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THE PASTEURISATION OF MILK IN NEW YORK.
1556 and at any rate should receive consideration from those enthusiasts for raw milk who maintain that the cooking of milk, not only has an injurious influence on the nutrition of infants under one year, but that it also has far-reaching influence in the same direction during the succeeding years of life.
week after the operation 40 shot were passed per rectum and were much eroded. The urine contained a trace of albumin and a few hyaline and granular casts. The abdomen was radiographed but no more shot could be seen. a
____
THE LIBRARY OF THE SURGEON-GENERAL’S OFFICE, UNITED STATES ARMY.
WHEN reviewing the eighteenth volume of the second series of the Index Catalogue of the Library of the Surgeon-General’s Office, United States Army,1 we took occasion to state that the assiduous and patient labour of the army medical officers who produce that storehouse of remarkably accurate bibliographical, antiquarian, medico-historical, scientific, and professional lore-for by its arrangement and methods it is much more than a mere inventory of books-lays all medical scholars under Government of the a debt of gratitude to the United States. It is with something like dismay, therefore, that we learn through the protests now appearing in the American medical press that it is proposed this year to deprive this great library (which owes its world-wide eminence to the organising capacities and indefatigable energy of the late Dr.John Billings) of its independent status, and to transfer it to the library of Congress, constituting it a subordinate department thereof. Whatever may be the non-medical advantages expected to accrue from such a course, we fear that its results would be most regrettable for medical literature throughout the world. We cordially sympathise, therefore, with the protests of our American contemporaries, and trust that wiser counsels even yet may prevail. THE PASTEURISATION
OF
MILK IN
NEW
____
THREE former students of King’s College Hospital hold at the present moment the important posts of Director-General Navy Medical Department (Surgeon-General Arthur W. May, C.B.),
Director-General Army Medical Service (SurgeonGeneral Sir Arthur T. Sloggett, C.B.), and Medical
Inspector H.M. Prisons (Sir Herbert Smalley, M.D.). It is proposed to commemorate this unique occa. sion by entertaining them at dinner on Tuesday, June 16th, at the Waldorf Hotel. Viscount Hambleden, chairman of the committee of management of King’s chair at 7.30 P.M.
College Hospital, will take the
Mr. Thomas H. Kellock, surgeon to the Middlesex has announced his intention of standing as a candidate for the Council of the Royal College of Surgeons of England. Mr. Clement Lucas’s resignation from the Council, which was noted in our columns last week, brings the number of vacancies to be filled in July next up to five, while the candidates now number 12.
Hospital,
THE
and offices of the Royal Society of will be closed for the Whitsuntide from to-day Saturday, May 30th, to June 2nd, both days inclusive.
library
Medicine
holidays Tuesday,
YORK.
ST. LUKE’s HOsPITAL, PEKING.-Mr. Charles S. Guilfoy, Registrar of Records in the Department of Health, New York City, has recently Rivington states in his report for 1913 that this hospital, been closed for some weeks during the compiled from the official statistics of his depart- which hitherto has was open during the whole year. The ment a table of the mortality rate of children New Year season, shows a general increase. There were 162 indone work under 5 years of age in the boroughs of Manhattan 5720 out-patients, and 149 operations with three patients, and the Bronx, formerly the " Old City," one of the deaths. Valuable financial help has been given by the most insanitary districts in New York. In the year Society for the Propagation of the Gospel in Foreign Parts 1891, before the first Nathan Straus’s pasteurised towards the support of beds. milk station was opened, the death-rate of CENTRAL MIDWIVES BOARD.-A of the Dr. W. H.
children under 5 years of age was 96 per 1000. Within five years the corresponding mortality rate was reduced from 96 to 69 ; in another five years to 60, and in the next quinquennial period to 55. Last year the death-rate was reduced to the satisfactory level of 37. The fall in the death-rate of children under 5 years of age shows still more satisfactory results when the statistics for the fatal months of June, July, and August are taken separately. During these months before the year of introduction of pasteurised milk the mortality from epidemic diarrhoea was very high. In 1891 the rate was as high as 125 per 1000 per annum ; in 1913, 22 years after the introduction of pasteurised milk, it fell to 38-truly a remarkable result. It naturally cannot be claimed that this gratifying improvement is exclusively due to the pasteurising of the milk, for many simultaneous -and important improvements in sanitation and mothercraft generally have been introduced during I this period. But it does seem to point to the fact that pasteurisation of milk is not incompatible with a low death-rate among young children as well as among infants. These statistics are on a large scale 1
THE
LANCET, May 9th, 1914,
p. 1331.
meeting
Central Midwives Board was held at Caxton House, Westminster, on May 21st, Sir Francis H. Champneys being in the chair. A letter was considered from the executive subcommittee of the Nursing and Midwifery Conference forwarding a copy of a resolution passed unanimously at the midwifery session of the conference on April 30th, suggesting that the Board should impose some definite qualifications guaranteeing the efficiency of an inspector of midwives. The board decided that the executive committee be informed that inspectors of midwives are not subject to the jurisdiction of the Board. A letter was considered from the London County Council suggesting that the register of cases to be kept by a midwife as prescribed by Rule E.23 should specifically provide a space in which to record the pulse and temperature of the patient. The Board decided that the reply be that this question has been considered by the Board, which thinks that the records of pulse and temperature are too numerous to be conveniently entered in the register and that the best way of recording them is in a separate book properly devised. A letter was considered from the National Association of Midwives (Manchester) forwarding a copy of a resolution passed unanimously at a meeting held on April 27th, urging that every facility should be given for the full and complete training of midwives so as to enable them to deal The Board with every emergency arising in childbirth. decided that the association be informed that the Board does not approve the suggestion.
week after the operation 40 shot were passed per rectum and were much eroded. The urine contained a trace of albumin and a few hyaline and granular casts. The abdomen was radiographed but no more shot could be seen. a
____
THE LIBRARY OF THE SURGEON-GENERAL’S OFFICE, UNITED STATES ARMY.
WHEN reviewing the eighteenth volume of the second series of the Index Catalogue of the Library of the Surgeon-General’s Office, United States Army,1 we took occasion to state that the assiduous and patient labour of the army medical officers who produce that storehouse of remarkably accurate bibliographical, antiquarian, medico-historical, scientific, and professional lore-for by its arrangement and methods it is much more than a mere inventory of books-lays all medical scholars under Government of the a debt of gratitude to the United States. It is with something like dismay, therefore, that we learn through the protests now appearing in the American medical press that it is proposed this year to deprive this great library (which owes its world-wide eminence to the organising capacities and indefatigable energy of the late Dr.John Billings) of its independent status, and to transfer it to the library of Congress, constituting it a subordinate department thereof. Whatever may be the non-medical advantages expected to accrue from such a course, we fear that its results would be most regrettable for medical literature throughout the world. We cordially sympathise, therefore, with the protests of our American contemporaries, and trust that wiser counsels even yet may prevail. THE PASTEURISATION
OF
MILK IN
NEW
____
THREE former students of King’s College Hospital hold at the present moment the important posts of Director-General Navy Medical Department (Surgeon-General Arthur W. May, C.B.),
Director-General Army Medical Service (SurgeonGeneral Sir Arthur T. Sloggett, C.B.), and Medical
Inspector H.M. Prisons (Sir Herbert Smalley, M.D.). It is proposed to commemorate this unique occa. sion by entertaining them at dinner on Tuesday, June 16th, at the Waldorf Hotel. Viscount Hambleden, chairman of the committee of management of King’s chair at 7.30 P.M.
College Hospital, will take the
Mr. Thomas H. Kellock, surgeon to the Middlesex has announced his intention of standing as a candidate for the Council of the Royal College of Surgeons of England. Mr. Clement Lucas’s resignation from the Council, which was noted in our columns last week, brings the number of vacancies to be filled in July next up to five, while the candidates now number 12.
Hospital,
THE
and offices of the Royal Society of will be closed for the Whitsuntide from to-day Saturday, May 30th, to June 2nd, both days inclusive.
library
Medicine
holidays Tuesday,
YORK.
ST. LUKE’s HOsPITAL, PEKING.-Mr. Charles S. Guilfoy, Registrar of Records in the Department of Health, New York City, has recently Rivington states in his report for 1913 that this hospital, been closed for some weeks during the compiled from the official statistics of his depart- which hitherto has was open during the whole year. The ment a table of the mortality rate of children New Year season, shows a general increase. There were 162 indone work under 5 years of age in the boroughs of Manhattan 5720 out-patients, and 149 operations with three patients, and the Bronx, formerly the " Old City," one of the deaths. Valuable financial help has been given by the most insanitary districts in New York. In the year Society for the Propagation of the Gospel in Foreign Parts 1891, before the first Nathan Straus’s pasteurised towards the support of beds. milk station was opened, the death-rate of CENTRAL MIDWIVES BOARD.-A of the Dr. W. H.
children under 5 years of age was 96 per 1000. Within five years the corresponding mortality rate was reduced from 96 to 69 ; in another five years to 60, and in the next quinquennial period to 55. Last year the death-rate was reduced to the satisfactory level of 37. The fall in the death-rate of children under 5 years of age shows still more satisfactory results when the statistics for the fatal months of June, July, and August are taken separately. During these months before the year of introduction of pasteurised milk the mortality from epidemic diarrhoea was very high. In 1891 the rate was as high as 125 per 1000 per annum ; in 1913, 22 years after the introduction of pasteurised milk, it fell to 38-truly a remarkable result. It naturally cannot be claimed that this gratifying improvement is exclusively due to the pasteurising of the milk, for many simultaneous -and important improvements in sanitation and mothercraft generally have been introduced during I this period. But it does seem to point to the fact that pasteurisation of milk is not incompatible with a low death-rate among young children as well as among infants. These statistics are on a large scale 1
THE
LANCET, May 9th, 1914,
p. 1331.
meeting
Central Midwives Board was held at Caxton House, Westminster, on May 21st, Sir Francis H. Champneys being in the chair. A letter was considered from the executive subcommittee of the Nursing and Midwifery Conference forwarding a copy of a resolution passed unanimously at the midwifery session of the conference on April 30th, suggesting that the Board should impose some definite qualifications guaranteeing the efficiency of an inspector of midwives. The board decided that the executive committee be informed that inspectors of midwives are not subject to the jurisdiction of the Board. A letter was considered from the London County Council suggesting that the register of cases to be kept by a midwife as prescribed by Rule E.23 should specifically provide a space in which to record the pulse and temperature of the patient. The Board decided that the reply be that this question has been considered by the Board, which thinks that the records of pulse and temperature are too numerous to be conveniently entered in the register and that the best way of recording them is in a separate book properly devised. A letter was considered from the National Association of Midwives (Manchester) forwarding a copy of a resolution passed unanimously at a meeting held on April 27th, urging that every facility should be given for the full and complete training of midwives so as to enable them to deal The Board with every emergency arising in childbirth. decided that the association be informed that the Board does not approve the suggestion.