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THE OUTBREAKS OF PLAGUE IN TURKEY.
746
E. C., showed numerous pharmaceutical preparations and proprietary preparations, including the Mist. Pepsinæ co. cum Bismutho. A soluble preparation of iodine, non-irritating, and capable of hypodermic injection, was exhibited by the Burnham Soluble Iodine Company of Auburndale, Massachusetts. A stall was devoted to Antiphlogistine, prepared by the Denver Chemical Manufacturing Company of New York. Some pharmaceutical products of interest were on view in the exhibit of Messrs. Rigaud and Chapoteaut of 8, rue Vivienne, Paris ; among them we may mention Apioline, the active principle of parsley, recommended in certain menstrual disturbances; Cerevisine, consisting of pure desiccated yeast cells ; and phosphoglycerate of ,lime. The well-known products of Messrs. Fairchild Bros. and Foster of New York were exhibited, including panopeptone. Among their exhibits were hypodermic injections of trypsin and amylopsin and holadin-an extract of pancreas rich in trypsin, amylopsin, and lipase. Dioxygen, formerly known as Oakland hydrogen peroxide, which was stated to be available for internal use, was shown by the Oakland Chemical - Company of 464, West Broa.dway, New York. Messrs. Allen and Hanburys exhibited their various well-known Bynin preparations, infant foods, and cod-liver oil. Kapsoli were also to be seen ; these are a new form of pill inclosed in a thin, soft, and readily soluble jujube coating. Messrs. Burroughs Welcome and Co. of London, Sydney, and Cape ’Town, presented an exhibit of their well-known tabloid preparations, of the "Wellcome" brand of chloroform, of antitoxin for diphtheria, and of "enule"suppositories. In the exhibit of Messrs. Duncan, Flockhart, and Co., of Edinburgh, the various anæsthetic preparations for which this firm have been so long known were shown, also various forms of special pills and other pharmaceutical products. .The useful preparation of Glycothymoline was shown by the Kress and Owen Company of 21.0, Fulton-street, New York. Messrs. Henry K. Wampole and Co. of Perth, Ontario, exhibited preparations of cod-liver oil, phospholecithin, various terpin compounds, and other special preparations. Various preparations of lactopeptine were on view at the -stall of the New York Pharmacal Association, Yonkers, New York, among them the tablets, the elixir, and the elixir with phosphate of iron, quinine, and strychnine. The Palisade Manufacturing Company, of Yonkers, New York, exhibited -its preparation Hæmaboloids which are stated to consist of natural iron containing nucleo-proteids, extracted from vegetable structures, reinforced by a synthetic organic iron - compound, nutrient albuminoids, the hæmatinic principle of bone marrow, and some nuclein. Tubes illustrating the pre. paration of these substances were on exhibition. The Charles Phillips Chemical Co. of 128, Pearl-street, New York, - exhibited a number of special preparations ; among them we may mention the phosphomuriate of quinine and the milk of magnesia, to which we have drawn attention on previous -occasions. Nepenthe, the preparation of opium prepared by Messrs. Ferris and Co., of Bristol, England, was shown among their exhibits, also various dressings and " caddies." The " ever-ready caddy consists of a dustproof receptable for dressings, so arranged that the required - quantity can be readily unrolled and cut off. Messrs. Reed and Carnrick of Jersey City, New Jersey, had on view samples of protonuclein, peptenzyme, pancrobilin, and nephritin, the latter being an extract of the cortex of the kidney. The Abbott Alkaloidal Company, of Chicago, New York, Seattle, and London, exhibited granules and tablets .containing a definite quantity of pure alkaloid, glucoside, or other active principle. (To be continued.)
SALISBURY INFIRMARY.-The annual
THE OUTBREAKS OF PLAGUE IN TURKEY. (FROM THE BRITISH DELEGATE TO THE CONSTANTINOPLE BOARD OF HEALTH.) SINCE the date of my last letter, which appeared in THE LANCET of August 25th, p. 525, there have been no The outbreak there further cases of plague in Jeddah. seems to have come to an end in the last week of July and fortunately, with the exception of the two imported cases mentioned in my previous letter, there has been no extension of the disease to Mecca. All preventive measures except a simple medical visit have now been removed from arrivals from Jeddab. Two more cases of plague, making ten in all, have been reported from the prison at Trebizond. The ninth occurred on August 18th and then, after an interval of 11 days without any fresh cases, a tenth was reported on the 29th. It appears that, in spite of urgent recommendations to evacuate the whole prison if possible, and if that were impossible to remove at least the prisoners from the infected ward, no measure of the kind was taken until August 20bh, when 196 prisoners were transferred to the mosque of St. Sophia; but it was not until the 25th, or 19 days after the appearance of the disease, that the prisoners occupying the infected ward were transferred to another. Later reports state that the total number of prisoners in the prison was between 400 and 500 and not over 700, as at first stated, but the authorities them. selves admit that the prison was crowded and insanitary. Preliminary reports have been received from the two bacteriologists sent to Trebizond from Constantinople ; bacilli resembling morphologically the piague bacillus were observed microscopically in one of the earlier cases and those isolated from the last case not only gave characteristic cultures on gelatin but also, when inoculated into guineapigs, produced characteristic lesions in the organs from which the same bacillus was obtained. At Adalia, on the southern coast of Asia Minor, two suspected cases of plague have been recently observed. The first case to which attention was called was seen on The patient was a grocer the evening of August 24th. 29 "), aged ("epicier years, living in the Tashlik quarter of the town. He was said to have fallen ill on the morning of the 23rd. The symptoms, as briefly described in the telegrams, were those of an acute attack of bubonic plague, with the bubo in the left groin. He died at 9 P.M. on the 24th. On inquiry it was then found that a female servant in the same house, aged 20 years, had been taken ill seven days previously with high fever and other suspicious symptoms. When examined this patient was found to be convalescent but there was still a suppurating bubo in the groin. In consequence of these cases a quarantine of 48 hours, with disinfection and application of the circular concerning rat destruction, was imposed against Adalia ; and, no fresh cases having occurred in the interval, these measures were reduced on the 4th inst. to simple medical visit, with disinfection and application of the rat destruction circular. Nothing is known as to the origin of the infection in these It will be recalled that a small outbreak of plague cases. occurred in Adalia in the months of July and August of last year, and then, as now, their origin could not be traced. It is stated that the infected house is situated far from the sea and that the man who died was a pour grocer no direct relations with importers from Egypt or elsewhere. It is added, however, that in a ditch bcdind the infected house some ten dead rats were discovered. It is also stated that the female patient had recently put on a dress that had belonged to a woman who suffered from plague in last year’s outbreak, to whom she was related, and that this dress had been carefully hidden to avoid its being burnt with the other contaminated effects. The fact, if it be a fact, is of interest, though it would seem more logical to suppose that if the present cases were due to a revival of last year’s infection the infective material has been kept alive by a succession of rats than to assume that it has lain dormant for a year in the folds of a dress. A bacteriologist has been sent to Adalia from Beirut to investigate the nature of the disease. Constantinople, Sept. 6th, 1906.
meeting having
- of the governors of the Salisbury Infirmary was held on August 31st under the presidency of the Earl of Radnor. The medical report stated that during 1905 the in-patients numbered 855 (an increase compared with 1904). the average stay of each in the institution being 20 days. 2936 out-patients and casualties were treated. The financial statement showed that although at the end of 1904 there was a debt on the general account of .E3747 and on the building account of £1152. at present there only remained a debt of .E1080 on
the general account, the building account had been paid, and it was added that for the first time for many years the income had met the expenditure. The Earl of Radnor alluded to the manut r in which the medical staff assisted at the recent railway accident, and a special vote of thanks was awarded to them for thtir excellent services on that occasion.
E. C., showed numerous pharmaceutical preparations and proprietary preparations, including the Mist. Pepsinæ co. cum Bismutho. A soluble preparation of iodine, non-irritating, and capable of hypodermic injection, was exhibited by the Burnham Soluble Iodine Company of Auburndale, Massachusetts. A stall was devoted to Antiphlogistine, prepared by the Denver Chemical Manufacturing Company of New York. Some pharmaceutical products of interest were on view in the exhibit of Messrs. Rigaud and Chapoteaut of 8, rue Vivienne, Paris ; among them we may mention Apioline, the active principle of parsley, recommended in certain menstrual disturbances; Cerevisine, consisting of pure desiccated yeast cells ; and phosphoglycerate of ,lime. The well-known products of Messrs. Fairchild Bros. and Foster of New York were exhibited, including panopeptone. Among their exhibits were hypodermic injections of trypsin and amylopsin and holadin-an extract of pancreas rich in trypsin, amylopsin, and lipase. Dioxygen, formerly known as Oakland hydrogen peroxide, which was stated to be available for internal use, was shown by the Oakland Chemical - Company of 464, West Broa.dway, New York. Messrs. Allen and Hanburys exhibited their various well-known Bynin preparations, infant foods, and cod-liver oil. Kapsoli were also to be seen ; these are a new form of pill inclosed in a thin, soft, and readily soluble jujube coating. Messrs. Burroughs Welcome and Co. of London, Sydney, and Cape ’Town, presented an exhibit of their well-known tabloid preparations, of the "Wellcome" brand of chloroform, of antitoxin for diphtheria, and of "enule"suppositories. In the exhibit of Messrs. Duncan, Flockhart, and Co., of Edinburgh, the various anæsthetic preparations for which this firm have been so long known were shown, also various forms of special pills and other pharmaceutical products. .The useful preparation of Glycothymoline was shown by the Kress and Owen Company of 21.0, Fulton-street, New York. Messrs. Henry K. Wampole and Co. of Perth, Ontario, exhibited preparations of cod-liver oil, phospholecithin, various terpin compounds, and other special preparations. Various preparations of lactopeptine were on view at the -stall of the New York Pharmacal Association, Yonkers, New York, among them the tablets, the elixir, and the elixir with phosphate of iron, quinine, and strychnine. The Palisade Manufacturing Company, of Yonkers, New York, exhibited -its preparation Hæmaboloids which are stated to consist of natural iron containing nucleo-proteids, extracted from vegetable structures, reinforced by a synthetic organic iron - compound, nutrient albuminoids, the hæmatinic principle of bone marrow, and some nuclein. Tubes illustrating the pre. paration of these substances were on exhibition. The Charles Phillips Chemical Co. of 128, Pearl-street, New York, - exhibited a number of special preparations ; among them we may mention the phosphomuriate of quinine and the milk of magnesia, to which we have drawn attention on previous -occasions. Nepenthe, the preparation of opium prepared by Messrs. Ferris and Co., of Bristol, England, was shown among their exhibits, also various dressings and " caddies." The " ever-ready caddy consists of a dustproof receptable for dressings, so arranged that the required - quantity can be readily unrolled and cut off. Messrs. Reed and Carnrick of Jersey City, New Jersey, had on view samples of protonuclein, peptenzyme, pancrobilin, and nephritin, the latter being an extract of the cortex of the kidney. The Abbott Alkaloidal Company, of Chicago, New York, Seattle, and London, exhibited granules and tablets .containing a definite quantity of pure alkaloid, glucoside, or other active principle. (To be continued.)
SALISBURY INFIRMARY.-The annual
THE OUTBREAKS OF PLAGUE IN TURKEY. (FROM THE BRITISH DELEGATE TO THE CONSTANTINOPLE BOARD OF HEALTH.) SINCE the date of my last letter, which appeared in THE LANCET of August 25th, p. 525, there have been no The outbreak there further cases of plague in Jeddah. seems to have come to an end in the last week of July and fortunately, with the exception of the two imported cases mentioned in my previous letter, there has been no extension of the disease to Mecca. All preventive measures except a simple medical visit have now been removed from arrivals from Jeddab. Two more cases of plague, making ten in all, have been reported from the prison at Trebizond. The ninth occurred on August 18th and then, after an interval of 11 days without any fresh cases, a tenth was reported on the 29th. It appears that, in spite of urgent recommendations to evacuate the whole prison if possible, and if that were impossible to remove at least the prisoners from the infected ward, no measure of the kind was taken until August 20bh, when 196 prisoners were transferred to the mosque of St. Sophia; but it was not until the 25th, or 19 days after the appearance of the disease, that the prisoners occupying the infected ward were transferred to another. Later reports state that the total number of prisoners in the prison was between 400 and 500 and not over 700, as at first stated, but the authorities them. selves admit that the prison was crowded and insanitary. Preliminary reports have been received from the two bacteriologists sent to Trebizond from Constantinople ; bacilli resembling morphologically the piague bacillus were observed microscopically in one of the earlier cases and those isolated from the last case not only gave characteristic cultures on gelatin but also, when inoculated into guineapigs, produced characteristic lesions in the organs from which the same bacillus was obtained. At Adalia, on the southern coast of Asia Minor, two suspected cases of plague have been recently observed. The first case to which attention was called was seen on The patient was a grocer the evening of August 24th. 29 "), aged ("epicier years, living in the Tashlik quarter of the town. He was said to have fallen ill on the morning of the 23rd. The symptoms, as briefly described in the telegrams, were those of an acute attack of bubonic plague, with the bubo in the left groin. He died at 9 P.M. on the 24th. On inquiry it was then found that a female servant in the same house, aged 20 years, had been taken ill seven days previously with high fever and other suspicious symptoms. When examined this patient was found to be convalescent but there was still a suppurating bubo in the groin. In consequence of these cases a quarantine of 48 hours, with disinfection and application of the circular concerning rat destruction, was imposed against Adalia ; and, no fresh cases having occurred in the interval, these measures were reduced on the 4th inst. to simple medical visit, with disinfection and application of the rat destruction circular. Nothing is known as to the origin of the infection in these It will be recalled that a small outbreak of plague cases. occurred in Adalia in the months of July and August of last year, and then, as now, their origin could not be traced. It is stated that the infected house is situated far from the sea and that the man who died was a pour grocer no direct relations with importers from Egypt or elsewhere. It is added, however, that in a ditch bcdind the infected house some ten dead rats were discovered. It is also stated that the female patient had recently put on a dress that had belonged to a woman who suffered from plague in last year’s outbreak, to whom she was related, and that this dress had been carefully hidden to avoid its being burnt with the other contaminated effects. The fact, if it be a fact, is of interest, though it would seem more logical to suppose that if the present cases were due to a revival of last year’s infection the infective material has been kept alive by a succession of rats than to assume that it has lain dormant for a year in the folds of a dress. A bacteriologist has been sent to Adalia from Beirut to investigate the nature of the disease. Constantinople, Sept. 6th, 1906.
meeting having
- of the governors of the Salisbury Infirmary was held on August 31st under the presidency of the Earl of Radnor. The medical report stated that during 1905 the in-patients numbered 855 (an increase compared with 1904). the average stay of each in the institution being 20 days. 2936 out-patients and casualties were treated. The financial statement showed that although at the end of 1904 there was a debt on the general account of .E3747 and on the building account of £1152. at present there only remained a debt of .E1080 on
the general account, the building account had been paid, and it was added that for the first time for many years the income had met the expenditure. The Earl of Radnor alluded to the manut r in which the medical staff assisted at the recent railway accident, and a special vote of thanks was awarded to them for thtir excellent services on that occasion.