ANOTHER FATAL LAMP ACCIDENT.

435 chloric acid in the gastric juice, nor did they necessarily interfere with the due digestive power of the latter. It would thus appear that the digestive functions of patients with chronic Bright’s disease need not necesbe very seriously impaired, and, indeed, in many cases they may be affected very slightly, if at all. These researches are instructive, but unfortunately they required constant recourse to the oesophageal tube, which is by no means pleasant for the patients, and may sometimes be fraught with danger; thus, in some of the reported cases the first time the tube was introduced an acute attack of ursemia ensued, a result which should make clinical observers somewhat cautious as to such experiments in cases of nephritis.

sarily

MEDICAL LEGISLATION AT THE CAPE. IN a petition against the final portion of the eighteenth clause of the Medical Bill, twenty-two of the medical practitioners of Cape Town and the suburbs express a very strong protest against the power given to the governor to grant a licence admitting as a medical practitioner any person of whose skill and experience he is satisfied, and who, before the passing of the Act, may have been for twenty years and upwards continuously practising as physician and surgeon in the colony. This is a serious power to entrust to lay hands, and might lead to the admission of many to the profession who would do it no credit and the public no good. There seems no excuse in the circumstances for such an exercise of irregular authority, and it would be unfair to men who have qualified in accordance with a medical Ordinance in existence for sixty years. We hope the proposal will be reconsidered. THE DRINKING-WATER OF FLORENCE. AN Italian correspondent writes :-" Florence was a great auSerer last year by the falling off in the number of the foreign visitors and sojourners, on whom she depends, if not for her livelihood, at least for her prosperity. From Her I Majesty Queen Victoria down to the personally conducted tourist, the expected arrivals held aloof; and some notion of what their absence meant to the Florentines may be inferred from the fact that the receipts at the door of the great picture gallery of the Ufizi were for the season more than 16,000 francs less than for the same period in 1889. The fever epidemic, though never so severe as reported, was still alarming enough to make the outside world uneasy as to the sanitary condition of the city, and the suspicion that fell on the drinking-water, at the best of times below the ideal standard, was confirmed by official examination, which has since proceeded to the next stage of such inquiries, and busied itself in devising means for preventing such deplorable results of municipal shortsightedness in future. A commission charged with the study of the Anderson system of purifying water has for some time been at work, and its conclusions havejust been embodied in an elaborate report now before me. Basing itself on the fact that it will be several years before Florence can provide herself with potable water from sources not yet found, through aqueducts not yet constructed, the commission puts the pertinent question:‘How is the city, with its inhabitants native and foreign, to be supplied with that prime essential in the meantime ’ To this it replies:‘By adopting and vigilantly safeguarding the best system yet devised for purifying the water already available.’ That system it finds in the Andersonian-a system to be rigorously applied so as to make the water not only innocuous, but actively

experiment was accordingly unanimously voted; and should the results prove satisfactory, the apparatus will be forthwith introduced and worked to secure a supply ofaquapotabile’ to Florence, until the greater scheme of bringing in water from entirely new sources by a new system of aqueducts shall have found its consummation. It is impossible not to approve this resolution of the commission. More than other Italian cities, Florence is in financial difficulties-the legacy of that shortlived pre-eminence she had as intermediate capital between Turin and Rome. She is sorely in need of money even for the commonest municipal wants, and has had to cut down her working personnel far below the point at which it can be properly effective. Her postal service, for example, is an unceasing source of vexation ana loss to the English-speaking resident. But necessity has no law, and her present course is her wisest: to do nothing with premature despatch, but to make the best of such means as she possesses for the well-being of her population and for the continued countenance of such visitors as she is even now expecting-Mr. Gladstone in the late autumn, and Her Majesty Queen Victoria in the ensuing spring." HONOURS TO MEDICAL MEN. ON Tuesday the following honours were bestowed on members of the medical profession at a private investiture I held by HerMajesty at Osborne:-TheDirector-General of the Army Medical Department, William Alexander Mackinnon, F. R. C.S.Ed., C. E , received the honour of knighthood, and was invested with the riband and badge of the Order of the Bath of the Second class; on Brigade Surgeon Robert Waters, M.D., and Principal Veterinary Surgeon James Drummond was conferred the Companionship of the same Order; and on Surgeon-Major Thomas Holbein Hendley, L.R.C.P., &e., was conferred the Companionship of the Order of the Indian Empire. -

CONGRESS THE British Pharmaceutical Conference met at Cardiff during the past week under the presidency of Mr. W. Martindale. The President, in his address, referred to the position of the pharmacist in relation to the public and the medical profession. He said: "The advances made in chemical science during the present century, and the experiPHARMACEUTICAL

THE

BRITISH

mental

investigations

of recent physiologists and theratend to peutists, prove that the physiological action on the animal system of the simpler chemical compounds in many cases is a chemical and physical action of the elements of which they are composed, modified to some extent by what constitutes life; and that the elements themselves act somewhat in accordance with what might be expected from their chemical alliances, and the positions they occupy in regard to the periodic law of Mendelejeff. In the more complex organic substances there is also a marked connexion between physiological and chemical constitution." The meetings of the Conference were closed on Wednesday. Edinburgh was selected as the next place of meeting, and Mr. Stanford, a Scotch member, was appointed the president.

ANOTHER FATAL LAMP ACCIDENT. illustration of the danger attending the use of A spirit lamps is afforded by a fatal accident which occurred in Bayswater a few days ago. In this case a lady, while attired in her dressing-gown, was burnt to death by the lamp used to heat her curling tongs. It is difficult to say which among several circumstances is here specially accountable for the unfortunate occurrence. The lamp health-giving, before its distribution for home-consumption. employed, if constructed like others of its class, which are An application to the ’Revolving Purifier Company’ to flat, broad based, and somewhat heavy, was not a par. procure from it the required apparatus with a view to ticularly dangerous one. A loose dressing-gown was cerFRESH

436

tainly not the safest upper garment for the occasion, but what lady would think of performing her toilet in any other dress? The blame, we take it, should rather be borne by the custom of self-adornment which brought into connexion the several factors in the final catastrophe. But fashion, we fear, will not easily be warned by any argument, however rational, which crosses its caprice. In any case, some reform of the spirit lamp, which will either provide sufficient heat without naked flame or will guarantee selfextinction in case of an accidental upset, may worthily occupy the inventive skill of enterprising manufacturers. THE HEALTH OFFICERSHIP OF LEICESTER. ON Wednesday last the County Council of Leicestershire decided not to appoint a medical officer of health for that county, but agreed to expend 150 per annum, if necessary, in collecting the health reports of the various districts. Also to call in an expert for advice whenever circumstances demanded it. Lord Basing, in his remarks at the recent of

fully justified in saying that responsibilities of their other things, how few had position, instancing, among even appointed a health officer.

Congress

Hygiene,

was

county councils had not risen to the

ARMY MEDICAL REPORT FOR 1889. THIS report has just been published, and will claim our consideration more fully hereafter; but we may, in the meantime, intimate that the average strength of the troops serving at home and abroad in 1889, as computed from the returns furnished to the Army Medical Department, was 199,448 warrant officers, non-commissioned officers, and men (exclusive of certain corps which are recruited locally in the colonies); the admissions into hospital in this force were 198,823, and the deaths 1831. The rates represented by these numbers are, for admissions into hospital, 1006-9, and for deaths 9-17, per 1000 of the average annual strength, the latter being calculated on a strength of 199,715, which includes detached men (1267). Speaking generally, the figures are satisfactory for 1889 as compared with those of the previous ten years. The death-rate for the United Kingdom was 4-57 per 1000 in 1889 as against a ratio of 6’40 per 1000 for the ten-year period from 1879 to 1888. Egypt shows a mortality ratio of 12 24 per 1000 for 1889, as compared with that of 26’72 for the previous six years. India and Ceylon show similar death-rates in 1889viz., 17-12 in the former, and 17-45 in the latter. PERIPHERAL NEURITIS IN TABES. PROFESSOR EICHHORST, of Zurich, contributes to Virchow’s Archiv. (Bd. cxxv., Hft. 1) the record of a case of " tabes dorsalis cervicalis," in which Westphal’s symptom (the absence of knee-jerks) was present. He points out that absence of the patellar tendon reflex in tabes is generally assumed to be due to the damage done to the reflex loop at the posterior root zone in the dorso-lumbar region of the cord, and that this localisation of "Westphal’s area" has been confirmed by many positive as well as negative facts especially connected with the earlier stages of the affection. Amongst the latter group are to be included those cases where the tabetic symptoms are first manifested in the upper extremities or are limited to them. There are but few such cases that have been examined after death, but clinical records of some show that whereas in them the tendon reflexes of the arms may be abstnt, the patellar reflex may even be exaggerated. One case with postmortem examination recorded by Martius showed that the degeneration of the cord was mainly limited to the cervical region, and that in the lumbar region,

"Westphal’s area," was intact. The case which occurred in Professor Eichhorst’s clinic was briefly that of a woman fifty-four years of age, admitted for right hemiplegia, due to cerebral haemorrhage. The absence of knee-jerks led to the discovery of the fact that she had been for some time previously suffering from tabetic symptoms. The patient died in a few days from the large haemorrhage, which had destroyed the left lenticular nucleus and penetrated into the lateral ventricle. An examination of the spinal cord (after hardening in Miiller’s fluid) showed complete degeneration of the posterior column in the cervical region, and extending thence into the upper two-thirds of the dorsal region, but below that level the cord was healthy. Here, then, was a case which apparently confuted the generally admitted fact of the alliance between 11 Westphal’s symptom" and disease of the area in the dorso-lumbar region. Fortunately, says Professor Eichhorst, the crural nerves were examined, and they were found on each side to show advanced neuritic changes, with thickenings of the arterial coats. Although then, the case was strictly one of " cervical tabes," and one which presented the characteristic tabetic symptom of absence of knee-jerks, this symptom was not to be attri. buted to the spinal lesion, but to peripheral changes in nerves. The association between peripheral neuritis and tabes has long ago been pointed out, and there seems little question that it is fairly constant; but Prof. Eichhorst thinks it is neither so frequent, nor is the former condition so early in its development, as to account for the common and very early occurrence (in tabes) of Westphal’s symptoms. For as a rule, he says, the changes in the cord precede those in the nerves-an opinion, however, which is not universally shared. ___

THE VACCINATION LAW. IT is not often that the Local Government Board institutes

proceedings against boards of guardians for refusal to carry out the vaccination law, but this course has recently been adopted to compel the Kettering Board to appoint a vaccination omcer. The law has been in abeyance for sometime, and the Local Government Board has now applied for and obtained a mandamus against the guardians, and copies of the rule were served upon them. The result has been that the guardians have given way and the vaccination officer will be appointed. -i

DUST, AND DISEASE. RECENT instructions issued by the chief of the Viennese police have reference to the inconvenient length of ladies" trains as worn in the streets of the Austrian capital. On general grounds, the public, we may rest assured, will not object to restrictions on these cumbrous and obstructive appendages. Taste, if it has (as we have always under. stood) a close connexion with neatness, will also be gratified by this protest on behalf of simple dress. Health, which is equally concerned with personal cleanliness, will be sensible of a sanitary gain. But the police have even more in view. The flowing skirts, they contend, have a possible irfluence on the spread of contagion by the dust they raise. It is impossible with mathematical accuracy to disprove this possibility, but surely here is a case in which over-anxiety bred in a germ-haunted mind has usurped the leadership of practical sense. If otherwise, why does not traffic cease in the streets of Vienna, and what calamities may not be looked for when the heedless winds of September will scatter clouds of dust into every corner of the city. LADIES’ DRESSES,

FOREIGN UNIVERSITY INTELLIGENCE. Berlin.-Dr. G. de Ruyter has been recognised as privat. in Surgery, Dr. Giinther as privat-docent in Bac-

1 docent