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1188 past six months ; the highest death-rate last week from this cause was 1’ 5 per 1000 in Grimsby. The number of scarlet fever patients under treatment in the Metropolitan Asylums Hospitals, which had shown a continuous increase from 2658 to 4752 in the 23 preceding weeks, had further risen to 4995 at the end of last week ; the new ca-es admitted during the week numbered 820, against 787, 759, and 752 in the three preceding weeks; these numbers greatly exceed the admis- sions in any previous four weeks. The deaths in London referred to pneumonia and other diseases of the respiratory system, which had risen from 116 to 175 in the six preceding weeks, declined again to 167 in the week under notice, and were 56 below the corrected average number in the corre- sponding periods of the five years, 1902-06. The causes of 38, or 0’ 8 per cent., of the deaths registered in the 76 towns last week were not certified either by a registered medical practitioner or by a coroner. All the causes of death were duly certified in London, Leeds, West Ham, Bradford, Newcastle-on-Tyne, and in 51 other of the 76 towns; seven uncertified deaths were registered in Birmingham, four in in Liverpool, three in Manchester, in Sheffield, and in Gateshead, and two in Portsmouth, in Preston, and in Birkenhead. ___ HEALTH OF SCOTCH TOWNS. The annual rate of mortality in eight of the principal Scotch towns, which had been equal to 13’ 2 and 13’ 8 per 1000 in the two preceding weeks, further rose to 14’ 0 per 1000 in the week ending Oct. 19tih, but was 1.7 per 1000 below the mean rate during the same period in the 76 large English towns. The rates in the eight Scotch towns ranged from 11.7 in Aberdeen and 12 8 in Edinburgh to 19.8 in Dundee and 24.0 in Perth. The 486 deaths in these towns last week exceeded by seven the number in the previous week, and included 61 which were referred to the principal epidemic diseases, against 57 and 81 in the two preceding weeks. These 61 deaths were equal to an annual rate of 1’ 8 per 1000, which was 0’ 6 per 1000 below the mean rate during the same period in the 76 large English towns; they included 26 which were referred to diarrhoea,, 10 to "fever," eight to measles, eight to diphtheria, six to whooping-cough, and three to scarlet fever, but not any to small-pnx. The deaths from diarrhoea, which had been 23 and 37 in the two preceding weeks, declined again to 26 in the week under notice, and included 14 in Glasgow, four in Dundee, three in Edinburgh, and two in Paisley. The fatal cases of "fever," which had been six, eight, ten, and 11 in the four preceding weeks, numbered ten last week, and included seven which were attributed to cerebro-spinal meningitis ; four of these occurred in Glasgow, two in Leith, and one in Edinburgh. The deaths from measles, which had been two and nine in the two preceding weeks, declined again to eight in the week under notice, and included four in Glasgow and four in Dundee. The fatal cases of diphtheria, which had been two, three, and seven in the three preceding weeks, further rose last week to eight, of which three were registered in Glasgow and two in Paisley. The deaths from whooping-cough, which had been 15, 17, and 15 in the three preceding weeks, fell to six last week, and included three in Glasgow. The deaths in these eight towns referred to diseases of the respiratory organs, including pneumonia, which had been 65 and 51 in the two previous weeks, rose again to 71 in the week under notice, but were 26 below the number in the corresponding period of last year. The causes of 16, or 3’2 per cent., of the deaths registered in these towns last week were not certified or not stated ; in the 76 large English towns the proportion of un- certified deaths did not exceed 0’ 8 per cent. HEALTH OF DUBLIN. The annual rate of mortality in Dublin, which had been equal to 18 - 6, 21’ 0, and 20 ’ 2 per 1000 in the three pre- ceding weeks, was 20 ’ 3 per 1000 in the week ending Oct. 19th. During the first three weeks of the current quarter the death- rate has averaged 20. 5 per 1000, the rate during the same period being 13.9 in London and 13 0 in Edinburgh. The 152 deaths of Dublin residents registered during the week under notice were one in excess of the number in the previous week, and included 19 which were referred to the principal epidemic diseases, against 22, 18, and 30 in the three preceding weeks ; of these, 15 resulted from diarrhoea, two from whoop- ing-cough, one from scarlet fever, and one from" fever," but not any from small-pox, from measles, or from diphtheria. These 19 deaths were equal to an annual rate of 2’ 5 per 1000, the death-rate last week from the principal epidemic diseases being 1.8 in London and 0’ 9 in Edinburgh. The fatal cases of diarrhoea, which had been 17, 12, and 23 in the three preceding weeks, declined again last week to 15, while the two deaths from whooping-cough were equal to the number in the preceding week. The 152 deaths from all causes included 44 of children under one year of age and 29 of !persons aged upwards of 60 years ; the deaths of infants slightly ex- ceeded the number in the previous week, while those of elderly persons showed a decline. Five inquest cases and five deaths from violence were registered ; and 65, or 43 per cent., of the deaths occurred in public institutions. The causes of four, or 2 6 per cent., of the deaths registered in Dublin last week were not certified ; in London all the causes of death were duly certified, while in Edinburgh the proportion of uncertified deaths was 4’ 7 per cent. THE SERVICES. ROYAL NAVY MEDICAL SERVICE. THE following appointments are notified :-Fleet-Surgeon H. Clift to the Cyolops on commissioning; Staff-Surgeon E. R. Grazebrook to the Dido. We understand that at the forthcoming examination for commissions in the Royal Navy Medical Service, to be held on Nov. llth, 15 vacancies will be filled by successful candi- dates. It is necessary that intending candidates should apply at an early date to the Medical Department of the Royal Navy. ROYAL ARMY MEDICAL CORPS. Lieutenant-Colonel Reginald J. Windle is seconded whilst holding the appointment of physician and surgeon at the Royal Hospital, Kilmainham (dated Oct. 1st). Lieutenant- Colonel Frederick S. Heuston, C.M.G., from the Seconded List, to be Lieutenant-Colonel (dated Oct. 1st). Lieutenant- Colonel George H. Sylvester retires on retired pay (dated Oct. 19th). Captain Thomas Biggam is placed on temporary half-pay on account of ill-health (dated Oct. 18sh). Lieu- tenant J. M. Jones has been appointed Principal Medical Officer to the forces in Egypt, vice Colonel J. Magill, C.B. Major R. C. Thacker, at Karachi, and Major H. E. Winter, at Bombay, have been appointed for duty in con. nexion with the embarkation and disembarkation of troops and invalids during the season 1907-08. VOLUNTEER CORPS. Rifle: 3rd Volunteer Battalion the South Staffordshire Regiment: Supernumerary Surgeon-Major (Honorary Captain in the Army) C. A. MacMunn (Brigade Surgeon-Lieutenant- Colonel, Senior Medical Officer, Staffordshire Volunteer Infantry Brigade), to be Surgeon-Lieutenant-Colonel, remaining supernumerary (dated May 28th, 1907). 2nd Volunteer Battalion the East Lancashire Regiment : Sur- geon-Lieutenant R. L. FitzGerald to be Surgeon-Captain (dated Sept. 18th, 1907). 2nd Volunteer Battalion, the East Surrey Regiment : Supernumerary Surgeon-Lieutenant- Colonel and Honorary Surgeon-Colonel W. Gandy (Brigade Surgeon-Lieutenant-Colonel. Senior Medical Officer, East Surrey Volunteer Infantry Brigade), resigns his commission, with permission to retain his rank and to wear the prescribed uniform (dated Sept. lst, 1907). 13th Middlesex (Queen’a Westminster) Volunteer Rifle Corps: Surgeon-Major P. P. Whitcombe is granted the honorary rank of Surgeon- Lieutenant-Colonel (dated August 6th, 1907). lst Volunteer Battalion the Manchester Regiment :; Andrew Edward Hodder to be Surgeon-Lieutenant (dated Sept. 24th, 1907). 4th Volunteer Battalion the Durham Light Infantry : Surgeon- Captain T. Benson is retired, under the conditions of para- graph 103, Volunteer Regulations (dated Sept. 26th, 1907). ROYAL ARMY MEDICAL CORPS (VOLUNTEERS). Scottish Command : Glasgow Companies : Lieutenant R Y. Anderson to be Captain (dated Oct. 15th, 1907). Western Command : Manchester Companies : Captain Harold P. W. Barrow, R.A.M.C., to be Adjutant, vice Captain R. W. Clements, R.A.M.C., whose tenure of that appoint- ment has expired (dated Oct. 12th, 1907). East Surrey Bearer Company : George Alfred Edsell (formerly Snrgeon- Captain, 2nd Volunteer Battalion the Oxfordshire Light Infantry) to be Captain (dated Sept.,25th, 1907).