MULTIPLE CAVERNOUS ANGIOMATA OF THE SWEAT DUCTS.

682 CHARLES EDWARD PAGET, M.R.C.S., D.P.H. Mr. C. E. Paget, whose death occurred on Sept. llth, was for 28 years medical officer of health for the "Audi alteram partem." County of Northampton, and wrote a number of books on hygiene. Born in 1858, he was the son of Sir George Paget, F.R.S., Regius Professor of Physic THE LABELLING OF EGGS. in the University of Cambridge, and was educated at To the Fditor of THE LANCET. Charterhouse and St. Bartholomew’s Hospital. At one time he acted as secretary to his uncle, Sir James SiR,-As a layman who has devoted the major Paget, F.R.S., but soon after qualifying in 1882 he part of his time during the last ten years to the study decided to devote himself to public health work and of eggs, from their dietetic value as a life-giving food, was appointed medical officer of the Westmorland their commercial aspect and their exhibition merits, combined sanitary districts. The duties of this office I should like to endorse and amplify the remarks he combined with hon. secretaryship of the Epidemio- made Dr. E. G. Annis in your issue of Sept. 3rd, by logical Society for seven years, but after succeeding and previous letters upon this subject. Sir John (then Dr.) Tatham as medical officer of The intrinsic food value of eggs is not sufficiently health for Salford in 1889, he was obliged to resign known or appreciated by the British public. Until this extra work, though he later became a member they can obtain new-laid eggs with assurance and of the Society’s Council. While at Salford Mr. Paget confidence that the article purchased is genuinely -as he preferred to be called-was elected president as represented, so long will the position remain in of the North-Western branch of the Society of Medical statu quo-a national scandal. In common justice Officers of Health, and was lecturer in public health the consumer has a right to know what he is buying. at Owens College and examiner in the Victoria This has not yet been recognised. The obligation University of Manchester. Already he had published extent to which foreign eggs are being mixed with two handbooks on the subject, " Healthy Schools " English is appalling. (1884) and " The Construction of School Sanatoria " Nature ordained that at least one indispensable (1887), and had become widely known as a capable article of food should be provided for our use safe and thoughtful worker when in 1897 he was appointed from the machinations and evil ingenuity of man to the first medical officer of health and school medical adulterate, hence eggs are contained in sealed packets. officer for Northamptonshire. Here there was a clear Yet this very safeguard is utilised as a convenient field for his energies, though he had to contend with cloak by the unscrupulous to shelter their deliberate the opposition of those who regarded a county medical delinquencies. The solution of the problem lies in officer as an unnecessary luxury. His manner and two directions. methods were well calculated to overcome such First, legislative assistance is needed-all imported obstacles. Modest to a degree, he soon became eggs must be marked with their country of origin. popular among all classes, whilst his enthusiasm for It must be enacted that it is illegal to offer for sale improvement did not narrow his outlook on the bad eggs and stale eggs for new-laid eggs or fresh. problems to be faced. He was especially interested, Secondly-as producers, men of acumen, acknowledge perhaps, in the welfare of infants and children, and -there must be a complete reorganisation of marketing it is a tribute to his efforts that the infant mortality and adoption of standard grades. Soiled or dirty of the county decreased during his term of office, eggs must be eliminated. It is easy to see through from 159 to 52 per 1000 births. During the same, the objections raised against the marking of imported period the general death-rate fell from 15-57 to, eggs. 11’37. Mr. Paget’s annual reports were always lucid, As far as the cost is concerned, the Minister of and he wrote a number of useful reports on speciall Agriculture informs us that estimates range from subjects, notably fevers, besides editing the lectures; one-seventh of a penny to one penny per dozen; of his father, with a memoir. He resigned his appoint- a mere trivial matter in comparison to health, and ment last year, and was succeeded by Dr. Mereditht the cost would fall upon the importer. Poultry Davies. Soon after his retirement he was elected an1 keepers do not fear the fair competition of imported honorary member of the Association of CountyT eggs, but they do object to the unfair competition Medical Officers of Health, and this recognition of hisS produced by mixing and selling these eggs as English I am, Sir, yours, faithfully, work, he said at the time, gave him the greatestt new-laid. JAMES GATECLIFF. pleasure of his life. Mr. Paget married Ethel, daughter of Canon W. H. 24, Minnis Bay, Birchington-on-Sea, Sept. 13th, 1927. Brandreth, and she survives him. Their only child, Lieut. G. G. B. Paget, of the Northamptonshire Regiment, was killed in action in 1914. MULTIPLE CAVERNOUS ANGIOMATA OF THE

Correspondence.

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SWEAT DUCTS. SAMUEL BREWER, O.B.E., L.R.C.P. EDIN. Dr. C. S. Brewer, who had been in poor health for seven or eight years, died on Sept. 7th at his home in Birkenhead. Most of his life was spent in that neighbourhood, for after studying at the Liverpool School of Medicine he was appointed house surgeon at the Birkenhead Borough Hospital, and soon afterwards took over a practice in the town, where he remained for the rest of his life. His period of active

CHARLES

practice

was

nearly forty

I

years, but

was

interrupted

for a time by the late war, during which Dr. Brewer served as staff-surgeon on H.M.S. Eaglet, with the rank of Surgeon Lieut.-Commander, R.N.V.R. He was made an Officer of the Order of the British Empire in recognition of his services. On returning to Birkenhead he resumed the prominent place that he had gained in local affairs, and even after his retirement a few years ago continued to do a great deal to promote infant welfare and other public work. He was a leading Freemason and served for several years on the Birkenhead Town Council. He leaves a widow.

To the Editor

of THE LANCET. _..

SIR,—me interesting case recorded oy Dr. ts. w. Crowhurst Archer in THE LANCET of Sept. 17th (p. 595) recalls numerous descriptions of what may be termed " " telangiectasia of the skin and mucous membranes,. whether familial or non-familial, and whether or not accompanied by special tendency to haemorrhage. I have referred to many such cases in an article entitled Developmental Telangiectatic Haemorrhage and So-called Telangiectasia.l But the case which, in regard to the extensive distribution on the trunk, it seems most to resemble was omitted from my list -namely, the one published under the heading Angiomatosis Miliaris by L. Steiner and H. Voerner. Nevertheless, there are apparently many points of difference between the two cases. I am. Sir. vours faithfullv. F. PARKES WEBER, M.D. London, W., Sept. 17th, 1927. 1 British Journal of Children’s Diseases, 1924, xxi., 198. 2 Deut. Arch. f. Klin. Med., Leipzig, 1909, xcvi., 105.