CONCERNING THE PROPOSED GRESHAM UNIVERSITY.

CONCERNING THE PROPOSED GRESHAM UNIVERSITY.

495 . malicious persons put on their guard lest they should skin remained sound for months. With copious draughts of meet a similar fate. In many in...

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malicious persons put on their guard lest they should skin remained sound for months. With copious draughts of meet a similar fate. In many instances charges of a ruinous lithia water the cystitis cleared up. During February and character had been settled by as many postage stamps as March, 1891, visits were made on alternate days. In April, The items of the report May, and June a weekly visib sufficed. the charge itself involved. In November the same helpless condition existed, and a showed that the expenditure had been extremely small, and the balance in hand was large enough to enable the society distaste for food gradually came on, with secretion of very to fight a reasonably large suit without calling upon their tenacious mucus trom the pharynx during deglutition. The guarantee fund. Any serious expenditure of money would efforts required to expel this mucus caused great distress be involved only when cases of fresh difficulty occurred. and exhaustion. In December occurred a blocking of the The moral weight of a large body of members of the rectum with hard, smooth, round seybala difficult of reprofession united together with an honest, legitimate, moval. The bowel was cleared oub every fourth day. and determined purpose would have more effect than Towards the end of December the patient would freany amount of litigation. The report and the trea- quently take no food from 7.30 one morning until the followt3urer’s accounts were adopted unanimously. Under ing day at the same hour. This meal consisted of a pint of the new Articles of Association an executive council cocoa and milk, with rusks soaked in it. The cicatrices of the of twelve members was nominated and appoinbed. bedsores broke down into a number of small round wounds. The President considered that the more narrowly the Lastly, gangrene set in on Feb. 9bh, terminating painwork was confined to the protection of the individual lessly and fatally on Feb. 13th. practitioner the more successful the Union would be. There already existed power enough for political agitation, and it would be impossible for those who had taken THE BRITISH INSTITUTE OF PUBLIC any energetic parb in the work of the Association to agree to anything by which its success would be HEALTH. weakened. The actual 6bate of the law made it necessary to act on the lines of a limited company. Any departure THIS is an Association of medical men possessing regisfrom these lines might, in any given case, render the Society liable to be surcharged with costs of both sides. They had trable qualifications in State medicine, public health, or to move with the greatest care, and it was for these reasons science, medical officers of health, and others. The that the reconstruction of the machinery had become sanitary of the Public Health Medical Society have been Council The twelve necessary, and had been accomplished. successful in obtaining incorporation by special licence of the Con- elected members were to constitute a nucleus. of Board Trade under the above title, with the object of of action would be three secured tinuity by electing members yearly. The members did not want any cata- aiding theoretical and practical investigations and study of clysmic upsetting of the Union, and if they were at any time all branches of public health medicine. They will also hold dissatisfied with the conduct of the Council a vote of meetings, congresses, institute lectures, and demonstracensure would, according to the usual method, secure the tions ; they propose to issue publications of the Transimmediate resignation of all its members. actions of the Association, to found a library, and to Dr. Bridgewater nominated Dr. Masters, Dr. Campbell publish a jouinal. Among other objects which the Pope. Dr. Felee, Dr. Danford Thomas, Dr. Bantock, Association has in view is the examination of candidates, Dr. Bateman, Mr. Lawson Tait, Mr. Justin McCarthy, either alone or in conjunction with one or more kindred Dr. Barling, Mr. Messiter, Dr. Hallwright, and Dr. Leslie bodies, and the of certificates of proficiency as granting !Phillips. This Council was unanimously appointed. sanitary inspectors. The members of the Institute consist of fellows, ordinary members, and associates, and it is provided that the first fellows of the Institute shall consist of the present members of the Public Health Medical Society, or such of them as elect to become such; all subsequent THE LATE SIR PROVO WALLIS, G.C.B. fellowships being conferred by the Council upon such persons as possess a registrable qualification in sanitary THE great age (100 years and ten months) attained by science, public health, or State medicine, in accordance this distinguished naval officer, together with his world- with the Medical Act, 1886, Section 21. The Council are wide reputation as the hero of the Shannon-Chesapeake sea- taking immediate steps to found branches in each division the kingdom. fight, may give some interest to the following notes of his of The articles and memorandum of association were signed health from December, 1890, to the time of his death, with Dr. Littlejohn (Edinburgh), Dr. Grimshaw (Registrarby which we have been supplied through the kindness of Mr. General for Ireland), Dr. Meymott Tidy, Dr. Mumby L. E. W. Stephens, his medical attendant. (Portsmouth), Sir Charter Cameron, Sir Douglas Maclagan, On Dec. 6th, 1890, in the afternoon, I was called for the Dr. W. R. Smith, and Dr. Francis Allan. first time to Sir Provo Wallis. I found him in bed clothed in an ordinary longcloth nightshirt, a linen nightcap, linen sheets to the bed, and no fire in the room. He complained chiefly of discomfort with waterbrash after meals, for which CONCERNING THE PROPOSED GRESHAM rlactopeptine powders were prescribed with great benefit. He UNIVERSITY. was unable to lie straight in bed, but was lying on his right side with his knees semi-flexed, elbows flexed, and forearms THE following statement has been forwarded to every folded across the chest. Movement of the legs fairly good, movement of arms limited, so that he could onlyjustraise member of Parliament :himself on his elbows. There was no paralysis, only wasting SIR,—The Medical Schools of London, which include some 300 of muscles from disuse. Over each great trochanter was an teachers and 2000 students, have united with University College, and King’s College, London, in efforts to obtain the Charter oval bedsore 2by 2 in., in process of healing. Micturition London, for the Gresham University, now on the table of the House. They was frequent, painful, and uncertain. Hands and feet cold. venture to ask for your support in Parliament because they believe that Fulse 70, with occasional intermission, the left pulse being this University will be of the greatest advantage to students and London, in that it will tend to develop in every way the exmuch weaker than the right. Temperature 97°. Mental teachers inmeans of instruction afforded by the metropolis. This remark ’condition and memory very good. No teeth; tongue clear ; eye- ceptional applies especially to Medicine, in which the opportunities of study from obvious causes, be greater than in any other city. sight good ; slightly deaf. Heart and lungs normal. Urine must, It is the desire of the supporters of the Charter, including all the occasionally ammoniacal, with deposit of muco-pus. Bowels medical to schools, have in London a local university which shall give costive, so thatabout every fourth day great effort was required its students all those academical advantages in learning and graduation in defecation. Much troubled with pruritus. To relieve which already exist in the Universities of Oxford, Cambridge, Edinthese troubles a fire was ordered in the bedroom to raise the burgh, Aberdeen, and Glasgow. It has been objected in a statement circulated by the Victoria Uni’temperature gradually from 38° or 40° to between 50° and 600. versity that Gresham may be given too easily, especially in reThe patient was placed on a water-bed filled with warm spect of the standard degrees On the part of the of scientific attainment. and we know it to beequally true of the other Medical Schools-and water, by degrees was clothed in flannel and placed be- London kind is of can assert that the faculties—we nothing contemplated. We tween blankets, all of which met with sturdy opposition from not less aware than the authorities of other medical schools of the are was when dethe patient. Catheterisation, firmly suggested, importance in medical education of a good groundwork in arts and clined. By careful dressing the bedsores soon healed, and the science. The education given by us is, we believe, as thorough as any

496 in

Europe, and the degree will represent that education, together with examinations, which will not seek to attract students by their inferiority. The whole body of the medical teachers of London, containing as it does a large proportion of the most distinguished physicians, surgeons, and teachers of science in the United may surely be accorded the trust given to the teachers in universities

and Blackburn. in

London,

The 29 deaths from 3 in Wesb Ham, 2 in

diphtheria included Manchester, and

15 2 in

Sheflield. One fatal case of small-pox was recorded ofin Liver-33 and one in Oldham, but not one in any other the pool Kingdom, towns; 7 small-pox patients were under treatment in large elsewhere. the Asylum Hospitals, and 1 in the Highgate Metropolitan Some of the details of the statement of the Victoria University are The number oi on Saturday last. Hospital Small-pox to the on intentions of the other and points-as inaccurate, proposed scarlet fever patients in the Metropolitan Asylum Hospitals University-mere assumptions are put forward. It is not true that Medicine is paramount upon the Governing Body and in the London Fever Hospital at the end of last week of the University, or that it has a larger representation than is required was 1116, against numbers declining from 1397 to 1244 at by the numerical strength of the Faculty and the variety of circum- the end of the preceding four weeks ; 82 new cases were stances in the Teaching Institutions. The Council will consist of at least forty members, of whom not more than fourteen will certainly be, admitted during the week, against 100 and 117 in the pre. of Medicine. to and not more than sixteen are likely

be, representatives

Of the interests of science the constitution of the University supplies a special guarantee in the organisation of the teachers by Faculties, not by Institutions, as in the Victoria University. The statement irculated by the Schools of Medicine in Birmingham, Bristol, and Sheffield repeats the argumants, and closely follows the lines of that put forward by the Victoria University. Any attempt on the part of these schools to obtain for themselves the advantage of association in a Teaching University will have our sympathy, but it would be a great injustice that in the meantime London should be refused this privilege. The Charter of the Gresham University grants what we have for many years endeavoured to obtain, and, in the interests of medical education in London, we earnestly hope that the Universlty may be established on this basis. We are, Pir. your faithful servants,

STANLEY BOYD,*

Charing-cross Hospital Medical School, a College (designate) in the University. FREDERICK TAYLOR, For the Guy’s Hospital Medical School, a College For the

vious two weeks. The deaths referred to diseases of the organs in London, which had declined from 1465 to 560 in the preceding four weeks, further fell last week to 450, and were 46 below the corrected average. The causes of 96, or 2’3 per cent., of the deaths in the thirtythree towns were not certified either by a registered medical practitioner or by a coroner. All the causes of death were duly certified in Croydon, Portsmouth, Oldham, Sunder. land, and in four other smaller towns ; the largest proper tions of lincertified deaths were registered in Birmingham,

respiratory

Bolton, Salford, and Sheffield.

HEALTH OF SCOTCH TOWNS.

The annual rate of mortality in the eight Scotch towns. which had declined in the preceding four weeks from 27’2 to 20-8 per 1000, further fell to 20-1 during the week ending (desillnate) in the University. Feb. 20th, and was 1-1 below the mean rate during the JOHN CURNOW, For the Faculty of Medicine of King’s College, London, a same period in the thirty-three large English towns. College (designate) in the University. The rates in the eight Scotch towns ranged from 16.88 ia JEREMIAH McCARTHY, For the London Hospital Medical School, a College Paisley and 17-1 in Edinburgh to 21-5 in Glasgow and 23-1 in Greenock. The 559 deaths in these towns included (designate) in the University. SIDNEY COUPLAND, 15 which were referred to whooping-cough, 13 to diarrhoea, For the Middlesex Hospital Medical School, a College 10 to "fever," 9 to measles, 8 to diphtheria, 7 to scarlet in the (designate) University. NORMAN MOORE, fever, and not one to small-pox. In all, 62 deaths For the St. Bartholomew’s Hospital and College Medical resulted from these principal zymotic diseases, against School, a College (designate) in the University. These 62 55 and 46 in the preceding two weeks. THOMAS WHIPHAM, For the St. George’s Hospital Medical School, a College were equal to an annual rate of 22 per 1000, which was slightly above the mean rate last week from the (designate) in the University. HERBERT PAGE, same diseases in the thirty-three large English towns. The For the St. Mary’s Hospital Medical School, a College fatal cases of whooping-cough, which had increased from (designate) in the Univeisity. 16 to 22 in the preceding three weeks, declined E. NETTLESHIP, For the St. ThomaF’s Hospital Medical School, a College last week to 15, of which 10 occurred in Glasgow and 2 (designate) in the University. in Paisley. The 13 deatrsfrom diarrhoea showed MARCUS BE’JK. For the Faculty of Medicine of University College, a further increase upon recent weekly numbers, and included 6 in Glasgow. The fatal cases of "fever," which London, a College (designate) in the University. E. GARRETT ANDERSON, had been 8 and 3 in the previous two weeks, rose again For the London School of Medicine for Women, a last week to 10, of which 6 occurred in Glasgow. Of the College (designate) in the University. * Hon. Sec. to the Committee of the Delegates of the Metropolitan 9 deaths referred to measles, 5 were recorded in Glasgow Medical Schools. and 4 in Edinburgh ; and of the 8 fatal cases of diphtheria, Feb. 17th, 1892. 3 occurred in Glasgow and 2 in Aberdeen. The 7 deaths from scarlet fever showed a further increase upon recent weekly numbers, and included 5 in Glasgow. The deaths VITAL STATISTICS. referred to diseases of the respiratory organs in these towns, which had declined in the preceding four weeks from 230 to 146, rose again last week to 154, and exceeded by 14 the HEALTH OF ENGLISH TOWNS. IN thirty-three of the largest English towns 5137 birtbs number in the corresponding week of last year. The causes and 4125 deaths were registered during the week ending of 56, or 10 per cent., of the deaths in these eight towns last Feb. 20th. The annual rate of mortality in these towns, week were not certified. which had declined in the preceding four weeks from 35-4 to HEALTH OF DUBLIN. 23-1 per 1000, further fell last week to 21 -1. In London the rate was 20-7 per 1000, while it averaged 21-4 in the The death-rate in Dublin, which had declined in the thirty-two provincial towns. The lowest rates in these four preceding weeks from 54’1 to 31-8 per 1000, rose towns last week were ]3.0 in Derby, 15’5 in Bradford, 15’7 again to 37-4 during the week ending Feb. 20bh. During in Sunderland, and 16-9 in Wolverhampton; the highest the first seven weeks of the current quarter the death-rate rates were 26-4 in Oldham, 26-5 in Burnley, 27 7 in Black- in the city averaged 39-6 per 1000, against 33-7 in London burn, and 28-2 in Preston. The 4125 deaths included 383, and 20-3 in Edinburgh. The 251 deaths in Dublin during which were referred to the principal zymotic diseases, against the week under notice showed an increase of 38 upon the numbers declining from 604 to 386 in the preceding five number in the preceding week, and included 4 which weeks ; of these, 177 resulted from whooping-cough, 86 from were referred to diarrhoea, 3 to measles, 3 to whoopingtmeasles, 48 from diarrhoea, 29 from diphtheria, 23 from cough, 2 to scarlet fever, 1 to enteric fever, and not one scarlet fever, 18 from "fever"(principally enteric), and either to small-pox or diphtheria. In all, 13 deaths two from small-pox. No fatal case of any of these diseases resulted from these principal zymotic diseases, equal was registered either in Plymouth or in Hull; in to an annual rate of 1’9 per 1000, the zymotic rate the other towns the lowest zymotic death-rates were for the same period being 2-4 in London and 2-2 in recorded in Brighton, Croydon, and Derby, and Edinburgh. The fatal cases of whooping-cough, which highest in Liverpool, Burnley, Cardiff, and Blackburn. The had been 2 and 3 in the preceding two weeks, were again greatest mortality from measles occurred in Liverpool, 3 last week. The 3 deaths referred to measles exceeded the Swansea, Norwich, and Sunderland ; from scarlet fever number in any recent week, and the 2 fatal cases of scarlet in Cardiff; from whooping-cough in London, West Ham. fever were the first recorded within the city since October Manchester, Burnley, Sheffield, and Bristol; from "fever" last. The 251 deaths in Dublin last week included 39 ia Blackburn ; and from diarrhoea in Nottingl am, Preston, of infants under one year of age, and 78of persons aged ’

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