cholera in chili

1
942 servant girl; X50 towards the expenses of the defendants in the case of Gibson and wife v. Jeffries and Hills; and .E50 in the case of Lennard v. Brown and others. These votes of the committee still leave some £ 300 in their hands, which in all probability will go chiefly to the benevolent societies of the profession. The committee will meet again in a few weeks to close the fund. ___ ATHETOSIS IN AN INFANT. ATHETOSis of genuine sort is a clinical rarity in infancy. MM. Comby and Féréol have recently described cases at the Society Médicale des IIôpitaux.1 Comby’s case occurred in a female child aged twenty months, badly fed and rachitic. Various movements were noticed in the toes of the right foot, also in the fingers of the right hand, flexion and extension, abduction and adduction going on incessantly, slowly, without jerkiness, but in exaggerated fashion. The hemiathetosis did not involve the face. General sensibility was intact, and the eyes exhibited no sign of squinting or nystagmus. There was no muscular wasting. The move- ments began at eight months, were preceded by generalised severe convulsions, which lasted many days. The con- vulsions left behind them right-sided hemiplegia, with athetosis. Cases in which infantile hemiplegia with hemispasm are after several years followed by choreic movements are by no means rare. LIVERPOOL INFECTIOUS HOSPITALS. WE aie glad to find that the Hospitals Committee of the Liverpool Corporation have recognised the necessity of a further substantial advance in the matter of providing hospital accommodation for Liverpool. Apart from the provision for small-pox, two hospital?, each capable of receiving about eighty or one hundred patients, will very soon be available, and one of them embodies everything that has been found desirable in modern hospital construc- tion. But with the vast population that the corporation have to deal with, and with the immediate prospect of a refusal on the part of the Poor-law authority any longer to do the work of isolation for the city, an extended scheme has become necessary. At one time a hospital situated at a considerable distance from Liverpool was thought of, but the difficulties of transit to and fro from the first offered a great objection to the scheme. Hence the Hospitals Com- mittee intend to urge upon the corporation the need of applying to the Local Government Board for a loan of 35,000, to enable them to purchase a site of twenty acres in such a position as to be readily accessible to the popula- tion for whom the hospital will be designed. A WARNING TO TENANTS. IN a County Court in the country a tenant has lost his claim for damages against a landlord who had let him an insanitary house under circumstances that should serve as a warning to others. According to the evidence, the house was let on an assurance that it was healthy as regards its sanitary arrangements; but when the tenant entered he soon found sewer air pervading it, and he complained to his landlord without effect. Then followed the death of two of his children from diphtheria, and it transpired that a previous tenant had left the house because of the offensive odours in it, he having also brought the matter under the notice of the landlord. T wo medical men testified to the deaths having been caused by sewer air through defective drains; but it turned out that the contract of tenancy was not stamped, and under the circumstances it was held that the plaintiff, being unable to prove his tenancy, could not prove his damage. 1 Bulletins, No. 7. HEALTH OF THE GERMAN EMPEROR. FROM a telegram received on the 10th inst, at THE LANCET Office, it appears that the Emperor of Germany is slowly gaining strength. The sudden increase of pus on the 5th inst. was unaccompanied by fever, and the discharge is now decreasing. - POPULAR MEDICINE. THE Eclto for May 8th contains in its columns of replies to correspondents a most amazing paragraph, which purports to be an answer to a query respecting Bright’s disease. Under this head the writer, who signs himself " E. M. B.," tells the querist-and therefore the public gene- rally-that there are "three forms of Bright’s disease," which he names and describes; then affirms that the loss of albumen is the cause of the symptoms; and goes on to make the astounding statement that " for this reason a diet rich in protein substances is always advised by the phy- sician." (!) We need not multiply quotations, but must record our most emphatic protest against the widespread promulgation of such ignorant and misleading doctrines. The editor, who is primarily responsible for what appears in his paper, may possibly think he is doing mankind a service by allowing his columns to be the medium for gratifying the hankering of some people after medical knowledge; but he can surely not be aware that he is thereby, as in this instance, countenancing the propagation of ideas, with a false appearance of authority, which are not only erroneous, but positively dangerous. CHOLERA IN CHILI. THE recurrence of cholera in Chili will surprise no one who is acquainted with the nature of many of the South American cities and towns, and with the attitude of the Chilian and neighbouring governments last year in imposing quarantine restrictions instead of commencing works of real sanitary improvement. During the three months ending March 17th the disease, which had been lying comparatively dormant during the cold season, broke out again, and led to a terrible mortality. The number of cases announced from official sources during the preceding twelve weeks amounted to 3338, and of these 1357 terminated fatally. But these statistics afford no true indication of the extent of the disease, and Dr. Gacitua has reported that between Dec. 25th, 1887, and March 3rd last there cannot have been many less than 5000 cholera deaths in Valparaiso. No real abatement of the epidemic can, under existing circumstances, be ex- pected until the advent of this year’s cold season. THE MONK BRETTON TRAGEDY. As our readers are doubtless already aware, William Henry Emeris Burke, a surgeon practising at Monk Bretton, near Barnsley, has been convicted of the wilful murder of his daughter and sentenced to death. The crime was committed on Feb. 4th, in the parlour of an inn where the unfortunate man had been drinking, and he afterwards attempted to commit suicide. A number of influential residents of Cudworth, near Barnsley, where a great portion of Mr. Burke’s practice was situated, have expressed their sympathy in the matter, and are using their utmost endeavours to procure a commutation of the sentence. Mr. Burke’s kindness and charity to the poor are warmlypraised, and regret is expressed that for some two months previously to the crime he was not placed under some iestraint, as it was patent to many that during that time he was not responsible for his actions. Although drink can never be made an excuse for crime, we trust that the Home Secretary will see his way to comply with the appeal for mercy.

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Page 1: CHOLERA IN CHILI

942

servant girl; X50 towards the expenses of the defendants inthe case of Gibson and wife v. Jeffries and Hills; and .E50 inthe case of Lennard v. Brown and others. These votes ofthe committee still leave some £ 300 in their hands, whichin all probability will go chiefly to the benevolent societiesof the profession. The committee will meet again in a fewweeks to close the fund.

___

ATHETOSIS IN AN INFANT.

ATHETOSis of genuine sort is a clinical rarity in infancy.MM. Comby and Féréol have recently described cases at theSociety Médicale des IIôpitaux.1 Comby’s case occurred ina female child aged twenty months, badly fed and rachitic.Various movements were noticed in the toes of the rightfoot, also in the fingers of the right hand, flexion and

extension, abduction and adduction going on incessantly,slowly, without jerkiness, but in exaggerated fashion. Thehemiathetosis did not involve the face. General sensibilitywas intact, and the eyes exhibited no sign of squinting ornystagmus. There was no muscular wasting. The move-ments began at eight months, were preceded by generalisedsevere convulsions, which lasted many days. The con-vulsions left behind them right-sided hemiplegia, withathetosis. Cases in which infantile hemiplegia with

hemispasm are after several years followed by choreicmovements are by no means rare.

LIVERPOOL INFECTIOUS HOSPITALS.

WE aie glad to find that the Hospitals Committee of theLiverpool Corporation have recognised the necessity of afurther substantial advance in the matter of providinghospital accommodation for Liverpool. Apart from the

provision for small-pox, two hospital?, each capable of

receiving about eighty or one hundred patients, will verysoon be available, and one of them embodies everything thathas been found desirable in modern hospital construc-tion. But with the vast population that the corporation haveto deal with, and with the immediate prospect of a refusalon the part of the Poor-law authority any longer to do thework of isolation for the city, an extended scheme hasbecome necessary. At one time a hospital situated at aconsiderable distance from Liverpool was thought of, butthe difficulties of transit to and fro from the first offered a

great objection to the scheme. Hence the Hospitals Com-mittee intend to urge upon the corporation the need ofapplying to the Local Government Board for a loan of

35,000, to enable them to purchase a site of twenty acresin such a position as to be readily accessible to the popula-tion for whom the hospital will be designed.

A WARNING TO TENANTS.

IN a County Court in the country a tenant has lost hisclaim for damages against a landlord who had let him aninsanitary house under circumstances that should serve as awarning to others. According to the evidence, the housewas let on an assurance that it was healthy as regards itssanitary arrangements; but when the tenant entered hesoon found sewer air pervading it, and he complained tohis landlord without effect. Then followed the death oftwo of his children from diphtheria, and it transpired thata previous tenant had left the house because of theoffensive odours in it, he having also brought the matterunder the notice of the landlord. T wo medical men testifiedto the deaths having been caused by sewer air throughdefective drains; but it turned out that the contract oftenancy was not stamped, and under the circumstances itwas held that the plaintiff, being unable to prove his

tenancy, could not prove his damage.1 Bulletins, No. 7.

HEALTH OF THE GERMAN EMPEROR.

FROM a telegram received on the 10th inst, at THE LANCETOffice, it appears that the Emperor of Germany is slowlygaining strength. The sudden increase of pus on the5th inst. was unaccompanied by fever, and the discharge isnow decreasing. -

POPULAR MEDICINE.

THE Eclto for May 8th contains in its columns of repliesto correspondents a most amazing paragraph, which

purports to be an answer to a query respecting Bright’sdisease. Under this head the writer, who signs himself" E. M. B.," tells the querist-and therefore the public gene-rally-that there are "three forms of Bright’s disease,"which he names and describes; then affirms that the loss ofalbumen is the cause of the symptoms; and goes on tomake the astounding statement that " for this reason a dietrich in protein substances is always advised by the phy-sician." (!) We need not multiply quotations, but mustrecord our most emphatic protest against the widespreadpromulgation of such ignorant and misleading doctrines.The editor, who is primarily responsible for what appearsin his paper, may possibly think he is doing mankind aservice by allowing his columns to be the medium for

gratifying the hankering of some people after medical

knowledge; but he can surely not be aware that he is

thereby, as in this instance, countenancing the propagationof ideas, with a false appearance of authority, which arenot only erroneous, but positively dangerous.

CHOLERA IN CHILI.

THE recurrence of cholera in Chili will surprise no onewho is acquainted with the nature of many of the SouthAmerican cities and towns, and with the attitude of theChilian and neighbouring governments last year in imposingquarantine restrictions instead of commencing works of realsanitary improvement. During the three months endingMarch 17th the disease, which had been lying comparativelydormant during the cold season, broke out again, and led toa terrible mortality. The number of cases announced fromofficial sources during the preceding twelve weeks amountedto 3338, and of these 1357 terminated fatally. But thesestatistics afford no true indication of the extent of the

disease, and Dr. Gacitua has reported that between Dec. 25th,1887, and March 3rd last there cannot have been many lessthan 5000 cholera deaths in Valparaiso. No real abatementof the epidemic can, under existing circumstances, be ex-pected until the advent of this year’s cold season.

THE MONK BRETTON TRAGEDY.

As our readers are doubtless already aware, William HenryEmeris Burke, a surgeon practising at Monk Bretton, nearBarnsley, has been convicted of the wilful murder of hisdaughter and sentenced to death. The crime was committedon Feb. 4th, in the parlour of an inn where the unfortunateman had been drinking, and he afterwards attempted tocommit suicide. A number of influential residents ofCudworth, near Barnsley, where a great portion of Mr.Burke’s practice was situated, have expressed their sympathyin the matter, and are using their utmost endeavours to procurea commutation of the sentence. Mr. Burke’s kindness and

charity to the poor are warmlypraised, and regret is expressedthat for some two months previously to the crime he was notplaced under some iestraint, as it was patent to many thatduring that time he was not responsible for his actions.

Although drink can never be made an excuse for crime, wetrust that the Home Secretary will see his way to complywith the appeal for mercy.