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Diagnosis and treatment of venereal diseases
4O
PUBLIC HEALTH.
of .llanag;ement and Medical Director (%i1" Pendrill Varrier-Jones) for 1934 will be read widely, and with interest, by many outside the medical profession. The brief historical survey and statement of the Director of the molives which led to the foundation of the settlemenl in 1914 form an excellent opening to the rel)ort. It was because he was impressed with lhe fulilitv of advising ex-sanatorium patients to find a light open-air job, and with the short dr,ration of philanthropical employment under norllla[ labour condilions, thal he concluded thai Ih0 luberculosis inslitulion mllfil become ilself a benign employer of labour. The problem was not only to deal with the tuberculous expatient, but also with his family, and, moreover, it seemed useless to aim at the production of individual craftsmen whose individual and perhaps clumsily produced articles would find a limited market at charity sales and bazaars. The successful craftsman is usually •:t born genius and the utmost capacily of most patienls seeking work is to become good machinists. So workshops stocked with modern machinery were erected at Papworth, and it is largely to the foresight of this step lhat the success of the colony is due. Producls to the value of £100,000 were placed on the market last 3'ear. The medical officer in charge of the patients (Dr. Stolt) gives an interesting review of work at tile hospital, the out-patients' department, and in the clinics, while a wide tield of research is being covered by l)r. ~V. Pagel who deals with pathology and bacteriology, and by Dr. B. Cruikshank in chemical pathology and biochemistry. So many subjects have been attacked by these workers that the reader is left a little uncertain as to how far they can have progressed in each direction. Six subjects are being investigated by l)r. Pagel : - (1) The investigation of an inactive and pleomorphic ttlberculous virus (a somewhat intriguing subject). (2) Histological investig'ations" of the appearances of cultures. (3) Determination of a special type of ha~matogenot,s pulmonary tuberculosis in the adult, with special reference to endogenous reinfection. (4) The pathogenesis of pulmonary tuberculosis in the adult. (,5) Histological studies of chronich~ematog e n o u s tuberculosis.
N O \I.:M BEI~,,
((;) Experinwntal studies of al,el~y and •
I
-o"
-
immunity. Dr. Cruikshank in his lurn is pursuing" four lines of research : - (1) A preliminary survey of lhe literature on the biology of zinc with special reference lo its importance in tuberculosis. (2) An investigation of the value of Tribotflet's test in intes|inal tul)erculosis. ('0 :\ study of the vahle of autogenous protein injeclions in human tul)erculosis. (4) An analysis of lhe factors governing the increased labililv of blood proteins in tuber L c.ulosis. These researches, in addition Io their routine work, must occupy the time of Drs. Pagel and Cruikshank quite fully. The Papworth Report is most welcome, and it is generally recognised that the initiation and success of this experiment is owed almost entirely to the personality, the business ability, the energy and the foresight of Sir Pendrill Varrier-Jones.
Diagnosis and Treatment of Venereal Diseases. a memorandum (190/V) addressed Io the I Nauthorities of treatment centres approved 1)y the :Minister of Health under the Public Health (Venereal l)iseases) Re~'ulations, 1916, the Ministry of tleal/h draws altention to a revision made in lhe personal card (form V.15) al present in use for lhe purpose in cerlain cases of providing gt brief record of the diagnosis of the patient's case and of the treatment given, with a view to securing that the particulars of each case, and of the various treatments given, are recorded in a more uniform manner than hitherto and on a clearly defined basis according to the instructions which are contained on the card. The new card (form \7.15--revised) it is suggested should b e used in order to secure continuity of treatment in the case of patients removing from one area to another, and particularly in lho case of patients whose occupations render it necessary for them to lravel about the country and who are consequently unable to attend regularly at the same treatment centre. The particulars indicated in the card should be filled up by the medical officer of the treatment centre and the card handed to the patient with directions to present it to the medical officer of the treatment centre which the patient will next attend. Provision is
19a-,.
PUBLIC
inade in the n e w c a r d for t h e s y s t e m a t i c mJiin,g, d u r i n g each c o u r s e o17 lreatm,.;nl, of lhe m e d i c a l officers' f i n d i n g s on t h e s t a g e of the disease, t h e n a t u r e a n d l o c a l i s a t i o n o f t h e lesions a n d a n y c o m p l i c a t i o n s o r s y m p t o m s o f intolerance to l:reatrnent, etc. I n t h i s w a y , t h e work of s u c c e s s i v e m e d i c a l officers d e a l i n g wilh a case a n d t h e c h o i c e o f s u i t a l ) l e c o u r s e s of l r e a l m e n t s h o u l d b e f a c i l i t a t e d .
Obituary. [,I,:\\'|S ~[OR(;AN, .\1.1~,., ('ll.B.
T
I I E S o c i e t y r e c o r d s w i l h re~,'rel l h e d e a l h of 1)r. l . e w i s M o r g a n , an A s s i s t a n t T u b e r -
HEALTH.
41
culosi~ Officer in l h e l ) t u - h a l n ( ' o v n l y : l l e a l t h l)epartment. B o r n in 1899, a n d e d u c a t e d at l)urham School, Dr. Lewis joined the Army a t t h e a g e o f 17 a n d s e r v e d d u r i n g t h e G r e a t War with distinction, being awarded the M i l i t a r y ( ' r o s s for m a i n t a i n i n g h i s g u n s in a c t i o n in a c o n c e n t r a t e d b o m b a r d m e n t . After h e h a d g r a d u a t e d at A b e r d e e n U n i v e r s i l y in 1925 h e w a s a p p o i n t e d H o u s e S u r g e o n a t Sunderland Royal Infirmary, and later held a s i m i l a r p o s i t i o n in S h e r b u r n t t o s p i t a l . T i f f s w a s f o l l o w e d b v h i s a p p o i n t m e n t to D u r h a m w h e r e h e r e m a i n e d u p to t h e t i m e of h i s d e a t h . l ) r . M o r g ' a n w a s a F e l l o w of t h e S o c i e t y o f M e d i c a l O f f i c e r s of t l e a l l h , a l t a c h e d to tilt*. Norlhern Branch.
THE ROYAL SANITARY INSTITUTE. THE Royal Sanitary Institute have accepted an invitation to hold the next Health Congress at Southport from July 6th to 1 lth, 193.5.
" T}IE Cause and Modern Treatment of Speech Disorders " will be discussed by Dr. E. J. Boome, Divisional Medical Officer, Public Health Department, London County Council, at a meeting of the Royal Sanitary Institute to be held at 90, Buckingham Palace Road, London, S.W.I, on December 10th, 1935, at 5.30 p.m. TH~ Benjamin Ward Richardson Lecture (founded by the Model Abattoir Society) will be delivered at the Royal Sanitary Institute, 90, Buckingham Palace Road, London, S.W.1, on November 12th, 1935, at 5.30 p.m., by Dr. M. T. Morgan, M.C., Medical Officer, Ministry of Health. The title of the lecture will b e : " Some Details of the System of Health Inspection of Meat and Meat Products destined for export, in the great abattoirs of South America." Sir Arthur Newsholme, K.C.B., M.D., F.a.C.P., will preside. A SESSIONALMeeting of the Royal Sanitary Institute, under the Chairmanship of Dr. James Fenton (Chairman of Council), will be held at Leamington on Friday and Saturday, November 15th and 16th, 1935. On Friday, at 4 p.m., in the Town Hall, the Mayor will entertain the members at tea, followed by discussions on " Medicine at Health Resorts," to be opened by Dr. Frank Clayton, and on " The Effects of Gas Works Liquors on Sewage and its Treatment," to be opened by Dr. A. Key, Chief Research Chemist, Institute of Gas Engineers. On Saturday, at 10 a.m., visits will be made to the medical treatment baths, the Royal Pump Room, the swimming baths, etc.
IN conjunction with the Yorkshire Branch of the Society of Medical Officers of Health, a meeting of the Royal Sanitary Institute will be held at Barnsley on November 29th, 1935, under the ehairmanship of Dr. J. Macmillan, D.S.O., ~a.c. (Member of the Council of the Institute). At 2.30 p.m. members will meet at the Town Hall for visits to (a) the Central Medical Services Clinic, and the rehousing estate, (b) the disinfesting station and the Kendray infectious diseases hospital, and (c) the Co-operative Society's pasteurisation plant. At 4.15 p.m. the Mayor will receive the members and tea will be provided. At 5 p.m., in the Town Hall, papers will be submitted on " Diphtheria Immunisation," by Dr. J. A. Scott, Medical Officer of Health, F u l h a m ; on " The Disinfestation of Slum Houses and Furniture," by Mr. J. W. Mellor, Chief Sanitary Inspector, Barnsley ; and on " Some Notes on Water Supply," by Mr. J. R. Fox, M.INST.C.E., Waterworks Engineer, Barnsley. A SOUTH African Health Congress will be held at the University Buildings, Cape Town, from February 2nd to 8th, 1936. The Right Hon. Lord Balfour of Burleigh is President of the Congress, which is convened by the South African Branch of the Royal Sanitary Institute, in association with the South African Society of Medical Officers of Health and the South African Health Officials Association. Other representatives of the Royal Sanitary Institute attending include Dr. James Fenton (Chairman of Council) and Dr. J. W. Dudley Robinson (Secretary of the Institute). T h e opening address will be delivered by the Hon. J. H. Hofmeyr, M.P., Minister for Public Health. T h e Christmas excursions of the shipping companies at reduced fares will be available for Congress members from Great Britain, and those interested are invited to apply for full particulars to the Secretary, Royal Sanitary Institute, 90, Buckingham Palace Road, London, S.W.1.
PUBLIC HEALTH.
of .llanag;ement and Medical Director (%i1" Pendrill Varrier-Jones) for 1934 will be read widely, and with interest, by many outside the medical profession. The brief historical survey and statement of the Director of the molives which led to the foundation of the settlemenl in 1914 form an excellent opening to the rel)ort. It was because he was impressed with lhe fulilitv of advising ex-sanatorium patients to find a light open-air job, and with the short dr,ration of philanthropical employment under norllla[ labour condilions, thal he concluded thai Ih0 luberculosis inslitulion mllfil become ilself a benign employer of labour. The problem was not only to deal with the tuberculous expatient, but also with his family, and, moreover, it seemed useless to aim at the production of individual craftsmen whose individual and perhaps clumsily produced articles would find a limited market at charity sales and bazaars. The successful craftsman is usually •:t born genius and the utmost capacily of most patienls seeking work is to become good machinists. So workshops stocked with modern machinery were erected at Papworth, and it is largely to the foresight of this step lhat the success of the colony is due. Producls to the value of £100,000 were placed on the market last 3'ear. The medical officer in charge of the patients (Dr. Stolt) gives an interesting review of work at tile hospital, the out-patients' department, and in the clinics, while a wide tield of research is being covered by l)r. ~V. Pagel who deals with pathology and bacteriology, and by Dr. B. Cruikshank in chemical pathology and biochemistry. So many subjects have been attacked by these workers that the reader is left a little uncertain as to how far they can have progressed in each direction. Six subjects are being investigated by l)r. Pagel : - (1) The investigation of an inactive and pleomorphic ttlberculous virus (a somewhat intriguing subject). (2) Histological investig'ations" of the appearances of cultures. (3) Determination of a special type of ha~matogenot,s pulmonary tuberculosis in the adult, with special reference to endogenous reinfection. (4) The pathogenesis of pulmonary tuberculosis in the adult. (,5) Histological studies of chronich~ematog e n o u s tuberculosis.
N O \I.:M BEI~,,
((;) Experinwntal studies of al,el~y and •
I
-o"
-
immunity. Dr. Cruikshank in his lurn is pursuing" four lines of research : - (1) A preliminary survey of lhe literature on the biology of zinc with special reference lo its importance in tuberculosis. (2) An investigation of the value of Tribotflet's test in intes|inal tul)erculosis. ('0 :\ study of the vahle of autogenous protein injeclions in human tul)erculosis. (4) An analysis of lhe factors governing the increased labililv of blood proteins in tuber L c.ulosis. These researches, in addition Io their routine work, must occupy the time of Drs. Pagel and Cruikshank quite fully. The Papworth Report is most welcome, and it is generally recognised that the initiation and success of this experiment is owed almost entirely to the personality, the business ability, the energy and the foresight of Sir Pendrill Varrier-Jones.
Diagnosis and Treatment of Venereal Diseases. a memorandum (190/V) addressed Io the I Nauthorities of treatment centres approved 1)y the :Minister of Health under the Public Health (Venereal l)iseases) Re~'ulations, 1916, the Ministry of tleal/h draws altention to a revision made in lhe personal card (form V.15) al present in use for lhe purpose in cerlain cases of providing gt brief record of the diagnosis of the patient's case and of the treatment given, with a view to securing that the particulars of each case, and of the various treatments given, are recorded in a more uniform manner than hitherto and on a clearly defined basis according to the instructions which are contained on the card. The new card (form \7.15--revised) it is suggested should b e used in order to secure continuity of treatment in the case of patients removing from one area to another, and particularly in lho case of patients whose occupations render it necessary for them to lravel about the country and who are consequently unable to attend regularly at the same treatment centre. The particulars indicated in the card should be filled up by the medical officer of the treatment centre and the card handed to the patient with directions to present it to the medical officer of the treatment centre which the patient will next attend. Provision is
19a-,.
PUBLIC
inade in the n e w c a r d for t h e s y s t e m a t i c mJiin,g, d u r i n g each c o u r s e o17 lreatm,.;nl, of lhe m e d i c a l officers' f i n d i n g s on t h e s t a g e of the disease, t h e n a t u r e a n d l o c a l i s a t i o n o f t h e lesions a n d a n y c o m p l i c a t i o n s o r s y m p t o m s o f intolerance to l:reatrnent, etc. I n t h i s w a y , t h e work of s u c c e s s i v e m e d i c a l officers d e a l i n g wilh a case a n d t h e c h o i c e o f s u i t a l ) l e c o u r s e s of l r e a l m e n t s h o u l d b e f a c i l i t a t e d .
Obituary. [,I,:\\'|S ~[OR(;AN, .\1.1~,., ('ll.B.
T
I I E S o c i e t y r e c o r d s w i l h re~,'rel l h e d e a l h of 1)r. l . e w i s M o r g a n , an A s s i s t a n t T u b e r -
HEALTH.
41
culosi~ Officer in l h e l ) t u - h a l n ( ' o v n l y : l l e a l t h l)epartment. B o r n in 1899, a n d e d u c a t e d at l)urham School, Dr. Lewis joined the Army a t t h e a g e o f 17 a n d s e r v e d d u r i n g t h e G r e a t War with distinction, being awarded the M i l i t a r y ( ' r o s s for m a i n t a i n i n g h i s g u n s in a c t i o n in a c o n c e n t r a t e d b o m b a r d m e n t . After h e h a d g r a d u a t e d at A b e r d e e n U n i v e r s i l y in 1925 h e w a s a p p o i n t e d H o u s e S u r g e o n a t Sunderland Royal Infirmary, and later held a s i m i l a r p o s i t i o n in S h e r b u r n t t o s p i t a l . T i f f s w a s f o l l o w e d b v h i s a p p o i n t m e n t to D u r h a m w h e r e h e r e m a i n e d u p to t h e t i m e of h i s d e a t h . l ) r . M o r g ' a n w a s a F e l l o w of t h e S o c i e t y o f M e d i c a l O f f i c e r s of t l e a l l h , a l t a c h e d to tilt*. Norlhern Branch.
THE ROYAL SANITARY INSTITUTE. THE Royal Sanitary Institute have accepted an invitation to hold the next Health Congress at Southport from July 6th to 1 lth, 193.5.
" T}IE Cause and Modern Treatment of Speech Disorders " will be discussed by Dr. E. J. Boome, Divisional Medical Officer, Public Health Department, London County Council, at a meeting of the Royal Sanitary Institute to be held at 90, Buckingham Palace Road, London, S.W.I, on December 10th, 1935, at 5.30 p.m. TH~ Benjamin Ward Richardson Lecture (founded by the Model Abattoir Society) will be delivered at the Royal Sanitary Institute, 90, Buckingham Palace Road, London, S.W.1, on November 12th, 1935, at 5.30 p.m., by Dr. M. T. Morgan, M.C., Medical Officer, Ministry of Health. The title of the lecture will b e : " Some Details of the System of Health Inspection of Meat and Meat Products destined for export, in the great abattoirs of South America." Sir Arthur Newsholme, K.C.B., M.D., F.a.C.P., will preside. A SESSIONALMeeting of the Royal Sanitary Institute, under the Chairmanship of Dr. James Fenton (Chairman of Council), will be held at Leamington on Friday and Saturday, November 15th and 16th, 1935. On Friday, at 4 p.m., in the Town Hall, the Mayor will entertain the members at tea, followed by discussions on " Medicine at Health Resorts," to be opened by Dr. Frank Clayton, and on " The Effects of Gas Works Liquors on Sewage and its Treatment," to be opened by Dr. A. Key, Chief Research Chemist, Institute of Gas Engineers. On Saturday, at 10 a.m., visits will be made to the medical treatment baths, the Royal Pump Room, the swimming baths, etc.
IN conjunction with the Yorkshire Branch of the Society of Medical Officers of Health, a meeting of the Royal Sanitary Institute will be held at Barnsley on November 29th, 1935, under the ehairmanship of Dr. J. Macmillan, D.S.O., ~a.c. (Member of the Council of the Institute). At 2.30 p.m. members will meet at the Town Hall for visits to (a) the Central Medical Services Clinic, and the rehousing estate, (b) the disinfesting station and the Kendray infectious diseases hospital, and (c) the Co-operative Society's pasteurisation plant. At 4.15 p.m. the Mayor will receive the members and tea will be provided. At 5 p.m., in the Town Hall, papers will be submitted on " Diphtheria Immunisation," by Dr. J. A. Scott, Medical Officer of Health, F u l h a m ; on " The Disinfestation of Slum Houses and Furniture," by Mr. J. W. Mellor, Chief Sanitary Inspector, Barnsley ; and on " Some Notes on Water Supply," by Mr. J. R. Fox, M.INST.C.E., Waterworks Engineer, Barnsley. A SOUTH African Health Congress will be held at the University Buildings, Cape Town, from February 2nd to 8th, 1936. The Right Hon. Lord Balfour of Burleigh is President of the Congress, which is convened by the South African Branch of the Royal Sanitary Institute, in association with the South African Society of Medical Officers of Health and the South African Health Officials Association. Other representatives of the Royal Sanitary Institute attending include Dr. James Fenton (Chairman of Council) and Dr. J. W. Dudley Robinson (Secretary of the Institute). T h e opening address will be delivered by the Hon. J. H. Hofmeyr, M.P., Minister for Public Health. T h e Christmas excursions of the shipping companies at reduced fares will be available for Congress members from Great Britain, and those interested are invited to apply for full particulars to the Secretary, Royal Sanitary Institute, 90, Buckingham Palace Road, London, S.W.1.