- Email: [email protected]
THE AFTER-CARE OF TUBERCULOUS EX-SERVICE MEN.
767 of every tissue in the body are altered in a degree proportionate to the extent and virulence of the infection. This infection is usually very chronic, but may be of such a nature In the vast proportion of as to cause death in a few hours. cases the infection of the food-supply is secondary to delay in the large bowel, and is a stage in the sequence which I call "chronic intestinal stasis." Occasionally the infection may result from an abundant entry of organisms and their products through the mouth. This is illustrated very clearly by McOarrison’s experiments and observations on the production of goitre. In chronic intestinal stasis the infection of the chyme is often accentuated by matter entering the canal from the mouth or naso-pharynx, as, for instance, in
pyorrhoea.
The results of infection of the chyme by organisms are: 1. The direct extension of the infection from the duodenum along the ducts of the liver, gall-bladder, and pancreas with the conditions which ensue on this infection. 2. Degenerative changes in every tissue of the body due to the systemic supply of blood which is more or less impure, since it contains a certain quantity of deleterious substances. The liver would appear to be especially exposed to harm, since the blood reaches it through the portal vein in its most impure form. Again, the cells of this organ, overstimulated by its novel function, are damaged by the infection that reaches them through the ramifications of the infected hepatic ducts as well as through the impure blood supplied by the hepatic artery. The kidneys, skin, adrenals, thyroid, pituitary gland, and spleen cease to bear their normal relationship to the food-supply, and are overworked, such excessive function acting at first as a stimulant, which later results in exhaustion. The nutrition of the component parts of these structures is also impaired, in common with every other tissue, because of the impurity of the blood supplied to them. These organs all undergo changes which are described as diseases. 3. A group which might be classified as the tertiary results of chyme infection. These are due to invasion by organisms consequent on the diminished vitality of the tissues, and include an immense ’variety of so-called diseases, none of which could arise without the I refer to such antecedent existence of chyme infection. varied conditions as rheumatoid arthritis, tubercle, Still’s disease, ulcerative endocarditis, pyorrhoea, obliterative arteritis, many forms of skin disease, &c. These consequences can in most cases only be dealt with effectually by the sterilisation of the contents of the stomach and small intestine.-I am, Sir, yours faithfully, W. ABBUTHNOT LANE. April 15th, 1919.
DEPARTMENT OF HEALTH FOR CANADA. To the Editor of THE LANCET.
and for the
conducting of research work ; (f) the securing of greater cooperation of the provinces in health work generally. This action on the part of the Commission was strongly supported by the Dominion Medical Association, as well as by the several provincial organisations, and by a large body of the
public press and associations
of the
people.
interested in the welfare
As a result of war conditions and the appalling effects of the recent epidemic of influenza and doubtless stimulated by the words of the Premier of Great Britain and the subsequent action of the British Government, it is gratifying to note the proposals of the Dominion Government on this question which aims at placing health as a foundation of Government, thereby assuring to the people that the vital problems which concern a nation and upon which depend its very existence, continuity, and efficiency, are those which will hereafter receive its most serious and constant attention. The Bill as introduced provides for the establishment of a Department of Health, with a Minister, Deputy Minister, and Advisory Council, and"
The duties and powers of the Minister administering the of Health shall extend to and include all matters and questions relating to the promotion or preservation of the health and social welfare of the people of Canada over which the Parliament of Canada has jurisdiction ; and, without restricting the generality of the foregoing, particularly the following matters and subjects: (a) cooperation with the provincial, territorial, and other health authorities with a view to the coordination of the efforts proposed or made for preserving and improving the public health ; (b) the conservation of child life and child welfare; (c) the inspection and medical care of immigrants and seamen, and the administration of marine hospitals; (d) the supervision, as regards the public health, of railways, boats, ships, and all methods of transportation; (e) the supervision of Federal public buildings and offices with regard to the health of the Civil servants and other Government employees therein; (f) the enforcement of any rules or regulations made by the International Joint Commission promulgated pursuant to the treaty between the United States of America and His
Department
to boundary waters and questions arising between the United States of America and Canada so far as the same relate to public health ; (g) the administration of the statutes mentioned in the Schedule to this Act and of Acts amending the same, and also of all orders and regulations passed or made under any of the said Acts, and all the duties and powers of any Minister of the Crown under either of the said Acts or any of the said orders or regulations are hereby transferred to and conferred upon the Minister of Health ; (h) the collection, publication, and distribution of information to promote good health and improved sanitation ; (i) such other matters as may be referred to the Minister by the Governor in Council."
Majesty relating
From the manner in which the question has been already referred to in the House by those Members who spoke in SIR,-On the tide of reconstruction in Canada there has the Address to the Throne the question seems to meet with just been borne into the Dominion House of Commons a Bill general approval, and but little opposition is coming from Of course, some is expected from those of to create a Federal Department of Health, introduced by the the daily press. Hon. N. W. Rowell, President of the Privy Council. For Christian Scientist and anti vaccination proclivities, which, some years a strong and active movement has been in however, are of but slight importance and cannot affect the I am, Sir, yours faithfully, issue. the led Commission of Conservation chiefly by progress, CHAS. A. HODGETTS, M.D., D.P.H., &c., through its Public Health Committee, of which the writer is medical adviser. The Committee has made repeated repreMedical Adviser, Public Health Comm., Commission of Conservation. Ottawa, March 28th, 1919. sentations to successive Governments and urged that it was the duty of the Federal authorities to conserve the health of the people and that the first step should be the establishTHE AFTER-CARE OF TUBERCULOUS In October, 1910, a ment of a Department of Health. conference was convened in Ottawa of representatives of the EX-SERVICE MEN. provincial governments and Federal representatives under To the Editor of THE LANCET. the chairmanship of Sir Edmund Osler, when a series of recommendations were made, and subsequently laid before SIR,-The Society of Medical Officers of Health recently the then Premier, Right Hon. Sir Wilfrid Laurier, and had under consideration the circular of the Local Governsubsequently before the present Premier. Right Hon. Sir ment Board, dated Dec. 4th, 1918, in regard to the home Robert Borden. visiting and after-care of discharged soldiers and sailors The important features of these recommendations were: suffering from tuberculosis. It was decided to point out to (a) the establishment of a Federal Department of Health ; the Board that the circular might be interpreted as making (b) a nationalcouncil of representatives from each of the the tuberculosis officer directly responsible for measures in provinces ; (e) the consolidation of the work of quarantining, this connexion. In reply the Board have assured the medical inspection of immigrants, inspection of foods and society that the circular was not intended to suggest in drinks and other matters at present controlled by the any way that the tuberculosis officer should, except as far Federal government but operated by different departments ; as his clinical duties are concerned, act otherwise than their administration to be placed in the hands of a Minister under the direction of the medical officer of health." The of Health; Cd) the pollution of streams; (e) the establish- Board add that the position of the medical officer of health ment of health laboratories for the preparation of sera, &c., in relation to the administration of sanatorium benefit is
768
plainly stated in the third paragraph of their circular letter dated Dec. 6th, 1912, which reads as follows :" The organisation of schemes must be undertaken as part of the public health administration of the areas to which they relate, and the medical officer of health should ROYAL COLLEGE OF PHYSICIANS OF LONDON.-An be the chief executive and organising officer. ordinary Comitia was held on April 24th, Dr. Norman I am, Sir, yours faithfully, Moore, the President, in the chair.-On the report of the Censors’ Board it was resolved :G. S. ELLISTON, M.A., That Thomas Stoney Sharpley be declared to be no longer a Executive Secretary, the Society of Medical Officers of Health. Licentiate of the College ; that he forfeit all rights and privileges of a Upper Montague-street, W.C., April 28th, 1919. Licentiate; and that his name be expunged from the List of Licentiates during the pleasure of the College. The following were elected Members, having passed the AND AN ASSOCIATION OF FACTORY DOCTORS required examination: Dr. J. P. Bibby, Dr. A. D. Bigland, Dr. H. H. Carleton, Dr. W. d’Este Emery, Dr. C. L. MANAGERS. Gimblett, Dr. W. H. Parkes, Dr. J. A. Ryle, Dr. A. B. To the Editor of THE LANCET. Soltau, Dr. J. F. Ward.-Licences to practise physic were SIR,-May I beg the hospitality of your correspondence granted to 76 candidates who had conformed to the by-laws columns in order to ask those of our colleagues, who, like and regulations and had passed the required examinations.following were elected to the Fellowship on the nominamyself, have been, or are, full-time medical officers to The of the Council: Dr. J. D. Stanley, Dr. E. B. Leech, Dr. factories, whether, in view of the probable development of a tion H. Dr. H. L. Tidy, Dr. G. A. Auden, Dr. D. H. widespread (but not necessarily State) Medical Service, they De Devine, Souza, Dr. A. E. Gow, Dr. C. A. Sprawson, Dr. F. P. consider it would be desirable to form a small association Mackie, Dr. A. E. Naish, Dr. R. S. Frew, Dr. G. H. Hunt, for our mutual help and for profitable discussion of the Dr. P. Hamill, Dr. J. L. Birley.-Communications were problems of which we alone fully realise the immense received from: (1) the Secretary of the Royal College of Surgeons, reporting proceedings of the Council of that importance to the nation, the factory, and the worker. A provisional committee has been formed, and it is hoped College on Feb. 13th ; (2) Dr. Hugh R. Smith, resigning his that a meeting may be arranged at an early date. I am diploma of Membership; (3) the Local Government Board, a "Victory Meeting" of the American Medical acting as secretary for the occasion, and shall be very concerning Association in Atlantic City, New Jersey, on June 9th to 15th; to hear from or all of their them views on this glad any the Council of British Ophthalmologists, recommending matter. Perhaps later on we may encourage the managerial (4) certain alterations in the final qualifying examination. element to join us. For so much good for the factory and This was referred to the Committee of Management.workers results from friendly discussion between the medical Dr. Sidney Martin was appointed, on the nomination of the and other heads of departments that it will be worth while Council, a representative of the College on the Senate of the of London. The following Report from the developing this principle on a larger scale, the main result University of which should be the education of the lay element in the Committee of Management was received and adopted :1. The Committee recommend that the following school be added to sound principles of medical supervision of the health and the list of institutions recognised by the Board for instruction in energy of the industrial worker, especially whilst at work. chemistry and physics—namely, St. Peter’s School, York. 2. The Committee recommend that the following school be recognised I am, Sir, yours faithfully, for instruction in chemistry, physics, and biology-namely, Perse H. GEORGE P. CASTELLAIN, M A. M.D., School for Girls, Cambridge. Medical inspector, Ministry of Pensions; formerly P.M.O. to 3. The Committee recommend that the following university be added Nos. 6, 13, and 14 National Shell Filling Factories. to the list of institutions whose graduates in Medicine are admissible Ministry of Pensions, Thorney House. Millbank, to the Final Examination of the Examining Board in England under London, S.W. 1, April 25th, 1919. the conditions of Paragraph IV., Section IlL, of the Regulationsnamely, University of Texas, Galveston, Texas. - After some formal business the President dissolved the Comitia.
Medical News.
The War and After.
ROYAL COLLEGE
OF
PHYSICIANS
OF
EDINBURGH,
ROYAL COLLEGE OF SURGEONS OF EDINBURGH, AND ROYAL FACULTY OF PHYSICIANS AND SURGEONS OF GLASGOW.At an examination held recently the following candidates
THE CASUALTY LIST.
THE names of the following medical officers appear among were successful :FINAL EXAMINATION. the casualties announced since our last issue :— Pieter de Villiers Moll, Donald Leslie Henderson, John Archibald Steel Xi led. Campbell, Frank Lockwood, Has9an Amin Madwa-, Daniel David Fernandes, Reginald Leslie Wright, Lawson Lamb Steele, Jame3 Major M. N. Perrin, R.A.F. Med. Serv., was a student at St. ’ Muler Speirs, and Sidney Hill Waddy. Bartholomew’s Hospital, London, and qualified in 1913. He died as the result of an accident whilst flying. A SCHEME FOR THE TREATMENT OF VENEREAL DISEASES IN BELFAST.--Our Irish correspondent writes: Died. The scheme for the treatment of venereal diseases in Capt. C. C. Hains, Austr. A.M.C. Belfast has been adopted by the city corporation and approved by the Local Government Board. Under it the following are the medical schools and treatment centres: CASUALTIES AMONG THE SONS OF MEDICAL MEN. University, Belfast, Royal Victoria Hospital, Mater The following additional casualty among the sons of Queen’s Infirmorum Hospital, Belfast, and the Belfast Union Infirmedical men is reported :mary. Arrangements have been completed by which Capt. and Adjt. C. Sanders, West Yorkshire Regt., reported medical practitioners can obtain, free of cost, a pathological missing in May, 1918, now officially presumed killed, report on suspected material, which is to be submitted to Dr. W. St. Clair Symmers, Queen’s University professor of second son of Dr. G. Sanders, of Cannes, France. pathology, who is the pathologist appointed under the scheme. The necessary outfit of appliances for taking and
THE HONOURS LIST.
transmitting by post specimens for examination can be obtained by application to the medical officer of health, and arrangements have been made for the instruction of medical O.B.E. (Military Division). practitioners in the technical methods of diagnosis employed in venereal diseases at the laboratory of Queen’s College, Surgeon Lieut. Francis Ewart, M.B., R.N. For valuable services in H.M.S. Pat/tca whilst emp’oyed on Ocean and at the recognised hospitals ; and under the scheme Escort duties. medical practitioners can be supplied with skilled assistance. Salvarsan or its substitutes are to be supplied free of cost to Distinguished Service Cross. doctors who can give satisfactory evidence of training or Surg. Lieut. Neville Hardcastle Smith, R.N. experience in the administration of these drugs, and, in In recognition of the bravery and devotion to duty displayed by him in carrying out his professional duties during the battle in the exceptional cases, travelling expenses will be allowed to Ussuri district between August 14th and 28th, 1918. patients. The real difficulty in the Belfast scheme, as, indeed, in allothers in the United Kingdom, is that venereal diseases (with the exception of ophthalmia neonatorum) not MENTIONED IN DESPATCHES. being notifiable, patients can attend for treatment or not as The names of Surg. Cdr. C. J. E. Cook, R.N., and of they like, and so after an injection of one or other of the antiSurg. Lieut. J. F. Smith, R.N., have been mentioned in syphilitic remedies, when they notice a rapid improvement despatches. in their condition they fail to attend again. In no way, The
following awards
to medical officers
are
announced
:—
pyorrhoea.
The results of infection of the chyme by organisms are: 1. The direct extension of the infection from the duodenum along the ducts of the liver, gall-bladder, and pancreas with the conditions which ensue on this infection. 2. Degenerative changes in every tissue of the body due to the systemic supply of blood which is more or less impure, since it contains a certain quantity of deleterious substances. The liver would appear to be especially exposed to harm, since the blood reaches it through the portal vein in its most impure form. Again, the cells of this organ, overstimulated by its novel function, are damaged by the infection that reaches them through the ramifications of the infected hepatic ducts as well as through the impure blood supplied by the hepatic artery. The kidneys, skin, adrenals, thyroid, pituitary gland, and spleen cease to bear their normal relationship to the food-supply, and are overworked, such excessive function acting at first as a stimulant, which later results in exhaustion. The nutrition of the component parts of these structures is also impaired, in common with every other tissue, because of the impurity of the blood supplied to them. These organs all undergo changes which are described as diseases. 3. A group which might be classified as the tertiary results of chyme infection. These are due to invasion by organisms consequent on the diminished vitality of the tissues, and include an immense ’variety of so-called diseases, none of which could arise without the I refer to such antecedent existence of chyme infection. varied conditions as rheumatoid arthritis, tubercle, Still’s disease, ulcerative endocarditis, pyorrhoea, obliterative arteritis, many forms of skin disease, &c. These consequences can in most cases only be dealt with effectually by the sterilisation of the contents of the stomach and small intestine.-I am, Sir, yours faithfully, W. ABBUTHNOT LANE. April 15th, 1919.
DEPARTMENT OF HEALTH FOR CANADA. To the Editor of THE LANCET.
and for the
conducting of research work ; (f) the securing of greater cooperation of the provinces in health work generally. This action on the part of the Commission was strongly supported by the Dominion Medical Association, as well as by the several provincial organisations, and by a large body of the
public press and associations
of the
people.
interested in the welfare
As a result of war conditions and the appalling effects of the recent epidemic of influenza and doubtless stimulated by the words of the Premier of Great Britain and the subsequent action of the British Government, it is gratifying to note the proposals of the Dominion Government on this question which aims at placing health as a foundation of Government, thereby assuring to the people that the vital problems which concern a nation and upon which depend its very existence, continuity, and efficiency, are those which will hereafter receive its most serious and constant attention. The Bill as introduced provides for the establishment of a Department of Health, with a Minister, Deputy Minister, and Advisory Council, and"
The duties and powers of the Minister administering the of Health shall extend to and include all matters and questions relating to the promotion or preservation of the health and social welfare of the people of Canada over which the Parliament of Canada has jurisdiction ; and, without restricting the generality of the foregoing, particularly the following matters and subjects: (a) cooperation with the provincial, territorial, and other health authorities with a view to the coordination of the efforts proposed or made for preserving and improving the public health ; (b) the conservation of child life and child welfare; (c) the inspection and medical care of immigrants and seamen, and the administration of marine hospitals; (d) the supervision, as regards the public health, of railways, boats, ships, and all methods of transportation; (e) the supervision of Federal public buildings and offices with regard to the health of the Civil servants and other Government employees therein; (f) the enforcement of any rules or regulations made by the International Joint Commission promulgated pursuant to the treaty between the United States of America and His
Department
to boundary waters and questions arising between the United States of America and Canada so far as the same relate to public health ; (g) the administration of the statutes mentioned in the Schedule to this Act and of Acts amending the same, and also of all orders and regulations passed or made under any of the said Acts, and all the duties and powers of any Minister of the Crown under either of the said Acts or any of the said orders or regulations are hereby transferred to and conferred upon the Minister of Health ; (h) the collection, publication, and distribution of information to promote good health and improved sanitation ; (i) such other matters as may be referred to the Minister by the Governor in Council."
Majesty relating
From the manner in which the question has been already referred to in the House by those Members who spoke in SIR,-On the tide of reconstruction in Canada there has the Address to the Throne the question seems to meet with just been borne into the Dominion House of Commons a Bill general approval, and but little opposition is coming from Of course, some is expected from those of to create a Federal Department of Health, introduced by the the daily press. Hon. N. W. Rowell, President of the Privy Council. For Christian Scientist and anti vaccination proclivities, which, some years a strong and active movement has been in however, are of but slight importance and cannot affect the I am, Sir, yours faithfully, issue. the led Commission of Conservation chiefly by progress, CHAS. A. HODGETTS, M.D., D.P.H., &c., through its Public Health Committee, of which the writer is medical adviser. The Committee has made repeated repreMedical Adviser, Public Health Comm., Commission of Conservation. Ottawa, March 28th, 1919. sentations to successive Governments and urged that it was the duty of the Federal authorities to conserve the health of the people and that the first step should be the establishTHE AFTER-CARE OF TUBERCULOUS In October, 1910, a ment of a Department of Health. conference was convened in Ottawa of representatives of the EX-SERVICE MEN. provincial governments and Federal representatives under To the Editor of THE LANCET. the chairmanship of Sir Edmund Osler, when a series of recommendations were made, and subsequently laid before SIR,-The Society of Medical Officers of Health recently the then Premier, Right Hon. Sir Wilfrid Laurier, and had under consideration the circular of the Local Governsubsequently before the present Premier. Right Hon. Sir ment Board, dated Dec. 4th, 1918, in regard to the home Robert Borden. visiting and after-care of discharged soldiers and sailors The important features of these recommendations were: suffering from tuberculosis. It was decided to point out to (a) the establishment of a Federal Department of Health ; the Board that the circular might be interpreted as making (b) a nationalcouncil of representatives from each of the the tuberculosis officer directly responsible for measures in provinces ; (e) the consolidation of the work of quarantining, this connexion. In reply the Board have assured the medical inspection of immigrants, inspection of foods and society that the circular was not intended to suggest in drinks and other matters at present controlled by the any way that the tuberculosis officer should, except as far Federal government but operated by different departments ; as his clinical duties are concerned, act otherwise than their administration to be placed in the hands of a Minister under the direction of the medical officer of health." The of Health; Cd) the pollution of streams; (e) the establish- Board add that the position of the medical officer of health ment of health laboratories for the preparation of sera, &c., in relation to the administration of sanatorium benefit is
768
plainly stated in the third paragraph of their circular letter dated Dec. 6th, 1912, which reads as follows :" The organisation of schemes must be undertaken as part of the public health administration of the areas to which they relate, and the medical officer of health should ROYAL COLLEGE OF PHYSICIANS OF LONDON.-An be the chief executive and organising officer. ordinary Comitia was held on April 24th, Dr. Norman I am, Sir, yours faithfully, Moore, the President, in the chair.-On the report of the Censors’ Board it was resolved :G. S. ELLISTON, M.A., That Thomas Stoney Sharpley be declared to be no longer a Executive Secretary, the Society of Medical Officers of Health. Licentiate of the College ; that he forfeit all rights and privileges of a Upper Montague-street, W.C., April 28th, 1919. Licentiate; and that his name be expunged from the List of Licentiates during the pleasure of the College. The following were elected Members, having passed the AND AN ASSOCIATION OF FACTORY DOCTORS required examination: Dr. J. P. Bibby, Dr. A. D. Bigland, Dr. H. H. Carleton, Dr. W. d’Este Emery, Dr. C. L. MANAGERS. Gimblett, Dr. W. H. Parkes, Dr. J. A. Ryle, Dr. A. B. To the Editor of THE LANCET. Soltau, Dr. J. F. Ward.-Licences to practise physic were SIR,-May I beg the hospitality of your correspondence granted to 76 candidates who had conformed to the by-laws columns in order to ask those of our colleagues, who, like and regulations and had passed the required examinations.following were elected to the Fellowship on the nominamyself, have been, or are, full-time medical officers to The of the Council: Dr. J. D. Stanley, Dr. E. B. Leech, Dr. factories, whether, in view of the probable development of a tion H. Dr. H. L. Tidy, Dr. G. A. Auden, Dr. D. H. widespread (but not necessarily State) Medical Service, they De Devine, Souza, Dr. A. E. Gow, Dr. C. A. Sprawson, Dr. F. P. consider it would be desirable to form a small association Mackie, Dr. A. E. Naish, Dr. R. S. Frew, Dr. G. H. Hunt, for our mutual help and for profitable discussion of the Dr. P. Hamill, Dr. J. L. Birley.-Communications were problems of which we alone fully realise the immense received from: (1) the Secretary of the Royal College of Surgeons, reporting proceedings of the Council of that importance to the nation, the factory, and the worker. A provisional committee has been formed, and it is hoped College on Feb. 13th ; (2) Dr. Hugh R. Smith, resigning his that a meeting may be arranged at an early date. I am diploma of Membership; (3) the Local Government Board, a "Victory Meeting" of the American Medical acting as secretary for the occasion, and shall be very concerning Association in Atlantic City, New Jersey, on June 9th to 15th; to hear from or all of their them views on this glad any the Council of British Ophthalmologists, recommending matter. Perhaps later on we may encourage the managerial (4) certain alterations in the final qualifying examination. element to join us. For so much good for the factory and This was referred to the Committee of Management.workers results from friendly discussion between the medical Dr. Sidney Martin was appointed, on the nomination of the and other heads of departments that it will be worth while Council, a representative of the College on the Senate of the of London. The following Report from the developing this principle on a larger scale, the main result University of which should be the education of the lay element in the Committee of Management was received and adopted :1. The Committee recommend that the following school be added to sound principles of medical supervision of the health and the list of institutions recognised by the Board for instruction in energy of the industrial worker, especially whilst at work. chemistry and physics—namely, St. Peter’s School, York. 2. The Committee recommend that the following school be recognised I am, Sir, yours faithfully, for instruction in chemistry, physics, and biology-namely, Perse H. GEORGE P. CASTELLAIN, M A. M.D., School for Girls, Cambridge. Medical inspector, Ministry of Pensions; formerly P.M.O. to 3. The Committee recommend that the following university be added Nos. 6, 13, and 14 National Shell Filling Factories. to the list of institutions whose graduates in Medicine are admissible Ministry of Pensions, Thorney House. Millbank, to the Final Examination of the Examining Board in England under London, S.W. 1, April 25th, 1919. the conditions of Paragraph IV., Section IlL, of the Regulationsnamely, University of Texas, Galveston, Texas. - After some formal business the President dissolved the Comitia.
Medical News.
The War and After.
ROYAL COLLEGE
OF
PHYSICIANS
OF
EDINBURGH,
ROYAL COLLEGE OF SURGEONS OF EDINBURGH, AND ROYAL FACULTY OF PHYSICIANS AND SURGEONS OF GLASGOW.At an examination held recently the following candidates
THE CASUALTY LIST.
THE names of the following medical officers appear among were successful :FINAL EXAMINATION. the casualties announced since our last issue :— Pieter de Villiers Moll, Donald Leslie Henderson, John Archibald Steel Xi led. Campbell, Frank Lockwood, Has9an Amin Madwa-, Daniel David Fernandes, Reginald Leslie Wright, Lawson Lamb Steele, Jame3 Major M. N. Perrin, R.A.F. Med. Serv., was a student at St. ’ Muler Speirs, and Sidney Hill Waddy. Bartholomew’s Hospital, London, and qualified in 1913. He died as the result of an accident whilst flying. A SCHEME FOR THE TREATMENT OF VENEREAL DISEASES IN BELFAST.--Our Irish correspondent writes: Died. The scheme for the treatment of venereal diseases in Capt. C. C. Hains, Austr. A.M.C. Belfast has been adopted by the city corporation and approved by the Local Government Board. Under it the following are the medical schools and treatment centres: CASUALTIES AMONG THE SONS OF MEDICAL MEN. University, Belfast, Royal Victoria Hospital, Mater The following additional casualty among the sons of Queen’s Infirmorum Hospital, Belfast, and the Belfast Union Infirmedical men is reported :mary. Arrangements have been completed by which Capt. and Adjt. C. Sanders, West Yorkshire Regt., reported medical practitioners can obtain, free of cost, a pathological missing in May, 1918, now officially presumed killed, report on suspected material, which is to be submitted to Dr. W. St. Clair Symmers, Queen’s University professor of second son of Dr. G. Sanders, of Cannes, France. pathology, who is the pathologist appointed under the scheme. The necessary outfit of appliances for taking and
THE HONOURS LIST.
transmitting by post specimens for examination can be obtained by application to the medical officer of health, and arrangements have been made for the instruction of medical O.B.E. (Military Division). practitioners in the technical methods of diagnosis employed in venereal diseases at the laboratory of Queen’s College, Surgeon Lieut. Francis Ewart, M.B., R.N. For valuable services in H.M.S. Pat/tca whilst emp’oyed on Ocean and at the recognised hospitals ; and under the scheme Escort duties. medical practitioners can be supplied with skilled assistance. Salvarsan or its substitutes are to be supplied free of cost to Distinguished Service Cross. doctors who can give satisfactory evidence of training or Surg. Lieut. Neville Hardcastle Smith, R.N. experience in the administration of these drugs, and, in In recognition of the bravery and devotion to duty displayed by him in carrying out his professional duties during the battle in the exceptional cases, travelling expenses will be allowed to Ussuri district between August 14th and 28th, 1918. patients. The real difficulty in the Belfast scheme, as, indeed, in allothers in the United Kingdom, is that venereal diseases (with the exception of ophthalmia neonatorum) not MENTIONED IN DESPATCHES. being notifiable, patients can attend for treatment or not as The names of Surg. Cdr. C. J. E. Cook, R.N., and of they like, and so after an injection of one or other of the antiSurg. Lieut. J. F. Smith, R.N., have been mentioned in syphilitic remedies, when they notice a rapid improvement despatches. in their condition they fail to attend again. In no way, The
following awards
to medical officers
are
announced
:—