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VITAL STATISTICS OF LONDON DURING MARCH, 1920.
931 by raising the price to subscribersand the tariff of advertisements. Scarcity and high price of paper are also impeding the publication of books, and in this way
URBAN VITAL STATISTICS. (Week ended April 17th, 1920.)
scientific progress. Among the remedies English and Welsh Toiciis.-Iii the 96 English and Welsh the suppression of the thesis required towns, with an aggregate civil population estimated at for obtaining the degree of doctor of medicine. This nearly 18 million persons, the annual rate of mortality, formality dates back four centuries at least. At which had been 18-7, 16-7, and 16-6 in the three preceding first the thesis was only a big sheet of paper weeks, further declined to 15’8 per 1000. In London, with a of nearly 4 million persons, the annual deathsurrounded by symbolic engravings, on which a candi- population rate was 16-1, or 1-5 per 1000 below that recorded in the date had printed the various propositions he wished to previous week, while among the remaining towns the submit to his judges.. Little by little the thesis became rates ranged from 5-4 in Enfield, 7’2 in Oxford, and 8-0 in Reading, to 25’2 in Blackburn, 26’5 in Sunderland, a scientific memorandum on a subject chosen by the candidate and on which he was prepared to defend his and 32-4 in Tynemouth. The principal epidemic diseases conclusions. The number of copies that had to be caused 411 deaths, which corresponded to an annual of 1’2 per 1000, and included 185 from measles, furnished steadily rose. Every university library in rate 102 from whooping-cough, 53 from infantile diarFrance required one to enrich its collection, and foreign 51 from diphtheria, 15 from scarlet fever, 3 from rhoea, universities followed offering theses of their own in enteric fever, and 2 from small-pox. Measles caused a exchange. The hundred copies of the theses now death-rate of 2-0 in Bootle, 2-1 in Wakefield, 2-4 in Brighton, obligatory, at the present cost of paper and printing, and 4-8 in Newport (Mon.). The fatal cases of small-pox makes a heavy tax on the resources of the young belonged to West Ham and Liverpool respectively. The student. It is proposed, therefore, to suppress this deaths from influenza, which had been 392, 379, and 332 in the three preceding weeks, further declined to 306, and formality. Those in favour of abolition point out that included 101 in London, 22 in Birmingham, 12 each in the majority of theses are valueless compilations made Manchester and West Ham, and 10 in Blackburn. There with the help of fellow-students. A candidate who has were 1960 cases of diphtheria,.1902 of scarlet fever, and 24 of the money may even buy a ready-made thesis from some small-pox under treatment in the Metropolitan Asylums impecunious but better-informed comrade. The few Hospitals and the London Fever Hospital, against 1995, communications of real value might be brought to notice 2011, and 26 respectively at the end of the previous week. at learned societies or by publication in the journals. The causes of 42 of the 5379 deaths in the 96 towns were of which registered in Birmingham, 5 in Instead of the prizes given every year for the best uncertified,and 4 each 6inwere St. Helens and Manchester. Liverpool, in the medals and remission theses, consisting possibly Scotch Towns.-In the 16 largest Scotch towns, with an of some of the high examination fees, it is suggested estimated at nearly 2 million persons, that the same result could be obtained by offering a aggregate population the annual rate of mortality, which had been 18°0, 17°2, and substantial reward for valuable articles published, a 17’3 in the three preceding weeks, rose to 18’9 per 1000. The procedure which would also ensure the interests of 414 deaths in Glasgow corresponded to an annual rate of 19-4 scientific progress. For the immense majority of candi- per 1000, and included 29 from influenza, 25 from measles, dates who have no ambition beyond becoming general 5 from diphtheria, 2 each from enteric fever, scarlet fever, whooping-cough, and 1 from infantile diarrhoea. The practitioners the heavy pecuniary burden of the thesis and has no compensation, while their diligent but mediocre 108 deaths in Edinburgh were equal to a rate of 16-5 per 1000, 1 screeds encumber the shelves of the professors who are and included 8 from influenza and each from measles and diphtheria. entitled to receive reprints-until they are sold by the Irish To2ons.-The 251 deaths in Dublin corresponded to an housekeepers as waste-paper. Besides this there are rate of 31’5, or 4’7 per 1000 above that recorded in the the essays puffing proprietary articles of which the annual week, and included 16 from whooping-cough, 15 manufacturer pays the cost of production, or those previous from measles, 5 from influenza, 2 from infantile diarrhoea, by which the young doctor seeks to establish himself and 1 each from scarlet fever and diphtheria. The 229 deaths in practice. The time is oppqrtune to make a clean in Belfast were equal to a rate of 28’9 per 1000, and included 17 from influenza, 6 from whooping-cough, 5 from measles, sweep of this mediaeval custom. 2 from infantile diarrhoea, and 1 from scarlet fever. Living Micro-Organisms in Papyrus and Amber. In a recent remarkable communication to the VITAL STATISTICS OF LONDON DURING Academy of Medicine, Dr. Galippe announced his disMARCH, 1920. covery in an Egyptian papyrus of microscopical IN the table will be found summarised motion and These accompanying of reproduction. organisms capable microbes were contained in the very fibres of vegetable statistics relating to sickness and mortality in the City of matter which served in the manufacture of the papyrus. London and in each of the metropolitan boroughs. With to the notified cases of infectious disease, it appears More recent researches by the same observer carry us regard that the number;of persons reported to be suffering from one back still further. This time the centre of interest is. or other of the ten diseases notified in the table was equal to the fossil resin, popularly known as amber, to be found an annual rate of 7’1 per 1000 of the population, estimated at thinly distributed in cretaceous strata. The period of 4,358,309 persons; in the three preceding months the rates its formation is so remote that competent geologists had been 9-9, 8’5, and 7’7 per 1000. Among the metropolitan hesitate to give a precise date even in millennia. But boroughs the lowest rates from these diseases were recorded in spite of this, the resin was found to contain living in Hammersmith, the City of Westminster, St. Marylebone, Islington, Stepney, and Bermondsey; and the atoms contemporaneous with its formation. By special Hampstead, in Fulham, Finsbury, Bethnal Green, Battersea, highest processes Dr. Galippe convinced himself of his ability Deptford, and Lewisham. Eleven cases of small-pox were to reawaken them, like the sleeping princess of the notified during the five weeks ended April 3rd; of these, 1 to Woolwich. fairy story, from their long slumber. They then 8 belonged to Poplar, 2 to Stepney, and showed active movements and power to reproduce The prevalence of scarlet fever was 12 per cent. less themselves. This quasi-indestructibility of the infinitely than in February ; this disease was proportionally most Finsbury, Bethnal Green, prevalent in Chelsea, Holborn, small, its resistance to the action of time and of Poplar, and Lewisham. The Metropolitan Deptford, physical and chemical agents, is a biological property Asylums Hospitals contained 1981 scarlet fever patients at of fascinating interest-but its existence is challenged. the end of the month, against 2841, 2476, and 2266 at the April 19th. end of the three preceding months ; the weekly admissions averaged 240, against 350, 280, and 279 in the three preceding months. Diphtheria was slightly less prevalent than in the
menacing
proposed one is
THE NURSES’ COÖPERATION.-This
organisation, preceding month;
which has for its main object the securing of full remuneration to nurses for their work, shows by its annual report for 1919 a successful year of operation. The fees received by the nurses have exceeded those earned in any previous year -namely, £ 61,059, or £ 3774 more than last year. Beginning in 1891 with a staff of 30 nurses, the cooperation has now 442 fully trained nurses on the general staff and 36 asylumtrained nurses for mental patients. The total number of cases nursed in 1919 was 6169, or 114 more than in the previous year. The address of the cooperation is 22, Langham-street,
Portland-place, London.
this disease
was
proportionally
most
prevalent in Fulham, St. Pancras, Hackney, the City of London, Shoreditch, Bethnal Green, and Woolwich. The number of diphtheria patients under treatment in the Metropolitan Asylums Hospitals, which had been 1845,1971, and 2003 at the end of the three preceding months, numbered 1964 at the end of March; the weekly admissions averaged 260, against 239, 263, and 240 in the three preceding months. The prevalence of enteric fever was about equal to that in the two preceding months; of the 59 cases notified during the month 7 belonged to Fulham, 7 to St. Marylebone, 7 to Hampstead, 5 to Deptford, 4 to Paddington. 4 to
932 ANALYSIS OF SICKNESS AND MORTALITY STATISTICS IN LONDON DURING MARCH, 1920.
(Specially compiled for THE LANCET.)
*
Including membranous croup.
and 4 to Battersea. There were 38 cases of enteric fever under treatment in the metropolitan asylums at the end of the month, against 25, 25, and 30 at the end of the three preceding months; the weekly admissions averaged 6, against 2, 4, and 6 in the three preceding months. Erysipelas was proportionally most prevalent in Paddington, Fulham, Stoke Newington, Finsbury, Southwark, and Battersea. The 45 cases of puerperal fever included 5 in Fulham, 5 in Hackney, 4 in Wandsworth, and 3 each in Hammersmith, Islington, Southwark, Battersea, and Camberwell. The 22 cases of cerebro-spinal meningitis included 4 in Hackney, 3 in Islington, 3 in Wandsworth, 2 in Battersea, and 2 in Lewisham; while the 2 cases of poliomyelitis belonged respectively to Hammersmith and Battersea. The mortality statistics in the table relate to the deaths of civilians actually belonging to the several boroughs, the deaths occurring in institutions having been distributed among the boroughs in which the deceased persons had previously resided. During the five weeks ended April 3rd the deaths of 7350 London residents were registered, equal to an annual rate of 17-6 per 1000; in the three preceding months the rates had been 13-1, 14’6, and 16-6 per 1000. The death-rates ranged last month from 12-3 in Wandsworth, 12-7 in Hampstead, 12-8 in Lewisham, 13-1 in Woolwich, 14-6 in Paddington, 14-6 in Fulham, and 14-7 in Hammersmith, to 20-5 in Finsbury, 20-7 in Bermondsey, 21-4 in Shoreditch, 21-7 in Hackney, 22-9 in Poplar, 23-4 in Stepney, and 25-7 in Bethnal Green. The 7350 deaths from all causes included 716, which were referred to the principal infectious diseases ; of these, 2 resulted from small-pox, 295 from measles, 24 from scarlet fever, 137 from diphtheria, 181 from whooping-cough, 3 from enteric fever, and 74 from diarrhoea and enteritis among children under 2 years of age. No death from any of these diseases was recorded last month in the City of London. Among the metropolitan boroughs the lowest death-rates from these diseases
Kensington,
Paddington, Hammersmith, Chelsea, and Holborn ; and the highest in Hackney, Shoreditch, Bethnal Green, Poplar, and The 2 fatal cases of small-pox belonged to Bermondsey. Poplar. The 295 deaths from measles were 9 fewer than the average number in the corresponding period of the five preceding years; thisdisease was proportionally most fatal were
the
recorded
in
City of Westminster, Hampstead,
in Islington, Hackney, Bethnal Green, Southwark, and Bermondsey. The 24 fatal cases of scarlet fever exceeded the average by 6, and included 3 in Camberwell and 2 each in Shoreditch, Bethnal Green, Stepney, Bermondsey, and The 137 deaths from diphtheria were nearly Lambeth. double the average ; the greatest proportional mortality from this disease occurred in Hackney, Finsbury, Bethnal Green, Southwark, Lambeth, and Battersea. The 181 fatal cases of whooping-cough were 22 in excess of the average; this disease was proportionally most fatal ’in St. Pancras, Stoke Newington, Hackney, Bethnal Green, Stepney, Poplar, and Greenwich. Three deaths from enteric fever were registered during the month, against an average of 8; these deaths belonged respectively to Kensington, Fulham, and the City of Westminster. The 74 fatal cases of infantile diarrhoea were 3 below the average ; the greatest proportional mortality from this disease occurred in Paddington, St. Marylebone, Shoreditch, Bethnal Green, Camberwell, and Deptford. In conclusion, it may be stated that the aggregate mortality in London during March from these principal
infectious diseases was 12 per cent. above the average in the corresponding period of the five preceding years.
DINNER OF
THE
HARROGATE MEDICAL SOCIETY.-
The annual dinner of the Harrogate Medical Society, the first held since the war, took place at the Prospect Hotel, Harrogate, on April 15th, about 70 medical men being present. Dr. W. Bertram Watson, President of the Society, was in the chair, and the guests included Sir Berkeley Moynihan, Dr. Bedford Pierce (President of the British Medico-Psychological Association), Dr. W. H. Willcox, and the Mayor of Harrogate (Alderman J. Shepherd). Sir Berkeley Moynihan referred to the proposed Institute for Investigation, somewhat on the lines of Duff House, where patients exhibiting early errors of metabolism would find at their disposal the best available pathologist, radiographer, and biochemist. He hoped the scheme would shortly materialise, since team-work was essential to-day, and Harrogate was extraordinarily fortunate in opportunities for, research. The President briery replied, and speeches by Mr. Herbert Frankling, Dr. Pierce, Dr. Willcox, and Dr. David Brown concluded a pleasant evening.
URBAN VITAL STATISTICS. (Week ended April 17th, 1920.)
scientific progress. Among the remedies English and Welsh Toiciis.-Iii the 96 English and Welsh the suppression of the thesis required towns, with an aggregate civil population estimated at for obtaining the degree of doctor of medicine. This nearly 18 million persons, the annual rate of mortality, formality dates back four centuries at least. At which had been 18-7, 16-7, and 16-6 in the three preceding first the thesis was only a big sheet of paper weeks, further declined to 15’8 per 1000. In London, with a of nearly 4 million persons, the annual deathsurrounded by symbolic engravings, on which a candi- population rate was 16-1, or 1-5 per 1000 below that recorded in the date had printed the various propositions he wished to previous week, while among the remaining towns the submit to his judges.. Little by little the thesis became rates ranged from 5-4 in Enfield, 7’2 in Oxford, and 8-0 in Reading, to 25’2 in Blackburn, 26’5 in Sunderland, a scientific memorandum on a subject chosen by the candidate and on which he was prepared to defend his and 32-4 in Tynemouth. The principal epidemic diseases conclusions. The number of copies that had to be caused 411 deaths, which corresponded to an annual of 1’2 per 1000, and included 185 from measles, furnished steadily rose. Every university library in rate 102 from whooping-cough, 53 from infantile diarFrance required one to enrich its collection, and foreign 51 from diphtheria, 15 from scarlet fever, 3 from rhoea, universities followed offering theses of their own in enteric fever, and 2 from small-pox. Measles caused a exchange. The hundred copies of the theses now death-rate of 2-0 in Bootle, 2-1 in Wakefield, 2-4 in Brighton, obligatory, at the present cost of paper and printing, and 4-8 in Newport (Mon.). The fatal cases of small-pox makes a heavy tax on the resources of the young belonged to West Ham and Liverpool respectively. The student. It is proposed, therefore, to suppress this deaths from influenza, which had been 392, 379, and 332 in the three preceding weeks, further declined to 306, and formality. Those in favour of abolition point out that included 101 in London, 22 in Birmingham, 12 each in the majority of theses are valueless compilations made Manchester and West Ham, and 10 in Blackburn. There with the help of fellow-students. A candidate who has were 1960 cases of diphtheria,.1902 of scarlet fever, and 24 of the money may even buy a ready-made thesis from some small-pox under treatment in the Metropolitan Asylums impecunious but better-informed comrade. The few Hospitals and the London Fever Hospital, against 1995, communications of real value might be brought to notice 2011, and 26 respectively at the end of the previous week. at learned societies or by publication in the journals. The causes of 42 of the 5379 deaths in the 96 towns were of which registered in Birmingham, 5 in Instead of the prizes given every year for the best uncertified,and 4 each 6inwere St. Helens and Manchester. Liverpool, in the medals and remission theses, consisting possibly Scotch Towns.-In the 16 largest Scotch towns, with an of some of the high examination fees, it is suggested estimated at nearly 2 million persons, that the same result could be obtained by offering a aggregate population the annual rate of mortality, which had been 18°0, 17°2, and substantial reward for valuable articles published, a 17’3 in the three preceding weeks, rose to 18’9 per 1000. The procedure which would also ensure the interests of 414 deaths in Glasgow corresponded to an annual rate of 19-4 scientific progress. For the immense majority of candi- per 1000, and included 29 from influenza, 25 from measles, dates who have no ambition beyond becoming general 5 from diphtheria, 2 each from enteric fever, scarlet fever, whooping-cough, and 1 from infantile diarrhoea. The practitioners the heavy pecuniary burden of the thesis and has no compensation, while their diligent but mediocre 108 deaths in Edinburgh were equal to a rate of 16-5 per 1000, 1 screeds encumber the shelves of the professors who are and included 8 from influenza and each from measles and diphtheria. entitled to receive reprints-until they are sold by the Irish To2ons.-The 251 deaths in Dublin corresponded to an housekeepers as waste-paper. Besides this there are rate of 31’5, or 4’7 per 1000 above that recorded in the the essays puffing proprietary articles of which the annual week, and included 16 from whooping-cough, 15 manufacturer pays the cost of production, or those previous from measles, 5 from influenza, 2 from infantile diarrhoea, by which the young doctor seeks to establish himself and 1 each from scarlet fever and diphtheria. The 229 deaths in practice. The time is oppqrtune to make a clean in Belfast were equal to a rate of 28’9 per 1000, and included 17 from influenza, 6 from whooping-cough, 5 from measles, sweep of this mediaeval custom. 2 from infantile diarrhoea, and 1 from scarlet fever. Living Micro-Organisms in Papyrus and Amber. In a recent remarkable communication to the VITAL STATISTICS OF LONDON DURING Academy of Medicine, Dr. Galippe announced his disMARCH, 1920. covery in an Egyptian papyrus of microscopical IN the table will be found summarised motion and These accompanying of reproduction. organisms capable microbes were contained in the very fibres of vegetable statistics relating to sickness and mortality in the City of matter which served in the manufacture of the papyrus. London and in each of the metropolitan boroughs. With to the notified cases of infectious disease, it appears More recent researches by the same observer carry us regard that the number;of persons reported to be suffering from one back still further. This time the centre of interest is. or other of the ten diseases notified in the table was equal to the fossil resin, popularly known as amber, to be found an annual rate of 7’1 per 1000 of the population, estimated at thinly distributed in cretaceous strata. The period of 4,358,309 persons; in the three preceding months the rates its formation is so remote that competent geologists had been 9-9, 8’5, and 7’7 per 1000. Among the metropolitan hesitate to give a precise date even in millennia. But boroughs the lowest rates from these diseases were recorded in spite of this, the resin was found to contain living in Hammersmith, the City of Westminster, St. Marylebone, Islington, Stepney, and Bermondsey; and the atoms contemporaneous with its formation. By special Hampstead, in Fulham, Finsbury, Bethnal Green, Battersea, highest processes Dr. Galippe convinced himself of his ability Deptford, and Lewisham. Eleven cases of small-pox were to reawaken them, like the sleeping princess of the notified during the five weeks ended April 3rd; of these, 1 to Woolwich. fairy story, from their long slumber. They then 8 belonged to Poplar, 2 to Stepney, and showed active movements and power to reproduce The prevalence of scarlet fever was 12 per cent. less themselves. This quasi-indestructibility of the infinitely than in February ; this disease was proportionally most Finsbury, Bethnal Green, prevalent in Chelsea, Holborn, small, its resistance to the action of time and of Poplar, and Lewisham. The Metropolitan Deptford, physical and chemical agents, is a biological property Asylums Hospitals contained 1981 scarlet fever patients at of fascinating interest-but its existence is challenged. the end of the month, against 2841, 2476, and 2266 at the April 19th. end of the three preceding months ; the weekly admissions averaged 240, against 350, 280, and 279 in the three preceding months. Diphtheria was slightly less prevalent than in the
menacing
proposed one is
THE NURSES’ COÖPERATION.-This
organisation, preceding month;
which has for its main object the securing of full remuneration to nurses for their work, shows by its annual report for 1919 a successful year of operation. The fees received by the nurses have exceeded those earned in any previous year -namely, £ 61,059, or £ 3774 more than last year. Beginning in 1891 with a staff of 30 nurses, the cooperation has now 442 fully trained nurses on the general staff and 36 asylumtrained nurses for mental patients. The total number of cases nursed in 1919 was 6169, or 114 more than in the previous year. The address of the cooperation is 22, Langham-street,
Portland-place, London.
this disease
was
proportionally
most
prevalent in Fulham, St. Pancras, Hackney, the City of London, Shoreditch, Bethnal Green, and Woolwich. The number of diphtheria patients under treatment in the Metropolitan Asylums Hospitals, which had been 1845,1971, and 2003 at the end of the three preceding months, numbered 1964 at the end of March; the weekly admissions averaged 260, against 239, 263, and 240 in the three preceding months. The prevalence of enteric fever was about equal to that in the two preceding months; of the 59 cases notified during the month 7 belonged to Fulham, 7 to St. Marylebone, 7 to Hampstead, 5 to Deptford, 4 to Paddington. 4 to
932 ANALYSIS OF SICKNESS AND MORTALITY STATISTICS IN LONDON DURING MARCH, 1920.
(Specially compiled for THE LANCET.)
*
Including membranous croup.
and 4 to Battersea. There were 38 cases of enteric fever under treatment in the metropolitan asylums at the end of the month, against 25, 25, and 30 at the end of the three preceding months; the weekly admissions averaged 6, against 2, 4, and 6 in the three preceding months. Erysipelas was proportionally most prevalent in Paddington, Fulham, Stoke Newington, Finsbury, Southwark, and Battersea. The 45 cases of puerperal fever included 5 in Fulham, 5 in Hackney, 4 in Wandsworth, and 3 each in Hammersmith, Islington, Southwark, Battersea, and Camberwell. The 22 cases of cerebro-spinal meningitis included 4 in Hackney, 3 in Islington, 3 in Wandsworth, 2 in Battersea, and 2 in Lewisham; while the 2 cases of poliomyelitis belonged respectively to Hammersmith and Battersea. The mortality statistics in the table relate to the deaths of civilians actually belonging to the several boroughs, the deaths occurring in institutions having been distributed among the boroughs in which the deceased persons had previously resided. During the five weeks ended April 3rd the deaths of 7350 London residents were registered, equal to an annual rate of 17-6 per 1000; in the three preceding months the rates had been 13-1, 14’6, and 16-6 per 1000. The death-rates ranged last month from 12-3 in Wandsworth, 12-7 in Hampstead, 12-8 in Lewisham, 13-1 in Woolwich, 14-6 in Paddington, 14-6 in Fulham, and 14-7 in Hammersmith, to 20-5 in Finsbury, 20-7 in Bermondsey, 21-4 in Shoreditch, 21-7 in Hackney, 22-9 in Poplar, 23-4 in Stepney, and 25-7 in Bethnal Green. The 7350 deaths from all causes included 716, which were referred to the principal infectious diseases ; of these, 2 resulted from small-pox, 295 from measles, 24 from scarlet fever, 137 from diphtheria, 181 from whooping-cough, 3 from enteric fever, and 74 from diarrhoea and enteritis among children under 2 years of age. No death from any of these diseases was recorded last month in the City of London. Among the metropolitan boroughs the lowest death-rates from these diseases
Kensington,
Paddington, Hammersmith, Chelsea, and Holborn ; and the highest in Hackney, Shoreditch, Bethnal Green, Poplar, and The 2 fatal cases of small-pox belonged to Bermondsey. Poplar. The 295 deaths from measles were 9 fewer than the average number in the corresponding period of the five preceding years; thisdisease was proportionally most fatal were
the
recorded
in
City of Westminster, Hampstead,
in Islington, Hackney, Bethnal Green, Southwark, and Bermondsey. The 24 fatal cases of scarlet fever exceeded the average by 6, and included 3 in Camberwell and 2 each in Shoreditch, Bethnal Green, Stepney, Bermondsey, and The 137 deaths from diphtheria were nearly Lambeth. double the average ; the greatest proportional mortality from this disease occurred in Hackney, Finsbury, Bethnal Green, Southwark, Lambeth, and Battersea. The 181 fatal cases of whooping-cough were 22 in excess of the average; this disease was proportionally most fatal ’in St. Pancras, Stoke Newington, Hackney, Bethnal Green, Stepney, Poplar, and Greenwich. Three deaths from enteric fever were registered during the month, against an average of 8; these deaths belonged respectively to Kensington, Fulham, and the City of Westminster. The 74 fatal cases of infantile diarrhoea were 3 below the average ; the greatest proportional mortality from this disease occurred in Paddington, St. Marylebone, Shoreditch, Bethnal Green, Camberwell, and Deptford. In conclusion, it may be stated that the aggregate mortality in London during March from these principal
infectious diseases was 12 per cent. above the average in the corresponding period of the five preceding years.
DINNER OF
THE
HARROGATE MEDICAL SOCIETY.-
The annual dinner of the Harrogate Medical Society, the first held since the war, took place at the Prospect Hotel, Harrogate, on April 15th, about 70 medical men being present. Dr. W. Bertram Watson, President of the Society, was in the chair, and the guests included Sir Berkeley Moynihan, Dr. Bedford Pierce (President of the British Medico-Psychological Association), Dr. W. H. Willcox, and the Mayor of Harrogate (Alderman J. Shepherd). Sir Berkeley Moynihan referred to the proposed Institute for Investigation, somewhat on the lines of Duff House, where patients exhibiting early errors of metabolism would find at their disposal the best available pathologist, radiographer, and biochemist. He hoped the scheme would shortly materialise, since team-work was essential to-day, and Harrogate was extraordinarily fortunate in opportunities for, research. The President briery replied, and speeches by Mr. Herbert Frankling, Dr. Pierce, Dr. Willcox, and Dr. David Brown concluded a pleasant evening.