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THE CONGRESS OF THE SANITARY INSTITUTE.
733 of
suggestion and by pressure on the hysterogenic upward expulsion of gas was caused to such an extent that the vault of the diaphragm and the heart resumed their normal positions in the left hypochondrium, while the stomach seemed to recede, maintaining, however, means
zone an
" condition of moderate distension. Nervous eructations now began to take place and were loud and continuous. 11 Prior to each eructation the diaphragm descended slightly, about one-fifth of its descent in ordinary inspiration, but the contours of the stomach remained unchanged and continued so during the entire skiagraphic examination." It was thus seen that the stomach did not participate in the acts of "nervous" eructation. The eructations rose from the esophagus alone, and this was further borne out by the fact that the introduction of a soft open tube into the oesophagus stopped the contractions of the oesophagus and put an end to
.a
the belching.
-
THE OPEN-AIR TREATMENT OF TUBERCULOSIS. WE publish in another column some information concerning existing British open-air sanatoria for patients suffering from tuberculosis who are able to pay for their treatment. It is remarkable that about one-third owe their existence enterprise of medical women, amongst whom Dr. Jane Walker holds an honourable place. All but two are in the open country and these two are in the well-favoured town of Bournemouth. The east coast, so well known for its dry, bracing climate, possesses two and will soon have a third under the direction of Dr. Burton-Fanning. In the west of England there are two excellent establishments, on the Mendips and the Cotswolds respectively. Both of these are at a considerable elevation (for England) above the sea-level, as also is the colony at Crowborough. Others are situated respectively on the edge of the New Forest, on the slopes of the Malvern Hills, and on the Sussex moors, while yet another will shortly be opened on the pine-clad hills which look towards the Hindhead in Surrey. In Ireland a sanatorium has been recently started at Rostrevor, but in Scotland, the pioneer in open-air sanatoria for the poor, we know of none for the middle and upper classes. Nearly all the existing British institutions have had to increase their accommodation owing to the large demand for beds. Most of them have been greatly influenced by the methods of Dr. Walther of Nordrach in Germany. The fees payable vary from two to seven guineas per week, although we believe that a few beds for the middle classes can occasionally be had for less. Small fees can only be remunerative where the accommodation is very simple, unless electric lighting and other heavy items of expense are omitted. It is, therefore, highly creditable that several of these establishments have been started by medical practitioners for scarcely remunerative fees. to the
which formed the only protection of the country against the importation of disease. Dr. Hope (Liverpool) in a paper on Vaccination and Small-pox said that any considerable prevalence of small-pox in a seaport town was very detrimental to commerce on account of the restrictions placed on vessels proceeding thence to other countries. Alderman T. Walton, chairman of the Health Committee of the Southampton Corporation, presided over the conference of municipal representatives. Viscountess Harberton, the well-known advocate of "rational dress," discoursed on this theme to an audience of ladies. The section of Sanitary Science and Preventive Medicine met on August 31st when Aldermallt Sir Joseph Ewart, M.D., the President, delivered an interesting address on the various improvements in public health due to the development of sanitary knowledge. Dr. W. J. Simpson afterwards gave an address on Plague which is published in the present issue of THE LANCET. Papers were also read by Mr. J. Cantlie on the Prevention of Malarial Diseases, by Dr. F. R. Walters on the Construction of Sanatoria for Consumptives, and by Dr. Heron on the Recognition and Isolation of Pulmonary Consumption. In connexion with the Congress there is a Health Exhibition which will remain open for three weeks. THE London Hospital has received 10,000 from Mr. Edward Raphael towards the endownment of a new ward and
SIR MICHAEL FOSTER, K.C.B., M.D., will deliver the Presidential Address at the forthcoming meeting of the British Association.
SEWAGE
OF
BATH.-A considerable amount of
THE CONGRESS OF THE SANITARY INSTITUTE.
money has been spent upon the proposed sewage scheme for Bath. Land has been purchased at Saltford, where it was proposed that the sewage should be intercepted and chemically treated. The Local Government Board have recently stated that they are not prepared to entertain any proposal as to a partial scheme for sewage disposal, and consequently for the present the matter is in abeyance. Apparently the only effective manner of disposing of the sewage of Bath without sending it into the river is for the authorities of that city to join in the Bristol scheme and take the sewage through a large drain in the centre of the river to the Bristol Channel. The Bristol authority has approached the Bath Corporation upon the matter.
A NUMBER of interesting questions have been brought before the Congress of the Sanitary Institute, opened at Southampton on August 29th. Sir W. H. Preece, President of the Congress, in his inaugural address, delivered in
While Melbourne has decided on a site for its hospital for infectious diseases Sydney is still discussing the matter, and Dr. Ashburton Thompson, the chief Government medical officer, has recently prepared a report on the subject. He
INFECTIOUS DISEASES HOSPITAL
FOR
SYDNEY.-
Hartley Hall, dealt chiefly with the relation of bacterial observes that to be of service such a hospital must be life to health and disease in the human race and accessible, and " there is beyond doubt no fear of the spread concluded with a reference to the utility of electricity of infectious disease from such an institution when properly arranged and constructed." He advises that a site selected as a means of propelling tramcars and lighting houses. near on the Boomerang-road is suitable, but a On August 30th eight conferences were held, most of them betterKensington one would be on Sydney Common as being more taking place in the rooms of the Hartley College, whilst central. The Glebe Municipal Council also requested the others met in the municipal buildings and in King Government to try to prevent cases of typhoid fever and Edward VI. Grammar School. Mr. Millar Wilkinson, C.E., other infectious diseases from being admitted to the Hospital in reporting on this chairman of the Port of London sanitary authority, who for Children at Glebe. Dr. Thompson matter stated that the hospital was "quite within its rights presided at the conference of port sanitary authorities, ex- and was only discharging the function it was appointed to plained the importance of the work carried on by these bodies, perform " in admitting such cases.
suggestion and by pressure on the hysterogenic upward expulsion of gas was caused to such an extent that the vault of the diaphragm and the heart resumed their normal positions in the left hypochondrium, while the stomach seemed to recede, maintaining, however, means
zone an
" condition of moderate distension. Nervous eructations now began to take place and were loud and continuous. 11 Prior to each eructation the diaphragm descended slightly, about one-fifth of its descent in ordinary inspiration, but the contours of the stomach remained unchanged and continued so during the entire skiagraphic examination." It was thus seen that the stomach did not participate in the acts of "nervous" eructation. The eructations rose from the esophagus alone, and this was further borne out by the fact that the introduction of a soft open tube into the oesophagus stopped the contractions of the oesophagus and put an end to
.a
the belching.
-
THE OPEN-AIR TREATMENT OF TUBERCULOSIS. WE publish in another column some information concerning existing British open-air sanatoria for patients suffering from tuberculosis who are able to pay for their treatment. It is remarkable that about one-third owe their existence enterprise of medical women, amongst whom Dr. Jane Walker holds an honourable place. All but two are in the open country and these two are in the well-favoured town of Bournemouth. The east coast, so well known for its dry, bracing climate, possesses two and will soon have a third under the direction of Dr. Burton-Fanning. In the west of England there are two excellent establishments, on the Mendips and the Cotswolds respectively. Both of these are at a considerable elevation (for England) above the sea-level, as also is the colony at Crowborough. Others are situated respectively on the edge of the New Forest, on the slopes of the Malvern Hills, and on the Sussex moors, while yet another will shortly be opened on the pine-clad hills which look towards the Hindhead in Surrey. In Ireland a sanatorium has been recently started at Rostrevor, but in Scotland, the pioneer in open-air sanatoria for the poor, we know of none for the middle and upper classes. Nearly all the existing British institutions have had to increase their accommodation owing to the large demand for beds. Most of them have been greatly influenced by the methods of Dr. Walther of Nordrach in Germany. The fees payable vary from two to seven guineas per week, although we believe that a few beds for the middle classes can occasionally be had for less. Small fees can only be remunerative where the accommodation is very simple, unless electric lighting and other heavy items of expense are omitted. It is, therefore, highly creditable that several of these establishments have been started by medical practitioners for scarcely remunerative fees. to the
which formed the only protection of the country against the importation of disease. Dr. Hope (Liverpool) in a paper on Vaccination and Small-pox said that any considerable prevalence of small-pox in a seaport town was very detrimental to commerce on account of the restrictions placed on vessels proceeding thence to other countries. Alderman T. Walton, chairman of the Health Committee of the Southampton Corporation, presided over the conference of municipal representatives. Viscountess Harberton, the well-known advocate of "rational dress," discoursed on this theme to an audience of ladies. The section of Sanitary Science and Preventive Medicine met on August 31st when Aldermallt Sir Joseph Ewart, M.D., the President, delivered an interesting address on the various improvements in public health due to the development of sanitary knowledge. Dr. W. J. Simpson afterwards gave an address on Plague which is published in the present issue of THE LANCET. Papers were also read by Mr. J. Cantlie on the Prevention of Malarial Diseases, by Dr. F. R. Walters on the Construction of Sanatoria for Consumptives, and by Dr. Heron on the Recognition and Isolation of Pulmonary Consumption. In connexion with the Congress there is a Health Exhibition which will remain open for three weeks. THE London Hospital has received 10,000 from Mr. Edward Raphael towards the endownment of a new ward and
SIR MICHAEL FOSTER, K.C.B., M.D., will deliver the Presidential Address at the forthcoming meeting of the British Association.
SEWAGE
OF
BATH.-A considerable amount of
THE CONGRESS OF THE SANITARY INSTITUTE.
money has been spent upon the proposed sewage scheme for Bath. Land has been purchased at Saltford, where it was proposed that the sewage should be intercepted and chemically treated. The Local Government Board have recently stated that they are not prepared to entertain any proposal as to a partial scheme for sewage disposal, and consequently for the present the matter is in abeyance. Apparently the only effective manner of disposing of the sewage of Bath without sending it into the river is for the authorities of that city to join in the Bristol scheme and take the sewage through a large drain in the centre of the river to the Bristol Channel. The Bristol authority has approached the Bath Corporation upon the matter.
A NUMBER of interesting questions have been brought before the Congress of the Sanitary Institute, opened at Southampton on August 29th. Sir W. H. Preece, President of the Congress, in his inaugural address, delivered in
While Melbourne has decided on a site for its hospital for infectious diseases Sydney is still discussing the matter, and Dr. Ashburton Thompson, the chief Government medical officer, has recently prepared a report on the subject. He
INFECTIOUS DISEASES HOSPITAL
FOR
SYDNEY.-
Hartley Hall, dealt chiefly with the relation of bacterial observes that to be of service such a hospital must be life to health and disease in the human race and accessible, and " there is beyond doubt no fear of the spread concluded with a reference to the utility of electricity of infectious disease from such an institution when properly arranged and constructed." He advises that a site selected as a means of propelling tramcars and lighting houses. near on the Boomerang-road is suitable, but a On August 30th eight conferences were held, most of them betterKensington one would be on Sydney Common as being more taking place in the rooms of the Hartley College, whilst central. The Glebe Municipal Council also requested the others met in the municipal buildings and in King Government to try to prevent cases of typhoid fever and Edward VI. Grammar School. Mr. Millar Wilkinson, C.E., other infectious diseases from being admitted to the Hospital in reporting on this chairman of the Port of London sanitary authority, who for Children at Glebe. Dr. Thompson matter stated that the hospital was "quite within its rights presided at the conference of port sanitary authorities, ex- and was only discharging the function it was appointed to plained the importance of the work carried on by these bodies, perform " in admitting such cases.