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THE REVACCINATION BILL OF 1904.
1298 Nov. 24th that his neck was a little swollen. He had no pain and paid little attention to the condition which disappeared in two days. But on the 26th he felt acute pain in the scrotum which compelled him to remain in bed. On the 28th the pain extended to the lower abdomen and he This condition persisted until Dec. 2nd, was feverish. when he entered hospital. He was prostrated, the face He was red and swollen, and the temperature was 106° F. The testicle of in the scrotum. acute right pain complained on
much enlarged and the parotid glands were a little so. On the 3rd the temperature fell to 102° but the state of the testicle had not altered. There was no headache or other nervous symptom but the pulse was 68. On the 4th and 5th the testicle was less painful, the temperature was normal, and the pulse fell to 52. Atrophy of the testicle followed. In both cases a series of lumbar punctures were made. In the first case the puncture was first performed on the fourth day and yielded normal cerebro-spinal fluid. A second puncture, made on the ninth day (when there were headache, pyrexia, and slow pulse), yielded cloudy fluid containing numerous large lymphocytes. On the eleventh day similar but less cloudy liquid was obtained. On the nineteenth day the liquid obtained was clear but it still In the second case contained abundant lymphocytes. - lumbar puncture yielded on the ninth and twelfth days clear liquid containing numerous lymphocytes. Lymphocytes in diminished numbers were found as late as the eighty-ninth day. The liquid obtained by puncture was never under pressure, fibrin was always absent, and the amount of albumin did not exceed the normal. It is to be noted that the most important signs of meningitis-rigidity of the neck, Kernig’s sign, the "meningeal streak," vomiting, constipation, and ocular signs-were absent. On the other hand, there were in the first case symptoms of an attenuated form of meningitis-the relapse of the fever without any lesion to account for it, the headache sufficiently intense to cause insomnia for two nights, and the bradycardia. In the second case the supervention of orchitis rendered the diagnosis of meningitis less clear and .explained the very high temperature. Perhaps headache was absent in consequence of the painful character of the On the other hand, the bradycardia was well orchitis. and
epididymis were
>marked. ___
THE REVACCINATION BILL OF 1904. As our readers are aware there is at present a Re-vaccination Bill before the House of Commons, but it is unfortunately not a Government Bill. Despite the promise which the Government gave about revaccination some years ago nothing has ever been heard of any - Government Bill on the subject. This being so there is not much chance that the Bill will ever reach a second reading and all the more so as it was down for May 4th, the same day as the Southwark and Birmingham Bishoprics Bill which was bound to be fought tooth and nail by a certain section of the House. Mainly owing to the action of Mr. Bryn Roberts and Mr. Lloyd-George, who are consumed with anxiety to see the law obeyed (except indeed as regards the Education Act), the question as to whether -Churchmen might spend money subscribed by themselves in supporting two Bishops was debated at such length that the Revaccination ]3ill never had a chance. The
Imperial list
Vaccination
League has, however, published
a
persons who support the Revaccination Bill, 1904. The list is contained in a pamphJeL of 78 pages. We say nothing as to the medical men whose names are found therein, for in the eyes of opponents of the Bill medical men simply care for vaccination on account of the fees which it brings in and are notoriously biased on the .subject. The manifesto, which the persons named in the of
I
list have signed, welcomes legislation "making revaccina. tion at school age compulsory on all but the children of conscientious objectors or those who may be for a time excused on the ground of ill-health." Nearly every class of the population is represented in the list but all the signa. tories do not approve of the conscientious objector clause. Many large employers of labour have signed and petitions in favour of the Bill have been, or are going to be, presented to the House of Commons by the Herefordshire county council, the boroughs of Finsbury, Holborn, and the city of Westminster, the municipal corporations of Bootle, Bury,
Manchester, Leamington Spa, Newcastle-upon-Tyne, St. Helens, Stoke-upon-Trent, Sunderland, and the Prescot union. We wish the Bill every success but that it will not attain it this year.
FESTIVAL
DINNER
OF
THE
we
greatly
fear
MIDDLESEX
HOSPITAL. THE festival dinner in aid of the funds of the Middlesex Hospital and its cancer charity was held at the Whitehall
Hotel Métropole, London, on May 3rd, the the Lord Mayor occupying the chair. During Hon. Right at which about 140 guests were present, the dinner, band of the Coldstream Guards performed an excellent programme of music by permission of Colonel A. E. Codrington. The Lord Mayor, in proposing the usual loyal toasts, referred to the generous interest taken by their Majesties the King and Queen in hospitals and charitable institutions in general and the Middlesex Hospital in particular, and in proposing the toast of I I Continued Prosperity to the Middlesex Hospital" he spoke of the great demands which were made on the generosity of the charitable at the present time, three hospitals alone appealing for sums amounting together to .el,OOO,OOO. In pleading the claims of the Middlesex Hospital he referred especially to its cancer charity which has continued its excellent work for upwards of a century. He then read a letter from Lord Derby announcing a donation of £ 1000 to the dinner fund. The Right Hon. Lord Sandhurst, G.C.S.I., chairman of the
Rooms,
weekly board, in replying to the toast summarised some of improvements and advances made in the working of the hospital during the past ten years, referring to the opening of the new cancer wing with its separate. organisation, to the convalescent home at Clacton, to the building of the new laundry at Hendon, to the new and commodious nursing the
home, and to the establishment of the clinical and cancer research laboratories and the elect ro- therapeutical department. In paying a tribute to the work of Dr. W. S. Lazarus" Barlow, the director of the Cancer Research Laboratory, Lord Sandhurst referred to his appointment on the Cancer Research Committee of the German Government and stated that the principle of the institution was cooperation with other bodies concerned in cancer research, not competition. He concluded his reply with an appreciation of the work done by the permanent officials of the institution and then proposed the health of "The Medical Staff," coupling it with the names of Mr. Henry Morris and Dr. J. Kingston Fowler. Mr. Morris, in his reply, referred to the increased cost of surgical methods and apparatus and to the increase in conservative operations. Dr. Fowler, in replying on behalf of his medical colleagues, alluded to the necessity of the endowment of medical education and research and the importance of these as a national investment, a fact already recognised by some other nations. He further pointed out the disadvantage suffered by London schools in competition with those in the provinces where local patriotism led to endowment and general interest. The toast of"The Visitors" was proposed by Lord Grenfell ot Kilvey, G.C.B., G.C:M.G., a vice president of the hospital, and responded to by Mr. J. W. Watson, Master of the
much enlarged and the parotid glands were a little so. On the 3rd the temperature fell to 102° but the state of the testicle had not altered. There was no headache or other nervous symptom but the pulse was 68. On the 4th and 5th the testicle was less painful, the temperature was normal, and the pulse fell to 52. Atrophy of the testicle followed. In both cases a series of lumbar punctures were made. In the first case the puncture was first performed on the fourth day and yielded normal cerebro-spinal fluid. A second puncture, made on the ninth day (when there were headache, pyrexia, and slow pulse), yielded cloudy fluid containing numerous large lymphocytes. On the eleventh day similar but less cloudy liquid was obtained. On the nineteenth day the liquid obtained was clear but it still In the second case contained abundant lymphocytes. - lumbar puncture yielded on the ninth and twelfth days clear liquid containing numerous lymphocytes. Lymphocytes in diminished numbers were found as late as the eighty-ninth day. The liquid obtained by puncture was never under pressure, fibrin was always absent, and the amount of albumin did not exceed the normal. It is to be noted that the most important signs of meningitis-rigidity of the neck, Kernig’s sign, the "meningeal streak," vomiting, constipation, and ocular signs-were absent. On the other hand, there were in the first case symptoms of an attenuated form of meningitis-the relapse of the fever without any lesion to account for it, the headache sufficiently intense to cause insomnia for two nights, and the bradycardia. In the second case the supervention of orchitis rendered the diagnosis of meningitis less clear and .explained the very high temperature. Perhaps headache was absent in consequence of the painful character of the On the other hand, the bradycardia was well orchitis. and
epididymis were
>marked. ___
THE REVACCINATION BILL OF 1904. As our readers are aware there is at present a Re-vaccination Bill before the House of Commons, but it is unfortunately not a Government Bill. Despite the promise which the Government gave about revaccination some years ago nothing has ever been heard of any - Government Bill on the subject. This being so there is not much chance that the Bill will ever reach a second reading and all the more so as it was down for May 4th, the same day as the Southwark and Birmingham Bishoprics Bill which was bound to be fought tooth and nail by a certain section of the House. Mainly owing to the action of Mr. Bryn Roberts and Mr. Lloyd-George, who are consumed with anxiety to see the law obeyed (except indeed as regards the Education Act), the question as to whether -Churchmen might spend money subscribed by themselves in supporting two Bishops was debated at such length that the Revaccination ]3ill never had a chance. The
Imperial list
Vaccination
League has, however, published
a
persons who support the Revaccination Bill, 1904. The list is contained in a pamphJeL of 78 pages. We say nothing as to the medical men whose names are found therein, for in the eyes of opponents of the Bill medical men simply care for vaccination on account of the fees which it brings in and are notoriously biased on the .subject. The manifesto, which the persons named in the of
I
list have signed, welcomes legislation "making revaccina. tion at school age compulsory on all but the children of conscientious objectors or those who may be for a time excused on the ground of ill-health." Nearly every class of the population is represented in the list but all the signa. tories do not approve of the conscientious objector clause. Many large employers of labour have signed and petitions in favour of the Bill have been, or are going to be, presented to the House of Commons by the Herefordshire county council, the boroughs of Finsbury, Holborn, and the city of Westminster, the municipal corporations of Bootle, Bury,
Manchester, Leamington Spa, Newcastle-upon-Tyne, St. Helens, Stoke-upon-Trent, Sunderland, and the Prescot union. We wish the Bill every success but that it will not attain it this year.
FESTIVAL
DINNER
OF
THE
we
greatly
fear
MIDDLESEX
HOSPITAL. THE festival dinner in aid of the funds of the Middlesex Hospital and its cancer charity was held at the Whitehall
Hotel Métropole, London, on May 3rd, the the Lord Mayor occupying the chair. During Hon. Right at which about 140 guests were present, the dinner, band of the Coldstream Guards performed an excellent programme of music by permission of Colonel A. E. Codrington. The Lord Mayor, in proposing the usual loyal toasts, referred to the generous interest taken by their Majesties the King and Queen in hospitals and charitable institutions in general and the Middlesex Hospital in particular, and in proposing the toast of I I Continued Prosperity to the Middlesex Hospital" he spoke of the great demands which were made on the generosity of the charitable at the present time, three hospitals alone appealing for sums amounting together to .el,OOO,OOO. In pleading the claims of the Middlesex Hospital he referred especially to its cancer charity which has continued its excellent work for upwards of a century. He then read a letter from Lord Derby announcing a donation of £ 1000 to the dinner fund. The Right Hon. Lord Sandhurst, G.C.S.I., chairman of the
Rooms,
weekly board, in replying to the toast summarised some of improvements and advances made in the working of the hospital during the past ten years, referring to the opening of the new cancer wing with its separate. organisation, to the convalescent home at Clacton, to the building of the new laundry at Hendon, to the new and commodious nursing the
home, and to the establishment of the clinical and cancer research laboratories and the elect ro- therapeutical department. In paying a tribute to the work of Dr. W. S. Lazarus" Barlow, the director of the Cancer Research Laboratory, Lord Sandhurst referred to his appointment on the Cancer Research Committee of the German Government and stated that the principle of the institution was cooperation with other bodies concerned in cancer research, not competition. He concluded his reply with an appreciation of the work done by the permanent officials of the institution and then proposed the health of "The Medical Staff," coupling it with the names of Mr. Henry Morris and Dr. J. Kingston Fowler. Mr. Morris, in his reply, referred to the increased cost of surgical methods and apparatus and to the increase in conservative operations. Dr. Fowler, in replying on behalf of his medical colleagues, alluded to the necessity of the endowment of medical education and research and the importance of these as a national investment, a fact already recognised by some other nations. He further pointed out the disadvantage suffered by London schools in competition with those in the provinces where local patriotism led to endowment and general interest. The toast of"The Visitors" was proposed by Lord Grenfell ot Kilvey, G.C.B., G.C:M.G., a vice president of the hospital, and responded to by Mr. J. W. Watson, Master of the