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DISABILITIES OF IRISH DIPLOMATES.
766
application of the clause to compounds into which a cleansings will suffice to exclude so capricious a disease as poisonous ingredient enters, but only to be neutralised by cholera. Referring to Great Britain, he says that arguanother ingredient, or in so small a quantity that the com- ments against quarantine which are valid enough here do pound is rendered harmless. This was certainly not the not apply to the States. The only large bodies arriving by Lord Mayor’s intention, and, if this would be the effect of ship into England are those who, after a long voyage, reach such an alteration as he suggests, the mistake which he our shores in troopships, where they are under efficient sanimade arose merely from his overlooking the fact, sufficiently tary and medical supervision ; and he remarks that we have obvious nevertheless, that a poisonous compound is a nothing at all comparable to the vast hordes of immigrants poison, its composite character notwithstanding. The who are constantly reaching the ports of the States. The clause which was in question is, we think, singularly well poverty, squalor, and uncleanliness of such steerage pasdrawn, and will not, we trust, be made the subject of rash sengers, with the prevailing crowd-poison," amongst a set of people which includes the moral, social, and mental or ill-considered amendments. wrecks of other countries, are features that need, he thinks, to be met by exceptional measures. DISABILITIES OF IRISH DIPLOMATES. 11
ON the 25th ult., Mr. James Stewart, F.R.C.P. Ed." L.R.C.S.I., of Clifton, Gloucestershire, addressed a meeting of the Ulster Medical Society on the " Disabilities of Irish and Scotch Diplomates for the Honorary Staff Appointments in English Public Hospitals." In the course of his address he pointed out that at the present time no less than sixty. eight large public hospitals and county infirmaries in England had adopted the exclusive rule, which ordained that "no person be eligible to the office of physician or assistant physician unless he exhibited to the committee of election satisfactory proof of being a Fellow or Member of the Royal College of Physicians of London or a Graduate of a University of Great Britain or Ireland, and be in practice solely as a physician." The operation of this rule would exclude many distinguished men, such as the present Medical Director-General of the Royal Navy, from being elected on the honorary staff of one of these English hospitals. There seemed to be an undoubted grievance in this. In London alone there were 486 practitioners who had been taught in Irish medical schools, or who held Irish diplomas; while in the provinces the number of Irish diplomates was upwards of 10LO. Seeing that they had failed to get the General Medical Council to assist them in this matter, he thought that the question should be brought before the governors of each of the hospitals in which the monopoly existed, and further advised his hearers to support the Irish Medical Schools’ and Graduates’ Association, which was an organisation usefully employed in educating public opinion in the way he had indicated. -
VIEWS AS TO
QUARANTINE
IN THE STATE
OF ILLINOIS. ACCORDING to the Tenth Annual Report of the State Board of Health of Illinois it would appear that Dr. J. H. Rauch, the well-known secretary to the Board, holds very strong views as to the expediency of the adoption by the United States of a system of quarantine restriction in the case of cholera. He recalls the circumstances of the steamAlesia and BritanniCt, by means of which cholera ships reached the shores of the States in 1887, and he explains the measures adopted at the quarantine station Staten Island. And, discussing these in connexion with the enormous immigration from European countries, he points out how great is the interest of his own State in coast quarantine; and he gives his opinion that the United States can only secure themselves by resisting the first beginnings of cholera, a process which means its absolute exclusion. Maritime quarantine should, he contends, be administered not by individual States, but by the National Government, and he would have the President invested with power to issue a proclamation, when needed, for the prohibition of all immigration from districts where cholera is known to prevail. Apart from such action, hedoes not believe that, under the circumstances of the States, any amount of sanitation, disinfection, and
VENTILATION OF LAW COURTS. FROM Chelmsford comes a report that Mr. Justice Denman had occasion a few days ago to complain of a very unpleasant smell as of sewer air in court, and that, upon calling on the court-keeper for an explanation, he was informed that the bad odour came from the prisoners’ department. The judge remarked, as we ourselves have on several occasions in these pages, that it was disgraceful that prisoners should be detained in custody under such condi. tions as were thus brought to his notice. He seems to have considered it an aggravation of the mischief that possibly innocent men might be enduring the inconvenience and risk of confinement amid such filthy surroundings. That may be so, but for our part we are content to demand proper sanitation in the name of common humanity, whether for guilty men or for innocent. The torture of a pest house would be an exceedingly bad form of punishment, even if it were tolerated by law. We had hoped that little by little the accommodation provided for prisoners at the assizes await. ing trial was being bettered and brought up to date, and our readers will be aware that we have constantly recurred to the topic, and urged upon the authorities the importance of more speed in the matter of these improvements. We are glad to understand that the matter has now been made the subject of judicial comment, and brought in this authoritative way under the notice of the Home Secretary. It should be borne in mind by that Minister and his advisers that Chelmsford does not stand alone in this respect, and that the reform to which Mr. Justice Denman’s experience points needs to be carried out on a national scale.
CHAMBERS OF COMMERCE AND CERTIFYING SURGEONS TO FACTORIES. THE Associated Chambers of Commerce at their annual
meeting passed a resolution alleging that the visits of certifying surgeons to factories and workshops were unnecessary because certificates of birth and education were forthcoming from other quarters. We cannot see the force of this objection. Suchdata in no way supersede the visits of medical men in their capacity of certifying surgeons, and to abolish such offices would be a retrograde step. A PANCREATIC CYST. DR. FILIPOFF reports in the Khiraorgieheski Vestnik a of pancreatic cyst occurring in Professor Grube’s clinic in Kharkoff. The patient was a woman of sixty-five years of age, who had observed the existence of a tumour in the epigastrium for about three years. It was only, however, during the last five months that it had occasioned her much inconvenience. During this time it had increased considerably in size, and had given rise to dull aching, with occasional attacks of violent pain, dyspnoea, and vomiting. She had also become very thin. When admitted the tumour was found to be as large as a man’s head, and freely case
application of the clause to compounds into which a cleansings will suffice to exclude so capricious a disease as poisonous ingredient enters, but only to be neutralised by cholera. Referring to Great Britain, he says that arguanother ingredient, or in so small a quantity that the com- ments against quarantine which are valid enough here do pound is rendered harmless. This was certainly not the not apply to the States. The only large bodies arriving by Lord Mayor’s intention, and, if this would be the effect of ship into England are those who, after a long voyage, reach such an alteration as he suggests, the mistake which he our shores in troopships, where they are under efficient sanimade arose merely from his overlooking the fact, sufficiently tary and medical supervision ; and he remarks that we have obvious nevertheless, that a poisonous compound is a nothing at all comparable to the vast hordes of immigrants poison, its composite character notwithstanding. The who are constantly reaching the ports of the States. The clause which was in question is, we think, singularly well poverty, squalor, and uncleanliness of such steerage pasdrawn, and will not, we trust, be made the subject of rash sengers, with the prevailing crowd-poison," amongst a set of people which includes the moral, social, and mental or ill-considered amendments. wrecks of other countries, are features that need, he thinks, to be met by exceptional measures. DISABILITIES OF IRISH DIPLOMATES. 11
ON the 25th ult., Mr. James Stewart, F.R.C.P. Ed." L.R.C.S.I., of Clifton, Gloucestershire, addressed a meeting of the Ulster Medical Society on the " Disabilities of Irish and Scotch Diplomates for the Honorary Staff Appointments in English Public Hospitals." In the course of his address he pointed out that at the present time no less than sixty. eight large public hospitals and county infirmaries in England had adopted the exclusive rule, which ordained that "no person be eligible to the office of physician or assistant physician unless he exhibited to the committee of election satisfactory proof of being a Fellow or Member of the Royal College of Physicians of London or a Graduate of a University of Great Britain or Ireland, and be in practice solely as a physician." The operation of this rule would exclude many distinguished men, such as the present Medical Director-General of the Royal Navy, from being elected on the honorary staff of one of these English hospitals. There seemed to be an undoubted grievance in this. In London alone there were 486 practitioners who had been taught in Irish medical schools, or who held Irish diplomas; while in the provinces the number of Irish diplomates was upwards of 10LO. Seeing that they had failed to get the General Medical Council to assist them in this matter, he thought that the question should be brought before the governors of each of the hospitals in which the monopoly existed, and further advised his hearers to support the Irish Medical Schools’ and Graduates’ Association, which was an organisation usefully employed in educating public opinion in the way he had indicated. -
VIEWS AS TO
QUARANTINE
IN THE STATE
OF ILLINOIS. ACCORDING to the Tenth Annual Report of the State Board of Health of Illinois it would appear that Dr. J. H. Rauch, the well-known secretary to the Board, holds very strong views as to the expediency of the adoption by the United States of a system of quarantine restriction in the case of cholera. He recalls the circumstances of the steamAlesia and BritanniCt, by means of which cholera ships reached the shores of the States in 1887, and he explains the measures adopted at the quarantine station Staten Island. And, discussing these in connexion with the enormous immigration from European countries, he points out how great is the interest of his own State in coast quarantine; and he gives his opinion that the United States can only secure themselves by resisting the first beginnings of cholera, a process which means its absolute exclusion. Maritime quarantine should, he contends, be administered not by individual States, but by the National Government, and he would have the President invested with power to issue a proclamation, when needed, for the prohibition of all immigration from districts where cholera is known to prevail. Apart from such action, hedoes not believe that, under the circumstances of the States, any amount of sanitation, disinfection, and
VENTILATION OF LAW COURTS. FROM Chelmsford comes a report that Mr. Justice Denman had occasion a few days ago to complain of a very unpleasant smell as of sewer air in court, and that, upon calling on the court-keeper for an explanation, he was informed that the bad odour came from the prisoners’ department. The judge remarked, as we ourselves have on several occasions in these pages, that it was disgraceful that prisoners should be detained in custody under such condi. tions as were thus brought to his notice. He seems to have considered it an aggravation of the mischief that possibly innocent men might be enduring the inconvenience and risk of confinement amid such filthy surroundings. That may be so, but for our part we are content to demand proper sanitation in the name of common humanity, whether for guilty men or for innocent. The torture of a pest house would be an exceedingly bad form of punishment, even if it were tolerated by law. We had hoped that little by little the accommodation provided for prisoners at the assizes await. ing trial was being bettered and brought up to date, and our readers will be aware that we have constantly recurred to the topic, and urged upon the authorities the importance of more speed in the matter of these improvements. We are glad to understand that the matter has now been made the subject of judicial comment, and brought in this authoritative way under the notice of the Home Secretary. It should be borne in mind by that Minister and his advisers that Chelmsford does not stand alone in this respect, and that the reform to which Mr. Justice Denman’s experience points needs to be carried out on a national scale.
CHAMBERS OF COMMERCE AND CERTIFYING SURGEONS TO FACTORIES. THE Associated Chambers of Commerce at their annual
meeting passed a resolution alleging that the visits of certifying surgeons to factories and workshops were unnecessary because certificates of birth and education were forthcoming from other quarters. We cannot see the force of this objection. Suchdata in no way supersede the visits of medical men in their capacity of certifying surgeons, and to abolish such offices would be a retrograde step. A PANCREATIC CYST. DR. FILIPOFF reports in the Khiraorgieheski Vestnik a of pancreatic cyst occurring in Professor Grube’s clinic in Kharkoff. The patient was a woman of sixty-five years of age, who had observed the existence of a tumour in the epigastrium for about three years. It was only, however, during the last five months that it had occasioned her much inconvenience. During this time it had increased considerably in size, and had given rise to dull aching, with occasional attacks of violent pain, dyspnoea, and vomiting. She had also become very thin. When admitted the tumour was found to be as large as a man’s head, and freely case