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THE SERVICES

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250 this year, 608 births and 349 deaths were registered during the week ended Saturday, July 19th. The annual rate of mortality in these towns, which had been 16’7, 16’4, and 15.5 in the three preceding weeks, further declined to 15-2 per 1000 in the week under notice. During the 13 weeks of last quarter the annual death-rate in these Irish towns averaged 19’1 per 1000; in the 96 large English towns the corre- sponding rate did not exceed 13 - 5, while in the 16 Scotch towns it was equal to 16’3 per 1000. The annual death-rate last week was equal to 15’9 in Dublin (against 10’4 in London and 12-5 in Glasgow), 15’8 in Belfast, 13. 6 in Cork, 14’0 in Londonderry, 14-9 in Limerick, and 24-7 in Waterford, while in the remaining 21 smaller towns the mean death-rate did not exceed 12’ 3 per 1000. The 349 deaths from all causes were 7 fewer than the number in the previous week, and included 28 which were referred to the principal epidemic diseases, against 25 and 36 in the two preceding weeks. Of these 28 deaths, 16 resulted from infantile diarrhoeal diseases, 4 from measles, 3 from scarlet fever, 3 from diphtheria, and 2 from whooping-cough, but not one from enteric fever or from small- pox. The mean annual death-rate from these diseases last week was equal to 1’3 per 1000 ; in the 96 large English towns the corresponding rate did not exceed l’ 0, while in the 16 Scotch towns it averaged 1’4 per 1000. The deaths of infants (under 2 years of age) attributed to diarrhoea and enteritis, which had been 11, 9, and 15 in the three preceding weeks, were 16 last week, and included 11 in Dublin, 4 in Belfast, and 1 in Waterford. The 4 deaths referred to measles were slightly below the average in recent weeks, and comprised 2 in Londonderry and 2 in Waterford. The 3 fatal cases of scarlet fever and 2 of the 3 deaths from diphtheria were recorded in Belfast. The 2 deaths from whooping-cough were registered in Dublin and Bray respectively. The deaths referred to diseases of the respiratory system, which had declined from 71 to 52 in the five preceding weeks, slightly rose to 56 in the week under notice. Of the ’349 deaths from all causes, 100, or 29 per cent., occurred in public institutions, and 5 resulted from different forms of violence. The causes of 13, or 3’7 per cent., of the total deaths were not certified either by a registered medical practitioner or by a coroner after inquest; in the 96 large English towns the proportion of uncertified causes of death last week did not exceed 0’ 8 per cent. THE SERVICES. ROYAL NAVY MEDICAL SERVICE. THE undermentioned surgeons have been promoted to the rank of Staff-Surgeon in His Majesty’s Fleet :-Walter Goldsworthy Edwards (dated June 9th, 1910), Robert Francis MacMahon (dated Nov. 21st, 1910), Walter Graham Moore- Anderson (dated Nov. 23rd, 1911), Edward Michael William Hearn, Samuel Henry Vickery, and Maurice Willoughby Haydon (dated Nov. 21st, 1912). The following appointment has been notified :-Staff- Surgeon : F. C. Robinson to the Adventure, temporary. ROYAL ARMY MEDICAL CORPS. Lieutenant-Colonel James Thomson, Royal Army Medical Corps, to be Officer in charge of the Royal Army Medical Corps Records (dated July 1st, 1913). Colonel J. M. Irwin, Deputy Director of Medical Services to the South China Command, has arrived home on leave of absence. Lieutenant-Colonel G. H. Barefoot, on arrival home from Ranikhet Cantonment, has been appointed to the London District for duty at Millbank. Lieutenant-Colonel R. Caldwell has arrived home for duty from the Military Hospital at Pretoria, tour expired. Lieutenant-Colonel T. G. Lavie has been appointed to command No. 30th Company of the Royal Army Medical Corps at Cottonera, Malta, in succession to Lieutenant-Colonel H. M. Sloggett, transferred to the Home Establishment. Lieutenant-Colonel H. Carr, senior medical officer at Ambala Cantonment, has been appointed to officiate as Assistant Director of Medical Services to the Sirhind and Jullundur Brigades. Major J. H. Barbour has been transferred from the Military Hospital at Kamptee to Ferozepore Cantonment. Major J. B. Clarke, specialist in operative surgery at the Military Hospital, Colchester, has been placed in charge of the District Mobilisation Equipment. Major S. 0. Hall has been transferred from the Military Hospital at Karachi Cantonment to Hyderabad, Sind, and appointed Senior Medical Officer. Major E. Brodribb has been appointed to hold charge of the Valetta Military Hospital at Malta, in succession to Major H. S. Thurston. An exchange has been approved by the Director-General, on the roster for service abroad, between Major G. B. Crisp, serving at recruiting duties in the London District, and Major W. M. B. Sparkes, serving at Dublin ; the former officer will now proceed abroad instead of the latter. Major L. Wood has joined for duty at Quetta. Major F. J. Palmer has arrived home on leave of absence from Ambala Cantonment. Major T. F. Ritchie has been appointed to the London District. Major J. E. Brogden has been appointed to hold charge of the Detach- ment and Military Hospital at Imtarfa, Malta. Major A. W. N. Bowen has been granted an extension of leave of absence home from India, with permission to revert to the Home Establishment at its expiration. Major J. P. Silver has been transferred from the Military Hospital at Cork to. Kilworth. Major M. H. Babington has embarked on H.M.S. The Black Prince from Malta for special service in Scutari. Major E. G. Ffrench has been appointed Specialist in Venereal Diseases and Dermatology to the Ninth (Secun- derabad) Division ’of the Southern Army in India. Major E. E. Ellery has arrived home on leave of absence from the Military Hospital at Cairo. Major F. P. Hewitt has been granted an extension of leave of absence home from India. to Nov. 6th next on medical certificate. Captain N. E. J. Harding has arrived home for duty from the Sierra Leone Protectorate, tour expired. Captain C. G. Sherlock has been transferred from the Military Hospital at Lahore to Dalhousie Cantonment. The following Captains have been selected to attend the promotion course to the rank of Major at the Royal Army Medical College: J. C. Hart, C. Kelly, C. McQueen, A. W. Bevis, G. H. Stack, and R. H. Nolan. Captain T. McC. Phillips has arrived home on leave of absence from the Military Hospital at Fyzabad Cantonment. Captain A. W. Byrne has been transferred from the Military Hospital at Jullundur to Dalhousie Cantonment. Captain F. H. M. Chapman has been appointed Staff-Surgeon at Meerut Cantonment. Captain J. A. Bennett has taken up duty as Specialist in Electrical Science at Poona Cantonment. Captain G. S. Parkinson has arrived home for duty from the Military Hos- pital at Pretoria, tour expired. Captain W. H. S. Burney has been transferred from the Military Hospital at Attock to Khanspur Cantonment, Murree Hills District. Captain J. E. M. Boyd has been appointed Specialist in the Prevention of Disease, and placed in charge of the Bacteriological Laboratory at Brigade Headquarters, Ferozepore Canton- ment. Captain K. Comyn has joined at Gibraltar. Captain C. M. Rigby has arrived home on leave of absence from the Military Hospital at Bombay. Captain G. P. A. Bracken has been granted an extension of leave of absence home from India to Sept. 30th next, with permission to revert to the Home Establishment on expira- tion thereof. An exchange of duty in India has been approved between Captain E. C. Whitehead to the Eighth (Lucknow) Division, vice Captain M. P. Leahy to the Home Establishment. Captain F. A. H. Clarke has been transferred from the Military Hospital at Multan to Darjeeling Canton- ment. Captain A. W. A. Irwin has been appointed to the Cork District. Captain A. M. Pollard has arrived home for duty from the Military Hospital at Bloemfontein, tour expired. Captain R. J. Franklin has taken up duty at the Military Hospital, Solon, on transfer from Lahore. Captain C. E. L. Harding has been permitted to extend his tour of service in India by one year. Captain F. W. W. Dawson has been transferred to Kasauli from Ambala Cantonment. Captain W. B. Rennie has been granted six months’ leave of absence home from India. Captain F. C. Lambert has been appointed to hold medical charge at Brownslade Camp, on transfer from Pembroke Dock. Captain E. M. O’Neill has joined at Youghal. Captain H. T. Wilson has been trans- ferred from the Military Hospital at Maidstone to Chatham. Captain A. C. Amy has joined at Agra. Lieutenant J. K. Gaunt has embarked on H. M. S. The Black Prince from Malta for special service at Scutari. Lieutenant
Transcript
Page 1: THE SERVICES

250

this year, 608 births and 349 deaths were registered duringthe week ended Saturday, July 19th. The annual rate ofmortality in these towns, which had been 16’7, 16’4, and15.5 in the three preceding weeks, further declined to 15-2per 1000 in the week under notice. During the 13 weeks of lastquarter the annual death-rate in these Irish towns averaged19’1 per 1000; in the 96 large English towns the corre-sponding rate did not exceed 13 - 5, while in the 16 Scotchtowns it was equal to 16’3 per 1000. The annual death-ratelast week was equal to 15’9 in Dublin (against 10’4 inLondon and 12-5 in Glasgow), 15’8 in Belfast, 13. 6 in Cork,14’0 in Londonderry, 14-9 in Limerick, and 24-7 in

Waterford, while in the remaining 21 smaller towns themean death-rate did not exceed 12’ 3 per 1000.The 349 deaths from all causes were 7 fewer than the

number in the previous week, and included 28 which werereferred to the principal epidemic diseases, against 25 and36 in the two preceding weeks. Of these 28 deaths, 16resulted from infantile diarrhoeal diseases, 4 from measles,3 from scarlet fever, 3 from diphtheria, and 2 from

whooping-cough, but not one from enteric fever or from small-pox. The mean annual death-rate from these diseaseslast week was equal to 1’3 per 1000 ; in the 96 largeEnglish towns the corresponding rate did not exceedl’ 0, while in the 16 Scotch towns it averaged 1’4per 1000. The deaths of infants (under 2 years of age)attributed to diarrhoea and enteritis, which had been 11,9, and 15 in the three preceding weeks, were 16 lastweek, and included 11 in Dublin, 4 in Belfast, and 1 inWaterford. The 4 deaths referred to measles were slightlybelow the average in recent weeks, and comprised 2 in

Londonderry and 2 in Waterford. The 3 fatal cases ofscarlet fever and 2 of the 3 deaths from diphtheria wererecorded in Belfast. The 2 deaths from whooping-coughwere registered in Dublin and Bray respectively.The deaths referred to diseases of the respiratory system,

which had declined from 71 to 52 in the five precedingweeks, slightly rose to 56 in the week under notice. Of the’349 deaths from all causes, 100, or 29 per cent., occurred inpublic institutions, and 5 resulted from different forms ofviolence. The causes of 13, or 3’7 per cent., of the totaldeaths were not certified either by a registered medicalpractitioner or by a coroner after inquest; in the 96 largeEnglish towns the proportion of uncertified causes of deathlast week did not exceed 0’ 8 per cent.

THE SERVICES.

ROYAL NAVY MEDICAL SERVICE.THE undermentioned surgeons have been promoted to the

rank of Staff-Surgeon in His Majesty’s Fleet :-WalterGoldsworthy Edwards (dated June 9th, 1910), Robert FrancisMacMahon (dated Nov. 21st, 1910), Walter Graham Moore-Anderson (dated Nov. 23rd, 1911), Edward Michael WilliamHearn, Samuel Henry Vickery, and Maurice WilloughbyHaydon (dated Nov. 21st, 1912).The following appointment has been notified :-Staff-

Surgeon : F. C. Robinson to the Adventure, temporary.ROYAL ARMY MEDICAL CORPS.

Lieutenant-Colonel James Thomson, Royal Army MedicalCorps, to be Officer in charge of the Royal Army MedicalCorps Records (dated July 1st, 1913).

Colonel J. M. Irwin, Deputy Director of Medical Servicesto the South China Command, has arrived home on leave ofabsence.

Lieutenant-Colonel G. H. Barefoot, on arrival home fromRanikhet Cantonment, has been appointed to the LondonDistrict for duty at Millbank. Lieutenant-Colonel R.Caldwell has arrived home for duty from the MilitaryHospital at Pretoria, tour expired. Lieutenant-Colonel T. G.Lavie has been appointed to command No. 30th Company ofthe Royal Army Medical Corps at Cottonera, Malta, insuccession to Lieutenant-Colonel H. M. Sloggett, transferredto the Home Establishment. Lieutenant-Colonel H. Carr,senior medical officer at Ambala Cantonment, has been

appointed to officiate as Assistant Director of MedicalServices to the Sirhind and Jullundur Brigades.

Major J. H. Barbour has been transferred from the

Military Hospital at Kamptee to Ferozepore Cantonment.

Major J. B. Clarke, specialist in operative surgery at theMilitary Hospital, Colchester, has been placed in charge ofthe District Mobilisation Equipment. Major S. 0. Hall hasbeen transferred from the Military Hospital at KarachiCantonment to Hyderabad, Sind, and appointed SeniorMedical Officer. Major E. Brodribb has been appointedto hold charge of the Valetta Military Hospital at

Malta, in succession to Major H. S. Thurston. An

exchange has been approved by the Director-General,on the roster for service abroad, between Major G. B.

Crisp, serving at recruiting duties in the LondonDistrict, and Major W. M. B. Sparkes, serving at

Dublin ; the former officer will now proceed abroadinstead of the latter. Major L. Wood has joined for dutyat Quetta. Major F. J. Palmer has arrived home on leaveof absence from Ambala Cantonment. Major T. F. Ritchiehas been appointed to the London District. Major J. E.Brogden has been appointed to hold charge of the Detach-ment and Military Hospital at Imtarfa, Malta. MajorA. W. N. Bowen has been granted an extension of leave ofabsence home from India, with permission to revert to theHome Establishment at its expiration. Major J. P. Silverhas been transferred from the Military Hospital at Cork to.Kilworth. Major M. H. Babington has embarked on H.M.S.The Black Prince from Malta for special service in Scutari.

Major E. G. Ffrench has been appointed Specialist inVenereal Diseases and Dermatology to the Ninth (Secun-derabad) Division ’of the Southern Army in India. MajorE. E. Ellery has arrived home on leave of absence from theMilitary Hospital at Cairo. Major F. P. Hewitt has been

granted an extension of leave of absence home from India.to Nov. 6th next on medical certificate.

Captain N. E. J. Harding has arrived home for duty fromthe Sierra Leone Protectorate, tour expired. Captain C. G.Sherlock has been transferred from the Military Hospital atLahore to Dalhousie Cantonment. The following Captainshave been selected to attend the promotion course to therank of Major at the Royal Army Medical College: J. C.Hart, C. Kelly, C. McQueen, A. W. Bevis, G. H. Stack,and R. H. Nolan. Captain T. McC. Phillips has arrivedhome on leave of absence from the Military Hospitalat Fyzabad Cantonment. Captain A. W. Byrne has beentransferred from the Military Hospital at Jullundur toDalhousie Cantonment. Captain F. H. M. Chapman hasbeen appointed Staff-Surgeon at Meerut Cantonment.

Captain J. A. Bennett has taken up duty as Specialist inElectrical Science at Poona Cantonment. Captain G. S.Parkinson has arrived home for duty from the Military Hos-pital at Pretoria, tour expired. Captain W. H. S. Burneyhas been transferred from the Military Hospital at Attock toKhanspur Cantonment, Murree Hills District. CaptainJ. E. M. Boyd has been appointed Specialist in the Preventionof Disease, and placed in charge of the BacteriologicalLaboratory at Brigade Headquarters, Ferozepore Canton-ment. Captain K. Comyn has joined at Gibraltar.

Captain C. M. Rigby has arrived home on leave

of absence from the Military Hospital at Bombay.Captain G. P. A. Bracken has been granted an extension ofleave of absence home from India to Sept. 30th next, withpermission to revert to the Home Establishment on expira-tion thereof. An exchange of duty in India has been

approved between Captain E. C. Whitehead to the Eighth(Lucknow) Division, vice Captain M. P. Leahy to the HomeEstablishment. Captain F. A. H. Clarke has been transferredfrom the Military Hospital at Multan to Darjeeling Canton-ment. Captain A. W. A. Irwin has been appointed to theCork District. Captain A. M. Pollard has arrived home forduty from the Military Hospital at Bloemfontein, tour

expired. Captain R. J. Franklin has taken up duty at theMilitary Hospital, Solon, on transfer from Lahore. CaptainC. E. L. Harding has been permitted to extend his tour ofservice in India by one year. Captain F. W. W. Dawsonhas been transferred to Kasauli from Ambala Cantonment.Captain W. B. Rennie has been granted six months’ leave ofabsence home from India. Captain F. C. Lambert has beenappointed to hold medical charge at Brownslade Camp, ontransfer from Pembroke Dock. Captain E. M. O’Neill hasjoined at Youghal. Captain H. T. Wilson has been trans-ferred from the Military Hospital at Maidstone to Chatham.Captain A. C. Amy has joined at Agra.Lieutenant J. K. Gaunt has embarked on H. M. S. The Black

Prince from Malta for special service at Scutari. Lieutenant

Page 2: THE SERVICES

251

W. T. Graham has been transferred from the Third (Lahore)Division to the Eighth (Lucknow) Division. Lieutenant D.

Reynolds, on arrival in India for a tour of duty, has beenappointed to the Military Hospital at Rawal Pindi Canton-ment to undergo a course of instruction in Indian sanitation.Lieutenant H. J. S. Shields has joined at Windsor. Lieu-tenant T. J. Hallinan has been transferred from the Eighth(Lucknow) Division to the Third (Lahore) Division. Lieu-tenant E. G. S. Cane has taken up duty as Specialist in thePrevention of Disease and in charge of the BateriologicalResearch Laboratory at Brigade Headquarters, Colaba,Bombay. Lieutenant J. L. Huggan has taken up duty inthe London District. Lieutenant H. F. Panton has been

appointed to hold Medical Charge at Fargo Camp, SalisburyPlain, on transfer from the Military Hospital at Tidworth.Lieutenant C. M. Finney has been transferred from theThird (Lahore) Division to the Second (Rawal Pindi) Divi-sion. Lieutenant W. Bisset has taken up duty at the MilitaryHospital, Dagshai, on transfer from Ambala Cantonment.Lieutenant S. P. Sykes has been transferred from the RoyalHerbert Hospital at Woolwich to Kingston-on-Thames.Lieutenant A. G. MacIlwaine has left Deepcut for a tour ofduty in India, and on arrival will be appointed to the Fourth(Quetta) Division. Lieutenant R. E. Porter has been trans-ferred from Cork to Waterford.

INDIAN MEDICAL SERVICE.

The King has approved of the promotion of Lieutenant-Colonel Bruce Gordon Seton to Brevet Colonel (datedJune 30th, 1913).

Lieutenant-Colonel F. C. Pereira has arrived home onleave of absence from India. Lieutenant-Colonel E. V.

Hugo, Professor of Surgery at the Government Medical

College, Lahore, has been granted one year’s furlough homefrom India. Lieutenant-Colonel C. H. James has been

appointed Civil Surgeon at Simla, in succession to Lieutenant-Colonel C. Duer, whose tenure of the appointment hasexpired. Lieutenant-Colonel W. Ronaldson Clark has been

appointed to Jullundur as Civil Surgeon. Lieutenant-Colonel W. G. Pridmore, ophthalmic surgeon to theGeneral Hospital at Rangoon, has been granted two years’leave of absence combined with furlough home from India.

Major D. McCay has been appointed to officiate as Pro-fessor of Materia Medica at the Government Medical College,Calcutta, during the absence on leave of Lieutenant-ColonelB. H. Deare. Major M. Mackelvie has been granted fivemonths’ extension of leave of absence. The services ofMajor H. M. Mackenzie have been placed at the disposal ofthe Home Department. Major H. A. Williams, D.S.O.,resident medical officer at the General Hospital, Rangoon,has been transferred. Major A. G. McKendrick has beengranted two years’ leave of absence combined with furloughhome from India. Major V. H. Roberts has taken overmedical charge of the Chindwara District. Major J. W.Megaw, on return to duty from leave of absence, has beenappointed Civil Surgeon at Monghyr.

Captain W. P. G. Williams has arrived home on leave ofabsence from India. The services of Captain T. C.McCombie Young have been placed permanently at thedisposal of the Government of Assam for employment inthe Sanitary Department. Captain D. P. Goil, civil surgeonat Mymensingh, has been allowed privilege leave of absencecombined with study leave and furlough for two years andeight months. Captain A. K. Munro has been appointed tothe substantive Medical Charge of the 128th Regiment ofPioneers, in succession to Captain W. J. Frazer. CaptainR. Markham Carter has been appointed by H. E. the Governorof Bombay to officiate as Professor of Pathology at the GrantMedical College, Bombay, in succession to Major E. F. G.Tucker. Captain A. J. Symes has arrived home on leaveof absence from India. The services of Captain F. W.Sumner have been placed permanently at the disposal of theGovernment of the United Provinces of Agra and Oudh.Captain H. Stott has taken up duty as Surgeon to H.E. theGovernor of Madras Presidency. Captain A. E. Grisewood,chief plague officer in the Central Provinces, has beengranted eight months’ leave of absence. The services ofCaptain Ba Ket, an officiating civil surgeon in Burma, havebeen replaced at the disposal of the Home Department-ofthe Government of India,

SPECIAL RESERVE OF OFFICERS.

Royal Army Medical Corps.The undermentioned to be Lieutenants (on probation) :-

Cadet George Harris Haines, from the University of LondonContingent, Officers Training Corps (dated June 17th, 1913).Cadet Sergeant Howell Gwynne Jones, from the Universityof London Contingent, Officers Training Corps (datedJune 20th, 1913). Cadet Lance-Corporal John FrancisWilliam Meenan, from the Belfast University Contingent,Officers Training Corps (dated June 27th, 1913).

TERRITORIAL FORCE.

.Royal Army Medioal Corps.1st East Anglian Field Ambulance, Royal Army Medical

Corps: Lieutenant-Colonel Francis A. Brooks resigns hiscommission, and is granted permission to retain his rankand to wear the prescribed uniform (dated July 19th, 1913).2nd London (City of London) Field Ambulance, Royal

Army Medical Corps: Leonard Austin Harwood to beLieutenant (dated June 2nd, 1913). Hubert Pinto-Leite tobe Lieutenant (dated June 16th, 1913).

Eastern Mounted Brigade Field Ambulance, Royal ArmyMedical Corps: Captain Meredith S. Doubble resigns hiscommission (dated July 23rd, 1913).Supernumerary for Service with the Officers Training

Corps: Harold Kinder Griffith (late Lieutenant, 9th (Countyof London) Battalion, The London Regiment (QueenVictoria’s Rifles)) to be Lieutenant, for service with theMedical Unit of the University of London Contingent,Senior Division, Officers Training Corps (dated July 23rd,1913).Attached to Units other than Medical Units.-Lieutenant

Hugh Davies resigns his commission (dated July 19th, 1913).For attachment to Units other than Medical Units.-James

George Hayes to be Lieutenant (dated May 30th, 1913).John Wotherspoon to be Lieutenant (dated June 17th, 1913).

Correspondence." Audi alteram partem.’

THE COMING AMENDMENT OF THENATIONAL INSURANCE ACT, 1911.

To the Editor of THE LANCET.

SIR,-It is acknowledged on all sides that the claims forsickness benefit under the above Act are very largelyexceeding the number which were expected and estimatedfor, and that this is causing very great anxiety to the

managers of both Friendly and Approved Societies. Various

suggestions have been made for the curtailment of theseclaims, especially one that there should be appointed four4 9 medical advisers " for the whole of London, whose duty itwould be to visit assured persons suspected of malingering,and after consultation with the panel doctor to report to theLocal Committee as to whether the claimant is reallysuffering from ill-health and whether the certificate of thepanel doctor is correct, and for this difficult and responsiblework a fee per visit of 7s. 6d. has been suggested. This

suggestion is, as it stands, quite impracticable, as no

medical man of standing and authority would agree to makevisits and hold consultations anywhere in a quarter ofLondon at a fee of 7s. 6d., and it is also certain that paneldoctors could not be expected to hold consultations withthese medical advisers without a consultation fee. Again,the report of the medical adviser would have no authority, aseach case would after all be decided by the Local Committee,chiefly consisting of lay members.

I shall be much obliged if by your courtesy I may beallowed to put the following before your readers, as thewhole question is of the greatest importance to the

profession.1. There is, no doubt, an immense amount of malingering,

and it is freely alleged that in many cases where an assuredperson gets out of work temporarily theie is a great induce-ment to attempt to obtain the 108. a week sickness benefit,


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