CONSTANTINOPLE.

CONSTANTINOPLE.

74 cent. strength, was applied to the skin of the upper arm or the abdomen, the effect being that in cases of tuberculosis a papular or pustular exant...

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74 cent. strength, was applied to the skin of the upper arm or the abdomen, the effect being that in cases of tuberculosis a papular or pustular exanthem developed in from 12 to 36 hours, disappearing again after a few days. The method was applied in 65 cases of suspected tuberculosis, and in 15 the reaction proved positive, confirming the results of the physical examination of the patient. By the Moro test cases of apparently harmless bronchitis and anasmia could be diagnosed as tuberculous, the examination of the sputum showing tubercle bacilli at a later stage. On the other hand, in a case where tuberculous pleuritis was suspected, but the reaction with the ointment was negative, a malignant growth of the pleura was afterwards recognised. The ointment test is preferable to the Pirquet method and the ophthalmo-reaction, Dr. Weil says, being of easy application and free from danger without being less reliable. Dec. 27th, 1909. __________________

BUDAPEST. (FROM

OUR

OWN

CORRESPONDENT.)

Typhoid Fever in Hungary. THE outbreak of typhoid fever, which has already caused many deaths, is still on the increase, although the authorities are doing their best to check its spread. Isolation hospitals are being hastily built even in villages having a population not exceeding.4000 persons. Cases are isolated by force, if ’, necessary, and yet the disease continues to spread in an uncontrollable manner. As an example of its prevalence, I may mention that in Nagyvarad, a city of 60,000 inhabitants, 395 cases of typhoid fever have been notified since August 1st, I and it may be assumed that at least a hundred cases escaped notification. Up to Dec. 1st there were 51 deaths due to typhoid fever in Nagyvarad, which has an excellent watersupply and sewerage system. It may therefore be imagined how much greater must be the morbidity and the ravages of the disease in smaller towns and villages. In the Elesd district, for instance, there is scarcely one house without at least one case of typhoid fever or dysentery. Two officials, designated sanitary superintendents, who were sent by the Minister of Public Health to visit every village and to find out the cause of the epidemics, have come to the conclusion that the spread of the disease was due to the indescribable misery of the people. In consequence of this state of affairs the superintendents, without waiting for the instructions of the Minister, made arrangements on their own responsibility : they caused the houses to be whitened afresh ; they filled up all the old wells; they divided the houses into certain groups, and for every group new wells have been bored; they erected temporary dwellings, and did what they- could to improve the food-supply of the people by establishing kitchens where soup, meat, and vegetables These arrangements-made also in were distributed daily. other parts of the country-have cost up to the present time about 1,000,000 kronen (£40,000). At Budafok, a village near Budapest, one case of exanthematous fever has been notified. The source of the infection could not be traced because the patient, who was a commercial traveller, has travelled within the last month in Switzerland, Germany. The authorities have taken all needful precautions to isolate him, and 16 days have now elapsed without the occurrence of a second case. The isolation of cases of typhoid fever has been very difficult until this epidemic, because the Contagious Diseases Act has not hitherto ’, empowered the authorities to use force if necessary for the removal of patients to the isolation hospitals. Now, however, on account of the great dimensions which the epidemic has assumed, the various boards of health are invested with powers of compulsory removal.

Intending purchasers, including sanatoriums, have already

come

great many hospitals and forward, and in supplying

a

them applications from the Austrian dominions will have priority over those sent from abroad. In Joachimsthal further quantities of radium have been found, and chemical work has resulted in the discovery of additional radio-active

elements. Conferment of

a Medical Degree on Coicnt Apponyi. The Official Journal announces that His Majesty King Francis Joseph has graciously consented to the Budapest University of Sciences conferring on Count Albert Apponyi, the present Minister of Public Instruction, the degree of a honorary Doctor of Medicine. This academic distinction is given in recognition of his services in connexion with the Sixteenth International Congress of Medicine held this year at Budapest. It may be remembered that Count Apponyi was in London at the Inter-Parliamentary Conference. Medical Students at the University of Budapest. According to the recently published calendar of the University of Budapest, the number of medical students has increased to 1688, of whom 60 were females. The medical faculty of this University is one of the best attended in Europe, being exceeded in point of numbers only by Paris and Munich. Dec. 27th, 1909. __________________

CONSTANTINOPLE. OUR OWN CORRESPONDENT.)

(FROM

Foreign Medical Men. FOR the first time a British qualified medical man has failed to satisfy the examiners in the so-called "colloquium," to which foreign physicians desirous of practising in Turkey are submitted. The unsuccessful candidate had come out as a missionary of a London society and the medical authorities refused to admit him to a second trial. It is evident that the Turks, who often act very hastily, have determined to limit the influx of medical missionaries into their country. I learn that in the near future every foreign medical man will have to pass the colloquium in the Turkish language and that the whole standard of the examination will be raised. Those who fail will have to take a complete medical course in the Constantinople Faculty of Medicine. Nobody can object to the raising of the standards of efficiency, but exception can be taken to the unfairness of doing so without warning. Such methods can only be prejudicial to the Turks themselves, who would be serious losers under any system of .

boycott. Cerebro-spinal Meningitis. It is reported that in the school Idadié of Macrikeuy, a district on the Sea of Marmora, three cases of cerebrospinal meningitis have occurred. The municipality of the city has ordered a thorough disinfection of the school and its closure for a week.

Adulterated Soda Water. A medical examination has shown that the bottled . soda water produced here for drinking purposes is not of the required standard of purity, being frequently adulterated. The hygienic conditions of the factories have been found anything but satisfactory. The Ministry of the Interior has therefore advised the municipality to close all factories of soda water in which the beverage is not made according to strict hygienic requirements. lhe German Hospital. Dr. Alexander Cambouroglou Pasha, a well-known medical authority in Constantinople, who for a number of years superintended the surgical work of the German Hospital, has resigned that post, being succeeded by Dr. Orhan Abdi, professor of surgery in the Medical Faculty of Constantinople. Radium and Other Radio-active Substances. The last-named gentleman is reputed to be one of the best The Ministry of Public Works in Austria has recently been surgeons of the city. He has studied in the University of attached to the Public Hospital of considering the question of the sale of radium to the public Bonn, and was for a time in the surgical clinique of Professor Hamburg, working the State and has fixed at be sold. the which it is to by price Professor Francis Esner has found that 1 gramme of pure Hoffas. The Austro-Hungarian Hospital. radium can be extracted from the crude material supplied from Joachimsthal, and this will be sold out in portions of The Austro-Hungarian Government is reported to have 1 milligramme which will cost 380 kronen (£16). The State bought a large piece of ground at Taxim (above Pera) on will therefore receive 380,000 kronen (.616,000) for the lot. which it is intended to erect a new Austro-Hungarian

Italy, and

,

,

75 Tlee New Hall of the C’ollege of Physicians of Philadelphia. Hospital. The old one at Azap-Kapou does not meet all the growing requirements of the institution. The plans of the The College of Physicians of Philadelphia is the oldest new establishment will be submitted by an architect from medical organisation in the United States, having been Vienna. The total cost of its erection is estimated at founded in 1787. The society is a scientific and not a will be 2,500,000 francs. It equipped in the most modern and has a library only second to that of the teaching body, The work of will in construction the month of begin style. Surgeon-General in completeness. Excluding duplicates, February next. it contains nearly 100,000 volumes. It contains some rare The Aviator Blériot. such as one of the six copies of Harvey’s " De Motu works, The well-known aviator Bleriot has been rather unfor- Cordis et Sanguinis," owned in the United States, the copy tunate in his attempt to cross the Bosphorus in his aerothe more rare final leaf containing errata. having The plane. His flying machine struck the roof of a house at its museum of the late Professor Mutter was given to the very first ascent and was totally disabled. Bleriot himself College; it covers a floor space of 3500 square feet, and is sustained several injuries and lies at present in the French provided with several galleries. The new building, with hospital, but is convalescent. furniture and fixtures, cost$400,000 ; it is 108 by 150 feet, Medical Jlatters in Parliament. and has small and large lecture-rooms, the large auditorium Dr. Izmet Bey has drawn the attention of the Government having a seating capacity for 500 persons. The building has in Parliament to the very unsatisfactory conditions of the been dedicated with fitting ceremonies, President James sanitary system, demanding strict and immediate measures Tyson presiding, and a large number of distinguished guests He also described in lucid terms the being present. of prevention. deplorable state of those medical men who have been, under Sterilisiny Defectaves by Operative Procedures. the new régime, dismissed from the posts of various municipal Readers of THE LANCET will recall that two or three hospitals to shift for themselves. It is satisfactory to see I, recorded the enactment of a law in the State of that the Turkish Parliament admits of such questions of years ago Indiana legalising operations on defectives in order to prevent in an concern discussed manner. open being public ,

The School for

Dentistry.

dental department, properly stafEed, has been opened at premises of the old medical school in Kadirga (Stamboul). An Epidemic of Typhoid -1,’ever in Saloniki. It appears that an epidemic of typhoid fever has broken out in Saloniki, following immediately after the epidemic of virulent small-pox. The municipality is accused of being dilatory in its methods of combating the evil and of paying very little, if any, attention to the sanitary and hygienic conditions of the place, which seem to be very unsatisfactory A

the

indeed. Dec. 17th, 1909.

_________________

NEW YORK. (FROM

OUR OWN

CORRESPONDENT.)

Endowment of the American Red Cross

FOR the purpose of providing

Society. organisation capable of received by the American

an

the funds Red Cross Society for relief work President Taft has named an endowment fund committee with the Secretary of the Treasury, McVeagh, as chairman, and his assistant Norton as treasurer. The President of the United States, in an appeal, says the time has come when this society should be placed on a permanent and efficient basis by an endowment fund whose income will enable it to be prepared at all times to carry It is the out the purposes for which it was created. authorised official organisation df the United States for volunteer aid in time of war or great disaster. After such disasters as occurred at San Francisco and in Italy large contributions are received by the society, but in the constantly recurring disasters, where smaller communities are stricken, the contributions are far too small to meet the need. In the emergency which a great disaster creates the society should always have such a reserve fund immediately available as will enable it to act with the greatest promptness instead of waiting for the collection of money. By enabling the society to continue and extend its system of first-aid instruction and its courses in simple home nursing of the sick, a personnel valuable in time of disaster will not only be secured, but instruction of constant and continuing usefulness will be provided. The society received last year from the 50 per cent. of annual dues paid into the National Treasury less than 84000, while the Japanese Red Cross, from the annual dues of its 1,440,000 members, received over$1,000,000. Compared with other countries the American Red Cross endowment is infinitesimal. It consists of but$119,620, as against the following amounts of other countries, including funds and estimated value of

administering properly

the reproduction of their kind. The results of that law have been awaited with great interest, and in a recent paper we are able to determine its effects in the -practice of surgeons of that State, though no report has yet- been made of the results in institutions for the care and custody of this class. Dr. Harry C. Sharp of Indianapolis states that since October, 1899, he has been practising vasectomy in accordance with the provisions of this law and has operated on 456 cases. These cases, he says, "have afforded splendid opportunity for post-operative observation and I have never seen any In his experience there is no unfavourable symptoms." atrophy of the testicle, no cystic degeneration, no disturbed mental or nervous condition following, but, on the contrary, the patient becomes of a more sunny disposition, brighter of intellect, ceases excessive masturbation, and advises his fellows to submit to the operation for their own good. He regards this method of preventing procreation as infinitely superior to all others proposed, in that it is endorsed by the persons subjected to it ; there is no expense to the State and no sorrow or shame to the friends of the individual. He operates without an anæsthetic, ligates the spermatic cord once, divides below the ligature, and leaves the lower end patulous in order that the secretion of the testicle"may be emptied around the vessels of the pampiniform plexus and there absorbed, for it is through this process that the economy receives the tonic effect of the secretion." As to the danger that vasectomy may become popular with a certain class, Dr. Sharp advises a statute attaching criminal indictment to anyone submitting to the operation or performing the same without due process of law, which would be binding. Radium Institute of America. was formed for the purpose of making a thorough study of radium and to discover any radiferous deposits in the United States. In order to study the therapeutic value of radium the projectors of the society will purchase the requisite quantities of the substance in Europe and establish a clinic in connexion with some hospital and administer treatment free to those who require it. The officers are :-President : Professor Chandler, of the department of chemistry, Columbia University ; Vice-President : Dr. Robert Abbe, surgeon to St. Luke’s Hospital ; and Secretary : Professor Hallock, of the department of physics, Columbia University.

This institute

Tieberczilosas Preventoriiiiii "for Children. This is the curious title of a hospital or sanatorium for the care and treatment of children suffering from tuberculosis who live in the crowded parts of cities. The establishment of this institution is due to the philanthropist, Nathan Straus, who has done so much to introduce pasteurised milk into New York and other cities for the benefit of children. The institution is located in the pine woods of Lakewood and was opened in May last, since which 92 boys and girls have been received. The improvement of these children has been remarkable, and it is now proposed to increase the capacity to 400.

property-viz. : Austria,$2,474,577 ; France,$4,471,476 ; Prussia,$4,889,948; Japan,$8,080,948. The President says: "The standing of this remarkable organisation throughout the world, its importance to our own country, and its beneficent influence for peace and goodwill in international relief work commend it to the and women of the United States."

public-spirited



men

!

Dec. 16th, 1909.