AN IMPROVED CLINICAL CHART.

AN IMPROVED CLINICAL CHART.

thoroughly treated as the importance of the subject requires and the author has evidently consulted all the most .and the total number of paupers of...

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thoroughly treated as the importance of the subject requires and the author has evidently consulted all the most

.and

the total number of paupers of all classes in England and Wales in receipt of relief was 821,096 of whom 230,915 outdoor as .:recent literature which deals with it. But we may call atten- were classed as indoor paupers, 519,608 and 70,715 as insane paupers, including paupers, tion to a discrepancy between the statements on p. 199 that 142 who received both indoor and outdoor relief the process of boiling milk for a few minutes deprives it of on that day. As compared with Jan. lsb in the pre- all danger and that a temperature of 85° C. prolonged for ceding year these figures show decreases of 873 in the The decrease five minutes kills all bacilli, and those on p. 280, where we indoor and 14,984 in the outdoor paupers. total number of paupers was 15,817, or 1 9 per cent. in the ’jead that tuberculous matter survives temperatures up to The total number of paupers amounted approximately to 100° C. and that tuberculous sputum distributed in salt one in every 38 persons. In the appendix 97 pages are - solution does not lose its virulence by being kept at 100° C. devoted to reports of inspectors as to the condition of for one or two minutes. pauperism and the administration of relief. The reports bear testimony to a continued desire on the part work of this from a a generally To criticise description: popular the accommodation and nursing medical point of view is almost as difficult as to write it. of guardians to improve for the sick and infirm inmates of the workarrangements ’This difficulty is particularly great when we approach the houses and infirmaries and to ameliorate the conditions ,concluding chapters of the work which deal with Bacteria under which the children are maintained by sending -in relation to Disease. On the whole the author has done his them out to public elementary schools for education, and work here almost as well as in the preceding chapters. What in some instances by providing for them in establishments from the workhouses. Mr. Lockwood, the inspector she has written is too little for the pathologist and perhaps separate for the metropolis, reported that there was no excep,too much for the general public ; to hit the exact mean is a tional distress in his district during 1898. There was so difficult
New Inventions.

1898,

THE REPORT OF THE LOCAL GOVERNMENT BOARD FOR 1898-99. Among the many subjects of medical and general interest touched upon in this volume of 896 closely printed pages the ’sections relating to pauperism and the Poor-law supply useful ’material for a short abstract. The work of the Government laboratories in connexion with analyses of food and drugs ;has already formed the subject of an article which appeared ên THE LANCET of August 19th (p. 497). On Jan. 1st, 1899,

SENTENCE

ON A


MIDWIFE.—At the Breconshire

and Radnorshire Assizes held recently at Brecon a midwife surrendered to her bail on a charge of feloniously killing and slaying a woman at Hay on July 9th. The evidence showed that the prisoner while attending the woman in her confinement was much under the influence of drink and would not consent to a medical man being fetched. Eventually a medical practitioner was called in unknown to the midwife; he found the patient in a state of collapse from loss of blood and she died shortly afterwards. The jury returned a verdict of guilty and a sentence of three years’ penal servitude was passed.