ACUTE SUPPURATIVE OTITIS MEDIA IN SCARLET FEVER.

ACUTE SUPPURATIVE OTITIS MEDIA IN SCARLET FEVER.

863 matter in reply thereto. If the general opinion is in favour of an association being founded a preliminary meeting formally to discuss matters in ...

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863 matter in reply thereto. If the general opinion is in favour of an association being founded a preliminary meeting formally to discuss matters in connexion therewith could easily be called. Such an association as I suggest has, I believe, already been formed in Ireland. I am, Sir, yours faithfully, J. T. CROWE, Tuberculosis Medical Officer for Leicestershire.

Leicester, March 17th, 1914.

surrounded by a corn ring. Reapplication confor three weeks brought out the whole corn in a "wash leather" state, and it has never recurred. And this " stewing in its own juice " is the least painful as well as the most certain cure for hard corns (and warts). Silver nitrate is the most certain cure for soft corns. I am, Sir, yours faithfully, M.B. March 13th, 1914.

tinuously

_________________

THE WASSERMANN REACTION.

THE NATIONAL INSURANCE ACT.

To the -Editor of THE LANCET.

To the Editor of THE LANCET.

SIR,-The public health committee of the borough SIR,—I wish to explain why, at the conference of Wimbledon have made arrangements for the of Local Medical and Panel Committees held in carrying out of the Wassermann reaction on behalf London on Friday, March 13th, I asked that of the residents in the district. I am afraid that Dr. Motion 29 on the agenda should contain an L. C. Parkes’s arrangements at Chelsea, as set forth in of opinion that medical referees expression his letter in THE LANCET of Nov. 29th, 1913, would, under the Insurance Act should be nonappointed to a certain extent, defeat his objects, as he demands panel practitioners. In a small area like the Isle that the name of the patient shall be supplied. My of Wight there is not enough work for a wholehave that no names shall be

authority agreed time appointment, and doubtless this is the case in supplied, so that there shall be no question of many other areas. I take it that in every suclL anything being revealed. In order to get over the area there are non-panel practitioners in touch difficulty of Section 133 of the Public Health Act with the local profession who would gladly do the the practitioners are asked to certify (1) that the work entailed providing the conditions are satispatient on whose behalf the Wassermann test is factory ; such men would be more independent in being made is a, resident within the borough, and their judgment and better able to give an unbiased (2) that the patient is not in a position to pay the opinion. Also it is, to my mind, important at this. fee for such examination. Thus I think there will juncture not to widen the breach between the be no difficulty which might be encountered if the panel and non-panel practitioners. The latterpatients feared that their names were to be given are constantly saying that the Insurance Act to a third party.-I am, Sir, yours faithfully, has nothing to do with them, and therefore: EDWIN H. NASH, that it is futile for them to belong to varioua Medical Officer of Health. Wimbledon, March 14th, 1914.4. bodies set up under the Act. Why should not this opening be taken to prove that this is. ACUTE SUPPURATIVE OTITIS MEDIA IN not the case ? Undoubtedly they will be required in other capacities in the future under the SCARLET FEVER. Act as it develops, and I think it is only right to. To the Editor of THE LANCET. take the first opportunity to further a more SIR,-May I ask through the medium of your sympathetic attitude between panel and non-panel columns for an answer to an important point as men. As the chairman of the conference would not regards the infectivity of the pus from the ears of a child suffering from suppurative otitis of scarlet listen to what I wanted to point out, and as he fever ? Is this discharge permanently infective and would not accept the alteration I suggested in the liable as long as it lasts to convey scarlet fever to wording of the motion, I think it is only due to. another person ? If not, for how long does such an myself and my committees to send this letter to. infectivity last ? and when may it be said to be safe THE LANCET, hoping you may find space for it. T Cir. fa,ithfillv_ to allow a child out of quarantine, though it still J. W. PRIDMORE, has a discharge from the ears ? to of H.rn

I venture to think that a clear and authoritative answer to these questions would help many practi-

VOll’l’1õI

the Isle Wight Local Medical and Panel Committees.

Honorary Secretary

Ryde, I.W., March 16th, 1914.

tioners besides myself. March

16th, 1914.

THE

I am, Sir, yours faithfully, JOHN MACKERN, M.D. Cantab.

TREATMENT

OF WARTS.

To the Editor of THE LANCET.

SiR,-In Home and Foreign Notes of the current issue of THE LANCET your Budapest correspondent details a " new" method of treating warts. I have been employing the method (prolonged covering with rubber plaster) for warts and corns for at least eight years, and the idea which originated it explains the mode of action. Eight years ago I had my first Turkish bath, and noted the excessive maceration of the epidermis under the influence-of prolonged perspiration. I had then a very painful corn on the sole of my foot, and next day subjected it to prolonged perspiration by applying a star of three little strips of "Z.O."

A

FUNDAMENTAL QUESTION IN DIET. To the Editor of THE LANCET.

SiR,-What effect has cooking on the vitamines? I do not know what they may be, but it is my business to give advice on diets, and I learn (a) that they are essential, and (b) that they are destroyed by cooking. Therefore I think the title to this note is justified. I am, Sir, yours faithfully, L’’IVIS. London, March 19th. in an have the We annotation, question * re-stated

hoping that AN

some

AGED

physiologist

may assist

COUNTESS.-The

us

to reply.—ED.L.

death

of

the

Countess of Devon, in her 100th year, is announced at Cheltenham. It may be recalled that there is at least one case on record of a titled lady having lived for more than a century-namely, the old Countess of Desmond, who died in 1604 at the reputed age of 140. ,