532 THE SERVICES.-VITAL STATISTICS.

THE SERVICES.

ROYAL NAVAL MEDICAL SERVICE.William H. Du Pre to be temporary Surgeon.

ARMY MEDICAL SERVICE.Colonel J. C. Morgan is placed temporarily on the half-pay

List on account of ill-health.Lieutenant-Colonel E. M. Pilcher, D.S.O., R.A.M.C.,tobo

Brevet-Colonel.ROYAL ARMY MEDICAL SERVICE.

Lieutenant-Colonel A. T. I. Lilly is retained on the ActiveList under the provisions of Arts. 120 and 522 Royal Warrantfor Pay and Promotion, and to be supernumerary.Temporary Captain R. R. K. Paton to be local Major

whilst employed on embarkation duties.Temporary Captain W. J. Stewart relinquishes his com-

mission on account of ill-health.Temporary Captains relinquishing their commissions:

A. N. Clemenger, M. D. Eder, and J. Mills.Temporary Lieutenants to be Temporary Captains:

A. J. V. McDonnell, J. Brunton, R. W. Ironside (lateLieutenant, R.A.M.C.. T.F.), J. B. Butler, W. Browne, B. D.Crichton, D. Craig, W. P. MacKasey, A. M. Watts, W. L.Clements, and L. J. Weatherbe (late Surgeon-Captain, Paget’sHorse).Temporary Lieutenants relinquishing their commissions :

W. S. Macdonnell, E. D. Wolff, A. H. Style, G. W. Middlemiss,P. Rendall, A. R. McLachlan, and J. G. Waine.To be Temporary Lieutenants : P. E. el Howie, W. S.

Angus, E. A. S. Shaw, F. M. P. Rice, C. H. Brookes, C. I.Stockley, F. Corner, A. S. Dawson, G. H. Baird, A. Jervis,J. Dulberg, R. Haslam, W. Craik, E. 0. Marks, J. Lindsay,D. C. Druitt, M. -C. Gardner, H. Greenwood, TemporaryHonorary Lieutenant R. H. Maingot, Temporary HonoraryLieutenant H. G. E. Williams, Temporary HonoraryLieutenant A. G. Morris, E. Evans, H. L. Cronk, C. D.Pile, J. B. Whitfield, J. M. Jarvie, T. A. Matthews,0. H. Woodcock, J. W. Gill, F. W. Murray, R. M.Coalbank, A. S. Paterson, R. J. Wilson, W. E. Morgan,J. M. Hall, E. J. Fitzgerald, H. G. Ramsbottom, J. D.Judson, T. S. Forrest, W. E. Bramley-Moore, J. Maclean,W. S. Badger, S. Gooding, H. M. L. Crawford, J. Goss,A. Kinsey-Morgan, J. J. Anning, H. A. Fenton, W. R.Wiseman, C. H. Bryan, S. J. Yeates, J. M. Adams, J. H. C.Thompson, J. Fraser, S. J. Moore, A. D. Campbell, R. N.West, W. S. McDougall, H. North, J. T. Bailey, E. Fullerton,D. F. Borrie, Temporary Honorary Lieutenant D. G. C.Tasker, J. C. Walker, F. H. W. Brewer, G. E. A. Petrie,R. A. Shekleton, D. M. M. Ross, C. A. Harrison, Tem-porary Honorary Lieutenant E. E. Lightwood, J. J. Ryan,E. G. Fearnsides, J. R. Frost, T. G. Maitland, H. F. Woods,T. Stordy, A. Duguid, M. J. Horgan, J. E. Richards, G. F.Longbotham, W. C. Lattey, R. S. Barker, R. C. Smith,W. L. Johnson, F. W. Grant, C. Tylor, H. S. Brown,W. Garstang, J. E. Barnes, P. Henderson, TemporaryHonorary Lieutenant W. M. Crombie, Temporary HonoraryLieutenant S. Hutchinson, J. B. McCutcheon, W. Dunn,’T. D. H. Holmes, Temporary Honorary Lieutenant T.Jackson, H. S. Banks, Temporary Honorary LieutenantA. J. Bado, F. G. Bergin, F. C. Drew, E. H. Dendy, and H. L.de Caux.To be temporary Honorary Lieutenants: J. Fanstone,

H. C. Shockett, S. Morris, and W. Simpson.SPECIAL RESERVE OF OFFICERS.

Royal Army Medical Corps.The undermentioned to be Lieutenants :-E. G. Fishe (from

University of Dublin Officers Training Corps), D. Colombos,H. T. Lamb, B. J. Daunt (from the Royal College of Surgeonsin Ireland Officers Training Corps), and G. L. Maule (fromManchester University Officers Training Corps).

TERRITORIAL FORCE.

Royal Army Medical Corps.Third Home Counties Field Ambulance : Captain S. Hughes,

from Attached to Units other than Medical Units, to be- Captain.Home Counties Casualty Clearing Station: Captain J. J. C.

Hamilton, from a Field Ambulance, to be Captain.Home Counties Field Ambulance : W. C. D. Maile to

be Lieutenant.London Field Ambulance : J. R. Clark and G. Thomson to

be Lieutenants. I

London General Hospitals: The undermentioned officersare seconded for duty with a General Hospital: Lieutenant- iColonel H. E. B. Bruce-Porter and Captains A. H. Gosse,V. Z. Cope, G. Finch. S. H. Warren, C. E. H. Milner, c

J. A. Willett, G. W. Shore, C. E. W. McDonald, P. G. IDoyne, L. G. Crossman, and L. N. Reece jAttached to Units other than Medical Units.-Major J. G. 1

Macindoe relinquishes his commission on account of 1ill-health. Lieutenant M. Thompson to be Captain. ;

VITAL STATISTICS.

HEALTH OF ENGLISH TOWNS.

IN the 96 English and Welsh towns with populationsexceeding 50,000 persons at the last Census, 7702 births and3936 deaths were registered during the week ended Saturday,Sept. 9th. The annual rate of mortality in these towns, whichhad been 10-5, 10’9, and 11-6 per 1000 in the three precedingweeks, further rose in the week under notice to 11’9 per 1000of their aggregate civil population, estimated at 17,312,295persons for the year 1915. During the first ten weeks ofthe current quarter the mean annual death-rate in thesetowns averaged 11’0, against 10’7 per 1000 in London.Among the several towns the death-rate last week rangedfrom 4-6 in Wimbledon and in Gillingham, 5’4 in Wakefield,5’5 in Eastbourne, 6’2 in Barnsley, and 7’1 in Swindon, to18-1 in St. Helens and in West Hartlepool, 18-9 in Bootle, 19-4in Gateshead, and 20-0 in Hastings.The 3936 deaths from all causes were 81 in excess of the

number in the previous week, and included 580 which werereferred to the principal epidemic diseases, against numberssteadily increasing from 212 to 511 in the seven pre-ceding weeks. Of these 580 deaths, 457 resulted frominfantile diarrhoeal diseases, 47 from diphtheria, 37 frommeasles, 28 from whooping-cough, 7 from enteric fever,and 4 from scarlet fever, but not one from small-pox.The annual death-rate from these diseases was equalto 1’7, against 1’5 per 1000 in the previous week.The deaths of infants (under 2 years) from diarrhoeaand enteritis, which had increased from 46 to 388 in theseven preceding weeks, further rose to 457, and included 105in London, 60 in Liverpool, 21 in Leeds, 17 each inBirmingham and Hull, 15 in Birkenhead, 14 each in WestHam and Manchester, and 13 in Bootle. The deaths referredto diphtheria, which had been 45, 21, and 27 in the threepreceding weeks, rose to 47; 9 deaths belonged to London,4 to Manchester, and 3 each to Liverpool, St. Helens, andCardiff. The fatal cases of measles, which had been 55, 44,and 50 in the three preceding weeks, fell to 37, of which 13occurred in London, 4 in Sheffield, and 3 in Liverpool. Thedeaths attributed to whooping-cough, which had declinedfrom 34 to 24 in the four preceding weeks, rose to28, and included 4 in Hull and 3 each in London,Liverpool, Manchester, and Sheffield. The deaths re-

ferred to enteric fever, which had been 12, 5, and7 in the three preceding weeks, were again 7 lastweek, but showed no excess in any particular town. Thefatal cases of scarlet fever, which had been 6,12, and 15 inthe three preceding weeks, fell to 4, which were recorded inLiverpool, Bootle, Blackpool, and Aberdare respectively.The number of scarlet fever patients under treatment in

the Metropolitan Asylums Hospitals and the London FeverHospital, which had declined from 1221 to 1000 in thesix preceding weeks, further fell to 990 on Saturdaylast; 142 new cases were admitted during the week,against 98, 111, and 145 in the three preceding weeks.These hospitals also contained on Saturday last 1265cases of diphtheria, 132 of measles, 96 of whooping-cough,and 37 of enteric fever, but not one of small-pox. The 912deaths from all causes in London were 29 more thanin the previous week, and corresponded to an annual rateof 11’0 per 1000. The deaths referred to diseases of therespiratory system, which had declined from 99 to 66 inthe five preceding weeks, rose to 78 in the week undernotice.Of the 3936 deaths from all causes in the 96 towns, 153

resulted from violence, 296 were the subject of coroners’inquests, and 1180 occurred in public institutions. Thecauses of 38, or 1-0 per cent., of the total deaths were notcertified either by a registered medical practitioner or by acoroner after inquest. All the causes of death were dulycertified in Manchester, Bristol, West Ham, Bradford,Newcastle-on-Tyne, and in 71 other smaller towns. Of the38 uncertified causes, 7 were registered in Liverpool, 6in Birmingham, 5 in Gateshead, and 2 eich in London,Gillingham, and South Shields.

HEALTH OF SCOTCH TOWNS.

In the 16 largest Scotch towns with an aggregate popuia-tion estimated at 2,372,000 persons at the middle of this year,1038 births and 651 deaths were registered during the weeksnded Saturday, Sept. 2nd. The annual rate of mortalitym these towns, which had been 122, 117, and 11’7 per 1000in the three preceding weeks, rose to 14-3 per 1000 in theweek under notice. During the first nine weeks of thecurrent quarter the mean annual death-rate in these townsaveraged 12-2, against a corresponding rate of 10’9 per 1000.n the large English towns. Among the several townsihe death-rate during the week ranged from 6-2 in Mother-well, 7-7 in Falkirk. and 8-4 in Kilmarnock, to 15-9 inLeith, 20-1 in Greenock, and 24-4 in Perth. _