198 LOOKING BACK.-VITAL STATISTICS.

babies needing special attention, and advice is given as totheir treatment, the progress of the child being watched andtested by weighing. At several of the local milk dep6ts thesame course is pursued, and specially modified milk is

supplied for children who cannot be fed from the breast.The medical officers of health of the districts in which these

provisions exist speak favourably of their value, and Sir

Shirley Murphy reports that the knowledge and experiencegained by this means are all-important for the preservationof infant life.

(To be continued.)

Looking Back.FROM

THE LANCET, SATURDAY, Jan. 14th, 1832.

LONDON FEVER HOSPITAL.-IMPORTANT FACTSCONNECTED WITH FEVER CASES.

Subsequently to his reference to the above cases Dr.A Johnson made a few further remarks on the subject of the

fever succeeding the cholera, when the following interestingand important facts were disclosed, which, to prevent mis-conception, we have verified by personal inquiry. Dr.Johnson stated that the fever after the blue stage, in thenorth of England, was of exactly the same character as thefever which was to be seen, at this moment, in the LondonFever Hospital. In that institution, the medical officershad observed that the cases, since about June last,had assumed an entirely new character, fully justifyingthe supposition that a material change has lately beenproduced in the atmosphere of this countxy. During the lastsix months, fever, in that hospital, has exhibited a verysevere typhoid form ; and has been particularly fatal to

elderly persons. This severity has been accompanied withgreat gastric irritation, so that almost every case presentedan affection of the alimentary canal ; so much so, that thephysicians of the Fever Hospital have been prevented fromprescribing purgatives, from the prevailing gastric irritation.General, and even local, blood-letting has been in com-paratively few instances adopted, from the marked prostra-tion which has characterised the prevailing epidemic.We have not room to advert further at present to these

facts, but we think it is the duty of the physicians of the’hospital immediately to make public the experience whichthey have lately had in that institution.

VITAL STATISTICS.

HEALTH OF ENGLISH TOWNS.

IN 76 of the largest English towns 8662 births and 4735deaths were registered during the week ending Jan. 8th.The annual rate of mortality in these towns, whichhad been equal tol5’0, 15 - 4, and 16-7 in the three pre-ceding weeks, declined to 14-8 in the week under notice.During the 13 weeks of last quarter the annual death-rate in these towns averaged 14 - 4 per 1000, against 15’ 6,the mean rate in these 76 towns during the correspond-ing quarter of the four preceding years 1905-08. The meanannual death-rate in London last quarter did not exceed 14-1per 1000, and was 0 - 3 below the mean rate in the 76 towns.The lowest annual rates of mortality recorded in the 76 townslast week were 6’3 in East Ham, 6 - 5 in Hands worth, 7-4in Hornsey, and 8 - 3 in Coventry ; the rates in the othertowns ranged upwards, however, to 22’9 9 in Huddersfield,23’ 4 in Birkenhead, 23 - 5 in Warrington, and 25 - 4 in Hanley.In London the recorded death-rate last week was equalto 14-2 2 per 1000. The 4735 deaths registered in the76 towns last week showed a decline of 541 fromthe number in the previous week, and included 242which were referred to the principal epidemic diseases,against 273 and 291 in the two preceding weeks; ofthese 242 deaths, 77 resulted from whooping-cough, 44

1 The cases referred to were presented at a meeting of the LondonMedical Society on January 9th, 1832, by Dr. James Johnson, afterremarks on The Cholera, its premonitory Symptoms, and SubsequentFever, in England.

from diphtheria, 36 from diarrhoea, 36 from measles,33 from scarlet fever, and 16 from "fever" (principallyenteric), but not one from small-pox. The annual rate of mor-tality from these epidemic diseases last week was equal to 0- 8per 1000, against 0 - 9 in each of the two preceding weeks.No death from any of these diseases was registered last weekin Brighton, Tottenham, Norwich, Preston, Halifax, or in 11other smaller towns ; the annual death-rates therefrom

ranged upwards, however, to 2’ 6 per 1000 in Birkenhead andin Swansea, 2- 8 in Tynemouth, and 3’ 0 in Hanley. The fatalcases of whooping-cough, which had steadily increasedin the six preceding weeks from 61 to 109, declined again.last week to 77, but caused annual death-rates equal to1-1 in Huddersfield, 1-3 in Newport (Mon.), and 1-7 in

Plymouth. The 44 deaths from diphtheria were fewer by 7than those in the previous week; they included 15 inLondon and its suburban districts, 3 in Manchester andSalford, and 2 each in Hanley, Nottingham, Derby, andLeeds. The 36 fatal cases of measles showed a decline of 14from those in the previous week, but caused annual death-rates equal to 1-6 in Swansea and 1-7 in Birkenhead.The 36 deaths attributed to diarrhoea exceeded the number inthe previous week by 2. The 33 fatal cases of scarlet feverwere also within 2 of those returned in the previous week,and included 7 in Liverpool and Bootle, 3 in Birminghamand King’s Norton, and 2 each in Bradford, Leeds,and Tynemouth. The deaths referred to "fever" inthe 76 towns were 16, against 18 and 15 in thetwo preceding weeks, but included 2 in Swansea. Thenumber of scarlet fever patients under treatment in theMetropolitan Asylums Hospitals and the London Fever Hos-pital, which had declined in the 12 preceding weeks from2810 to 2362, had further fallen to 2256 on Saturday last;212 new cases of this disease were admitted to these hos-

pitals last week, against 224 and 244 in the two precedingweeks. The Metropolitan Asylums Hospitals contained 5cases of small-pox on Saturday last. Of the 1331 deaths

registered in London last week 338 were referred to pneu-monia and other diseases of the respiratory system, against332 and 360 in the two preceding weeks; these 338deaths were no fewer than 151 below the corrected averagenumber in the corresponding week of the five years 1904-08.The causes of 36, or 0-8 per cent., of the deaths registered lastweek in the 76 towns were not certified either by a registeredmedical practitioner or by a coroner. All the causes of deathwere duly certified in London, Leeds, Bristol, West Ham,Newcastle-on-Tyne, Hull, and in 47 other smaller towns;the 36 uncertified causes of death in the 76 towns lastweek included 5 in Birmingham, 5 in Liverpool, 3 in

Sheffield, and 2 each in Manchester, Salford, and Gateshead.

HEALTH OF SCOTCH TOWNS.

In eight of the principal Scotch towns 986 births and 740deaths were registered during the week ending Jan. 8th.The annual rate of mortality in these towns, which hadsteadily declined in the four preceding weeks from 23.8to 18’ 9, rose again to 20 - 4 in the week under notice. Duringthe 13 weeks of last quarter the annual death-rate in theseScotch towns averaged 17 ’7 per 1000, and exceeded by 3’ 3 3the mean rate during the same period in the 76 largestEnglish towns. The annual death-rates last week in theseeight Scotch towns ranged from 13.8 8 in Leith and 16 - 3 inAberdeen, to 26 - 6 in Perth and 26-7 in Dundee. The740 deaths from all causes in the eight towns last weekexceeded the number returned in the previous week by 65,and included 93 which were referred to the principalepidemic diseases, against 86 in each of the two pre-ceding weeks. These 93 deaths were equal to an annualrate of 2 6 per 1000 ; the mean death-rate from the samediseases in the 76 English towns last week did not exceed0 - 8 per 1000. The 93 deaths from these epidemic diseases inthe Scotch towns last week included 55 from measles, 19 fromdiarrhoea, 6 from whooping-cough, 6 from scarlet fever,5 from diphtheria, and 2 from ’’ fever," but not one fromsmall-pox. The fatal cases of measles, which had been42 and 63 in the two preceding weeks, declined againto 55 last week, of which 52 occurred in Glasgow and3 in Edinburgh. The 19 deaths attributed to diarrhoeaexceeded the number in the previous week by 10, including7 in Glasgow, 5 in Aberdeen, 3 in Dundee, and 2 inEdinburgh. Of the 6 deaths from whooping-cough, 3occurred in Glasgow and 2 in Edinburgh; and 2 fatal cases

199VITAL STATISTICS.

of scarlet fever were returned in Glasgow, in Edinburgh, andin Greenock. All the 5 deaths from diphtheria and the 2deaths referred to "fever" were registered in Glasgow.The deaths in the eight towns last week referred to diseases ofthe respiratory system, which had been 215, 173, and 181in the three preceding weeks, declined again last week to172, but exceeded by 43 the number registered in the

corresponding week of last year. The causes of 23, or 3-1 1per cent., of the deaths in the eight towns last week werenot certified or not stated ; in the 76 English towns theproportion of uncertified causes of death last week did notexceed O’ 8 per cent.

-

HEALTH OF IRISH TOWNS.

In 22 town districts of Ireland, having an estimated popu-lation of 1,151,790 persons, 689 births and 435 deaths wereregistered during the week ending Jan. 8th. The meanannual rate of mortality in these towns, which had beenequal to 18-2 and 25-4 per 1000 in the two precedingweeks, declined again to 19’7 in the week under notice.

During the 13 weeks of last quarter the annual death-rate inthese Irish towns averaged 19’1 1 per 1000, whereas themean rate during the same period did not exceed 14’ 4in the 76 largest English towns and 17 7 in the

eight principal Scotch towns. The annual death-rateduring last week was eaual to 21-1 in Dublin, 19-7 inBelfast, 18-5 in Cork, 20-4 in Londonderry, 21-9 in

Limerick, and 11-7 7 in Waterford ; the mean annual rate lastweek in the 16 smallest of the Irish towns was equalto 17-9 per 1000. The 435 deaths from all causes in the 22town districts during the week showed a decline of 122 fromthe high number returned in the preceding week, andincluded 36 which were referred to the principal epidemicdiseases, against 18 and 32 in the two preceding weeks ;these 36 deaths were equal to an annual rate of 1-6 6 per1000 ; in the 76 English towns the mean rate from thesame diseases last week did not exceed 0-8 per 1000, butin the eight principal Scotch towns it was equal to 2-6.The 36 deaths from these diseases in the Irish towns lastweek included 19 from whooping-cough, 7 from diarrhoea, 3from diphtheria, 5 from fever," and 2 from measles, but notone either from scarlet fever or small-pox. The 19 fatal casesof whooping-cough showed a further increase upon recentweekly numbers, and included 12 in Belfast, 3 in Dublin,and 2 in Limerick. Of the 7 deaths attributed todiarrhoea, 2 were returned both in Dublin and in 1Belfast. The 5 deaths referred to "fever" " included4 fatal cases of enteric, of which 2 occurred in Belfast and1 each in Cork and in Portadown ; the death from typhus wasregistered in Dublin. A fatal case of diphtheria was

returned in Dublin, in Belfast, and in Cork; and both thedeaths from measles occurred in Dublin. The deaths inthe 22 town districts referred to pneumonia and otherdiseases of the respiratory system, which had been 83, 134,and 183 in the three preceding weeks, declined last weekto 110. The causes of 9, or 2-1 1 per cent., of the deathsregistered last week in the Irish towns were not certified ;in the 76 English towns the proportion of uncertified causesof death last week did not exceed 0 - 8 per cent., while in theeight principal Scotch towns it was equal to 3’1 1 per cent.

VITAL STATISTICS OF LONDON DURING DECEMBER, 1909.

IN the accompanying table will be found summarised com-plete statistics relating to sickness and mortality in the Cityof London and in each of the metropolitan boroughs. Withregard to the notified cases of infectious diseases, it appearsthat the number of persons reported to be suffering fromone or other of the nine diseases specified in the table wasequal to an annual rate of 5 - 4 per 1000 of the population,estimated at 4,833,938 persons in the middle of last year ;in the three preceding months the rates were . 1, 6-5,and 5’ 8 per 1000 respectively. The lowest rates wererecorded in Hammersmith, Chelsea, St. Marylebone, Hamp-stead, Stoke Newington, Holborn, and Finsbury ; and the

highest rates in Fulham, Bermondsey, Lambeth, Deptford,Lewisham, and Woolwich. Four cases of small-pox, of which3 belonged to Islington and 1 to Stepney, were notified

during last month, and 4 small-pox patients remainedunder treatment in the Metropolitan Asylums Hospitals.The prevalence of scarlet fever showed a further decline

last month; this disease was proportionally most pre-valent in Fulham, Bermondsey, Lambeth, Greenwich,and Lewisham. The number of scarlet fever patientsunder treatment in the Metropolitan Asylums Hospitals,which had been 2717, 2708, and 2460 at the end of thethree preceding months, had further fallen to 2329 at the endof December ; the weekly admissions averaged 250, against394, 325, and 289 in the three preceding months. Diph-theria was rather less prevalent than in the precedingmonth; among the several metropolitan boroughs thegreatest proportional prevalence of this disease was re-

corded in Paddington, the City of Westminster, Stepney,Deptford, Lewisham, and Woolwich. The MetropolitanAsylums Hospitals contained 904 diphtheria patients atthe end of last month, against 901, 958, and 940at the end of the three preceding months ; the weeklyadmissions averaged 97, against 119 and 104 in the two pre-ceding months. The prevalence of enteric fever also was

slightly below that recorded in the preceding month; thisdisease was proportionally most prevalent last month in

Kensington, Fulham, St. Pancras, Shoreditch, Stepney,Greenwich, and Woolwich. There were 62 enteric fever

patients under treatment in the Metropolitan AsylumsHospitals at the end of last month, against 75, 78, and 70at the end of the three preceding months ; the weeklyadmissions averaged 8, against 13, 11, and 10 in the threepreceding months. Erysipelas was proportionally most pre-valent in the City of London, Shoreditch, Bethnal Green,Stepney, Poplar, and S&uthwark. The 33 cases of puerperalfever notified during the month included 6 in Fulham, 4in Camberwell, and 3 in Battersea. Of the 13 cases notifiedas cerebro-spinal meningitis, 2 belonged to Bermondsey, 2to Lambeth, and 2 to Battersea.The mortality statistics in the table relate to the deaths of

persons actually belonging to the various boroughs, thedeaths occurring in institutions having been distributed

among the boroughs in which the deceased persons had pre-viously resided. During the five weeks ending Jan. lst, 1910,the deaths of 6943 London residents were registered, equal toan annual rate of 15 0 per 1000 ; in the three precedingmonths the rates were 11 5, 11’ 3, and 13’ 8 per 1000.The death-rates last month ranged from 9’ 6 in Hampstead,10 8 in Fulham, 11’5 5 in Lewisham, 11’9 9 in Woolwich,12 1 in Stoke Newington, and 12 3 in Wandsworth, to18-0 0 in St. Marylebone and in Southwark, 18’ 1 inBermondsey, 19.0 0 in Finsbury, 19’4 in Shoreditch, and

25-2 2 in the City of London. The 6943 deaths from allcauses included 326 which were referred to the principalinfectious diseases ; of these, 67 resulted from measles,34 from scarlet fever, 42 from diphtheria, 122 from whooping-cough, 10 from enteric fever, and 51 from diarrhoea, but notany from small-pox, from typhus fever, or from ill-defined

pyrexia. No death from any of these diseases was recordedlast month in Stoke Newington ; in the other boroughs theycaused the lowest death-rates in Hammersmith, the City ofWestminster, St. Pancras, and Camberwell; and the highestrates in .Finsbury, the City of London, Shoreditch, Stepney,Poplar, Deptford, and Greenwich. The 67 fatal cases ofmeasles showed a decline of 118 from the corrected averagenumber in the corresponding period of the five precedingyears ; the greatest proportional mortality from this diseasewas recorded in Chelsea, Hackney, Finsbury, BethnalGreen, Stepney, Poplar, and Deptford. The 34 deaths fromscarlet fever were 29 fewer than the corrected averagenumber; this disease was proportionally most fatal in

Paddington, Finsbury, Southwark, Bermondsey, Greenwich,Lewisham, and Woolwich. The 42 fatal cases of diphtheriashowed a decline of 49 from the corrected average numberin the corresponding period of the five preceding years;the greatest proportional mortality from this diseasewas recorded in Paddington, St. Marylebone, Finsbury,Shoreditch, Lambeth, and Woolwich. The 122 deathsfrom whooping-cough were 28 in excess of the cor-

rected average number ; the highest death-rates from thisdisease occurred in St. Marylebone, Shoreditch, Stepney,Poplar, Deptford, and Greenwich. The 10 fatal cases of" fever " showed a decline of 23 from the corrected averagenumber; of these 10 deaths, 2 belonged to the City ofWestminster and 2 to Stepney. The 51 deaths from diar-rhaea were 31 fewer than the corrected average number;this disease was proportionally most fatal in Hampstead,Finsbury, Shoreditch, Stepney, Poplar, and Bermondsey.

200 VITAL STATISTICS OF LONDON DURING DECEMBER, 1909.

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201THE SERVICES.

In conclusion, it may be stated that the aggregate mortalityin London last month from these principal infectiousdiseases was 40’ 3 per cent. below the average.

Infant mortality, measured by the proportion of deathsunder one year of age to registered births, was equal to

112 per 1000 last month. The lowest rates of infant

mortality were recorded in St. Marylebone, Stoke Newing-ton, Holborn, Finsbury, Wands worth, Lewisham, and Wool-wich ; and the highest rates in Kensington, the City ofLondon, Shoreditch, Chelsea, St. Pancras, Islington, Batter-sea, and Deptford.

THE SERVICES.

ROYAL NAVY MEDICAL SERVICE.

THE following appointments are notified :-Surgeons :T. F. O’Keeffe to the Victory, additional, for disposal;E. M. W. Hearn to the Tictory, additional.

ROYAL ARMY MEDICAL CORPS.

Lieutenant-Colonel R. Porter, Administrative MedicalOfficer at Belfast, is appointed Principal Medical Officer inthe Western Command, vice Colonel G. T. Goggin. Lieu-tenant-Colonel E. H. Lynden-Bell is appointed to commandthe Station Hospital, Meerut, and Major H. T. Pocock tocommand the Station Hospital, Shahjehanpur. MajorSwabey is appointed specialist in midwifery and diseasesof women and children in the 5th (Mhow) Division.Lieutenant-Colonel H. Greany has been appointed SeniorMedical Officer, Ceylon, vice Lieutenant-Colonel N. Manders.Captain J. W. S. Seccombe, who is serving in India, isappointed specialist in the prevention of disease, fromOct. 25th, 1909. Lieutenant-Colonel J. J. Gerrard is

appointed Medical Inspector of Recruits for the NorthernCommand, England, Major J. H. E. Austin RecruitingMedical Officer to the London District, Major J. C. MorganSanitary Officer to the Irish Command, and Major S. G.Moores Staff Officer to the Principal Medical Officer, Alder-shot Command. Major S. L. Cummings is attached to thePathological Department at the Royal Army Medical College.Major C. W. Duggan, R.P., is appointed to the medical

charge at Lincoln. Major H. G. Cummins, R.P., is appointedProfessor of Botany and Agriculture to the UniversityCollege, Cork.

INDIAN MEDICAL SERVICE.Lieutenant-Colonel J. Sykes, Bengal, is permitted to

retire from the service from Dec. 14th, 1909. Lieutenant-Colonel Weir, Lieutenant-Colonel Collie, and Lieutenant-Colonel Barry retire from Feb. 21st, 1910, and Nov. 18th,1909, respectively. Lieutenant-Colonel Evans proceedson a year’s furlough, prior to retirement. Captain Goodtakes over charge of Moulmein Hospital, Burma. MajorLeverton is transferred from Lakhimpur to Jalpaigurias civil surgeon, where he will relieve Major Green, trans-ferred as civil surgeon, Mymensingh. Captain Moses, MedicalCollege Hospital, is appointed to act as civil surgeon, Purneah,and Captain Dutton to officiate as resident physician,Medical College Hospital, vice Captain Coppinger on leave.Captain G. E. Stewart is detailed to proceed to Somalilandon field service with the 127th Baluch Light Infantry, ofwhich regiment he is the medical officer. Captain Williamsis placed on special duty under the Bombay Government.Captain Young goes to the United Provinces for employmentin the sanitary department, and Captain Overbeck Wrightreverts to military duty. Lieutenant Densham resigns theservice. Lieutenant V. B. Green-Armytage, medical officerattached to the 9th Bhopal Infantry at Rangoon, is appointeda specialist in midwifery and diseases of women and children,Burma Division. Captain A. D. White is appointed specialistin advanced operative surgery, 8th (Lucknow) Division, fromSept. 17th, 1909. Lieutenant H. H. Thorburn is promotedto be Captain, from Sept. lst, 1909. His commission asLieutenant dates from Sept. 1st, 1906.

There will be an exceptional flow of promotion shortly inthe Indian Medical Service. Sir Gerald Bomford retired onDec. 31st, 1909, and Colonel Lukis will presumably be con-firmed as Director-General. The following Inspectors-General of Civil Hospitals will complete their five years’term in 1910 :-Colonel Macrae, Bengal, Feb. 28th ; ColonelR. D. Murray (on leave), United Provinces, March 28th;Colonel King, Burma, May 24th ; Colonel Bate, Punjab,

July 11th; Colonel Weir, Central Provinces, Oct. 25th.Colonel C. H. Beatson, Principal Medical Officer, PeshawarDivision, will also be due to retire on June 15th.

TERRITORIAL FORCE.

Infantry.6th (Renfrewshire) Battalion, Princess Louise’s (Argyll

and Sutherland Highlanders): Surgeon-Captain Wallace A.Pride resigns his commission (dated Dec. 6th, 1909).

Royal Army Medical Corps.3rd West Lancashire Field Ambulance : Captain Claude

W. S. Saberton resigns his commission (dated Nov. 27th,1909).

lst South Midland Field Ambulance : Lieutenant SeymourG. Barling to be Captain (dated Dec. 8th, 1909).

3rd Welsh Field Ambulance : Captain David L. Daviesresigns his commission (dated Dec. 1st, 1909).2nd Southern General Hospital : Major Arthur L. Flemming

resigns his commission (dated Nov. 27th, 1909).Attached to Units other than Medical Units.-Lieutenant

Walter Fitzpatrick to be Captain (dated Oct. 28th, 1909).Captain William T. Hannah to be Major (dated Dec. 2nd,1909).

VOLUNTEER OFFICERS’ DECORATION.The King has conferred the Volunteer Officers’ Decoration

upon the undermentioned officers who have been duly recom-mended for the same under the terms of the Royal Warrantdated July 25th, 1892 :-

Territorial Force: : Wessex Divisional Engineers, RoyalEngineers : Surgeon-Major Joseph Fuller (retired). 4thBattalion, The Prince of Wales’s Volunteers (South Lanca-shire Regiment): Surgeon-Major Joseph Adams. 6thBattalion, The Manchester Regiment : Surgeon-MajorGeorge Henry Darwin (retired). 3rd Wessex FieldAmbulance, Royal Army Medical Corps : Lieutenant-ColonelHarry Munyard Brownfield (retired).

Volunteers : 1st Devonshire Royal Garrison Artillery (Volun-teers) : Surgeon-Lieutenant Arthur Goulston (retired). 4thVolunteer Battalion, The Norfolk Regiment : Surgeon-Majorand Honorary Surgeon-Lieutenant-Colonel (Brigade Surgeon-Lieutenant-Colonel, Senior Medical Officer, Norfolk Volun-teer Infantry Brigade) Charles Arthur Owen Owens (retired).2nd (Berwickshire) Volunteer Battalion, The King’s OwnScottish Borderers : Surgeon-Major Samuel Macvie (retired).2nd Volunteer Battalion, The Highland Light Infantry:Surgeon-Major Walter Sandeman (retired).

THE INDIAN SUBORDINATE MEDICAL DEPARTMENT.

The Pioneer Mccal, in a telegram dated Calcutta, Dec. 20th,states that "The effective strength of assistant surgeons ofthe Indian Subordinate Medical Department has been fixedat 472, of which the following are details : Military appoint-ments, 353 ; reserve at 20 per cent., 71. Miscellaneous

appointments, 42. Railway appointments, 28. Civil appoint-ments, 131 ; reserve, at 15 per cent., 30 ; total, 655.

DEATHS IN THE SERVICES.

Surgeon-Major-General Charles Dodgson Madden, C.B.,A.M.D., recently at St. Leonards-on-Sea, aged 77 years. He

joined the service as assistant surgeon in 1854, becamesurgeon in 1867, surgeon-major in 1868, deputy-surgeon-general in 1876, surgeon-major-general in 1882, and retiredin 1893. He served during the Crimean war (medal withclasp and Turkish medal), and was also with the 43rd LightInfantry in the Sangor Field Division in 1857, and in theField Division under Colonel Primrose in 1859 (medal).Throughout the Abyssinian Campaign he served as surgeon ofthe 4th King’s Own, and was present as field surgeon of thelst Brigade at the action of Arogee and the capture ofMagdala (mentioned in despatches and promoted surgeon-major "for valuable services rendered during the campaign,"medal).THE JOURNAL OF THE ROYAL ARMY MEDICAL CORPS.

Among the technical articles in the January issue of theJournal of the Royal Army Medical Corps the first place is givento an original communication by Captain Douglas B. Thompson,R. A.M. C., and Dr. Andrew Balfour, director of the WellcomeResearch Laboratories, on °’ Two Cases of Non-ulcerating’Oriental Sore,’ better termed Leishman hTodules."

" It is acareful study of the subject, illustrated by ten process repro-ductions of photographs of the patient and of the microscopicappearances of the growths. The authors promise a further