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NEW INFECTIOUS HOSPITALS.
8.
against at any time, and in view of it is
no more
such wrapping
than
its
as we
frequent
wisdom to have referred to.
ordinary
occurrence
dispense with
all
THE BELGIAN MEDICAL FEDERATION AND THE NEW BILL ON DISPENSING. A CIRCULAR has been issued by the Belgian Medical Federation, addressed to the presidents of all the medical cercles or branch associations, requesting them to call special meetings of their respective branches to discuss the new Bill by which, as our readers are aware, it is proposed to abolish the right of dispensing their own medicines, which is now
enjoyed by a considerable proportion of Belgian practitioners. It is hoped that through these branch associations pressure may be brought to bear on members of the Legislature, which will result in a serious modification of the proposed measure, to the general principle of which, however, the Federation, as is pointed out in the circular, assented to both in 1868 and in 1880, when a regular modus vivendi was agreed upon between it and the Pharmaceutical Association. This agreement, however, specially provided that every medical man already enjoying the right to dispense should continue to do so as long as he should remain in the same locality. It is on the question of these vested rights that the proposed Bill is considered so unsatisfactory, for by it they will in no case be respected beyond the period of fifteen years, and in many only for five years, while, in order to be recognised at all, they must have already existed for three years. In discussing the general question of dispensing by medical men, Le Scapel, in answer to the complaints of some pharmacists that medical men having had no proper pharmaceutical training are utterly incompetent to prepare or to estimate the value of drugs, and therefore should not in any case be allowed to exercise what is called the cumul, or combination of the two professions, points out that it is very misleading and erroneous to talk of the existence of any cumul at all ; that medical men, even though they may be allowed to dispense for their own
I
789
following :-The Nottingham Town Council have decided to erect a new permanent hospital for infectious diseases at a cost of .E33,000; the Grimsby Town Council have decided to erect a brick building to accommodate twenty additional small-pox patients ; the Burton Town Council have, on the advice of their Health Committee, passed a resolution to the effect that it is desirable that a permanent infectious should be established; the Sutton-in-Ashfield Local Board of Health has selected a site of somewhat over 5000 square yards for the erection of a similar building; and the Paisley Abbey Parochial Board have resolved to erect a hospital giving accommodation to 100 patients. It is not clear, however, as regards the latter hospital, how far it will be reserved for any special diseases.
hospital
HEALTH OF THE EMPEROR OF GERMANY. THE following telegram was received on Thursday morning at THE LANCET office from Charlottenburg :During the last week inflammation was noticed in the neighbourhood and below the opening into the trachea, but external to it. On Saturday evening slight shivering took place. On Sunday there was little bronchitis. Pneumonia was anticipated, but did not supervene. It is considered that there is at present peritracheitis with pyasmia." In spite of the cessation of all official bulletins of the Emperor of Germany’s health, it has been abundantly evident that his fell disease has been creeping on apace, and that the Imperial patient was being steadily worsted in the struggle. It was not surprising, therefore, to learn a few days ago that the case had become critical and that the worst "
fears
were
entertained. It
seems
that fever has set in accom-
panied with bronchitis. It is well known that in cancer of the larynx, as of any other part in communication with the lungs, septic pneumonia is very likely to supervene, and repeated careful examinations appear to have been made to discover such an affection of the lungs. The latest accounts speak of the absence of all signs of pneumonia and of thelessening of the bronchitis. So that some other explanation of the patients, do not practise pharmacy proper. They do not, and fever, which still continues, has to be sought. It has been may not, keep an open shop, and they never prepare or com- suggested that an abscess has developed in the neighbourpound medicines of an elaborate character, their work being hood of the trachea, and there seems to be only too much almost entirely confined to putting up simple mixtures with reason to fear that this is so. Such abscesses often develop preparations which they are obliged to obtain from a in connexion with cancerous formations in internal parts, pharmacist, and for the quality of which he is responsible, and very gravely exaggerate the danger of the primary for in Belgium a medical practitioner who dispenses may disease. Blood poisoning from such an abscess often ensues, not purchase his drugs from wholesale houses. There is and, as the above telegram shows, pyasmia has already therefore no great need for him to be acquainted with all developed. Whatever the exact complication is, there is no. the complicated processes for the estimation of samples, doubt ground for the gravest anxiety, and for fear that the and he may surely be trusted to put up mixtures of pre- close of this painful case is not far off. parations the purity of which is already guaranteed. UNWHOLESOME AIR IN SCHOOLS. NEW INFECTIOUS HOSPITALS.
JJUBJNQ tne
past year
i7r.
tieorge Reia,
medical omcer ot
impetus has been given to the provision of health for the rural district of Stafford, has carried out a isolation hospitals by reason of the recent prevalence of systematic inspection of the elementary schools within his small-pox in various parts of England, and though all the jurisdiction; and in each case he has made a careful analysis instances in which a determination has been arrived at of the school air, the samples being taken as far as possible either to commence such provision or to improve and after the children had been in school for some hours. The enlarge the existing accommodation cannot properly be various results, and the conditions tending to affect them, are regarded as due to this cause, yet in the majority of the cases tabulated in the report compiled, and in by far the majority which we have from time to time recorded fear of small-pox of instances the volume of carbonic acid present per 1000 A
DISTINCT
has been the main stimulus to action.
Of this there is, of to complain, provided that the sanitary course, authorities do not let themselves be moved by panic into the construction of buildings which will not secure the immediate isolation of first attacks of all such infectious fevers as are likely in future years to arise in their districts. That the provision should be suitably adapted to this principal controlling need should, above all things, be borne in mind. Amongst the recent items of intelligence as to this are the no reason
found to range between 2’039 and 3’708. regarded as excessive, and an atmosphere such indications cannot be looked upon as a wholegiving some one for children to breathe habitually during many hours of the day. The minimum requirement as to air space in elementary schools certainly fails of itself to secure a wholesome atmosphere, and it can only be by making arrangements whereby there shall be a frequent interchange and movement of air without excessive loss of heat that any volumes of air This must be
was
against at any time, and in view of it is
no more
such wrapping
than
its
as we
frequent
wisdom to have referred to.
ordinary
occurrence
dispense with
all
THE BELGIAN MEDICAL FEDERATION AND THE NEW BILL ON DISPENSING. A CIRCULAR has been issued by the Belgian Medical Federation, addressed to the presidents of all the medical cercles or branch associations, requesting them to call special meetings of their respective branches to discuss the new Bill by which, as our readers are aware, it is proposed to abolish the right of dispensing their own medicines, which is now
enjoyed by a considerable proportion of Belgian practitioners. It is hoped that through these branch associations pressure may be brought to bear on members of the Legislature, which will result in a serious modification of the proposed measure, to the general principle of which, however, the Federation, as is pointed out in the circular, assented to both in 1868 and in 1880, when a regular modus vivendi was agreed upon between it and the Pharmaceutical Association. This agreement, however, specially provided that every medical man already enjoying the right to dispense should continue to do so as long as he should remain in the same locality. It is on the question of these vested rights that the proposed Bill is considered so unsatisfactory, for by it they will in no case be respected beyond the period of fifteen years, and in many only for five years, while, in order to be recognised at all, they must have already existed for three years. In discussing the general question of dispensing by medical men, Le Scapel, in answer to the complaints of some pharmacists that medical men having had no proper pharmaceutical training are utterly incompetent to prepare or to estimate the value of drugs, and therefore should not in any case be allowed to exercise what is called the cumul, or combination of the two professions, points out that it is very misleading and erroneous to talk of the existence of any cumul at all ; that medical men, even though they may be allowed to dispense for their own
I
789
following :-The Nottingham Town Council have decided to erect a new permanent hospital for infectious diseases at a cost of .E33,000; the Grimsby Town Council have decided to erect a brick building to accommodate twenty additional small-pox patients ; the Burton Town Council have, on the advice of their Health Committee, passed a resolution to the effect that it is desirable that a permanent infectious should be established; the Sutton-in-Ashfield Local Board of Health has selected a site of somewhat over 5000 square yards for the erection of a similar building; and the Paisley Abbey Parochial Board have resolved to erect a hospital giving accommodation to 100 patients. It is not clear, however, as regards the latter hospital, how far it will be reserved for any special diseases.
hospital
HEALTH OF THE EMPEROR OF GERMANY. THE following telegram was received on Thursday morning at THE LANCET office from Charlottenburg :During the last week inflammation was noticed in the neighbourhood and below the opening into the trachea, but external to it. On Saturday evening slight shivering took place. On Sunday there was little bronchitis. Pneumonia was anticipated, but did not supervene. It is considered that there is at present peritracheitis with pyasmia." In spite of the cessation of all official bulletins of the Emperor of Germany’s health, it has been abundantly evident that his fell disease has been creeping on apace, and that the Imperial patient was being steadily worsted in the struggle. It was not surprising, therefore, to learn a few days ago that the case had become critical and that the worst "
fears
were
entertained. It
seems
that fever has set in accom-
panied with bronchitis. It is well known that in cancer of the larynx, as of any other part in communication with the lungs, septic pneumonia is very likely to supervene, and repeated careful examinations appear to have been made to discover such an affection of the lungs. The latest accounts speak of the absence of all signs of pneumonia and of thelessening of the bronchitis. So that some other explanation of the patients, do not practise pharmacy proper. They do not, and fever, which still continues, has to be sought. It has been may not, keep an open shop, and they never prepare or com- suggested that an abscess has developed in the neighbourpound medicines of an elaborate character, their work being hood of the trachea, and there seems to be only too much almost entirely confined to putting up simple mixtures with reason to fear that this is so. Such abscesses often develop preparations which they are obliged to obtain from a in connexion with cancerous formations in internal parts, pharmacist, and for the quality of which he is responsible, and very gravely exaggerate the danger of the primary for in Belgium a medical practitioner who dispenses may disease. Blood poisoning from such an abscess often ensues, not purchase his drugs from wholesale houses. There is and, as the above telegram shows, pyasmia has already therefore no great need for him to be acquainted with all developed. Whatever the exact complication is, there is no. the complicated processes for the estimation of samples, doubt ground for the gravest anxiety, and for fear that the and he may surely be trusted to put up mixtures of pre- close of this painful case is not far off. parations the purity of which is already guaranteed. UNWHOLESOME AIR IN SCHOOLS. NEW INFECTIOUS HOSPITALS.
JJUBJNQ tne
past year
i7r.
tieorge Reia,
medical omcer ot
impetus has been given to the provision of health for the rural district of Stafford, has carried out a isolation hospitals by reason of the recent prevalence of systematic inspection of the elementary schools within his small-pox in various parts of England, and though all the jurisdiction; and in each case he has made a careful analysis instances in which a determination has been arrived at of the school air, the samples being taken as far as possible either to commence such provision or to improve and after the children had been in school for some hours. The enlarge the existing accommodation cannot properly be various results, and the conditions tending to affect them, are regarded as due to this cause, yet in the majority of the cases tabulated in the report compiled, and in by far the majority which we have from time to time recorded fear of small-pox of instances the volume of carbonic acid present per 1000 A
DISTINCT
has been the main stimulus to action.
Of this there is, of to complain, provided that the sanitary course, authorities do not let themselves be moved by panic into the construction of buildings which will not secure the immediate isolation of first attacks of all such infectious fevers as are likely in future years to arise in their districts. That the provision should be suitably adapted to this principal controlling need should, above all things, be borne in mind. Amongst the recent items of intelligence as to this are the no reason
found to range between 2’039 and 3’708. regarded as excessive, and an atmosphere such indications cannot be looked upon as a wholegiving some one for children to breathe habitually during many hours of the day. The minimum requirement as to air space in elementary schools certainly fails of itself to secure a wholesome atmosphere, and it can only be by making arrangements whereby there shall be a frequent interchange and movement of air without excessive loss of heat that any volumes of air This must be
was