1394 VITAL STATISTICS.-THE SERVICES.

Birmingham, four in Liverpool, and three both inManchester and in Gateshead.

HEALTH OF SCOTCH TOWNS.

The annual rate of mortality in eight of the principal Scotchtowns, which had been equal to 12’ 4 and 13’ 3 per 1000in the two preceding weeks, further rose to 16 - 2 in the weekending Oct. 31st. During the first five weeks of the currentquarter the annual death-rate in these eight towns averaged13 8 per 1000, and corresponded with the mean rate duringthe same period in the 76 English towns. Among the eightScotch towns the death-rate during the week under noticeranged from 13 - 0 in Edinburgh and 15’ 0 in Paisley to 21 - 0 0in Dundee and 22. 2 in Perth. The 570 deaths in the eighttowns showed a further increase of 103 upon the lownumbers returned in recent weeks, and included 71 whichwere referred to the principal epidemic diseases, against58 and 53 in the two preceding weeks ; of these 71deaths, 34 resulted from diarrhoea, 16 from whooping-cough, 11 from diphtheria, five from "fever," and five fromscarlet fever, but not one either from measles or small-pox.These 71 deaths were equal to an annual rate of 2’ 0 per1000, which exceeded by 0 - 2 the mean rate from the samediseases in the 76 large English towns. The deaths attri-buted to diarrhoea in the eight Scotch towns, which hadbeen 33 and 31 in the two preceding weeks, rose to 34in the week under notice and inclnded 17 in Glasgow,seven in Dundee, four in Edinburgh, and three in Leith.The 16 fatal cases of whooping-cough showed an increaseof eight upon the low number in the previous week ; 10,occurred in Glasgow, three in Dundee, and two inAberdeen. The 11 deaths from diphtheria also showedan increase upon the numbers in the two precedingweeks, and included six in Glasgow and two in

Paisley. Of the five deaths referred to "fever,"three were certified as cerebro-spinal meningitis and twoas enteric; four were returned in Glasgow and one inEdinburgh. Of the five fatal cases of scarlet fever, showinga slight further increase upon the numbers in recent weeks,two occurred in Edinburgh and two in Dundee. The deathsreferred to diseases of the respiratory organs in the eighttowns, which had been 62, 58, and 56 in the three precedingweeks, rose to 86 in the week under notice, but were fourbelow the number returned in these towns in the correspond-ing week of last year. The causes of 26, or 4.6 per cent.,of the deaths registered during the week in the eight townswere not certified ; in the 76 English towns during the sameweek the proportion of uncertified causes of death did not<exceed 0 - 8 per cent.

---

HEALTH OF DUBLIN.

The annual rate of mortality in Dublin, which hadnot exceeded 17 . 4 and 16. 0 per 1000 in the two precedingweeks, rose to 20’4 in the week ending Oct. 31st.During the first five weeks of the current quarter thedeath-rate in the city averaged 17’ 6 per 1000, whereasthe mean rate during the same period did not exceed 12’ 9 in London and 12 - 4 in Edinburgh. The 154 deaths of Dublin residents during the week under notice showed anincrease of 33 upon the number in the previous week,and included nine which were referred to the principalzymotic diseases, against 19, 13, and 11 in the three precedingweeks. These nine deaths were equal to an annual rate of1 . 2 per 1000 ; the rate from these diseases during the same lweek was equal to 1. 5 in London but did not exceed 1’ 0 in Edinburgh. Of the nine deaths from these epidemic diseases (lin Dublin last week, four resulted from diarrhoea, threefrom " fever," and two from measles, but not one (-either from scarlet fever, diphtheria, whooping-cough, I.or small-pox. The fatal cases both of diarrhoea and of I"fever" corresponded with the numbers returned in the I

’previous week. The 154 deaths from all causes during Ithe week included 30 of infants under one year of age i:and 41 of persons aged upwards of 60 years ; both these 3numbers showed a considerable increase upon those re- (turned in recent weeks. Three inquest cases and threedeaths from violence were registered, and 53, or 34’4 b

per cent., of the deaths occurred in public institutions.The causes of six, or 3’ 9 per cent., of the deaths regis Btered during the week in Dublin were not certified ; in CILondon the causes of all but one of the 1396 deaths were Lduly certified, while in Edinburgh the proportion of uncer- tified causes of death was 5 - 7 per cent

THE SERVICES.

, ROYAL NAVY MEDICAL SERVICE.

10 IN accordance with the provisions of Her late Majesty’sOrder in Council of April 1st, 1881 :-Fleet-Surgeon Francis

it Austen Jeans has been placed on the Retired List at his owndrequest, with permission to assume the rank of Deputy- Inspector-General of Hospitals and Fleets (dated Oct. 27th,

1908).e In accordance with the provisions of Her late Majesty’s0 Order in Council of April lst, 1881 :-Staff-Surgeon George

Maurice Oswald Richards has been allowed to withdraw fromHis Majesty’s Naval Service with a gratuity (dated Oct. 24th,

h 1908).;t t ROYAL ARMY MEDICAL CORPS.

1 Lieutenant-Colonel Edward L. Maunsell is placed oh;- retired pay (dated Nov. 3rd, 1908).n Lieutenant-Colonel William Rowney retires on retired pay:. (dated Nov. 4th, 1908).J The following transfers have been sanctioned : Lieutenant-e Colonel H. M. Adamson, from the 7th (Meerut) Division toI- the 8th (Lucknow) Division; Major B. J. Innis, from the 8thd (Lucknow) Division to the 7th (Meerut) Division; Major4J. B. Anderson, from the 7th (Meerut) Division to the 8th’, (Lucknow) Division ; Captain M. C. Wetherwell, from the. 2nd (Rawul Pindi) Division to the 7th (Meerut) Division;Captain W. M. Macdowall, from the 5th (Mhow) Division to

the 3rd (Lahore) Division ; Lieutenant A. H. Jacob, from the3rd (Lahore) Division to the 2nd (Rawul Pindi) Division.

,. INDIAN MEDICAL SERVICE.The King has approved of the following promotions among

, officers of the Indian Medical Service :--Lieutenant-Colonel) to be Colonel (dated June 30th, 1908): Herbert St. Clare

Carruthers. Captains to be Majors (dated July 29th, 1908):Herbert James Walton, Henry Robert Brown, Walter GuyonRichards, Archibald Nicol Fleming, Felix Oswald Newton

; Mell, Frank Dennis Browne, Maxwell Dick, James Henry; Hugo, D.S.O., Raymound Herbert Price, and Reginald

Bryson. The King has also approved of the retirement ofthe following officer : Surgeon-General John Philip Greany

. (dated Oct. 1st, 1908).TERRITORIAL FORCE.

’

Royal Field Artillery., lst South Midland Brigade : The undermentioned officers

from the 1st Gloucestershire (Gloucester and Somerset) RoyalGarrison Artillery (Volunteers) are appointed to the Brigade,with rank and precedence as in the Volunteer Force (datedApril 1st, 1908):-Surgeon-Captain Walter James Hill and

, Surgeon-Captain James Richard Bibby.Infantry.

8th Battalion, Duke of Cambridge’s Own (MiddlesexRegiment) : Surgeon-Lieutenant Thomas ChristopherCummins, from the 2nd Volunteer Battalion, The Dukeof Cambridge’s Own (Middlesex Regiment), is appointedSurgeon-Lieutenant, with precedence as in the VolunteerForce (dated April lst, 1908).

Royal Army Medical Corps.Surgeon-General George Joseph Hamilton Evatt, C.B.,

late Army Medical Service, is appointed to the HonoraryColonelcy of the Royal Army Medical Corps of the HomeCounties Territorial Division (dated April 27th, 1908).

Charles John Bond is appointed to the HonoraryColonelcy of the Royal Army Medical Corps of the NorthMidland Territorial Division (dated Sept. 21st, 1908).Howard Marsh is appointed to the Honorary Colonelcy of theRoyal Army Medical Corps of the East Anglian TerritorialDivision (dated Oct. 1st, 1908). Sir George Hare Philipsonis appointed to the Honorary Colonelcy of the Royal ArmyMedical Corps of the Northumbrian Territorial Division(dated Oct. 1st, 1908).

3rd Highland Field Ambulance : Arthur Melville Davie tobe Lieutenant (dated May 2nd, 1908). ,

2nd East Lancashire Field Ambulance : Major John JamesKent Fairclough, from the Western Command, ManchesterCompanies, Royal Army Medical Corps (Volunteers), to beLieutenant-Colonel (dated April 1st, 1908). Captain FredD. Woolley to be Major (dated April 1st, 1908).

lst West Lancashire Field Ambulance: William Macdonald

1395THE SERVICES.- T’

to be Lieutenant (dated April lst, 1908). John EdwardWhitley MacFall to be Lieutenant (dated April lst, 1908).Richard Stopford Taylor to be Lieutenant (dated April 1st,1908). Cecil Lennox Williamson to be Lieutenant (datedApril 1st, 1908). :

2nd West Lancashire Field Ambulance: Frederick WilliamKerr Tough to be Lieutenant (dated. April lst, 1908). AlfredHarold Godwin to be Lieutenant (dated April lst, 1908).Charles Stuart Brebner to be Lieutenant (dated April lst,1908). Adam Pearson Hope Simpson to be Lieutenant

(dated April lst, 1908).3rd West Lancashire Field Ambulance : Augustus Anson

Warren Merrick to be Lieutenant (dated April lst, 1908).Ernest Knight to be Lieutenant (dated April lst, 1908).Norman Stuart Jeffrey to be Lieutenant (dated April lst,1908). ’

lst North Midland Field Ambulance: Arthur GeorgeKewley to be Lieutenant (dated Sept. 26th, 1908).

lst East Lancashire Field Ambulance : The undermentionedofficers, from the Western Command, Manchester Companies,Royal Army Medical Corps (Volunteers), are appointed tothe unit, with rank and precedence as in the VolunteerForce (dated April lst, 1908) :-Captain William BridgettPritchard, Captain Joseph Farrall Wright, Captain HerbertGeorge Parker, Captain Walter Reginald Norman Smithard,Captain Charles Roberts, Lieutenant Henry George Smeeth,and Lieutenant William Robert Douglas. Captain WilliamB. Pritchard to be Major (dated April lst, 1908). CaptainHerbert G. Parker to be Major (dated April 1st, 1908). Lieu-tenant Henry G. Smeeth to be Captain (dated July 4th,1908).2nd East Lancashire Field Ambulance, Royal Army Medical

Corps : The undermentioned officers, from the Western Com-mand, Manchester Companies, Royal Army Medical Corps(Volunteers), are appointed to the unit, with rank and pre-cedence as in the Volunteer Force (dated April lst, 1908) :-Captain Fred Duke Woolley, Captain George Ashton, CaptainAlfred Francis Thompson, Lieutenant Henry Bentley,and Lieutenant Thomas Carnwath. The undermentionedofficers, from the North East Lancashire Bearer Company,Royal Army Medical Corps (Volunteers), are appointed to theunit, with rank and precedence as in the Volunteer Force(dated April lst, 1908) :-Major Thomas Holt, LieutenantAlexander Callam, and Lieutenant William Fraser Munro.

3rd East Lancashire Field Ambulance : Captain (HonoraryLieutenant in the Army) John William Smith, from theWestern Command, Manchester Companies, Royal ArmyMedical Corps (Volunteers), to be Lieutenant-Colonel (datedApril 1st, 1908). The undermentioned officers, from theWestern Command, Manchester Companies, Royal ArmyMedical Corps (Volunteers), are appointed to the unit, withrank and precedence as in the Volunteer Force (datedApril 1st, 1908) :-Captain William Leonard Bentley,Captain Robert William Beesley, Captain William RiddellMatthews, Captain Harry Washington Pritchard, CaptainWilfred Moritz Steinthal, Lieutenant Gordon William

Fitzgerald, and Lieutenant Cecil William Hutt: CaptainWilliam L. Bentley to be Major (dated April lst, 1908).Captain William R. Matthews to be Major (dated April lst,1908). Lieutenant Gordon W. Fitzgerald to be Captain(dated July 4th, 1908).2nd West Lancashire Field Ambulance : Owen Herberi

Williams to be Lieutenant (dated June 23rd, 1908).1st Welsh Field Ambulance : John Buckner to be Lieu.

tenant (dated April 1st, 1908).2nd Scottish General Hospital : The surname of GeorgILovell Gullaud is as now described and not as stated in thlLondon Gazette of Oct. 13th, 1908.

1st Southern General Hospital: The undermentioned is appointed an officer whose services will be available on mobilisation;-To be Captain : William Joseph McCardie (datefSept. 24th, 1908).Sanitary Service Surgeon-Lieutenant-Colonel John Arnaul

Jones, from the 2nd Volunteer Battalion, The Welsh Regiment, to be Lieutenant-Colonel, with, precedence as in thVolunteer Force (dated April lst, 1’908). Surgeon-MajoNathaniel Edward Roberts, from the 2nd VolunteeBattalion, The King’s (Liverpool Regiment), to thLieutenant-Colonel (darted April 1st, 198). SurgeonMajor Thomas Finlayson Dewar, from, the Fifeshirand Forfarshire Imperial Yeomanry, to be Lieutenant

Colonel (dated April 1st, 1908) ; Surgeon-Major Archibal,

Kerr Chalmers, from the 1st Lanarkshire Royal Garrison-’

Artillery (Volunteers), to be Lieutenant-Colonel (datedApril lst, 1908); Surgeon-Major Sydney Arthur MoncktonCopeman; from the 2nd London Volunteer RifleCorps, to be Lieutenant-Colonel (dated April lst, 1908) y.Surgeon-Captain Francis Edward Freemantle, from the HertsImperial Yeomanry, to be Major (dated April lst, 1908).The undermentioned to be Majors: Arthur Newsholme-(dated June 9th, 1908) ; James Robert Kaye (datedJune 10th, 1908) ; Edward Sergeant (dated June 19th, 1908) ; xJohn Robertson (late Lieutenant, 2nd Volunteer Battalion,The Prince of Wales’ Volunteers (South Lancashire Regiment))(dated June 25th, 1908). The undermentioned officers, fromthe Imperial Yeomanry, are appointed to the corps inthe ranks stated, with precedence as in the ImperialYeomanry (dated April lst, 1908): To be Lieutenant-Colonel : Surgeon-Lieutenant-Colonel Russell Eliott Wood?from the Lanarkshire Imperial Yeomanry, to be Lieutenant-Colonel. To be Majors: Surgeon-Major John Robinson Harper,from the Royal North Devon (Hussars) Imperial Yeomanry ;and Surgeon-Major Hugh Kelly, from the Lanarkshire (Queen’sOwn Royal Glasgow) Imperial Yeomanry. To be Captains : dSurgeon-Captain Charters James Symonds, from the King’sColonials Imperial Yeomanry ; Surgeon-Captain (HonoraryMajor in the Army) Charles Stonham, C.M.G., from theMiddlesex (Duke of Cambridge’s Hussars) ImperialYeomanry; Surgeon-Captain Herbert William Whyte, fromthe 3rd County of London (Sharpshooters) ImperialYeomanry ; Surgeon-Captain Leonard Avery Avery, fromthe Suffolk (The Duke of York’s Own Loyal Suffolk Hussars).Imperial Yeomanry; and Surgeon-Captain John HenryDauber, from the Sussex Imperial Yeomanry. To be Lieu-tenants : Surgeon-Lieutenant Stanley Rider Gibbs, from theRoyal North Devon (Hussars) Imperial Yeomanry ; Surgeon--Lieutenant George Smith Ward, from the Herts ImperialYeomanry ; Surgeon-Lieutenant William Savile Henderson,from the King’s Colonials Imperial Yeomanry; Surgeon-Lieutenant Robert Martin McQueen, from the City ofLondon (Roughriders) Imperial Yeomanry; Surgeon-Lieutenant Herbert Meggitt, from the Middlesex (Duke ofCambridge’s Hussars) Imperial Yeomanry; Surgeon-Lieu-tenant Frederic William Longhurst, from the 2nd

County of London (Westminster Dragoons) ImperialYeomanry; Surgeon-Lieutenant John McWatt, from theLothians and Berwickshire Imperial Yeomanry.The undermentioned officers from the Volunteer Force are-

appointed to the corps in the ranks stated, with precedenceas in the Volunteer Force (dated lst April, 1908) :&mdash;To beLieutenant-Colonels : Surgeon-Lieutenant-Colonel James,Thomson, from the lst Ayrshire and Galloway Royal-Garrison Artillery (Volunteers) ; Surgeon-Lieutenant-ColonelJames William Thornton Gilbert, from the 1st Cinque PortsRoyal Garrison Artillery (Volunteers); Surgeon-Lieutenant-Colonel Robert Balfour Graham, from the 1st Fifeshire RoyalGarrison Artillery (Volunteers) ; Surgeon-Lieutenant-Colonel

. Arthur Douglas Webster, from the Queen’s Rifle Volunteer

. Brigade, The Royal Scots (Lothian Regiment) ; Surgeon-Lieutenant-Colonel James ’Mill, from the 5th Volunteer

. Battalion, The Royal Scots (Lothian Regiment); Surgeon-Lieutenant-Colonel Robert Kirk, from the 8th Volun-

teer Battalion, The Royal Scots (Lothian Regiment) 5Surgeon-Lieutenant-Colonel John Maurice Harper, from the

1st Volunteer Battalion, The Prince Albert’s (Somersetsbire- Light Infantry) ; Surgeon-Lieutenant-Colonel William Wilson,

from the 1st Volunteer Battalion, The Royal Scots. Fusiliers ; Surgeon-Lieutenant-Colonel William Nettle, from.s the 2nd Volunteer Battalion, the Duke of Oornwall’s-

Light Infantry; Supernumerary Surgeon- Lieutenant-Colonel,i- (Honorary Major in the Army) Edmond James Lawless, from- the 4th Volunteer Battalion, The East Surrey Regiment ;1 Surgeon-Lieutenant-Colonel (Honorary Captain in the Army)

Charles Edward Douglas, from the 6th Volunteer Battalion,t The Black Watch (Royal Highlanders); Surgeon-Lieutenant-- Colonel Philip Percival Whitcombe, from the 13th Middlesexe (Queen’s Westminster) Volunteer Rifle Corps ; Surgeon-r Lieutenant-Colonel Charles Graham Grant, from the 24tlhr Middlesex Volunteer Rifle Corps. ,

e To be Majors: Surgeon-Major John Bowine Berry, from the-L- 1st Cinque Ports Royal Garrison Artillery (Volunteers) : Sur-e geon-Major Richard John Bryden, from the lst Kent Royal;;- Garrison Artillery (Volunteers) ; Surgeon-Major Johnd Frederick Tabb, from the 2nd Kent Royal Garrison Artillery

1396 THE SERVICES.

(Volunteers) ; Surgeon-Major Alexander Barclay Lyon, frorthe 2nd Middlesex Royal Garrison Artillery (Volunteers) ; Surgeon Major Thomas Edmund Stuart, from the lst Suffolk amHarwich Royal Garrison Artillery (Volunteers) ; SurgeonMajor William Alfred Dingle, from the East London (ToweHamlets) Royal Engineers (Volunteers) ; Surgeon-MajoWilliam Henry Bourke, from the 1st Middlesex RoyaEngineers (Volunteers) ; Surgeon-Major James Aitken Clarland Surgeon-Major John Hugh Alexander Laing, from ThlQueen’s Rifle Volunteer Brigade, The Royal Scots (LothiarRegiment) ; Surgeon-Major Richard James Maitland Coffirand Surgeon-Major Campbell Boyd, from the 3rd Volun.teer Battalion, The Queen’s (Royal West Surrey Regiment)Surgeon-Major Joseph Dallas Pratt and Surgeon-Major Henr3Dutch, from the 4th Volunteer Battalion, The Royal Fusilieri(City of London Regiment) ; Surgeon-Major Charles JamesMarsh, from the 2nd Volunteer Battalion, The Prince Albert’s(Somersetshire Light Infantry) ; Surgeon-Major FrederickVasey Adams, from the lst Lanarkshire Volunteer Rifle

Corps ; Surgeon-Major Thomas Forrest, from the 3rd Lanark-shire Volunteer Rifle Corps ; Surgeon-Major Walter Alex-ander Atkinson, from the 1st Surrey (South London) Volun-teer Rifle Corps ; Surgeon-Major Josiah Telfer Thomas andSurgeon-Major Casper Robert Laurie, from the lst VolunteerBattalion, The Duke of Cornwall’s Light Infantry ; Surgeon-Major Kenneth Walter Ingleby Mackenzie, from the 5th

(Isle of Wight "Princess Beatrice’s") Volunteer Battalion,The Hampshire Regiment; Surgeon-Major James SamuelYeaman Rogers, from the 1st (City of Dundee) Volun-teer Battalion, The Black Watch (Royal Highlanders);Surgeon-Major Charles Nairne Lee, from the 6th VolunteerBattalion, The Black Watch (Royal Highlanders) ; Surgeon-Major Francis James Warwick, from the 3rd VolunteerBattalion, The Essex Regiment; Surgeon-Major Charles

Boyce and Surgeon-Major Christopher Vise, from the 1stVolunteer Battalion, The Queen’s Own (Royal West KentRegiment); Surgeon-Major Arthur David Ducat, from the1st London Volunteer Rifle Corps ; Surgeon-Major JosephGeorge Turner, from the 7th Middlesex (London Scottish)Volunteer Rifle Corps.

Surgeon-Captain Arthur Heygate Vernon, from the 4thVolunteer Battalion, The Hampshire Regiment, to be Major(dated April 1st, 1908).To be Captains: Surgeon-Captain John Hector Stephen, i

from the 1st Banff Royal Garrison Artillery (Volunteers) ;Surgeon-Captain Herman Stedman, from the 1st City ofLondon Royal Garrison Artillery (Volunteers); Surgeon-Captain Thomas Alfred Walker, from the lst DorsetshireRoyal Garrison Artillery (Volunteers); Surgeon-CaptainJames Crawford Gibb Macnab and Surgeon-Captain Alex-ander Edward Watson, from the 1st Fifeshire Royal GarrisonArtillery (Volunteers) ; Surgeon-Captain Edmund NapierClose and Surgeon-Captain Alexander Arthur MacKeith,from the lst Hampshire Royal Garrison Artillery (Volun-teers) ; Surgeon-Captain Thomas Kay and Surgeon-CaptainRobert Wardrop Forrest, from the 1st Lanarkshire RoyalGarrison Artillery (Volunteers); Surgeon-Captain CharlesGordon Watson, from the 3rd Middlesex Royal GarrisonArtillery (Volunteers) ; Surgeon-Captain Ernest Tom Cox,from the 1st Sussex Royal Garrison Artillery (Volunteers);Surgeon-Captain Richard Emmett, from the lst Hamp-shire Royal Engineers (Volunteers) ; Surgeon-CaptainWilliam Robertson Willisand Surgeon-Captain Thomas DonaldLaird, from the 2nd Lanarkshire Royal Engineers (Volunteers) ;Surgeon-Captain Frederick Swinford Edwards, from the EastLondon (Tower Hamlets) Royal Engineers (Volunteers);Surgeon-Captain James Wilson, from the Forth Division

(Electrical Engineers) Royal Engineers (Volunteers); Sur-

geon-Captain Cecil Huntingdon Leaf, from the LondonDivision (Electrical Engineers) Royal Engineers (Volunteers);Surgeon-Captain James Scott, from the Queen’s Rifle Volun-teer Brigade, The Royal Scots (Lothian Regiment); Surgeon-Captain George Melville and Surgeon-Captain James Cameron,from the 6th Volunteer Battalion, The Royal Scots (LothianRegiment); Surgeon-Captain William Young, from the8th Volunteer Battalion, The Royal Scots (Lothian Regi- iment) ; Surgeon-Captain John Cumming, from the 9th Volun-teer Battalion (Highlanders), The Royal Scots (Lothian 1

Regiment); Surgeon-Captain Herbert Stedman Oliver, Cfrom the lst Volunteer Battalion, The Buffs (East "e’Kent Regiment) ; Surgeon-Captain Peter Paget and (Surgeon-Captain Joshua Low Kerr, from the 2nd (The Weald 1

1 of Kent) Volunteer Battalion, The Buffs (East Kent Regi--ment); Surgeon-Captain Richard Joselyn Swan, from the 1stI Volunteer Battalion, The Queen’s (Royal West Surrey Regi-. ment) ; Surgeon-Captain John Orton, from the 2nd Volunteer: Battalion, The Royal Warwickshire Regiment; Surgeon-Captain James Alexander Angus, from the 3rd Volunteer. Battalion, The Royal Fusiliers (City of London Regiment);: Surgeon-Captain John Frederick Fitzgerald Parr, from the: 4th Battalion, the Royal Fusiliers (City of London Regiment) ;

Surgeon-Captain Frederic Wellesley Kendle, from the 4thVolunteer Battalion, The Devonshire Regiment; Surgeon-Captain Cecil Edward Stephens, from the 3rd (Cambridge-shire) Volunteer Battalion, The Suffolk Regiment; Surgeon-Captain Henry Ashton Rudyard, Surgeon-Captain ThomasBeard, and Surgeon-Captain John Best McBride, fromthe 2nd (Hertfordshire) Volunteer Battalion, The Bedford-shire Regiment; Surgeon-Captain (Honorary Lieutenant in theArmy) James Craik Taylor, from the 1st Volunteer Battalion,the Royal Scots Fusiliers ; Surgeon-Captain William

Roxburgh, from the 2nd Volunteer Battalion, The RoyalScots Fusiliers ; Surgeon-Captain William Turnbull Barrie;Surgeon-Captain William Doig, and Surgeon-Captain RobertWilliam Meikle, from the 1st Roxburgh and Selkirk (TheBorder) Volunteer Rifle Corps ; Surgeon-Captain DavidRobertson Dobie and Surgeon-Captain John Young, from the2nd (Berwickshire) Volunteer Battalion, The King’s OwnScottish Borderers ; Surgeon-Captain George Robert Living.stone, from the 3rd (Dumfries) Volunteer Battalion, TheKing’s Own Scottish Borderers ; Surgeon-Captain RobertHome Henderson, from the lst Lanarkshire VolunteerRifle Corps ; Surgeon-Captain James Livingstone Loudonand Surgeon-Captain John Marshall, from the 2ndVolunteer Battalion, The Cameronians (Scottish Rifles) ;Surgeon-Captain Alexander Roxburgh, from the 3rd Lanark.shire Volunteer Rifle Corps ; Surgeon-Captain Martin AlfredCooke, from the 2nd Volunteer Battalion, The GloucestershireRegiment; Surgeon-Captain Charles Robert Browne, fromthe 3rd Volunteer Battalion, The Gloucestershire Regiment;Surgeon-Captain Cyril Aloysius Corke, from the 2nd Volun-teer Battalion, The Worcestershire Regiment; Surgeon-Captain Thomas Brushfield, from the 2nd VolunteerBattalion, The East Surrey Regiment ; Surgeon-CaptainCharles James Martin and Surgeon-Captain Thomas MahonMorton, from the 4th Volunteer Battalion, the East SurreyRegiment; Surgeon-Captain Daniel Oliver Kerr, from thelst Surrey (South London) Volunteer Rifle Corps ; SurgeonCaptain (Honorary Captain in the Army) George Black andSurgeon-Captain John Elsdale Molson, from the 2nd Volun-teer Battalion, The Royal Sussex Regiment; Surgeon-CaptainWilliam Henry Harland, from the 5th (Isle of Wight," Princess Beatrice’s ") Volunteer Battalion, The HampshireRegiment; Surgeon-Captain Edward Richard Williams, fromthe lst (Pembrokeshire) Volunteer Battalion, The WelshRegiment; Surgeon-Captain George Francis Whyte, from thelst (City of Dundee) Volunteer Battalion, The Black Watch(Royal Highlanders) ; Surgeon-Captain John SutherlandMackay and Surgeon-Captain Robert Thomson Ferguson,from the 6th Volunteer Battalion, The Black Watch (RoyalHighlanders) ; Surgeon-Captain Hugh Neville Adam Taylor,from the 3rd Volunteer Battalion, The Essex Regiment;Surgeon-Captain Harry Thornton Challis, from the 4thVolunteer Battalion, The Essex Regiment; Surgeon-CaptainJohn Allison, from the 1st Volunteer Battalion, The

Northamptonshire Regiment ; Surgeon-Captain GeorgeRobert Fabris Stillwell, from the 2nd Volunteer Battalion,The Queen’s Own (Royal West Kent Regiment); Sur-

geon-Captain Frederick Harcourt Gervis from the 17thMiddlesex (North Middlesex) Volunteer Rifle Corps ; Surgeon- ,

Captain Frederick Richard Miller, from the 4th MiddlesexKensington) Volunteer Rifle Corps ; Surgeon-Captain CharlesArthur Goullet, from the 5th Middlesex (West Middlesex)Volunteer Rifle Corps; Surgeon-Captain Charles ArthurMorris, C.V.O., from the 13th Middlesex (Queen’s West-ninster) Volunteer Rifle Corps ; Surgeon-Captain Williamberdein Malcolm and Surgeon-Captain Charles AllenJasterton Smelt, from the 21st Middlesex (The Finsbury)Volunteer Rifle Corps ; Surgeon-Captain Albert Ehrmann, fromhe 22nd Middlesex (Central London Rangers) Volunteer Riflecorps ; Surgeon-Captain Henry Kay Ramsden, from thend London Volunteer Rifle Corps; Surgeon-Captain John)rr, from the lst Volunteer Battalion, The Manchesteregiment; Surgeon-Captain James Allan Wilson and Surgeon-

1397THE SERVICES.

Captain Peter Mackellar Dewar, from the 3rd (The Blyths-wood) Volunteer Battalion, The Highland Light Infantry ;Surgeon-Captain John Bradford, Surgeon-Captain ThomasWilson Banks, and Surgeon - Captain William JonesMackinnon, from the 9th Lanarkshire Volunteer Rifle

Corps; Surgeon-Captain William Ritchie and Surgeon-Captain Thomas Douglas Brown, from the 5th (GlasgowHighland) Volunteer Battalion, The Highland Light In-

fantry ; Surgeon-Captain George Clark Cathcart and Sur-

geon-Captain Alexander Howard Pirie, from the 7th Middle-sex (London Scottish) Volunteer Rifle Corps ; Surgeon-Captain Edmond Ultain Frederick MacWilliam Bourke,from the 18th Middlesex Volunteer Rifle Corps ; Surgeon-Captain William Francis Roe and Supernumerary Sur-

geon-Captain William George Macfee, from the 19thMiddlesex (St. Giles’s and St. George’s, Bloomsbury)Volunteer Rifle Corps ; Surgeon-Captain James Steel Swain,from the 2nd Tower Hamlets Volunteer Rifle Corps.To be Lieutenants: Surgeon-Lieutenant John Aitken, from

the lst Ayrshire and Galloway Royal Garrison Artillery(Volunteers) ; Surgeon-Lieutenant William Manson Fergusson,from the lst Banff Royal Garrison Artillery (Volunteers) ;Surgeon-Lieutenant William Greenwood Sutcliffe, from 1stCinque Ports Royal Garrison Artillery (Volunteers); Surgeon-Lieutenant Paul Joseph O’Sullivan, from the lst City ofLondon Royal Garrison Artillery (Volunteers) ; Surgeon-Lieutenant Hugh Richardson, from the lst Fifeshire RoyalGarrison Artillery (Volunteers); Surgeon-Lieutenant YorkThomas Gray Moore, from the 2nd Kent Royal GarrisonArtillery (Volunteers); Surgeon-Lieutenant Thomas JeffersonFaulder, from the 3rd Middlesex Royal Garrison Artillery(Volunteers); Surgeon-Lieutenant Thomas Sanders Worboys,from the lst Sussex Royal Garrison Artillery (Volunteers) ;Surgeon-Lieutenant Samuel Martyn and Surgeon-LieutenantJames Andrew, from the 2nd Lanarkshire Royal Engineers(Volunteers) ; Surgeon-Lieutenant Edward Canny Ryall,from the East London (Tower Hamlets) Royal Engineers(Volunteers) ; Surgeon-Lieutenant John Hobbs, from the z,1st London Royal Engineers (Volunteers) ; Surgeon-Lieu-tenant Antony Alexander Martin, from the lst Sussex RoyalEngineers (Volunteers) ; Surgeon-Lieutenant Neish ParkWatt, from the Forth Division (Electrical Engineers) RoyalEngineers (Volunteers) ; Surgeon-Lieutenant John BoydJamieson, from the Queen’s Rifle Volunteer Brigade, The RoyalScots (Lothian Regiment) ; Surgeon-Lieutenant WilliamLewis Martin and Surgeon-Lieutenant David George Davidson,from the 4th Volunteer Battalion, The Royal Scots (LothianRegiment); Surgeon-Lieutenant John Frank Crombie, fromthe 7th Volunteer Battalion, The Royal Scots (Lothian Regi-ment) ; Surgeon-Lieutenant Robert Cross, from the 8th Volun-teer Battalion, The Royal Scots (Lothian Regiment); Surgeon-Lieutenant John Macaulay Bowie, from the 9th VolunteerBattalion (Highlanders), The Royal Scots (Lothian Regi-ment) ; Surgeon-Lieutenant Walter Gray Paget, from thelst Volunteer Battalion, The Queen’s (Royal West SurreyRegiment) ; Surgeon-Lieutenant Charles James IzzardKrumbholz, from the 2nd Volunteer Battalion, The RoyalWarwickshire Regiment ; Surgeon-Lieutenant ReginaldIronside, from the 2nd Volunteer Battalion, The RoyalFusiliers (City of London Regiment) ; Surgeon-LieutenantWalter Fitzpatrick, from the 5th (The Hay Tor) VolunteerBattalion, the Devonshire Regiment ; Surgeon-LieutenantHerbert Mayris Sylvester, from the lst Volunteer Battalion,The Suffolk Regiment; Surgeon-Lieutenant William JamesCaie, from the 2nd Volunteer Battalion, The Suffolk Regi-ment: Surgeon-Lieutenant Arthur Norman Haig, from the2nd Volunteer Battalion, The Prince Albert’s (SomersetshireLight Infantry) ; Surgeon-Lieutenant Eric DalrympleGairdner, from the 2nd Volunteer Battalion, The RoyalScots Fusiliers; Surgeon-Lieutenant George McKellar, fromthe lst Roxburgh and Selkirk (The Border) Volunteer RifleCorps ; Surgeon-Lieutenant David Robert Taylor, from the2nd (Berwickshire) Volunteer Battalion, The King’s OwnScottish Borderers ; Surgeon-Lieutenant John LawsonRankine, from the 3rd (Dumfries) Volunteer Battalion,The King’s Own Scottish Borderers ; Surgeon-LieutenantArthur Innes, from the lst Lanarkshire VolunteerRifle Corps ; Surgeon-Lieutenant John Patoa, fromthe 3rd Lanarkshire Volunteer Rifle Corps ; Sur-

geon-Lieutenant Alexander Bankier Sloan, from the4th Volunteer Battalion, The Cameronians (ScottishRifles) Surgeon-Lieutenant Richard William Brimacombe,

h-om the 3rd Volunteer Battalion, The East Surrey Regi-nent ; Surgeon-Lieutenant Robert James William Oswald,from the 1st Surrey (South London) Volunteer Rifle Corps ;Surgeon-Lieutenant Prosper James Liston, from the 1stVolunteer Battalion, The Duke of Cornwall’s Light Infantry ;Surgeon-Lieutenant James Albert Gibson, from the 5th (Isleof Wight, Princess Beatrice’s) Volunteer Battalion, TheHampshire Regiment ; Surgeon-Lieutenant ArchibaldRichard Paterson, from the lst Volunteer Battalion, TheDorsetshire Regiment ; Surgeon-Lieutenant David ArthurHughes, from the 1st (Pembrokeshire) Volunteer Battalion,The Welsh Regiment; Surgeon-Lieutenant Robert Thornton,from the lst Volunteer Battalion, The Black Watch (RoyalHighlanders) ; Surgeon-Lieutenant John Hunter Park Paton,from the 6th Volunteer Battalion, The Black Watch (RoyalHighlanders) ; Surgeon-Lieutenant George Herbert Lewis andSurgeon-Lieutenant Charles Humphrey Sedgwick, from thelst Volunteer Battalion, The Northamptonshire Regiment ;Surgeon-Lieutenant John Edward Simpson and Surgeon-Lieutenant Henry Lonsdale Gregory, from the lst VolunteerBattalion, The Duke of Cambridge’s Own (Middlesex Regi-ment) ; Surgeon-Lieutenant William Lloyd, from the 22ndMiddlesex (Central London Rangers) Volunteer Rifle Corps ;Surgeon-Lieutenant David Westwood and Surgeon-Lieu-tenant George Jubb, from the 2nd Volunteer Battalion, TheHighland Light Infantry ; Surgeon-Lieutenant RobertPaterson, from the 9th Lanarkshire Volunteer Rifle Corps ;Surgeon-Lieutenant Alexander McPhail, from the 5th(Glasgow Highland) Volunteer Battalion, The High-land Light Infantry ; Surgeon-Lieutenant John Allanand Surgeon-Lieutenant James Patterson Wilson fromthe lst (Dumbartonshire) Volunteer Rifle Corps; Sur-

geon-Lieutenant John William Thomson Walker, fromthe 7th Middlesex (London Scottish) Volunteer Rifle Corps ;Surgeon-Lieutenant William Cameron Macaulay, from the15th Middlesex (The Customs and Docks) Volunteer RifleCorps ; Surgeon-Lieutenant Charles Augustus Spooner,from the 16th Middlesex (London Irish) Volunteer Rifle

Corps.John James Weaver to be Lieutenant (dated May 1st, 1908),

Richard Cadwaladr Roberts to be Lieutenant (dated July lst,1908), Captain Cecil Edward Stephens to be Maj&uacute;r (datedAugust 12th, 1908), William Thomas Harkness to beLieutenant (dated August 21st, 1908), Arthur Lewis Heiserto be Lieutenant (dated Sept. 4th, 1908), and LeonardBuckell Cane to be Lieutenant (dated Sept. 15th, 1908).

For attachment to Units other than Medical UnitsWinstan St. Andrew St. John to be Lieutenant (datedApril lst, 1908). Horace Carlos Barr to be Lieutenant(dated Sept. 1st, 1908).

VOLUNTEER CORPS.

Royal Garrison Artillery (Vol1lnteers).-lst Gloucestershil’e(Gloucester and Somerset) : Surgeon-Lieutenant-Colonel andHonorary Surgeon-Colonel John S. Carleton resigns his

commission, with permission to retain his rank and to wearthe prescribed uniform (dated March 31st, 1908). 3rd Kent

(Royal Arsenal) : Surgeon Lieutenant-Colonel and HonorarySurgeon-Colonel Arthur H. Robinson resigns his commission,with permission to retain his rank and to wear the prescribeduniform (dated March 31st, 1908).

Rifle: 2nd Volunteer Battalion, The Duke of Cornwall’sLight Infantry : Surgeon-Captain Robert T. Meadows to be

Surgeon-Major (dated March 30th, 1908). Surgeon-MajorRobert T. Meadows resigns his commisgion, with permissionto retain his rank and to wear the prescribed uniform(dated March 31st, 1908). 2nd Volunteer Battalion, TheQueen’s Own (Royal West Kent Regiment) : The under-mentioned officer resigns his commissions (dated March 31st,1908) : Surgeon-Captain Richard A. Fegan.

CENTRAL LONDON THROAT AND EAR HOSPITAL,GRAY’S INN-ROAD, W.C.-The annual dinner of the medicalstaff and students of the Central London Throat and EarHospital was held at the Trocadero Restaurant on Oct. 16th,Dr. J. Dundas Grant being in the chair. Amongst the guestswere Dr. John Macintyre of Glasgow, who delivered theinaugural address at the beginning of the winter course oflectures, Dr. Otto Freer of Chicago, and various members ofthe staffs of all the throat and ear hospitals in London.

1398 TUBERCULOSIS PREVENTION (IRELAND) BILL.

Correspondence.

TUBERCULOSIS PREVENTION (IRELAND)BILL.

"Audi aiteram partem."

To the Editor of THE LANCET.

SlR,&mdash;The present position of the Tuberculosis Prevention. ,{Ireland) Bill is a very interesting one and those who, like yself, ,have spent a lifetime in helping to check the ravages- of the" white scourge " see in it the one hope of savingfuture generations from the "wasting death." To theCountess of Aberdeen, whose brains and energy evolved theWomen’s National Health Association of Ireland, and whoseinfluence has gone a very long way in shaping this Bill,which will, I believe; bring about the health regeneration ofthe country, rich and poor alike owe a ceaseless debt of

gratitude. She has made practicable in a few months whatmany of us thought could never be more than a golden’dream.

The one exception taken to the provisions of the Bill is tothe proposal to make notification of all stages of the disease<compulsory. The fear has been expressed that, if this

provision be enacted, in so far at least as the large’ industrial centres are concerned it will prove disastrous andresult in those who are the subjects-of notification beingshunned by their fellow-workers and treated as lepers.Those who hold this view cannot have observedthe effect of compulsory notification elsewhere, and’ there is no ground for presuming that in Ireland the resultswill have any but the same effect. On the continentand in America compulsory notification has not resulted inthe ostracising of the sufferers nor will it in Ireland. At thismoment thousands are perfectly well known to their fellowemployees to be in the grip of the disease, and many of themin the advanced stage of it, yet there is nothing of thisextreme kind of repulsion. The mills and factories of Belfasthave hundreds of such instances. So far from compulsorymotification effecting any such purpose it is certain to act inthe contrary way because it will give confidence to all who-are aware of it that skilled steps are being taken to eliminatethe disease. The real value of such a provision in the Bill is.that it will enable health authorities to combat the disease inevery individual case in the early stages when a cure is ’,possible and not afterwards when, it has almost run its Icourse and the effort at rescue is hopeless. This form of Nidisease is totally different from one that is highly contagiousand virulent, such as small-pox, from which the scare theorywould be perfectly deducible. I state my solemn conviction

. after 31 years’ practice as a medical man, if the compulsorynotification clause be eliminated the thing of all others

. essential in stamping out, the disease will have been lost.We all appreciate the humane motives which- influence thosewho oppose the clause, but the opinion of those best able tojudge is entirely against ’them, and it is significant that’fromthe working-classes themselves there has not come so much asone word of objection, for they recognise that this is in theirhighest interests. This is no time for squeamish considerations;11,000 lives are annually sacrificed which can be, and mustbe, saved in future years ; the more vigorous the measuresnow the more quickly will it be achieved. Weak measuresin the face of such a position is wholesale and culpable homi-cide. Let us have a medical officer of health of every countyto enforce rigidly the provisions of the Act and let the county

councils, individually and collectively, provide sanatoriumsfor the treatment of advanced cases and’ likewise means

of instruction as to how to check the disease in early cases.It is no light work that is to be undertaken. Half measureswill never stop the long procession of consumptives thatmarches annually to our cemeteries. Even if it involves somelittle temporary social inconvenience every victim would

suffer it, knowing that his life is at stake. I hope the Billin its entirety will be pressed forward and passed as soon aspossible.

’

I am, Sir, yours faithfully,HENRY O’NEILL, M. D. R.TJ. I.. J;P,

liJ3elfast, , Nov. 3rd, 1908. HENRY’&Ucirc;’NEILL, ’1T. D. R.1J.I.,’J:P.HENRY O’NEILL, M.D. R.U.I., J.P,HENRY O’NEILL, M. D. R.U. I., J.P.

THE POSITION OF MEMBERS OF THEROYAL COLLEGE OF SURGEONS

OF ENGLAND./70 the Editor of THE LANCET.

SiR.&mdash;In your columns and in the annual report of theRoyal College of Surgeons of England there are increasingsymptoms of unrest as to the comparative positions of

graduates and diplomates. The Irish College appealsfor support in its fight for existence against Universitypredominance. The English College, if it persists in its

present half-hearted treatment of the professional positionof its corporate Members, and in its neglect of their justclaim to some share of representation in the manage-ment of their own College, may before long be inthe same parlous plight. While admitting the academicdistinction of the Fellows the Members are entitled toclaim their place as qualified surgeons entitled to dosuch work as lies in them without invidious. distinctions.How can they fight under present conditions for the goodname of their alma materr against the prejudiced preferenceof the more ignorant portion of the British public fordegrees-no matter whence they come ? 2 Under pressurecertain concessions have been made. More must follow, andour College must cease to treat us as outlanders."When this question is settled on a fair basis the solution

of such problems as the equalisation of title or the correctacademic costume of diplomates will be solved without toogreat a tax on human ingenuity. To one who can date hisqualification over 30 years ago these are not vital issues,but the future of the Royal College is no personal matter. Ilike to think of my College, Fellows and Members included,as the pioneer in surgical science and practice, and if thatposition is to be maintained and the prosperity of the past tocontinue students must not be driven to provincial schoolsand ’the life-blood of the College drained away by neglectof the general interests and -position of the Members.

I am, Sir, yours faithfully,Laughborough, Oct. 31st, 1908. J. B. PIKE, M.R.C.S. Eng.J. B. PIKE, M.R.C.S. Eng.

THE GENERAL PRACTITIONER OF THEFUTURE.

go the Editor of THE LANCET.SlE,&mdash;I should like to raise a question in your paper as to

the rightful position of the general practitioner towards hispatients in order to secure their best interests. In our largehospitals a patient is thoroughly overhauled. If he has any-thing wrong with his eyes he is referred to the eye depart-ment, or skin to the skin department, for their opinion andadvice. A patient may thus be’in a medical ward and alsobe attending one or two or even more special departments.This I consider is to the highest interest of the patient,because there is no man living who can compete with thevarious specialists in their own departments. The public,too, has already begun to recognise such specialists as thedentist and the oculist.

It seems to me that the time will come when there willbe fewer general practitioners-nearly every medical manwill be a specialist in one or more subjects; he will bemerely an agent to overhaul his patient and to pass him onto, one or more specialists for treatment; he will, in fact, bea species of receiving-room omcer. At present I do not seehow the general practitioner, should he do this, is going toget his bread and butter. In the .first place, his patients willthink he knows,nothing and will go to see specialists forthemselves direct; and, secondly, he will not really havedone very much for them in the --way of treatment for whichto charge fees. The only alternative is that he should geta commission from the specialist to whom he has referredpatients, and this, would probably be repugnant to membersof the profession. The present method of holding con-

sultations is really too extravagant a way of spending apatient’s money in return for the least efficiency in the wayof treatment.

I picture the day when in a small town, say, like Oxford,there will be the dentist, oculist, ear, nose, and throat

specialist, anaesthetist, skin- specialist, &c.,,according to thedemand, and one or two general practitioners who will sittn an mfdce and. simply, make a,,preliminary investigation