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THE WAR

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672 THE WAR. CASUALTIES TO OFFICERS OF THE ROYAL ARMY MEDICAL CORPS. THE War Office issued on the evening of Sept. 2nd a report, received from General Headquarters of the Expeditionary Force, dealing with British losses so far as they could be ascertained. The list includes among the wounded the name of one officer of the Royal Army Medical Corps, Captain T. H. Gibbon, while the following officers of the corps are reported as missing :-Lieutenant A. J. Brown, Captain R. J. Cahill, Major P. H. Colling- wood, Captain W. Egan, Lieutenant S. M.Hattersley, ’’, Lieutenant H. W. Hills, Major F. S. Irvine, Lieu- tenant C. L. Lander, Captain J. P. Lynch, Captain H. E. Priestley, Lieutenant L. M. Routh, Captain A. A. Sutcliff, and Colonel H. N. Thompson, D.S.O. The course of the operations over so extended a field accounts for the large proportion of missing officers and men out of a total casualty list of 5000, and there is good reason to hope that many of those who are as yet unaccounted for will later be reported as having come in. Captain Gibbon, the only officer as yet reported wounded, won the first prize in pathology and the De Chaumont prize in hygiene at the Royal Army Medical College in 1905. THE RETURN OF THE WOUNDED. From day to day news has been received of the arrival of wounded British soldiers from the front. Early this week consignments reached England and were safely despatched to the Royal Herbert Hospital at Woolwich, the Cambridge Hospital at Bishop Stortford, the Plymouth base hospital, the 5th Southern General Hospital at Portsmouth, and the London Hospital. Other batches have been received at the Military General Hospitals at Brighton and Birmingham. The sick and wounded have so far been landed at Southampton, the more serious cases being transferred at once to Netley. With a situation changing almost daily it is clearly impossible to give any detailed account of the arrival, disposition, and condition of the whole body of invalided soldiers who have returned this week; but one or two instances may serve to give an idea of the kind and extent of the treatment now being given at an increasing number of medical centres. At the London Hospital 316 disabled soldiers were received on Sunday and Monday last. Their transference from Waterloo Station to hospital was looked after by members of the staff and students. Nearly all the cases are surgical, and the majority of the injuries are comparatively trivial. Perforated wounds of the limbs and in the neigh- bourhood of the head predominate, and most of the bullets seem to have passed through leaving incon- siderable effects beyond slight local sepsis in a certain number of cases. Old students of the London Hospital will be interested to learn that the wards in which the soldiers are being treated are Yarrow, Rachel, Currie, Cambridge, Richmond, Cotton, Crossman, Gurney, and Charrington. A large number of the men have already recovered sufficiently to be discharged to convalescent homes, but every case of injury by rifle bullet or shrapnel is undergoing a routine X ray examination. The soldiers as a whole seem well and in good spirits, and their appreciation of hospital care is obvious. ’-B..1ly a- small number are confined to bed. The first batch of wounded and sick soldiers from the front, numbering 121, arrived in Ports- mouth on Tuesday morning, Sept. lst. They were. brought from France in hospital transports, reach- ing Southampton on the previous night, and were entrained for Portsmouth in a specially equipped’ hospital train. On arrival they were conveyed in motor ambulances and private motor cars to the 5th Southern General Hospital, established in a municipal school. There are 16 " cot cases and many cases of rheumatic fever, indicating that the soldiers have suffered from camping on damp and marshy ground. All the wounded are from the battle of Mons, where the British forces played so gallant a part but suffered so severely. It is stated, by them that the Germans fired on the field hospital and on the Red Cross bearers when carrying the wounded from the field of battle. A trainload of wounded and sick-3 officers and 121 men-arrived at Cosham. on August 31st, and were conveyed to the Alexandra Military Hospital. THE FRENCH PROVISION FOR SICK AND WOUNDED. The following notes from one of our Paris corre- spondents show well the anxious preparations made by the French for the proper care of their sick and, wounded in the war. Paris, August 31st. The secrecy observed as to military operations is applied, to the doings of the medical staff. It is not even known in, their own hospitals in which direction they have been sent, and no information is given as to when the wards prepared may be required. During the trying period of suspense a stupendous amount of organised preparation has been carried out. Not only has the vast machinery of the three French branches of the Red Cross Society been set in motion, but thev have each doubled or trebled their usual capacity, while an incredible number of private offers. have been made for the equipment of auxiliary hospitals and ’ ambulances. Of course, it is hoped that much of this will remain unutilised ; but the nation is aware that it is engaged in the most tremendous struggle in the history of the world, in point of numbers, and France is calmly determined that no sudden emergency shall find her unprepared. The Croix Rouge in France consists of three societies, of which the oldest, the Société Francaise de Secours aux Blesses Militaires, celebrates its fiftieth anniversary this year. This society now possesses 375 territorial hospitals, 98 station infirmaries, 110 frontier posts, 70 dispensary schools, 10,000 nurses, and 3300 stretcher bearers. Since war was declared 207 auxiliary hospitals have been organised, with a total of 1700 beds. The subscription list opened by this society on August 10th, has already gained 187,000 francs. Bands of trained nurses have been sent, among other places, to Rheims, Valenciennes, Amiens, Montdidier, Neufchatel-sur-Aisne, Chalons, Belfort, Pont--Mousson, Fresnes-sur-Orne, and Sigmy l’Abbaye. Sixty parties of trained nurses were sent to different points on the frontier, but the rapidity with which events have moved has prevented some of these from reaching their destination. Two waggon loads of medical stores have been dispatched to Brussels, and a band of ten nurses left on the 9th for Belgium at the request of the Comtesse de Merode, president of the Belgian Croix Rouge. Though the society only employs the nurses who have gained their diploma after a regular training course of some months, it has arranged three courses of elementary instructions to respond to the great demand among the women who wish to take their share of caring for their wounded. Besides the actual medical work the Societe de Secours aux Blesses Militaires has organised several charitable depots to help the distressed. families who are left without their breadwinner. The report just issued by the Union des Femmes de France shows that their 204 auxiliary hospitals are fully equipped to receive more than 13,000 sick or wounded soldiers. The nursing will be done by a staff of 10,000, aided by more than 2600 directresses. Flying columns composed of an infir- mière major and five nurses are being mobilised in a few hours and despatched to their posts. Forty-three of these- have been sent out since the beginning of hostilities.
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Page 1: THE WAR

672

THE WAR.

CASUALTIES TO OFFICERS OF THE ROYAL ARMYMEDICAL CORPS.

THE War Office issued on the evening of Sept. 2nda report, received from General Headquarters ofthe Expeditionary Force, dealing with British lossesso far as they could be ascertained. The listincludes among the wounded the name of one

officer of the Royal Army Medical Corps, CaptainT. H. Gibbon, while the following officers of the

corps are reported as missing :-Lieutenant A. J.

Brown, Captain R. J. Cahill, Major P. H. Colling-wood, Captain W. Egan, Lieutenant S. M.Hattersley, ’’,Lieutenant H. W. Hills, Major F. S. Irvine, Lieu-tenant C. L. Lander, Captain J. P. Lynch, CaptainH. E. Priestley, Lieutenant L. M. Routh, CaptainA. A. Sutcliff, and Colonel H. N. Thompson, D.S.O.The course of the operations over so extended afield accounts for the large proportion of missingofficers and men out of a total casualty list of 5000,and there is good reason to hope that many ofthose who are as yet unaccounted for will later bereported as having come in. Captain Gibbon, theonly officer as yet reported wounded, won the firstprize in pathology and the De Chaumont prize inhygiene at the Royal Army Medical College in 1905.

THE RETURN OF THE WOUNDED.From day to day news has been received of the

arrival of wounded British soldiers from the front.Early this week consignments reached Englandand were safely despatched to the Royal HerbertHospital at Woolwich, the Cambridge Hospital atBishop Stortford, the Plymouth base hospital, the5th Southern General Hospital at Portsmouth, andthe London Hospital. Other batches have beenreceived at the Military General Hospitals at

Brighton and Birmingham. The sick and woundedhave so far been landed at Southampton, the moreserious cases being transferred at once to Netley.With a situation changing almost daily it is clearlyimpossible to give any detailed account of the

arrival, disposition, and condition of the wholebody of invalided soldiers who have returned thisweek; but one or two instances may serve to givean idea of the kind and extent of the treatment nowbeing given at an increasing number of medicalcentres.At the London Hospital 316 disabled soldiers

were received on Sunday and Monday last. Theirtransference from Waterloo Station to hospitalwas looked after by members of the staff andstudents. Nearly all the cases are surgical, and themajority of the injuries are comparatively trivial.Perforated wounds of the limbs and in the neigh-bourhood of the head predominate, and most of thebullets seem to have passed through leaving incon-siderable effects beyond slight local sepsis in acertain number of cases. Old students of theLondon Hospital will be interested to learn thatthe wards in which the soldiers are being treatedare Yarrow, Rachel, Currie, Cambridge, Richmond,Cotton, Crossman, Gurney, and Charrington. A

large number of the men have already recoveredsufficiently to be discharged to convalescent homes,but every case of injury by rifle bullet or shrapnelis undergoing a routine X ray examination. Thesoldiers as a whole seem well and in good spirits,and their appreciation of hospital care is obvious.

’-B..1ly a- small number are confined to bed.The first batch of wounded and sick soldiers

from the front, numbering 121, arrived in Ports-mouth on Tuesday morning, Sept. lst. They were.brought from France in hospital transports, reach-ing Southampton on the previous night, and wereentrained for Portsmouth in a specially equipped’hospital train. On arrival they were conveyed inmotor ambulances and private motor cars to the5th Southern General Hospital, established in a

municipal school. There are 16 " cot cases andmany cases of rheumatic fever, indicating thatthe soldiers have suffered from camping on

damp and marshy ground. All the wounded are fromthe battle of Mons, where the British forces playedso gallant a part but suffered so severely. It is stated,by them that the Germans fired on the field hospitaland on the Red Cross bearers when carrying thewounded from the field of battle. A trainload ofwounded and sick-3 officers and 121 men-arrivedat Cosham. on August 31st, and were conveyed to theAlexandra Military Hospital.THE FRENCH PROVISION FOR SICK AND WOUNDED.

The following notes from one of our Paris corre-spondents show well the anxious preparations madeby the French for the proper care of their sick and,wounded in the war.

Paris, August 31st.The secrecy observed as to military operations is applied,

to the doings of the medical staff. It is not even known in,their own hospitals in which direction they have been sent,and no information is given as to when the wards preparedmay be required. During the trying period of suspense astupendous amount of organised preparation has beencarried out. Not only has the vast machinery of thethree French branches of the Red Cross Society been setin motion, but thev have each doubled or trebled theirusual capacity, while an incredible number of private offers.have been made for the equipment of auxiliary hospitals and ’ambulances. Of course, it is hoped that much of this willremain unutilised ; but the nation is aware that it is engagedin the most tremendous struggle in the history of the world,in point of numbers, and France is calmly determined thatno sudden emergency shall find her unprepared.The Croix Rouge in France consists of three societies, of

which the oldest, the Société Francaise de Secours auxBlesses Militaires, celebrates its fiftieth anniversary this

year. This society now possesses 375 territorial hospitals, 98station infirmaries, 110 frontier posts, 70 dispensaryschools, 10,000 nurses, and 3300 stretcher bearers.

Since war was declared 207 auxiliary hospitals have beenorganised, with a total of 1700 beds.The subscription list opened by this society on August 10th,

has already gained 187,000 francs. Bands of trained nurseshave been sent, among other places, to Rheims, Valenciennes,Amiens, Montdidier, Neufchatel-sur-Aisne, Chalons, Belfort,Pont--Mousson, Fresnes-sur-Orne, and Sigmy l’Abbaye.

Sixty parties of trained nurses were sent to different pointson the frontier, but the rapidity with which events havemoved has prevented some of these from reaching theirdestination. Two waggon loads of medical stores have beendispatched to Brussels, and a band of ten nurses left on the9th for Belgium at the request of the Comtesse de Merode,president of the Belgian Croix Rouge. Though the societyonly employs the nurses who have gained their diploma aftera regular training course of some months, it has arrangedthree courses of elementary instructions to respond to thegreat demand among the women who wish to take theirshare of caring for their wounded. Besides the actualmedical work the Societe de Secours aux Blesses Militaireshas organised several charitable depots to help the distressed.families who are left without their breadwinner.The report just issued by the Union des Femmes de France

shows that their 204 auxiliary hospitals are fully equippedto receive more than 13,000 sick or wounded soldiers. The

nursing will be done by a staff of 10,000, aided by more than2600 directresses. Flying columns composed of an infir-mière major and five nurses are being mobilised in a fewhours and despatched to their posts. Forty-three of these-have been sent out since the beginning of hostilities.

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No less important service has been rendered by the Associa-tion des Dames Francaises, which had 105 auxiliary hospitalsready by August 6tb, each containing from 20 to 300 beds.All three societies have organised special ambulance classes,and they are now occupied in the inspection and organisa-tion of the private houses, halls, &c., which have been

placed at their disposal. No offer is accepted below theminimum number of 20 beds, and funds for their completeequipment must be guaranteed for at least three months.The offers of help have been too numerous to mention in

detail. Among the buildings offered to the Red Cross for thepurpose are the Casino at Enghien, the hospital of Dr. Henride Rothschild in the Rue Marcadet, the Comedie Francaise,where 50 beds have been established under the direction ofDr. Paul Mounet and the operations will take place in theartists’ foyer, the actresses’ home at Pont-aux-Dames, where60 beds have been installed, and the nursing home ofDr. Bonnet in the old hotel of Prince Borghese in the Rue dela Chaise. The last building is a valuable acquisition, as thehome contains 200 beds, three operating rooms, a radio-.graphy installation, and a staff of 60 nurses under thedirection of Madame Gaston Thomas. The surgeon-in-chiefhere is Dr. Jean Louis Faure. Madame Messimy, wife of theMinister for War, has organised an ambulance in the LyceeHenri Qtiatre and another in the Ecole Polytechnique underthe medical supervision of Professor Chantemesse andDr. Cazin.

Many of the big shops are offering one or two floors with.a complete ambulance installation. The Université of LesAnnales is now transformed into a hospital with workroomswhere the poor are engaged in paid work for the soldiers.’The hospital Janson de Sailly has been arranged to receive.350 wounded under the direction of Dr. Le Fur. Many of thenow empty schools and ly(6es have also been utilised, andamong the specially welcome offers have been many chateaux,placed by their owners at the disposition of the Croix Rougefor the use of convalescents. The English colony, under thepresidency of Lady Granville, is meeting every day to do RedCross work at the Embassy church rectory, and an offer hasbeen made to the French Government for the establishmentof a Canadian ambulance in Paris with a complete equip-ment of 50 beds. Besides the elaborate organisation for thereception of the wounded, great care is being taken to relievedistress among the families of soldiers who have gone to thefront. A huge network of charities working under the direc-,tion of the three Red Cross societies in cooperation with theAssistance Publique has sprung into existence with that deftswiftness which characterises French action in a greatemergency.A central office for the " Assistance Maternelle et

Infantile" has been created since war was declared and is

doing a great work, while there are numberless societies fordistributing food and clothing, for organising work, andcaring for children.

On Monday afternoon our correspondent leftParis, reporting that the city was perfectly calmand orderly, but that the population was much triedby the paucity of news to which the Governmentwould give its formal support. The news suppliedby the many refugees, and by soldiers returningfrom the front wounded, had got into circulation,and was naturally depressing in its effect, and itwas generally felt in Paris that the situation mightLave been more explicitly revealed from day to day.Foreigners were all leaving the city by the end oflast week, and those remaining were quietly pre-paring to endure a siege.

NORTHERN MILITARY GENERAL HOSPITALS.We published last week the personnel of the

c la sn6 staffs of the London Military GeneralHospitals, with a few details of their organisation,as we had already done in respect of other of theseinstitutions. The object in so doing was to showthat the best surgical and medical aid possible willbe at the disposal of the forces, Territorial or

Regular. We give similar information this weekconcerning the Northern General Hospitals.’ First Northern General HospitaZ.-During time of peacethe office of this hospital is situated at the Drill Hall,

Hutton-terrace, Newcastle-on-Tyne. Some time ago the RoyalInfirmary authorities agreed to place 200 beds at the disposalof the military. Within 24 hours from the outbreak of warthe beds were provided and on August 6th the first militarypatient was admitted to the infirmary. The First NorthernGeneral Hospital is situated in Armstrong College. Thelaboratories and lecture rooms have been converted into

adequate wards. The unit was mobilised on August 5th andon August 8th patients were being admitted to the ArmstrongCollege Hospital. They have since come in increasingnumbers, and by Sept. lst 546 sick in all had been

admitted, 316 patients being then in residence. A largenumber of cases also not requiring admission are seen

daily at the receiving room. The unit consists of 520 beds, thepersonnel of 21 officer", 43 non-commissioned officers and men,91 nurses, and 38 civilian subordinates. Practically the wholeof the staff of the Royal Infirmarv are on the staff of the First;Northern General Hospital. To MajorT. Gowans, the officercommanding, and to his staff the greatest possible credit isdue for the speed of mobilisation and for the very efficientwork being carried out. The operating theatre is in constantrequisition, but all the more serious cases are taken to theinfirmary, where 50 beds are still reserved for militarycases. Practically the whole of the staff of the FirstNorthern General Hospital-officers, men, and nurses-have volunteered for service abroad as a unit, while

many have volunteered for individual service if calledupon. On mobilisation the following physicians and

surgeons form the staff :—Lieutenant-Colonels : Dr. A. M.

Martin, Mr. H. B. Angus, Dr. T. Beattie, and Dr. W. E.Hume. Majors : Mr. W. G. Richardson, Dr. R. A. Bolam,Dr. W. D. Arnison, Mr. J. W. Leech, Mr. G. G. Turner,and Mr. A. Parkin. Captains : Dr. G. Hall, Dr. T. M.Allison, Dr. D. W. Patterson, Dr. H. G. Slade, Dr. H. H.Markham, Dr. W. Seymour, Dr. F. G. Armstrong, andDr. W. F. Wilson.

Second Northern General Hospital.-During time of peacethe office of this hospital is situated at Harewood Barracks,Woodhouse-lane, Leeds. The hospital is situated at theLeeds Training College, the administrative block of which isnow occupied by 480 beds, 20 of which are under canvas forthe use of infectious cases. Three hostels are occupied by thepersonnel of 109 men and 120 nurses, the principal matronbeing Miss Innes, matron of the Leeds General Infirmary,and the matron, Miss Hills, who is matron of the HalifaxRoyal Infirmary (from which 40 nurses have been called

up), and the officers, six of whom are in resi-dence. A number of patients are now in hospital.The officer in command is Major J. F. Dobson. MajorJ. A. Coupland, Quartermaster Hon. Lieutenant C. H.

Sedgwick and Chaplain the Rev. J. F. Phillips are attached.On mobilisation the following physicians and surgeons formthe staff :-Lieutenant-Colonels: Dr. T. Churton, Mr. T. P.Teale, Dr. A. G. Barrs, and Mr. H. Littlewood. Majors :Dr. T. W. Griffith, Mr. R. L. Knaggs, Sir B. G. A. Moynihan,Dr. A. S. F. Griinbaum, Mr. H. S. Walker, Dr. W. H. M.Telling, Mr. W. Thompson, and Dr. G. W. Watson.Captains: Dr. A. L. Whitehead, Mr. T. R. Braithwaite, Dr.R. A. Veale, Mr. G. Constable Hayes, Dr. Wilfred Vining,Mr. S. W. Daw, Mr. E. W. Bain, and Dr. J. Ie FlemingBurrow.

Third Northern General Hospital.-During time of peacethe office of this hospital is at Sheffield. The hospital issituated in the Women’s Hostel in Collegiate-crescent,the Men’s Training College, and the Men’s Hostel inClarkehouse-road, Sheffield. The officer in command isLieutenant Colonel A. M. Connell. Captain G. H. Pooleyand Quartermaster Hon. Major D. Stout are attached. Onmobilisation the following physicians and surgeons form thestaff :-Lieutenan t- Colonels: Dr. D. Burgess, Dr. W. S.Porter, and Dr. J. S. White. Majors : Dr. A. J. Hall, Dr.G. Wilkinson, Dr. A. E. Naish, Dr. A. R. Hallam, Dr. J. M.Beattie, and Dr. S. Riseley. Captains: Dr. W. H. Nutt,Mr. G. S. Simpson, Dr. A. G. Wilson, Dr. A. E. Barnes, Mr.H. J. E. H. Williams, and Dr. W. J. N. Vincent.

Fourth Northern General Hospital.-During time of peace, the office of this hospital is at 6B, Guildhall-street, Lincoln.

The hospital is situated at the Lincoln Public School,standing in large playing fields on the outskirts of the town.The carpenter’s shop has made an excellent operating

: theatre, with a sterilising room attached supplied with steamfrom a high-pressure bciler. A dark room adjoining is now

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used by the radiographer, and there is an ample store for sur-gical material. The school laboratory makes an excellent dis-pensary and pathological laboratory, while the studies andmasters’ rooms on the ground floor afford admirable officesfor administrative staff and clerks. The large gymnasiumhas been fitted up as a quartermaster’s store, containingeverything requisite for a hospital of 520 beds, while otherrooms on the ground floor serve for various stores, medicalofficer’s room, and guard room. The class-rooms anddormitories form excellent wards, accommodating 86 beds.The remaining 434 beds have been provided in 20-bed ironhuts lined with wood, of the pattern used in theSouth African campaign. They are heated with "Tortoise"

"

stoves, and have at one end a ward orderly’s room andsister’s room, and at the other, but separate from the ward,sanitary annexes. Water has been laid on to all these huts.A bucket conservancy system is at present in use, but theannexes have been so designed that a water carriage systemof sewage disposal could be adopted at very little extra cost.A Washington-Lyons disinfector has been installed, workedby a high-pressure boiler, which also supplies steam for asteam cooker and boiler. The school kitchens, which areample for 200 boys, are being augmented by gas and steamcookers. The 109 men of the unit are established in threehuts adjoining the buildings. The sisters are lodged in thenurses’ home of the Lincoln County Hospital, which has justbeen built as a memorial of King Edward VII., but has notyet been opened. The hospital was ready to receive patientswithin five days of the order to mobilise. The contractorswho put up the huts had 500 men at work in three shifts, andthe work was carried on all night by the help of arc lights.The officer in command is Lieutenant-Colonel W. H. B.Brook, and Major F. S. Lambert and Quartermaster Hon.Lieutenant J. E. Dickinson are attached. On mobilisationthe following physicians and surgeons form the staff:-Lieutenant-Colonels : Mr. C. Brook, Dr. C. Harrison, Mr.G. H. Grimoldby, and Dr. G. S. Stephenson. Majors: Dr.W. A. Arline, Dr. E. M. Sympson, Dr. T. W. A. Daman, Dr.A. Westlake, Dr. D. J. G. Watkins, Dr. F. S. Genney, andMr. E. C. Clements. Captains : Dr. 0. H. Chapman, Dr.G. A. C. Shipman, Dr. B. McFarland, Dr. A. Burgess, Dr.A. A. Pratt, Mr. R. E. E. South, Dr. A. E. Wilson, Dr. A.Miller, Mr. 0. Giles, Mr. J. E. S. Passmore, Mr. F. E.Withers, Mr. E. S. Winter, Dr. W. R. Higgins. Mr. G. L. H.Revill, Dr. F. Alcock, Dr. C. J. Coleman, Mr. G. J. R. Lowe,Dr. A. L. Yates, and Dr. J. J. Rainforth. The nursing staffconsists of 91 fully trained sisters and nurses under Miss

Bayldon as matron and Miss Sheppard as principal matron.Fifth Northern General Hospital. -During time of peace

the office of this hospital is at Leicester. According to theArmy List the officer in command is Major L. K. Harrison,and Quartermaster Hon. Lieutenant G. E. Barfield isattached. On mobilisation the following physicians andsurgeons form the staff :-Lieutenant-Colonels : Mr. G. C.Franklin, Dr. R. Pratt, and Mr. C. Douglas. Majors : Dr.R. Sevestre, Dr. T. V. Crosby, Dr. J. T. H. Davies, Mr. H. J.Blakesley, Mr. C. E. Marriott, Dr. J. S. Sloane, Dr. J. D.Slight, and Dr. R. Stewart. Captains : Dr. J. E. Waite, Mr.F. B. Carter, Mr. E. L. Lilley, Dr. R. R. Young, Dr. J. W.Patrick, Mr. E. V. Phillips, Mr. S. F. Smith, Mr. R. Michell,Dr. F. W. Bennett, Dr. R. W. W. Henry, Dr. W. E. Gibbons,Mr. R. R. Fagge, Mr. R. B. Stamford, Dr. W. M. Holmes,and Mr. W. I. Cumberlidge.

COOPERATION BETWEEN CIVIL AND MILITARYSANITARY SERVICES.

As it is likely that during the next few monthsthere will be occasions when the military forceswill desire the assistance of the public healthservice in various parts of the country, the medicalofficer of the Local Government Board, after con-sultation with the War Office, is inviting medicalofficers of health of districts in which troops areor are likely to be stationed to place themselves incommunication with the local military medicalauthorities, offering any services which may beuseful. Communications dealing with matters ofimportance should be directed to the DeputyDirector of Medical Services of the Command.As local medical officers of health they will

be able to give valuable information andassistance to military sanitary officers in the

following among other directions : (1) In advisingas to all local water-supplies and as to their protec-tion from contamination; (2) in helping to securesatisfactory disposal of garbage and other refuse;(3) in securing satisfactory drainage or conservancyarrangements; and (4) in the control of infectiousdisease, and in arranging for hospital provision forthe ordinary infectious diseases, for convalescentcases of enteric fever, and for the carrying outof disinfection. It will be important for eachmedical officer of health to keep the medicalofficer in charge of any local troops in-formed of any cases of infectious disease withinhis area, and it is desirable to ask this officerto give him information similarly of cases of thesediseases among the troops. The three diseases forwhich, under present circumstances, a constant out-look should be kept are typhus fever, enteric fever,and small-pox, especially the two last named. TheWar Office propose to arrange for each medicalofficer of health to have notified to him any soldiersconvalescent from enteric fever coming into asanitary area. The medical staff of the LocalGovernment Board will be prepared to consult withmedical officers of health on any points arising inconnexion with this work, and a medical inspectorwill consult locally as to prospective arrangementswhen the need for this is indicated.

’ THE CHADWICK TRUST AND THE WAR.

The following resolution has been passed by theChadwick trustees :-

That in view of the immense importance of encouragingin every way the promotion of careful sanitary organisationin the naval and military services during the present cam-paign, the Chadwick trustees have resolved, under the

powers conferred upon them under the scheme theyadminister, to announce their intention to award at theclose of this year the Chadwick gold medal and B50 each tothe naval and military officer respectively in the Britishservice who shall have distinguished himself most in pro-moting the health of the men in the navy and the army.The nomination for sueh presentations to be, as provided bythe terms of the trust, by the Directors-General of the Navaland Military Medical Services respectively.The Chadwick trustees are also making arrange-ments for providing, or assisting in the provisionof lectures and demonstrations on naval, military,and hospital hygiene. Particulars of these lectureswill shortly be announced.

EDINBURGH AND LEITH PRACTITIONERS.The medical profession in Edinburgh and Leith

had a meeting on August 28th and passed thefollowing resolutions unanimously :-That the medical practitioners of Edinburgh and Leith

undertake to the best of their power to provide when

required for the care of the patients of those of their pro-fessional brethren who have been called to the service oftheir country in this national crisis and also to safeguard inevery possible way their professional interests, and will

cooperate whenever possible with the Scottish MedicalEmergency Committee constituted for these purposes.That it is desirable that the medical profession in Edin-

burgh and Leith should systematically cooperate with theSoldiers and Sailors Families Association and with the localcommittees of the National Relief Fund with regard to theprovision of medical attendance on persons renderednecessitous by the war.

The meeting was strongly of opinion that thereshould be medical representation on the centraland ward committees of the National Relief Fund.A special medical emergency committee was

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appointed. Twenty-eight medical men in Edinburghand Leith have been called up for whole-timemilitary or naval service, and there are manyothers engaged meantime in partial service at

military hospitals and in Red Cross and ambulanceorganisation.

____

ORDER OF THE HOSPITAL OF ST. JOHN OFJERUSALEM IN ENGLAND.-It is officially notified by theWar Office that the Ambulance Department of the Order ofSt. John of Jerusalem forms part of the Red Cross Organisa-tion of Great Britain, equally with the British Red CrossSociety and the St. Andrew’s Ambulance Association, and isrecognised by the British Government under Article 10 ofthe Geneva Convention as a society to assist the MedicalServices in time of war. Funds are urgently needed by theOrder, as already over 4000 men of the St. John AmbulanceBrigade have been mobilised as hospital orderlies with thenavy and army, several thousands more being held in reserve.Surgeons and a large number of fully certified hospitalnurses have been despatched by the Ambulance Departmentto the seat of war at the request of the Belgian Red CrossSociety. Contributions will be gratefully received by thechief secretary of the Ambulance Department of the Order,Colonel Sir Herbert Perrott.

THE British Red Cross Society is advertisingin a very prominent manner in the daily press that thesociety is in urgent need of more funds if effective andimmediate aid is to be given to the sick and wounded at thefront. Contributions are requested to be sent to the secretaryat Devonshire House, Piccadilly, London, W.

THE SCHOOL MEDICAL SERVICE DURING THE I

WAR.-The Board of Education understand that in a numberof areas school medical officers and other officers engaged inthe work of the school medical service will be giving theirservices to the navy or army, and that consequentlydifficulties may be experienced in carrying on the work ofthe school medical service. In a circular just issued theBoard emphasises the importance that the work of theschool medical service should be maintained throughoutthe country with the minimum of interruption or irregu-larity, and states that it relies upon local educa-tion authorities to do their best to make satisfactoryarrangements for carrying it on. The Board will make

every allowance for the difficulties with which local educa-tion authorities are confronted at the present time, and pro-vided that in practice the existing work is carried on withreasonable efficiency the Board will accept, for the purposesof their own administration, the best arrangements whichcan be made, so long as the present emergency continues.The Board desire to be informed of each case in whichofficers of the school medical service are temporarily absentand of the arrangements proposed to be made for the

discharge of their duties.

OFFICERS OF LOCAL AUTHORITIES AND THE WAR.-The Local Government Board suggest that local authori-ties may properly grant leave of absence to officers in theiremploy who are already in His Majesty’s forces or who jointhem with their permission, and may properly make suchallowances in respect of salary as they think reasonable inthe particular circumstances, paying temporary substitutesfor them under Naval or Military Order. The Treasuryregulations and instructions of August llth and 20th, 1914,dealing with the case of civil servants on naval or militaryservice, provide for the payment to them or to their repre-sentatives during their absence from civil duty of their fullcivil pay less a deduction on account of navy or army payand allowances. Already a certain number of whole-timemedical officials are with the colours.

MANCHESTER MEDICAL ARRANGEMENTS.—OurSpecial Correspondent writes :-In addition to the elaborateand extensive provision of beds and other requisites for thewounded provided at the technical school at a very con-siderable outlay, the Royal Infirmary has arranged for

placing at the disposition of the authorities a largenumber of beds. The Salford Royal Hospital has senta communication to the Admiralty and to the WarOffice offering to provide beds for the reception of sick or

wounded sailors or soldiers serving His Majesty who may bein need of hospital treatment. In the first instance 60 bedswould be available, and this number could be increased toabout 100 if need be. The offer has been accepted by theAdmiralty and the War Office, with an intimation that theaccommodation will be utilised if required. The RoyalInfirmary has supplied directly from its own staff and fromthe list on its roster a large number of nurses to the navaland military authorities. In view of the opening ofthe winter session, which will take place on Oct. 8th,it is officially announced that arrangements have been madefor the academic attendance of those students who have

joined the Territorials. A reasonable allowance will bemade as regards attendance in classes next session in thecase of students undertaking military service. It is statedthat a very considerable number of applications for com-missions have been received for the Special Reserve and amuch larger number for the Territorial Force. The

quadrangle of the University presents a busy scene everyforenoon, where a large number of recruits are beingsteadily drilled into shape. It is possible that specialsupplementary examinations may be held, but so far noofficial notice has been issued by the University authorities.

CANADIAN LOYALTY.-The women of Canada,through H.R.’H. the Duchess of Connaught, have offered tobuild, equip, and maintain a naval hospital for the officersand men of the Royal Navy. This generous offer has beenaccepted by the Admiralty with deep gratitude. The new

hospital will be supplementary to the Royal Naval Hospitalat Haslar, and will be known as the Canadian Women’sHospital.The Grand Trunk Railway’s steamer Prince George,

carrying 200 saloon and 300 steerage passengers, has beenfitted out at Esquimalt, B.C., by the Royal Canadian Dock-yard as a hospital ship, in charge of Dr. C. B. Wainwright,with whom is Dr. Stuart Tidey. Her preparation tookonly three days, and she went to sea on August llth. Shewill have accommodation for 100 cases in cots, besides thosethat can be put in passengers’ cabins. A lift has been fittedto take patients from the main deck to the operating room.There are six nurses from the Jubilee Hospital, Victoria, andtwo retired sick-berth stewards, R.N. The equipment of theship is throughout of the highest class, and the patients willbe made very comfortable.

THE WORKING OF VOLUNTARY AID DETACH-MENTS -A correspondent writes, in reference to a com-

munication published in THE LANCET of August 22nd, p. 527,over the initials "V.A.D.": "I I am afraid ’V.A.D.’has notmade himself fully acquainted with the working of the

voluntary aid detachments or he has forgotten that as soonas the Territorial Force is mobilised they pass at once underthe care of the military authorities. This has now happenedand neither the Red Cross authorities nor any outside bodyhas control over them. All directions and orders will beissued to the voluntary aid detachments by the militaryauthorities through the county directors. Under thesecircumstances there is no need to call into existence afresh governing body, as the military authorities will keepthem in hand and curb their unauthorised endeavours toform local hospitals where they never will be wanted andthus waste money."THE DEARTH OF REVOLVERS AND THE WAR.-

Since the war broke out attention has bfen called to a

scarcity of revolvers such as are carried by military officerson active service, and protests have been made against acharge of more than double their normal price being madein some instances for these weapons. Various reasons havebeen advanced by manufacturers and others for this state ofaffairs, among whom Mr. W. W. Greener, of Birmingham,writing to the Tiones, ascribed the failure to maintain the

supply of service revolvers primarily to the fact thatGovernment orders for revolvers have all been given toone firm, but added the observation that in view of the" shrieking protests of the Press " in times of peace againstthe use of arms manufacturers naturally were afraid tomake such weapons for stock. As protests (without shriek-ing) have frequently been published in THE LANCET

against the unrestricted sale and carrying of cheap pistols,, it is as well to point out that such observations as we

have made have had no reference to weapons of the kind

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676

carried by military and naval officers as part of their equip-ment. Criminals, lunatics, hooligans, and schoolboys fromtime to time inflict death or injury upon others withrevolvers which can be bought at any price from a fewshillings upwards, but do not employ those heavier and costlierweapons the price of which has now been raised to .B1O,or was so raised a short time ago. If Mr. Greener reallyintended to allude to objections raised by the newspaperpress to the sale of revolvers as having tended to preventgunmakers from laying in stocks sufficient to supply ourofficers in time of war, we think he would find it difficultto justify his assertion. It would seem fitting that themilitary authorities should take the risk in future of holdinga stock of revolvers.

AN ALLIED FORCES BASE HOSPITAL.-A hos-pital of 200 beds is to be erected in France with the approvalof the War Office. The Surgeon-Commandant in charge ofthe hospital is Major Ernest Miles, surgeon to the CancerHospital, and the medical and surgical staff consists of Mr.A. G. Whitehorne-Cole, Mr. Philip M. Heath, Mr. NormanDuggan, Mr. Sidney B. Radley, Mr. Oswald T. Dinnick, Dr.Douglas E. Derry, Mr. W. M. S. Robinson, Mr. Robert H.Liscombe, Dr. Bernard Hudson, and Dr. E. D. Roberts. Atrained staff of dressers, sisters, nurses, orderlies. &c., havebeen engaged. The hospital is completely equipped andready to start for any locality on the continent which themilitary authorities may deem advisable. Donations andmonthly guarantees will be gratefully received and acknow-ledged by the committee, 16, Grosvenor-street, London, W.

THE WAR AND NATIONAL INSURANCE.-It issatisfactory to learn that the National Health InsuranceCommission has announced that any notice with regard toarrears due to unemployment during the past year whichReservists, Territorials, or insured persons who have joinedthe regular forces may receive, does not apply to them nowthat they have been called up, and that they, or in theirabsence their relatives, should write the words " called up

"

across such notice and return it to the society, which willissue the special instructions applying to them at a laterdate. Recruits recently enlisted for the war should sendtheir current Health Insurance cards to their ApprovedSocieties (if any, otherwise to the Post Office) after writingthe word Enlisted" across them.

A second edition of Lieutenant-Colonel P. C.Gabbett’s Manual tor Women’s Volentary Aid Detachments(Bristol: John Wright and Sons, Limited. 1914. Pp. 115.Price Is. net), the first edition of which was warmly com-mended in THE LANCET of Sept. 28th, 1912, p. 911, hasbeen issued. The Women’s Voluntary Aid Detachments were Iinstituted to fill the gap in the Territorial R.A.M.C. occa- sioned by the absence of an establishment for carrying out ithe duties in connexion with clearing hospitals, stationary ’,hospitals, ambulance trains, &,c.. which stand between thefront and the base hospitals. First-aid and bandaging themembers of these detachments are supposed to have become

THE NATIONAL RELIEF FUND.

SUBSCRIBE to the Prince of Wales’s NationalRelief Fund.

To H.R.H. THE PRINCE OF WALES,BUCKINGHAM PALACE, LONDON.

I beg to enclose £ s. d. as a donation

to the National Relief Fund.

Name _______________________

Address _______________________

The envelope containing this coupon need not be stamped.

acquainted with. This little book aims to put them auoourant with the conditions of transport under which thoseduties would be performed.WAR MAPs.-Messrs. Edward Stanford,

Limited, of Long Acre, London, W.C., have issued somemore useful war maps of large size, as follows: No. 4. TheFranco-German Frontier and Western Germany. No. 5.The North Sea and the Baltic, comprising the BritishIslands to the Gulf of Finland, including Paris and Vienna.No. 6. The Seat of War in Belgium, as far as Ostend andDunkirk on the west, and Cologne and Coblenz on the east.No. 7 is the latest to be issued, and is entitled " The Seat ofWar in France." All these maps are very distinct andwell prepared, and the boundaries are indicated in pale-transparent colours.

RATIONS OF WAR PRISONERS.-The War Officehas notified that war prisoners’ daily rations will be : Bread,1½ lb., or biscuits, lib. ; fresh or frozen meat, 8 oz., or pre-served meat half ration ; fresh vegetables, 8 oz. ; butter ormargarine, 1 oz. ; condensed milk, 1/20th of 1 lb. tin ; tea,oz., or coffee, 1 oz. ; sugar, 2oz. ; salt, oz.FREE DENTISTRY FOR SOLDIERS.-Men in

military uniform can receive free dental treatment byqualified dental surgeons at University College Hospital.Recruits who have been refused on account of defectiveteeth can also be treated free on producing the necessaryevidence. The dental department is in the National Dental

Hospital, Great Portland-street, London, and applicantsshould be in attendance at 9.30 A.M.

The War Office announces a few vacancies inthe Special Reserve of Offlcers of the Royal Army MedicalCorps.

________________

Medical News.UNIVERSITY OF LONDON.—At the Second Exa-

mination for Medical Degrees, Part I., held in July, thefollowing candidates were successful :-Organic and Applied Chemistry.-Cecil Hewitt Atkinson, Guy’s

Hospital ; rGeorge Arthur Emmanuel Barnes, University College,Keith Carlyle Beatty, London Hospital ; Edward Jocelyn Bilcliffe,King’s College and St. George’s Hospital ; Alfred Octavius Bolton,St. Bartholomew’s Hospital; John Walker Brash. St. Mary’s Hos-pital ; Israel Braun. St. Bartholomew’s Hospital; Cyril HuleattBrew, University College; Margaret Hastings Bridge, London.(Royal Free Hospital) School of Medicine for Women; DonaldCameron, St. Bartholomew’s Hospital ; Hayward Carpenter,King’s College and Charing Cross Hospital ; James.Edwin Carpenter, London Hospital ; Bodh Raj Chaudhri,King’s College ; Henry Joseph Constantine Churchill, St.Bartholomew’s Hospital ; Douglas Crawford Clark, King’sCollege ; "Cecil Stedman Cloake, B.Sc., London Hospital ;Hari Das, University College; Owen Griffith Davies, St. Paul’sSchool; Arthur Henry Douthwaite, University College; *RobertWalter Laurence Edgington, University of Birmingham ; WilliamEidinow, London Hospital; Valentine Francis Farr, St. Paul’sSchool; Walter Alan Flynn, Guy’s Hospital; Beatrice Ford,Brighton Municipal Technical College ; Johan Coenraad Gie, Guy’s.Hospital; Lionel Charles Goument, St. Bartholomew’s Hospital ;Dorothy Winifred Gowers, London (Royal Free Hospital) Schoolof Medicine for Women; Algernon Sanders Green and RonaldBenjamin Green, University College; Walter Anley Hawes anftCharles Graham Haynes. Guy’s Hospital; Naunton ReginaldJenkins. University College, Cardiff; Theodora Johnston, London(Royal Free Hospital) School of Medicine for Women; ConstanceAmv Jones, University College; David Morris Jones. UniversityCollege, Cardiff; Myrddin Emrs Jones. St. Thomas’s Hospital,Nai Kamchorn. Guy’s Hospital: Daulat Manghirmal Lala, King’;;,College; Douglas Arthur Campbell Layman, William AlexanderLow. and James Galway McCann, St. Thomas’s Hospital; LilyOlive Grace McGregor, University College ; Kathleen MeCrieMcKeown. London (Royal Free Hospital) School of Medicine forWomen ; Thomas Hawks McLeod, King’s College; Bernard Gould-smith Marshall. Guy’s Hospital; Charles Leslie Mason, St.Mary’s Hospital; George Gliddon Michell, University College;Annie Shortridge Mules, London (Royal Free Hospital} School ofMedicine for Women ; Henry Wilfrid Lee Nichols, London Hos-pital ; David Richard Owen, University College, Aberystwyth, FArthur Edmund Beer Paul, University College ; Sigrid LetitiaSharpe Pearson, Girton College ; Montagu Cecil Polhill, UniversityCollege; Jean Stephanie Pope, London (Royal Free Hospital)School of Medicine for Women ; Wtlliam Russell Ranson, Middle-sex Hospital ; Alexander Rathouse. Guy’s Hospital ; Francis-Elinor Rendel, London (Royal Free Hospital) School of Medicinefor Women ; Gordon Hussey Roberts, King’s College and CharingCross Hospital; John Saunders Lewis Roberts, University College ;Gwendolen Mary Itolfe. London (Royal Free Hospital) School ofMedicine for Women ; Henry Rowan. University College William

i Harris Royal, University of Bristol; John Francis Ryan, St.Thomas’s Hospital; Samuel Sacks, London Hospital; Edward


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