4

ASSOCIATION INTELLIGENCE.

BRITISH MEDICAL ASSOCIATION:

ANNUAL MEETING.

Thirty-ninth Annual Meeting of the British Medical Association

be held in Plymouth, on Tuesday, Wednesday, Thursday, and

Friday, the 8th, gth, ioth, and Iith of August next.

President-E. CHARLTON, M.D., D.C.L., Physician to the New-

castle-upon-Tyne Infirmary.

President-elect-JOHN WHIPPLE, Esq., F.R.C.S., Consulting Sur-

geon to the South Devon and East Cornwall Hospital.An Address in Medicine will be delivered by GEORGE JOHNSON,

M.D., F. R. C. P., Professor of Medicine in King's College, London.

An Address in Surgery will be delivered by JOSEPH LISTER, Esq.,F.R.S., Professor of Clinical Surgery in the University of Edinburgh.

Notices of Motion. -The following notices have been given.The PRESIDENT OF THE COUNCIL: Rule 4. To insert " President-

elect", to omit " Secretary".-Rule 6. To expunge this rule, and

the following: Each retiring President of the Association

and President of Council shall be appointed a Vice-President for life byvote of the members at the Annual Meeting. "-Rule 7. To add

" Vice-Presidents" after President-elect; to insert the word " and"

between President of the Council and Treasurer, and to erase " and

Secretary"; and to insert "such" between " at" and " other" in the

line.-Rule 8. In this and every rule where District" is prefixedBranch, to erase the word "District", and to erase the words

"the Secretary of the Association".-Rule 9. To omit the wordsThe President of the Council" and " shall be elected"-Rule

Io. To omit the words between "The Treasurer" and "shall beelected".-Rule I I. To erase the words after "There shall be one paidSecretary" first section, and to substitute "who shall reside in

London, and devote his whole time to the business management of theAssociation and of the JOURNAL office". To erase the words " other-

seventh line and "an annual or special" in eighth line, and toinsert "each Annual Meeting".-Rule I3. To erase the words "Secre-

tary shall call", and to substitute President of Council shall direct tocalled".-Rule 14. Between "shall" and " be recommended", to

insert "express his desire in writing, and shall be".-Rule 15. To add

"Members may be admitted on and after July Ist in each year, and

subscription for such part of a year shall be half a guinea". Towords after each member" in eighth line, and to substitute

" long as his subscriptions remain unpaid, provided due notice shallhave been given of such withholding".-Rule i6. To erase the words

"firom his" in fourth line, and to substitute "liabilities to theAssociation".-Rule 24. In tenth line, to insert "a copy of the laws"between "Association" and "and".

Dr. STEELE (Liverpool): Election of Committee of Council. Everyassociate desirous of a seat on the Committee of Council shall send to

General Secretary, not later than months prior to the AnnualMeeting of the Association, a declaration signed by himself, and in thefollowing terms: "I, A. B., of C., member of the British MedicalAssociation, hereby declare that I am a candidate for a seat on theCommittee of Council of the said Association. (Signed) ."Together with a nomination-paper signed by six members of the Asso-ciation, in the following terms: We, the undersigned, members of theBritish Medical Association, certify that A. B., of C., is a fit and properperson to be a member of the Committee of Council of the said Asso-ciation." The names of the eligible candidates, with the names of thesix associates by whom they shall have been respectively nominated,shall be published in the BRITISH MEDICAL JOURNAL not later than

months prior to the Annual Meeting of the Association.Mr. NICHOLSON (Hull): To alter Law i6, line 2. For "three",

insert "two".

Gentlemen desirous of reading papers, cases, or any other communi-cations, are requested to give notice of the same to the General Secre.tary their earliest convenience.

T. WATKIN WILLIAMS, F.R.C.S., General Secretary.13, Newhall Street, Birmingham, June i3th, 1871.

SOUTH MIDLAND BRANCH.

THE annual general meeting of the above Branch will be held at theInfirmary, Northam.pton, on Tuesday, June 27th, at I P.M.:

Dr. WM. CLARK, President, in the Chair.

Gentlemen intending to read papers (not to exceed fifteen minutes inreading), are requested to send the titles forthwith to Dr. Bryan, Hon-orary Secretary.Dinner will be provided at the Angel Hotel, at 4 P.M.; charge, 6s.,

including dessert and waiters; and gentlemen who intend to be present,are requested to let me know on or before June 23rd.Members whose subscriptions are not yet paid, are earnestly requested

to pay them at or before the annual meeting.J.M. BRYAN, M.D., Hionorary Secretary.

Northampton, June 1871.

LANCASHIRE AND CHESHIRE BRANCH.THE annual meeting of the above Branch will be held at the MedicalInstitution, Liverpool, on Wednesday, June 28th, at 12 o'clock. Pre-sident, Dr. SPENCER, Preston; President-elect, Dr. DESMOND, Liverpool.The dinner will take place at the Adelphi Hotel at 4.30 P.%. Tickets

(exclusive of wine), 6s. each.Papers and cases of interest will be communicated by Dr. Nevins,

Mr. Bickersteth, Dr. Haddon, Dr. Drummond, Dr. Lyster, andDr. Glynn.

REGINALD HARRISON, Honorary Secretary.51, Rodney Street, Liverpool, June 14th, I87I.

SOUTH EASTERN BRANCH.THE twenty-seventh annual meeting of the above Branch will be heldat the Steine Hotel, Worthing, on Friday, June 30th, at 2 o'clock;Dr. TYACKE, Senior Physician to the Chichester Infirmary, in the Chair.Dinner will be provided at 4.30; charge, exclusive of wine, 7s.Members can introduce friends. Those who may intend to join the

dinner, will oblige by informing me by the 28th instant.G. FREDK. HODGSON, Honorary Secretary.

52, Montpellier Road, Brighton, June I870.EAST ANGLIAN AND CAMBRIDGE AND HUNTINGDON

BRANCHES.THE annual meeting of the above Branches will be held at the Norfolkand Norwich Hospital, Norwich, on Friday, June 30th, at 2.30 P.M.;P. EADE, M.D., President.Gentlemen wishing to read papers, are requested to send the titles

to one of the Honorary Secretaries; and those members who purposebeing present at the dinner, are requested to communicate their inten-tion as early as possible, so that the necessary arrangements may beinade.

Notices have been received of the following communications to beread at the meeting: Dr. Humphry, F.R.S., Reminiscences of Sur-gery in the Norwich Hospital five and thirty years ago ; Dr. Durrant,On a Medical Subject; Mr. Cadge, On Ovariotomy; Dr. Brad-bury, Notes of a Case of Haemoptysis, with Remarks ; MIr. Crosse,On Accidents in Lithotomy; Dr. Bateman, On Obscure Diseasesof the Caecum ; Mr. Robinson, On Intra-ocular Malignant Growths.Dinner at the Norfolk Hotel at 5.30 P.M. Tickets, 12S. 6d. each.

J. B. PITT, M.D., Norwich. )B. CHEVALLIER, M.D., Ipswich. iHonorary Secretaries.J. B. BRADBURY, M.D., Cambridge.)

NORTH WALES BRANCH.THE twenty-second annual meeting of the above Branch will be heldat the Castle Hotel, Ruthin, on Tuesday, July 4th, at I2 o'clock;J. R. JENKINS, M.D., President.The dinner will take place about 4 P. M., at the usual charge.Gentlemen having papers or cases to communicate, and who intend

dining, will much oblige by sending early intimation to the Secretary.D. KENT JONES, Honorary Secretary.

Beaumaris, June i4th, I871.WEST SOMERSET BRANCH.

THE annual meeting of the above Branch will be held at the RoyalClarence Hotel, Bridgewater, on Tuesday, July 4th, at 2 P.M.; J.CORNWALL, Esq., Ashcott, retiring President; W. H. AXFORD, M.B.,Bridgewater, President-elect.The dinner-hour is fixed at half-past five o'clock. Tickets 5s. each,

exclusive of wine and waiters.Gentlemen intending to be present, or wishing to read papers, are

requested to inform the Secretary on or before the 30th instant.W. M. KELLY, M.D., Honorary Secretary.

Taunton, June 14th, I87I.

THE BRITISH MEDICAL 70URNAL. 649June 17,1871 -

650 THE BRITISH MEDICAL 7OURNAL. [June 17, I871.

SOUTH WALES AND MONMOUTHSHIRE BRANCH.THE first annual meeting of the above Branch will be held on July 5th,at the Swansea Hospital, at 1.30 P.M.: President, GEORGE PADLEY,L.R. C. P. Lond.

Dinner will be provided at the Mackwortli Hotel at 5 P. M. Tickets,6s. 6d. each.Members desirous of reading papers or notes of cases, are requested

to commuinicate the titles at as early a date as possible to one of theundersigned.A modification of Rule No. 2 of the Branch will be proposed at the

meeting.The Council will meet at 12.30 P.MA.Members of the Branch may introduce members of the profession to

the annual meeting and dinner.All members intending to join the latter, will oblige by sending to

one of the Honorary Secretaries a communication to that effect on orbefore the 30th inst., so that arrangemenits may be made and ticketsreserved.

A. DAVIES.A. SHEEN, M.D. 1lowoary Secretaries.

June i4th, I871.

METROPOLITAN COUNTIES BRANCH.THE nineteenth annual meeting of this Branch will be held at theCastle Hotel, Wlindsor, on Friday, July 14th, at 3 P.M. Presidentjor1870-7I, T. HEcKSTALL SMITH, Esq., F.R.C.S.; President-elect for1871-72, J. RUSSELL REYNOLDSs, M.D., F.R.S.Dinner at the Hotel at 5.30 P.M.

A. P. STEWART, M.D. )ALEXANDER HENRY, M.D. 5 onorary Secretaries.

75, Grosvenor Street, June 13th, 1871.

REPORT OF MEETING OF COMMITTEE OF COUNCIL:Held at the Queent's Hotel, Birmingham, 7zene 6th, I871.

PRESENT:-W. D. Husband, Esq., F.R.C.S., in the Chair; Dr.Falconer, MIr. Whipple, Dr. Chadwick, Mr. Heckstall Smith, Mr.Wheelhouse, Mr. Nicholson, Mr. Fowler, Dr. Littleton, Mr. Clayton,Dr. Bryan, Mr. Bartleet, Dr. E. Waters, Dr. A. Waters, Dr. Stewart,Dr. Wilkinson, Mr. Fleischman, and Mr. Williams, General Secretary.A Deputation attended from the Birmingham and Midland Counties

Branch, and presented an invitation to the Association to meet in Bir-mingham in 1872.The Report from the Laws Committee was read and approved,

together with the proposed alterations to be brought forward at thenext Annual Meeting.The following resolutions, passed by the Subcommittee of Branch

Secretaries, were read and approved of.I. That the Branch Secretaries should undertake the collection of

the subscriptions of the members of their respective Branches until theend of November in each year.

2. That, from the evidence before this Committee, it is desirablethat the circulars of Branch Secretaries collecting subscriptions of theAsseciation should be issued at stated times and in an uniform manner,Viz.:-

Circular A in the month of January.Circular B in the month of April.Circular C in the month of July.Circular D in the month of October.

3. That, at the commencement of each of the above months, theGeneral Secretary do remind the Branch Secretaries, by letter, to sendthe necessary circulars, and do supply the Branch Secretaries with theproper forms.

4. That, at the end of November, each Branch Secretary do send tothe General Secretary a complete list of members of his Branch, dis-tinguishing those who have paid from those who have not paid.

5. That, in the first week in December, the General Secretary doissue circulars to those Branch members then in arrears, remindingthem of Laws 15 and 16, according to which the JOURNAL will bestopped at the end of the year unless the arrears be paid by that date.

6. That the General Secretary be charged with the collection of thesubscriptions of all members not in Branches, and that he do issuecirculars to those members at the sanie time and in the same manner asabove prescribed.

7. That the circular of the General Secretary sent out to members ofBranches in the beginning of December contain an instruction to paythe subscriptions to the Branch Secretaries; and that the Branch

Secretaries inform the General Secretary, on or before the 31st ofDecember, of any subscriptions so received.

8. That Mr. Hodgson, Mr. Fleischman, Mr. Nicholson, and Mr.Ernest Hart do form a Subcommittee to draw up suitable forms of theabove mentioned circulars.The Committee of Council also resolved-That Dr. Merryfield be invited to read a paper on the "Meteoro-

logy of Plymouth for the last Six Years" at the Annual Meeting: andThat the President of Council, the Treasurer, and the General

Secretary be requested to prepare the Annual Report.T. WATKIN WILLIAMS, F.R.C.S., Genera/Secretary.

I3, Newhall Street, Birmingham, June 13th, 1871.

EAST YORK AND NORTH LINCOLN BRANCH.THE Annual Meeting of the above Branch was held on May 31st, 1871,at the Hull General Infirmary; J. A. LOCKING, Esq., President, in theChair.The Report of the Committee upon the Fortnightly Meetings was

read and adopted.New Members.-The following gentlemen were elected to the Branch:

J. Brownridge, Esq.; T. M. Evans, Esq. (Hull); Wm. Hammond,Esq.; F. J. Hammond, Esq. (Howden); J. Plaxton, Esq. (Hull); R.B. Low, M.D. (Burringham, Doncaster); J. Savage, Esq. (Swinefleet,Goole).

Officers.-The following were elected:-Pr-esident-elect, J. F. Holden,Esq.; Secretary azd Treasurer, Robt. H. B. Nicholson, Esq.; Cor.mittee, Sir H. Cooper, M.D., R. M. Craven, Esq., K. King, M.D.,G. F. Elliott, M.D., H. Gibson, Esq., W. J. Lunn, M.D., and G.Lamb, Esq.

Metnbers of Council.-It was resolved to leave the election of thetwo gentlemen to the Committee.

RePresentative on Parliamentary Committee.-Sir H. Cooper waselected.

Quarterly Meetings.-The President proposed, and Dr. K. Kingseconded, a slight alteration in Law 4, so as to allow of QuarterlyMeetings being held.-This was carried.Papers and Cases.-The following were read :-I. Introductory Re-

marks. By J. A. Locking, Esq.-2. Malignant Tumour of the Leg,requiring amputation, in an Infant fourteen weeks old.-By K. King,M.D.-3. Medical Thermometry. By G. F. Elliott, M.D.-4. Caseof Molluscum Pendulum. By R. M. Craven, Esq.-5. Case of Fra-gilitas Ossium. By W. J. Lunn, M.D..A Dinner was held at the Victoria Hotel at the termination of the

proceedings.

MIDLAND BRANCH: ANNUAL MEETING.THE Annual Meeting of this Branch took place at the Infirmary,Derby, on June 8th; WILLIAM OGLE, M.D., President, in the Chair.Upwards of thirty members attended.Business.-The Report for the past year having been read, it was

decided that the Annual Meeting in 1872 should be held in Notting-ham; and Dr. W. Tindal Robertson was chosenl as President-elect.The following gentlemen were appointed Secretaries:-T. Blunt, M.D.(Leicester); C. Harrison, M.D. (Lincoln); J. White, Esq. (Notting.ham); and A. H. Dolman, Esq. (Derby).An Address was delivered by the President; and papers, of which

notice had been given, were read by Mr. T. Sympson, Mr. G. Elder,Dr. Hitchman, and Mr. J. W. Baker.Diiner.-At 5 P.M., the members and their friends, numbering

together forty-one, adjourned to the Midland Hotel and enjoyed acapital dinner.

REPORTS OF SOCIETIES.PATHOLOGICAL SOCIETY OF LONDON.

TUESDAY, MAY I66TH, 1871.J. COOPER FORSTER, F. R. S., Vice-President, in the Chair.

THE following report of the Committee appointed to consider the subjectof lardaceous or amyloid disease was read. " The analyses by Dr.Marcet, whose report is appended, show that the organs which havebeen examined as presenting the alterations in question are consider-ably deficient in potash and phosphoric acid, while they contain an in-crease of soda, chlorine, and cholesterine. Where the tissue is exten-

June I7, 1871.3 THE BRITISH MEDICAL .7OURNAL.

MEDICAL NEWS.UNIVERSITY OF CAMBRIDGE.-Third (final) M.B. Examination,

Easter I87I. Examined and approved.Clarke, T. K., M.A., Emmanuel CollegeEvans, G. H., M.A., King's College

APOTHECARIES' HALL.-The following gentIemen passed their ex-amination in the science and practice of medicine, and receivedcertificates to practise, on Thursday, June 8th, I871.

Murdoch, Donald, Rotherhithe, S. E.Strafford, Thomas, Ripley, Derbyshire

The following gentleman also on the same day passed his first pro-fessional examination.

Wallis, William, Guy's Hospital

MEDICAL VACANCIES.THE following vacancies are announced:-

BIRMINGHAM NEW HOSPITAL FOR WOMEN -Four Acting MedicalOfficers.

BIRMINGHAM and MIDLAND FREE HOSPITAL for SICK CHILDREN-Two extra Acting Physicians; Ophthalmic Surgeon.

BRIGHTON and HOVE DISPENSARY-Resident House-Surgeon.CITY OF DIJBLIN HOSPITAL-Physician.DEVON COUNTY LUNATIC ASYLUM-Assistant Medical Officer.DEVON AND EXETER HOSPITAL-Surgeon.DISPENSARY FOR SKIN DISEASES, Bishop Street, Dublin-Physician.EDINBURGH VETERINARY COLLEGE-Professor of Zootomy or Compara-

tive Anatomy; Professor of Cattle Pathology.HAMADRYAD HOSPITAL SHIP, Cardiff-Resident Assistant Medical Officer.HEREFORD GENERAL INFIRMARY-House-Surgeon.HUDDERSFIELD and UPPER AGBRIGG INFIRMARY-Physician.INFIRMARY FOR CONSUMPTION AND DISEASES OF THE CHEST,

Margaret Street, Cavendish Square-Physician.LEICESTER INFIRMARY AND FEVER HOUSE-House-Surgeon and

Apothecary.LIVERPOOL DISPENSARIES-Assistant Resident House-Surgeon.LIVERPOOL NORTHERN HOSPITAL-Junior House-Surgeon.METROPOLITAN FREE HOSPITAL-Assistant Physician.ST. MARY'S HOSPITAL-Assistant Physician; Assistant Surgeon; Dental

Surgeon.SUFFOLK GENERAL HOSPITAL, Bury St. Edmunds-Physician.RIPON DISPENSARY-House Surgeon.WEST LONDON HOSPITAL-Physician for Diseases of Women; Ophthalmic

Surgeon; Junior Surgeon.WORCESTER GENERAL INFIRMARY-Dispenser.

[For Poor-law Vacancies see Poor-lawz De,partment. ]

MEDICAL APPOINTMENTS.Names marked witit an asterisk are those ofMemnbers ol the Association.

*BOULTON, Percy, MI.D., appointed Physician to Out-patients at the SamaritanFree Hospital.

*BURCHELL, P. L., M.B., elected Surgeon-Accoucheur to the City of LondonLying-in Hospital.

BIRTHS, MARRIAGES, AND DEATHS.The charge for inserting announcements of Births, Marriages, and Deaths,

is 3s. 6d., whvich should beforwarded in stamhs withz the communication.

DEATHS.DAUNT, William, M.D., late Surgeon Inniskilling Dragoons, at Bath, aged 83, on

June 5th.JONES, James, M.D., at 4, Harley Street, on June 6th.

BEQUESTS.-The Reverend Martin C. Tolputt, of Hargrave House,near Margate, has left to the Middlesex Hospital, the Kent and Can-terbury Hospital, and the Margate Sea-bathing Infirmary, legacies of£1oo each; and £50 each to the Margate Lying-in-Charity, and theHospital for Lying-in-Women, Belton Street.PRELIMINARY EXAMINATIONS.-At the half-yearly examinations in

arts, etc., for diplomas of Fellowship and Membership of the RoyalCollege of Surgeons, commencing on Tuesday next, it is stated that forthe Fellowship there are 92 candidates, and for the Membership 251,making a total of 342 of our future doctors.

WE are indebted to correspondents for the following periodicals, contain'ing news,reports, and other matters of medical interest:-The New York Medical Gazette,June soth; The New York Medical Record, June ist; The Boston Medicaland Surgical Journal, June sat; The Madras Mail, April 3rd; The Shield,June ioth; The Philadelphia Medical Times, May 24th; The PhiladelphiaMedical Independent, May 27th; The Scotsman, June 8th; The Dublin Express,June 6th; Saunders's News-Letter and Daily Advertiser, June 8th; The Lincoln-shire Chronicle, June gth; The Edinburgh Evening Courant, June soth; TheSouth Durham and Cleveland Chronicle, June soth; etc.

57

OPERATION DAYS AT THE HOSPITALS.

MONDAY ......Metropolitan Free, 2 P.s.-St. Mark's, I.30 P.s.-Royal LoidonOphthalmic, II A.M.

TUESDAY......Guy's, I. 30 P.M.-Westminster, 2 P. M.-National OrthopMedic,2 P. M.-Royal London Ophthalmic, I I A.m.-Royal Free, 2 P. M.

WEDNESDAY.. St. Bartholomew's, I. 30 P.Ms-St. Mary's, 1. 30 P.M-Middlesex,I P.M.-University College, 2 P.a.-St. Thomas's, I P.M.-London,2 P.i.-Royal London Ophthalmic, II Am. -Great Northern.2 P.M.-Samaritan Free Hospital for Women and Children, 2.30P.M. -Cancer Hospital, Brompton, 3 P.si.-King's College, 2 P.M.

THURSDAY ..St. George's, I P.M.-Central London Ophthalmic, I P. M.-RoyalOrthopaediC, 2 P.M.-Royal London Ophthalmic, II A.M.-Hos-pital for Diseases of the Throat, 2 P.M.

FRIDAY. Westminster Ophthalmic, 1. 30 P. M.-Royal London Ophthalmic,II A.M.-Central London Ophthalmic, 2 P.ms.-Royal South Lon-don Ophthalmic Hospital, 2 P. si.

SATURDAY .... St. Thomas's, 9.30 A.rI,-St. Bartholomew's, 1.30 P.M.-King'sCollege, 1.30 P.M.-Charing Cross, I P.M.-Lock (Clinical Demon-strations and Operations), I P. M.-Royal London Ophthalmic,II A.M.-Royal Free, 2 P.s.-East London Hospital for Chil-dren, 2 P.M.-Hospital for Women, 9.30 A.M.

MEETINGS OF SOCIETIES DURING THENEXT WEEK.

FRIDAY.-Quekett Microscopical Club (University College, Gower Street),8 P.M. Mr. N. E. Green, "On Diatom Markings as examined by the LimeLight.".

NOTICES TO CORRESPONDENTS.ALL Letters and Commucnicationsfor the JOURNAL, to be addressed to the EDITOR

37, Great Queen Street, Lincoln's Inn Fields, W. C.CORRESPONDENTS not answered, are requested to look to the Notices to Corre-

spondents of the following week.To PURCHASERS.-To insure attention, it is requested that all orders sent to the Office

for extra copies of the JOURNAL, be accompanied with halfjenny stamps for theamount.

WE CANNOT UNDERTAKE TO RETURN MANUSCRIPTS NOT USED.CORRESPONDENTS, who wish notice to be taken of their communications, should

authenticate them with their names-of course, not necessarily for publication.

SMALL-POX AND MANSLAUGHTER.-Some jurors, it appears, "object to exposethemselves to the imminent danger of catching small-pox in the discharge of theirpublic duties." It is, no doubt, very unsatisfactory to run any risks of catchingdisease in the discharge of public duties; but it is one which sanitary officers, andcommittees, jurors, nurses, and doctors, must sometimes incur. In the case ofsmall-pox, we may suggest to the South London Juiror, whose particular grievanceit is to have had to make a forced visit to the Small-pox Hospital, that it has beenshown that the nurses and attendants in constant contact with the deadly poisonhave always, and through a long series of years, been effectually preserved by avery simple precatition-revaccination. Instead of the coroner being open to anaction for manslaughter, therefore, if either of the jurors, neglecting that precau-hon, die of small-pox, the juror ought rather to fear in such a case the postmortem penalties of wilful suicide.

It is to be hoped that the very general expressions of disapproval of the ventilation,both mental and bodily, at the College of Physicians conversazione, on Wed-nesday, will have some effect on the authorities on future occasions of the kind.The atmosphere evidenced but sorry application of the advantages of ventilationso often advocated within the walls of the College. I think a little more respectfor the hats of the visitors would not be out of place.-AN EXHAUSTED GUEST.

MR. J. LARDNER GREEN.-We have already done so. Forward the circular withyour complaint to the President of the College of Surgeons.

L. S.A. (Tavistock.)- Both Druitt's Surgery and Squire's Com,tanion to the Phar-macopaia are published by Churchill, London.

SIR,-In the JOURNAL of April 15th appeared an extract from one of the Rules of theHull and Sculcoates Dispensary, as follows:-"The services of the Physicianshall be gratuitous. The Surgeon shall receive ani annual payment of ThirtyGuineas for their services, and have three months' notice from the Comnmnittee incase it is necessary to disrtense with their services. The Surgeons shall give thelike notice to the Committee if they wish to terminate their engagements." Anda correspondent asked your opinion upon it; which was-that the acceptance of astipend is quite as honourable as that surgeons should give their services nominallygratuiitously, etc. I shall feel greatly obliged if you will in your next JOURNALexpress your opinion as to the prokrnety of taking office under the Committee (towhom the Governors have delegated the power of appointment and dismissal of theSurgeons), subject to dismissal by them. The Committee previously had thepower of dismissal, but it was subject to confirmation by a special meeting of theGovernors. Ought such a course to be considered as in any way derogatory toprofessional honour? I am, etc., A MEMIBER OF THE ASSocIATIOrf.

I7, Albion Street, Hull, June 3rd.*** It is an unsatisfactory arrangement; but we do not appreciate its relation to

professional honour. It would be well if the medical men concerned shouldunanimously protest, and seek by mutual arrangement to obtain a better court ofappeal.

THE BRITISH MEDICAL _OURNAL. [June 17, I87I.

MURPHY ANNUITY FUND.The following is the first list of subscriptions received

£ s. d.Dr. Arthur Farre - - 5 5 o Fairlie Clarke, Esq.M. Bell, Esq. - - - I I o T. W. Nunn. Esq.T. Alderton, Esq. - I O Dr. Edward T. WatkinsD. de Berdt Hovell, Esq. I I o W. H. Wonfor, Esq.Dr. J. Hall Davis - 2 2 ° Dr. Fred. Simms - -

Dr. H. M. Duncan I o Dr. HopeSeptimus AV. Sibley, Esq. 3 3 0 J. R. Gibson, Esq.-Berryman, Esq. - - I o Edwin Saunders, Esq. -

Miss Martin - - o IO o W. F. Forsyth, Esq.Dr. Fearnside - - I i o Dr. HardingeBenjamin Barrow, Esq. I I o Thos. Hunt, Esq.Dr. Bisset Hawkins - - IO O o Dr. ThorowgoodDr. Beatty 5 o o A. B.Dr. M'Clintock 5 o o A. Prince, Esq.Dr. Denham 2 0 o D. G.A Friend - - - I o o Dr. Wm. CholmeleyF. C. Hicks, Esq. - - 2 2 o H. Royes Bell, Esq.James Clifton, Esq. - - 3 3 o H. Burford Norman, Esq.Wm. Richard Davies, Esq. o Io o Soelberg Wells, Esq.Dr. Albert Fleming - - I o Dr. T. MackernDr. T. W. Bogg - - o Wm. Gill, Esq.Dr. Fred. A. Gange - - I I o Dr. John HarleyG. -- - - - o o Wm. Bartlett, Esq.Dr. Henry Briggs 2 o o Dr. PriestleyDr. Charles Coates - - I o Dr. DaviesH. Gardener, Esq. - - o IO o C. Wortham Pearce, Esq.Dr. Dyce Duckworth - o io 6 Dr. CookDr. Alfred Mackwick - 2 2 0 J. Penn Harris, Esq.Sir Henry Thompson 5 5 o Dr. Laycock - - -

SirThos.Watson,Bt.,M.D. 5 o o Dr. J. L. DownCampbell De Morgan, Esq. 3 3 o Dr. Wm. FarrDr. C. J. B. Williams - 5 o o Dr. BannisterDr. George Harley - - I O F. C. Webb, Esq.Henry Bullock, Esq. - I I o Dr. GravesCaesar Hawkins, Esq. - 5 5 o Dr. P. Allen -

George Critchett, Esq. - 5 0 0 Dr. Cleveland - -

Dr. Bayes - - - - I I o Dr. J. R. BennettDr. R. Martin - - - 2 2 O Dr. Drury - - - -

S. Berry Niblett, Esq. - I I O J. Hakes, Esq. -

Dr. Protheroe Smith - 20 10 0 D:)r. Radcliffe - - -

Dr. Owen Rees - - 2 2 o Dr. Meadows - -

H. Cripps Lawrence, Esq. I o W. Adams, Esq. - - -

Dr. Barr Meadows - - I I o Dr. Stocker -

Dr. Oscar Clayton - - 2 2 o Dr. BlandfordDr. R. P. Cotton - - x I o P. Marshall, Esq.Dr. C. Murchison - - I I o Dr. JonesDr. Andrew Clark -5 o o G. L.Dr. John Jones - - 0 5 0

Dr. Black - - - - I I O Per Unioie Eak.Dr. Little - - - - 2 2 0 Sir R. MartinDr. Sturges - - - I I o F. G. Forbes, Esq.Henry Smith, Esq. - - 2 2 o W. R. Madden, Esq.G. King Stevens, Esq. - 2 2 0 E. A. Berry, Esq.Walter Coulson, Esq. - 5 o o B. Duncan, Esq. -

Prescott G. Hewett, Esq. - 5 o o J. Scott, Esq.Dr. F Weber - 2 2 o J. Fairbank, Esq. -

Amount of subscriptions to the present time, £205 6 6

SPURIOUS OR IMPURE VACCINATION.

£.d.o 20o6

2 2 0o Io 6

I I010

220

I 0

2 2 0

222

IO

o

O

O1006.1I

I1II

5 o oIT

O

222

110

20

TI I

55 5III0

0

I 0

I I O

I I O

III

o 5 o0

10

110

110

Iio6I I O

22

III

0100

I IoD

050O

220O

O

I I

2 2

I

I I

O

0

0

6

66

6

SIR,-Surely the evidence of Mr. Startin as submitted to your readers as proof of

the conveyance to individuals-through the agency of vaccination- of itch, herpescircinatus, pityriasis versicolor, and syphilis, is altogether unsatisfactory and in-

sufficient. No doubt, at certain periods, the disease which I have termed imnpetigocontagiosa frequently occurs after vaccination; and seven years ago, in two

papers published in your JOURNAL, I gave interesting facts upon this point. The

disease, in times when it is epidemic, it is worthy of notice, is very liable to attack

any slight scratch-in cbildren especially. But I affirm that we do not possess one

particle of evidence of an exact kind to show that itch, herpes, or pityriasis versi-

color is conveyed by vaccination; and there is nothing in the facts adduced byMr. Startin to show that either of these three, or syphilis, was more than a mere

incidental concurrence with vaccinia, or by chance followed in its wake, in the

cases which he gives. For what are the facts of the case? As regards itch: a boy,aged I6, %vas seen by Mr. Startin two months after being vaccinated, and found to

be suffering from paptular scabies. It seems that the vaccination was followed byan " inflammatory rash", which spread, over the body, whilst the vesicles on the

arm assumed an irregular shape, and became quickly purulent-according to the

,tother's account, be it observed. Eight days afterwards, the "rash" appeared in

a brother who slept with the patient. On this evidence of coincidence, Mr. Startin

says: the scabies was caused by vaccination in the one boy, and conveyed to the

other by personal contact. We bave not even any information as to the character

of the lymph, though we are told that both brothers were vaccinated from the same

lymph; and the information on this point was obtained from the patients them-

selves and their mother, two months after vaccination. This is not scientific ob-

servation. As regards pityriasis versicolor and herpes circinatus: a man, aged 52,saw Mr. Startin a month after vaccination, stating that, a few days after his arm

was punctured, it became swollen, painful, etc., and "a rash appeared around and

upon the part, which festered and became sore and scabby." This is all the de-

scription of the eruption given; but Mr. Startin proceeds to say: "the pityriasis(not described) was mixed with herpes, and soon extended, etc.....the itching

attending these eruptions had, doubtless, caused the patient to carry them from

place to place with his fingers, etc." Mr. Startin adds: " I have no doubt, at our

next interview, the report will be favourable." What evidence is there that the

disease was pityriasis versicolor, or herpes circinatus, at all (I accept nothing but

microscopic evidence); or that it was anything but an eczema? for we are told it

"became sore and scabby." But Mr. Startin only goes upon hearsay. He takes

the patient's statements as to what occurred a month before. There is no tracingthe source of the lymph used, from a patient suffering from parasitic disease. As

regards syphilis: a man, unmarried, aged 46, was seen by Mr. Startin for the

first time, seven weeks after vaccination, and then was the subject of secondary

syphilis, tubercles being found amongst other places in the sites of the vaccination.

The belief that the disease was vaccino-syphilhs, is based upon the fact that the

disease occurred just after vaccination; but everything else militates against this

view. The man felt very unwell with malaise, etc., the day after vaccination, too

early for the vaccination to have anything to do with the symptoms; and from that

time, the syphilitic eruption began and increased. We have no period of incuba-

tion, followed by the development of a chancrous sore, the lapse of a certain period,and the occurrence, in due order, of secondary mischief. Indeed, the vaccination

seemed to be abortive, for the man washed off the vaccination on the fourth day in

a warm bath. At any rate, Mr. Startin wants us to believe that secondarysymftomns began to develop themselves, as the consequence of the introduction of

syphilitic matter with the vaccine lymph into the system of the patient-within a

few hours, and without the usual primary mischief. For we are told expressly.thatthe glands in the axilla or elsewhere were not enlarged, and, as I have said, wehave no chancrous sore produced in the site of the vaccination vesicles, after a

certain time and running a certain course, such as we know is usual. The advent

of the syphilitic eruption must have been a mere coincidence. A second case is

mentioned "of a patient who had firobably been vaccinated from the same vac-

cinifer"; and a third case, in which no syphilitic symptoms are named, is classed

in the same category. Nothing is said about the source of the lymph, or the per-son from whom it was obtained. Mr. Startin has told the profession that he has

seen about thirty cases of vaccinial-syphilis; but he tells us, also, that " the questionwhether the supposed vaccine vesicle presented the characteristics of a chancre or

not, in the rare cases wherein syphilitic eruptions have been manifested, cannot be

decided by my evidence." If this be so, his cases of so-called vaccinal syphiliscannot be received as such, because the main link in the chain of evidence or proofis wanting. I have the greatest respect for Mr. Startin's therapeutic knowledgeand experience; but I have felt myself unable to resist commenting upon his state-

ments relative to "impure vaccination", because they really are most unfair

towards vaccination, and, I may say, not worthy of modern dermatology.I am, etc., TILBURY Fox, M.D.

LADY JANE TAXLOR (Watford).-Next week.

A ST. BART'S STUDENT.-We will answer the question next week.

MR. EDWARD SWAIN (Brookwood).-The letter has been forwarded to its des-

tination.

DR. G. E. DAY (Torquay).-A limited number of the Rev. Dr. Haughton's lectures

will be reprinted.OLECRANON (St. Atistell).-Cooley's Receipt Book (Churchill).

MR. W. PARKER (Bath) will, we fear, have a poor opinion of our intelligence, whenwe confess our inability to perceive the gist of his theory of ventilation founded

on the principle of the "invisible, ponderable, expansive, compressible, elastic,ubiquitary, and non-conductive power of air." We are, however, consoled bylearning that the Home Secretary has found the same difficulty.

ERRATUNM.-In Dr. Goodridge's paper published in last week's JOURNAL, at page6og, column 2, line 3 from bottom,,for " more or less distinct," read " more or less

indistinct."

THE subject of" Midland Counties"' letter has been referred to the Local Committee

at Plymouth, and we will duly inform him of any arrangement which may be made

with the Railway Companies.A MEMBER would feel obliged by the publication of the formula for the preparationof the syrup of phosphate of strychnia, iron, and quinine, referred to by Dr.

Hayden in his report of a case of chorea.

COMMUNICATIONS, LETTERS, ETC., have been received from:-The Rev. Dr. Haughton, Dublin; Dr. Acland, Oxford; Dr. T. L. Brunton,

London; Dr. Clifford Allbutt, Leeds; Dr. Lyon Playfair, London; Dr. G, E.

Day, Torquay; Dr. J. Heygate, Derby; The Secretary of the Quekett Micro-

scopical Society; Dr. J. Wallace, Liverpool; Mr. David Nicolson, Portlaiid; Our

Berlin Correspondent; Dr. J. T. Banks, Dublin; Mr. John Manley, West

Bromwich; Dr. Kelly, Taunton; Mr. William Parker, Bath; Dr. G. Harvey

Williams, Rhyl; Messrs. H. E. Towle and Sons, London; Mr. F. Churchill,

London; Mr. Edward Swain, Brookwood; Dr. Morton, Glasgow; Dr. Swanzy,Dublin; M.D.; Dr. Drysdale, London; Mr. T. Watkin Williams, Birmingham;

The Registrar-General of England; The Secretary of Apothecaries' Hall; The

Registrar-General of Ireland; Mr. T. M. Stone, London; The Registrar of the

Medical Society of London; Our Dublin Correspondent; Dr. R. Elliot, Carlisle;

Mr. Reginald Harrison, Liverpool; Dr. Phillips, London; The Secretary of the

City of London Truss Society; Dr. R. H. Taylor, Liverpool; Mr. F. Ferguson,

Bolton; Dr. J. William, Penygroes; Mr. Pryce Morris, Bedford; Mr. John

Sleman, Tavistock; Mr. J. Lardner Green, Tisbury; Dr. Rumsey, Cheltenham;

Dr. C. Handfield Jones, London; Dr. Charlton Bastian, London; Surgeon-Major

Atchison, London; Mr. E. B. Owen, London; Dr. Tilbury Fox, London; Our

Edinburgh Correspondent; Dr. J. B. Pitt, Norwich; Mr. Walter Hart, Great

Baddow; Mr. Marsh Jackson, Smethwick; Dr. Gwynne Harries, Pembroke

Dock; Messrs. A. and C. Black, Edinburgh; The Secretary of the Royal College

of Physicians; Dr. Giles, Henley-on-Thames; Mr. F. Mason, London; Mr.

Savory, London; Dr. Cavafy, London; Dr. Fuller, London; Mr. Maunder,

London; Mr. Henry Smith, London; Sir Henry Thompson, London; Mr. James

Lane, London; Mr. Henry Terry, Northampton; Mr. Dolman, Derby; Dr. D.

T. Maunsell, Dublin; Mr. Husband, York; Dr. Sieveking, London: Dr. A. P.

Stewayt, London; Olecranon, St. Austell; Dr. Copeman, Norwich; Dr. Theodore

Williams, London; Dr. Wardell, Tunbridge Wells; Mr. Curgenven, London;

Dr. G. Moore, Hartlepool; Mr. John Marshall, London; Mr. Callender, London;

Mr. Henry Lee, London; Mr. C. Creighton, Vienna: Mr. E. Bellamy, London;

Lady Jane Taylor, Watford; Dr. J. Crichton Browne, Wakefield; Mr. Wheel-

house, Leeds; Mr. Hancock, London; etc.

658