247 fied small-pox. Keep your pregnant patients clear of smallpox in all its forms, whether modified or unmodified. Do not vaccinate them. I have been the witness of dreadful distress from the operation. Eschew it, I entreat you." Such warning from one so deservedly trusted must have weight; and Dr. Barnes, judging from his reply to Dr. Madge, " that, although it might be desirable to revaccinate pregnant women who were specially exposed to infection during an epidemic, yet, as a general rule, it was not called for," seems to be averse to the practice suggested. The insertion of this note in your next number, may, I trust, induce him to speak plainly on this subject, as at the present time, owing to the wilful neglect of preventive means, we need not be surprised at the prevalence of small-pox in many districts, and if the plan alluded to be followed, lamentable results must be expected. I am, Sir, your obedient servant, RICHD. H. WILLIAMS. Truro, Cornwall, Aug. 1867.
’ encomiums
of the commanding officer of the camp, Colonel R. A. This report will give an idea of what occurs in this branch the service. We have again to thank Colonel Wilmot, commandant of the garrison, Colonel Gordon, Colonel Fisher, Alexander Smith, and the whole of the Royal Artillery officers, for their kind assistance, and the hospitality extended by them to the volunteer officers in camp and at their mess. I am, Sir, yours obediently, DE LISLE ALLEN, Connaught-terrace, Hyde-park, W., Staff Surgeon. August, 1867.
Gordon,
of
Dr.
THE INTERNATIONAL MEDICAL CONGRESS.
(FROM
A SPECIAL
CORRESPONDENT.)
AT last, after many months’ gestation, the Paris Medical International Congress has seen the light. Much interest had been excited all through Europe and America whilst arrangeTHE PRIMARY EXAMINATION AT THE ments were in progress; and many members of the profession COLLEGE OF PHYSICIANS. determined to give countenance to a gathering of a novel kind. The committee in Paris had been indefatigable in their exTo the Editor of THE LANCET. besides making an appeal to their professional SIR,-The Royal College of Physicians has fixed October 1st ertions ; and, for the primary examination for its licence. This is, to say the brethren in France, had sought the support of foreign medical journals, and men of eminence. least, a most unfortunate arrangement, as it will entirely pre- societies, Your readers, from the various articles you havepublished, vent all provincial and some metropolitan students taking part are aware that this committee hit upon the idea of appointing in the proceedings of a day which has special interest for the delegates. Herein they were right; but they made a mistake of our In cases it will form members many junior profession. in in their an obstacle to some receiving the presence of abstaining from direct applications to medical societies and competitors the prizes and other rewards for successful study. Surely the different corporations-such as (to restrict my observations the College authorities might havethought of this. to our own country) the Colleges of Physicians and Surgeons, I am, Sir, yours &c., the Apothecaries’ Society, the Universities of Great Britain A PROVINCIAL TEACHER. Aug. 21st, 1867. and Ireland, the staffs of the principal hospitals, &c. The support would then have been official, and, perhaps, more NATIONAL ARTILLERY ASSOCIATION. powerful, than it has turned out. Nor had the committee who organised the Congress a collegiate status. No doubt it is To the Editor of THE LANCET. composed of men of character and eminence; but the Faculty SiR,—In pursuance of former- custom, I beg to forward a of Paris did not take direct action in the proceedings. This report of medical and surgical cases occurring in the camp is, then, a kind of democratic movement, where individuality Shoebury Fort from July 24th to August 3rd, 1867. ’, plays a prominent part. Up to this day it has been a fair Last year the staffwere in a state of considerable anxiety if I may speak the sentiments of the British lest an outbreak of cholera should take place, that disease success; but, there is some disappointment. The language is the profession, in in the adjoinprevailing, and having been fatal several cases, ing village. But this year we had, fortunately, no grounds for stumbling-block, as far as we are concerned. It is no use concealing it, but the members of the profession, alarm. A few cases of diarrhoea presented themselves at the commencement, which were easily checked. On the other in Europe generally, are better acquainted with French than hand, constipation prevailed to a certain extent, requiring we are. And if after this trial an international medical gathertreatment. Catarrh of a mild character attacked some of the ing is ever again thought of, it could not take place anywhere men, caused by the severe "downpour" we experienced on the but in the French capital. The language of our Gallic friends second and third nights, when some parts of the camp were is becoming more and more universal (it is a pity Latin is not completely Aooded. After this the weather was of an Indian kept up and spoken as the language of the learned of all councharacter. Several cases occurred of blistering of the face tries) ; and through it only is there any hope of scientific interand forehead from sun and wind; and in others, of severe change at meetings of an international kind. But this is not all. The papers are read with such rapidity oedema of the eyelids, closing them entirely for some twentyfour hours or more. A case of spasmodic stricture occurred, that most foreigners must give up in despair any attempt at with retention, relieved by passing the catheter three or four following and understanding. And as for discussion, we must times. There were several casualties-viz., incised and con- not think of it. He who catches but a few words of the papers A very severe contusion of the must bend his diminished head before French oratory. tused wounds from falls &c. To tell the.honest truth, I noticed but very few of our disfoot, from the fall of a forty-pound Armstrong shot upon it, which spoilt the man for service for several days, but he mayed countrymen on the seats of the vast theatre of the eventually returned to duty. One of the captains fell over Faculty. Half a dozen London men I recognised; there might, the tent-ropes in the dark and dislocated his shoulder; this however, have been a few from the country. I cannot say how was reduced, but he could do no duty the rest of the time. A strong our American cousins mustered; but I know there were a few. Two papers are announced from New York: an obstesevere abrasion of the shin from contact with the trail of an Armstrong gun. We finished the last morning with the frac- trical one from Dr. Maxson, and one on cerebral affections by ture of two ribs from a fall over a heap of bricks. Altogether Dr. Brown-Sequard. These papers are marked in the prospectus; but this does (including casualties) some fifty-four cases required treatment. The hospital arrangements consisted of a large double tent not mean that the authors will come and read them. Yesterwith beds, a surgery tent, and such other conveniences as day, for instance, I expected to see Dr. Tilt’s face when his existed in the two former years. The latrines were improved turn came to give his experience as to the influence of climate upon this year by the adoption of the earth-closet system, large on menstruation; but this physician made no appearance. His pits being dug and covered with seats, with traps at the back, paper was read by Dr. Ball, a naturalised Englishman, who holds important appointments at the French Faculty. so that early in the morning of each day a supply.of dry earth That Americans, however, have come over, is a fact; for was used to cover up the soil of the previous day; and this To our old acquaintances, the ditches one of these sat beside me. He had also been present at the was quite successful. and pond, we freely applied chloride of lime and carbolic acid. Dublin meeting, and said, in surveying the vast concourse here A great deal of damage was done in the camp by the stormy assembled, ’’ These do not look such a fine set of men as I nights of the early part of the time, but all hands set to work saw in Dublin." So much for international outward appearwith such a will and alacrity to repair it as to draw forth the ance.
at