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in regard to them.-Mr. ASQUITH wrote in reply : I have received com-munications from the delegates of the London medical schools and otherbodies of the character referred to by my honourable friend, and I haveforwarded them to the President of the Royal Commission on theLondon University.

Apointments.Successful applicants for Vacancies, Secretaries of Public Institutions.

(tnd others possessing information suitable for this column, are

invited to forward to THE LANCET Office, directed to the Stcb-Editor, not later than 9 o’clock on the Thursday morning of eachweek, such information for gratuitous publication.

ALLAN, HERBERT WILLIAM, L.R.C.P. LOrid., M.R.C.S., has beenappointed Medical Officer of Health of Wells (Somerset).

ALLAN, KENNETH BRUCE, M.B., B.S. Durh., has been appointedAssistant House Surgeon at the Norfolk and Norwich Hospital.

Bl,’R(41,N, W. MARMADUKE, M.B., B.S. Lond., F.R.C.S. Edin., has beeilappointed Assistant Surgeon to the Royal Eye Hospital,Southwark.

COLLIER, JAMES, M.D., F.R.C.P. Lond., has been appointed HonoraryPhysician to the Royal Eye Hospital, Southwark.

COLLINS, Sir W. J., M.P., M.D., M.S. Lond., F.R.C.S. Eng., has been.appointed Honorary Surgeon to the Royal Eye Hospital,Southwark.

DODDS, H. BONAR, M.D. Edin., has been appointed District MedicalOfficer at St. Vincent, British West Indies.

FRASER, FORBES F.R.C.S.Eng., has been appointed HonorarySurgeon to the Royal United Hospital, Bath.

HENDRIKS, C. M., M.B. Durh., M.R.C.S , has been appointed CertifyingSurgeon under the Factory and Workshop Act for the BicesterDistrict of the county of Oxford.

JUDAH, D., M.B., B.S. Lond., has been appointed Clinical Assistant tothe Chelsea Hospital for Women.

JuDE, F. J., M.B., Ch.M.Edin., has been appointed GovernmentMedical Officer and Vaccinator at White Cliffs, New South Wales,Australia.

KING-EDWARDS, T. R., M.B., B.S. Dub., has been apcointed Certifying.Surgeon under the Factory and Workshop Act for the WatlingtonDistrict of the county of Oxford.

McHARDY. M., F.RC.S. Edin., has been appointed Honorary Consult--ing Surgeon to the Royal Eye Hospital, Southwark.

POLLARD, REGINALD, M.B. Durh., M.R.C.S. Eng., has been appointedClinical Assistant to the Chelsea Hospital for Women.

RICE, T. W., L.R.C.P. & S. Edin., has been appointed Certifying Sur-geon under the Factory and Workshop Act for the MountmellickDistrict of Queen’s County, Ireland.

STARK, A. CAMPBELL, M.B., B.S. Lond., has been appointed AssistantSurgeon to the British Skin Hospital.

SWIFT. II., M.D. Cantab., M. R.C.S. Eng., has been appointed HonoraryPhysician to the Adelaide Hospital, South Australia.

TITTERTON, JOHN TARRATT, M.B., C.M. Edin., has been appointedMedical Officer for the Fifth District by the St. Germans (CornwallBoard of Guardians.

Vacancies.’or further information regarding each vacancy reference should be

made to the advertisement (see Index).

,STON UNION WORKHOUSE AND COTTAGE HOMES, Birmingham.-Resident Assistant Medical Officer. Salary 2140 per annum, withapartments, rations, and washing.

BOURNEMOUTH, ROYAL NATIONAL SANATORIUM FOR CONSUMPTION ANDDISEASES OF THE CHEST.-Resident Medical Officer. Salary £10per month, with board, residence, and washing.

BRISTOL, CossHaM MEMORIAL HOSPITAL, Kingswood.-House Surgeon.BRISTOL ROYAL HOSPITAL FOR SICK CHILDREN AND WOMEN.-Assistant;

House Surgeon. Salary £50 per annum, with board, rooms, andattendance.

3RISTOL ROYAL INFIRMARY.-Resident Casualty Officer for sixmonths. Salary at rate of £50 per annum, with board, lodging,and washing.

CANCER HOSPITAL, Fulham-road, London, S.W.-Assistant Anaesthetist.Salary 25 guineas per annum.

CARDIFF INFIRMARY (GENERAL HOSPITAL).-House Surgeon. SalaryE60, with board and residence.

CENTRAL LONDON SCHOOL DISTRICT SCHOOL, Hanwell.-ResidentMedical Officer. Salary £300 per annum, with unfurnished house,lighting, firing, water, milk, and washing.

CHELSEA HOSPITAL FOR WOMEN, Fulham-road, S.W.-House Surgeon,unmarried. Salary £80 per annum.

CHICHESTER, WEST SUSSEX AND EAST HANTS GENERAL INFIRMARYAND DISPENSARY.-House Surgeon. Salary .B90 per annum, withboard, residence, and washing.

CITY OF LONDON HOSPITAL FOR DISEASES OF THE CHEST, VictoriaPark, E.-Physician to Out-patients.

DUDLEY, GUEST HOSPITAL.—Senior Resident Medical Officer. SalaryY,100 per annum, with board, residence, attendance, and washing.

EAST LONDON HOSPITAL FOR CHILDREN AND DISPENSARY FOR WOMEN,Shadwell, E.—House Surgeon. Salary at rate of B75 per annum,with board and residence.

EVELINA HoSPITAL FOR SICK CHILDREN, Southwark Bridge-road,London, S.E.-House Physician for six months. Salary at rate of,ceo per annum, with board, residence, and washing.

GLASGOW UNIVERSITY.—Additional Examiners in Zoology andAnatomy.

GREAT NORTHERN CENTRAL HOSPITAL, Holloway-road, N.-Physician.Also Surgeon to the Ear and Throat Department.

HAMPSHIRE COUNTY COUNCIL.-Assistant County Medical Officer ofHealth. Salary ,c250 per annum, and allowances.

HANLEY EDUCATION COMMITTEE.—School Medical Officer (female).Salary ,c200 per annum.

HOSPITAL FOR EPILEPSY AND PARALYSIS AND OTHER DISEASES OF THENERVOUS SYSTEM, Maida Vale -Honorary Anæsthetist alsoHonorary Dentist.

’

HULL. ROYAL INFIRMARY.-Casualty House Surgeon. Salary at rate of£60 per annum, with board and lodging.

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INGHAM INFIRMARY AND SOUTH SHIELDS AND WESTOE DISPENSARY.-Junior House Surgeon. Salary £90 per annum, with residence,board, and washing.

LINCOLN.-Assistant Medical Officerof Health for six months. Salaryat rate of JE260 per annum.

’

LINCOLN COUNTY HOSPITAL.-Junior House Surgeon, unmarried, forsix months. Salary at rate of 275 per annum, with board, residence,and washing.

LIVERPOOL ROYAL INFIRMARY. -Honorary Physician.LIVERPOOL, STANLEY HOSPITAL.-Junior House Surgeon. Salary B60

per annum.LONDON TEMPERANCE HOSPITAL, Hampstead-road, N.W.-Medical

Registrar.LONDON THROAT HOSPITAL, 204, Great Portland-street, W.-Assistant

Surgeon and two Assistant An2esthetists.LOwESTOFT HOSPITAL.-House Surgeon, unmarried. Salary at rate of

.8100 per annum, with board, lodging, and washing.MAIDSTONE, KENT COUNTY ASYLUM. - Fourth Assistant Medical

Officer, unmarried. Salary B175 per annum, with quarters, attend-ance, &c.

MANCHESTER, NORTHERN HOSPITAL FOR WOMEN AND CHILDREN,Park-place, Cheetham Hill-road.-Honorary Surgeon for Children.

MARGATE, ROYAL SEA-BATHING HOSPITAL.-Resident Surgeon, as

Junior for six months and as Senior for a like period. Salary atrate of R80 and B120 per annum respectively, with board andresidence.

MOUNT VERNON HOSPITAL FOR CONSUMPTION AND DISEASES OF THECHEST, Hampstead and Northwood, Middlesex.-Senior and JuniorResident Medical Officers. Salary J!.100 and ,c50 per annum respec-tively, with board and residence.

NOTTINGHAM GENERAL DISPENSARY.-Assistant Resident Surgeon, un-married. Salary £160, with apartments, attendance, light,and fuel.

NOTTINGHAM GENERAL HOSPITAL.-Assistant House Physician. Salary:E60 per annum, with board, lodging, and washing. Also HouseSurgeon. Salary ,clOO per annum, with board, lodging, andwashing.

PARTICK, BURGH oF.-Medical Officer of Health. Salary ;B250 perannum.

QUEEN CHARLOTTE’S LYING-IN HOSPITAL, Marylebone-road, N.W.-Resident Medical Officer for four months. Salary at rate of C60 perannum, with board, residence, and washing.

ROYAL LONDON OPHTHALMIC HOSPITAL, City-road, E.C.-Third HouseSurgeon. Salary at rate of £50 a year, with board and residence.

ROYAL WESTMINSTER OPHTHALMIC HOSPITAL, King William-street,Strand, W.C.-Pathologist and Curator. Salary R50 per annum.Also Assistant House Surgeon for six months. Salary JB20, withluncheon and tea.

ST. BARTHOLOMEW’S HOSPITAL.-Surgeon. ’

ST. MARK’S HOSPITAL FOR FISTULA AND OTHER DISEASES OF THERECTUM, City-road, E.C.-Three Clinical Assistants.

ST. MARY’S HOSPITAL, Paddington, W.-Assistant Physician to Out-patients.

STAFFORD, STAFFORDSHIRE GENERAL INFIRMARY.-Assistant HouseSurgeon. Salary ;E82 per annum, with board, residence, andlaundry

STAMFORD HILL AND STOKE NEWINGTON CHARITABLE DISPENSARY,N.-Assistant Medical Officer. Salary 2100 per annum, with boardand residence.

STROUD GENERAL HOSPITAL.-House Surgeon. Salary ,clOO perannum, with board, lodging, and washing.

TEIGNMOUTH HOSPITAL, S. Devon.-House Surgeon. Salary £80 perannum, with board, lodging, and washing.

THROAT HOSPITAL, Golden-square, W.-Resident House Surgeon.Salary £75 per annum, with board, residence, and laundry.

VICTORIA HOSPITAL FOR CHILDREN. Tite-street, Chelsea, S.W.-House Surgeon for six months. Salary £30, with board, lodging,and laundry.

WAKEFIELD, CLAYTON HOSPITAL.-Senior House Surgeon, unmarried.Salary £120 per annum, with board, lodging, and washing.

THE Chief Inspector of Factories, Home Office, London, S.W., givesnotice of vacancies as Certifying Surgeons under the Factory andWorkshop Act at Longford, in the county of Longford; at Airdrie,in the county of Lanark; and at Lauder, in the county of Berwick.

Births, Marriages, and Deaths.BIRTHS.

WATKINS.-On 15th October, at Stone-Legh, Newton-le-Willows,Lancashire, the wife of Harold E. Watkins, M.R.C.S. Eng., of a

daughter. -

MARRIAGES.ODELL-MOORE.-On the 14th inst., at St. Mary Magdalene’s, Torquay,

by the Rev. Canon Ransford, M.A., Vicar of St. Paul’s, UpperNorwood, assisted by the Rev. E. P. Gregg, M.A., Vicar of theparish, and the Rev. R. W. Odell, M.A., Vicar of St. Matthew’s,Brighton, cousin of the bridegroom, William Odell, M.D., F.R.C.S.,of Ferndale, Torquay, to Ruth Annie, younger daughter of JosephMoore, Esq., of " Culross," Torquay.

SWANN-CASSELS.-At the Grand Hotel, Glasgow, on the 18th October,by the Rev. Thos. Currie, M.A., Langside-hill U.F. Church,assisted by the Rev. David H. Tweeddale, M.A., New Leeds U.F.Church, Alexander James Thompson Swann, M.B., Ch.M. Glasg.,West African Medical Staff, Northern Nigeria, to Effie JemimaCassels, L.R.C.P. & S. Edin., L.F.P.S. Glasg., elder daughter ofA. B. Cassels, 12, Camphill-avenue, Langside.

DEATHS.CLIBBORN.-At Bolton-gardens, W., suddenly, William Clibborn, M.D.

T.C.D., late of Dorset House, Bridport.

Notes, Short Comments, and Answersto Correspondents.

EVERY MAN HIS OWN IMMUNISER.

A CORRESPONDENT has forwarded us a copy of The Aittocar of Oct. 9th,in which there is an advertisement of an "influenza cure" that

opens up a new and dangerous field of unqualified practice.It reads as follows: "Guard against influenza. Two inoculationsof Flux the ’Flu’ Cure taken now will render you immunefrom influenza and its attendant ills during the whole of thewinter. It is a bacillus culture, prepared in one of the world’sleading bacteriological laboratories. It causes no inconvenience tothe user, but is death to any influenza bacillus which attemptsto enter the system. Supplied in two forms, A Preventive, andB Curative. Case £1 1s. Od. Extra tubes 8s. 6d. each. Proprietors-’Flux’ Co., 100, Evering Road, N." In the middle of this textis a figure illustrating the " case" referred to, open and con-

taining a glass phial labelled "skin anaesthetic," another labelled"vaccine," and beneath them a hypodermic syringe and needle.Such a flagrant abuse of a valuable method of treatment scarcelyneeds reprobation, for its danger is apparent. The proprietors of"Flux "advise their patrons to inject into themselves, with no kindof scientific control, a substance which, if they describe it accuratelyas a vaccine, is a remedy requiring the greatest skill and technicalknowledge in its employment; but we can hardly believe that eventhe habitual supporters of unqualified practice will be such fools asto inoculate themselves with an unknown stuff. We have notseen the alleged vaccine and have no knowledge of its composition,but if the claim is true that it is supplied by a " leading bacterio-logical laboratory" the person supplying it should certainly be askedfor an explanation by the responsible directors of that institution.We do not remember a similar exploitation of modern science,although we have been accustomed to some fairly strong claimsfrom unqualified persons. The advertisement should serve as a

warning to all laboratories preparing vaccines for responsible firms totake proper precautions as to the ultimate destination of their

products.

PREVAILING DISEASES IN BRAZIL.

Mr. Cheetham, Secretary of the British Legation at Rio de Janeiro, inhis annual report just received at the Foreign Office, states that theyear 1908 was marked by a very serious epidemic of small-pox inRio de Janeiro, about 6130 deaths occurring in the four months fromJune to October, and the total of deaths for the year from this cause.alone amounting to 8800. The majority of victims were of negroextraction and to a marked degree persons who had neglectedvaccination, though every convenience for it was offered by theauthorities. Small-pox, it may be stated, is more or less endemic inthe cities of Rio de Janeiro, Bahia, Pernambuco, and Para, and thisyear there was an outbreak in Maranhao. Though the heat of Rio isoften excessive, the climate is salubrious and the yellow fever offormer years has, to all appearances, been practically stamped out.This success is due to the exertions of a ’department organised byDr. Oswaldo Cruz, which for some time past has been engaged inscientific sanitary work, including the systematic destruction of

mosquitoes of the yellow-fever transmitting variety. The " malaria-transmitter" must continue to be plentiful in the marshy outlyingdistricts for many years to come. Similar measures have been takenin Santos with beneficial results, the health of both cities havingentirely changed during the last few years and sanitary conditionsno longer inspiring the dread which they formerly did. Inthe case of Santos it was largely owing to the draining and

reclaiming of pestilential land in connexion with the dock worksthat the health of the city was so greatly improved. Of the more

important Brazilian ports, Bahia, Manaos, and Para are the only onesnow suffering from yellow fever, and in these places the native-bornelement is apparently immune. Malaria is common along the low-lying coast-belt and salt-pan district between Rio and the extremesouth. It is also rife wherever there is marsh and along all the bigslow-moving rivers. The Amazon basin is affected throughout and inthe upper waters is undeniably bad, more noticeably perhaps in theMadeira-Mamore and Acre districts, where the railroad workers andrubber collectors suffer intensely. Mosquitoes abound in these partsin myriads, and the mortality is sufficient to produce alarm inthe traveller, though it is to be doubted whether the malaria ofBrazil anywhere is of so virulent a type as is found in Africa andmany other countries. Much of the mortality is due to bad food insickness and improper care. Of other diseases tuberculosis is themost persistent in its ravages in the cities, being specially prominentin Rio and Pernambuco, where it shows a predilection for the blackpopulation. The official statistics of the mortality from this causein Rio for the five years 1903-07 inclusive show an average of wellover 3000 deaths per year, or exactly 4 per 1000 inhabitants. Thoughmuch is due to damp and predisposition, the majority of cases arethe result of bad housing, bad food, want of air and care indoors, anddirty habits inseparable from the conditions of life prevailing amongnegroes, mulattos, and the lower classes generally. Dysentery shows