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ANIMAL CASUALTIES DURING THE WAR.
511 therefore not surprising to find that tuberculosis in Corsica, as in Normandy and elsewhere, has gone hand in hand with alcoholism. Dr. Serpaggi states that infection chiefly takes place in the school where there is a complete absence of hygiene and no measures are taken to exclude tuberculous pupils. In some cases families are infected by soldiers who have been dis.charged from the army for pulmonary tuberculosis. The disease also appears to be spread by milk and butcher’s meat, there being no meat inspection in Corsica, except at Ajaccio and Bastia. Lastly, the large number of dark, damp, and generally insanitary houses is an additional cause of the prevalence of tuberculosis in the island. -
NATIONAL HEALTH INSURANCE IN SCOTLAND. THE administration of National Health Insurance in Scotland during the years 1917-19 is dealt with in a
restriction of service necessitated by the war, and very little reliable evidence has emerged of neglect of duty on the part of insurance practitioners in support of loose general charges of inefficiency. There is, however, a feeling prevalent that certification of illness has not been performed with equal care by all practitioners. The Commissioners think there is reason for uneasiness, and share the general opinion that medical referees should be appointed to whom claimants could be referred. With regard to the treatment of cases of tuberculosis, the Commissioners say that under the conditions of war these methods have had no chance of showing what their value really is. The Insurance Act has greatly stimulated the activities of local authorities in dealing with tuberculosis as an infectious disease. Should there come into existence a better organisation of local authorities many difficulties will be removed and the outlook will become more hopeful.
White Paper just issued. The report states that the number of Approved Societies for health insurance ANIMAL CASUALTIES DURING THE WAR. purposes was 245 in 1919, compared with 312 in 1912. THE recent war has’ demonstrated above all previous The total number of Scottish cards in August, 1919, was 1,275,029. In an outline of the history of health insur- ones the economy of an efficient veterinary service for the care of animals both in health and disease, and the ance in Scotland since its commencement in 1912 to the present day, the report acknowledges that when value of modern veterinary hygienic and preventive the Act first became operative it was unpopular with measures. The interesting and hitherto unpublished .both employers and employed. It had been made the statistics compiled by the Veterinary Section of the ,occasion of an intensely hostile campaign, which Imperial War Museum (now at the Crystal Palace) show had created an attitude of mistrust, in connexion the totals of the British Army animal casualties throughwith which the antagonism of the medical profession out the war; these work out to less than 15 per cent. was an important consideration. From the outset, per year of the total number of animals on service, however, the general attitude of the Scottish and are the lowest figures recorded in any campaign. people was one of acceptance. Actual opposition Actually 484,143 animals lost their lives, including occurred mainly in farming and fishing communities, 5589 lost at sea through enemy action, and 22,812 camels especially the former. Definite resistance, however, (out of a total of 120,013) ; the percentage of mortality .only materialised in certain agricultural counties, in amongst camels was much higher than that which both employers and employed made common amongst horses and mules. The fact that only 1’06 per cause. The attitude of the farmers strongly affected that cent. of the total animals shipped perished on the of the tradesmen in the smaller towns and villages voyage is a great tribute to the efficient veterinary dependent upon agriculture. In the Highlands and inspection before shipping and during the voyages, and Islands there was strong dislike for the Act, due largely, the hygienic arrangements on board. To the Veterinary no doubt, to the small number of people in these Service in particular must credit be given, for only There was those who have had experience in remount work and areas employed under contract of service. little active resistance, but the definite opposition the purchasing of large numbers of animals, collected manifested in other areas continued for years, and together from all parts of the earth, can know the chaos and risk of working without the skilled veterinary was only worn down by great patience and hard work on the part of the Commission’s inspectorial staff. surgeon. Without his aid the most expert layman At the outbreak of war the great majority of the diffi- is soon lost in a tangle with mange, glanders, strangles, acuities had been overcome, and the Commission had contagious pneumonia, epizootic lymphangitis, and been able to consider seriously the problems of improved a host of other contagious diseases, not to menservices and extension of benefits. Now that the dim- tion defects of wind and locomotion which speedily In culties of the war period have been successfully passed, render the animals valueless for army work. the value of health insurance to the community can be 1914 the average animal strength was 204,628,. with developed upon a secure basis. The creation of the 15’23 per cent. of sick, whilst in 1915, 1916, and 1918 Scottish Board of Health is a first and necessary step the sick average fell to slightly over 10. Even in that to this end. The Commission hopes that the Board will terrible year, 1917, it only rose to 11’44, there being find in the existing insurance machinery a foundation then 966,840 average strength, with 110,632 sick patients. upon which the future health administration of the The system of veterinary organisation to keep the About 95 per animal army fit, and to deal with the sick in such a nation can be built up and improved. cent. of the irregularities disclosed by inspection way that they were not an encumbrance, was well consist of late stamping of cards, the agricultural thought out and modelled on lines largely similar to community and small employers being the principal those dealing with sick and wounded men. Veterinary offenders. Seven years’ experience has shown the original officers at the front were concerned with prevention and machinery to be remarkably complete, but the insured first-aid only, the sick being collected in small groups person is still apt to realise his place in the scheme and sent to the mobile veterinary sections, which units only when he requires benefit. Some societies interpret forwarded them to the very large hospitals down the their rules in a way which, considering the ignorance line ; these latter often contained between 3000 and of many of their members, can only be described as 4000 patients each. Each sick animal on its way to the harsh. The collection of contributions by the stamping base passed through a Reception Hospital, where it was of contribution cards has proved satisfactory. The tested with mallein against that scourge of former feeling against compulsory insurance has greatly armies, glanders; it was carefully inspected and diminished. The desire to remain outside the Act has treated for mange, ulcerative lymphangitis, influenza, rather been replaced by a desire to come within its and any other contagious ailment; the badly wounded scope and thus profit by its benefits. The only sus- received urgent aid; severe cases of debility were reletained criticisms are as to the sufficiency of the money gated to special hospitals; and the animals were grouped benefits and the method of raising the funds required. and arranged in batches according to their ailments. ’There is little doubt that the money benefits have been To the student of comparative medicine (and this very helpful to sick persons, though complaints have section will soon include all medical men now that been received that in many cases too much of the so many diseases have been proved transmissible’ from money has gone to the doctor or the midwife. Medical animals to man) the Veterinary Section of the Crystal .benefit has been found to work well, even under the Palace Imperial War Museum will prove of more than
512
passing interest. It illustrates graphically by means ofIpossible in a bloodless field, but exception is taken to the photographs, models, war relics, and paintings (done by tbourniquet on account of the oozing likely to take place members of the Royal Army Veterinary Corps, amongst aafterwards. End-to-end union is insisted on as the only whom were voluntarily enlisted some of our best known ssound method where a portion of nerve trunk is irreanimal painters) exactly how our sick and woundedparably damaged; flap operations, implantations, and animals were cared for on the battlefield and in hos- ttransplantations are all condemned. Surgical opinion pital. Our veterinary colleagues earned well the title of iin general has been coming round to this view. Under the "Royal" Army Veterinary Corps, conferred in recogni-various nerve headings methods are described whereby tion of good work. We congratulate them, not only on6such end-to-end anastomosis may be obtained. Fine the title, but on the record of the British Veterinary Ilinen thread or silk is recommended for suture material iin anastomosis, less flbroblastic reaction occurring than Service. when catgut is utilised. A useful section is devoted to BENZYL BENZOATE FOR PERSISTENT the signs and symptoms pointing to functional recovery, and some effort has been made to investigate the rate HICCOUGH. of to the particular nerve injured. SOME years ago Dr. David I. Macht announced the recovery according The committee flnds that the interval between the made in the Pharmacological Laboratory of discovery, and the has no influence on the time operation wounding the Johns Hopkins University, that the benzyl taken for recovery, a statement of practical value if the benzoate, have a remarkable particularly a deterrent influence on hasty of allaying spasm in unstriped muscle. In the Medicalonly by exercising case of nerve injury requires careful Record of July 24th he has described an important surgery. Every observation and probationary treatment. Pain, more therapeutic application of this fact. He, as well as a especially that known as causalgia, receives due connumber of practitioners who have communicated with and stress is laid on the psychological factor; sideration, him, have found benzyl benzoate of value in the treat-the surgeon is not all-important, the patient must assist. ment of hiccough-not only the mild forms so common has been the despair of many a surgeon, but Causalgia in infants, but those forms which may be termed perclear indications are given in the report as to when and nicious, in which the hiccough lasts for days and ishow he should act, and in what manner he can obtain the unaffected by any kind of medical treatment, internal c of the patient. Finally, the more important cooperation or external. The following are some examples. : nerves are considered in turn, indications A man, aged 28 years, complained of persistent hiccough,peripheral 1 for treatment, and special hints for difficult being given which had continued for 24 hours in spite of the ordinary a complicated cases. The report may be regarded as treatment. He was given a 20 per cent. solution of benzyl and a valuable addition to our knowledge of nerve surgery, benzoate and ordered to take 25 drops in water every four a f for which the committee deserves our thanks. hours. One dose was sufficient to stop the hiccough. A man, aged 64 years, came under the observation of Dr. B. Sachs at the Hebrew Hospital, Baltimore, suffering from persistent hiccough of several days’ duration which could"THE HOUSE-FLY AS A DANGER TO HEALTH." not be relieved in any way. In the hospital various external A PAMPHLET by Major E. E. Austen bearing this title applications, such as mustard plasters, were tried without success. Then medicine was given internally, but neitheris i being sent to all medical officers of health, who are bromides, Hoffman’s anodyne, morphine, nor any otherinvited i to further copies (3d. each) for local drug gave relief. After taking a few doses of benzyl distributionpurchase In a brief explanatory note to officials. benzoate he was completely cured. A woman, suffering from post-operative hiccough, wasattached to the pamphlet the Chief Medical Officer to treated ineffectually with all ordinary drugs. The con- the Ministry of Health points out that the education of 1 dition lasted over a week and she hiccoughed sometimes the public in the life-history of house-flies and the as often as 6 to 18 times a minute. Under benzyl benzoate most ] effective ways of destroying them forms an she was relieved within 12 hours. iimportant part of the preventive measures required to Dr. Macht also suggests that benzyl benzoate may becombat epidemic diarrhoea and other fly-borne infections. of diagnostic value in differentiating hiccough of purelyThe excellent plates forming the frontispiece show the central origin from that of peripheral origin. As the ]house-fly proper and certain other species more or less -
esters, ’
power
s ° s
( c
chief effect is on smooth muscle he thinks that the harmful with which it is often confused. Certain be most useful in hiccough of peripheral common errors as to the power of growth and habits of origin. He finds that the most convenient method of the house-fly are exposed. For example, a small fly in administration is the one originally described by him. the house is not a young fly in the sense that it will grow Benzyl benzoate acts best when given in a 20 per cent. larger, since the fly emerges from its pupa-case fullgrown. solution in alcohol. Of this solution the patient takes Again, those who regard heaps of stale horse-manure as 20 to 40 drops in water or milk. Dr. Macht has not potential breeding places are reassured, and are advised found it convenient or advantageous to administer the to concentrate on the covering, close-packing, or turning drug in suspension in elixirs or syrups, and administra- over the surface of dumps of less than 24 hours’ standing, tion in capsules has produced irritation in some cases since these alone attract ovipositing flies. Turning over and rendered the therapeutic action too slow in the surface checks breeding, because the excessive heat others. To children the solution can be conveniently generated by the fermenting manure lower down in, the administered in sugar, water, or milk. dump kills the eggs. Traps for the slow-moving maggots and methods of destruction of adult flies (which can lay eggs within three weeks after the deposition of the eggs HOW TO TACKLE NERVE INJURIES. from which they themselves are developed) are THE committee appointed by the Medical Researchdescribed, but it is once again made obvious that the Council to report upon injuries of the nervous system most rational way of dealing with the pest is to attack has brought in its findingson the diagnosis and the breeding places. The pamphlet (No. 1 of a series) treatment of peripheral nerve injuries, and these will be is concerned only with the problem of house-flies within endorsed by most surgeons who have had experience of the British Isles, but an expanded pamphlet (No. 1A, such injuries in the great war. Before discussing the price ls. 6d.), which treats the subject more exhaustively, indications for and against operative treatment the can also be obtained from the Director, British Museum report describes the various methods of testing nerve (Natural History), Cromwell-road, London, S.W. 5, as function with useful reference to the proper methods, well as those on lice, fleas, mosquitoes, bed-bugs, and the errors that may be made, and the "trick" other insects and vermin. movements which may deceive the investigator. Postural and nutritional treatment are then considered REVERSION OF FOR SHEFFIELD HOSPITALS. in their application to cases under observation in whom - Mr. E. Gamble,.e13,OOO of Sheffield, who died on Whiteley, operative treatment is contra-indicated. In discussing March 25th, in his will, after making certain provisions the technique of operative treatment stress is laid on for his widow and others, bequeaths the final reversion of the necessity of conducting the operation as far as his property, valued at £13,000, to the Sheffield Royal
drug will
1 Medical Research Council Report No. 54.
Sheffield Royal Hospital, the Jessop and the Sheffield Children’s Hospital.
Infirmary, Women,
Hospital for
NATIONAL HEALTH INSURANCE IN SCOTLAND. THE administration of National Health Insurance in Scotland during the years 1917-19 is dealt with in a
restriction of service necessitated by the war, and very little reliable evidence has emerged of neglect of duty on the part of insurance practitioners in support of loose general charges of inefficiency. There is, however, a feeling prevalent that certification of illness has not been performed with equal care by all practitioners. The Commissioners think there is reason for uneasiness, and share the general opinion that medical referees should be appointed to whom claimants could be referred. With regard to the treatment of cases of tuberculosis, the Commissioners say that under the conditions of war these methods have had no chance of showing what their value really is. The Insurance Act has greatly stimulated the activities of local authorities in dealing with tuberculosis as an infectious disease. Should there come into existence a better organisation of local authorities many difficulties will be removed and the outlook will become more hopeful.
White Paper just issued. The report states that the number of Approved Societies for health insurance ANIMAL CASUALTIES DURING THE WAR. purposes was 245 in 1919, compared with 312 in 1912. THE recent war has’ demonstrated above all previous The total number of Scottish cards in August, 1919, was 1,275,029. In an outline of the history of health insur- ones the economy of an efficient veterinary service for the care of animals both in health and disease, and the ance in Scotland since its commencement in 1912 to the present day, the report acknowledges that when value of modern veterinary hygienic and preventive the Act first became operative it was unpopular with measures. The interesting and hitherto unpublished .both employers and employed. It had been made the statistics compiled by the Veterinary Section of the ,occasion of an intensely hostile campaign, which Imperial War Museum (now at the Crystal Palace) show had created an attitude of mistrust, in connexion the totals of the British Army animal casualties throughwith which the antagonism of the medical profession out the war; these work out to less than 15 per cent. was an important consideration. From the outset, per year of the total number of animals on service, however, the general attitude of the Scottish and are the lowest figures recorded in any campaign. people was one of acceptance. Actual opposition Actually 484,143 animals lost their lives, including occurred mainly in farming and fishing communities, 5589 lost at sea through enemy action, and 22,812 camels especially the former. Definite resistance, however, (out of a total of 120,013) ; the percentage of mortality .only materialised in certain agricultural counties, in amongst camels was much higher than that which both employers and employed made common amongst horses and mules. The fact that only 1’06 per cause. The attitude of the farmers strongly affected that cent. of the total animals shipped perished on the of the tradesmen in the smaller towns and villages voyage is a great tribute to the efficient veterinary dependent upon agriculture. In the Highlands and inspection before shipping and during the voyages, and Islands there was strong dislike for the Act, due largely, the hygienic arrangements on board. To the Veterinary no doubt, to the small number of people in these Service in particular must credit be given, for only There was those who have had experience in remount work and areas employed under contract of service. little active resistance, but the definite opposition the purchasing of large numbers of animals, collected manifested in other areas continued for years, and together from all parts of the earth, can know the chaos and risk of working without the skilled veterinary was only worn down by great patience and hard work on the part of the Commission’s inspectorial staff. surgeon. Without his aid the most expert layman At the outbreak of war the great majority of the diffi- is soon lost in a tangle with mange, glanders, strangles, acuities had been overcome, and the Commission had contagious pneumonia, epizootic lymphangitis, and been able to consider seriously the problems of improved a host of other contagious diseases, not to menservices and extension of benefits. Now that the dim- tion defects of wind and locomotion which speedily In culties of the war period have been successfully passed, render the animals valueless for army work. the value of health insurance to the community can be 1914 the average animal strength was 204,628,. with developed upon a secure basis. The creation of the 15’23 per cent. of sick, whilst in 1915, 1916, and 1918 Scottish Board of Health is a first and necessary step the sick average fell to slightly over 10. Even in that to this end. The Commission hopes that the Board will terrible year, 1917, it only rose to 11’44, there being find in the existing insurance machinery a foundation then 966,840 average strength, with 110,632 sick patients. upon which the future health administration of the The system of veterinary organisation to keep the About 95 per animal army fit, and to deal with the sick in such a nation can be built up and improved. cent. of the irregularities disclosed by inspection way that they were not an encumbrance, was well consist of late stamping of cards, the agricultural thought out and modelled on lines largely similar to community and small employers being the principal those dealing with sick and wounded men. Veterinary offenders. Seven years’ experience has shown the original officers at the front were concerned with prevention and machinery to be remarkably complete, but the insured first-aid only, the sick being collected in small groups person is still apt to realise his place in the scheme and sent to the mobile veterinary sections, which units only when he requires benefit. Some societies interpret forwarded them to the very large hospitals down the their rules in a way which, considering the ignorance line ; these latter often contained between 3000 and of many of their members, can only be described as 4000 patients each. Each sick animal on its way to the harsh. The collection of contributions by the stamping base passed through a Reception Hospital, where it was of contribution cards has proved satisfactory. The tested with mallein against that scourge of former feeling against compulsory insurance has greatly armies, glanders; it was carefully inspected and diminished. The desire to remain outside the Act has treated for mange, ulcerative lymphangitis, influenza, rather been replaced by a desire to come within its and any other contagious ailment; the badly wounded scope and thus profit by its benefits. The only sus- received urgent aid; severe cases of debility were reletained criticisms are as to the sufficiency of the money gated to special hospitals; and the animals were grouped benefits and the method of raising the funds required. and arranged in batches according to their ailments. ’There is little doubt that the money benefits have been To the student of comparative medicine (and this very helpful to sick persons, though complaints have section will soon include all medical men now that been received that in many cases too much of the so many diseases have been proved transmissible’ from money has gone to the doctor or the midwife. Medical animals to man) the Veterinary Section of the Crystal .benefit has been found to work well, even under the Palace Imperial War Museum will prove of more than
512
passing interest. It illustrates graphically by means ofIpossible in a bloodless field, but exception is taken to the photographs, models, war relics, and paintings (done by tbourniquet on account of the oozing likely to take place members of the Royal Army Veterinary Corps, amongst aafterwards. End-to-end union is insisted on as the only whom were voluntarily enlisted some of our best known ssound method where a portion of nerve trunk is irreanimal painters) exactly how our sick and woundedparably damaged; flap operations, implantations, and animals were cared for on the battlefield and in hos- ttransplantations are all condemned. Surgical opinion pital. Our veterinary colleagues earned well the title of iin general has been coming round to this view. Under the "Royal" Army Veterinary Corps, conferred in recogni-various nerve headings methods are described whereby tion of good work. We congratulate them, not only on6such end-to-end anastomosis may be obtained. Fine the title, but on the record of the British Veterinary Ilinen thread or silk is recommended for suture material iin anastomosis, less flbroblastic reaction occurring than Service. when catgut is utilised. A useful section is devoted to BENZYL BENZOATE FOR PERSISTENT the signs and symptoms pointing to functional recovery, and some effort has been made to investigate the rate HICCOUGH. of to the particular nerve injured. SOME years ago Dr. David I. Macht announced the recovery according The committee flnds that the interval between the made in the Pharmacological Laboratory of discovery, and the has no influence on the time operation wounding the Johns Hopkins University, that the benzyl taken for recovery, a statement of practical value if the benzoate, have a remarkable particularly a deterrent influence on hasty of allaying spasm in unstriped muscle. In the Medicalonly by exercising case of nerve injury requires careful Record of July 24th he has described an important surgery. Every observation and probationary treatment. Pain, more therapeutic application of this fact. He, as well as a especially that known as causalgia, receives due connumber of practitioners who have communicated with and stress is laid on the psychological factor; sideration, him, have found benzyl benzoate of value in the treat-the surgeon is not all-important, the patient must assist. ment of hiccough-not only the mild forms so common has been the despair of many a surgeon, but Causalgia in infants, but those forms which may be termed perclear indications are given in the report as to when and nicious, in which the hiccough lasts for days and ishow he should act, and in what manner he can obtain the unaffected by any kind of medical treatment, internal c of the patient. Finally, the more important cooperation or external. The following are some examples. : nerves are considered in turn, indications A man, aged 28 years, complained of persistent hiccough,peripheral 1 for treatment, and special hints for difficult being given which had continued for 24 hours in spite of the ordinary a complicated cases. The report may be regarded as treatment. He was given a 20 per cent. solution of benzyl and a valuable addition to our knowledge of nerve surgery, benzoate and ordered to take 25 drops in water every four a f for which the committee deserves our thanks. hours. One dose was sufficient to stop the hiccough. A man, aged 64 years, came under the observation of Dr. B. Sachs at the Hebrew Hospital, Baltimore, suffering from persistent hiccough of several days’ duration which could"THE HOUSE-FLY AS A DANGER TO HEALTH." not be relieved in any way. In the hospital various external A PAMPHLET by Major E. E. Austen bearing this title applications, such as mustard plasters, were tried without success. Then medicine was given internally, but neitheris i being sent to all medical officers of health, who are bromides, Hoffman’s anodyne, morphine, nor any otherinvited i to further copies (3d. each) for local drug gave relief. After taking a few doses of benzyl distributionpurchase In a brief explanatory note to officials. benzoate he was completely cured. A woman, suffering from post-operative hiccough, wasattached to the pamphlet the Chief Medical Officer to treated ineffectually with all ordinary drugs. The con- the Ministry of Health points out that the education of 1 dition lasted over a week and she hiccoughed sometimes the public in the life-history of house-flies and the as often as 6 to 18 times a minute. Under benzyl benzoate most ] effective ways of destroying them forms an she was relieved within 12 hours. iimportant part of the preventive measures required to Dr. Macht also suggests that benzyl benzoate may becombat epidemic diarrhoea and other fly-borne infections. of diagnostic value in differentiating hiccough of purelyThe excellent plates forming the frontispiece show the central origin from that of peripheral origin. As the ]house-fly proper and certain other species more or less -
esters, ’
power
s ° s
( c
chief effect is on smooth muscle he thinks that the harmful with which it is often confused. Certain be most useful in hiccough of peripheral common errors as to the power of growth and habits of origin. He finds that the most convenient method of the house-fly are exposed. For example, a small fly in administration is the one originally described by him. the house is not a young fly in the sense that it will grow Benzyl benzoate acts best when given in a 20 per cent. larger, since the fly emerges from its pupa-case fullgrown. solution in alcohol. Of this solution the patient takes Again, those who regard heaps of stale horse-manure as 20 to 40 drops in water or milk. Dr. Macht has not potential breeding places are reassured, and are advised found it convenient or advantageous to administer the to concentrate on the covering, close-packing, or turning drug in suspension in elixirs or syrups, and administra- over the surface of dumps of less than 24 hours’ standing, tion in capsules has produced irritation in some cases since these alone attract ovipositing flies. Turning over and rendered the therapeutic action too slow in the surface checks breeding, because the excessive heat others. To children the solution can be conveniently generated by the fermenting manure lower down in, the administered in sugar, water, or milk. dump kills the eggs. Traps for the slow-moving maggots and methods of destruction of adult flies (which can lay eggs within three weeks after the deposition of the eggs HOW TO TACKLE NERVE INJURIES. from which they themselves are developed) are THE committee appointed by the Medical Researchdescribed, but it is once again made obvious that the Council to report upon injuries of the nervous system most rational way of dealing with the pest is to attack has brought in its findingson the diagnosis and the breeding places. The pamphlet (No. 1 of a series) treatment of peripheral nerve injuries, and these will be is concerned only with the problem of house-flies within endorsed by most surgeons who have had experience of the British Isles, but an expanded pamphlet (No. 1A, such injuries in the great war. Before discussing the price ls. 6d.), which treats the subject more exhaustively, indications for and against operative treatment the can also be obtained from the Director, British Museum report describes the various methods of testing nerve (Natural History), Cromwell-road, London, S.W. 5, as function with useful reference to the proper methods, well as those on lice, fleas, mosquitoes, bed-bugs, and the errors that may be made, and the "trick" other insects and vermin. movements which may deceive the investigator. Postural and nutritional treatment are then considered REVERSION OF FOR SHEFFIELD HOSPITALS. in their application to cases under observation in whom - Mr. E. Gamble,.e13,OOO of Sheffield, who died on Whiteley, operative treatment is contra-indicated. In discussing March 25th, in his will, after making certain provisions the technique of operative treatment stress is laid on for his widow and others, bequeaths the final reversion of the necessity of conducting the operation as far as his property, valued at £13,000, to the Sheffield Royal
drug will
1 Medical Research Council Report No. 54.
Sheffield Royal Hospital, the Jessop and the Sheffield Children’s Hospital.
Infirmary, Women,
Hospital for