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VACCINATION, REVACCINATION, AND VARIOLA.
20
pledged the Council next meeting. For z
itself to undertake the work at its that reason he should vote for the
"ON A MODIFICATION IN GRADUATED STAFFS."
latter.
Dr. PYLE withdrew his motion in favour of the amendment, which then became a substantive motion. Sir W. GULL said the Duke of Richmond wished to do one thing at a time, and he had expressed his willingness to take up the question of the constitution of the Council at another time. Sir JAS. PAGET suggested that after the word affirm" the motion should read, "and represent to the Government that at its first meeting," &c. Sir W. GULL accepted the alteration. Dr. WOOD disapproved of the change. On being put to the vote, the motion as altered was carried, eighteen members votingn for it, and no hands being held up against it. Dr. HUMPHRY moved, " The Council is of opinion that the consideration of the question of the revision of the Council should not prevent the passing of the Government Medical Act Amendment Bill now before Parliament with such alterations as the Council has suggested." This was seconded by Sir WM. GULL, and carried by 11 to 4. The Council then
To the Editor of THE LANCET. SIR,-I quite support Mr. Bartleet in his advocacy of a conical instrument for the treatment of stricture by dilatation ; and the shape is equally suitable whether soft or metallic bougies be used. He points out one objection to the instrument figured in THE LANCET, June 22nd, 1878, which is that the conical or wedge shape of it is too abrupt. For very many years I’have employed the common steel sound,made somewhat smaller at the extremity than else where. Probably my No. 12 is No. 10 at the point, and to dilate two degress at a sitting will not often do harm. I find, too-and this is important-that when in the early stage of gradual dilatation I have used soft instruments, as safer, patients, though horrified at the sight of the steel weapon, ultimately prefer it. It glides along the urethra by its sheer weight, causing no discomfort.
Yours. &c..
I
Queen Anne-street, W., June 29th,
adjourned.
1878.
C. F. MAUNDER.
VACCINATION, REVACCINATION, AND VARIOLA.
THURSDAY, JULY 4TH.
To the Editor of THE LANCET. The final sitting of the Council was held to-day. has been observed that severe cases of variola SiR,-It On a motion of Dr. Apjohn, a resolution was passed disof the alterations introduced into the Government after vaccination occur much more frequently in the younger Bill reference to the mode of keeping the local registers, than the older members of the community. Conversation and recommending that they be kept in such form as the with the older as well as younger members of the profession Medical Council may from time to time direct. me to the conclusion that one reason why vaccinahas led A report was received from the Registration Committee making certain suggestions as to the financial arrangements tion fails to be as effectual as it was half a century ago is of the Branch Councils. These suggestions, however, were that the rules laid down for its performance have not been not adopted, but a motion was passed to the effect that the observed as strictly and invariably as they ought to be, or, moneys be paid and applied in accordance with Clause 13 in point of fact, as they used to be. I refer more particularly to the importance of taking lymph before the formation of of the Medical Act. A report was then received from the committee on the the areola. By departing from this rule not only is vaccinaclauses of the Government Bill relating to Indian, colonial, tion made less effectual, but subject to more constitutional and foreign qualifications, which, after a brief discussion, was disturbance than properly belongs to it, for the simple reason that the vaccine vesicle has become more or less of a adopted. On the motion of Mr. Simon, it was referred to the pustule, and the patient is vaccinated with lymph more or Executive Committee to prepare a report, to be presented at less mixed with pus. That vaccination, which is so capable of mitigating the the next meeting, on the present constitution of the Council, ’ and on any changes which mightbe desirable to promote the evils of variola, should ever become the means of propa.efficient discharge of its duties. gating syphilis, with all its miserable complications, is a After some formal business the Council adjourned. great scandal, and as this, in my opinion, is owing to the admixture of blood, it ought never to occur. But in point [A fuller report of this sitting will appear in our next of fact, although I have heard of syphilis being comnumber.] municated by means of vaccination I have never seen it, although I vaccinated and revaccinated pretty freely among pauper children, besides infants, of whom I had medical charge for several years, besides a general experience THE COLLEGE ELECTIONS. extending over about forty years. The experience of Mr. Gayton, that no nurse at the smallTHE election of three members into the Council of the pox hospital at Homerton who had been revaccinated had ever Royal College of Surgeons took place on Thursday afternoon variola, ought to make revaccination imperative. For last. The number of Fellows who voted was 304, of whom my own part I have recognised not only the importance, but a larger proportion than usual were Fellows residing in the the necessity, of revaccination for more than thirty years, provinces. The contest was sharp, and although there was and practised it accordingly, having even revaccinated little show of excitement, the anxiety was keen. Between myself about five years ago, although I had had variola. I have also for many years been acquainted with Mr. Bryce’s two and half-past three o’clock voting went on rapidly, and test for vaccination by revaccinating the patient from his own from half-past three until ten minutes to five voters were arm on the fifth day. I think the plan is admirable. From more tardy. The result, the announcement of which was the revaccination point of view, it has advantages even received with applause, was as follows :beyond what Mr. Bryce himself claimed for it. In my opinion Bryce’s test ought in future to be applied to every 101 Mr. E. Lund that is vaccinated. It is in every way superior to a 95 Mr. Erasmus Wilson multiplicity of marks. 92 Mr. Gay The recent suggestion of Sir Thomas Watson that recourse should again be had to vaccination from the calf, coupled Mr. Wood 81 with the experience of Mr. Gayton, takes away all standing Mr. Henry Power 78 from the objectors to vaccination. There can be no ground Mr. Lister 76 in conferring, even upon the unwilling, immunity Mr. Bryant 62 from the grave evils of variola, and it is in the interests of Sir Henry Thompson......... 58 the community that no members of it should be left capable Mr. Henry Lee ............ 38 of propagating so dire a disease. Revaccination at or after the age of puberty ought not to be a difficult matter for Mr. Barnard Holt 37
approving with
about 400
had
............
infant
.........
...............
............
.........
............
............
hardship
.........
-
7 - 7t It
pledged the Council next meeting. For z
itself to undertake the work at its that reason he should vote for the
"ON A MODIFICATION IN GRADUATED STAFFS."
latter.
Dr. PYLE withdrew his motion in favour of the amendment, which then became a substantive motion. Sir W. GULL said the Duke of Richmond wished to do one thing at a time, and he had expressed his willingness to take up the question of the constitution of the Council at another time. Sir JAS. PAGET suggested that after the word affirm" the motion should read, "and represent to the Government that at its first meeting," &c. Sir W. GULL accepted the alteration. Dr. WOOD disapproved of the change. On being put to the vote, the motion as altered was carried, eighteen members votingn for it, and no hands being held up against it. Dr. HUMPHRY moved, " The Council is of opinion that the consideration of the question of the revision of the Council should not prevent the passing of the Government Medical Act Amendment Bill now before Parliament with such alterations as the Council has suggested." This was seconded by Sir WM. GULL, and carried by 11 to 4. The Council then
To the Editor of THE LANCET. SIR,-I quite support Mr. Bartleet in his advocacy of a conical instrument for the treatment of stricture by dilatation ; and the shape is equally suitable whether soft or metallic bougies be used. He points out one objection to the instrument figured in THE LANCET, June 22nd, 1878, which is that the conical or wedge shape of it is too abrupt. For very many years I’have employed the common steel sound,made somewhat smaller at the extremity than else where. Probably my No. 12 is No. 10 at the point, and to dilate two degress at a sitting will not often do harm. I find, too-and this is important-that when in the early stage of gradual dilatation I have used soft instruments, as safer, patients, though horrified at the sight of the steel weapon, ultimately prefer it. It glides along the urethra by its sheer weight, causing no discomfort.
Yours. &c..
I
Queen Anne-street, W., June 29th,
adjourned.
1878.
C. F. MAUNDER.
VACCINATION, REVACCINATION, AND VARIOLA.
THURSDAY, JULY 4TH.
To the Editor of THE LANCET. The final sitting of the Council was held to-day. has been observed that severe cases of variola SiR,-It On a motion of Dr. Apjohn, a resolution was passed disof the alterations introduced into the Government after vaccination occur much more frequently in the younger Bill reference to the mode of keeping the local registers, than the older members of the community. Conversation and recommending that they be kept in such form as the with the older as well as younger members of the profession Medical Council may from time to time direct. me to the conclusion that one reason why vaccinahas led A report was received from the Registration Committee making certain suggestions as to the financial arrangements tion fails to be as effectual as it was half a century ago is of the Branch Councils. These suggestions, however, were that the rules laid down for its performance have not been not adopted, but a motion was passed to the effect that the observed as strictly and invariably as they ought to be, or, moneys be paid and applied in accordance with Clause 13 in point of fact, as they used to be. I refer more particularly to the importance of taking lymph before the formation of of the Medical Act. A report was then received from the committee on the the areola. By departing from this rule not only is vaccinaclauses of the Government Bill relating to Indian, colonial, tion made less effectual, but subject to more constitutional and foreign qualifications, which, after a brief discussion, was disturbance than properly belongs to it, for the simple reason that the vaccine vesicle has become more or less of a adopted. On the motion of Mr. Simon, it was referred to the pustule, and the patient is vaccinated with lymph more or Executive Committee to prepare a report, to be presented at less mixed with pus. That vaccination, which is so capable of mitigating the the next meeting, on the present constitution of the Council, ’ and on any changes which mightbe desirable to promote the evils of variola, should ever become the means of propa.efficient discharge of its duties. gating syphilis, with all its miserable complications, is a After some formal business the Council adjourned. great scandal, and as this, in my opinion, is owing to the admixture of blood, it ought never to occur. But in point [A fuller report of this sitting will appear in our next of fact, although I have heard of syphilis being comnumber.] municated by means of vaccination I have never seen it, although I vaccinated and revaccinated pretty freely among pauper children, besides infants, of whom I had medical charge for several years, besides a general experience THE COLLEGE ELECTIONS. extending over about forty years. The experience of Mr. Gayton, that no nurse at the smallTHE election of three members into the Council of the pox hospital at Homerton who had been revaccinated had ever Royal College of Surgeons took place on Thursday afternoon variola, ought to make revaccination imperative. For last. The number of Fellows who voted was 304, of whom my own part I have recognised not only the importance, but a larger proportion than usual were Fellows residing in the the necessity, of revaccination for more than thirty years, provinces. The contest was sharp, and although there was and practised it accordingly, having even revaccinated little show of excitement, the anxiety was keen. Between myself about five years ago, although I had had variola. I have also for many years been acquainted with Mr. Bryce’s two and half-past three o’clock voting went on rapidly, and test for vaccination by revaccinating the patient from his own from half-past three until ten minutes to five voters were arm on the fifth day. I think the plan is admirable. From more tardy. The result, the announcement of which was the revaccination point of view, it has advantages even received with applause, was as follows :beyond what Mr. Bryce himself claimed for it. In my opinion Bryce’s test ought in future to be applied to every 101 Mr. E. Lund that is vaccinated. It is in every way superior to a 95 Mr. Erasmus Wilson multiplicity of marks. 92 Mr. Gay The recent suggestion of Sir Thomas Watson that recourse should again be had to vaccination from the calf, coupled Mr. Wood 81 with the experience of Mr. Gayton, takes away all standing Mr. Henry Power 78 from the objectors to vaccination. There can be no ground Mr. Lister 76 in conferring, even upon the unwilling, immunity Mr. Bryant 62 from the grave evils of variola, and it is in the interests of Sir Henry Thompson......... 58 the community that no members of it should be left capable Mr. Henry Lee ............ 38 of propagating so dire a disease. Revaccination at or after the age of puberty ought not to be a difficult matter for Mr. Barnard Holt 37
approving with
about 400
had
............
infant
.........
...............
............
.........
............
............
hardship
.........
-
7 - 7t It