THE LONDON MEDICAL EXHIBITION

1014 Jessel concludes, after actinotherapy comhmed with ancillary forms of treatment, are superior to those after

operation-and

the cost is much less than if

residential treatment had been

provided.

INFECTIOUS DISEASE IN ENGLAND AND WALES DURING THE WEEK ENDED

20TH, 1934 JVo/tcaMos.—The following cases of infectious disease were notified during the week : Small-pox, 0 ; scarlet fever, 3327 ; diphtheria, 1560 ; enteric fever, 17 ; acute pneumonia (primary or influenzal), 538 ; puerperal fever, 58 ; puerperal pyrexia, 110 ; cerebrospinal fever, 17 ; acute poliomyelitis, 30 ; acute polio-encephalitis, 1 ; encephalitis lethargica, 5 ; dysentery, 15 ; ophthalmia neonatorum, 84. No case of cholera, plague or typhus fever was notified during the week. OCT.

’

The number of cases in the Infectious Hospitals of the London County Council on Oct. 29th-30th was as follows : Small-pox, 0 ; scarlet fever, 1897 ; diphtheria, 1853 ; measles 191 ; whooping-cough, 180 ; puerperal fever, 26 mothers (plus 14 babies) ; encephalitis lethargica, 269 ; poliomyelitis, 9 ; " other diseases," 302. At St. Margaret’s Hospital there were 18 babies (plus 11 mothers) with ophthalmia neonatorum.

Deaths.-In 121 great towns, including London, there was no death from small-pox or measles, 1 (0) from enteric fever, 5 (0) from scarlet fever, 6 (3) from whooping cough, 47 (14) from diphtheria, 57 (13) from diarrhoea and enteritis under two years, and 13 (2) from influenza. The figures in parentheses are those for London itself. It must be a long time since a week was free from a fatal of measles. Liverpool reported 4 of the deaths from diphtheria, West Ham and Leeds each 3, Bootle, Huddersfield, Hull, Salford, Cardiff each 2. Of the deaths from diarrhoea, 8 occurred at Liverpool, 4 at Leeds and Birmingham, 3 each at Portsmouth, Sunderland, and Leicester.

case

The number of stillbirths notified during the week was 274 (corresponding to a rate of 45 per 1000 total births), including 41 in London.

THE LONDON MEDICAL EXHIBITION WE conclude in this issue an account of the medical exhibition organised by the British and Colonial Druggist, Ltd., who were also responsible for the great exhibition at the seventeenth International Congress of Medicine. The new hall of the Royal Horticultural Society in Greycoat-street, Westminster, gives ample space and an excellent setting for an exhibition of this kind. Open as it was from 11 A.M. to 6.30 P.M. for five consecutive days sufficient opportunity was given for attendance at convenient times by all those towhom the exhibition was expected to appeal. Numbers of new preparations and improved formulae were shown in the pharmaceutical section, and the steady development of surgical craft was evident from the variety of instruments and appliances of all kinds. There were in all nearly 170 exhibitors and the attendance was larger than on any previous occasion. A similar exhibition will be held in Glasgow next May.

" Clinical Contraception " ; I3alls Dally’s " B,. Blood Clendening’s " Behind the Pressure " ; Doctor " ; and McDowall’s " Science of Signs and Symptoms."-(32, 40, 41) H. K. LEWIS AND Co., L., (136 and 140, Gower-street, W.C.), had a represeu, tive selection of works of many publishers as well a, their own, and specimens of osteology and anatomic’ models ; they pointed out particularly " Rece Progress in Medicine and Surgery," edited byG John Collie ; Roxburgh, " Common Skin Diseases Ellman, " Chest Disease " ; Ray, " Rheumatism General Practice " ; and Hamilton Bailey and R McNeill Love, " A Short Practice of Surgery." their medical stationery stand they showed siml card index systems of book-keeping and case-takir hand-painted shields, Dr. Ellman’s new stamp.of t lungs and heart, and a handy loose-leaf pocket-bot constituting a portable card index system for ca notes.-(76) THE MEDICAL PRESS AND CIRCUL" (8, Henrietta-street, W.C.) reminded practitioners of their practical journal and their series of articles on modern treatment in general practice, as well as their quarterly symposia and special numbers which endeavour to give the latest knowledge in a concise, authoritative form applicable to general practice.(25) OXFORD UNIVERSITY PRESS (Amen House, Warwick-square, E.C.) showed their own books a-{Þ those of various American universities, and selected as of special interest : Kretschmer, " Text-Book of Parsons Medical Psychology" ; and Barling, " Infancy and Childhood " ; Platt, " Nephritis " ; Vaughan, " The Anemias " ; H. Wright, " Essentials of Infant Feeding " ; S. Wright, " Applied Physiology."(156) THE PRACTITIONER (6-8, Bouverie-street, E.C.) had recent issues on view, notably the October Special Number of recent advances in treatment, and pointed out to inquirers that two special numbers were published each year, and that the ordinary issues generally contained symposia on subjects of interest to the doctor.-(98) JOHN WRIGHT AND SONS, LTD. (Bristol), displayed their publications, and pointed out a new " Atlas of Commoner Skin Diseases " by Semon and Moritz, in which the illustrations are actual coloured photographs taken direct from the subject and not from the model. They also reminded visitors that they are the publishers of the Medical Annual.-(15) THE LANCET, 7, Adam-street, Adelphi, W.C., showed the volumes in which series of articles have been collected in book form, of which the most recent is " The PreventiveAspects of Medicine " ; and medical books published by Messrs. Hodder and Stoughton.

Spas

and Miscellaneous

(60) BATH illustrated its establishment and reminded visitors of the varied forms of therapy available, particularly recommending the springs for spondylitis, and introducing the new thermal vapour treatment cabinet.-(39) BUXTON drew special attention to a new rheumatism clinic which is to open next year and to provide board, spa treatment, and specialist advice as required for persons of moderate means at an inclusive charge of three guineas per week.-(152) HARROGATE emphasised their latest amenity ; an arrangement for regulating the diet of patients. The practitioner is supplied with diet sheets, and can enter quantity or comments ; one copy is then given to the patient and another to the Books hotel-keeper, who undertakes to supply the foods (21, 22) BAILUEBE, TINDALL AND COX (7 and 8, ordered. Henrietta-street, W.C.) showed a number of their (53, 54) DOMEN BELTS Co., LTD. (67, Welbeckown publications and, in addition, those issued by a street, W.), showed a new abdominal support of dozen other firms. They drew special attention to : which the principal feature is a pair of bands crossing " Modern Treatment in General Practice," by Cecil several times and simply adjusted by a pair of buckles P. G. Wakeley ; Green’s " Manual of Pathology," at the front of the belt ; there is a single fastening revised by H. W. C. Vines ; " Surgery of the Sympabehind consisting of three hooks. They also exhibited a variety of other garments designed to control the thetic Nervous System," by Prof. G. E. Gask and J. Paterson Ross; and "Principles of Gyneecology," figure.-(9) THE GAS LIGHT AND COKE Co. (Horseferryby W. Blair-Bell.-(20) WILLIAM HEINEMANN, LTD. road, S.W.) exhibited some of their latest appliances, (99, Great Russell-street, W.C.), exhibited a range notably the High Beam fire, which is said to be coloured panel more efficient than older models ; of books on medicine and surgery, notably Cox’s

1015

D; .,in at,’Å

a range of paints to match any room, and self19 water heaters for surgery basins and sinks.-

(67) KOLYNOS INCORPORATED (Chenies-street, W.C.) had a new shaving cream to show, in addition to tl r dental cream and mouth wash.-(19) THE AGENCY, LIMITED (Dudley House, 36-38, were again present to

tMCAL

/uthampton-street, W.C.),

form doctors of the valuable services which

they

obtain in such matters as locum tenents,assistants, medical accountancy of all kinds, loans and insurance. (161) MEDICAL SICKNESS ANNUITY AND LIFE ASSURANCE SOCIETY, LTD. (300, High Holborn, W.C.), had a stand to remind practitioners of the Society founded by medical men and conducted solely for their benefit, providing all forms of sickness, accident, life and pension insurance and loan schemes. can

OBITUARY

. ’’

HAVELOCK CHARLES, G.C.V.O., M.D. Q.U.I., F.R.C.S.I.

SIR

JOR-GENIERAL, I.M.S. ; HON. SERJEANT-SURGEON TO THE KING

Saturday last of Sir Havelock officer in the Indian Medical , varies, distinguished :.5brvice and an earnest worker in the cause of tropical medicine. Havelock Henry Richard Charles was the son of Dr. D. H. Charles, of Cookstown, Tyrone, and received his medical education at Queen’s College, Cork. He graduated as M.D. Q.U.I. in 1881 with first-class THE death occurred

on

a

honours,

gaining

medal for medicine, and, after

the

gold

postgraduate study at various centres on the continent, entered the Indian Medical Service. He took the first place in the competitive examination and while at Netley gained the Herbert

Prize, the Montefiore Prize, and the Parkes Medal. As was natural after so successful a career as a student he soon obtained

special

employ-

and from 1884 was for two [Photograph by ElltOtt & Fry years in part medicharge of the .CJLC cal Escort and Field Hospital which accompanied the Afghan Boundary Commission ; the medical responsibilities thus incurred he afterwards described in a book. There followed now important teaching appointments in connexion with the I.M.S. He was consecutively professor of surgery and anatomy in the medical colleges of Lahore and Calcutta, and surgeon to the Mayo Hospital in Lahore. In 1905 his close connexion with the Court commenced, for he accompanied the present King and Queen, then Prince and Princess of Wales, on their Indian tour, at the conclusion of which he was appointed K.C.V.O. In 1908 he retired from the Service with a pension. On his return to England he immediately began to take an active interest in the development of tropical medicine, the importance of which to the Empire had been growing more generally obvious. In 1910 he became dean of the London School of Tropical Medicine, and at the same time he presided over the meetings of the Royal Society of Tropical Medicine and Hygiene. In 1910 he was appointed SerjeantSurgeon to the King, and in 1911-12 he accompanied the King and Queen when they revisited India. On his return from India he was promoted G.C.V.O. and gazetted Honorary Surgeon-General. At the same SIR HAVELOCK CHARLES

ment,


V1

U11G

time he was appointed president of the medical board of the India Office, a post which he held until 1923, being at the same time medical adviser to the Secretary of State for India. In 1923 he was created K.C.S.L, and a baronet in 1928. On his resignation in 1928 of the post of Serjeant-Surgeon to the King, he was made Honorary Serjeant-Surgeon, a new and personal appointment. He received many academic distinc tions in addition to those from the Crown. In 1906 he was awarded the honorary medal of the Royal College of Surgeons of England, and in the following year the Arnott medal. He was given the honorary degree of LL.D. at Queen’s University, Belfast, and was made an honorary F.R.C.S. Irel. He was not a profuse writer, but he contributed to the medical journals, the Journal of Anatomy and Physiology, and the Journal of the Asiatic Society, papers on anatomy, surgery and anthropology, and he wrote memoirs of his brother officers in the Indian Medical Gazette. He was a Visitor of King Edward’s Hospital Fund for London, a Knight of Justice in the Order of St. John of Jerusalem. Sir Havelock Charles, who had been a widower for ten years, married in 1886 Gertrude, daughter of the late Adam Gordon of Aberdeen, by whom he had two sons, who survive him. We owe to Sir Leonard Rogers the following tribute :o " In Sir Richard Havelock Charles the Indian Medical Service has lost its most distinguished member. He was a marked man from the time he entered the Service as a gold medallist and at the head of his batch during a time of keen competition. In his second year in India he was appointed surgeon to the Afghan Boundary Commission, and not very long after he was made professor of anatomy and surgery at the Lahore Medical College. Here his ability and enthusiasm resulted in the complete reorganisation of the department to become the first of its kind in India, and at the same time he did much original research work on differences between the skeletons of Europeans and Indians, which had important medico-legal applications both in craniology and anthropology. So outstanding was this work that when a vacancy occurred in a similar post in the Calcutta Medical College the Government of India appointed him to it ; one of the very few occasions in which an I.M.S. officer of another province was appointed to a Calcutta medical professorship. Here he was equally successful in reorganising the teaching of anatomy, while he also proved to be an up-to-date and successful surgeon, and, on promotion to the professorship, an excellent teacher in that subject. As first surgeon to the hospital he was particularly successful in operations for elephantiasis of the scrotum, and effected important improvements, more particularly in primary skin grafting to restore the functions of the male organ. He also obtained comparatively good results with the open operation for liver abscesses, then in general use, and here he stressed the importance of the surgeon himself doing the early dressings to mimimise the dangers of