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INFECTIOUS DISEASE IN ENGLAND AND WALES DURING THE WEEK ENDED NOV. 2ND, 1929.
1061 11 deaths from diarrhoea, Manchester 8, percentage of defects found is much below the pool still reports and Hull 5 each. Birmingham as for a whole. The average England travelling dental clinic, adopted early in this county, appears to The number of stillbirths notified during the week be yielding good results ; for example, the proportion was 252 (corresponding to a rate of 39 per 1000
the
of children found to need dental treatment in 1928 only 40 per cent., compared with 65 per cent. in 1914. The percentage was even lower in 1922, and Mr. J. C. Evered, L.D.S., suggests an interesting explanation. The greatest crop of dental cases occurs at 7, so it would be especially the children born in 1915 who would affect the figures. Now whereas in central European countries the nutrition of the children suffered severely at that time, the opposite was the case in this country, perhaps on account of high wages and separation allowances. Hence it may be that better nutrition in infancy produced teeth more resistant to decay. In 1928 the percentage of refusals was lower by 1-7 per cent. than last year, an improvement to be attributed largely to the enlightenment of the parents, for which special efforts have been made at the welfare centre and the women’s institute, good use being made of cinema films. In this type of area it is not surprising that the establishment of an orthopaedic scheme will need an orthopaedic surgeon to visit several local centres in turn, and an orthopaedic nurse to travel about constantly. In country districts the new grouping of schools makes the provision of meals specially important, and a good account is given of plans to cope with the difficulty ; special mention is made of what is done at the Bassingbourn Council School, where a good dinner is provided at a cost of 2. A few children whose nutritional state is so bad as to prejudice their education are sent to residential schools. Owing to the scattered nature of thedistrict no special nursery schools have been established. There has been a striking improvement in cleanliness, very satisfactory for a rural area ; only 4 per cent. of the school-children were found to be not clean. There should, says Dr. Robinson, be a still further reduction in future years, as the girls grow to the age of motherhood who have become familiar with the problem through the scheme of school medical inspection. The same thought for coordination and continuity is evident in the lectures to mothers and in the extension of treatment of squint to the infants under the care of the health visitors. was
open-air
INFECTIOUS DISEASE IN ENGLAND AND WALES DURING THE WEEK ENDED NOV. 2ND, 1929. Notifications.-The following cases of infectious disease were notified during the week :-Small-pox, 168 (last week 131) ; scarlet fever, 3487 ; diphtheria, 1748 ; enteric fever, 83 ; pneumonia, 979 ; puerperal
fever, 42 ; puerperal pyrexia, 96 ; cerebro-spinal fever, 4; acute poliomyelitis, 20 ; acute polio-encephalitis, 4 ; encephalitis lethargica, 15 ; dysentery, 7 ; ophthalmia neonatorum, 108. No case of cholera, plague, or typhus fever was notified during the week. in the Infectious Hospitals of the Board on Nov. 5th-6th was as follows :-Small-pox, 173 under treatment, 8 under observation (last week 172 and 12 respectively) ; scarlet fever, 2763 ; The number of
cases
Metropolitan Asylums
diphtheria, 2537 ;enteric fever, 97 ; measles, 271 ; whooping-cough, 121 ; puerperal fever, 25 (plus 16 babies) ; encephalitis lethargica, 124 ; poliomyelitis, 9 ; "other diseases," 22. At St. Margaret’s Hospital there were 12 babies (plus 8 mothers) with ophthalmia neonatorum. Deaths.-In the aggregate of great towns, including
London, there was no death from small-pox, 7(1) from enteric fever, 20 (4) from measles, 7 (0) from scarlet fever, 15 (1) from whooping-cough, 39 (6) from diphtheria,
102 (30) from diarrhoea and enteritis under two The figures in years, and 40 (9) from influenza. parentheses are those for London itself. The deaths from enteric fever outside London
were
reported from Wood Green, West Bromwich, Grimsby, Wigan, Doncaster, and Newcastle-on-Tyne, 1 each. Liver-
births), including
38 in London.
The Services. ROYAL NAVAL MEDICAL SERVICE. Lt. J. Hamilton to be Surg. Lt.-Comdr. Surg. The following appointments have been made :-Surg. Comdrs. W. W. D. Chilcott to Emperor of India; H. B. Parker to Hawkins;W. C. Carson to Vzclcan; J. M. Horan to DelhiM. S. Moore to .Luciaand G. B. Cockrem to Vivid, for R.N. Barracks, Devonport. Surg. Lt.-Comdr. (D.) R. T. M. Andrews to Vivid, for R.N. Barracks, Devonport. Surg. Lts. ; C. Keating to President, for three months’ post-graduate course ; R. C. Foster to Vivid, for R.N. Hospital, Plymouth ; R. H. Dummett to Vivid, for R.N. Barracks, Devonport; and J. B. Douglas to Hawkins. ROYAL NAVAL VOLUNTEER RESERVE.
Surg. Sub-Lt. W. Greaves
to be
Surg. Lt.
ROYAL ARMY MEDICAL CORPS. The undermentioned Capts. to be Majs. : Bt. Maj. R. E. Barnsley, J. R. N. Warburton (and remains secd.), W. L. E. Reynolds, A. Mearns, A. E. Richmond, and T. B. H. Tabuteau. TERRITORIAL FORCE.
Maj. T. H. Oliver resigns his commn. Capt. 0. G. Misquith to comd. 7th (Southern) Hygiene Co. Capt. E. H. Mayhew, having attained the age limit, relinquishes his commn. and retains his rank. Lts. J. Kerr and E. R. C. Walker to be Capts. E. M. R. Frazer (late Offr. Cadet, Edinburgh Univ. Contgt., Sen. Div., O.T.C.) to be Lt. ROYAL AIR FORCE. W. S. Stalker is granted a temporary commission as a Flight Lt. Flying Offrs. Leo O’Connor, A. L. St. A. McClosky, and Ronald Thorpe are promoted to the rank of Flight Lts. Flight Lt. (Acting Squadron Leader, Hon. Wing Commander) J. N. MacDonald is promoted to the acting rank of Wing Commander, with pay, whilst so employed. Flying Offr. E. A. Wilson relinquishes his short service commission on account of ill-health. Flying Offr. V. G. Pedley (Temp. Lt., General List, Army, Dental Surgeon) relinquishes his temporary commission in the R.A.F. on completion of service. ,
INDIAN MEDICAL SERVICE. Lt. Thaku Chuharmal Ramchandani to be Capt. (prov.). Lt.-Col. J. Forrest retires. The undermentioned relinquish their temp. commns.: Temp. Capts. Hari Krishna Datta and Shiv Shanker Gupta, and Temp. Lt. Ellamana Siva Rama Menon.
COLONIAL MEDICAL SERVICES. The following appointments were made during October : Dr. F. D. Gillespie, Dr. H. Scrimegeour, Dr. J. H. Strahan Dr. T. F. Strong, and Dr. S. N. Swift, Medical Officers, Federated Malay States ; Dr. C. E. Hagenbach, Medical Officer, Malayan Medical Service ; Dr. W. S. Smith, Medical Officer, Gold Coast; Dr. H. S. R. Broadbent, Medical Officer, Kenya ; Dr. A. R. Cox, Medical Officer, Northern Rhodesia ; Dr. Peaston, Medical Officer, Sierra Leone ; Dr. D. Russell, Assistant Medical Superintendent, Mental Hospital, Singapore ; Dr. J. J. Black, Dr. R. I. Hyder, and Dr. G. A. T. Jones, Medical Officers, Uganda; and Dr. R. Ramsay and Dr. P. B. Wilkinson, Medical Officers on the West African Medical Staff.
PRESENTATION TO A MEDICAL MAN.-Dr. Robert Fell, who has been the senior anaesthetist at the York County Hospital for 20 years and who has lately retired from the active staff, was entertained at dinner last week by
colleagues. Dr. W. A. Evelyn, senior physician to the hospital, was in the chair, and after dinner Dr. Fell was his
presented with
a
silver salver.
the
of children found to need dental treatment in 1928 only 40 per cent., compared with 65 per cent. in 1914. The percentage was even lower in 1922, and Mr. J. C. Evered, L.D.S., suggests an interesting explanation. The greatest crop of dental cases occurs at 7, so it would be especially the children born in 1915 who would affect the figures. Now whereas in central European countries the nutrition of the children suffered severely at that time, the opposite was the case in this country, perhaps on account of high wages and separation allowances. Hence it may be that better nutrition in infancy produced teeth more resistant to decay. In 1928 the percentage of refusals was lower by 1-7 per cent. than last year, an improvement to be attributed largely to the enlightenment of the parents, for which special efforts have been made at the welfare centre and the women’s institute, good use being made of cinema films. In this type of area it is not surprising that the establishment of an orthopaedic scheme will need an orthopaedic surgeon to visit several local centres in turn, and an orthopaedic nurse to travel about constantly. In country districts the new grouping of schools makes the provision of meals specially important, and a good account is given of plans to cope with the difficulty ; special mention is made of what is done at the Bassingbourn Council School, where a good dinner is provided at a cost of 2. A few children whose nutritional state is so bad as to prejudice their education are sent to residential schools. Owing to the scattered nature of thedistrict no special nursery schools have been established. There has been a striking improvement in cleanliness, very satisfactory for a rural area ; only 4 per cent. of the school-children were found to be not clean. There should, says Dr. Robinson, be a still further reduction in future years, as the girls grow to the age of motherhood who have become familiar with the problem through the scheme of school medical inspection. The same thought for coordination and continuity is evident in the lectures to mothers and in the extension of treatment of squint to the infants under the care of the health visitors. was
open-air
INFECTIOUS DISEASE IN ENGLAND AND WALES DURING THE WEEK ENDED NOV. 2ND, 1929. Notifications.-The following cases of infectious disease were notified during the week :-Small-pox, 168 (last week 131) ; scarlet fever, 3487 ; diphtheria, 1748 ; enteric fever, 83 ; pneumonia, 979 ; puerperal
fever, 42 ; puerperal pyrexia, 96 ; cerebro-spinal fever, 4; acute poliomyelitis, 20 ; acute polio-encephalitis, 4 ; encephalitis lethargica, 15 ; dysentery, 7 ; ophthalmia neonatorum, 108. No case of cholera, plague, or typhus fever was notified during the week. in the Infectious Hospitals of the Board on Nov. 5th-6th was as follows :-Small-pox, 173 under treatment, 8 under observation (last week 172 and 12 respectively) ; scarlet fever, 2763 ; The number of
cases
Metropolitan Asylums
diphtheria, 2537 ;enteric fever, 97 ; measles, 271 ; whooping-cough, 121 ; puerperal fever, 25 (plus 16 babies) ; encephalitis lethargica, 124 ; poliomyelitis, 9 ; "other diseases," 22. At St. Margaret’s Hospital there were 12 babies (plus 8 mothers) with ophthalmia neonatorum. Deaths.-In the aggregate of great towns, including
London, there was no death from small-pox, 7(1) from enteric fever, 20 (4) from measles, 7 (0) from scarlet fever, 15 (1) from whooping-cough, 39 (6) from diphtheria,
102 (30) from diarrhoea and enteritis under two The figures in years, and 40 (9) from influenza. parentheses are those for London itself. The deaths from enteric fever outside London
were
reported from Wood Green, West Bromwich, Grimsby, Wigan, Doncaster, and Newcastle-on-Tyne, 1 each. Liver-
births), including
38 in London.
The Services. ROYAL NAVAL MEDICAL SERVICE. Lt. J. Hamilton to be Surg. Lt.-Comdr. Surg. The following appointments have been made :-Surg. Comdrs. W. W. D. Chilcott to Emperor of India; H. B. Parker to Hawkins;W. C. Carson to Vzclcan; J. M. Horan to DelhiM. S. Moore to .Luciaand G. B. Cockrem to Vivid, for R.N. Barracks, Devonport. Surg. Lt.-Comdr. (D.) R. T. M. Andrews to Vivid, for R.N. Barracks, Devonport. Surg. Lts. ; C. Keating to President, for three months’ post-graduate course ; R. C. Foster to Vivid, for R.N. Hospital, Plymouth ; R. H. Dummett to Vivid, for R.N. Barracks, Devonport; and J. B. Douglas to Hawkins. ROYAL NAVAL VOLUNTEER RESERVE.
Surg. Sub-Lt. W. Greaves
to be
Surg. Lt.
ROYAL ARMY MEDICAL CORPS. The undermentioned Capts. to be Majs. : Bt. Maj. R. E. Barnsley, J. R. N. Warburton (and remains secd.), W. L. E. Reynolds, A. Mearns, A. E. Richmond, and T. B. H. Tabuteau. TERRITORIAL FORCE.
Maj. T. H. Oliver resigns his commn. Capt. 0. G. Misquith to comd. 7th (Southern) Hygiene Co. Capt. E. H. Mayhew, having attained the age limit, relinquishes his commn. and retains his rank. Lts. J. Kerr and E. R. C. Walker to be Capts. E. M. R. Frazer (late Offr. Cadet, Edinburgh Univ. Contgt., Sen. Div., O.T.C.) to be Lt. ROYAL AIR FORCE. W. S. Stalker is granted a temporary commission as a Flight Lt. Flying Offrs. Leo O’Connor, A. L. St. A. McClosky, and Ronald Thorpe are promoted to the rank of Flight Lts. Flight Lt. (Acting Squadron Leader, Hon. Wing Commander) J. N. MacDonald is promoted to the acting rank of Wing Commander, with pay, whilst so employed. Flying Offr. E. A. Wilson relinquishes his short service commission on account of ill-health. Flying Offr. V. G. Pedley (Temp. Lt., General List, Army, Dental Surgeon) relinquishes his temporary commission in the R.A.F. on completion of service. ,
INDIAN MEDICAL SERVICE. Lt. Thaku Chuharmal Ramchandani to be Capt. (prov.). Lt.-Col. J. Forrest retires. The undermentioned relinquish their temp. commns.: Temp. Capts. Hari Krishna Datta and Shiv Shanker Gupta, and Temp. Lt. Ellamana Siva Rama Menon.
COLONIAL MEDICAL SERVICES. The following appointments were made during October : Dr. F. D. Gillespie, Dr. H. Scrimegeour, Dr. J. H. Strahan Dr. T. F. Strong, and Dr. S. N. Swift, Medical Officers, Federated Malay States ; Dr. C. E. Hagenbach, Medical Officer, Malayan Medical Service ; Dr. W. S. Smith, Medical Officer, Gold Coast; Dr. H. S. R. Broadbent, Medical Officer, Kenya ; Dr. A. R. Cox, Medical Officer, Northern Rhodesia ; Dr. Peaston, Medical Officer, Sierra Leone ; Dr. D. Russell, Assistant Medical Superintendent, Mental Hospital, Singapore ; Dr. J. J. Black, Dr. R. I. Hyder, and Dr. G. A. T. Jones, Medical Officers, Uganda; and Dr. R. Ramsay and Dr. P. B. Wilkinson, Medical Officers on the West African Medical Staff.
PRESENTATION TO A MEDICAL MAN.-Dr. Robert Fell, who has been the senior anaesthetist at the York County Hospital for 20 years and who has lately retired from the active staff, was entertained at dinner last week by
colleagues. Dr. W. A. Evelyn, senior physician to the hospital, was in the chair, and after dinner Dr. Fell was his
presented with
a
silver salver.