SANITARY WORK.

SANITARY WORK.

1007 treasurer. Communications should be addressed to Mr. e enabled to control in r some slight degree its policy there is, for alarm in the ...

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1007 treasurer.

Communications should be addressed to Mr.

e enabled to control in

r

some

slight degree

its

policy

there is,

for alarm in the development referred to. really A district medical officer is none the worse fitted for A attendhis to duties because he his exercises of citizening rights SANITARY WORK. HL and to object to the election of some particular repreship THE Lord Mayor of Manchester took the chair on March lst se sentative on the ground that he is enjoying the annuity at the annual meeting of the Manchester and Salford Sanitary w which, through the agency of the Superannuation Act he Association. The Bishop of Manchester (Dr. Knox) and the has h. purchased for himself, is so eminently illogical that Bishop of Ripon (Dr. Boyd Carpenter) were present. The it it is surprising that anyone could take up such an attitude report showed that the association was still watchful and SE seriously. To suppose that it would be possible for a person diligent in the cause of public health. The Bishop of in in receipt of a superannuation allowance, if a member of a, Manchester said that at about the beginning of last century b( board of guardians, to abuse that position by diverting the the idea was that people would see how uncomfortable it funds fT. of the board into his own pocket is absurd. Old was to live in misery and degradation and so would put out of officers are, on the contrary, likely to make guardians of the their best efforts. This theory was found wanting and the best bi kind. Familiarity with the details of administration, great problem was-how much they must leave to individual gained from long personal experience fits them to come to g enterprise, what was to be the share of benevolent enterprise reasonable conclusions on points about which the average and what was the exact position of the State and guardian can only talk nonsense and the prospect of their enterprise in dealing with the evils around us. The Bishop ir interfering with the grinding of axes by self-seeking. of Ripon was glad to see that Manchester was in earnest 130 members is not one which the community at large need fear. about the public health. He advocated authorised medical inspection in schools, the distribution of information, and especially the proper feeding of children. "The committee FATAL ULCERATIVE STOMATITIS AFTER regretted the claims of the association for increased MEASLES. pecuniary support were not recognised adequately." Much IN the British Journal of Children’s Diseases for March. more good could be done with a small addition to the funds. Dr. D. McKenzie has reported a case of a very rare comDonations to the amount of .E100 are wanted to meet of measles-ulcerative stomatitis. A well-nourished P plication and additional to liabilities annual subscriptions the amount S aged 18 months, was attacked with measles on of 50 are needed. Surely in a wealthy city like Manchester girl, x March 2nd, 1903. The disease ran a moderate course withthere should be no difficulty in raising these small sums. 01 out complications. On March 29th Dr. McKenzie was sent for because the temperature was 104°F. There was a general GUARDIANS AND THEIR OFFICERS. rash resembling somewhat that of scarlet fever but it wasn( CERTAIN boards of guardians are just now considerably not punctate and the throat was not sore. All to and unwhat are them uncomfortable tl the accessible perturbed by lymphatic glands were enlarged. The pyrexia results of modern democratic tendencies. At the rash for three or four days. On April 18th there and ai lasted expected of Birkenhead on March a w the 29th was fine guardians meeting branny desquamation and the glands had become member asked whether it was true that one of the board’s n( normal except two left submaxillary glands which were paid officials had nominated a gentleman as a guardian at la large and hard. On the alveolar margin of the gum above the recent election. The question proved to have only too the tr left upper lateral incisor tooth was an ulcer three millisure a foundation on fact, for it appears that not one officer metres m in diameter with a grey rough floor and undermined but two officers, and those district medical officers, had acted edges. e( It was surrounded by red and swollen mucous in the way described. Thereupon the board, metaphorically m membrane. During the next few days the temperature washi the ulcer enlarged, and the submaxillary glands speaking, demanded the heads of the guilty parties. high, One member was " surprised that such a thing should became b4 larger and semi-fluctuating. On April 24th a be brought before them in these enlightened days" and glandular abscess was opened and scraped under chloroform. g] wished to fly to the Local Government Bcard for ven- The T ulcer was scraped, broken-down tissue reaching to the was removed, and the raw surface was painted geance. Another of less truculent disposition suggested periosteum pi that the officers "might have signed not knowing it was w with carbolic acid. On the following day the roseolous rash recurred with a temperature of 104° and diarrhoea. The wrong," which seems likely enough. A third with profound re al sagacity feared that the matter might lead to Ipossibilities abscess cavity slowly filled up but the ulcer on the gum increased in depth and extent. At the same of which they had not the slightest ideabut was apparently gradually g] unable or unwilling to be more explicit. It was eventually ti time the general condition improved. The ulcer was again decided to let the matter drop, perhaps because there was s( scraped and painted with carbolic acid. It extended else to be in the that the offenders fx from the alveolar margin of the gum above the incisor done, nothing hope would be deterred in future from repeating their misdeeds a and canine teeth to the junction of the mucous membrane of the gum and cheek. Ten days after the appearance of by reflecting on the storm which they had raised. Another oi tl second rash desquamation was observed. On May 7th aspect of the same lamentable disregard of parochial the sensibilities has been visible at Lambeth. At a meeting the tl ulcer was scraped for the third time. The left subof the board for that district a lady guardian communi- maxillary nc region was occupied by a hard brawny mass and cated the distressing intelligence that several super- the left cheek was red and oedematous. On the 16th the tl annuated Poor-law officers were standing as candidates rash n appeared for a third time and was duly followed by at the elections shortly to be held. She asked whether d desquamation. During the next six weeks there was local this kind of thing could not be prevented; it could, ii improvement : the ulcer ceased to spread, the inflammation she thought, never have been contemplated that such persons o of the cheek diminished, and the submaxillary induration should be able to get elected and she, also, wanted to appeal showed sl signs of absorption. But the wound enlarged by to the Local Government Board. The clerk to the guardians d disintegration of the subcutaneous tissue. On June 17th said that that august body had been appealed to but t] there was evidence of cerebral complication-vomiting, declined to offer any opinion as to the merits of the case. t transient loss of consciousness, photophobia, and retraction However ill it may consort with the traditions of a parish oof the head. On June 28th the patient died comatose. The that servants or former servants of a board should be necropsy n showed thrombosis of the cranial sinuses. The

W. A. Berridge, Oakfield, Redhill, secretary,

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no cause

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definitely