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TUBERCULOSIS, BOVINE AND HUMAN.
610 than half
a pint the vessels need not be stamped unless they if Professor Koch is correct the measures hitherto taken marked. Unmarked vessels containing less than half a against bovine tuberculosis must therefore be in the first pint need no official verification. When the capacity exceeds place too severe and in the second place of no avail for half a pint the vessel is bound to be stamped in accord- the suppression of human tuberculosis. Professor Hueppe or metric measures. then proceeds to review the investigations which he himself ance with the standard imperial The representation of the trade, therefore, met with has made on the subject and the results obtained which oppose success. But the plan anyhow is muddling which allows those of Professor Koch. There are many points in this paper vessels to be graduated officially by two systems of measure, which will attract attention. Professor Hueppe ascribes the the imperial and the metric. We may be confident that for histological differences which exist between miliary tubercles lager beer the latter system will be generally retained since in the human subject and the tubercles of perlsucht it is least understood. It cannot be imagined for a moment in the ox to a dissimilarity in the inherent quality that the sale of lager beer in half-pint and pint measures of the tissue, and further maintains, as Professor will be adopted-it would "inconvenience"thetrade. We Virchow discovered long ago, that the distinctions which cannot understand in the least why it should be considered Koch has now found to exist are concerned with quite necessary that the metric system should be recognised for different things-the one with the inherent quality of the the sale of one kind of beer and not for another. And it structure, the other with the remote or ultimate developjust happens that the light beers are sold at a high price by ments dependent thereon ; and the facts, he says, a small standard of capacity and the comparatively heavy ascertained with regard to one of those do not necesbeers at a low price by a large standard of capacity-a sarily serve for the elucidation of the other. One system which is just exactly the reverse of the requirements of other remark is worthy of note, namely, that whilst the common sense and one that is directly opposed to the growth minutest difference in the organisms in cholera and now also in tuberculosis are enlarged upon by many bacterioof temperate habits. logists in order to build up on them a theory of differences THE TREATMENT OF ANEURYSM BY INJECTIONS in species, in diphtheria the same investigators completely OF GELATINE. ignore constant and much greater differences in the THE recent deaths of two patients in Guy’s Hospital from bacteria. Professor Hueppe provisionally considers that the tetanus occurring while they were undergoing a course of only thing that is certain is that the " so-called tubercle treatment by injections of a solution of gelatine formed bacillus" adapts itself to the particular member of the the subject of inquiries held by Dr. F. J. Waldo animal kingdom which happens to be its host, and that on August 26th. For some unexplained reason some when it has so adapted itself and has, for instance, of the daily papers reported these inquests under become pathogenic for man, in that case it is not quite a heading or sub-heading which included the word pathogenic for another kind of host, such as the ox ; but, he or experimental. Without wishing adds, this limitation cannot be practically defined. He thereexperiment in any way to minimise the unhappy result we must point fore urges, and we consider very rightly so. that the struggle bovine tuberculosis should be carried on unreout that there was nothing experimental-except in the sense in which all and every treatment is experimental as mittingly, both on account of the economic danger and being tried upon a new patient-about the method. It also because he still believes that the danger of bovine tuberculosis to mankind has not been disproved. was introduced some three years ago by Professor Lancereaux of Paris and has been successful in a good many cases, while of the three patients treated in Guy’s recovered completely, and THE PUBLIC CONTROL DEPARTMENT OF THE one has apparently Hospital were
--
"
"
"
"
against
the two patients who so unfortunately died did so from an accidental circumstance, though none the less lamentable. The tetanus bacillus may infect any wound. Every precaution was taken in the sterilizing of the injections and the instruments used, and the jury, after a patient hearing, decided that the medical officer in charge of the case was exonerated from all blame. Inoperable thoracic aneurysm is a disease so distressing to the patient and so uniformly fatal that it would be a thousand pities if a treatment which has already given good results should be looked at askance because of the unforeseen having happened.
TUBERCULOSIS, BOVINE AND HUMAN. THE most sensational episode at the recent Congress on Tuberculosis was undoubtedly the statement made by Professor Koch in which he threw doubt upon the communicability of tuberculosis from animals to man. The challenge thus thrown down has been eagerly taken up by various observers, and the controversy will continue to rage until further and numerous investigagations have shown whether or no the human species can be infected with tuberculosis from the flesh and milk of tuberculous cattle. We print this week an important communication by Professor Hueppe, a perusal of which we recommend to our readers. He commences by drawattention to Professor Koch’s announcement, to ing which we have just referred, as being in direct opposihis tion to previous teaching, and argues that 1
THE
LANCET, vol. ii., 1898, pp. 1092, 1299, 1369.
LONDON COUNTY COUNCIL.
spite of, or possibly because of, Parliament, the Lofidon County Council, the metropolitan boroughs, and the lighting and water companies, London is possibly the most inconThe streets are venient and most untidy city of Europe. either muddy, slushy, or dusty ; they are littered with straw, cabbage-leaves, newspaper posters, and omnibus tickets; they are constantly being grubbed up for some reason or other ; barrels of beer, coals, and other goods are delivered across the footways at all hours of the day ; omnibuses are allowed to block the streets pretty much as they please, and chimneys are allowed to make the air filthy because they "cannot get Welsh coal." And yet the annual return of the chief officer of the Public Control Department of the London County Council for 1900-1901 shows a gigantic amount of work. A glance at the contents page shows such subjects as lamp accidents, boiler explosions, the sale of bread, coal, and coke, inquests, diseases of animals, gas-testing, infant-life protection, petroleum Acts, weights IN
and measures, rabies, and the smoke nuisance, to mention only a few. As regards rabies no case has occurred in London since 1898 and the last case of hydrophobia. returned (of course, this means in a human being) was in The section of the report dealing with smok& 1896. nuisances is interesting. It points out that the Acts under which prosecutions may be taken practically only deal with black smoke, and also that the County Council can only deal with cases where a sanitary authority is in default. Any person, however, may make a complaint. With regard to
a pint the vessels need not be stamped unless they if Professor Koch is correct the measures hitherto taken marked. Unmarked vessels containing less than half a against bovine tuberculosis must therefore be in the first pint need no official verification. When the capacity exceeds place too severe and in the second place of no avail for half a pint the vessel is bound to be stamped in accord- the suppression of human tuberculosis. Professor Hueppe or metric measures. then proceeds to review the investigations which he himself ance with the standard imperial The representation of the trade, therefore, met with has made on the subject and the results obtained which oppose success. But the plan anyhow is muddling which allows those of Professor Koch. There are many points in this paper vessels to be graduated officially by two systems of measure, which will attract attention. Professor Hueppe ascribes the the imperial and the metric. We may be confident that for histological differences which exist between miliary tubercles lager beer the latter system will be generally retained since in the human subject and the tubercles of perlsucht it is least understood. It cannot be imagined for a moment in the ox to a dissimilarity in the inherent quality that the sale of lager beer in half-pint and pint measures of the tissue, and further maintains, as Professor will be adopted-it would "inconvenience"thetrade. We Virchow discovered long ago, that the distinctions which cannot understand in the least why it should be considered Koch has now found to exist are concerned with quite necessary that the metric system should be recognised for different things-the one with the inherent quality of the the sale of one kind of beer and not for another. And it structure, the other with the remote or ultimate developjust happens that the light beers are sold at a high price by ments dependent thereon ; and the facts, he says, a small standard of capacity and the comparatively heavy ascertained with regard to one of those do not necesbeers at a low price by a large standard of capacity-a sarily serve for the elucidation of the other. One system which is just exactly the reverse of the requirements of other remark is worthy of note, namely, that whilst the common sense and one that is directly opposed to the growth minutest difference in the organisms in cholera and now also in tuberculosis are enlarged upon by many bacterioof temperate habits. logists in order to build up on them a theory of differences THE TREATMENT OF ANEURYSM BY INJECTIONS in species, in diphtheria the same investigators completely OF GELATINE. ignore constant and much greater differences in the THE recent deaths of two patients in Guy’s Hospital from bacteria. Professor Hueppe provisionally considers that the tetanus occurring while they were undergoing a course of only thing that is certain is that the " so-called tubercle treatment by injections of a solution of gelatine formed bacillus" adapts itself to the particular member of the the subject of inquiries held by Dr. F. J. Waldo animal kingdom which happens to be its host, and that on August 26th. For some unexplained reason some when it has so adapted itself and has, for instance, of the daily papers reported these inquests under become pathogenic for man, in that case it is not quite a heading or sub-heading which included the word pathogenic for another kind of host, such as the ox ; but, he or experimental. Without wishing adds, this limitation cannot be practically defined. He thereexperiment in any way to minimise the unhappy result we must point fore urges, and we consider very rightly so. that the struggle bovine tuberculosis should be carried on unreout that there was nothing experimental-except in the sense in which all and every treatment is experimental as mittingly, both on account of the economic danger and being tried upon a new patient-about the method. It also because he still believes that the danger of bovine tuberculosis to mankind has not been disproved. was introduced some three years ago by Professor Lancereaux of Paris and has been successful in a good many cases, while of the three patients treated in Guy’s recovered completely, and THE PUBLIC CONTROL DEPARTMENT OF THE one has apparently Hospital were
--
"
"
"
"
against
the two patients who so unfortunately died did so from an accidental circumstance, though none the less lamentable. The tetanus bacillus may infect any wound. Every precaution was taken in the sterilizing of the injections and the instruments used, and the jury, after a patient hearing, decided that the medical officer in charge of the case was exonerated from all blame. Inoperable thoracic aneurysm is a disease so distressing to the patient and so uniformly fatal that it would be a thousand pities if a treatment which has already given good results should be looked at askance because of the unforeseen having happened.
TUBERCULOSIS, BOVINE AND HUMAN. THE most sensational episode at the recent Congress on Tuberculosis was undoubtedly the statement made by Professor Koch in which he threw doubt upon the communicability of tuberculosis from animals to man. The challenge thus thrown down has been eagerly taken up by various observers, and the controversy will continue to rage until further and numerous investigagations have shown whether or no the human species can be infected with tuberculosis from the flesh and milk of tuberculous cattle. We print this week an important communication by Professor Hueppe, a perusal of which we recommend to our readers. He commences by drawattention to Professor Koch’s announcement, to ing which we have just referred, as being in direct opposihis tion to previous teaching, and argues that 1
THE
LANCET, vol. ii., 1898, pp. 1092, 1299, 1369.
LONDON COUNTY COUNCIL.
spite of, or possibly because of, Parliament, the Lofidon County Council, the metropolitan boroughs, and the lighting and water companies, London is possibly the most inconThe streets are venient and most untidy city of Europe. either muddy, slushy, or dusty ; they are littered with straw, cabbage-leaves, newspaper posters, and omnibus tickets; they are constantly being grubbed up for some reason or other ; barrels of beer, coals, and other goods are delivered across the footways at all hours of the day ; omnibuses are allowed to block the streets pretty much as they please, and chimneys are allowed to make the air filthy because they "cannot get Welsh coal." And yet the annual return of the chief officer of the Public Control Department of the London County Council for 1900-1901 shows a gigantic amount of work. A glance at the contents page shows such subjects as lamp accidents, boiler explosions, the sale of bread, coal, and coke, inquests, diseases of animals, gas-testing, infant-life protection, petroleum Acts, weights IN
and measures, rabies, and the smoke nuisance, to mention only a few. As regards rabies no case has occurred in London since 1898 and the last case of hydrophobia. returned (of course, this means in a human being) was in The section of the report dealing with smok& 1896. nuisances is interesting. It points out that the Acts under which prosecutions may be taken practically only deal with black smoke, and also that the County Council can only deal with cases where a sanitary authority is in default. Any person, however, may make a complaint. With regard to