1111
they are very plentiful and stretch over to the Luapula and when their report was sent. Dr. Spillane’s report is dated up north past Chitambo’s through the country to the east of Fort Jameson, Jan. 20th, 1908. April 7th. Bangweulu. They may be said to be found in most of the Luapula division. The expedition has found three cases of sleeping sickness, all with a history of having worked NEWCASTLE-UPON-TYNE. in the Katanga mines. All bad markedly enlarged glands and appeared perfectly healthy. The fly glossina morsitans (FROM OUR OWN CORRESPONDENT.) was present in the village in which at least one case lived. Considering the thousands from this country Convocation of the University of Durham. who have worked in the Katanga mines it is likely IN accordance with the University regulations a convocathat there are many more cases scattered through NorthEastern Rhodesia as the labour was not drawn from any tion of the University was, as is usual at the end of the All the work goes to show that the winter examinations, held at the College of Medicine, one particular district. transmission is mechanical. While this is not sufficient to Newcastle-upon-Tyne. In the absence of the warden, Dr. F. B. account for the rapid spread of the disease in view of the Jevons, subwarden of the University, presided. Sir Isambard great difficulty experienced in getting positive results, it is a Owen, Principal of Armstrong College, presented the Bishop fact which cannot be too strongly emphasised. There is a of Newcastle for the degree of D.D. honoris causii, and in tendency to regard glossina palpalis as the only infecting doing so briefly sketched Dr. Straton’s career, and concluded agent. That this is not so has been shown by the work in by saying that the University of Durham desired to offer the Uganda where successful transmission experiments were Bishop its cordial and respectful welcome. Ordinary degrees made with glossina fusca. Again, the work on cattle in medicine, surgery, and hygiene were then conferred, and trypanosomes shows that while one or two species are the examiners for the summer examinations in the various normally concerned in the extension of the disease, it is faculties were subsequently appointed. Convocation was quite possible to effect this by the use of not only other species followed by a luncheon given in the council room of the of tsetses but also other distinct genera-e.g., stomoxys and College of Medicine by the president and members of the to which the Bishop and many other guests tabanids. This surely is sufficient to demonstrate that at present all biting flies, and particularly all species of and officials were invited. The various examinations in the glossina, must be regarded with suspicion. In this con- Faculty of Medicine were concluded and the lists published nexion one must refer to the report that some observers on April 3rd. in the Congo Free State implicated stegomyia fasciata. Alterations of the Dates of Examinations. This has to be proved. While, perhaps, the task of controlling The examinations just concluded were the first to be held the spread of sleeping sickness would become impossible under the new arrangement which permits of the examinaif every biting insect had to be considered it is not so tions held immediately at the end of the winter and being to the tsetse flies. with The of the ___________________
College
regard
question
sessions instead of as heretofore in the middle of the April and September. Under the old régime the condition than the treatment, at all the vacations was largely destroyed for both the benefit prophylactic view, and it is most important that someteaching staff and the students and the alteration of the definite effort should be made to find exactly what dates of the examinations whereby they are to be held in flies, tsetse and others, are capable of carrying the future at the end of March and the end of July is universally virus. As to enlarged glands, a fairly large percentage welcomed as being to the advantage of all parties. of the natives (roughly from 30 to 40 per cent.) have palpable Chair Heath of Comparative Pathology and Bacteriology glands which come chiefly under one group of Dutton and in the University of Durham. Todd’s classification, though there are also many of another The On the was found late Dr. of result to George Yeoman Heath, a former president of glands. puncture group be uniformly negative. This occurrence of enlarged glands the College of Medicine, to whose generosity and attachment rather complicates the diagnosis, for it means that the state- to his profession the College is also indebted for the Heath ment ’’ every negro with enlarged glands must be considered, wing and the Heath Surgical Scholarship, left a sum of until the contrary is shown, to be a case of trypanosomiasis" money to be invested of which the income was to be devoted cannot be accepted for North-Eastern Rhodesia and, pre- to the endowment of a chair of comparative pathology and sumably, for Nyassaland as well. Consequently, a trained bacteriology. The professorship was founded in 1893 and Dr. medical officer is the only person who can look for the disease George R. Murray, already then well known for his work on satisfactorily since puncture is necessary. The British the thyroid gland, was elected first Heath Professor. The South Africa Company should have special medical officers work of the new appointment was begun in very small to travel through the country looking for cases and getting quarters but the success which attended Dr. Murray’s them isolated at once. Whether it will be necessary for like teaching and administration soon necessitated the provision of further accommodation. This in turn proved insufficient measures to be adopted in Nyassaland is uncertain as yet. The chief danger for the Protectorate lies in the spread of for the needs of the work. In 1905 a beginning was made the disease to the north end of Lake Nyassa. Trypanoso- with the building of the present Heath wing. Dr. Heath’s miasis is endemic on Tanganyika at Vua in the Free State, a original intention was that a residential college should be short distance above the Congo-Rhodesia border, and between built. It was, however, felt that there was not a sufficient the people on either side of this there is unrestricted com- demand for a hall of residence among the Newcastle students Glossina palpalis is found right round the of medicine. The council of the College, therefore, with the munication. southern end of Tanganyika, so that it is extremely probable consent of the trustees of the bequest, applied to the Court that cases of the disease are present in that part of the of Chancery for leave to build laboratories instead of a country. Whether the disease is to be found in German East residential hall. The Court granted the application, acceptAfrica is not known. At the north end of Nyassa glossina ing the suggestion of the trustees and council that the fusca has been found and this, we know, can carry the disease. building should consist of students’ rooms on the ground If once a case reaches a place where these flies occur an floor, physiological laboratories on the first floor, and epidemic might easily be started. Natives of the Protectorate laboratories of comparative pathology and bacteriology on the second floor. Into these admirably arranged and wellare carrying loads from Karonga to Kasama, and as large numbers of natives from the Awemba district of North-Eastern equipped laboratories Dr. Murray removed his department Rhodesia have worked in the Katanga, cases probably exist at the commencement of the winter session 1906. In spite of the interest which Dr. Murray has always had in his amongst them, and the possibility of their infecting from Nyassaland must not be overlooked. It therefore seems department and of the success which has attended his that the north end of Nyassa is the part which requires most administration and teaching, he has always held that Dr. attention from the authorities of the Protectorate. It would Heath’s real hope was that a time would come when also be well to bear in mind that’natives of the Protectorate the holder of the Heath Professorship would be a man have been working in the Katanga and some are only return- who would give his whole time to the department. ing home now. Some of these may be infected. In con- The question of finance stood inthe way. But having nexion with the foregoing report the British South Africa satisfied himself that he had overcome that difficulty and Company has taken elaborate measures, through Dr. that he was now able to realise what he believed to be Dr. Spillane, to combat the spread of sleeping sickness, with Heath’s wish Dr. Murray placed his resignation in the which measures the sleeping sickness expedition of the hands of the council of the College at its meeting on Liverpool School were possibly not acquainted at the time March 4th, explaining his interpretation of the intention of
ebiotogy
ot
the
ulscase
is
in
a
summer
more
unsatisfactory months of events from the of
negroes
1112 the bequest. The resignation was accepted with much regret but with full recognition of Dr. Murray’s public-spirited action. Dr. Murray, as the first holder of the Heath chair, has left a record which will always serve as a standard for those who will follow him in the professorship. Mr. H. J. Hutchens, who has been associated with the College since 1905 first as demonstrator and then as lecturer on bacteriology, has been elected to succeed Dr. Murray. Dr. Murray now succeeds Dr. J. Limont in the University lectureship on medical jurisprudence, Dr. Limont, owing to continued illhealth, having, much to the regret of his colleagues, been obliged to resign his appointment. Dr. Murray will give his first course of lectures during the coming summer
session. Chair of Mid7vilery. midwifery has been raised to a pro. R. Ra.nken Dr. J. Lyle, the present lecturer on fessorship. midwifery, has been appointed first professor of midwifery in the University of Durham.
The
lectureship
on
Feeding of
School Ohildren in Newcastle.
meeting on April 1st the city council of Newcastle passed a resolution that a halfpenny rate should be raised to defray the cost of feeding of school children. The subject of the feeding of school children was first considered by the corporation early in 1907. A special subcommittee of the education committee was appointed, consisting of 24 members, including four members of the medical profession and two representatives of the Charity Organisation Society. This subcommittee was assisted in a consultative capacity by its principal medical officer. Active opposition was raised to the adoption of the Education (Provisions of Meals) Act, 1906, by certain members of the subcommittee who maintained that the case for school feeding was not proved. Those in opposition offered investigation which, however, was not accepted by the subcommittee which reported to the full committee that there was an urgent need for putting into operation the Act of 1906. The report of the subcommittee includes the report of the principal medical officer. This latter report is hardly convincing, as the following extracts At its
declined to discussion it was decided to invite the public vaccinators to meet the guardians in the hope that some amicable settlement might be arrived
meeting of
the
guardians
the
public vaccinators
accept either scale of fees. After
some
at.
Medical
Inspection of School
Children.
A conference convened by the Cardigan county council and education committee was held on April 2nd. It was intended that the conference should give an expression of opinion as to how far it would be possible for the education authority to act in cooperation with the various sanitary authorities in giving effect to recent legislation regarding the It was explained medical inspection of school children. that £380 were now paid to medical officers in the county. The estimated cost of medical inspection was 250, calculated on the basis of 6d. per child. After a discussion, in which the medical officers took part, it was decided to recommend that arrangements should be made to appoint the local medical officers for the purposes of medical inspection. Owing to the inaccessible nature of the districts it was con. sidered inadvisable and expensive to appoint one officer for the whole county, but it is intended that a medical officer will be appointed to supervise and to codify the annual reports made by the local medical men.
Notification of Births At the
Act.
request of the county council the conference also
considered the advisability of recommending district councils to adopt the Notification of Births Act. The medical officers expressed their views in favour of not adopting the Act at present on the ground that it would be practically impossible and useless in a county composed almost entirely of rural districts with large areas. Mr. J. W. Stephens (Cardigan) pointed out that the person responsible for the notification was not clearly defined in the Act and considered that the Government had dealt cavalierly with the profession and thrust upon it duties repugnant to its best traditions. The conference decided to advise the district councils not to adopt the Act. Cardiff City Mental Hospital, Whitchurch, Glamorganshire. will show. He says The opening of this hospital will take place on April 15th Of the ten departments visited I found that seven had never made next at 3 P M., by the chairman of the visiting committee, I do not, however, wish a list of names and addreeses of actual cases. it to be inferred from this that the general result of the inquiry is to Councillor Morgan Thomas. The guests will be conducted be distrusted. There was evidently a distinct failure to understand over the institution by the chairman and the medical that the inquiry was to be based upon the actual number of indigent superintendent, Dr. Edwin Goodall, formerly medical supercases in the school at the moment, many basing their returns on intendent of the Joint Counties Asylum, Carmarthen, who as the ten infants’ One department returning probabilities....... has been busily engaged in making preparations for the past number could not show me a single such case in the school at my visit, nor could I detect any on inspection. 12 months. The new mental hospital is situated about three On Dec. 18th, 1907, the city council voted .61500 for school miles north-west of Cardiff and about a mile from Llandaff feeding. It was very soon found that the committee was railway station on the Taff Vale railway. Special conveybeing defrauded and it decided now to ask for the investiga- ances, however, will take the officials and guests between tion which had previously been offered and refused. The Cardiff City Hall, Cathays Park, and the Mental Hospital. The scientific side of the equipment of the new hospital is results of these investigations have not yet been received. considered to be above the average. Newcastle.upon.Tyne Clinical Sooiety. Bristol Royal Hospital for Children and Women. The last meeting of the session of this society was held The annual meeting of the subscribers to this institution on April 2nd. cases of considerable interest were Many exhibited, including a case of paralysis agitans in a man, was held on March 31st under the presidency of Lord aged 42 years, shown by Dr. George Hall, in which he had Winterstoke. The medical report stated that during 1907 been able to trace a family history of tremor in three genera- the in-patients numbered 785 (727 children and 58 women),a tions-viz., the patient’s mother, one sister, and two children. decrease compared with 1906. The out-patients numbered The responsible officers of the society would do well to 4662, as compared with 5500 in the previous year. The statement showed that the total adverse balance organise their meetings so that more advantage could be financial the institution was now about £4000. The comobtained from the material at the disposal of the members. against The meeting on April 2nd was hopelessly confused for want mittee states that as a result of its special appeal for £10,000 (which will be utilised for freeing the hospital from of a little organisation. debt, for building a small scarlet fever annexe, and for imRoyal Victoria Infirmary. provements in the out-patient department) the sum of Dr. A. Parkin and Dr. George Hall have been elected £5209 has been already received. honorary assistant physicians to the infirmary. April 6th. April 7th. __________________
WALES AND WESTERN COUNTIES NOTES. (FROM
OUR OWN
(FROM
SCOTLAND. CORRESPONDENTS.)
OUR OWN
CORRESPONDENTS.)
Vaccination Fees. SOME months ago the Aberystwyth board of guardians reduced the vaccination fees of the public vaccinators and the medical men refused to accept them as they considered the remuneration inadequate. The matter was eventually referred to the Local Government Board and that authority drew up a scale of fees on the mileage plan. At the last
Medical Edncation of Women. annual meeting of the Scottish Association for the Medical Education of Women it was reported that the number of students on the roll during the summer session, 1907, and the winter session, 1907-08, was 114., which shows a slight increase over the preceding session. While the report regarding the wotk of the past year is satisfactory, a serious crisis has unexpectedly arisen which AT the
eighteenth