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notice, and comprised 5 in Belfast, 3 in Dublin, 3 in Cork,and 1 in Limerick. The fatal cases of diarrhoea andenteritis (among infants under two years), which had been12, 14, and 9 in the three preceding weeks, were 8 in the weekunder notice, and included 4 in Dublin and 2 in Belfast. Thedeaths attributed to scarlet fever, which had been 3, 4,and 6 in the three preceding weeks, were again 6, of which2 occurred in Dublin and 2 in Belfast. The 6 deaths referredto diphtheria were 3 in excess of the average in the earlierweeks of the quarter, and included 4 in Dublin. The fatalcase of enteric fever was recorded in Drogheda.The deaths referred to diseases of the respiratory system,

which had been 97, 104, and 105 in the three precedingweeks, further rose to 113 in the week under notice. Of the526 deaths from all causes, 168, or 32 per cent., occurred inpublic institutions, and 4 resulted from various forms ofviolence. The causes of 14, or 2-7 per cent., of the totaldeaths were not certified either by a registered medicalpractitioner or by a coroner after inquest ; in the 97 largeEnglish towns the proportion of uncertified causes of deathdid not exceed 0’6 per cent.

THE SERVICES.

ROYAL NAVY MEDICAL SERVICE.THE following appointments have been notified :-Fleet-

Surgeons : J. C. G. Reed to the Terror, additional, forBermuda Yard and Ireland Island ; E. S. Tuck to the Natal ;W. R. Trythall to the Csar; R. J. Mackeow to the BlackPrince, on recommissioning ; J. Menary to the Lord Nelsonand for general staff duties ; and E. G. E. O’Leary to theQueen. Staff-Surgeons : W. N. Blatchford to the R.N. Depôt,Deal, temporary; R. R. Horley to the Sirius, for medicalcharge on voyage out, and to the Psyche, on recommissioning;J. C. Bringan to the Vernon, temporary ; C. A. G. Phipps tothe Pyranws, on recommissioning ; J. H. Lightfoot to theSirius, for medical charge on voyage home; and E. R. L.Thomas to the Caesar, temporary. Surgeons : R. J. G.Parnell to the 1’ietory, additional, for disposal; H. H. Ormsbyto the 11-il(lfii-e, additional, for Sheerness Yard and Barracks;and G. B. Cockrem to the Black Prizzce, on recommissioning.

ARMY MEDICAL SERVICE.

Major William R. Blackwell, R.A.1VLC., to be a DeputyAssistant Director-General at the War Office, vice M. H. G.Fell (dated April lst, 1914).

ROYAL ARMY MEDICAL CORPS.The undermentioned are restored to the establishment

Supernumerary Lieutenant-Colonel Charles A. Young, viceF. J. Morgan (dated April lst, 1914). Supernumerary MajorAlbert E. Hamerton, D.S.O. (dated March 28th, 1914).Supernumerary Lieutenants: William K. Mbrrison, EdgarPercival (dated April lst, 1914), and Stanley J. Linzell (datedApril 4th, 1914).Colonel C. Birt has embarked for India.Lieutenant-Colonel T. du B. Whaite has embarked for a

tour of service in India. Lieutenant-Colonel F. J. Morganhas been appointed Senior Medical Officer at the RoyalArsenal, Woolwich. Lieutenant-Colonel T. B. Winter hasbeen appointed to hold charge of the Military Hospital atCanterbury. Lieutenant-Colonel E. Eckersley has beenappointed to hold charge of the Military Hospital at Quetta.Lieutenant-Colonel H. M. Adamson has been appointedto hold charge of the Military Hospital at BelgaumCantonment.Major R. H. Lloyd has been appointed Senior Medical

Officer at the Military Hospital, Dagshai Cantonment. MajorL. Addams-Williams has embarked for India. Major A. W. N.Bowen has been appointed to the Military Hospital at Belfast.Major C. E. Pollock has embarked for the Sierra Leone Pro-tectorate. Major J. Hennessy has been appointed to holdcharge of the Military Hospital at Ahmednagar Canton-ment. Major J. W. H. Houghton has been appointedSpecialist in Advanced Operative Surgery to the MilitaryHospital at Meerut Cantonment. Major A. G. Thompson hasbeen appointed for duty on board the transport s.s. Bohilla,for Karachi from Southampton. Major H. W. K. Read hasbeen appointed Senior Medical Officer at the Military Hos-pital, Rangoon Cantonment. Major H. D. Packer hasembarked for India. Major E. W. Bliss has been appointedto the Eastern Command. Major D. Harvey has arrivedhome from the Nyasaland Protectorate. Major G. J. S.Archer has joined at Dorchester. Major A. H. Saffordhas taken up duty in the Irish Command. Major N. H.Ross has been appointed to the Military Hospital atFyzabad. Major A. L. scott has relinquished chargeat Deepcut. Major W. S. Crosthwait has been transferredfrom Upper Topa, Murree Hills, to the Military Hospital atAmbala Cantonment. Major H. G. Pinches has arrivedhome from the Straits Settlements. Major J. H. Barbourhas been appointed to the London District. Major E. V.Aylen has taken up duty in the Rawal Pindi Division.

Captain J. McKenzie has been transferred from theMilitary Hospital at Calcutta to Dinapore Cantonment.Captain E. M. Pennefather has been appointed to theMilitary Hospital at Multan Cantonment. Captain B. G.Patch has embarked for India. Captain J. F. Whelanhas been appointed Deputy Assistant Director of MedicalServices, Sanitary Branch, to the Poona Division of theSouthern Army in India. Captain E. C. Phelan has joinedat Barrackpore Cantonment. Captain H. C. Winckworth hasembarked for a tour of service in India. Captain F. Case-ment has been appointed to the Scottish Command.Captain R. J. Cahill has been transferred from Athlone toLondonderrv. Captain N. Low has joined at Colchester.Captain C. T. V. Benson has been granted leave of absencehome from India for six months. Captain W. K. Beamenhas been appointed to the Northern Command. CaptainL. V. Thurston has been transferred from Bordon toAldershot. Captain M. Keane has taken up duty atCalicut. Captain E. B. Lathburv has been appointed tothe Irish Command. Captain J. A. Renshaw has beentransferred from Secunderabad Cantonment to Wellington.Captain C. M. Nichol has joined at Alexandria.Captain J. F. Grant has been appointed Specialistin Electrical Science and Radiography to the BurmaDivision. Captain P. S. Stewart has been appointedto the Southern Command. Captain R. 0. Kelly has beengranted six months’ leave of absence home from India.Captain F. T. Turner has been transferred to the HomeEstablishment from India. Captain A. T. Frost has joinedat Lucknow Cantonment. Captain J. A. Bennett has beentransferred from Newport to the Irish Command. CaptainJ. W. Houston has been appointed Deputy Assistant Directorof Medical Services, Sanitary Branch, to the First (Peshawar)Division of the Northern Armv in India. Captain W. Dunnhas been appointed Senior Medical Officer, Military Hospital,Thayetmyo Cantonment.Lieutenant T. E. Osmond has been transferred from

Lucknow Cantonment to the Military Hospital at AmbalaCantonment. Lieutenant D. W. Bruce has taken up duty atRawal Pindi Cantonment. Lieutenant J. Rowe has joinedat Deepcut.

’

INDIAN MEDICAL SERVICE.The King has approved the promotion of the following

officers :-Colonel to be Surgeon-General : Robert WilliamSteele Lyons (dated Jan. 10th, 1914). Lieutenant to beCaptain: Thomas Arthur Hughes (dated 30th July, 19131.The promotion of Major Herbert Henry George Knapp to

the rank of Major is antedated from Jan. 29th, 1914, toJuly 29th, 1913.The King has approved of the retirement of Lieutenant-

Colonel Patrick Percy KilkeIly (dated March lst, 1914).Lieutenant-Colonel S. E. Prall, medical officer of health of

the Port of Aden, has been granted leave of absence homeon medical certificate. Lieutenant-Colonel the Hon. C.Mactaggart, C.I.E., has been appointed to officiate as

Inspector-General of Civil Hospitals, Agra and Oudh, protera. Lieutenant-Colonel E. R. Parry has been appointed toofficiate as Superintendent of the Alipore Central Jail.Lieutenant-Colonel A. E. Berry has been appointed Specialistin Ophthalmology to the Fifth (Mhow) Division.Major A. King has been placed under orders for Bombay.

Major W. D. Hayward, medical storekeeper to the Govern-ment of Madras, has been granted 20 months’ leave ofabsence. Major J. L. Marjoribanks has been appointedMedical Officer of Health of the Port of Aden and Medical

Officer to European General Hospital at Aden. Major T.Hunter has been appointed Civil Surgeon at Naini Tal.Major C. F. Marr has been appointed Medical Storekeeperto the Government of Madras. The services of MajorW. G. Richards have been placed temporarily at the disposalof the Government of Madras. Major H. W. Illius has beenappointed Civil Surgeon of the Second Class. The servicesof Major J. E. Clements have been placed permanently atthe disposal of the Government of the United Provinces ofAgra and Oudh for employment in the Jail Department.Captain G. L. Duncan has been appointed to hold medical

charge of the 90th Punjabi Regiment. Captain R. H. Leehas been appointed Superintendent of the Midnapore CentralJail. Captain W. S. J. Shaw has been appointed Super-intendent of the Central Asylum at Yeravda. CaptainR. D. Saigol has joined the Civil Medical Department inBurma. Captain C. L. Dunn has been appointed for specialduty in connexion with the prevention of plague in thePunjab.

SPECIAL RESERVE OF OFFICERS.

Royal Army 2Uedical Corps.The undermentioned Lieutenants are confirmed in their

rank: George H. Haines, Howell G. Jones, and Henry C.Rook.Cadet Andrew Robert Fausset Clarke, from the Edinburgh

University Contingent, Officers Training Corps, to beLieutenant (on probation) (dated Feb. 17th, 1914).No. 18 Field Ambulance, Lieutenant-Colonel Fred D.

Woolley resigns his commission (dated March 21st, 1914).

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TERRITORIAL FORCE.

R01fal Army -11-medical Corps.4th London Field Ambulance, Royal Army Medical Corps:

Lieutenant Herbert E. Middlebrooke resigns his commission.(dated April 4th, 1914).

5th London Field Ambulance, Royal Army Medical Corps :John Edward Sandilands (late Captain, List of SanitaryOfficers whose services will be available on mobilisation) tobe Lieutenant (dated April 4th, 1914).

lst Lowland Field Ambulance, Royal Army Medical Corps:Robert Scott Taylor to be Lieutenant (dated Feb. 19th, 1914).

Ist London (City of London) Sanitary Company, RoyalArmy Medical Corps : Lieutenant Joseph Grounds to be

Captain dated Dec. 4th, 1913).,Saoiturrt Officers zc7zo5e services lcill be available on Irobilisa-

(M.—Captain John E. Sandilands resigns his commissiondated April 4th, 1914).2nd London Clearing Hospital, Royal Army Medical Corps :

Lieutenant-Colonel Charles Monk, Retired List (late of theIndian Medical Service), to be Lieutenant-Colonel (datedMarch 6th, 1914).For dttacizznent to Units other than Aledical Units.-

Ernest Mannering Morris (late Captain, Unattached List forthe Territorial Force) to be Lieutenant (dated March 20th,J914).

attached to Units other than 3[medical Units.-captain- William Ritchie is seconded under the conditions of para-graph 114 of the Territorial Force Regulations (datedFeb. 19th, 1914). Captain Arthur H. W. Hunt resigns hiscommission (dated April 4th, 1914).

TERRITORIAL FORCE RESERVE.

Royal Army jMe(Hco Corps.Charles Gordon Watson (late Captain, List of Officers

attached to Units other than Medical Units) to be Captain(dated Feb. 13th, 1914).

ROYAL NAVAL MEDICAL SERVICE EXAMINATION.At the examination for appointments as Acting Surgeons

for the Royal Naval Medical Service held on March 30thand 31st and April lst and 2nd, 17 candidates were successfulas follows :-

Marks.F. C. Hunot, Guy’s Hospital ............ 1805H. B. Porker, London Hospital ............... 1728R. F. Quinton, London Hospital ............... 1685J. L. Priston, London Hospital ............... 1665M. J. Aitken, Glasgow University ............... 1665J. A. Maxwell, B.A., Trinity College, Dublin ......... 1610W. G. Thwaytes, Edinburgh University ............ 1555M. S. Moore, Trinity College, Dublin ............ 1513IV. F. Beattie, Aberdeen University............... 1470’F. E. Fitzmaurice, University College, Cork ......... 1433C. E. Greeson, Aberdeen University............... 1408T. J. O’Riordan, University College, Cork ............ 1385J. C. Kelly, Trinity College, Dublin ............... 1375H. W. Fitzroy-Williams, Victoria University, Manchester ... 1373T. Hill, University College, Cork ............... 1343J. M. Horan, University College, Cork ............ 1295G. M. Graham, Edinburgh University ............ 1233

The maximum number of marks obtainable is 2400.

THE SESSION AT HASLAR.On the completion of the course of instruction for the

-winter entry of Acting Surgeons, Royal Navy, at Haslar, theprizes and commissions were distributed on April 2nd bythe Medical Director-General of the Navy, Surgeon-GeneralA. W. May, C.B., K.H.P. The following is a list of theuccessful candidates with the aggregate marks obtained atthe London, Greenwich, and Haslar examinations :-

Marks. Marks.A. R. 5harrod......... 3499 J. P. Blockley ...... 3086J. S. Elliott ......... 3421 W. H. Murray ...... 3052A. J. Tonkin-son ...... 3420 G. H. Hayes ......... 3036T. J. Kilbride ......... 3275 P. B. Wallis ......... 2964J. R. Haldane ......... 3213 H. C. A. T. Cannon ... 2901J. S. Harvey ......... 3155 H. J. Hopps ......... 2822

’The gold medal was gained by Acting-Surgeon A. R. Sharrod,formerly of the London Hospital, and the silver medal byActing-Surgeon J. S. Elliott, formerly of Edinburgh Univer-sity. The three Admiralty prizes were respectively gainedby Acting-Surgeon A. R. Sharrod, Group I. Haslar subjects ;Acting-Surgeon T. J. Kilbride, Group II. Haslar subjects;- and Acting-Surgeon A. J. Tonkinson, Greenwich subjects.Special commendations are as follows : Acting-Surgeon A. R.Sharrod, for obtaining highest marks at the Haslar examina-tion, and for being first in the two Haslar groups; and Acting-:Surgeons Sharrod, Elliott, and Wallis for zeal and abilityshown in the performance of their ward duties. The Director-General, in presenting the prizes and commissions to thesurgeons, told them that their duties would have to deal with’the physical and moral welfare of the Navy. There was nodoubt, he said, that not only the welfare but the very exist-ence of this country depended on the Navy. It was commonfor people outside the service to imagine that efficiency con-sisted in the number of ships the country possessed, and to

forget that behind the guns and in the ships there was thepersonnel. It was really upon the efficiency of the personnelthat the power of the navy depended. Their work on shorewould not much differ from chat of the ordinary hospital work,for naval hospitals were in no way inferior in scientificattainments to the ordinary shore hospitals. Their lifeon board ship, however, would differ very much fromanything they had either seen or contemplated in theirlife on shore. He thought it would be clear to themthat it was their duty to prevent the personnel of the fleetfrom becoming ill rather than to cure men when they wereill, and to remember that they should place as many efficientmen in the fighting line as possible. Prevention of illnessmust therefore be their aim on board ship. Continuing, theDirector-General dwelt at some length upon the importantquestion of ship ventilation, and in dealing with preparationfor war urged the great importance of instructing the menin rendering first aid to the wounded, and reminded themthat they would have to consider such matters as transport-ing the wounded down from the fighting tops and up fromthe stokeholds, as well as being prepared to carry out opera-tions under very difficult circumstances.

AT the next meeting of the Society of MedicalOfficers of Health, which will be held at 5 P. Ni. on Friday,April 17th, at 1, Upper Montague-street, Russell-square,W.C., a paper will be read by Dr. B. A. Peters, lectureron infectious diseases, University of Bristol, on the Elimina-tion of Cross Infection in Hospitals. As this is a questionaffecting all hospitals, and especially those for children, itis hoped that the meeting will be attended by members ofthe medical staffs of these institutions.

ROYAL MEDICAL BENEVOLENT FUND.-At thelast meeting of the committee 24 cases were considered andgrants amounting to £267 voted to 22 of the applicants. Thefollowing is a summary of the cases relieved :-Widow, aged 75, of M.R.C.S. Eng. Only income 5s. per week from

Old Age Pension. Health very bad and failing sight. Voted £ 18.-Widow, aged 62, of M.D. Glasg. After husband’s death endeavoured tosupport herself by taking boarders. In consequemce of ill-healthand lack of boarders unable to pay her way. Voted £ 12.-Orphan,aged 63, of M.D. St. And. Takes in paving guests, but illness and badseason caue of distress. Voted £ 10.-M.D. Q.U.I., aged 80. Privatepractice diminished and only a few panel patients. Voted £ 18.-Orphan of M.D. Edin., aged 68. Distress caused through the fore-closure of mortgages on leasehold property. No income at present.Relieved once .c12. Voted .9,12.-Widow of M.D. Glasg., aged 56.Endeavours to earn a little by taking in a boarder. Suffering fromchronic rheumatism. Children unable to help. Relieved seven times,.884. Voted 212.-Widow of M.D. Edin., aged 59. Has very indifferenthealth. Children only able to help slightly. Relieved four times, ;M4.Voted £ 12.-Orphan of M.R.C.S. Eng., aged 75. Unable to work inconsequence of recent accident and old age. Just been elected an out-pensioner of £ 26 per annum, and has an annuity of .69 15s. 6d. Relievedonce, 210. Voted £ 10.-Orphan of M.R.C.S. Eng., aged 65. Endeavoursto earn a little by taking in boarders, and just a little assistance fromrelatives. Cause of present distress, death of mother and sister, both ofwhom had small annuities. Relieved seven times, .684. Voted £ 12.-Orphan of M.R.C.S.Eng., aged 66. Income from investments onlyR20 per annum. Lives with sister whose income also is only .c20.Distress caused by loss of investments and ill-health. Relieved twice,.e24. Voted £ 18.-Orphan of M.R.C.S. Eng, aged 59. Has invalidmother to nurse. Mother lost income through building society frauds.A little assistance for invalid comforts from the Guild. Relievedtwice, dB24. Voted £ 12.-Orphans of M.R.C.S.Eng., aged 41 and 43.Endeavour to earn a living bv letting rooms. Bad season cause ofpresent distress. Relieved once, 210. Voted £ 10.-Widow of L.R.C.P.Edin., aged 56. Unable to earn anything in consequence of bad health.Receives a little help from the Guild. Relieved eight times, .c108. Voted£ 12.-Orphan of M.R.C.S. Eng., aged 50. Difficulty in obtaining suit-able employment through unsatisfactory health. Relieved twice, .e27.Voted £ 12.-Widow of M.D.Glaeg., aged 69. Income only B14 perannum allowed by friends and a little help in the winter from the Guildfor coal. Health bad. Relieved once. £ 12. Voted £ 12.-Orphan ofM.R.C.S. Eng., aged 63. Income only £5 per annum from a friend. Hasvery bad health and quite unable to do anything. Relieved five times,E60. Toted £ 12.-Orphan of L.R.C.P. Irel., aged 52. Endeavoured tosupport herself until two years ago, when health broke down. Income£ 39 per annum from relatives. Relieved once, 210. Voted £ 10.-Widow of M.R C.S. Eng., aged 59. Health bad and cataract of left eyeand quite blind in right eye. Children quite unable to help. Relievedthree times, £ 30. Voted £ 10.-Orphan of M.R.C.S. Eng., aged 57.Only able to earn a small sum per week by needlework, and a relativehelps to pay the rent. Health bad. Relieved 16 times, £ 190, andspecial £ .8. Voted £ 12.-Orphan of L.R.C.P. Lond., aged 67. Blindnessand nervous breakdown. Only income £ l7 per annum from a society.Relieved nine time, 280. Voted £ 12.-Orphan of M.R.C.S. Eng., aged46. Endeavours to support herself by letting rooms, but has beenunsuccessful recently. Relieved three times, £ 30. Voted £ 12.-Widowof M.R.C.S. Eng., aged 66. Suffering from malignant growths of thebreast. Endeavoured to earn a little by letting room. Children onlyable to help very slightly. Little help for nourishments from the Guild.Relieved 13 times, .2166. Voted 210.

Contributions may be sent to the honorary treasurer,Dr. Samuel West, 11, Chandos-street, Cavendish-square,London, W.