assistant Director of Medical Services to theJubbulpore and Jhansi Brigades, vice Colonel T. J. R.Lucas, retired. Colonel vV. W. Pike, D.S.O., has beenselected for appointment as Assistant Director of MedicalServices to the Abbottabad and Sialkot Brigades, viceColonel R. Kirkpatrick, C.M.G.Lieutenant-Colonel C. Cooper Reilly, in charge of the

Military Hospital at Calcutta, has been granted six months’

general leave of absence home from India. Lieutenant-Colonel W. Turner has been selected for appointment asDeputy Assistant Director of Medical Services to the WelshDivision, vice Lieutenant-Colonel C. A. Young, whosetenure will expire on April 1st. Lieutenant-Colonel H. Creehas taken over charge of the Military Hospital at Sialkot.Lieutenant-Colonel H. J. Fletcher has been granted sixmonths’ general leave of absence home from India. Lieu-tenant-Colonel G. G. Adams has been appointed to officiateas Assistant Director of Medical Services to the SecunderabadBrigade. Lieutenant-Colonel R. Holyoake has been appointedSenior Medical Officer on board the transport s.s. Pla88!J,which left Southampton for Bombay on Feb. 20th.Major H. E. J. A. Howley, in charge of the Military

Hospital at Dinapore Cantonment, has been granted sixmonths’ general leave of absence home from India. MajorJ. T. Johnson has been selected for appointment as DeputyAssistant Director of Medical Services (Sanitary) to theEighth (Lucknow) Division. Major L. L. G. Thorpe hastaken up duty in Madras Presidency. Major C. J. O’Gorman.D.S.O., has been appointed to hold charge of the civilmedical duties of the Barrackpore Division, vice Lieutenant-Colonel F. J. Morgan, placed under orders to proceed tojoin the Home Establishment. Major C. E. Pollock hasembarked for a tour of duty in the Sierra Leone Pro-tectorate. Major P. S. Lelean, specialist sanitary officer to theNorth of Thames Area of the Eastern Command, has beenselected for appointment as Assistant Professor of MilitaryHygiene at the Royal Army Medical College, vice MajorH. B. Fawcus. Major H. K. Palmer, on arrival home fromIndia, tour expired, has been appointed to the MilitaryHospital at Cosham. Major H. S. Roch has arrived home onleave of absence from the Military Hospital at Pretoria. MajorJ. Poe has taken up duty at the Military Hospital atShorncliffe. Major B. Watts has been appointed to theLondon District on arrival home from Meerut Cantonment.Major S. de C. O’Grady has been transferred to the AldershotCommand from the Tower of London. Major H. Herrickhas been appointed to hold charge of the Military Hospitalat Holywood on return home from Naini Tal Cantonment.Major M. MacG. Rattray has been transferred from theMilitary Hospital at Brighton to Shorncliffe. Major A. D.Waring has taken up duty at Gosport. Major J. Matthewshas been appointed to hold charge of the Military Hospitalat Sheffield.Captain W. W. Browne has been appointed Specialist in

the Prevention of Disease to the Ahmednagar Brigadeand placed in charge of the Bacteriological ResearchLaboratory at Headquarters, Ahmednagar Cantonment.Captain L. Cotterill has taken up duty in India on

transfer from the Aldershot Command. Captain H. St. M.Carter has taken up duty in the Aldershot Command.Captain H. M. J. Perry, specialist in bacteriologyto the Devonport District, has been transferred tothe London District, and appointed for duty at theMilitary Hospital, Rochester-row. Captain R. E. Humfreyhas relinquished duty at Queenstown, and embarkedfor a tour of service in India. Captain M. B. H.Ritchie has arrived home for duty from the MilitaryHospital at Mhow Cantonment. Captain M. J. Cromiehas been transferred from Maidstone to the MilitaryHospital at Chatham. Captain L. G. Gibson has beenappointed for duty on board the transport s.s. Rohillaleaving Karachi for Southampton on March 19th with tour-expired troops and invalids. Captain A. C. Amy, who hasarrived home for duty from the Military Hospital at AgraCantonment, tour expired, has been appointed to the WesternCommand. Captain W. Mitchell has been transferred fromthe Military Hospital at Subathu to Ambala Cantonment.Captain J. R. Foster has been transferred to the HomeEstablishment from India. Captain F. Casement has beenappointed Specialist in Dermatology and Venereal Diseasesto the Eighth (Lucknow) Division. Captain M. J. Lochrinhas arrived home for duty from Bangalore Cantonment, tourexpired. Captain E. B. Lathbury has been transferred fromthe Military Hospital at Ranikhet to Bareilly Cantonment.Captain F. C. Lambert has embarked for a tour of service inIndia. Captain E. C. Phelan has taken up duty atBarrackpore. Captain R. G. H. Tate, on arrival home fromthe Military Hospital at Lahore, has been appointed tothe Irish Command. Captain G. F. Dawson has beenappointed Specialist in Electrical Science and Radiographyto the Seventh (Meerut) Division. Captain C. H. Denver hasbeen transferred from the Military Hospital at Landoor toAgra Cantonment. Captain T. H. Scott has been appointedto the Northern Command. Captain A. W. Howlett hasjoined the Aldershot Command. Captain F. J. Stuart hasbeen appointed Specialist in Dermatology and VenerealDiseases to the Seventh (Meerut) Division. Captain R. D.O’Connor has been transferred from the Military Hospital atMurree to Multan Cantonment. Captain E. M. Middletonhas been appointed to the Eastern Command. Captain A.Shepperd has been transferred from the Military Hospital atAgra Cantonment to Burma for a tour of duty at Maymyo.

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Lieutenant C. D. K. Seaver has been transferred from theMilitary Hospital at Dalhousie to Jullundur Cantonment.’The following Lieutenants have embarked for a tour ofservice in India : C. M. Ingoldby, S. J. Higgins, G. A. Blake, IL. Dunbar, H. E. Panton, R. Davidson, and A. G. Biggam.Lieutenant W. B. Laird has been appointed to the MilitaryHospital at Bangalore Cantonment. Lieutenant H. J. G.Wells has embarked for a tour of service in India. Lieu-tenant E. C. Deane has been appointed to the MilitaryHospital at Lucknow Cantonment.An examination for 12 or more commissions in the Royal

Army Medical Corps will be held on July 29th. Applicationsto compete should be made to the Secretary, War Office, not.later than nine days before the examination.

INDIAN MEDICAL SERVICE.

Colonel H. Hendley, Deputy Director of Medical Servicesto His Majesty’s Forces in India, has been granted leave ofabsence home for seven months.The services of Colonel R. W. S. Lyons have been placed tem-

porarily at the disposal of the Government of Bombay Presi-dency. Colonel T. Grainger, C.B., has taken up duty asAssistant Director of Medical Services to the Fifth (Mhow)Division of the Southern Army in India. Colonel C. J.Bamber, M.V.O., Inspector-General of Civil Hospitals in thePunjab, has joined at Lahore.Lieutenant-Colonel and Brevet Colonel B. Seton, Deputy

Director-General, has been granted leave of absence homefrom India. Lieutenant-Colonel R. H. Elliott has beengranted an extension of leave of absence home from Indiaon medical certificate for six months. The services of Lieu-tenant-Colonel E. Jennings, on his return from leave of’absence, have been replaced at the disposal of the Com-mander-in-Chief in India. Lieutenant-Colonel T. E. Dysonhas been appointed to officiate as Assistant Director ofMedical Services to the Bangalore and Southern Brigades.Lieutenant-Colonel W. H. B. Robinson, Bombay Presidency,has taken up duty as Chief Medical Officer in RajputanaState. Lieutenant-Colonel P. C. H. Strickland has beenappointed Superintendent of the Central Prison at Allahabad,and to hold officiating medical charge of the 121st Regimentof Pioneers.Major J. McPherson has arrived home on leave of absence

from India. Major E. E. Waters has been appointed toofficiate as Civil Surgeon at Howrah during the absence onleave of Lieutenant-Colonel A. H. Nott. Major A. E. J.Lister has been appointed Professor of Physiology on thestaff of King George’s Medical College at Lucknow. MajorS. P. James, Assistant Director-General Sanitary Branch,has been granted nine months’ general leave of absence home-from India. Major W. F. Harvey, director of the CentralResearch Institute at Kasauli Cantonment, has been grantedfurlough combined with leave of absence home from Indiafor a total period of two years. Major R. E. Lloyd, professorof biology at the Medical College, Calcutta, has beenconfirmed in that appointment.Captain S. H. L. Abbott has been appointed to officiate as

Superintendent of the Jail at Ferozepore. Captain R. J.Bradley has taken over medical charge of the 1st GurkhaRegiment. Captain J. W. H. Babington has been transferredfrom Rawal Pindi to Madras Presidency for temporary dutyin the Civil Medical Department. Captain G. T. Burke hasarrived home on leave of absence from India. CaptainJ. W. H. Robinson has been temporarily appointed to theCivil Medical Department in Madras Presidency. CaptainE. S. Phipson has been appointed for temporary duty in theSanitary Department of the Government of Burma. CaptainG. McG. Millar has arrived home on leave of absence fromIndia.

SPECIAL RESERVE OF OFFICERS.

Royal Army Medical Corps.Lieutenant Rowland B. Campion is confirmed in his rank.

TERRITORIAL FORCE.

Royal Arrny Medical Corps.2nd Highland Field Ambulance, Royal Army Medical

Corps: Alastair Robertson Grant to be Lieutenant (datedJan. 28th, 1914).

1st Home Counties Field Ambulance, Royal Army MedicalCorps: Charles Killick to be Lieutenant (dated Feb. 21st,1914).2nd East Lancashire Field Ambulance, Royal Army

Medical Corps : Captain William F. Munro ceases to servewith No. 18 Field Ambulance, Royal Army Medical Corps,Special Reserve, and is restored to the establishment (datedFeb. 21st, 1914).2nd South Midland Field Ambulance, Royal Army Medical

Corps : Major George W. Craig to be Lieutenant-Colonel(dated Oct. lst, 1914).3rd Southern General Hospital, Royal Army Medical

Corps : Philip Edward Homer Adams to be Captain, whoseservices will be available on mobilisation (dated Jan. lst,1914).

1st Western General Hospital, Royal Army Medical Corps:Lieutenant-Colonel Nathan Raw, whose retirement wasannounced in the London Gazette of August 19th, 1913, isgranted permission to retain his rank and to wear theprescribed uniform.Ittached to Units other than 3medical Units.-Lieutenant

John Goss resigns his commission (dated Feb. 21st, 1914).Supernumeraryfor Services with the Officers Training Corps.-

Lieutenant Andrew F. Dixon (serving with the DublinUniversity Contingent, Senior Division, Officers TrainingCorps) resigns his commission (dated Jan. 29th, 1914).

DEATHS IN THE SERVICES.

Fleet-Surgeon Alfred Hutton Jeremy, R.N., of theImpregnable, recently in London. He entered the Navy in1893, and was promoted to the rank of staff-surgeon in 1901.He was staff-surgeon of the Fox during the Hodeida andHenjam incidents, 1905 and 1906.

MEDICAL INSPECTION OF SCHOOL CHILDREN.-In reply to a recent deputation from the Parliamentary com-mittee of the last Trade Union Congress, the President ofthe Board of Education declared that he had made everyeffort to obtain an adequate grant from the State for themedical inspection of school children. His department wasbringing pressure to bear upon local authorities in order tosecure that every child was inspected medically at leastthrice during the school period, and that where necessarynspection was followed by treatment.

WEST LONDON MEDICO-CHIRURGICAL SOCIETY.-This society held its annual dinner at Hotel Great Centralon Feb. 19th. The chair was occupied by Dr. F. S. Palmer,who was supported, besides those whose names occur below,by Sir* David Ferrier, Dr. Phineas Abraham, and ProfessorT. B. Hyslop. Mr. Bishop Harman, in proposing the toastof " The Imperial Forces," paid a cordial tribute to the workdone by the forces in South Africa, and gave many interestingdetails of what he had himself observed there. SirJames Porter, responding for the Navy, deprecated thepessimism of old gentlemen who wandered about clublandcomplaining that the service was going to the dogs.Colonel Edmund M. Wilson, replying for the military forces,urged the popularisation of the army, the inculcation of theidea that it was not only an obligation but an honour forevery able-bodied man to render some service to his country.The medical profession, he said, could do this, for it had ledthe way : the medical part of the Territorial service was fulland up to date. The President, in proposing "The Society,"

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said that it owed its origin largely to the late Mr.C. B. Keetley, of whom he spoke feelingly. Of the 145original members of the West London Medico-ChirurgicalSociety 29 were still living and several were present.There were now 575 members, and their meetings showedan average attendance of 42. He expressed their pleasureat having the coming Cavendish lecturer with them. ColonelT. H. Hendley, in reply, spoke of the extent to which servicemen joined the society and availed themselves of the

opportunities afforded them by the West London Hospital.The event of the evening was the presentation by thePresident to Professor Arthur Keith of the society’striennial gold medal, which had been established byDr. Phineas Abraham. He spoke of Professor Keith’scareer, scientific achievements, and modesty, and then

presented the medal in recognition of Professor Keith’svaluable services to science and to the profession ofmedicine. Professor Keith, in responding, modestly depre-cated any special claim to the honour. It was his greatgood fortune to be called first not to a university but to alarge medical school-the London Hospital-where he learntto realise the danger of anatomy and medicine turning theirbacks upon one another. It had been his endeavour to makeanatomy useful to it, practical application in medicine. Dr.Charles Buttar then proposed the toast of the guests, couplingwith it the names of Sir Francis Champneys. President ofthe Royal Society of Medicine, and Dr. F. W. Mott, theirCavendish lecturer for 1914. Sir Francis Champneys, in

replying, spoke of the satisfactory progress of the RoyalSociety of Medicine, and Dr. Mott caused great amusementby referring to Professor Keith’s struggles over the Piltdownskull, and remiuding his hearers of what happened, accord-ing to Bret Harte, in an immortal discussion on prehistoricremains. The proceedings terminated with the toast of" The Chairman," proposed by Dr. F. de Havilland Hall.