211 cholera patient, and to keep up the treatment to the The health of Paris continues to be satisfactory. Lloyd’s agent at Lisbon states that the Portuguese Official Gazette of the 26th ult. contained a sanitary bulletin declaring the port of Huelva infected with cholera, and considered as suspected the ports between Cadiz and Ayamonte, both inclusive. The Paris delegates have visited Marseilles and Toulon. M. Clemenceau, who is a medical man as well as a deputy, speaking on sanitary measures at a meeting of the municipal council of the former city, proposed a central committee of medical men, and expressed himself in favour of the hospital being transferred to the outside of the town. There are now in Paris some 14,000 fewer visitors than were present at this time last year. It is stated that twenty cases of cholera have occurred at St. Petersburg, and that the disease has appeared at Charkoff and other towns. They have, however, been on the whole of a mild character, and the patients have recovered. THE SUSPECTED CASE OF CHOLERA AT LIVERPOOL. On the 25th ult., one of the crew of the St. Dunstan -steamer was seized with severe cramp in the limbs and stomach followed by vomiting. This happened while he He was taken home was transacting business in the city. in a conveyance, and Dr. Welsh of the South Dispensary visited him at once. As the case appeared to be of a serious character, and as the patient had come from a vessel on board which two men had recently died with all the symptoms of cholera, Dr. Welsh very properly sought further advice and assistance. Dr. Lindsay and Mr. Hutchinson attended, and under their treatment the patient soon recovered. Dr. Taylor, the medical officer of health, also visited the patient. It is very satisfactory to note that the thorough disinfection of the vessel with the other precautions adopted, as mentioned in last week’s LANCET, has proved successful, no other case having occurred. It ought to be mentioned that the sanitary authorities were enabled to do more in this case than the Health Act authorised, the owners having placed the vessel entirely at their disposal.
of
a
very last.
THE PICTORIAL PRESS AND CHOLERA.
4th ult., reported that cholera had broken out during the voyage, and that eighteen fatal cases had occurred. The National Health Society has prepared for circulation a leaflet containing a variety of plain instructions for the prevention of cholera, and mentioning the precautions which it is desirable to take in the event of the appearance of an actual case of the disease.
THE FORTHCOMING OTOLOGICAL CONGRES AT BALE. THE programme of this Congress, the third of its kind, which is to be held at Bftle from September lst to 4th, has been published. The opening meeting will commence on September 1st at 10 A.M., when the election of officers will be held and addresses delivered by Dr. Sapolini, the President of the last Otological Congress, by Professor Burckhardtmerian, the President of the Organisation Committee, and by the members delegated from the Haut Conseil Fédéral and the Conseil d’Etat du Canton de Bale-Ville. At 12.30 P.M. a breakfast will be given by the Swiss aural surgeons at the Veltlinerhette, and from 3 to 6 P.M. a meeting of the Congress will be held. On September 2nd, 3rd, and 4th meetings will be held from 9 A.M. to 12, and from 3 to 6 P.M., and on the 3rd the members will in the evening be entertained at a dinner given by the Conseil d’Etat of the Canton de Bale-Ville. For September 5th an excursion to the lake of the four cantons is projected. The official languages are French, German, English, and Italian. The subscription is fixed at 20 francs, and tickets of membership may be obtained on application to Dr. Courvoisin, Bhle. In the list of communications promised, which number thirtyeight, we notice the names of but two residents in the United Kingdom-Mr. Bendelack Hewetson, who will read a paper on the Immediate Relief from Earache by the Injection against the Membrana Tympani of Glycerinum Acidi Carbolici, and its Power in arresting the Progress of Inflammation in the Middle Ear, of which the Earache is a symptom, and deliver some remarks on the Treatment of Catarrhal Deafness by the daily Injection of a strong Solution of Sodse Bicarbonas into the Nares by the patients; and Dr. Thomas Barr, who has promised a paper on Adenoid Vegetations of the Naso-pharyngeal Cavity.
The Graphic published last week some humorous sketches of the manner in which our continental neighbours put into practice the sanitary cordon and the fumigation of passengers. The dipping of a dog, which had, by mistake of course, violated the regulations by crossing the cordon, into a bucket of vinegar by way of disinfection is as amusing and grotesque as the bargaining by bribery for getting poultry across the cordon, with policemen watching complacently over this little transaction, and the fumigation of the persons of passengers-the former being carried out by the Spanish authorities at Gibraltar and the latter by the French at Avignon. In another page we notice a " cholera LOCAL GOVERNMENT DEPARTMENT. fumigating box," by which it would seem that still more stringent precautions are adopted at Geneva. " The susREPORTS OF MEDICAL OFFICERS OF HEALTH. pected person," says the Graphic, "is placed in a box, The Barton, Winton, Eccles, and Monton (Urban). which is about 6 ft. high, and in which he stands upright, with only his head outside, a towel being wrapped round urban sanitary district bearing this composite name, which the neck. The process occupies from three to four minutes, is’approximate to Manchester and Salford, had in 1881 and the disinfectants used are chloride of lime and carbolic an enumerated population of 21,786. The medical officer of acid. The top piece of the box is made to slide in, and is Dr. has recently issued an interesting health, Carrington, removed when the process is completed by simply pulling outwards. While the sliding-board is being removed the report for the two years 1882 and 1883, in which he has good reason for congratulating the sanitary authority and himself towel comes in handily as a respirator." upon the evidence of improving sanitary condition that the CHOLERA PRECAUTIONS AT LEITH. statistics for the district afford. The deathrecent A propos of our remarks last week, we now learn that the rate in mortality the district which averaged 23’0 per 1000 in the four sanitary authorities at Leith have received a communication years 1873-76, fell to 18’3 in the four years 1880-83. In from the Board of Trade informing them that a vessel had sailed from Marseilles with a cargo of old rags, and instruct- 1883 the death-rate was only 16’2, and Dr. Carrington that 161 persons were alive in his district at the ing them to be on the alert in case it should go to Leith. We estimates of end the year, whose deaths would have been recorded had trust that effective measures will forthwith be adopted in view of preventing at this juncture the importation of old the death-rate that prevailed ten years ago been maintained. We should have liked to see mentioned in the report the rags and such-like media for conveying the cholera virus, method adopted for estimating the population of the district, to from infected when come they happen especially places. for whereas it appears to be admitted that the population Charles George Guy Pereeval, Esq., H.B.M.’s Consul at declined from 1878 to 1881, it is now assumed to be increasMarseilles, has, we are informed, consented to receive con- ing again, notwithstanding the decrease in the number of tributions &c. towards relieving the distress among the recorded births. The statistics given suggest the probability labouring poor of _the town induced by the epidemic now that the present population is somewhat over-estimated. Although so much undoubted improvement in the sanitary prevailing there. The master of the steamship Bracadile, bound from condition of the district has evidently taken place in recent Calcutta to Demerara, with nearly seven hundred souls on years, the zymotic death-rate, reduced though it is, shows board, on the arrival of the vessel in Table Bay on the that the mortality is susceptible of further reduction; indeed
Public Health and Poor Law.
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