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393 the corresponding month of the preceding ten years ; among ( the various sanitary districts this disease showed the highest proportional fatality in Hammersmith, Holborn, Bethnal ( Green, Limehouse, St. George (Southwark) and Camberwell. 1 The 88 fatal cases of scarlet fever were only 7 above the average ; it is remarkable that the mortality from this disease shows so small an excess, considering its epidemic prevalence at the present time ; among the various sanitary districts scarlet fever was proportionately most fatal in Chelsea, Whitechapel and Plumstead. The 129 deaths referred to diphtheria exceeded by 52 the corrected average; this disease showed the highest proportional fatality in Westminster, St. Giles, City of London, Bethnal Green and Whitechapel. The 100 fatal cases of whooping-cough were less than half the average number; this disease was not prevalent last month in any of the sanitary districts. The 29 deaths referred to different forms of fever were 23 below the corrected average; the mortality from this disease showed no marked excess in any of the sanitary districts. The 627 fatal cases of diarrhcea were as many as 298 below the average; this disease was proportionally most fatal in Fulham, St. Giles, Holborn, St. Luke, Newington and Greenwich. In con- clusion, it may be stated that the mortality in London during July from these principal zymotic diseases in the aggregate was as much as 20 per cent. below the average, owing prin- cipally to the fact that the fatality of summer diarrhœa was unusually low. Infant mortality in London, measured by the proportion of deaths under one year of age to registered births, was equal to 182 per 1000 during July; the lowest rates of infant mortality were recorded in St. George (Hanover- square), Hampstead, Islington, St. Martin-in-the-Fields, Woolwich and Plumstead; the highest rates in Kensington, Chelsea, Holborn, St. Luke, Newington and Rotherhithe. THE SERVICES. THE MOVEMENTS OF THE ARMY AND THE HEALTH OF TROOPS ON SHIPBOARD. SOME idea may be obtained of the movements of the British army from the following returns for the year 1890. The troops proceeding on service abroad numbered 18,786, and , those returning from abroad 12,206. The troops proceeding from one station abroad to another were 6772. The invalids returning to England numbered 2118, of whom 22 died on the voyage home. The sanitary condition of the different vessels and troopships, and the accommodation provided for the troops on the various voyages, were generally reported to be satisfactory. SOME OF OUR INDIAN HILL STATIONS. According to the latest official reports Darjeeling seems to maintain its reputation as a sanatorium for troops whose health has suffered in Calcutta, the Presidency District and the plains of India. The great majority sent up recovered after a few months’ residence. The general sanitation of the cantonment-so difficult to maintain in the case of many of our hill stations-was well looked after. Gnathong, situated at an elevation of 12,030 feet above the sea level, on th( eastern frontier of Sikkim, is reported to be a healthy station, notwithstanding the great rainfall during the summer months and the great cold in winter. The troops live in wooden huts, situated inside a stockade built on the slope of a hill, anc arranged in terraces. The water-supply is from a spring OI the hillside a few hundred yards distant from the fort and is excellent. The great cold during the winter necessitates the ample supply of blankets and warm clothing. There shoul( be material at this station for some interesting observation for a medico-topographical report. MOVEMENTS OF THE MEDICAL STAFF. Brigade-Surgeon-Lieutenant-Colonel MacAdam has bee struck off the strength of the Southern District prior to retire ment. Surgeon-Captain Dixon has joined the North-wester District for duty. Surgeon-Captain Birrell has rejoined 2 Hamilton from temporary duty at Piershill. Surgeon-Captai Woodhouse has obtained leave from Woolwich. Surgeox Major Lamprey has joined the Home District for duty after tour of service in West Africa on colonial service. Surgeon Captain Will has taken up duty at Oxford. Surgeon Lieutenant-Colonel Gabbett and Surgeon-Captain Farme Bringhurst have obtained sick leave from Madras. Surgeon Captain Clarkson has reported himself for duty at Dover. Surgeon-Captain Nicolls has joined at Omagh. Surgeon- Japtain Cotterell has arrived at Gibraltar on return from eave. Surgeon-Captain Baird has proceeded on leave prior o embarkation on foreign service. Brigade-Surgeon O’Brien has obtained leave from Christchurch. Surgeon-Lieutenant’- Colonel Dwyer has reported his arrival in Dublin for duty. PROFESSORSHIP OF MILITARY SURGERY. The Professorship of Military Surgery at the Army Medical School, Netley, vacant by the resignation of Surgeon-Colonel Godwin, has, we understand, been conferred upon Surgeon- Lieutenant-Colonel W. F. Stevenson, Assistant Professor of Clinical and Military Medicine. GOOD SERVICE PENSION. We learn that the good service pension of £100 a year, which has fallen in by the death of Surgeon-General Hassard,, retired pay, has been bestowed upon Surgeon-Major-General J. B. C. Reade, C. B. This officer served throughout the Crimean campaign, including the battle of Alma, sortie of Oct. 26th, battle of Inkerman, assaults on the Redan of June 18th and, Sept. 8th, and siege of Sebastopol. He was wounded and has medal with three clasps and Turkish medal. He served) in the Indian Mutiny, including the action of Cawnpore, siege- and capture of Lucknow, attack of Fort Rouyab, action of Allygunge, battle of Newsbyunge, passage of the Goomtee, &c., and the Oude campaign, and received the medal with clasp. INDIAN MEDICAL SERVICE. Surgeon-Captain Bird, now at Kohima, has been appointed tosucceed Surgeon-Major Owen as Surgeon tothe Commander- .n-Chief. Surgeon J. Battersby, Medical Staff, has been selected as Cantonment Surgeon for the station of Rawul Pindi. The new hospital system introduced by Lord Roberts for the care and treatment of all followers and nations living within cantonment limits supplies a want long felt, and is already being attended with marked success. Government of India. - Surgeon-Captain J. A. Burton, Madras Establishment, is appointed to officiate as Civil Sur- geon, Amraoti, vice Surgeon-Captain R. B. Roe, on leave. Surgeons-Captain T. Grainger, M.D., and J. G. Jordan, M.B., C.M., Bengal Establishment, are placed temporarily at the’ disposal of the Bengal Government. Brigade - Surgeon- Lieutenant-Colonel L. D. Spencer, M.D., I.M.S. (Bengal) Residency Surgeon and Chief Medical Officer, Rajputana, is. replaced at the disposal of the Military Department. Surgeon- Captain W. G. Thorold, Bengal Establishment, is replaced at. the disposal of the Government of the North-West Provinces. and Oudh from May 31st. Surgeons-Captain W. Vost, M.B., and H. W. Elphick, Bengal Establishment, are placed tem-- porarily at the disposal of the Government of the North- West Provinces and Oudh. Surgeon-Captain E. Hudson, Bengal Establishment, is placed temporarily at the disposal] of the Chief Commissioner, Burmah. Surgeon-Lieutenant- Colonel J. H. Newman, M.D., LM.S. (Bengal), Civil Surgeon, Ajmere, and Medical Officer ofMerwara Battalion, is appointed! Residency Surgeon and Chief Medical Officer, Rajputana, vice Brigade - Surgeon - Lieutenant - Colonel L. D. Spencer, M.D. Surgeons-Captain C. E. Sunder, M.B., A. H. Nott, M.B., and J. T. Calvert, M.B., Bengal Establishment, are- placed temporarily at the disposal of the Bengal Government. It is notified that, on the recommendation of the Govern- ment of India, Her Majesty’s Government has been pleased to confer a good service pension on Surgeon-Colonel Archibald Hamilton Hilson, M.D., LM.S. Bengal Government.-Surgeon-Captain F. A. Rogers is. appointed to officiate as Civil Surgeon of Darbhanga, vice Sur- geon-MajorR. R. H. Whitwell. Surgeons-Captain T. Grainger, M.D., and J. G. Jordan, M.B., C.M., Bengal Establishment, are placed temporarily at the disposal of the Government of Bengal. Mr. W. Forsyth, Officiating Health Officer, Port Calcutta, is confirmed in that appointment from the date on which Dr. R. McLeod assumed permanent charge of the office of Superintendent of Emigration and Protector of Emigrants, Calcutta. Surgeon-Major R. R. H. Whitwell, Officiating- Civil Surgeon of Monghyr, is appointed to officiate as Civil Surgeon of Muzaffapur, vice Surgeon-Captain E. S. Peck, on furlough. Dr. C. Banks is appointed to officiate as Civil Medical Officer of Monghyr. Surgeon-Captain T. Grainger is appointed to officiate as Civil Surgeon, Champaran, vice Sur- geon-Major E. Bovill. Surgeon-Captain J. G. Jordan acts as Civil Surgeon, Jessore.
