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SUPPIPPEMENAIEI*TTTO THE

BRITISH MEDICAL JOURNAL.

LONDON: SATURDAY, JULY 11TH, 1908.

CONTENTS.PAGE PAGE

SEVENTY-SIXTH. ANNUAL MEETING OF THE BRITISH South-Eastern Branch: Canterbury and Faversham Division ... 34MEDICAL ASSOCIATION, SHEFFIELD.-PROGRAMME OF ,. Canterbury and Faversham with Thanet Divisions 34BUSINESS ... ... ... ... ... 17 Southern Branch: Portsmouth Division ... ... .34

PROCEEDINGS OF COUNCIL ... ... 25 ,, ,, Southampton Division ... 34MEETINGS OF BRANCHES AND DIVISIONS: South Wales and Monmouthshire Branch: North GlamorganBirmingham Branch: Bromsgrove Division... 27 and Brecknock Division ... ... ... ... ... 34

Edinburgh Branch... .....South Wales and Monmouthshire Branch: Swansea Division ... 34Edinburgh Branch .............................. ... ... ... 27 SBranch:Staffordshire Branch Mid-Staffordshire Division ... 35

Gibraltar Branch ... ... ... ... ... 28 West Somerset Branch ... ... ... .. .. 35Glasgow and West of Scotland Branch: Lanarkshire Division 28 Yorkshire Branch: Bradford Division ... ...35'Lancashire and Cheshire Branch ... ... ... 28 ASSOCIATION NOTICES.-1908Annual General Meeting.-Annual,, ,,, , Liverpool (Central) Division 29 Representative Meeting ... ... ... 36Leinster Branch: East Leinster Division ... ... ... 29 MEMBERS ELECTED DURIZIG THE JUNE QUARTER ... 37Metropolitan Counties Branch: Marylebone Division ... . 29 LANCASHIRE -AND CHESHIRE BRANCH - 38Midland Branch: Boston and Spalding Division ... . 29 NAVAL AND MILITARY APPOINTMENTS ... 38North of England Branch ... ... ... ... 30 NALADMITRYPPNME S. 3North Wales Branch: South Carnarvon and Mferioneth Division 30 VITAL STATISTICS ... ... ... 38Oxford and Reading Branch: Oxford Division ... ... 31 VACANCIES AND APPOINTMENTS ... .'. 39'South-Eastern Branch ... ... ... 31 BIRTHS, MARRIAGES, AND DEATHS ... ... ... 40

Guildford Division 33DIARY FOR THE WEEK ... ... ... ... ... 40Hastings Division .. ... ... 33 DAYFRTEWE..4AMaidstone Division 34 BOOKS, ETC., RECEIVED ... ... ...... 40Old East Kent District Divisions ... 34 CALENDAR ... ... ... ... ... 40

THE SEVENTY-SIXTH ANNUAL MEETINGOF THE'

BRITISH MEDICAL ASSOCIATION,38 3B:-XE: X X

JULY 24TH TO JULY 31ST, 1908.President:

HENRY DAVY, M.D., F.R.C.P.Lond., Physician, Royal Devon and Exeter Hospital.Presideat.et:

SIMEON SNELL, F.R.C.S.Edin., Ophthalmic Surgeon, Royal Infirmary, Sheffield.Past-President:

RICHARD ANDREWS REEVE, B.A., M.D., LL.D., Dean of the Medical Faculty, University of Toronto.Chairman of Representative Meetings:

JAMEs ALEXANDER MACDONALD, M.D., M.Ch., R.U.I., Physician, Taunton and Somerset Hospital.Chairman ot Council:

EDMUND OWEN, LL.D., F.R.C.S.Eng., Consulting Surgeon to St. Mary's Hospital, London.Treasurer:

EDWIN RAYNER, M.D.Lond., F.R.C.S.Eng., Surgeon, Stockport Infirmary, Stockport.

THE seventy-sixth Annual Meetina of the British Medical Association will be held at Sheffield in July, 1908The President's address will be delivered on Tuesday, July 28th, in the Firth Hall of the University, and theSections will meet on the three following days. The Annual Representative Meeting will beain at the closeof the previous week, probably on Friday, July 24th.

PROGRAMME OF BUSINESS.The Address in Medicine will be delivered by JAMES KINGSTON FOWLER, M.D., F.R.C.P.Lond.The Address in Surgery will be delivered by RUTHERFOORD JOHN PYE-SMITH, F.R.C.S.Eng.The Popular Lecture, on " Dust and Disease," will be delivered by EDMUND OWEN, LL.D., F.R.C.S.Eng.

THE SECTIONS.The scientific business of the meeting will be conducted with respect to papers should be addressed to one of the

in seventeen Sections, which will meet on Wednesday, Honorary Secretaries.July 29th, Thursday, July 30th, and Friday, July 31st. A paper read in the Section must not exceed fifteenThe President, Vice-Presidents, and Honorary Secretaries minutes, and no subsequent speech must exceed ten

of each Section constitute a Committee of Reference for minutes.that Section, and exercise the power of inviting, accepting, Papers read are the property of the British Medicalor declining any paper, and of arrangiua the order in Association, and cannot be published elsewhere than in thewhich accepted papers shall be read. Communications BRITISH MEDICAL JOURNAL withtout special permi8sion.

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The following is a list of the Sections with the namesof the officers and a preliminary list of subjects selectedfor discussion:

ANATOMY.President: CHRISTOPHER ADDISON, M.D., F.R.C.S.,

Anatomy Department, St. Bartholomew's Hospital, London.Vice-Presidents: EDWARD SKINNER, M.R.C.S., 124, Devon-

shire Street, Sheffield; THOMAS HASTIE BRYCE, M.D.,F.F.P.S.Glasg., 2, Granby Terrace, Glasgow; ARTHUR KEITH,Mk.D., F.R.C.S., Royal College of Surgeons, Lincoln's InnFields.Honorary Secretaries: Professor CHARLES JOSEPH PATTEN,

M.D., D.Sc., University, Sheffield; HENRY MULREA JOHN-STON, M.B., Anatomical Department, Trinity College,Dublin.On Wednesday, July 29th, Dr. Addison, President of the

Section, will deliver the opening address. A discussion on

the Mechanism of Respiration in Health and Disease willbe opened by Dr. Keith.Thursday, July 30th, will be devoted to reading of papers

and the exhibition of specimens.

DENTAL SURGERY.President: FRANK HARRISON, M.R.C.S., L.D.S., 269,

Glossop Road, Sheffield.Vice-Presidents: ARTHUR SWAYNE UNDERWOOD, M.R.C.S.,

L.D.S., 26, Wimpole Street, London; JOHN HERBERTGIBBS, F.R.C.S., L.D.S., 7, Coates Place, Edinburgh;GEORGE HENRY LODGE, L.R.C.S., L.D.S., Osborne House,Moorgate Road, Rotherham.Honorary Secretaries: HENRY WATSON TURNER, M.R.C.S.,

L.D.S., 59, Wimpole Street, London; RALPH LAMB, M.R.C.S.,L.D.S., 51A, Rodney Street, Liverpool.The following subjects have been selected for special

discussion:

Wednesday, July 29th.-Antral Diseases in Relation toGeneral and Special Surgery. The following will open ortake part in the discussion: Herbert Tilley, F.R.C.S.;Arthur Underwood, M.R.C.S., L.D.S.; F. Marsh, F.R.C.S.;Urban Pritchard, M.D.Edin., F.R.C.S.Eng.; K. Goadby,M.R.C.S., D.P.H.; StClair Thomson, M.D.; W. A. Milligan,M.D.; C. E. Wallis, M.R.C.S., L.D.S.; J. F. Colyer,M.R.C.S, L.D.S.; E. B. Waggett, M.B., B.C.; G. H. Lodge,L.R.C.P. and S.Edin., L.D.S.; F. J. Bennett, M.R.C.S.,L.D.S.

Thursday, July 30th.-Teething and its Alleged Troubles.

Openers: Leonard Guthrie, M.D., F.R.C.P.; H. A. T.

Fairbank, M.S., F.R.C.S.; J. G. Turner, F.R.C.S., L.D.S.,followed by Evelyn Milestone, M.D.; R. Denison Pedley,F.R.C.S., L.D.S.; Edmund Cautley, M.D., J. F. Colyer,M.R.C.S., t.D.S.; Sydney Spokes, M.R.C.S., L.D.S.; C. E.Wallis, M.R.C.S., L.D.S.; J. Sim Wallace, M.D., L.D.S.;C. C. Heywood, M.B.; A. E. Naish, M.B.; and Charles

Macfie, M.D.Friday, July 31st.-Paper on Acute Pyorrhoea and its

Treatment, by K. Goadby, M.R.C.S., L.D.S., D.P.H.

DERMATOLOGY.President: ERNEST GORDON GRAHAM LITTLE, M.D.,

F.R.C.P., 61, Wimpole Street, London.Vice-Presidents: ALFRED RECKLESS, M.R.C.S., 2, Broom-

grove Road, Sheffield; GEORGE THOMSON, M.B., BridgeHouse, Retford, Notts; EDWARD STAINER, M.B., 60, WimpoleStreet, London.Honorary Secretaries: GEORGE PERNET, M.D., 94, Harley

Street, London; ARCHIBALD YOUNG, M.B., 43, CollegiateCrescent, Sheffield.

The following is the programme of work in this Section:

Wednesday, July 29th, 10 a.m.-Discussion on the

Diseases of the Skin in Animals communicable to Man,to be opened by Dr. Sabouraud of Paris, followed by Dr.

Leslie Roberts and others.

Papers.-(1) Dr. Lewis Jones: The Treatment of Skin

Diseases by Electrolysis (Ions). (2) Dr. Sequeira: The

Calmette Reaction in Tuberculosis. (3) Dr. Moire: The

Treatment of Hypertrichosis.Thursday, July 30th, 9 a.m.-Discourse by Professor

Neisser of Breslau: On Syphilis, with special reference to

experimental work on the subject. 10 a.m.-Discussion

on Syphilis in the Light of Recent Discoveries of itsEtiology.

Papers.-(1) Professor Gilchrist: Experimental Urticaria.(2) Dr. Garceau: Mycosis Fungoides.

Friday, July 31st, 10 a.m.-Discussion on Vaccine-Therapy in Relation to Diseases of Skin, to be opened bySir A. E. Wright, followed by Professor Whitfield, andothers.The following is a synopsis of Sir A. E. WRIGHT'S

remarks:Vaccine-therapy can be applied only where the patho-

genetic agent is known and cultivable. Before it is under-taken a complete bacteriological investigation of the casemust be made; and it must be clear that vaccine-therapypromises more than any of the alternative methods oftreatment. The doses of vaccine must in every case be sograduated and interspaced as to achieve an increased anti-bacterial power in the circulating blood. The leucocytesand the antibacterial elements of the blood fluids must bebrought into effective operation in the focus of infection.Consideration of the applicability of these general principles.to skin diseases and of what steps can be taken to prevent;recurrent infection from without. How far can vaccine-therapy be exploited with advantage in every case to,which it would prove applicable? How far is it in con-nexion with diseases of the skin essential to regulate.inoculations by measurements of the opsonic index ?How can the protective agents of the blood, when thesehave become available in the circulating blood, be broughtinto effective operation in the focus of infection ? Results;which have been obtained by vaccine-therapy in connexionwith diseases of the skin.Papers.-Dr. F. Gardiner: Trade Dermatitis. Dr.

Eddowes: Eczematous and Bullous Eruptions. Dr. Tom-kinson: Lupus Vulgaris treated by Sun Rays.

Professor ALBRECHT NEISSER, who is to address theSection, will lay before it the result of over three years'arduous work on the subject of experimental syphilis inJava. The locality was selected because of the relativefacility of obtaining animals for experimentation, theanthropoid apes and the commoner lower apes alonegiving results comparable to those observable in humanbeings. The expedition, which was undertaken at the solecost and under the direction of Professor Neisser, startedits labours in January, 1905. It eventually numbered sixmedical men, three European and twelve Malay assistants,and the costs after April, 1906, were borne by the GermanGovernment, with a small grant from the NederlandIndian Government. A house was taken with a largegarden, in which stalls, surrounded by wire and protectedfrom sun and rain, were erected; in them from 600 to 800animals were always under observation. The magnitudeof the work may be gauged by those figures.

In order to allow of as large a number of members ofother Sections than the Dermatological being able to bepresent, the officers have arranged for the lecture to begiven in the Great Hall at 9 o'clock. As the generalmeetings of Sections do not begin until 10 a.m., it is hopedthat a clear hour will be assigned to Professor Neisser forhis highly important paper, which will be illustrated byvery numerous specimens, pictures, models, and slides.The Dermatological Section has also been fortunate in

obtaining the co-operation of Dr. Sabouraud of Paris, who,in introducing the subject of discussion on the first day,will deal with Ringworm and allied diseases, illustratedby 50 photographs and'100 cultures. Dr. Sabouraud hasrecently succeeded in isolating geveral new species ofringworm, and his acknowledged supremacy in this branchof work must lend a special interest to his paper.

DISEASES OF CHILDREN.President: CHARLES HENRY WILLEY, M.D., D.Sc.,

Wostenholme Road, Sheffield.Vice-Presidents: JOHN BURDSALL LYTH, M.R.C.S., Fern

Bank, Doncaster Road, Rotherham; JOHN MCCAW, M.D.,74, Dublin Road, Belfast; ROBERT GORDON, M.D., 26,Wostenholme Road, Sheffield.Honorary Secretairies: JOSEPH HENRY WILKS, M.B., 43,

Montgomery Road, Sheffield; SIDNEY MAYNARD SMITH,M.B., F.R.C.S., 1, Spanish Place, Manchester Square,London; HAROLD LEADER, M.B., 279, Glossop Road,Sheffield.

SUPPLIMMENT To THIC18 BILITISH MEDICAL JOURNAL] PROGRAMME OF ANNUAL MEETING. [JULY I 1, 1908. on 1 June 2009 bmj.comDownloaded from

JULY I I, I908.] PROGRAMME OF ANNUAL MEETING. r SUP.ZMICr TOTH}11LEBRIH1aMEDICAL JOURNAL I9

The following is the programme of work in this Section:Wednesday, July 29th.-Discussion on the Surgical

Treatment of Infantile Paralysis, to be opened by Mr.A. H. Tubby, followed by Mr. J. Jackson Clarke, Dr.Wilfred Harris, Mr. Laming Evans, and Mr. H. A. T.Fairbank.Papers:

CLARKE, Mr. J. Jackson. Some Practical Points in the Treat-ment of Spinal Tuberculosis.

HA.RRIS, Dr. Wilfred. Neuritis in Volkmann's Contracture.Thursday, July 30th.-Discussion on the Causation and

Treatment of Scurvy, in particular of Infantile Scurvy,to be opened by Sir AlmrQth Wright, followed byProfessor Axel Holst and Drs. Robert Hutchison,Edmund Cautley, and George Carpenter.The following are the main headings of Sir ALMROTH

WRIGHT'S remarks introductory to the discussion on thisday:

Definition of the disease. The object of the discussionshould be to seek for (a) the pathogenic factor in the scor-butic dietary, (b) to account for the scorbutic symptoms,(c) for a scientific method of diagnosis, and (d) for a rationalmethod of prophylaxis and treatment. With a view toeliciting the pathogenic factor in the scorbutic dietary,foodstuffs may be divided into three classes: scorbutic,non-scorbutic, and antiscorbutic. Analysis shows thatthese correspond from the point of view of their ash-content to acid, neutral, and alkaline foodstuffs. Thissuggests that in scurvy there is an acid-intoxication.What is the bearing on this theory of the (1) experience ofvarious polar explorations,.and (2) of the feeding of infants ?Work which has been done to test its correctness. Con-sequences which follow upon its acceptance.

Papers:WYNTER, Dr. Essex. A New Specific in the Treatment ofChorea.

CARPENTER, Dr. George. Nephritis in Infants.CORNER, Mr. E. M. Two Cases Illustrating the Surgical Treat-ment of Tuberculous Mesenteric Glands.

MooN, Dr. R. 0. The Prognosis of Infantile Convulsions.Friday, July 31st.-Discussion on Fatty Acid Intoxica-

tion, to be opened by Dr. Leonard Guthrie, followed byMr. Harold Stiles, and Drs. A. P. Beddard, Stuart McDonald,-E. I. Spriggs, Langdon Brown, J. B. Leathes, F. A.Bainbridge, F. S. Langmead, and W. H. Willcox.In introducing the discussion on this day, Dr. GUTHRIE

will deal with the following views:Conclusions Offered for Discutssion.-Acidosis and fatty

acid intoxication may occur in all cases in which the liver'is excessively fatty. Why does a liver become super-fatted ? The existence of a superfatted liver in itselfis probably not dangerous, but it implies defective meta-bolism and oxidation as a rule. Should metabolismand oxidation be further perverted by the actionof a general anaesthetic, fatal toxaemia, not attribut-able to fatty acid intoxication alone, but to a generalbreakdown of all the hepatic functions, may occur.These results are not due to the specific action ofchloroform alone, but may be the consequence of administer-ing any general anaesthetic in the presence of a fatty anddisordered liver. At the same time, chloroform in theseconditions is the most dangerous anaesthetic of all.Treatment by alkalies or carbohydrates affords butslender hope of cure in post-anaesthetic intoxication.Anaesthetics may be dangerous in cases of acute and-chronic sepsis, whether due to specific organisms or intes-tinal saprophytes. It is extremely doubtful if fatty acidintoxication is ever the sole cause of death. Wheneverthere is reason to suspect the existence of fatty liver andpossible hepatic inadequacy to deal with fat and carbo-hydrates, ether and oxygen are the least dangerous formsof anaesthetics to use.

Papers:STEPHENSON, Mr. Sydney. Some Remarks upon Interstitial

Keratitis, with Especial Reference to Treatment.EVE, Dr. Frank C., and CLEMENTS, Dr. J. M. The Clinical andBacteriological Features of Two Cases of Sporadic Cerebro-spinal Meningitis.

ELECTRICAL.President: EDWARD REGINALD MORTON, M.D., 22, Queen

Anne Street, London.Vice-Presidents: WILLIAm LONGBOTTOM, L.R.C.'S.Ed., 139,

Burngreave Road, Sheffield; DAWSON FYERS D1UCKWORTH'

TURNER, M.D., 37, George Square, Edinburgh; WILLIAM1HARWOOD NUTT, M.D., 280, Western Bank, Sheffield.Honorary Secretaries: WILLIAM JONES GREER, F.R.C.S.I.,

19, Gold Tops, Newport, Mon.; ARTHUR RUPERT -HALLAM,.M.D., 436, Glossop Road,' Sheffield.The following is the programme of work in this section.Wednesday, July 29th.-A discussion on the Diagnosis

of Pulmonary Tuberculosis by Means of the Roentgen,Rays. To be opened by Dr. Lester Leonard of Philadelphia,.U.S3.A.Papers:

ARTHUR, Dr. David. The Diagnosis of Diseases of the Chest;(illustrated by lanltern sli(les).

WALSHAM, Dr. Hugh. Some Points in the X-ray Diagnosis of'Renal Calculi Impacted in the Ureter.

REID, Dr. A. D. Skiagraphv as an Aid to the Diagnosis inAffections of the Accessory Sinuses of the Nasal Cavity.

ORTON, Dr. Harrison. Some Fallacies in the X-ray Diagnosis.of Renal and Ureteral Calculi and how these may possiblybe avoided.Thursday, July 30th.-Discussion on Interrupted Cur-

rents in Medical Practice. To be opened' by Dr. H..Lewis Jones.

Papers:TURNER, Dr. Dawson, Edinburgh. The Haemo-Renal Index.BUTCHER, Dr. W. Dean. Therapeutic Action of Radium.HARRIS, Dr. Wilfred. The 'Electrical Treatment of NerveInjuries of the Upper Extremity.Friday, July 31st.-Discussion on the Uses of Bisnmuth

in the Diagnosis of Conditions of the Oesophagus andStomach. Te be opened by Dr. C. Thurstan Holland,Liverpool, followed by Dr. Barclay, of Manchester.

Papers:BRUCE, Dr. Ironside. The Localization of Foreign Bodies bya New Method.

HALL-EDWARDS, Dr. Further. Notes on X-ray Dermatitis andits Prevention.

HAZELTON, Dr. E. B. The Present Position of X Ravs inRelation to the Treatment of Carcinoma and Sarcoma.The Committee hope that it will be possible for them to.

set aside a convenient room for the exhibition anddemonstration of new forms of apparatus.The Pathological Museum Committee will be glad to.

take charge of, and place in the Museum for exhibition,any specimens, photographs, radiographs, diagrams, ormicroscopic slides during the time they are not requiredfor those reading the papers or taking part in thediscussions.

INDUSTRIAL DISEASES.President: THOMAS OLIVER, M.D., LL.D., F.R.C.P.,

7, Ellison Place, Newcastle-on-Tyne.Vice-Presidents: WILLIAM FRANCIS DEARDEN, M.R.C.S.,

Normanhurst, Urmston Lane, Stretford, Manchester;ALEXANDER FORBES, M.B., Hillsboro' Lodge, Sheffield -

SAMUEL KING ALCOCK, M.B., Portland House, Burslem,Staffs.Honorary Secretaries: ALEXANDER GARRICK WILSON,

M.C., F.R.C.S., 56, Riverdale Road, Ranmoor, Sheffield;WILLIAM HENRY FRANCIS OXLEY, M.R.C.S., 119, East India.Dock Road, London.The following subjects have been selected for special

discussion.Wednesday, July 29th.-Granting of Certificates of

Fitness. To be opened by Dr. King Alcock, of Burslem.Thursday, July 30th.-Diseases of the Lungs caused by

Dust. To be opened by Dr. Arthur Hall, of Sheffield.Friday, July 31st.-Notification of Industrial Diseases.

To be opened by Dr. Alexander Scott, of Glasgow.

LARYNGOLOGY, OTOLOGY, AND RHINOLOGY.President: GEORGE WILKINSON, B.C., F.R.C.S., 350.

Glossop Road, Sheffield.Vice-Presidents: HARRY LOCKWOOD, M.R.C.S., 122,

Cowlishaw Road, Sheffield; WALTER JOBsON HORNE, M.D.,23, Weymouth Street, London; DuNCAN GRAY NEWTON,M.B., F.RAC.S.Edin., 14, Favell Road, Brook Hill, Sheffield.Honorary Secretaries: WILLIAM SMITH KERR, M.B.,

F.R.C.S.Edin., 281, Glossop Road, Sheffield; HUNTER TOD,F.R.C.S., 111, Harley Street, London.The following subjects have been selected for special

discussion:Wednesday, July 29th.-Tbe Treatment of Chronic

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20 8UPPLEMENT TO THE 1° BRITISH MEDICAL JOURNAL]-~~~~~~RGAM OF ANULMEIG JL Ig8

Ilnflammatory Conditions of the Pharynx. To be openedby Drs. James Barry Ball and Peter McBride.

Dr. BARRY BALL'S paper will chiefly deal with -the naso-pharynx. The conditions may be divided into chronicnaso-pharyngitis and hypertrophied pharyngeal tonsil.(1) Chronic naso-pharyngitis: May be general or localizedin recesses of tonsil which has not undergone completeretroaression. Causative treatment most important inmany cases. Nasal washes and direct local applications.'Treatment of catarrh localized in pharyngeal tonsil orburpa. (2) Hypertrophied pharyngeal tonsil or adenoids:No medical treatment, local or general, has any effect onthe hypertrophied tonsil, nor have breathing exercises.,Operation. Anaesthetic. Recurrences. Results of opera-tion not always completely satisfactory. Persistence ofmouth-breathing and adenoid facies after operation.

Dr. PETER McBRIDE proposes to consider the conditionaffecting the pharynx itself, and to touch upon such pointsas are likely to give rise to discussion, avoiding as far aspossible reference to well-known facts. Chronic Inflam-mation of the Tonsils.-When is interference called for?The electric cautery; small knife and punch; the guillo-tine; bistoury and scissors; enucleation; haemorrhage;keratosis. Ul-erative Conditions.-Lacunar ulceration ofthe tonsils as described by Moure and Mendil; catarrhalulcers; pemphigus (') Chronic Pharyngitis.-(1) Typicajgranular pharyngitis. (2) Pharyngitis often associatedwith granules and enlargement of the lateral folds, but inwhich the chief features are congestion and irritability.(3) Cases in which there may be some general congestionand in which the patient complains of frequent colds.(a) Indications for treatment, general and local. (b) Localtreatment usually necessary, but diet and regime requiregreat attention, more particularly the avoidance of excessin alcohol and tobacco. Pipe or cigar sometimes bettertolerated than cigarettes. Mineral waters. Nasal stenosissometimes a cause. Exercise. (c) Nasal obstruction, ifmarked, must be removed; if slight, or due to alar collapse,may be treated by exercises. Methods of preventingcatchina cold. Hardening processes as recommended byMoritz Schmidt. Importance of prescribing exercises.Important not to confine these to the breathing musclesalone. Probably best form is that known as physicalculture, because the amount can be made to suit each case.'This is valuble both in pharyngitis-occurring in those-who eat and drink too much-and in preventing catchingcold in those who are specially prone to do so. It helps,too, in relieving alar collapse.

Papers:NEIL, James Hardy. Some Points on the Anatomy and Surgery

of the Tonsils. Illustrated by stereo-photographs.KELLY, A. Brown. Some Experiences in Direct Examination of

the Larynx, Trachea, and Oesophagus.WYLIE, Andrew. A Case of Cervical Tumour SimulatingEnlarged Glands Associated with Laryngeal Paralysis.Demonstration:

WAGaTT, E. B. On the Methods of Direct Laryngoscopy,Bronchoscopy, and Oesophagoscopy.Exhibit:

GUTHRIE, Thomas. Preparations Showing Development of theMiddle Ear.Thursday, July 30th.-The Diagnosis of the Intracranial

Complications of Middle-ear Suppuration. To be openedby Mr. Charles A. Ballance, M.V.O., and Mr. Arthur L.Whitehead.

Papers:-BARR, J. Stoddart. Remarks on Paralysis of the Sixth Cranial

Nerve consequent upon Chronic Purulent Middle-Ear Disease,with reports of two cases.

`ONODI, A. Brain Complications of Nasal Diseases. Sixty-threeplates.

OUSTON, T. G. A New Operation for Depressed Fracture of theNose.Friday, July 31st.-The Methods of Dealing with Sup-

puration in the Maxillary Antrum. To be opened by Drs.StClair Thomson and Arthur Logan Turner.The following conclusions are reached in Dr. STCLAIR

THOMSON'S paper: (1) In cases which come under observa-tion while in the acute or subacute stage, spontaneousresolution may be expected. If cure is delayed, punctureand lavage throuah the antro-nasal wall is indicated. If asuitable tooth socket is available, lavage through thealveolar border might be employed instead. All suspected

teeth should be removed. (2) In chronic, uncomplicatedmaxillary sinusitis the best hope of complete cure lies inthe Caldwell-Luc operation. The intranasal route requiresfull consideration, and discussion is invited on its indications,methods, and results. Permanent lavage throughthe alveolusis reserved for patients where more radical measures areobjected to and when age or health do not permit them.The drawbacks of this method must not be forgotten.(3) In uncomplicated cases a complete diagnosis shouldbe formed before starting surgical measures. Alveolardrainage, when available, should first be instituted, bothto facilitate diaanosis, and to diminish the septic intensityof the retained contents. The ethmoid next demandstreatment, and the sphenoidal orifice should be enlarged.A frontal sinus operation should take precedence ofthe maxillary. If the latter is being drained through atooth socket, the radical operation can be deferred until(by progress) it is determined that the antrum is reallydiseased, and not simply a reservoir. If alveolar drainageis not available, then an intranasal opening should be madeat the time of the frontal operation. A sound tooth shouldnever be sacrificed, as the curative effect of alveolardrainage is uncertain. Frae drainage being of primeimportance, plugs should be avoided.

Dr. A. LOGAN TURNER, in his paper, asks, "Can anyassistance regarding the best method of procedure bederived from a study of any one or any combination ofthe following points: (1) The age of the patient. (2) Theduration of the discharge from the sinus. (3) The presenceor absence of nasal polypi. (4) The etiology of the condi-tion; a nasal or dental infection. (5) Transillumination ofthe sinuses. (6) The cytology of the discharge. (7) Thebacteriology of the discharge. If treatment by lavage bedecided on, does the nasal or buccal route give the betterresults?

Papers:ADAM, James. On the Theories, Pathology, and Treatment ofAtrophic Rhinitis.

DOWNIE, Walker. On the Permanence of the Improvement inthe Shape of the Nose obtained by the Subcutaneous Injectionof Molten Paraffin, based on 200 cases.

Low, Stuart. Nasal Obstruction. The Operative Treatment ofAlar Collapse and Narrow Nares by a New Method.

PARKER, Chas. A. Accessory Air Cells in the Septum Nasi; anUnusual Development of the Sphenoidal Sinuses.Exhibit:

FRASER, J. S. Preparations showing Method of Development ofNasal Polypi.Members are invited to contribute any preparations,

specimens, or drawings, or any instruments or apparatuspertaining to the work of the Section, which have beendesigned by themselves, in order that the Committee of theSection may make arrangements to form a special exhibitof such objects.

MEDICINE.President: WILLIAM DYSON, M.D., Brooke House, Gell

Street, Sheffield.Vice-Presidents: DUNCAN BURGESS, M.B., F.R.C.P.,

442, Glossop Road, Sheffield; WILLIAM SMITH PORTER,M.D., 283, Glossop Road, Sheffield; JAMES CRAIG, M.D.,F.R.C.P.I., 18, Merrion Square, Dublin; FREDERICK JOHNSMITH, M.D., F.R.C.P., 138, Harley Street, London.Honorary Secretaries: ARTHUR JOHN HALL, M.D.,

F.R.C.P., 342, Glossop Road, Sheffield; Sir JOHN FRANCISHARPIN BROADBENT, Bart., M.D., F.R.C.P., 35, SeymourStreet, Portman Square, London; ALEXANDER DINGWALLFORDYCE, M.D., F.R.C.P.Edin., 19, Coates Crescent,Edinburgh.The following subjects have been chosen for special

discussion:Wednesday, July 29th.-Splenic Enlargements, other

than Leukaemic. To be introduced by Professor Osler.Thursday, July 30th.-The Etiology of Degenerative

Changes of the Aorta. To be introduced by G. NewtonPitt, M.D., F.R.C.P.

NAVY, ARMY AND AMBULANCE.President: Lieutenant-Colonel EDMON4D MONKHOUSE

WILSON, C.B., C.M.G., D.S.O., R.A.M.C.(retired), Belmont,Osborne Road, S. Farnborough.

Vice - Presidents: Surgeon - Lieutenant - Colonel E. M.WRENCH, ,M.V.O., V.D., Baslow; Lieutenant- ColonelRICHARD HUGH PEN-TON, D.S.O., R.A.M.C., 3, Wenlock

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JULY ii, igo8* PROGRAMME OF ANNUAL MEETING. SUPPLEMENT TO THE_BRnTISH MEDICAL JOURNAL 2 r

Terrace, York; Colonel CHARLES JOSEPH TRIMBLE, C.M.G.,Preston; Fleet Surgeon EDWARD JAMES BIDEN, R.N.(ret.),Laylands, Catisfield, Fareham; Fleet Surgeon ArthurGASKELL, F.R.C.S., R.N., H.M.S. Hague, c.o. Admiralty, S.W,

Honorary Secretaries: Surgeon-Captain SIDNEY FREDK.BARBER, H.V.B., 11, St. Barnabas Road, Highfield, Sheffield;Surgeon-Captain ALAN CHARLES TURNER, W.R.R.E.V., 287,Glossop Road, Sheffield.Wednesday, July 29th, 10 a.m.-The programme is as

follows:1. Introductory remarks by the President.2. Papers:

DAVIES, Lieutenant-Colonel A. M., Professor of Hygiene atR.A.M. College. Alcohol.

CRAWFORD, Major G. S., R.A.M.C. Alcohol in the Army.BLACKHAM, Major R. J., R.A.M.C. Feeding of,Soldier inBarracks, Hospital, and War.

SINCLAIR, Captain W., R.A.M.C. (Militia). Importanco ofTeaching Trades in the Army.The first three papers will be discussed together.Thursday, July 30th, 10 a.m.-Papers:

NINNIS, Inspector - General Belgrave (Chief CommissionerSt. John Ambulance Brigade). The Position of St. JohnAmbulance Brigade as Regards Mobilization.

TwIss, LieutenanG-Colonel G. E., R.A.M.C. (Chief Superin-tendent No. 2 District St. John Ambulance Brigade).Employment of St. John Ambulance Brigade as a HomeHospital Reserve.

MACPHERSCN, Lieutenant-Colonel, W. G., C.M.G., R.A.MI.C. TheTransport of Sick and Wounded by Train.

JOUBERT DE LA FERTt, Colonel C. H., I.M.S. An Account ofthe Subordinate Indian Medical Service.The first two papers will be discussed together.Friday, July 31st, 10 a.m.

1. Papers:LAMBKIN, Colonel F. J., R.A.M.C. Atoxyl in Syphilis.PROBYN, Major P. J., D.S.O., R.A.M.C. Oral Sepsis.JOHNSTON, Lieutenant-Colonel H. H., C.B., R.A.M.C. Preven-

tion of Malaria in Singapore.WRENCH, Surgeon-Lieutenant-Colonel E. M., M.V.O. Lessonsfrom the Past.2. Concluding remarks by President.

OBSTETRICS AND GYNAECOLOGY.President: RICHARD FAVELL, M.R.C.S., Brunswick House,

Glossop Road, Sheffield.Vice-Presidents: WILLIAM DUNNET SPANTON, F.R.C.S.,

Chatterley House, Hanley; JOHN WISE MARTIN, M.D.,Claremont, Glossop Road, Sheffield; JOHN HY. BROWN,M.D., Somerville House, 14, Burngreave Road, SheffieldROBERT COCHRANE BUIST, M.D., 166, Nethergate, Dundee.Honorary Secretaries : PERCIVAL ELLISON BARBER,

M.R.C.S., L.R.C.P., Broombank, 3, Clarkehouse Road,Sheffield; CHARLES HUBERT ROBERTS, M.D., 21. WelbeckStreet, London.The following subjects have been selected for special

discussion:(a) Caesarean Section versus Other Methods of Delivery

in Contracted Pelvis (Symphysiotomy, Pubiotomy, Cranio-tomy, and Induction of Labour).

(b) The Treatment of Displacements of the Uterus.In the Pathological Part of this Section Ectopic Gesta-

tion has been chosen as one affording a wide scope for theexhibition of specimens, photographs, microscopic slides,etc.

OPHTHALMOLOGY.President: Sir HENRY ROSBOROUGH SWANZY, M.D.,

F.R.C.S.I., 23, Merrion Square, Dublin.Vice-Presidents: SYDNEY STEPHENSON, M.B., F.R.C.S.Ed.,

33, Welbeck Street, London; CHARLES DEVEREUXMARSHALL, F.R.C.S., 112, Harley Street, Londona; STANLEYRISELEY, M.D., 387, Glossop Road, Sheffield.Honorary Secretaries: MICHAEL AUBREY TEALE,

M.R.C.S., L.R.C.P., 4, Park Square, Leeds; LEONARDROBERT TOSSWILL, M.R.C.S., 34, West Southernhay,Exeter.The following is the programme of work in this Section:Wednesday, July 29th.-Discussion on the Relation of

Disease of the Nasal Accessory Sinuses to Disease of theEye.In introducing the subject Dr. LOGAN TURNER will first

demonstrate by means of the lantern the variations in the

anatomical relations which exist between the nasal acces-sory sinuses and (1) the walls of the orbital cavity; (2) theoptic and oculo-motor nerves; (3) the blood vessels of theorbit; (4) the lacrymal apparatus; and will make a briefreference to certain well-recognized symptoms and signsof accessory sinus disease-for example, mucocele, acuteinflammation, chronic suppuration, and new growths ofthe accessory sinuses.

Dr. GEORGE MACKAY will comment upon the ocularaspects of these diseases, and refer to some ocular maladiesfor which an explanation may be found in accessory sinusdisease-for example, affections of the tear passages, con-junctiva, cornea, uveal tract, retina, optic nerve, motor andsensory paralyses, glaucoma, neuralgia, asthenopia, alteredrefraction, etc. Some clinical observations and experienceswill be submitted, and further contributions will be invitedfrom the Section. It is hoped that the discussion may helpto define, among other matters, the class of cases in whiclhthe oculist is justified in recommending the assistance ofthe rhinologist.

Thursday, July 30tll.-Discussion on Serum-therapy inDiseases of the Eye. To be opened by Professor Axenfeld,Freiburg.

Friday, July 31st.-Discussion on Colour Vision and itsAnomalies. To be opened by Dr. F. W. Edridge-Green.

PATHOLOGY.President: CHARLES JAMES MARTIN, M.B., D.SC., F.R.S.,

Lister Institute of Preventive Medicine, Chelsea Gardens,London, S.W.

Vice-Presidents: CHARLES WORKMAN, M.D., F.F.P.S.Glasg., 5, Woodside Terrace, Glasgow; ALEXANDER GRANTRUSSELL FOULERTON, F.R.C.S., Middlesex Hospital, London;Professor JAMES MARTIN BEATTIE, M.D., PathologicalDepartment, University, Sheffield.Honorary Secretaries: DOUGLAS STANLEY, M.D., 21, Broad

Street, Birmingham; RALPH DAVIES SMEDLEY, M.B.,School of Medicine, University, Sheffield.The following is the provisional programme:Wednesday, July 29th.-A discussion on Cerebro-spinal

Meningitis, to be opened by Dr. W. St. Clair SymmersDrs. R. M. Buchanan, Gardiner Robb, F. E. BattenJ. A. Arkwright, R. C. Rankin, T. XIouston, C. B. KerA. G. R. Foulerton, Ivy Mackenzie, W. T. Ritchie,Martin, L. Emmett Holt, Stuart McDonald, ProfessorKolle, and others will take part.

Thursday, July 30th.-A discussion oni Regenerativeand Compensatory Changes in the Liver, to be opened byDr. Craven Moore. Professor R. Muir, Drs. H. D. Rolleston,Worthington, James Miller, Lindsay Milne, StuartMcDonald, Charles Workman, David Orr, Wim. Bain,F. G. Bushnell, and others' will take part.Arrangements will be made for the exhibition in the

Pathological Museum of specimens illustrating the wvorkof the Section.

PHYSIOLOGY.President: Professor ERNEST HENRY STARLING, M.D:.,

F.R.C.P., F.R.S., 40, West End Lane, London.Vice-Presidents: GUSTAV MANN, M.D., 25, Beecheroft,

Road, Oxford; FREDK. GOWLAND HOPKINS, M.B., F.R.S.,Wordsworth Grove, Cambridge.Honorary Secretaries: Professor JOHN SMYTH MACDONALD,

L.R.C.P., University, Sheffield; CHARLES FREDERICKMYERS-WARD, M.R.C.S., Kelvin House, Green Lane,Northwood.The arrangements made un to the present are as

follows:Wednesday, July 29th, 10 a.m.-Discussion upon Purin

Metabolism, to be opened by J. B. Leathes, M.D.Oxon.,F.R.C.S.; followed by Professor Cushny, F.R.S., ProfessorWalker Hall, M.D., F. G. Hopkins, F.R.S., A. P. Luff,M.D., Gustav Mann, M.D., Professor T. Milroy, M.D.,Professor Benjamin Moore, E. I. Spriggs, M.D., ChalmersWatson, M.D.

Thursday, July 30th, 10 a.m.-Dr. J. S. Haldane, F.R.S.,will open a discussion upon the Causes of Dyspnoea, inwhich the following propose to take part: A. E. Boycott,M.A., M.D., Professor Cushny, F.R.S., Leonard Hill, F.R.S.,James Mackenzie, M.D., 3I. S. Pembrey, M.A., M.D.,F. H. Scott, M.D.

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22 SUPIJ. ITOW I22 BBITI8U >:DIGAL JOU"A}LI PROGRAMME OF ANNUAL MEETING. [JULYr II, IgO8.

Friday, July 31st, 10 a.m., in the Firth Hall.-Dis 3ussionupon the Scientific Education of the Medical S Lident.Opener, the President, Professor E. H. Starling, F.R.S.; tobe followed by Professor H. E. Armstrong, F.R.S., Pro-fessor A. R. Cushny, F.R.S., Leonard Hill, F.R.S., ProfessorWilliam Osler, F.R.S., Sir Felix Semon, M.D., ProfessorC. S. Sherrington, F.R.S.On each of these days papers will be read at the close of

the discussions.

PSYCHOLOGICAL MEDICINE.President: WALTER SMITH KAY, M.D., S. Yorks. Co.

Lunatic Asylum, Wpdsley, Sheffield.Vice-President8: HENRY TALBOT SIDNEY AVELINE, M.D.,

Somerset and Bath Asylum, Cotford, Norton Fitzwarren,uar Taunton; MAURICE CRAIG, M.D., F.R.C.P., 54, Welbe¢kStreet, London, W.; GILBERT EDWARD MOULD, M.R.C.S.,'Thundercliffe Grange, near Rotherham, Sheffield.-Honrary Secretaries: WILLIAM JAMES NATHANIEL

VINCENT, M.B., South Yorks Asylum, Wadsley, Sheffield;OIEORGE ARTHUR IRORIE, M.D., County Asylum, Dorchester.The following is the programme of work in this Section:Wednesday, July 29th.-The Question of the Treatment

<of the Habitual Drunkard (Legislative and Otherwise).'To be opened by T. Claye Shaw, M.D.

Thursday, July 30th.-The Early Treatment of MentalDisorders in Genpral Hospitals and Private Practice. Tobe opened by Bedford Pierce, M.D., in a paaper of which thefollowing is a sypopsis: Adequate treatment of early andincipient cases uow impossible, especially for the poor.Effective treatment only begttn when certified and sent toasylum. Certification and asylum care has many dis-advantages. Special pavilions for mental and nervousdisorders should be attached to every large hospital. Allearly cases should be received into these pavilions for aLimiited time for observation and treatment. Discussion ofthe difficulties in the way of better arrangements. Facts:showing that the provision for the wealthy patients wasalso inadequate. Suggestions as to the courses open:(1) That the psychopathic hospitals and wards receivepaying patients; (2) that existing hospitals for the insaneand licensed houses make special provision in detached-houses quite apart from the main institution for receptionof such cases, and that for such certificates be not required.Considerations attaching to the treatment of early insanityin private practice.

Friday, July 31st.-School Life viewed from the Stand-point of Psychological Medicine. To be opened by FrancisWarner, M.D., inca paper, of which the following are theheadings: Clinical Study in Schools: Mental and PhysicalHygiene; the Children to be Educated. ConstitutionalDifferences between Boys and Girls; Subnormal Children;Objective Study of the Child; Nerve-signs and Response.Types of Childhood; Healthy Children; Children withSome Degree of Defect in Physical Development; NeuroticChildren; Children Showing Brain Disorderliness and1Mental Dullness; Children Mentally Feeble. Trainingand Teaching: The School and the Staff.Thp following papers have been accepted:

BAUGH, Dr. Leonard D. H. Vera and Praesenilis Melancholiaat the Female Climacteric.

BOYCOTT, Dr. A. E. Asylum Dysenterv.£L,pERTON, Mr. W. Palin, F.I.A., F.S.S. Some StatisticalNotes connected with Inheritance of Insanity.

MOULD, Dr. Gilbert. On the Mental Out-patient Department ofthe Sheffield Royal Hospital.

SCHOFIELD, Dr. A. T. The Psychology of Neurasthenia andHysteria.

t3COTT, Commander Chas. Chief Constable of Sheffield). Onthe Inebriate Acts, 1879-1900.

WILLAms, Dr. Ralph P. Feeble-minded Children.

During the discussion on the first day Dr. J. S. Bolton(Nottingham) will discuss the Drug Treatment ofInebriety.

PUBLIC HEALTH AND FORENSIC MEDICINE.President; Professor HY. HARVEY LITTLEJOHN, M.B.,

F.R.S.E., 11, Rutland Street, Edinburgh.Vice-Presidents: CHARLES ROBERT STRATON, F.R.C.S.E.,

West Lodge, Wilton; EDMUND HARGREAVES, M.D., 2, EyreStreet,, Sheffield; HAROLD SCURFIELD, M.D., D.P.H., Eden.thorpe, Sheffield.

Honorary Secretaries: ALFRED ROBINSON, M.D., L.S.Sc.,Town Hall, Rotherham; ALBx. ANDERSON, M.B., D.P.H.,Wadsley Lane, Wadsley, Sheffield; WILLAM ARTH1UHBOND, M.D., D.P.H., Municipal Offices, 197, High Holborn,London.The following subjects have been selected for special

discussion:1. Smoke Abatement. To be opened by Dr. DEs VoRux

in a paper of which the following is a syllabus: Forma-tion of Smoke Fog on a Summer Day; Source ofSmoke; Kitchen Chimneys (the latter principal source ofLondon smoke); Necessity for Kitchen Fires: Can 'theSmoke from them be Prevented ? Gas-cookers: TheirAdvantages and Supposed Disadvantages. How is HotWater to be Obtained? Coke Boilers. The Heating ofBedrooms and Sitting-rooms: Are Gas Fires Healthy?the Question Discussed; Smokeless Fuels;' Coalite, etc.;A,nthracite Stoves; Electricity. The other PrincipalSoiurce of Smoke, the Factory: How has Sheffield got ridof Smoke? Smoke Section of Public Health Act of 1875;Where Act put into Force Smoke diminishes; Reasonswhy Act is not put into Force in all Towns. ManchesterStill Behind the Times. Comparative Amount of Sun-shine. Nottingham; Its Lace Manufacture: Its SpecialAct of Parliament. Efficiency of Smokelessness; SomeInstances.

2. The Notification of Pulmonary Tuberculosis. Tobe opened by Dr. JAMES NIVEN (Manchester) in a paper ofwhich the following is a synopsis: (1) Tuberculosis, a dis-ease communicable by infection and inoculation. (2) Themode of infection. (3) Etiological inquiry necessary tosupplement and complete experimental inquiry. Directinvestigation of cases a necessary part of etiologicalinquiry. (4) The causation of tuberculosis is not a simplematter, and requires inquiry by a trained and practisedinvestigator extending over a large number of cases. Itcan only be adequately carried out in general on a visit tothe home. (5) Notification of phthisis is, therefore, requi-site. (6) It is also needful so that the investigator maygive instructions in precautionary measures to members ofthe household, and may arrange for disinfection. (7) Thevisits paid to households have a valuable educationaleffect. (8) On such visits particulars of the home condi-tions can be ascertained, which result in useful aid beingrendered to the family. (9) Improvements in the sanitaryconditions of the home and of the workshops are obtainedas the result of the inquiries made. If administrativeaction in connexion with fever is needed, equally so is itin connexion with phthisis.

3. The Notification of Births in Relation to the Reduc-tion of Infantile Mortality. In opening this discussionDr. S. G. MOORE, of Huddersfield, will deal with thefollowing headings: Genesis of the Notification of Birthsto Medical Officer of Health. Original Drafting of Hudders-field Act. Difficulties. Result. Object of Act. Origina-tion of General Act. Authors thereof. Provisions of thetwo Acts. Need for Notification of Births to MedicalOfficer of Health. How and Why Need Arose. Workingof Act in Huddersfield. Statistics. Inferences. Resultof Working in Huddersfield. Objections to Act. Causesof Opposition. Passage of Act through Parliament.Conclusion.

SURGERY.President: SINCLAIR WHITE, M.Ch., F.R.C.S., Ranmoox,

Sheffield.Vice-Presidents: WILLIAM HAMERTON JALLAND, F.R.C.S.,

St. Leonard's House, York; JoEN HAMMOND MORGAN,C.V.O., F.R.C.S., 68, Grosvenor Street, London; CHARLESATKIN, F.R.C.S., Endeliffe Croft, Sheffield; RUSSELLCOOMBE, F.R.C.S., 5, Barnfield Crescent, Exeter; ABcirn-BALD WILLIAM CUFF, B.C., F.R.C.S., 285, Glossop Road,Sheffield.Honorary Secretaries: ARTHUR MAYERS CONNELL,

F.R.C.S.E., 79, Hanover Street, Sheffield; GRAHAM SCALESSIMPSON, F.R.C.S., 342, Glossop Road, Sheffield; DONALDJOHN ARMOUR, F.R.C.S., 89, Harley Street, London.Arrangements have been made for special discussions

on the following subjects:1. The Diagnosis and Treatment of Malignant Diseae

of the Breast. Introduced by (1) Sir W. Watson Cheyne,BarL, C.B., F.R.C.S., followed by Mr. Harold J. Stiles, and

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JULY II, 1908.] PROGRAMME OF ANNUAL MEETING. r 8upplMUNT To" 23LBameH M5CDICA JOUAL 3

Messrs. T. Crisp English, W. McAdam Eccles, J. CrawfordRenton (Glasgow), Gilbert Barling, Rutherford Morison,A. B. Mitchell (Belfast), K. W. Monsarrat, Willmott Evans,Edred Corner, Cha4les Ryall, Lynn Thomas, and W.Sampson .Handley.The following is a synopsis of the opening paper:

Some remarks are made about diagnosis, but the mainstress is laid on the operative treatment. It is notnecessary at the present day to discuss the utility ofextensive operations for cancer of the breast; the greatimprovement which has resulted during the last fewyears as regards the question of recurrence is prettygenerally admitted; the main points which arise arematters of technique. Three points have to'be borne inmind in carrying out the operation: (1) To remove thedisease thoroughly; (2) to avoid dissemination of thecancer cells while doing so;, (3) to obtain a good functionalresult afterwards. (1) Removal of the disease: It isnot possible to designate the necessary operation bythe name of any particular surgeon, because the detailsvary much according to various circumstances; the patho-logical facts worked out by Heidenhain, Stiles, and othersmust be borne in mind in each individual case. In thisconnexion we must consider in each case the suitable skinincisions, the extent of subjacent fascia and muscle to betaken away, the removal of the lymphatic vessels andglands, especially the question of removal of the glandsandfat from the posterior triangle of the neck. (2) Avoid-ance of dissemination: Do not cut into the affected tissueslest the cancer cells be strewn over the surface of thewound, and do not squeeze the tumour lest the cells beforced along the blood or lymphatic vessels. In connexionwith the first point especially, do not for diagnostic pur-poses cut into the tumour in situ, but cut it out andexamine it outside the body. In connexion with thesecond, it is well to begin the dissection of the contents ofthe axilla from the apex and carry it downwards so as tocut off the lymphatic connexions before the contents of theaxilla are handled. (3) Functional result: As regards theclosure of the wound, the edges can usually be brought incontact by free undercutting of the skin. The question offlaps should also be considered. The amount of muscle tobe taken away is important; it is practically never neces-sary to remove the clavicular portion of the pectoralismajor, and in a good many cases the pectoralis minor mayalso be left. Some advise anastomosis of the inner portionof the deltoid with the stump of the pectoralis, but thisdoes not seem to be necessary.

2. The Indications for the Performance of Nephrotomyand Nephrectomy. To be introduced by David Newman,M.D., followed by Messrs. W. Thelwall Thomas, J. CrawfordRenton, Andrew Fullerton, Gilbert Barling, C. Leedham-Green, W. Bruce Clarke, R. Kennedy (Glasgow), LynnThomas, and E. Deanesly.The following papers have been accepted by the Com-

mnittee of Reference:LUCAS-CHAMPIONNIERE, Just, M.D. (Paris). La MobilisationM6thodique Appliqu6e au Traitement des Fractures.

HARTMANN, H., .D. (Paris). The Ultimate Results of Gastro-enterostomy for Gastric Ulcer.

WILLENS, C., M.D. (Ghent). The Treatment of Club-foot, espe-cially by Tarsectomy, with some Remarks on its Performance.

MURPHY, John B., M.D. (Chicago). Title not yet communicated.FULLERTON, Andrew. On some Cases of Haematuria.MrLWARD, Victor. Excision of the Rectum by the VaginalRoute.

DREW, Douglas. The Selection of the Method of Operating inCancer of the Rectum.

RYALL, Charles. (a) Colostomy bya New Method, with Attemptat Sphincter Control. (b) The Technique of Cancer Opera-tions, with Reference to the Danger of Cancer Infection.

KENNEDY, Robert. Section of the Posterior Primary Divisionsof the Cervical Nerves in Spasmodic Torticollis.

LYNN THOMAS, J., C.B. Simplified Method of Performing Prostatectomy by the Combined Routes.

GROVES, Ernest H. Surgical Statistics-A Plea for a UniformRegistration of Operation Results.

The following have been accepted subject to timepermitting of their perusal:EVANS, Willmott. Gastrostomy with Special Reference toSenn's Operation.

MONSARRAT, Keith W. Cholecystitis.NEWBOLT, G., P. A Case of Resection of the Chest Wall forSarcoma.

EDINGTON, G. H. Congenital Occlusion of the SmallIntestine.

CORNER, Edred. The Indirect Treatment of Diseases of theTestis Causing Hydrocele.

MITCHELL, A. B. Hour-glass Stomach.LEEDHAM-GREEN, C. The Treatment of Tuberculosis of theBladder.The Paithological Museum Commi-ttee will gladly

welcome and take charge of any specimens bearing on thesubjects of discussion in this Section.

TROPICAL DISEASES.Pre8ident: Lieutenant- Colonel Sir R. HAVELOCK

CHARLES, K.C.V.O., M.D., I.M.S., 9, Manchester Square,London.

Vice-Pre8idents: LOUIS WESTENRA SAMBON, M.D.Naples'1, Palace Gardens Mansions, London; CHARLES WILBER-FORCE DANIELS, M.B., London School of Tropical Medicine,Royal Albert Docks, London.

Honorairy Secretarie8: FREDERICK AUGUSTUS HADLEY,F.R.C.S., Highfield House, Sheffield; ROBERT THOMSONLEIPER, M.B., London School of Tropical Medicine, RoyalAlbert Docks, London.The following subjects have been selected for special

discussion:Wednesday, July 29th, 10 a.m.- ropical Abscess of the

Liver. To be opened by the President.Thursday, July 30th, 10 a.m.-Ankylostomiasis. To be

opened by Sir Patrick Manson, K.C.M.G., F.R.S. Theobject of the opening paper is to elicit'the experience ofthose with practical acquaintance with- the management.of ankylostomiasis both as regards medicinal treatment ofthe individual case and general prophylaxis. An attempt.will be made to collect published experiences as to therelative value of filix mas, thymol, beta-naphthol, asspecific remedies, and the best method of administration,the arrangements in force in plantations and the like for-the prevention of the infection in tropical countriesSpecial attention will be given to the results of theFAmerican investigations in Porto Rica.

Friday, July 31st, 10 a.m.-Discussion on LymphaticDiseases Special to the Tropics, to be opened by Dr.DANIELS, M.R.C.P., in a paper of which the following is a.synopsis:

(1) Those due to protozoa, rarity in malaria; variationin those due to flagellata; constant in T. gambien8e,occasional with Leishman-Donovan bodies, absent inS. obermeieri and S. duttoni; absent in yaws, whilst in thesclerosing granuloma may affect the lymphatic channels.sufficiently to cause a moderate degree of elephantiasisawithout affecting the glands. (2) Bacterial. Plague withspecial complication of the glands. (3) Due to worms..(a) Eggs, as in Schistosoma japonicam; (b) embryos;(c) adults when these inhabit lymphatic, Filaria bancrQfti.Correspondence between common occurrence of lymphaticobstruction and geographical, topographical, and racialdistribution of this filaria. Absence of correspon-dence of the occurrence of the two in individuals. Patho-logical effects observed as a result of the presence ofworms. Theories as to the causation of elephantiasis.Question of possible causation by micro-organisms actingon damaged lymphatics or in dead worms.The following papers have been accepted:

PLEHN, Professor (Germany). Latent Malaria.TURNER, Dr. J. A. Ankylostomiasis in South Africa.WENYON, Dr. C. M. Intestinal Amoebiasis.WATSON, Dr. Malcolm. Malaria Cases with UncommonNervous Symptoms.

ELGOOD, Dr. BOUTTE S. Bilharzia in Women.CASTELLANI, Dr. A. The Treatment of Elephantiasis.

Pathological specimens, photographs, drawings, ormicroscopical preparations illustrative of any subject intropical medicine will be welcomed.

Honorary Local Secretary-SINCLAIR WHITE, M.Ch., F.R.C.S.,

Ranmoor, Sheffield.Honorary Assistant Secretaries-

W. T. D. MART, M.R.C.S., L.RC.P.,Rock Rise, Rock Street, Pitsmoor, Sheffield.

R. W. INNES SMITH, M.D., C.M., M.R.C.S., L.R.C.P.,Don House, Brightside, Sheffield.

A. C. TURNER, M.R.C.S., L.R.C.P.,287, Glossop Road, Sheffield.

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24 ESPPLEMENT TO TiH 124 Barrisu MDICeAL JOORWALtj PATHOLOGICAL MUSEUM. [JULY II, 1909.

PROVISIONAL TIME TABLE.

FRIDAY, JULY 24TH.3 p.m.-Annual General Meeting, to be followed

immediately by Representative Meeting.

SATURDAY, JULY 25TH.'9.30 a.m.-Representative Meeting.

MONDAY, JULY 27TH.9.30 a.m.-Representative Meeting.4.30 p.m.-Reception by the Lord Mayor in the Town

Hall.

TUESDAY, JULY 28TH.9 a.m.-Foods anid Drugs Exhibition.

9.30 a.m.-Representative Meeting, if necessary.Council Meeting.

12 noon.-Service at the Parish Church.Service in St. Marie's Roman CatholicChurch.

!2.30 p.m.-Adjourned General Meeting.Induction of President.Representative Meeting, if necessary.

4 p.m.-Garden Party by Sir Joseph and Lady Jonasat Endoliffe House.

-Varden Party by Mr. and Mrs. Franklin atTapton Holt.

Reception by the Proprietors of the SheffieldTelegraplh.

8.30 p.m.-President's Address.Presentation of Prizes.

WEDNESDAY, JULY 29TH.9 a.m.-Foods and Drugs Exhibition.

10 a.m. to 1 p.m.-Sectional Meetings.12.30 p.m.-Address in Medicine.*2.30 p.m.-Reception at Works of Messrs. Wm. Jessop

and Co.3 p.m.-MHeeting of Convocation for conferring

Honorary Degrees.Reception at Works of Messrs. Cammell,Laird and Co.

3.15 p.m.-Representative Meeting, if necessary.4 p.m.-Garden Party by Mr. and Mrs. Laycock at

Oakbrook.Garden Party by Mr. and Mrs. Samuel Don-caster at Whirlow.

Garden Party by Mr. and Mrs. C. D. Leng,Sanidygate. (Model Dairy.)

8.30 p.m.-Reception by the Lord Mayor, MasterCutler, and the Citizens.

THURSDAY, JULY 30TH.8 a.m.-National Temperance League Breakfast.9 a.m.-Foods and Drugs Exhibition.

10 a.m. to 1 p.m.-Sectional Meetings.12.30 p.m.-Address in Surgery.f1.30 p.m.-Lunclleon and Inspection of Messrs. Walker

and Hall's Works. Second Reception andAfternoon Tea at 3.30.

3 p.m.-Reception and Inspection of Messrs. Vickers,Son, and Maxim's Works.

3.30 p.m.-Reception at the Nunnery Colliery Co. andInspection of Working Coal Mine.

4 p.m.-Garden Party by Mr. Samuel Roberts, M.P.,at Queenl's Towers.

Garden Party by Mr. and Mrs. Fred. Kelleyat Holly Court.

7.30 p.m.-Annual Dinner.8 p.m.-Theatrical Performance in the Lyceum

Theatre for Ladies.

FRIDAY, JULY 31ST.9 a.m.-Foods and Drugs Exhibition.

}10 a.m. to 1 p.m.-Sectional Meetings.1.30 p.m.-Luncheon and Inspection of Works of

Messrs. John Brown and Co. (SecondReception at 3 p.m.), and Messrs. Thos.Firth and Sons.

* The Section of Medicine will adjourn at 12.30 p.m. on this day.1- The Section of Surgery will adjourn at 12.30 p.m. on this day.

FRIDAY, JULY 31ST (Continued).3.30p.m.-Reception at the Nunnery Colliery Co.

8 p.m.-Popular Lecture.8.30 p.m.-Reception in the Cutlers' Hall by the

President and Local Members of theBritish Medical Association.

SATURDAY, AUGUST 1ST.Excursioils.

PATHOLOGICAL MUSEUM.THE following are the members of the Committee:

President: Professor J. M. BEATTIE, M.D.

Honcrary Secretaries: M. H. PHILLIPS, F.R.C.S.;A. E. BARNES, M.R.C.P.

MEMBERSE. W. ADAMS, M.D.W. BRANDER, M.B.W. T. COCKING, M.D.A. M. CONNELL, F.R.C.S.E.A. H. FIRTH, M.B.A. J. HALL, M.D.J. S. MACDONALD, L.R.C.P.

OF COMMITTEE:W. H. NUTT, M.D.C. J. PATTEN, M.D.H. SCURFIELD, M.D.G. S. SIMPSON, F.R.C.S.E. SKINNER, M.R.C.S.J. W. STOKES, M.R.C.S.G. WILKINSON, F.R.C.S.

EX-OFFICIO MEMBERS:The President-elect: SIMEON SNELL, F.R.C.S.E.

The Local Honorary Treasurers: W. DYSON, M.D.;D. BURGESS, F.R.C.P.

The Local Honorary Secretaries: SINCLAIR WHITE, F.R.C.S.;W. T. D. MART, M.R.C.S.; R. W. I. SMITH, M.D.;

A. C. TURNER, M.R.C.S.

The following circular has been sent out by the Sub-committee of the Pathological Museum to gentlemeninterested in pathology and likely to help in the organiza-tion of a museum:

The Committee appointed to organize the PathologicalMuseum in connexion with the Annual Meeting inSheffield, 1908, propose to arrange the material under thefollowing heads:

I. Exhibits bearina on discussions and papers in thevarious Sections.

II. Specimens and illustrations relating to any recentresearch work.

II1. Instruments relating to clinical diagnosis andpathological investigation.

IV. Individual specimens of special interest, or a seriesillustrating some special subject.

It is also proposed to make a special effort to gathertogether a series of exhibits relating to:

(a) Diseases of the spleen.(b) Diseases of the heart and vessels.(c) Diseases due to dust, tuberculosis, actinomycosis,

syphilis and allied causes.(d) The urinary system.(e) Diseases of the breast.(f) X rays and photography.

The Committee wish it to be understood that the aboveare only suggestions, and if there is any subject in whichyou are specially interested, and can supply interestingspecimens, we shall be glad to hear from you.The Museum will occupy a central position, and will be

easy of access.

The Committee desire to enlist your hearty co-operation,and we shall be glad to hear from you if you are able tomake an exhibit. Every care will be taken of specimens,and the contents of the Museum will be insured.

It is hoped that it will be possible for arrangements to

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be made whereby exhibitors may have an opportunity ofdemonstrating their specimens.

Yoours faithfully,A. E. BARNES,M. H. PHILLIPS,

Honorary Secretaries.342, Glossop Road, Sheffield, July, 19C8.

EXCURSIONS.THURSDAY, JULY 30TH.

York.-Members of the York Division of the BritishMedical Association invite a party limited to 100 to visitYork, where they will be shown places of interest in thecity and entertained at tea.

FRIDAY, JULi 31ST.Harrogate.-The Mayor and Corporation of Harrogate

will entertain a party (limited to 150) at lunch at 2 p.m.,and in the afternoon visits will be paid to the town anddistrict.Buxton.-A party of 200 will visit Buxton, where they

will be entertained at lunch at 2.30, and visits will after-wards be paid to the Thermal Mineral Baths andDevonshire Hospital.For both these excursions special trains will be provided

both ways, and the parties will return to Sheffield in timefor the Reception in the evening.

Golf A golf match will be played on the links of theSheffield and District Golf Club, Lindrick Common, andMr. George Denton will entertain golfers and their friendsto afternoon tea at his bungalow, close to the links.

SATURDAY, AUGUST 1ST.1. Chatswvorth.-A party, limited to 200, will drive by

'way of Fox House and Froggat Edge to Baslow, wherelunch will be served at 1 p.m. In the afternoon a visitwill be paid to Chatsworth House and Park, and the Dukeof Devonshire kindly invites the party to tea at 3.30 p.m.At 5 carriages will leave Chatsworth and arrive in Sheffieldat 7.30 p.m. Members wishing to return to London orManchester can travel from Rowsley Station.

2. Dukeries.-Through the kindness of the Dukes ofPortland and Newcastle and Earl Manvers, a party limitedto 200 will have the opportunity of inspecting the mansionsof these noblemen, and of driving througlh some of the mostinteresting parts of Sherwood Forest. A special train willleave Sheffield (Great Central Station) for Worksop at9.35 a.m. One moiety of the party will drive to Clumberand afterwards proceed to Welbeck Abbey, where theywill be entertained at lunch by the Duke of Portland. Theother moiety will drive to Welbeck Abbey and after-wards proceed to Clumber, where they will be entertainedat lunch by the Duke of Newcastle. After lunch visitorswill drive through Sherwood Forest to Thoresby, wherethey are invited to afternoon tea by Earl Manvers. Theparty will return to Worksop at 6 p.m., and arrive inSheflield at 6.30. Express trains to London and elsewherecan be caught at Worksop or Retford.

3. Haddon Hall and Matlock.-A party limited to 80will leave Sheffield (Midland Station) at 9.35 a.m. forRowsley; they will drive thence to Haddon Hall, andafterwards to Matlock by way of Darley Dale, where theywill be entertained at lunch by the proprietors of the RoyalHotel and Baths. The return journey will be made fromMatlock Bath at 6.30, the party being due to arrive inSheffield at 7.47 p.m.

4. Scarborough.-Members of the medical profession inScarborough will be pleased to entertain a few visitorsfrom Saturday, August lst, to Monday, August 3rd. Therewill be golf at Ganton on Saturday, and excursions intothe surrounding districts on Sunday.

THE LIBRARY OF THE BRITISH MEDICALASSOCIATION.

NOTICE.OWI.G to the rebuilding of the Association premises in theStrand the Library is closed, but at the Temporary Officesof the Association, 6, Catherine Street, Strand (adjoiningDrury Lane Theatre), a Reading and Writing Room isprovided. The Room will be open from 10 a.m. to 5 p.m.,cxcept on Saturdays, when it will be closed at 2 p.m.

dAsntiatLTun XhtetdIigyucePROCEEDINGS OF COUNCIL.

AT a Meeting of the Council, held, by kind permission ofthe Metropolitan Asylums Board, London, in their BoardRoom, on Wednesday, July 1st, 1908, at 2 o'clock in theafternoon,

Present:Mr. EDMUND OWEN, LL.D., London, Chairman of Council,

in the Chair.Dr. HENRY DAVY, Exeter, President.

Dr. J. A. MACDONALD, Taunton, Chairman of RepresentativeMeetings.

Dr. EDWIN RAYNER, Stockport, Treasurer.Dr. JOHN FORD ANDERSON, Colonel C. H. JOUBERT DE LALondon FERTE, I.M.S. (ret.) (Wey-

Mr. H. A. BALLANCE, Norwich bridge)Dr. EDGAR G. BARNES, Eye Mr. HUGH R. KER (London)Fleet Surgeon E. J. BIDEN, Mr. R. H. KINSEY (Bedford)R.N., Fareham Mr. F'. C. LARKIN (Liverpool)

Dr. T. R. BRADSHAW, Liver- Dr. H. L. MCKISACK (Belfast)pool Dr. C. J. MARTIN, F.R.S.

Dr. J. BRASSEY BRIERLEY, Old (London) (Sydney and NewTrafford South Wales Branch)

Dr. R. COCHRANE BUIST, Mr. M. A. MESSITER (Dudley)Dundee Dr. C. G. D. MORIER (London)

Dr. W. A. CARLINE, Lincoln (South Australia and WestMr. ANDREW CLARK, D.Sc., Australia Branches)London Professor J. T. J. MORRISON

Dr. F. CLARK, London (Hong (Birmingham)Kong Branch) Mr. C. H. WATTS PARKINSON

Dr. W. COLLIER, Oxford (Wimborne)Mr. J. WARD COUSINS, Ports- Dr. FRANK M. POPE (Leicester)mouth Dr. H. JONES ROBERTS (Peny-

Dr. JAMES CRAIG, Dublin groes)Mr. C. F. CUTHBERT, Glouces- Dr. LAURISTON E. SHAW (Lon-

ter don)Mr. A. J. DREW, Oxford Mr. W. D. SPANTON (Hanley)Mr. G. YOUNG EALES, Torquay Mr. CHARLES R. STRATONDr. GEORGE EASTES (London) (Salisbury)Dr. GEORGE EDMOND (Aber- Mr. JOHN LYNN THOMAS, C.B.deen) (Cardiff)

Mr. C. E. S. FLEMMING (Brad- Dr. W. J. TYSON (Folkestone)ford-on-Avon) Mr. T. JENNER VERRALL

Mr. GEORGE COOPERFRANKLIN, (Brighton)LL.D. (Leicester) Dr. DENIS WALSHE (Graigue)

Dr. JOSEPH J. GIUSANI (Cork) Dr. ARTHUR T. WEAR (New--Dr. ALFRED GODSON (Cheadle) castle-on-TyneDr. BRUCE GOFF (Bothwell) Dr. SINCLAIR WHITE (Sheffield)Dr. DAVID GOYDER (Bradford) Mr. D. J. WILLIAMS (Llanelly)Dr. G. E. HASLIP (London) Lieutenant - Colonel E. M.Dr. R. MCKENZIE JOHNSTON WILSON,'C.B., C.M.G. (Farn-(Edinburgh) borough)

Minutes.The Minutes of the last Meeting (April 29tlh, 1908),

having been printed and circulated, were taken as readand signed as correct, subject to a verbal alteration.

Apologies.Read letters of apology for non-attendance from the

President-elect, Sir James Barr, Mr. E. J. Domville, Dr.James Ilamilton, Dr. J. Munro Moir, Dr. T. G. Nasmyth,Professor William Osler, F.R.S., Dr. J. Maxwell Ross,Lieutenant-Colonel R. J. S. Simpson, and Mr. F. E.Apthorpe Webb.

Death.The CHAIRMAN reported with regret the death of Mr.

Francis Fowke, at whose funeral the Council was repre-sented by Professor J. T. J. Morrison, while the GeneralSecretary and a representative of the Office tStaff alsoattendecl.Moved by Dr. BRUCE GOFF, seconded by Mr. EASTES and

Resolved: That this Council learns with great regret ofthe death of their faithful friend and servant Mr.Francis Fowke, who was General Secretary andManager of the British Medical Association from 1872to 1902. He was the first layman to hold this office.When he took up the work, the financial position ofthe Association was extremely unsatisfactory, but atthe time of his retirement the Association occupiedits own freehold premises, with a reserve of over£87,000. The Council desires to place on record itshigh appreciation of his valued services, and itssincere svmpathy with his sisters in their loss.

Resolved: That the generous bequest of Mr. FrancisFowke of £500' to the Hastings Fund set aside bythe Council in 1903 as a nucleus for the Super-annuation Fund, and now known as the Office Staff

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Superannuation Fund, be entered on the Minutes asfurther evidence of the devotion of Mr. Fowke to theinterests of the Association.

Read acknowledgement to the Resolution of condolencepassed upon the death of Dr. Galton, which was ordered tobe entered on the Minutes.

University of Wales.The CHAIRMAN OF COUNCIL reported that, arising out of

Minute of Council relating to a Communication from theUniversity of Wales asking for the appointment of aRepresentative on the Medical Board, he had nominatedhimself.

Mr. LYNN THOMAS, C.B., and Dr. JONES ROBERTS voicedthe opinions that the Medical Profession in South Walesand North Wales respectively would welcome the nomina-tion.

Congratulations to Colonel Bruce.The CHAIRMAN, on behalf of the Council, congratulated

Colonel David Bruce, C.B., F.R.S., upon receiving fromHis Majesty the honour of Knighthood.

Congratulations to Sir Henry Pitman.Moved by Dr. COLLIER, seconded by Dr. BRADSHAW, and

Resolved: That the hearty congratulations of this Councilbe accorded Sir Henry Pitman, Emeritus Registrar ofthe Royal College of Physicians, on his having attainedhis 100th birthday.

Irish Committee.Read following Communication from the Local Govern-

ment Board, Ireland, in reply to a Resolution of Council inregard to the inadequate salaries of Poor-law medicalofficers in Ireland, - which was referred to the IrishCommittee:

Local Government Board, Dublin,16th May, 1908.

No. 26,684, 1908.Miscellaneous.

SIR,-I am directed by the Local Government Board for Ire-land to acknowledge the receipt of your letter of the l1th instant;and in reply to state that the Board have noted the opinionexpressed by the Council of the British Medical Association withregard to the salaries of Poor-law medical officers in Ireland.

I am, Sir,Your obedient -servant,

H. COURTNEY,Assistant Secretary.

The General Secretary,British Medical Association.

Irish Medical Graduates' Association.Considered application from the Irish Medical Graduates'

Association for permission to hold a meeting during theAnnual Meeting of the Association at Sheffield, which wasgranted.

Journal and Finance Committee.The TREASURER presented the Minutes of the Journal

and Finance Committee of June 24th, 1908.The accounts for the quarter ending June 13th-last,

amounting to £9,254 4s. 3d., were received and approved,and the Treasurer was empowered to pay those remainingunpaid, amounting to £2,160 ls. 9d.Resolved: That a copy of the BRITISH MEDICAL JOURNAL

be sent free weekly to each Member of the GeneralMedical Council.

A Report relating to the purchase of certain printingmachines was adopted, and the Council authorized therecommendations contained therein to be carried intoeffect.The remainder of the Minutes were approved.

Organization Committee.Mr. ANDREW CLARK presented the Report of the Meeting

of the Organization Committee held on May 12th, 1908.The Council adopted (in place of the present Standing

Orders) Standing Orders submitted by the OrganizationCommittee, subject to certain variations referred back tothe Organization Committee.The remainder of the Report was approved.

Hospitals Committee.Dr. POPE presented the Report of the Meetings of the

Hospitals Committee held on May 14th and June 18th,1908, which was approved.

Ethical Committee.Mr. KINSEY presented the Report of the Meetings of the

Ethical Committee of May 19th and June 12th, 1908.The Council Approved the adoption of Rules by the

following Divisions:Division.

Warrington Division (Lanca-shire and Cheshire Branch)

Chester and Crewe Division(Lancashire and CheshireBranch)

Manchester (South) Division(Lancashire and CheshireBranch)

Hartlepools Division (North ofEnglanid Branch)

Birmingham (Central) Divi-sion (Birmingham Branch)

Rules.Model Rules of -Procedure,

" Bradford " Rules andRule " Z."

"Bradford" Rules and RulessZ,,"Bradford" Rules and Rule

Rules (F)and (G) of the " Brad-ford " Rules.

"Bradford' Rule F andthe following new EthicalRule: " If the Division, bya majority of those presentand voting, pas a Resolutiondisapproving of the terms orconditions of any medicalappointment outside thearea of the Division, therules prohibiting profes-sional recognition to theholder of such an appoint-ment within the Divisionshall apply. Always pro-vided that the action con-templated shall only betakei on the formal appli-cation of the Division in thearea of which the practi-tioner referred to as theholder of the appointmentresides."

The remainder of the Report was approved.

Medico-Political Committee.Dr. J. A. MACDONALD presented the Report of the

Meeting of the Medico-Political Committee of June 10th,1908.Resolved: That the Poisons and Pharmacy Bill of the

Government be opposed as being contrary to thedeclared policy of the Association, and that theAssociation co-operate with the PharmaceuticalSociety with regard to the Bill introduced into theHouse of Commons by that Society.

Resolved: That the Chairman of Representative Meetingsand the Chairman of Council be authorized to nominatea Representative or Representatives of the Associationto take part in a Deputation to the Earl of Crewe withrespect to the foregoing Bill, and to set forth the viewsof the Association.

Resolved: That steps be taken to exempt from penaltiesunder the Infant Life Protection Bill any RegisteredMedical Practitioner who, in the discharge of hisprofessional duties, destroys the life of an unbornchild.

Resolved: That the Staffordshire Branch be informed that,in the opinion of the Council, any lowering of thestandard of registration of midwives would defeat theobjects of public protection which the Midwives Actwas adopted to carry out.

The remainder of the Report was approved.

Naval and Military Committee.Colonel JOUBERT DE LA FERTE presented the Report of the

Meeting of the Naval and Military Committee of June 15th,1908A which was approved.

Committee re the Appointment of Assistant MedicalSecretary.

The PRESIDENT presented the Report of the Meeting ofthe Committee appointed to consider the appointment ofan Assistant Medical Secretary of May 6th, 1908.Resolved: That an Assistant Medical Secretary be ap-

pointed and designated " Deputy Medical Secretary."Resolved: That the commencing salary of the Deputy

Medical Secretary be £500 per annum, and theappointment be subject to six months' notice oneither side.

Resolved: That the duties of the Deputy Medical Secretaryshall be to act under the instruction of the MedicalSecretary, acting as his Assistant and as his Deputywhen requiired, both in the work of the Central Office

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and in visiting on occasions any part. of the Asso-ciation.

Resolved: That candidates must 'be under the age of45 years.

Resolved: That application shall be in the hands of theGeneral Secretary not later than by the first post Qnthe 15th day of July.

Candidates.The four candidates whose names appeared on the

cirecular convening the meeting were elected members ofthe British Medical Association.

-Science Committee.Professor C. J. MARTIN, F.R.S., presented the& Report- of

the Meeting of the Science Committee held on June 13th,1908.Resolved: That the Stewart Prize 'for 1908 be awarded to

Colonel Sir David Bruce, C.B., D.Sc., M.B., F.R.S.,'Army Medical Service, for his researches into theOrigin and Prevention of Mediterranean Fever.

Resolved: A Special Committee of five be appointed toconsider the question of the prevention of OphthalmiaNeonatorum, and to report thereon.

Resolved: That the Committee consist of the Chairmanof the Science Committee, Dr. Buist, Mr. SydneyStephenson, Dr. Cecil Shaw, and Dr. Helme, and'the Council invite the co-operation of each of thefollowing Societies: (1) the Ophthalmological Society;(2) the Obstetrical and Gynaecological Section of theRoyal Society of Medicine; (3) the Society for theStudy of Disease in Children; and (4) the IncorporatedSociety of Medical Officers of Health; further, that theCentral Midwives Board also be requested to co-operateby sending a Representative.

Resolved: That John Pool McGowan, M.B., Ch.B., beappointed Ernest Hart Memorial Scholar for a furtherperiod of one year.

Resolved: That the following gentlemen be electedResearch Scholars for a period of one year:

Harvey, Willoughby Henwood, M.B.,Kennaway, Ernest Laurence, B.A., M.B., B.C.,May, Otto, M.A., M.B., B.C.

Resolved: That the Renewed Grants and the New Grantsbe allotted in the manner indicated.

Resolved: That the Annual Report of the Science Com-mittee be approved.

Public Health Committee.Mr. PARKINSON presented the Report of the Meeting of

the Public Health Committee, held on June 16th, 1908.Resolved: That the Council approve of the submission to

the President of the Local Government Board, byDeputation, if possible,' on behalf of the Xssociation, ofthe Amendments to the Housing, Town Planning, etc.,Bill, appended to the Report of the Public HealthCommittee.

The remainder of the Report was approved.

Uterine Cancer Committee.Dr. BUIST presented the Interim Report of the Uterine

Cancer Committee contained in the Minutes of theCommittee of June 19th, 1908.Resolved: That the draft Report of the Uterine Cancer

Committee be forwarded for the consideration of theSection of Obstetrics and Gynaecology at the SheffieldMeeting, with a request for a Report thereon to theCouncil.

Premises Committee (Statuary).Mr. ANDREW CLARK presented the Minutes of the Premises

Committee of June 24th, 1908, and in conjunction withsame read a communication from Sir Charles Holroyd,whose, opinion the Premises Committee had decided totake in reference to certain comments which had appearedin the Public Press relative to the Statuary on the newpremises.Moved by the TREASURER and

Resolved: That the opinion of Sir Charles Holroyd bereceived and entered on the minutes, and that thebest thanks of the Council be tendered to him forlis advice and assistance.

Moved by the TREASURER,. seconded by Dr. MCKENZIEJOHNSTON andResolved: That having carefully considered the objections

sent in,, and the many favourable expressions ofopinion received from eminent authorities on Art as tothe-Statuary on the new premises, tho Council in-structs the Architect to proceed with the work.

The remainder of the Report was approved.

Reporting General Medical Council Proceedings.Moved. by Mr. LARuN, seconded by the CHA-RMAN OF

REPRESENTATIVE MEETINGS, andResolved: That Reports of all disciplinary cases tried before

the General Medical Council be published in the SuPPLE-MENT to the BRITISH MEDICAL JOURNAL at sufficientlength and with sufficient detail for them to be intelli-gently understood,. and that all material facts be given,including the names of those certifying.as to characterand conduct.

Recommendation for Vice-President.Moved by the CHAIRMAN and carried unanimously:That it be recommended to the Annual General Meetingthat Dr. Henry Davy be elected a Vice-President ofthe Association in accordance with By-law 39.

Representation on Outside Bodies.Moved by Dr. FORD ANDERSON, seconded by Mr. KER,

andResolved: That Minutes of the Representative Meeting

at Leicester in 1905 relating to representation ofmembers of the Association on outside bodies bereferred to the Organization Committee for report.

Recommendation for Honorary Membership.Moved by the CHAIRMAN, and

Resolved: That it be a Recommendation from the Couneilto the Annual General Meeting that the Lord Mayorof Sheffield, the Master Cutler, and the Pro-Chancellorof the Sheffield University be elected Honorary Mem-bers of the Association in recognition of the con-spicuous services which they have rendered to theAssociation in the arrangements for the SheffieldMeeting.

Retiring Members.On behalf of the rest of the Council, the Chairman bade

a kind farewell to the valued Members of the Council who,under the six-years rule, were about to terminate theirMembership of the Council.

4rteeting nf ?3raurhet & ;iBi5tsm5.[The proceedings of the Divisions and Branches of the

Association relating to Scientific and Clinical Medicine,when reported by the Honorary Secretaries, are publisheidin the body of the JOURNAL.]

BIRMINGHAM BRANCH:BROMSGROVE DIVISION.

THE following were elected to offices in the Division forthe ensuing year: Chairman, E. Matthews (MountProspect, Redditch); Vice-Chairman, F. W. J. Coaker,F.R.C.S. (22, High Street, Bromsgrove); Honorary Secre-tary, A. S. MacMillan, M.B. (8, Church Green, Redditel).;Representative for Representative Meeting, Thos. Sansomae,jun. (Hill Top, West Bromwich); Representatives on.BranchCouncil, T. E. Underhill, M.D. (Barnet Green), A. S.MacMillan, M.B. (Redditch).

EDINBURGH BRANCH.THE annual meeting of this Branch was held in the Hall ofthe Royal College of Physicians on Friday, June 26th,Dr. JAMES CARMICHAEL, Vice-President, in the chair.

Statement of Accounts.-The TREASURER submitted hisstatement of accounts.Lynn Thomas and Skyrme Fund.-On the motion of

Dr. McKENZIE JOHNSTON it was agreed to contribute fromthe funds of the Branch prior to 1893 the sum of 5 guineato the Lynn Thomas and Skyrme Fund.

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28 sUPPLEzMENT TO THE IBRMSH MEDICAL JOUBNHA MEETINGS OF BRANCHES AND DIVISIONS.

Report of Branch Council.-The report of the BranchCouncil was submitted, which showed that twelve newmembers had been admitted to the Association throughthe Edinburgh Branch during the year, and that Dr.McKenzie Johnston and Dr. Nasmyth had been elected torepresent the Edinburgh and Fife Branches upon theCentral Council of the Association. The Branch Councilreported that the method adopted by the Edinburgh TownCouncil for putting in force the working of the Notificationof Births Act had been under discussion, and that a sub-committee had been appointed to meet the public healthcommittee of the Town Council, and that, as a result ofthat meeting, a suitable form for notification had beendrawn up.The Association and Prosecttions before the General

Medical Council.-The SECRETARY reported that no answerhad been received from the Central Ethical Committee re'he resolution passed at the last annual meeting in refer-~nce to the Association as prosecutors before the General'1edical Council. Dr. McKENZIE JOHNSTON produced acopy of minutes of the Central Ethical Committee bearingon the subject.Draft Charter.-Dr. A. WALKER moved and Dr. JAMES

RITCHIE seconded:That this Branch will welcome any compromise which willsecure that the objects defined in Clause II, Section 2 of thedraft Charter which have not been previously adoptedby the Association shall not be undertakenl without areferendum directly to the members of the Association, ifthe Council see fit, and that the Council be so constituted asto be able effectively to exercise the power of referendumindependently of the Representative Meeting.

The motion was carried unanimously.Election of Officers.-The following office-bearers were

elected for the year: President-elect, Dr. Alexander James;Vice-Presidents, Dr. James Carmichael, Dr. James Hunter;Treasurer, Dr. James Ritchie; Secretaries, Dr. A. LoganTurner, Dr. Francis D. Boyd.

Vote of Thanks.-A cordial vote of thanks was accordedto Dr. Byrom Bramwell for his occupancy of the chairduring the past year.

GIBRALTAR BRANCH.A GENERAL meeting of this Branch, Dr. OMAN in the chair,was held in the Board Room of the Colonial Hospital.Twelve members were present.Papers.-Staff Surgeon DAw read an interesting paper

on a case of Guinea worm, and exhibited the parasite; andMajor LONGHURST, R.A.M.C., read clinical notes on a caseof fish poisoning.

GLASGOW AND WEST OF SCOTLAND BRANCH:LANARKSHIRE DIVISION.

THE annual meeting of the Lanarkshire Division was heldon June 25th in the Black Bull Hotel, Hamilton. Dr.BRUCE GOFF (Bothwell) presided. There were present:Messrs. Jack, Robertson, Paterson, Hislop, Crawford,Willis, Steele, B. Goff, J. Goff, and London.

Confirmation of Mfinutes.-The minutes of tlhe last meet-ing were read, approved, and signed by the Chairman.Financial Statement.-The SECRETARY submitted a

statement of accounts showing a balance amounting to£3 8s., which had been remitted to the Branclh Secretary.Election of Officers.-The following were elected officers

for the ensuing year: Chairan,. Dr. Bruce Goff; Vice-Chairman, Dr. Millar; Representative to RepresentativeMleeting, Dr. Bruce Goff; Representatives to BranchCouncil, Drs. Loudon and Robertson; Executtive Coutncil,Messrs. Crawford, Jack, N. T. Kerr, J. T. Wilson, andR. Paterson; Secretary and Treasutrer-, Dr. LivingstoneLoudon (Hamilton).Annual Representative Mlecting.-Dr. GOFF, in view of

his attending the Representative Meeting, requested anexpression of opinion of the Division on the followingmatters: (1) Report of Special Finance Inquiry Committee;(2) Report on Ethics of Medical Consultation; (3) Pro-visional Agenda of Annual Representative Meeting; (4)Annual Report of Council; (5) Revision of Draft Charter;(6) Annual Reports of Medico-Political, and CentralEthical Committees.Vote of Thanks.-Those matters were briefly discussed,

and the meeting terminated with a vote of thanks toDr. Goff for presiding.

LANCASHIRE AND CHESHIRE BRANCH.THE seventy-second annual meeting of the Branch washeld on Wednesday, June 17th, 1908, in the area of theAltrincham Division, at the Brooklands Hotel, Sale,Cheshire. The chair was taken by the retiring President,Dr. T. ARTHUR HELME.

Confirmation of Minutes.-The minutes of the previousmeeting were signed.

Installation of New President.-Dr. HELME then intro-duced the President-elect (Dr. CHARLES J. RENSHAW), whotook the chair as President, and read his presidentialaddress, on Some Facts in the History of Medicine. Hedealt with the subject from the earliest times, through thevarious schools of the rmediaeval period to the greatdevelopments of the last few decades. On the proposal ofDr. BRADSHAW, seconded by Dr. RAYNER, a cordial vote ofthanks was accorded to Dr. Renshaw for his address.

Report of Branc7h Council and Financial Statement.The report of the Branch Council and the financial state-ment, which had been circulated to all members, wastaken as read and adopted. The following were the chiefmatters mentioned in the report: The membership hasslightly increased. On April 30th, 1908, it stood at 1,646.The Branch Council, however, regrets to say this onlyrepresents about 50 per cent. of medical men practising inotur area, and urges on all members, and especially on theofficers of the Divisions, seriously to endeavour to increasethe membership. Our strength as a medico-politicalorganization largely depends on our numbers in proportionto the whole of the profession. In this respect the BranchCouncil heartily congratulates the Leigh Division, whichcontains 31 out of the 34 practitioners in its area, and theBurnley Division, which has increased its membershipfrom 37 to 55, and has consequently been accordedseparate representation at the Representative Meeting. Inthe Divisions much good work has been done. There havebeen 128 Division meetings, with an average attendanceof 9.9. The largest number of Division meetings held was atLeigh, 12. The highest average attendance was at BlacL-burn, 24.6. The Branch Council is pleased to report thatduring the year many Divisions have adopted rules ofethical procedure, contract practice, etc., and urges theadvisability of so doing at once on all Divisions that havenot yet done so. The Joint Coimmittees of the Liverpooland Manchester Districts have done exceedingly valuablework, but they are much hampered by not having anyreal official status. The Branch Council Committee oniOrganization and Finance reported to the Council at theend of 1907, and, as a result, the financial arrangementsmade between thoe Branch and its Divisions have beenreorganized. Some important suggestions were also madeto Divisions, wlhicl, it is hoped, will be acted upon;their object being to brina the Divisions and BranchCouncil into closer relatioiiship and more harmoniousworking. The importance of the work undertaken bythis Committee has caused the Council to suggest itsbeing made into a Standing Commuittee of the Branch.The Branch Council has held eight meetings, with anaverage attendance of twenty-five. Many matters con-cerning the interests of the profession have been dealt with.Among them have been: The Association and homoeopaths,medical men and the police, newspaper articles on medicalmen, hospitals and industrial accidents, the Coroners Act,medical fees at inquests, thle Notification of Births Act, theGreat Central Railway Mutual Provident Association, etc.Twenty guineas have been subscribed to the CentralEmergency Fund, of which ten guineas will go to theSouth Wales Fund.Election of Offlcers.-Tbe following were elected officers

for the year 1908-9: President-elect, Dr. King (Chester);Vice - Presidents, Dr. Howard (Liverpool), Dr. Mann(Chester); Secretary and Treasurer, Mr. Larkin (Liver-pool); Auditors, Dr. Westby (Liverpool), Dr. F. W. Bailey(Liverpool). The result of the election of Representativesof the Branch on the Council was announced. (SeeBRITISH MEDICAL JOURNAL, SUPPLEMENT, June 13tlh, p. 417.)

Instructions to Voters.-Dr. WOLSTENHOLME and othersobjected to the instructions to voters that had been issued,believing that the Branch Council did not consider that avoting paper to be valid must be sealed for transmission tothe scrutineers. The SECRETARY replied that the instruc-tion was exactly the same as in preceding years, the.Branch Council having passced no resolution to alter it.

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Scrutiny of Votes.-Dr. WOLSTENHOLME also objected tothe method employed by the scrutineers (Drs. Given andGrossmann) in counting the votes, and a discussionfollowed, which ended in a vote of thanks being passed tothem, on the motion of Dr. BRADSHAW, seconded by Dr.J. H. TAYLOR.

Votes of Thanks.-A vote of thanks to the retiringPresident (Dr. Helme) was carried on the motion of Dr.THORP, seconded by Dr. BLAIR BELL. A vote of thankswas also accorded to the other officers, the Auditors, theRepresentatives on the Council of the Association, and themembers of the Branch Council for their services duringthe year.

Invitationfrom Chester and Creve Division.-An invi-tation from the Chester and Crewe Division to meet nextyear in Chester was received and unanimously accepted.

Alteration of Rules.-The following alterations andadditions to the rules were passed, and will be adopted ifapproved by the Council:New By-law to be numbered 10 (a):

The Branch Council shall each year at its first meetingafter the annual meeting of the Branch appoint two Stand-ing Committees, of each of which the majority shall consistof elected members of the Branch Council.The Standing Committees shall be:(i) An Ethical Committee, whiclh shall act in accordance

with the ethical rules of the Branch.(ii) A Standing Committee on Division and Branch Orga-

nization and Finance, which shall consider and reportto the Council on the Division annual reports, and onall matters arising out of them; on all matters oforganization and finance, and on alny other mattersreferred to it by the Branch Council.

At the end of Rule 8 (a) insert the following words:No person designating himself a homoeopath, or professing

to practise homoeopathy, shall be elected as a member ofthis Branch.

The meeting then adjourned for tea, kindly providedby the President and the members of the AltrinchamDivision.Annual Dinner.-The annual dinner was held at the

Queen's Hotel, Manchester, and a very pleasant evening,was spent under the presidency of Dr. Renshaw.

LIVERPOOL (CENTRAL) DIVISION.THE anneal mueeting of this Division was held onJune 26th. Dr. A. GORDON GULLAN, Chairman, occupiedtlle chair.

Election of Officers.-The following gentlemen wereelected officers and members of the Executive Committeefor the ensuing year: Chair-man, Dr. Hubert Armstrong;Vice-Chairmzan, Dr. S. J. Palmer; Secretary, Dr. Frank H.Barendt; Relpresentative for Representative M1leeting, Dr.Francis W. Bailey; Representatives on Branch Coutncil,Drs. Hubert Armstrong and Frank H. Barendt; ExecuttiveCommittee, Drs. T. R. Bradshaw, A. Gordon Gullan,F. J. S. Heaney, Messrs. G. P. Newbolt, and E. M.Stockdale.Report ofExecutive Committee.-The report of the Execu-

tive Committee was discussed, and, with some alterations,adopted, and ordered to be printed and circulated amongthe members.Annual Representative Meeting.-The agenda. of the

forthcoming Representative Meeting at Sheffield was con-

sidered, and the Divisional Representative was instructedaccordingly. (1) Report of Special Finance Committee(SUPPLEMENT, May 2nd, 1908). Of the Recommendations(p. 202) the following were approved: Nos. 1, 2, and theamendment to No. 3. No. 9 (b) was supported by amajority of the members present. No. 10 was approved.With respect to Nos. 10, 11, 12 (p. 204), Dr. HOLLANDproposed:That the Divisional Representative he instructed to supportthe principle of one General Secretary and Manager, withsupreme control.

This proposition was carried. (2) Report on Ethics ofMedical Consultation (SUPPLEMENT, May 9th). This reportwas approved, as also that on (3) Medical Inspection ofSchool Children: Remuneration of Whole-time Inspectors.On the other items the members decided to leave to thediscretion of the Divisional Representative, as to how heshould exercise his vote.

Representative at Annual Representative Meeting.-Dr.FRANCIS W. BAILEY regretted his inability tp be present at

the Representative Meeting, and Dr. T., Bushby wasunanimnously elected as deputy Representative.

Joint Committee of Liverpool and Birkenhead Divisions.-The following gentlemen were appointed members of thcJoint Committee regulating the combined meetings of theLiverpool and Birkenhead Divisions: The Chairman,Dr. Armstrong; the Secretary, Dr. Barendt; the DivisionalRepresentative, Dr. Bailey; and Drs. Gullan and Palmer.

Votes of Thanks.-Votes of thanks to the retiring officersand the secretary were passed for their conduct of theproceedings during the past year.

LEINSTER BRANCH:EAST LEINSTER DIVISION:

THE annual meeting of thc Division was held on June 25thin the Royal College of Physicians, Dublin, Dr. J. M.NEALE in the chair.Election of Officers.-The meeting elected the following

officers for 1908-9: Chairman, W. R. Dawson, M.D.; Vice-Chairman, R. L. Heard, M.B.; Honorary Secretary andTreasurer, R. C. Peacocke, M.D.; Representative for Repre-sentative Meeting, J. D. Hillis, F.R.C.S.I.; Representativeson Branch Council, H. C. Earl, M.D., W. V. Furlong, M.D.,Colonel Johnson, M.D., J. Mason, M.B., R. C. Peacocke,M.D.; Executive Committee, J. Wallace Boyce, M.D., H. C.Earl, M.D., W. V. Furlong, M.D., R. L. Heard, M.B., R. N.Lyon, J. Mason, M.B., Lieutenant-Colonel Moran, I. W.Usher, J.P., and Professor White.

METROPOLITAN COUNTIES BRANCH:MARYLEBONE DIVISION.

MEETINGS of the Division were held on April 30th,June 12th, and June 23rd. Thc matter under con-sideration at these meetings was the appointments at theHampstead Hospital. As the questions involved are underthe consideration of the Council of the Metropolitan-Counties Branch and of the Central Ethical Committee,reports of these meetings of the Division have been witbheldfrom publication, in accordance with the established prece-dent that ethical matters still sub jtdice are not madepublic. It may be added that this course has the approvalof the Chairmana of the Central Ethical Committee.

MIDLAND BRANCH:BOSTON AND SPALDING DIvISION.

THE annual meeting was held at the White Hart Hotel,Boston, on Tuesday, June 16th, at 12.45 p.m., Dr. SMITH inthe chair. There were also present: Drs. Allan, MaylexvBone, Crofton, MasGn, Miller, Pilcher, Tuxford, White,Wilson, and Withamn.

Ap)ologies for Non-attendance. Regrets at non-attend-ance were received from Drs. Munro, South, Spilsbury,and Galletly.

Confirmation of Minutes.-Tho minutes were first readand confirmed.

Election of Officers.-The SECRETARY stated that itwould be the duty of the Division to elect the President-elect of the Branch for 1909-10 next year. The followingofficers' were elected: Vice-President of Branch, Dr.Husband (Crowland); Chairnman, Dr. Husband (Crowland);Vice-Chairmnan, Dr. Mason; Rep resentative in Reprec-sentative Meetings, Dr. W. M. Crofton; Rcpresentatipeon Branch Council, Dr. Mason; Secretary andl Treasurcr,Dr. Wilson; Executtive Committee, Drs. Allan, MayhewBone, Crofton, Mann, Miller, Pilcher, Smith, Tuxford,Taylor, White, Witham, and Wrinch; Auditors, Drs. Masonand Taylor. Votes of thanks wvere unanimously accordedDrs. Smith and Miller for their past services whilst Chair-man and Vice-Chairman respectively.Programme for the Year.-It was decided to leave this

to the Committee, with the understanding that the meet-ings must be held on Tuesdays or Fridays.Medical Exanziiations for Life Insurance.-Medical

examinations for life insurance. Questions were answeredas follows:

1. Too numerous to mention.2. Yes. Nearly all of them.3. Full report required for half a guLinlea and higher fees.4. Yes.5. Yes.6. Yes. Half a guinea.7. No.8 and 9. No answers.

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Annmal Report.'-The SECRETARY stated that the mem-

bership had increased to 39 during the year, and it was

tIrefore desirable that every effort should be made tobring, the total up to 50, so that the Division might haveai eptesentative of its own. The balance in hand on

Docember 31st, 1907, was£3 14s. lid.Alterationof Rule 11.-It was decided, after discussion,

to alter the time of notice of the annual meeting fromfour weeks to two. The reason for this was that thelonger notice caused members to forget the date of themeeting. Also to hold the annual meeting in May or

June.Invitation to Midland Branch.-The question of inviting

t*a Midland Branch to meet in the area of the Division'wSleftto the Committee.Luncheon.-The members lunched in the hotel after-

wards.

NORTH OF ENGLAND BRANCH.THE annual meeting of the Branch was held in theCutucil Chamber of the Municipal Buildings, WestHartlepool, on Tuesday, June 30th. Dr. Cox, thePresident, in the chair.

Confirmation of Minute8.-The minutes of the lastmeeting were read and confirmed.Election ofRepresentatives on Central Council.-Three

gentlemen were nom-iinated, and the ballot showed thefollowing result: Dr. Smurthwaite, 184; Dr. Wear, 114;Dr. Todd, 84. Drs. Smurthwaite and Wear were thuselected.Report of Council.-The Council reported that, though

the increase of membership was but small over the previousyear-the new members exceeding by 3 those of 1907-natmely, 52 as against 49, yet the total membership hadnyw attained its highest-namely, 689. The Councilappealed to all members, but especially to secretaries ofDivisions, to spare no effort to enlist every respectable

tember of the profession. Their experience taughtth em that a really united profession would be ableto obtain everything that could be reasonably' asked.The ever-increasing zeal of the Representatives was notedwith pleasure. The attendance at the meetings had beenvery good, averaging 50 per cent. of the council, and thegathering together of men interested in the work, repre-

senltative of every kind of practice and of every part of theB?anch, had diffused to a remarkable extent the interesttaken in the work of the Branch. Among the more impor-

tant matters which had engaged the attention of thecouncil were: (1) The medical inspection of school children;(2) model rules of procedure of Branch on ethical questions.heBranch had held four meetings, the usual autumn and

spring, and in addition two special meetings. The autumnmeeting was held at Newcastle, when Dr. David Drum-

mond read a paper entitled The Nature of Neurastheniaand its Rational Treatment. The spring meeting foundthe members at Hexham, and a subject of great interestnowadays to medical men was discussed, namely, " Motorsfor Medical Men." Dr. George Murray gave a very lucidstatement of the advantages accruing to a medical man

with a motor car, and also of the probable cost of theup-keep. Dr. Todd gave an interesting and profitable

di4course on the mechanism of a car, and many pointswhich would be helpful to a medical man contemplatingthe introduction of a car into his practice.Adoption of Amended "Rule."-The following amended

rule to No. 1 of " Rules to Regulate Procedure in EthicalQuestions" was adopted, namely:

No question of medical ethics shall be dealt with by a general

meeting of the Branch or by the Branch Council, except upon a

reference from the Council or Ethical Committee of the Associa-

tion, or from a Division of the Branch, and matters referred to

the Branch shall be deemed to be referred to the Branch Council

(or the Ethical Committee,thereof) unless specified.The term "reference from a Division of the Branch" shall be

deemed to include any appeal against a decision of the Divisionsof the Branch, or any appeal concerning a case which a

]livision, after due notice, may have failed to investigate, and

such an appeal may be submitted to the Branch, either by a

member of-the Branch personally concerned, or, in any matter

affecting the honour and interests of the profession, by the

Durham Committee, the Northumberland Committee, or the

Branch Defence Committee.

Installation of Newv President.-Dr. Cox resigned the

chair to Dr. A. E. Morison, and a vote of thanks was

accorded to the -etiring President forhis able and courteousconduct of the chair during the past year.

Election of Officers.-Mr. Rutherford Morison wasunanimously elected President-elect, and Dr. Smurthwaitewas requested to remain in office as Honorary Secretary.Dr. Todd was unanimously elected as Honorary Treasurer.

President's Addres8.-Dr. A. E. MORISON delivered anaddress, taking for his subject the Branch as a Centre ofPost-graduate Education. A copy of the address willshortly be forwarded to each member of the Branch.

Vote of Thanks.-A hearty vote of thanks to the Presi-dent for his unique and able address concluded themeeting.Dinner.-In the evening some thirty members sat down

to a dinner, and a most enjoyable time was spent.

NORTH WALES BRANCH:SOUTH CARNARVON AND MERIONETH DIVISIoN.

THE annual meeting of this Division was held at theQueen's Hotel, Portmadoc, on Thursday, May 28th.

Confirmation of Minutes.-The minutes of the lastmeeting were read, confirmed, and signed.Apology for Non-attendance.-Dr. DAVIEs apologized for

the unavoidable absence of the Honorary Secretary.Interview with Merioneth Education Authority.-Dr.

HUGH JONES reported the result of the interview with theMerioneth Education Authority, which resulted in thedifferent appointments of medical inspectors of schoolsbeing offered to and accepted by the medical men at thesame salary. It was proposed by Dr. WYNN GRIFFITH, aiadseconded by Dr. LEE:That the further consideration of the matter be adjourned toanother meeting, when it was hoped a greater number ofmembers would be present.

Election of Officers.-The following were elected for1908-9: Chairman: It was proposed by Dr. HUGH JONESand seconded by Dr. WYNN GRIFFITH, that Dr. R. D. Evans(Llysmeddyg-Festiniog) be Chairman for the ensuing year.

Vice-Chairman: It was proposed by Dr. DAVIES, andseconded by Dr. WYNN GRIFFITH, that Dr. J. W. Rowlands(Llanaelhaiarn) be Vice-Chairman for the ensuing year.

Honorary Secretary: It was proposed by Dr. HUGH JONES,a-nd seconded by Dr. WYNN GRIFFITH, that Dr, GladstoneJones be reappointed Honorary Secretary. Representativeto Representative Meeting: It was unanimously carriedthat Dr. R. D. Evans be appointed the Representative.Repre8entatives on Branch Council: Dr. Hugh Jones(Dolgelly), Dr. S. Wilbraham Griffith (Pwllheli), and Dr.Gladstone Jones (Criccieth) were elected Representativeson the Branch Council. Members of the Executive Com-mittee: Dr. Williams (Machynlleth) and Dr. LivingstoneDavies (Criccieth) were elected members of the ExecutiveCommittee. Representative on the Central Council of theA88ociation: It was unanimously carried that Dr. H. JonesRoberts (Penygroes) be reappointed.

Circular of Church Temperance Society.-The meetingfully sympathized with the objects contained in thecircular of the Church Temperance Society, but themembers of the Division had not in the past kept accuraterecords of cases coming under their notice, and were

therefore unable properly to fill up their answers to thevarious queries contained in the circular.Lynn Thomas and Skyrme Fund.-Dr. HUGH JONES

(Dolgelly) called attention to the "Lynn Thomas andSkyrme Fund," and hoped that the members of theDivision would do their best to support the Fund, and thatthe Honorary Secretary be asked to intimate the membersof the Division to that effect.Paper.-Dr. R. LEE read a most interesting paper on the

use of antiseptic vapours in the treatment of pulmonaryphthisis, and demonstrated the use of his apparatus forthe production of medicated vapDours.

Votes of Thank8.-Dr. HUGH JONES proposed, and Dr.WALTER WILLIAMS seconded, that a most hearty vote ofthanks be accorded to Dr. Lee. Proposed by Dr. LIvING-STONE DAVIES, and seconded by Dr. WALTER WILLIAMS,that a hearty vote of thanks be given to Dr. Hugh Jones(Dolgelly) for his able services as Chairman during thepast year. It was also resolved that a vote of thanks bepassed to Dr. Livingstone Davies for kindly acting as

Secretary pro tem.

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OXFORD AND READING BRANCH:OXFORD DrVIsION.

THE annual meeting of the Division was-held on Juno 26that the Randolph Hotel, Oxford, about twenty membersattending.Induction of the Chairman.-*er. the luncheon, Mr.

Wieltelocke, F.RC.*., was_i1 W as Chairman, vice Dr.RI E. Yelf, resigning. A vote of thanks to Dr. Yelf for hiswork as Chairman during the past session was unanimouslyaccorded.

Confirmation of Minutes.-The minutes of the previousmeeting were read and confirmed.

President's Address.-Mr. WHITELOCKE gave a shortaddress on Some of the Notable Changes and Advances inMedicine and Surgery during the past Twenty-five Years.Report of Executive Committee.-The SECRETARY then

read the report of the Executive Committee. It reviewedfavourably the work and attendance of the general meetingsof the past year, especially those which were most con-

cerned with matters of professional and clinical interest.The Committee expressed their thanks to those who hadhelped these meetings by reading papers and showingcases, and especially to Dr. T. Watts Eden, of CharingCross Hospital, for coming down to open a discussion on a

subject of obstetric medicine. Members were earnestlyrequested to induce all medical men in the district to jointhe Division. The report was accepted and adoptednem. con.Balance Sheeet.-The balance sheet was read, accepted,

and adopted nem. con.

Election of Officers.-The following officers were thenelected: Chairman-elect, Dr. Caudwell (Woodstock);Secretary, Dr. Duigan; Representative, Mr. A. T. Drew;Two Members of the Executive Committee-Dr. Neil(Oxford), Dr. Benson (Steeple)-to replace Dr. Cruikshankand Mr. Counsell, retiring.

Votes of Thanks, etc.-After votes of thanks to theChairman and Secretary had been proposed and carried,the proceedings closed. Members and their wives were

subsequently entertained to tea and strawberries atWytham by Mr. and Mrs. Whitelocke.

SOUTH-EASTERN BRANCH.THE annual meeting of this Branch was held by the kindpermission of the Mayor of Dover (Mr. W. Emden, J.P.), atthe Council Chamber, Town Hall, Dover, on Thursday,June 18th. Previous to the meeting the Branch Councilmet in the Mayor's Parlour, with the PRESIDENT (Mr.Verrall) in the chair.Luncheon.-The PRESIDENT-ELECT 'Dr. M. K. Robinson)

had previously entertained the members of the Branch toa lunch at the Grand Hotel, Dover.

Introduction of President.-Mr. VERRALL, after a touch-ing reference to the loss that the Branch had sustained inthe deaths during his year of office of Dr. Galton and Mr.Prangley, introduced to the Branch the President for theyear, M. K. Robinson, M.D., who thereupon took the chair.

Election of Oficers.-The HONORARY SECRETARY reportedthe election of the following officers: President-elect (tobecome President, 1909-10), Dr. Macan; Vice-Presidents1908-9, Mr. Verrall and Mr. Wood; Vice-Presidents 1909-10,Dr. Robinson and Dr. Rotter; Honorary Secretary andTreasurer, H. M. Stewart, M.D.; Representatives of theBranch on Central Council, Dr. Hetley, Dr. Ewart, Dr.Whitehead Reid.

Presidential Address.- Dr. ROBINSON then gave an

address dealing with the outlook of preventive medicineand the ever-increasing influence the Association was

taking in parliamentary legislation. After expressing hissense of the honour conferred upon him, and welcomingon behalf of the Dover Division their guests of the South-Eastern Branch, the President went on to speak of theever-increasing demands made by the State on the servicesof the profession. Such demands were, of course, a greatcompliment; but were they always substantially acknow-ledged ? The incalculable advantages to the nation whichhad been derived from the registration of the causes ofdeath had constitated the theme of many an eloquentaddress. The late Dr. Farr conveyed, in his memorableletters to the Registrar-General, an estimate of the far-reaching results to be obtained from a study of thestatiatis which had been so laboriously compiled from

the certified causes of mortality. It was not. too muckto say that the-fouidation-stone of sanitary legislation andreform was the Births and Deaths Registration Act of1874, amending previous inadequate Acts on the -samesubject; and it was no exaggeration to add that, withotmedical- cet,es as the main contribution - to eivilregistration, such results as had been achieved >*eldnever have been earried into effect. No fee was pro-vided for under the Act in question, but a penalty w.simposed for non-fulfilment of the requirements of thestatute. The value of the service exacted had provedstupendous; the reward had been confined to the inwardsatisfaction of knowing what benefit the nation had reapedfrom otherwise unrequited work. The registration of thecauses of death having proved invaluable, it was onlynatural to suppose that further demands would be ma&efor help from the profession, with prospective corre-sponding advantages to the people; hence the passingof the Infectious Disease (Notification) Act of 1889.This Act, like the first registration Ac-ts, was notat first compulsory, but only became. operative afteradoption by a local authority. It could not bedoubted that the compulsory notification of com-municable diseases possessed many advantages. Amongsuch advantages might be mentioned: the adoption ofprompt action for the segregation of the sick, and for -thearrest of epidemic extension among the community; thevaccination of contacts on the occurrence of outbreaksof small-pox; more successful inquiries concerning thesources and carriers of disease; and, further, the record offacts observed for future reference and comparison -inconnexion with the study of the etiology of epidemicvisitations. Before that Act became law, a clause pro-viding for the payment of a fee was inserted in the--bill;but the obligations cast upon the profession by this Actwere by no means trivial in character, or adequately metby the nominal fee awarded. The doctor was compelledto divulge information which his patient would oftenprefer should not be disclosed. But this was not all, forthe certificates became public property, and were liable tobecome thoughtlessly criticized by the authorities whopaid for them, and who had to provide for the isolationand treatment of the patients. This was no imaginarygrievance, as had been acutely illustrated in one of theDivisions of the Soulth-Eastern Branch. That the dutywas a responsible one was shown by the care and skillrequired to enable a practitioner to notify forthwith thetrue nature of the disease which he was called upon todiagnose. Owing to alteration in type and mixed infection,it was not always an easy matter at once to decide the nomen-clature to adopt. The mild character of scarlet fever had inrecent years so altered the once characteristic symptoms,that many doctors waited until peeling occurred beforeventuring upon an opinion; yet desquamation alone couldhardly be considered as crucial evidence when it wasremembered that peeling of the skin also took place inother diseases than scarlet fever. Without the cost anddelay of bacteriological examination, diphtheria could notalways be distinguished from scarlatina anginosa; whilstthe manifold vagaries of influienza complicated diagnosis toan extraordinary degree. As an example, without theagglutination test, enteric fever could not always be differ-entiated from enteric influenza. Again, the inability todiscriminate between varioloid and varicella had so often ledto outbreaks of small-pox that the Local GovernmentBoard now sanctioned the notification of varicella forlimited periods of time, according to the circumstancesrendering such notification desirable. Proceeding to recentlegislation, the President said that Parliament, in view ofthe high rate of infantile mortality, had introduced theNotification of Births Act of last session. That statute didnot come into operation unless it was adopted bv a localauthority or otherwise put in force by a county council or

the Local Government Board. The words of the Actadmitted of a rather wide interpretation in respevt of theperson whose duty it was to notify. Thus the obligationwas first cast upon the father if he was residing in threhouse, and then on any person in attendance upon themother at the time of or within six hours after birth. Thenotification must be in writing, and sent to the medicdalofficer of health within thirty-six hours after the birth.As it was imperative on the local authority to supplystamped postcards to any medical practitioner or midwife

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who applied, for them, the inference was that one of thepersous "iu,attendance" might be construed as meaningtiieIedical practitioner.' This view was strengthened by

,a otlier.- lause, which-made it, the duty of any local-AUmthority. adopting the Act to bring its provisions to thenotic of all medical, practitioners resident in their district.-'heore was no specific fee,, provided for under the Act, buta,penalty was imposed for non-notification. It was truethat the authority, might. pay any expenses incurred, andtherefori it appeared, thAt a contract'might be made for a

fee, for uotification. The time chosen for pressing thiscntrac' xuight be when the local authority was applying

to. the Local Government Board for sanction to adopt theAt. Here, then, the President continued, was an Act of*Parliament under which a medical practitioner might glideinto the custom, as was the case in the Registration Act of1874, of performing a gratuitous duty for the State, unlessprovision for payment was first made by contract. Hewent on to-say that the Education (Administrative Pro-visions) Act of 1907, which came into operation this year,ilmposed upon a local education authority the duty to pro-

vide for themedical inspection of children "immediatelybefore or at the time of, or as soon as possible after, theiradmnission to a public elementary scllool, and on such otheroccasions as the Board of Education may direct," and,further, tlle power to make other arrangements (subjectto. the Board's sanction) for attending to the health andphysical condition of the children educated in publicelemnentary schools. TIme scope and purpose of the Actwere. thus set forth in the Memoranduni issued by theBoard of Education:

.For some years past evidence lias been accumulatingthat there exists in certain classes of the English people a some-

wwhathigh(Tegree of physical unfitness which calls for ameliora-tibh, and, as far as possible, for prevention. The Legislatureresolved that to grapple effectively with this problem, or at least

"art of it, it was necessary first to improve the health condi-tions, both personal and in regard to environment, of thechildren of time nation. A consideration of the gravity of theneed, led to the conclusion thait miedical inspectiont oJ Schoolchildren is smot only reasonzable bitt necessary as a first practicalstel) toivardls remedy. Without such inspection we not only lack(lata, but we fail to begin at the beginning in any measure

of reform. This new legislation aims not merely at a

pliysical or antliropometric survey or at a record of defectsdisclosed by medical inspection, but at the physical improve-ment, and, as a natural corollary, the mental and moralimprovement, of coming generations. The new enact-mejint is economical ili the best sense of the word. Its justi-fication is not to be measured in terms of money, but in thedecrease of sickness and incapacity among children, and in theultimate decrease of inefficiency and poverty in after-life arisingfrom )hvsical disabilities....Witlh suclh an emphatic declaration issuing from the Boardof Education concerning the importance of the subject,and the absolute necessity for medical aid, one would havetlVought that the Board itself would have adopted thereonmmendation of the Inter-departmental Committee on

Physical Deterioration, to the effect that the cost of thework sugge3ted should be defrayed out of imperial funds,and not have left it to the overburdened local authoritiesto provide the ways and means for giving effect to such

beneficent legislationi. A State measure of such admittedimportance was surely worthy of State aid and support.The above references were sufficient to show that, withoutenlistina the services of the medical profession, Parliamentwas unable to performn one of the first duties devolvinaupon it-namely, the conservation of the public health." Sa uspMo))ltlI suprema lex." The saving of life that hadalready taken place in recent years was proved by thediminished death-rates; and the relative prolongation oflife was further illustrated by reference to the various lifetables Whichl had from time to time been compiled. Thisgood work could not have been accomplished without thegenerous and unselfish help characteristic of their pro-

fession. Disease-prevention did not help to fill the pocketsof the general practitioner with the necessary coin of therealm. ' The least return, therefore, that could be insisted

upon -was to see that their Medico-Political Committeesedulously guarded their interests when such interestswere in jeopardy by inmpending legislation. That the

Medico-Political Committee had not been idle is shown by

the reports in the JOURNAL; but from the moment Par-liamentary bills were printed to their final stages of

p«Asing througlh both Houses of Parliament unremittingattention was required. If the proposed Charter was

obtained, the exercise of the powers contained therein

would facilitate the work. of promoting or opposing,as circumstances dictated, the bills affecting the pro-fession. The objects of the Association, as set forthin the draft Charter, were clear, comprehensive, andmost desirable of attainment. The Council would,however, possess great power, and the machineryof administration was rather complex and cumbersome.It was therefore most important that the men selected forthe Counci should, be thoroughly representative, possessthe confidence of the Association, and have ample leisureto devote to the responsible duties which they will have toperform. Above all, loyalty and discipline must beenforced and maintained. It was hoped that the Charterwould help to bring about a closer bond of union betweenthe members of their society. This could only be obtainedby obedience to the rules framed for their mutual welfare,the exercise of forbearance, and the cultivation more andmore of a friendly spirit in order to consolidate their in-fluence and usefulness. To use a time-honoured adage," United we stand, divided we fall." While, therefore, theyinsisted that medicine as a science should be properlyrecognized by the State, it became the duty of eachmember practising their art to give his best in return,according to the special vocation or branch in which hewas engaged. To accomplish this high standard ofexcellence it was evident that the specialist and researelcscholar were necessary factors in their organization. Theresearches still needed, especially in connexion withcancer, syphilis and tuberculosis, required arduous andenthusiastic work. Serum-therapy threatened to revolu-tionize long-cherished methods of treatment. Physiologycould not be separated from pathology. Immunity had tobe studied in connexion with the use of the variousvaccines now on their trial. Sir Almroth Wright, directorof the department for therapeutic inoculation at St. Mary'sHospital, and no mean authority, said, in his paper on thetreatment of staphylococcus infections by the therapeuticinoculation of staphylococcus vaccines, that they had "invaccilne-therapy a general therapeutic method which wouldbe applicable to the treatment of all kinds of localizedbacterial infections." Further, Sir A. Wright predictedthat the physician of the future will be an immunizator,and he adds that these anticipations were justifyingthemselves. He said:

I do not know of any one that has made trial of vaccinetherapy in connexion with localized bacterial diseases who isnot satisfied with its efficacy as a therapeutic measure, and theday when the physician will be an immunizator is, I think,perceptibly nearer.Dr. Turton's (Physician to the Hull Royal Infirmary)record of the opsonic treatment of seventeen cases ofphthisis by tuberculin was useful for reference and com-parison; while the treatment of microbic invasions byBier's hyperaemia, as carried out at the Western Infirmary,Glasgow, was very suggestive when considering SirFrederick Treves's views on local inflammation. Theinterest in Professor Bier's passive congestion treatmentat Bonn was shown by the accession of members to theclinic and the success attributable to the method adopted.In the preceding portion of this paper he had referred tothe increasing demands made upon the profession, and tothe many gratuitous services rendered to the State. Itwould appear, therefore, only reasonable that bacterio-logical laboratories should be established either by theState or by local authorities, which would be available foruse by the medical practitioners residing in specified locali-ties. Such institutions should be at all times accessiblefor the purpose of having specimens examined and alsofor the preparation and supply of bacterial vaccines andantitoxins, and give opportunities to provincial medicalmen for carrying on investigations for themselves. Whilemany scientific studies were open to those thirsting forfurther knowledge, the moral questions involved in theface of a diminished birth-rate and ill-assorted marriagescalled loudly for individual and concerted action.iThe President proceeded: From the agenda you will see

that the following expeditions have been arranged:1. Visit to Dover Castle and precincts.2. Visit to National Harbour works in course of construction.3. Visit to the ruins of the ancient Priory of St. Martin.4. Visit to the Pageant House." NOTES.-Registrar-General's last annual report twenty-five 3-ears

1881-1905 United Kingdom annual birth-rate averaged 33.1 per 1,000 ofpopulation for years 1881-1885. Fell to 27.7 in five years 1901-1905.

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"Those who select Dover Castle for an excursion will no,doubt be' interested in examining the site of the Britisfi,earthworks and the restored ancient church of St. Mary,which has been credited as being aluniqvie example of aRomano-British cruciform church. The Roman beacon,.adjoining the church, is reputed to have been'built aboutA. D. 46, and used as a bell-tower in'the reign of Henry' III';but, although sadly neglected and desecrated, it still stands-as a monument characteristic of Roman workmanship.'The walls of the- Norman Keep of Dover Castle are 24 ft.-thick, and contain twenty-seven mural chambers, and tothoroughly explore the whole pile of the ancient fortresswill occupy a considerable amount of time. Dover Haven,,once utilized by the Romans during their invasion ofBritain, and, in more recent times, the subject of somethirty Acts of Parliaments and a dozen schemesfor improvement, will soon become a naval base, in'addition to being a port for Continental traffic and animportant place of- call for ocean liners. St. Martin'sPriory, founded in 1130, has had its ancient ruins restored.and converted into use for Dover College. The gateway,since its restoration, has been used as the College library.The present chapel was the original guest-house, and the-once Priory refectory is now utilized as the great hall forlectures, etc. In addition to these specially-mentionedplaces of interest to which your attention has been directed,reference must also be made to the Connaught Park, wellplanted and equipped with sheltered seats, from whichpicturesque sea and landscapes can be surveyed; the.swimming and Turkish baths; the recreation-groundsscattered throughout the borough, including one of the.prettiest cricket-grounds in the county; the pier andmarine promenade; and the historical Maison Dieu, withits stained windows and magnificent organ, the latterbeing the generous gift of a member of our profession who-once occupied a prominent place in the hearts of Doverpeople, and whose memory will never be forgotten. As ahealth resort or residential locality, Dover commends her-self to favourable notice. Dover was conspicuous as one,of the first towns to avail herself of the beneficial pro-visions of the Public Health Act of 1848, and for morethan half a century has been provided with a comprehen-sive sewerage system, which has been extended andimproved from time to time. Thus the soil, naturally adry one, has been kept free from contamination. Thewater supply is constant, derived from deep wells sunk in'the chalk formation, and is as pure to-day as it wasfound to be when the works were first established.-The average death-rate for the last three years has onlyreached 12.4 per 1,000 of the population, whilst last year itwas as 16w as 11.6. The rate of infantile mortality lastyear was down to 86.6 per 1,000 registered births; while-the death-rate from-i the chief epidemic diseases was equal-to 0.48, and that from the notifiable class of diseases-to 0.29 per 1,000 of the population. 'Meteorological obser-vations are now systematically recorded at a well-equippedstation established for the purpose, and the climatologywill bear favourable comparison with other places on the:south-east coast. With such substantial advantages of site.and salubrity, together with many other attractions, in-cluding excellent educational facilities, I think, after yourpersonal explorations to-day, you will return home-Convinced that there are- not many places whichsurpass Dover as an eligible spot in which to sojournor dwell.

Vote of Thanks.-Dr. TYSON, in a few well-chosen words,proposed a vote of thanks to the President for his ableaddress, which, being seconded by Dr. HETLEY, was carried-with acclamation.

Financial Reloort.-The HONORARY SECRETARY presented-this for the Council to the meeting. The balance in handwas satisfactory, there being an increase of £161 carriedforward.

Excursion.-After the meeting the members visited, bythe kind permission of the Admiralty, the new nationalharbour works. A special train was in waiting, and a'large party were taken to the end of the works and shownthe method of construction. Afterwards boats took them-to the end of the extension works of the Admiralty Pier,.where the new lighthouse is in course of erection. Aftervisiting the new works for the commercial harbour, the oldDover Priory buildings were taken. These now are occu-pied by the Dover College, and members were interested

in the very old and handsome C'olIege Chapel, with itsbeautiful windows and ancient architecture. The collegerefectory, the college library and gymnasium, and thiecarpenters' workshop also were shown. Another partywere-entertained at tea- on the beautiful lawns now occu-pied by the Dover Pageant, where the preparations forMr. Louis Parker's great event were watched with interest.The armour came in for considerable admiration, and themembeKs were amazed at the enthusiasm and industryshown by the local ladis.Dinner.-Jr4 the eveuing members dined together at the

Grand Hotel, Dover, when votes of thanks were passed tothe Admiralty for their permission to view the nationalharbour works; to the Head Master of Dover College forthe use of the college grounds; and to Mr. Louis Parkerfor the view of the armour and dresses to be worn at theapproaching great Dover pageant. Some thirty-fivemembers sat down.

GUILDFORD DIVISION.THE annual meeting of this Division was held at theRoyal Surrey County Hospital, Guildford, on Friday,June 26th, at 4.30 p.m. Dr. ANDERSON MORSHEAD,Chairman of the Division, presided.The late Dr. RusUell.-The CHAIRMAN referred with

regret to the loss sustained by the Division owing to thedeath of Dr. F. R. Russell of Guildford, and it was agreedthat the Honorary Secretary should be requested to writeto Mrs. Russell, expressing the sympathy of members ofthe Division in her loss.

Confinrmation of Minutes.-The minutes of the lastmeeting were read and confirmed.

Election of Officers.-The following were elected officersfor the ensuing year: Chairman, Dr. P. D. Minchin; Vice-Chairman, Dr. F. K. Weaver: Representative on BranchCouncil, Dr. E. J. Smyth; Representative in RepresentativeMeetings, Dr. A. B. Hudson; Honorary Secretary andTreasurer, Dr. E. J. Smyth; Executive Committee, Drs.H.- B. Butler, Kendall, Kingsford, Morshead, Napper,Parker, Pearse, Sloman, Walker, and' Winstanley.Annual Report.-The annual report and balance sheet

for the year 1907 were read by the HONORARY SECRETARYand unanimously adopted.

Matters Referred to Divisions.-The reports of theFinance, Central Ethical, and Medico-Political Committeesand of the Central Council were approved. No discussion-took place with reference to the agenda of the AnnualRepresentative Meeting.

Cases, etc.-Notes of cases were read as follows: Dr.MORSHEAD: (1) Case of acute nephritis in a child, withspecimens; (2) case of sarcoma of kidney. Mr. HAROLDBUTLER: A case of abdominal tumour due to faecalaccumulation simulating malignant disease. Mr. ERICSHEAF: Two cases of pericolitis in which a diagnosis ofmalignant disease was made. Dr. E. J. SMYTH: Case offoreign body removed from the orbit, 13 in. long, followedby optic atrophy.

Vote of Thanks.-A vote of thanks to the committee ofthe hospital for the use of the board room and for kindlyproviding tea was passed unanimously.

HASTINGS DIVISION.THE annual meeting of the Division was held at theEversfield Hotel, St. Leonards-on-Sea, on Thursday,June 25th. The Chairman, Mr. E. R. MANSELL, took thechair, after receiving the members and entertaining themto tea. The following members were present: Mr. E. R.Mansell, Dr. G. Vickerman Hewland, Mr. Farrant Fry,Dr. Batterham, Dr. Arthur Brodribb, Mr. F. W. S. Culhane,Dr. Ballingall.

Confirmation of Minutes.-The minutes of the two lastmeetings were read and confirmed.

Election of Officers.-The officers for the ensuing yearwere elected: Chairman, Mr. F. W. S. Culhane; Vice-Chairman, Mr. E. Kaye-Smith; Secretary, Dr. G. Vicker-man Hewland (4, Eversfield Place, St. Leonards-on-Sea);Representative for Representative Meeting, Mr. E. Kaye-Smith; BRepresentative on Branch Council, Dr. J. W. Bat-terham; Executive Committee, G. A. Ballingall, M.D.,Thos. Redmayne M.B., Arthur Brodribb, M.B., Fry Far-rant, Esq., A. Hill Joseph, M.D.

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Proposed Conjoint Meeting of Hastings, Tunbridge Wells,Eastbourne, -and Brighton Divisions.-It was proposedand carried:That a conjoint. meeting of the Hastings, Tunbridge Wells,Eastbourne, and Brighton Divisions be held at Hastings inthe third or fourth week of November.

MAIDSTONE DIVISION.THE annual meeting of this Division was held on June26th at the West Kent General Hospital, Dr. CAESAR inthe chair. The following were also present: Drs. Hoar,Oliver, Douglas, Gibb.

Apologies for Non-attendance.-Owing to sickness andother engagements several gentlemen wrote expressingregret at not being able to be present.

Confirmnation of Minutes.-The minutes of the last-meeting were read and confirmed.

Election of Officers.-The election of officers then tookplace. The following gentlemen were elected: Chair-man, F. T. Travers, F.R.C.S.E.; Vice Chairman, H.Wolseley Lewis, F.R.C.S.; Execittive Comminittee, Drs.Shaw, Oliver, Mapleton, and Joyce; Representative ofDivision, Dr. Douglas; Representative on Branch Coauncil,A. T. Falwasser; Honorary Secretary, Dr. J. A. Gibb.Votes of thanks were passed to all the retiring officers.Lynn Thomnas and Skyrme Futnd.-Dr. DOUGLAS pro-

posed and Dr. CAESAR seconded that the Secretary berequested to write to all members in the Division solicitingsubscriptions on behalf of the Lynn Thomas Fund. This

was carried.Representation of Division.-Other matters in connexion

with the representation of the Division were discussed.

OLD EAST KENT DISTRICT DIVISIONS.THE annual combined meeting of the Divisions comprisedin the Old East Kent District-namely, Ashford, Canter-bury and Faversham, Dover, Folkestone, and Thanet-washeld on June 25th at the County Hotel, Canterbury, Dr.SIDNEY R. ALEXANDER (Faversham) in the chair. Thirtymembers were present.Address.-An address was given by Dr. ROBERT HUTCHI-

SON, of the London and Great Ormond Street Hospitals,upon the relation of the carbohydrates to various diseases.This address proved most exhaustive and instructive. Thelecturer dealt most lucidly with the recent facts andtheories of the physiology of the carbohydrates, and alsowith the -ationale, claims, and utility of the best knownstandard "diets." Many menmbers joined in the discus-sion following the address, and the lecturer was accordeda most hearty vote of thanks.

Paper. Dr. GEORGE E. HALSTEAD (Ramsgate), in amost able, convincing, and humorous paper, opened a dis-cussion upon therapeutic hypnotic suggestion. In thediscussion which followed the paper many membersupheld, in a most convincing manner, the claims of Dr.Halstead, not only for the utility of hypnotic suggestion asa therapeutic agent, but for its universal practice as suchby all general practitioners. A hearty vote of thanks wasaccorded the lecturer.Dinner.-Members of the combined Divisions afterwards

dined togther at the County Hotel. Congratulations wereexpressed at the success of the meeting, and a desire for asimilar reunion next year was expressed from all theDivisions.

Prelintinary Meetings.CANTERBURY AND FAVERSHAM DIVISION.

A meeting of this Division was held at 2.30 p.mi.Confirnmation of Minu tes.-The minutes of the last

meeting were read and confirmed.Annual Report.-The annual report stated that the

menmbership of the Division was 38, as against 40 in theprevious year, the decrease being due to members havingremoved out of the Division. Five Divisional meetingswere held during the year-one at Canterbury, atHerne Bay, and at Sittingbourne, and two at Faversham;the average attendance was 11. During the yearpapers were read, lectures and demonstrations givenas follows: Dr. W. J. Tyson, of Folkestone, on

Future Lines of Treatment; Dr. Foulerton, of EastSussex, on Treatment of Infective Disease by Bac-terial Vaccination; Dr. Hillier, of Middlesex Hospital,on Opsonins; Dr. Armstrong Bowes, of Herne Bay, on

Henoch's Purpura; Mr. McAdam Eccles, of St. Bartholo-mew's Hospital, on Treatment of Inguinal Hernia byTrusses; the staff of Faversham Cottage iHospital, on

X-ray Apparatus. The following subjects were discussed:Referendum of the Charter, Notification of Births Act,Police Emergency Fees in Kent, Medical Inspection ofSchool Children in Kent, and other subjects. The balancessheet was submitted and approved.Next Meeting.-The next meeting to be held at Whit-

stable in October, and Dr. Hayward to be invited to.preside.

Election of Officers.-The following officers were elected:Chairmnan, Mr. Sidney Wacher; Vice-Chairman, Mr. J. W.Hayward; Representative on Branch Cou,ncil, Dr. Henchley,;.Honorary Secretar/y and Treasurer, Dr. Heggs (Sitting-bourne); Executtive Committee, Drs. Reid, Garrett, Evers,,Selby, and Hayward.

Votes of Thanks. A vote of thanks was passed to theretiring officers for their services during the year.

CANTERBURY AND FAVERSHAM WITH THANET DIvIsIONS.A combined meeting of these Divisions was held at.

2.50 p.m.Election ofJoint Representatives at Anntta lReplresentative

Mleeting.-Dr. Wm. Gosse was unanimously re-elected as.

the joint Representative, with Dr. Street as his deputy.

SOUTHERN BRANCH:PORTSMOUTH DIvIsIoN.

A SPECIAL meeting of the Division was held on June 25th,,Dr. CARLING in the chair. There were present: Drs.J. Ward Cousins, A. L. Bentham, L. Hackman, T. A.Colt, E. J. Biden, and B. H. Mumby.Draft Charter.-Dr. WARD COUSINS called the attention

of the Division to several points in the Draft Charter. Itwas unanilnously agreed that in the second schedule ofthe Charter, Sec. 5, No. 27, page 331 of the SUPPLEMENTto the BRITISH MEDICAL JOURNAL Of May 23rd, 1908, afterthe word "' re-eligible" be added:Provided that no suclh member shall be re-elected so as to

make his period of continuous service as a representative onithe Representative Body exceed six -years. After six years'continuous service a member shall not be eligible for electionfor one year.

SOUTHAMPTON DIVIsIoN.Electioni, of Officers. Thefollowingofficers were.elected at,

the annual meeting: Chairmlan, E. S. Hall, M.B. (Bitterne) ;.Vice-Chairmnan, S. Hughes, M.B. (Southamlipton); Honorary-Secretary, G. H. Cowen, M.S., F.R.C.S. (16, CumberlandPlace, Southampton); Representative for Replresentative-.Meeting, S. Hughes, M.B. (Southampton); Representatives.on Branch Con ne,il, Drs. Gwillim, Simmons, antd Aldridge;Executtive Conmmnittee, Drs. Gillespie, MacDougal, Rogers,,May, T. S. Shepherd.

SOUTH WALES AND MONMOUTHSHIRE BRANCH..NORTH GLAMORGAN AND BRECKNOCK DIVISION.

Election, of Officers.-The following have been electedofficers of the Division for the next twelve months:;Chairmian, C. Biddle, Merthyr Tydfil; Vice-Chairman,.D. N. Morgan, Gilfach Goch; Honorary Secretary andTreasutrer, C. J. Weichert, Penygraig; Representative fo)rRepresentative Mlleeting, Dr. W. E. Thomas, Ystrad; Repre-sentatives on Branch Council,, Dr. R. W. Jones. Penrhiw-ceiber; Dr. C. Biddle, Merthyr Tydfil; Dr. D. N. Morgan,Gilfach Goch. The Executive Commiiittee was re-elected.

SWANSEA DIVISION.THE annual meeting was held at the Swansea GeneralHospital on Monday, June 29th.

Confirmation of Minutes.-The minutes of the previousannual meeting were read and adopted.Annuial Report and Financial Statenent.-The annual

report and financial statement, printed copies of which hadaccompanied notice of meeting, were tak-en as read andadopted.

Prop0osed Amtalgamiation ivit7h Swansea Medical Society.-The report of the subcommittee referring to a proposedamalgamation with the Swansea Medical S6ciety was readand approved.

Alteration of RUles.-It was proposed that in Rule 5

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for " secretary who " shall be read " two secretaries, oneof whom'" shall act as treasurer. This was unanimouslvagreed to.Annual Representativce ieeting.-The business of the

Anllual Representative Meeting was considered.Election of Officers. The following were elected for the

ensuing year: Chair?nan, Dr. A. Hanson; Vice-Chairmnan,Dr. Le Cronier Lancaster; Secretatries, Dr. Daniel E.Evans, Dr. Freeman Marks; Representatives of Divisionon Branch Counizcil, Drs. J. M. Morris, R. C. Elswortlh,Frank G. Thonias; Memiibers of Exec7ttive Comminzittee,Dr. D. Arthur Davies, Dr. W. F. Brook, Dr. J. S. H.Roberts, Dr. Veale, Dr. Arnallt Jones, Dr. Clarke Begg;Representative of Division in Representative Meetinq,Dr. Alfred Hanson; Branch Contract Practice Co)mmittee,Drs. Arnallt Jones, Bryce, Trafford Mitchell.

STAFFORDSHIRE BRANCH:MID-STAFFORDSHIRE DIRvisioN.

'THE annual meeting of the Division was held on July 1st.Elec;tion of Officers.-The following were elected officers

for the ensuing year: Chairrman, E. C. Stack; ice- Chair-mian, F. M. Cookson, M.D.; Honorary Secreitary, C.Thompson, Stapenhill, Burton-on-Trent; Rep resen tativcfor Representative Meeting, F. M. Cookson, M.D.; Repre-sentatives on Branch Council, W. G. Lowe, M.D.; F. M.Blumer, M.B.; G. Reid, M.D.; Executive Committee, W.

Clements, M.D.; J. McK. Cowie, M.D.; F. M. Rowlanld,M.D.; H. K. Bradbury.

WEST SOMERSET BRANCH.'THE sixty-sixtlh annual meeting was held at CotfordAsylum, near Taunton, on Tuesday, June 30th, at 12.30.

Installationt oJ' New{i President.-Dr. Harvey Birdresigned the chair in favour of Dr. AVELINE, the incomingPresident. There were twenty members and two visitorspresent.

Confirmation of Minmttes. The minutes of the lastmeeting were read and signed.

Report of Cou,ncil and Balance Sheet. The annualreport of the Council and the balance sheet for 1907 weresubniitted to the meeting and adopted.

Election of Officers.-The following officers were electedor re-elected: Mr. Chas. Farrant, Pr'esident-elect; Dr. J. A.Macdonald, Representative; Mr. W. B. Winckwortlh,Honorary Secretary and Treasurer; and Drs. Berkbeckand Sanguinetti were added to the Council, iii place ofMessrs. Farrant and Sydenham.Annual Representative Meetinq.-Dr. MACDONALD ad-

dressed the meeting on the subject of the work of theRepresentative Meeting.

Invitation to Dorset and West Hants Branch. -Mr.MARSH (Yeovil) called the attention of those preselnt to a

meeting of the Dorset and West Hants Branch at Yeovilon July 8th, and offered a cordial welcomiie to thosemembers of this Branch who could attend.

President's Address.-Dr. AVELINE read an exceptionallynteresting address on the incidence of lunacy in WestSomerset, at the conclusion of which a cordial vote ofthanks was given him on the proposition of Dr. BIRD,seconded by Dr. MACDONALD.Luncheon, etc.-The members present then ltunched

together, and in the afternoon were hospitably entertainedby Dr. and Mrs. Aveline. A cricket match, betweeneleven members of the Branch and the Cotford AsylumEleven, ended, after a good game, in a narrow victoryfor the home side.

YORKSHIRE BRANCH:BRADFORD DivisioN.

'THE annual meeting of this Division was held at the GreatNorthern Victoria Hotel, Bradford, on Tuesday, June 23rd,at 8.30 p.m., Dr. CAMPBELL, Chairman, presiding.

Confirmation of Minutes.-The minutes of the lastrmeeting were read and adopted.Election of Ojicers.-The election of officers for the

*;ession 1908-9 nonoinated at the last Divisional m-leetingthen took place, on the proposition of Dr. ARN-OLD. EVANS,secoIded by Mr. BURNIE: Chairman, Mr. Horrocks; Vice-Chairman, Dr. J. Metcalfe; Honorary Secretaries, Drs.J. B. Dunlop and J. W. Willson (to act as Treasurer);Be,re -estatives on the Branch Coutncil, Drs. Banipton,

Campbell, Hall, and Metcalfe; Executive Committee, Drs.and Messrs. Althorp, J. J. Bell, Bronner, Clow, Craig(Bingley), Crowley, Eames, Fisher (Skipton), Goyder,Little, Manknell, Mercer, Mitchell, Morrison (Cleckheaton),Mossop, Oliver, Shaw (Liversedge), Tunstall; EthicalCommnittee, the Chairman and Secretaries and Drs. andMessrs. Althorp, Campbell, Horrocks, Manknell, Metcalfe,Shackleton, H. E. Taylor.Report of Executtve Com)mittee. Dr. METCALFE (Hono-

rary Secretary) then read the following report of theExecutive Committee for the past year: Your Committeehas much pleasure in submitting its fifth annual report.The work of the Division has been carried on with con-siderable activity during the past year. There is, how-ever, a lethargy amongst the bulk of medical practitionersin looking after their own interests that no individualefforts appear equal to overcoming. The struggle forexistence is keener, the need for organization is greater,but the medical profession as a whole remains an inactiveand uninterested body. There is no doubt that there is afeeling of gratitude to the few who work for the many;but the work of the few can only be of limited proportions,and can never attain the ends that could be arrived at byan active, organized, and large working body of professionalmen. Encroachments on professional medical work areconstant and numerous. The reduced birth-rate and thereduced death-rate all mean financial loss to the doctor.The first of these, of course, from a sociological point ofview, he deplores; the latter lie rejoices over. No one hasdone so much to reduce the death-rate as the medical man,but it is this very spirit of altruisni that is limliting thedoctor's professional incomile. Then the rampant qiuackeryon all sides which is rapidly organizing itself, and theinsidious attentions of the special preparation manufac-turers, who are leading the doctors on to their owndestruction, are only too apparent. Nothing but concertedorganized work in which all take an interest can possiblysave the profession from the dangers to which it isexposed. The only addition to medical work thathas taken place recently is in the domain of medicalschool inspection. This may emiploy a considerablenumiber of practitioners, but the remuneration paidfor these services, taklien generally, is very inadequate.It will be recollected that in the last annual reportreference was made to a dispute which was goingon at the time in connexion with the police surgeon-ships in the city. Your comlmlittee said that the questionwas a source of anxiety to them, and that active steps hadbeen taken to bring the profession in linc on the subject.Time alone would show if they were successful. It isa source of great gratification to the comimiittee that timehas demonstrated the value of the efforts made at thatperiod. The contentions of the profession were upheld bythe withdrawal of the wlhole of the candidates (fifty in num-ber) who had applied for the various police surgeonships. It issometimes said that unanimity cannot be obtained amongstmedical men, but here is a demonstration of the fact thatunanirmity was obtailncd in a way that probably could notbe seeln amongst any othelr body of men. It was an

object lesson whosc teaching will long outlive the day andgeneration of those who took part in it. At the firstmeeting of the session held in October, 1907, the Chairman,Dr. H. J. Campbell, gave an excellent address on the"nced for organization." This address was printedin extenso in the SUPPLEMENT for November 9th, 1907.The questions to which the Referenduni applied were alsoconsidered at this meeting. At the special meetingon November 14th, 1907, an address was given byMr. Sm;itlh Wliitaker, Medical Secretary to the Associa-tion, on 1904-07 Wlhat lhas the Association done forthe Profession ? Like all Mr. Whitaker's addresses, this wasexcellent, and was followed by an interesting discussion.Later on a supper took place, and some excellent songs andmusic were given by several members of the profession.At a special mieeting held on November 22nd, 1907, theproposed adoption of the Notification of Births Bill by theBradford City Council was considered. Strong exceptionwas taken to the inclusion of the medical profession in thebill, and the application to its members of its penal clauses.The question was again considered at the meeting lheld onDecemiiber 9th, and a letter of protest sent to the citycouncil. At the meeting on January 10th of t1is year pro-posals were made for a modification of the 14tter cards to

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,6 SUPPLELMENT TO THE3 BRITISH MEDICAL JOURNAL]-~~~~~~~~~~NULMEIG JL i 9&

be used by themedical men for the purposes of notification,and the medical officer of health, who was present, agreedto the conditions. One thing, however, is certain, and thatis that the British Medical Association will make strongefforts in the future to obtain an amendment of this bill, soas to ensure the elimination of the medical profession fromits clauses. At this meeting a report was read of theaction taken by the Executive Committee in support of thepublie' vaccinators of the North Bierley Union. No lessthan thirteen public vaccinators were dismissed from theirposts, which were advertised again in the public press. Bythe means of circulars to the medical men and counteradvertisements the committee were able to obtain suchunanimity that for the thirteen posts the guardians hadonly one application. Eventually the whole of thethirteen gentlemen were reinstated on better terms.Another important contribution to this meeting wasa lucid and interesting paper by Dr. Crowley onthe Memorandum of the Board of Education on themedical inspection of school children. A special committeeinterviewed the Bradford Education Committee on thissubject and laid some important considerations beforethem whiclh it is trusted will bear fruit in due course. Thequestion of the payment of fees by the city coroner toworkhouse medical officers for evidence given in his courton persons who have died outside the hospital part of theworkhouse has also on reference from the head office beenconsidered. A letter has been received from the townclerk stating that the coroner has now been instructed topay the fees in these cases. Arrangements are beingmade with the Tramways Committee for payment of feesin all eases of tramway accidents where medical men arecalled in, whether the committee hold themselves liableor not. Action has also been taken in reference toinsurance companies wlho require medical certificateswithout payment. Many other questions have also beenconsidered, but sufficient has been said to justify thecontention of your committee that this Division, with thesupport of the parent Association, is a great factor workingfor the amelioration of the conditions under wllich medicalmen work. In all 9 Divisional meetings have been lh'eldwitlh an average attendance of 23, and 6 Executive Coin-mittee meetings with an average attendance of 7. Yourtreasurer will shortly give his statement of accounts, andit will be found that the Division is in a sound financialposition. The Branch Council has again allocated agrant of 3s. per member for our working expenses.Most of the Divisional meetings have been held duringthe past session at the Great Northern Victoria Hotel,but the meetings of the committees have been heldat the Eye and Ear Hospital. Your cominittee wishes toexpress its gratitude to the board of management of thehospital for the use of the rooms. Your committee desiresto thank Dr. Campbell, who has so ably filled the chairduring the past year. His advice and experience havebeen always at its service and have been of inestimablevalue. Dr. WHERRY WILLSON (Honorary Treasurer) pre-sented the financial statement as follows:

Receipts. £ s. d. Payments. £ s. d.Balance at June, 1907 ... 29 11 7 Rooms for meetings ... 1 8 0Cash received frolml Field and Sons (Printers) 15 18 4supper ... ... ... 8 4 6 Secretarial expenses ... 2 0 0

Cheque from Dr. Bronner 23 8 0 Great Northern Hotel forsupper ... ... ... 7 15 0

Printers (Pudsey) ... ...0 4 0Byles and Sons. ... 0 8 6Shipley Press ... ... 0 2 9Chequte book ... ... 0 2 6Balance in bank . 33 5 0

£C61 4 11 £61 4 1Balance in Treasurer's hands from the funds of the oldMedico-Ethical Union ... ... ... 1... ... ... £1 18 0

Total cash in hand ... ... ... ... ... ... 45 3 0

Total cash in hand, corresponding l)eriod 1907 ... 41 9 7On the motion of Dr. GOYDER, seconded by Dr. HORROCKS,the report and balance sheet were adopted unanimously.

Certifying Factory Satrgeons a3 Medical Inspectors ofSchools. The action of the Bradford City Council in

proposing the supersession of the certifying factory sur-

geons by the medical inspectors of schools was considered.Mr. BURNIE considered that as the certifying factorysurgeons were appointed centrally and were consequentlymore free from local influences they formed a better pro-

tection for the public. There appeared to be a determina-tion to convert all medical men into paid local officials.Drs. RABAGLIATI, EVANS, HORROCKS, and BECKETT all con-

sidered that there was no necessity to alter the conditions

under which half-timers were examined. Dr. HORROCKSproposed and Dr. BECKETT seconded that the Divisionstrongly disapproved of the suggestion of the city council,and that the question should be referred to the Medico-Political Committee to take any action necessary to defeatit. This was carried nemn. con. Dr. GOYDEA, in makingsome remarks, trusted that the Charter wcgld not behurried through. Dr. HORROCES, in supporti", 1-hoped a.compromise would be arrived at.

Public Health Acts Amendment Act, 1907.-Dr. EVANS,drew attention to the importance of certain clauses of thePublic Health Acts Amendment Act, 1907, to be proposedfor adoption at the next meeting of the Bradford CityCouncil. After some discussion it was determined thatcopies of the Act should be obtained for the use of theExecutive Committee, who were to take any action neces,sary for the protection of the profession in the matter.

The late Dr. Dunlop.-A vote of condolence with Mrs.Dunlop and her family in the loss of4her husband, ex-pressing the sorrow of the medical profession of Bradfordat Dr. Dunlop's death, was adopted unanimously. Themeeting then terminated.

Assariatio vtirtts1908 ANNUAL GENERAL MEETING.

The Annual General Meeting of the BritishMedical Association will be held in theHall of the Education Department of Sheffield,on Friday, July 24th, at 3 o'clock in the after-noon.

[This Meetin,g will be merely formal, to comply withArticle XII. and will adjourn forthwith until Tue8day,July 28th. at 2.30 o'clock.1

ANNUAL REPRESENTATIVE MEETING.The Anual Representative Meeting will

take place in the Hall of the EducationDepartment of Sheffield on Friday, July 24th(and following days as required), immediatelyafter the Annual General Meeting, which willbe held at 3 o'clock in the afternoon, orbFriday, July 24th.

BY ORDER OF THE COUNCIL,GUY ELLISTON,

June 11th, 1908. General Secretary.

BRANCH AND DIVISION MEETINGS TO BE HELD..LANCASHIRE AND CHESHIRE BRANCH: ALTRINCHAM DIVISION.

-A Division meeting will be held in tlhe Board Room of theAltrincham Hospital on Thursday, July 16th, at 5 p.m., to con--sider letter from Medical Secretary on " Treatment of School'Children," and other business, and to instruct the Representa-tive thereon in readiness for the annual meeting at Sheffield.

\ The Committee considers that the interests of every generalpractitioner are seriously threatened, and hopes that allmembers who can possibly do so will attend. Members of otherCheshire Divisions are also informed that they will be welcomeas visitors.-T. W. H. GARSTANG, Honorary Secretary.

PERTHSHIRE BRANCIi.-A special meeting of the Branch willbe held in the Board Room, Royal Infirmary, Perth, on Friday,,July 17th, at 3.30 p.m. Council meeting at 3.20 p.m. Business:1. To consider report of M.O.H., Perth, to Perth Town Councilon the Prevention of Consumption. 2. Consider letter fromAberdeen Medico-Chirurgical Society re the Examination ofEmployes in the Marine and Railway Services. 3. Mattersreferred to Divisions and Branchles subsequent to Annual'General Meeting-namely: (a) Report of Special Finance In-quiry Committee as published in the SUPPLEMENT of JOURNAL,May 2nd; (b) Report on Ethics of Medical Consultation-seeSUPPLEMENT, May 9th; ((c) Provisional Agenda of Annual Repre-sentative Meeting-see SUPPLEMENTS of May 16th and June 6th;(d) Annual report of Council-see SUPPLEMENT, May 23rd; (e).Revision of Draft Charter-see SUPPLEMENT, Mav 23rd; (f)Annual Reports of Medico-Political andl Central Ethical Com-.mittees-see SUPPLEM1ENT, June 20th. 4. Any other business.-W. A. TAYLOR, ALEX. TROTTER, Joint Honorary Secretaries.

SOUTH MIDLAND BRANCH.-Nominations for the office ofRepresentative on the Central Counicil should be sent to me notlater than July 25th, i; accordance with By-law 25.-E. HARRIES.JONES, 16, Castilian Street, Northampton, Honorary Secretary.

ANNUAL MEETING. [JULY I 1, 11,90&. on 1 June 2009 bmj.comDownloaded from

JULY II, i908.] NEW MEMBERS. SUPPLEMENT TO THELBRITISH MEDICAL JOURNAL 37

MEMBERS ELECTED DURING THE JUNE QUARTER.UNDER BY-LAWS 2 AND 3.

Hamilton, Thomas Bogie, M.B., B.Ch.,M.R.C.P., Court of Appeal, Cairo

Novis, Thomas Shepherd, M.R.C.S.Eng.,

L.R.C.P.Lond., Captain, I.MS.

Aberdeen Branch.Rennet, David, M.D., 14, Golden Square,Aberdeen

Bath and Bristol Branch.Finch, A. H., Esq., Shepton MalletLavington, C. C., M.B., 1, Burlington Road,Redland, Bristol

Smith, F. S., M.B., Bristol

Birmingham Branch.Crowther, J. W., Esq., Haslemere, WestBromwich

Johnston, L. A. W., Esq., 54, SummerfieldCrescent, Edgbaston

Penrose, N. C., M.B., General Hospital,Birmingham

Brisbane and Queensland Branch.Williams, Dr. Adela, Fort Street, Maryborough

British Guiana Branch.'Campbell, W. W., Esq., Public Hospital,

Georgetown

Connaught Branch.Crowly, D., M.D., Loughrea, co. GalwayQuinlan, P. J., Esq., Caheroyan Park, Athenry,

co. Galway

Colombo and Ceylon Branch.,Cummins, A. G., M.B., Lieutenant, R.A.M.C.

Mess, ColomboNell, A., Esq., Victoria Eye Hospital,Maradana, Colombo

Spaar, A. E., Esq., Edinburgh

Dorset and West Hants Branch.Gibbins, K. M., M.B., Holmdale, ParkstoneMacfie, J. D., M.B., 15, Chestnut Avenue, WestSouthbourne

Norman, J. C. A., Esq., Burton House, Broad-stone, Wimborne

Stuart, G. Gordon, M.D., BournemouthWhite, E. H., M.B., West Knoll, Bournemouth

Dundee Branch.Eadie, A. W., M.B., Royal Infirmary, DundeeFox, J. W., M.B., Royal Infirmary, DundeeMarshall, Carswell, M.B., Royal Infirmary,Dundee

East Anglian Branch.Stewart, W. L., M.B., Norfolk County Asylum,

ThorPe, Norwich'Woodhill, H. G., M.D., Beccles

East York and North Lincoln Branch.Barker, A. C., M.B., The Boulevard, HullClarke, C. S., M.B., Royal Infirmary, HullFullerton, A. H., M.B., GoxhillJeffs, S. G. A., Esq., Cleethorpes Road,Grmsby

McNeill, Duncan, M.B., The Elms, Brid-lington

Edinburgh Branch.-Clark, Ratherine J. S., M.D., Craigleith Poor-

house, EdinburghFinlay, T. Yule, M.B., Leith Hospital, Edin-burgh

Macnab, W. J., M.B., The Glen, BathgateMarshall, L. R. H. P., M.B., Blackie House,University Hall, Edinburgh

Milne, L. S., M.B., Pathology Department,Edinburgh University

Taylor, W. Macrae, M.B., 12, Melville Street,Edinburgh

Fife Branch.Jardine, John, M.B., Denbeath House, MethilNicholson, John, M.B., 2, Rosebery Terrace,Kirkealdy

O0lasgow and West of Scotland Branch.:Steven, G. H., M.B., Overwood,'GlasgowRoad,

Paisley

Gloucestershire Branch.Poster, J. J., M.B., Churchdown, near Chelten-hamHong Hong and China Branch,

Xirk, John, M.B., Fong Ts'uen, Canton

Lancashire and Cheshire Branch,Knowles, F. J., Esq., 23, Hardshaw Street,

St. Helens

BY THE COUNCIL.O'Leary, John, Captain, I.M.S., M.B., B.Ch.,B.A.O., R.U.I.

BY BRANCH COUNCILS.

Leinster Branch.Crinion, L. A. J., M.B., Blessington, co.Wicklow

Ellison, F. O'Brien, M.D., 7, SallymountAvenue, Ranelagh, Dublin

Gregg, R. G. S., M.B., Lieut., R.A.M.C.,14, Adelaide Road, Dublin

Malaya Branch.Cleverton, T. C. A., Esq., Labuan, StraitsSettlement

Scott, H. Munro,) Esq., Hotel de l'Europe,Singapore

Sutcliffe, A. A., M.B., Lieut., R.A.M.C., BlakanMati, Singapore

Melbourne and Victoria Branch.Norris, W. P., M.D., Board of Public Health,MelbourneMetropolitan Counties Branch.

Smart, David, Esq., 108, Grange Road, S.E.White, F. H., Esq., 87, Earlham Grove, ForestGate, E.

Midland Branch.Beale, H. R., M.D., 19, Market Square, EastRetford

Dismorr, C. J. S., Esq., Bagthorpe Infirmary,Nottingham

Douglas, C. Gordon, Esq., 59, Regent Road,Leicester

Parke, T. H., Esq., Tideswell, BuxtonScott, C. T., Esq., 42, High Street, MarketHarborough

Teasdale, J. C., M.B., Carolgate Ho., RetfordThomson, G. Dingwall, Esq., Ruskington

Munster Branch.Heffernan, Wm. K., Esq., Riversdale, Killen-aule, Thurles

Punch, E. P., Esq., Ballyhindon House,Fermoy

Natal Branch.Asbury, R. A. J., Esq., Buyana, Pondoland, E.Black, Wm., Esq., Newcastle, NatalDel Castillo, T. R., Esq., Chateau Montpelier,Durban

Lamborn, W. A., Esq., Pietermaritzburg

Northern Counties of. ScotlandBranch.

Wright, Thos., M.B., Tansfield House, Castle-town, Thurso

North of England Branch.Barkley, D. G., Esq., Newbiggin-by-the-SeaBiggart, A. S. L., M.B., 127, Stockton Road,West Hartlepool

Dewar, Dr., SunderlandFrench, J. C., Esq., Seaham HarbourHopper, A. J., Esq., 1, Beechwood Street, Sun-derland

Innes, T. C., M.B., Station Road, WashingtonMorgan, G. B., M.D., 4, Esplanade West, Sun-derland

O'Neal, C. D., M.B., Fulwell, SunderlandPringle, Julia L., M.B., The Infirmary, Aln-wick

Squance, T. Coke, M.D., F.R.S.Ed., 15, GrangeCrescent, Sunderland

Strain, A. C., M.D., Grange Road, West Hartle-pool

Walker, George, M.B., 100, Manor House Road,Newcastle-on-Tyne

Wilkin, H. F., Esq., Eaglescliffe, co. Durham

Perthshire Branch.Howard, S. C., M.D.,The Asylum, Murthly

Saskatchewan Branch.Barrie, H. G., M.D., Regina, Saskatchewan

South-Eastern Branch.Adam, G. H., Esq., Malling Place, WestMalling

Gayner, Francis, M.B., 146, Station Road,Redhill

Hartley, J. D., F.R.C.S., 39, The Terrace,Gravesend

Hunter, W. L., M.D., 121, Victoria Terrace,Littlehampton

Ofenheim, E. R. von, M.D., 40, DartmouthRow, Blackheath, S.E.

Pinching, C. J., M.B., 43, Darnley Road,Gravesend

Watson, C. H. J., M.B., Holmfield, ReigateWilkins, W. D., M.B., The Sanatorium,Benenden

Stewart, Alex. Dron, B.Ch.Ed., M.B., Lieut.,I.M.S.

Southern Branch.Bisson, A. O., Esq., 76, Hauteville, Guernsey

South 'wales and MonmouthshireBranch.

Acomb, L. E., Esq., Newport (Mon).Brewer, A. H., Esq., Barry DockGallaher, J. F., M.B., Newport (Mon.)Lloyd, B. R., M.B., CarmarthenMarks, Urban, Esq., 1, Trinity Place, SwanseaRoberts, Reginald, Esq., PontlottynStoney, G. F., Esq., 2, Park Hill, Tredegar

Sydney and New South Wales Branch.Chisholm, Edwin C., M.B., RiverstoneKelly, Wm. A., Esq., WinghamMaher, C. Weston, M.B., St. Vincent's Hos.

pital, SydneyWelch, K. St. Vincent, M.B., River Road.North Sydney

Toronto Branch.Ripley, Amos J., M.D., West Lorne, Ontario

Transgaal Branch.Ellacombe, G. H. W., Esq., Livingstone.Rhodesia

McNeillie, J. C., M.-., P.O. Box 91, BoksburgMaxwell, W. H., F.R.C.S., P.O. Box 473.Johannesburg

Rousseau, J. Z. H., M.B., MiddelburgThompson, R. J. C., Lieut., R.A.M.C., Roberts'Heights

Ulster Branch.Gillespie, Jas., Esq., Cookstown, co. TyroneLaverty, Thos., M.B., Rathfriland, co. DownMitchell, Charlotte E., M.B., The Infirmarr.Lurgan

West Australian Branch.Bridgeford, W. A. S., Esq., 15, King Street.Boulder

Irwin, H. O., M.B., BoulderO'Brien, Mark, Esq., Box 55, G.P.O., PerthSawell, F. L. P., Esq., Darenth, Boulder

Worcestershire and HerefordshireBranch.

Jex-Blake, Bertha, M.B., County Asylum.Burghill, Hereford

Taylor, John A., M.B., County Asylum,Powick, Worcester

Yorkshire Branch.Annan, J. L,, M.B., The University, SheffieldAtkins, F. D., Esq.. Beecheroft, Dore, near

SheffieldCavanagh, T. F., M.D., 396, Ecclesall Road,Sheffield

Croly, Henry, M.D., Horton House, HalifaxDobson, J. F., F.R.C.S., 27, Hyde Ter., LeedsFelles, Paul, M.B., 36, Bradfield Rd., SheffieldFinch, E. F., M.B., Royal Infirmary, SheffieldFordham, W. H., Esq., Heeley, SheffieldGardner, John, Esq., Waveney, Adwick Road,Mexborough

Goyder, F. W., F.R.C.S., 43, ManninghamLane, Bradford

Hey, Samuel, Esq., 1, Princess Terrace, RiponHillaby, Arthur, Esq., Richmond House,Pontefract

Horne, H. F., M.B., Ivyhurst, BarnsleyJamieson, J. K., M.B., 15, Lyddon Ter., LeedsKemp, E. W., Esq., Horbury, near WakefieldKirkpatrick, A., M.B., 1, Leeds Road, Atter-

cliffe, SheffieldLevinson, H. M., M.B., Royal Infirmary,

SheffieldManton, J. A., Esq., 9, Norfolk Park Road,

SheffieldMiddleton, G. G., M.B., Royal Infirmary,

SheffieldMiller, Margaret M., M.B., Dispensary,Duncombe Place, York

Osmond, E. B., Esq., Friarwood House,Pontefract

Pask, E. H. A., M.B., Royal Infirmary.Sheffield

Phillips, H. A., Esq., 5, Bootham Ter., YorkRam L., Esq., Rockleigh, MexboroughSkinner, E. F., M.B., 309, Fulwood Road,

SheffieldSkinner, W. F., Esq., 124, Devonshire Street.

SheffieldSteven, Wm., M.B., Featherstone, PontefractSuggit, B., M.B., Rosslyn, WhitbyYoung, John, M.D., 42, Riverdale Roa&

Endeliffe, Sheffield

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Q SUPPLEENT TO THE 1l3- BRITISH MEDICAL JOURNAL] NAVAL AND MILITARY APPOINTMENTS. [JULY ii, igo8.

LANCASHIRE AND CHESHIRE BRANCH.CENTRAL COUNCIL ELECTION.

SIR,-Mr. Larkin knows very well that prior to thisyear the voting papers which had been returned enclosedin open envelopes were counted with the others, and thatone of the scrutineers, when at the Branch Councilmeeting before the recent election, stated most emphaticallythat he " should not put a penny stamp on the envelope."This gentleman was also the convener of the Liverpoolmeeting, before the voting papers were issued, which someof the candidates addressed, but I sent him a telegram asfollows: " Unsealed voting papers farcical and unconstitu-tional ; not coming," which was. read at the meeting, andlost me, as I was informed by a candidate, the Liverpoolvote. To this telegram I attribute the fact that thescrutineers have adhered more strictly than before in onlycounting those as valid votes which were contailed insealed envelopes, and, which Dr. Brassey Brierley confirmsbut does not approve of, that is, the stringency, nottelegraphic effect. I am, etc.,Manchester, July 4th. G. H. BROADBENT.

SIR,-Dr. Brassey Brierley, in his letter in last week'sSUPPLEMENT, complains that unsealed voting papers weredisallowed in the recent Central Council election in the'La,neashire and. Cheshire Branch, and he asks, "Howwould these disallowed votes have affected Drs. Taylorand Godson?" If Dr. Brierley had been present at theannual meeting of the Branch he would have heard a fullex,plan.ation by Dr. Grossmann, one of the scrutineers. Itwas announced that, as the question had been raised andnot settled by any definite resolution as to whether suchvotes should be counted or not, the scrutineers had decidedthat, if the inclusion or non-inclusion made any differencein the final result, a special meeting of the Branch Councilshould be called to decide the ma.tter. It was found, how-ever, that the same fouLr candidates were elected whetherthese votes, were counted or not, and the figures in bothcases weve given at the annual meeting. As one of thedefeated candidates, I wish entirely to dissociate myselffrom Dr. Brierley's complaint, as I was quite satisfied withthe procedure adopted by the scrutineers.-I am, etc.,Salford, July 8th. J. H. TAYLOR.

,aVat anb Aifitarn #paitit et's*ROYAL NAVY MEDICAL SERVICE.

DEPUTY INSPECTOR-GENERAL C. PEARSON, M.D., M.A., is promOted tobe Inspector-General, dated May 11th. Inspector-General Pearson wasSurgeon of the Iiiincible at the bonhbardment of Alexandria in 1882and during the Egyptian war. He holds the Egyptian medal with theAlexandria clasp and the Khedive's bronze star. His progressive stepsin rank are: Surgeon, September 30th, 1875; Staff Surgeon, September_30th, 1887; Fleet Surgeon, July 14th, 1896; and Deputy Inspector-General, October 10th, 1903.Deputy Inspector-General HOWARD J. MCC. TODD, M.R.C.S., L.S.A.,

'has also been prombted to be Inspector-General, with seniority ofMay 30th. He was Surgeon in March, 1877; Staff Surgeon in March,1889; Fleet Surgeon in January, 1894, and Deputy-Inspector in Decem-ber, 1903. Inspector-General Todd served in medical charge of theNiger Expedition, 1879, was mentioned in dispatches during engage-ments at Onilsha, and was commended for zeal and devotion during anepidemic of yellow fever at Jamaica, 1885-6.Inspector-General of Hospitals and Fleets JAMES PORTER, C.B., M.D.,

M.A., Director-General of the Medical Department of the Navy, hasbeen granted the relative rank of Vice-Admiral, May 11th.The following appointments have been made at the Admiralty:

W. E.Aiss, Fleet Surgeon, to be Deputy Inspector-General, to date-May llth; W. H. NORMAN, Fleet Surgeon, to be Deputy Inspector-General, May 30th; J. MCCUTCHEON, M.B., B.A., Surgeon, has beenlent to the Venzgeance, for manceuvres, and the appointment of R. M.RICHARD, Staff Surgeon, to the Latona, for manceuvres, is cancelled..,. H. MCGrIFFIN, M.B., Surgeon, to the Royal Marines, Plymouth, andW. BASTIAN, Surgeon, to the Bulwark, both undated.Medical Practitioner J. A. DICKIE, M.B., to be Surgeon and Agent at

Sandbanks, July 4th. ___

ARMY MEDICA:L SERVICE..S:U1;RGEON-GENwERAL WILLLAM L. GUBBINS, C.B., M.V.O., M.B., M.Ch.,to be Deputy Director-General, vice Surgeon-General W. J. Fawcett,C.B., M.B., dated June 24th. Surgeon-General Gubbins served in theAfghan war, 1878-80 (medal), and the Egyptian (1882), and Burmese(1886) expeditions. In the South African war (1899-1901) he wasPrincipal Medical Officer at Pretoria, being promoted Colonel andmantioned in dispatches. He bears the Queen's medal with fiveclasps. Surgeon-General Gubbins was gazetted Lieutenant-Colonel onSeptember 30th, 1893, with twenty years' previous service. He becameColonel on November 29th, 1900, and, Surgeon-General on August 27th,

-.1-903.

TERRITORIAL FORCE.ROYAL ARMY MEDICAL CORPS.

Yor'kshire Mounted Brigade Field Ambulance.-Captain W. K.CLAYTON, from the South Yorkshire Bearer Company, R.A.M.C.,Volunteers), to be Major, April lst; Captain (Honorary Captain in the

army) G. G. OAKLEY from the West Yorkshire Bearer Company(Volunteers), to be Captain with precedence as in the Volunteer Force,April lst; Lieutenant A. W. FRENCH from the South Yorkshire BearerCompany (Volunteers), to be Captain, April 1st.First Northutinbriant Field Ambulance.-Surgeon-Captain J. CLAY,

M.B., from the 2nd Volunteer Battalion, the Northumberland Fusiliers,to be Major, April lst; Surgeon-Captain F. N. GRINLING, from the-2nd Volunteer Battalion, the Northumberland Fusiliers, to be Captain,with precedence as in the Volunteer Force, April lst; Surgeon-Lieutenant F. HAWTHORN, M.D., from the Ist Newcastle-on-TyneRoyal Garrison Artillery (Volunteers), to be Lieutenant, with- pre-cedence as in the Volunteer Force, April lst; J. M. GOVER, to beLieutenant, April lst; J. W. HESLOP, J. P. MILNE, W. SIMPSON, andF. G. ARMSTRONG, to be Lieutenants, April 25th.Second Northunmbrian Field Ambulance.-Surgeon-Captain L. J.

BLANDFORD, M.D., from the 1st Volunteer Battalion, the DurhamLight Infantry, to be Major, April 1st. The undermentioned officersfrom the 1st Volunteer Battalion, the Durham Light Infantry, to beLieutenants, with precedence as in the Volunteer Force: Surgeon-Lieutenants H. C. PEARSON, M.B., D. A. CAMERON, M.B., D. V. HAM,M.D., D. L. FISHER, M.B., and G. G. FARQUHAR, M.B., April 1st' J. D.SINCLAIR, M.B., to be Lieutenant, April 1st.Third North)umnbrian Field Ambulance.-Surgeon-Major H. G. FALK-

NER, from the 1st Volunteer Battalion, the East Yorkshire Regiment,to be Lieutenant-Colonel, April lst; Surgeon-Captain A. T. SISSONS,Iq.B., from the 1st Volunteer Battalion, the East Yorkshire Regiment,to be Captain, with precedence as in the Volunteer Force, April 1st.The undermentioned officers from the 1st Volunteer Battalion, the EastYorkshire Regiml-ent, to beLieutenants, with preceden'ce as in the Volun-teer Force: Surgeon-Lieutenant 0. L. APPLETON, April 1st; Surgeon-Lieutenant P. R. ASH, April 1st.First West Riding Field Amebulance.-Captain A. E. L. WEAR, M.D.,.

from the Northern Command, Leeds Companies,' (Volunteers), to beLieutenant-Colonel, April lst; Lieutenant A. D. SHARP, from theNorthern Com-mand, Leeds Companies (Volunteers), to be Captain,April 1st; Surgeon-Lieutenant A. B. S. STEWART, from the 2nd (Leeds)Yorkshire (West Riding) Royal Engineers (Volunteers), to be Lieutenant,.with precedence as in the Volunteer Force, April lst; J. EWING to beLieutenant, April 1st.Second West Riding Field Ambulance.-Captain W. McG. YOUNG,

M.D., from the Northern Command, Leeds Companies (Volunteers), tobe Major, April lst. The following officers from the Northern Comii-m'and, Leeds Comnpanies (Volunteers), to be Captains, April 1st:Lieutenant H. COLLINSON, M.B., Lieutenant F. WHALLEY, M.B.North Midlanid M1oun ted Brigade Field Ambulance.-Surgeon-

Captain T. THOMPSON, from the 1st Volunteer Battalion, the SouthStaffordshire Regiment, to be Major, April lst; A. AvENT to beLieutenant, May 8th.First North Midland Field Ambulance.-Captain and Honorary

Major R. H. LUCE, AIB., from the Sherwood Foresters Bearer Company(Volunteers), to be Lieutenant-Colonel, April lst; Captain W. J. REID,.from the Sherwood Foresters Bearer Company (Volunteers), to beCaptain, with precedence as in the Volunteer Folce, April lst; Lieu-tenant E. A. WRAITH, from the Sherwood Foresters Bearer Company(Volunteers), to be Lieutenant, with precedence as in the VolunteerForce, April 1st.Seconld North Midland Field Ambulance.-Captain W. P. PEAKE, fromii

the Leicester and Lincoln Bearer Company (Volunteers), to be Mfajor,.April 1st. The following officers, from the Leicester and LincolnBearer Company (Volunteers), are appointed to the Field Amiibtllance,with rank and precedence as in the Volunteer Force, April 1st: CaptainM. S. W. GUNNING, Lieutenant A, MACGREG,OR J. R. PLANT to beLieutenant, April 1st.Third North Midland Field Ambulance.-Captain H. H. C. DENT,.

M.B., F.R.C.S.Eng., from the Staffordshire Bearer Company (Volun-teers), to be Major, April 1st.First Souzth Midland Field Ambulance.-Captain A. R. BADGER,.

from the Worcester and Warwick Bearer Company (Volunteers), to beMajor, April 1st; Surgeon-Captain C. H. HOWEINS, from the 1st Volun-teer Battalion the Royal Warwickshire Regimnent, to be Captain, withprecedence as in the Volunteer Force, April lst; Lieutenant G. W.CRAIG, from the Worcester and Warwick Bearer Company (Volunteers),.to be Lieutenant, with precedence as in the Volunteer Force, April lst;Surgeon-Lieutenant S. G. BARLING, from the 1st Volunteer Battalionthe Royal Warwickshire Regiment, to be Lieutenant, with precedenceas in the Volunteer Force, April lst; CYRiL REGINALD LuN;N, I.B.,W. M. STURROCK, M.B., and W MCCALL, M.B., to be Lieutenants,April 1st.Second South Midland Field Ambulance.-Surgeon-Major C. T.

GRIFFITHS, from the 1st Volunteer Battalion, the South, Stafford-shire Regiment, to be Lieutenant-Colonel, April lst; W. A. L.HOLLAND, J. H. HOBLING, and A. A. HINGSTON to be Lieutenants,April 1st.Third South Midland Field Ambulance.-Surgeon-Lieutenant-Colonel

A. W. PRICHARD (Brigade Surgeon-Lieutenant-Colonel, Senior MedicalMedical Officer, Portl«nd Vounteer Infantry Brigade) from-l the 1st(City of Bristol) Volunteer Battalion, the Gloucestershire Regiment, tobe' Lieutenant-Colonel, with precedence as in the Volunteer Force,,April lst; Surgeon-Captain J. YOuING, M.D., from the lst (City ofBristol)) Volunteer Battalion, the Gloucester Regiment, to be Major,April 1st; B. M. H. ROGERS, M.D., J. S. MATHER, M.B., T. .A. GREEN.M.D., and P. MOXEY, to be Lieutenants, April 1st.Third Home Counties Field Ambulance.-Major and' Honorary

Lieutenant-Colonel J. J. DE ZOUCHE MARSHALL, Trom the East SurreyBearer Company (Volunteers), to be Lieutenant-Colonel, April 1st.

V"Itat iEttSHEALTH OF ENGLISH TOWNS.

IN seventy-six of the largest English towns, including London, 8,722births and 3,662 deaths were registered duringtheweek ending Saturdaylast, July 4th. The annual rate of mortality in these towns, which hadbeen 11.8, 11.6, and 11.8 per 1,000 in the three preceding weeks, was again11.8 per 1,000 last week. The rates in the several towns ranged fromn 3.4in H.ornsey, 3.6 in Willesden, 4.4 in-Walthamstow, 4.5 in Wallasey, 5.4 inHandsworth (Staffs.), 6.0 in Plymouth and 6.1 in York, to 17.6 in New-port (Mon.) and in Swansea, 17.7 in Pteston, 18.0 in Manchester, 18.2 inMerthyr Tydfil, 18.3 in Bootle, 18.4 in Burnley, and 21.5 in Hndders-field. In London the rate of mortality was 10.9 per 1,000, while itaveraged 12.1 in the sevenlty-five other large towns. The death-rate' from the principal infectious diseases averaged 1.0 per1,000 in the seventy-six towns; in London this death - rate wasequal to 0.8 per 1,000, while it ranged upwards in theseventy-five other towns to 2.0 in Coventry and in Buirnley, 2.1 in

I

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JULY II, I908.] VACANCIES AND APPOINTMENTS. SUPPLEMENT TOTHZ[BRITISHAIEDICAL JOURNAL 39

Swansea, 2.2 in Manchester, 2.3 in Smethwick and in Rochdale, 2.7 in

Rhondda, 2.8 in Salford, and 3.4 in Merthyr Tydfil. Measles caused a

death-rate of 1.1 in Swansea, 1.2 in Leyton, 1.3 in Salford, 1.8 in Rochdale,and 2.0 in Stockton-on-Tees; whooping-cough of 1.4 in Metrhyr Tydfil;and diarrhoea of 1.1 in Walsall, 1.3 in Coventry, 1.5 in Smethwick, and

2.0 in Merthyr Tydfil. The mortality from scarlet fever, from diph-theria, and from enteric fever shiowed no marked excess in any of thelarge towns ;' and no fatal caseqf small-pox was registered during the

we*. The number of scarlet fever patients under treatiment in theMetropolitan Asylums Hospitels and the London Fever Hospital,which had been 2,600, 2,565, and 2,553 at the end of the three precedingweeks, had further fallen to 2,529 at the end of last week; 322 newcaseswere admitted during the week, against 289, 310, and 365 in the three

precedingweeks.

HEALTH OF SCOTTISH TOWNS.DURING the week ending Saturday last, July 4th, 1,008 births and 440deaths were registered in eight of the principal Scottish towns. Theannual rate of mnortality in these towns, which had been 13.2,14.7, and14.5 per 1,000 in the three preceding weeks, further declined to 12.5 per

1,000 last week, but was 0.7 per 1,000 above the mean rate during thesame period in the seventy-six large English towns. Among-theseScottish towns the death-rates ranged from 10.5 in Aberdeen and 10.7 inEdinburgh to 15.3 in Greenock and 15.6 in Paisley. The death-ratefrom the principal infectious diseases averaged 1.2 per 1,000, thehighest rates being recorded in Glasgow and Perth. The 209 deaths

registered in Glasgow included 2 which were referred to measles, 2 to

diphtheria, 6 to whooping-cough, 4 to cerebro-spinal meningitis, and 6

to,diarrhoea. Three fatal cases of whooping-cough were recorded inEdinburgh; 2 of scarlet fever in Dundee; and 2 of whooping-cough and

2 of diarrhoea in Aberdeen.

HEALTH OF IRISH TOWNS.DURING the week ending Saturday, July 4th, 724 births and 364 deathswere registered in the twenty-two principal urban districts of Ireland,as against 677 births and 329 deaths in the preceding period. Theannual death-rate in these districts, which had been 16.9,16.3, and 15.2

per 1,000 in the three 'preceding weeks, rose to 16.8 per 1,000 in theweek under notice, this figure being 5.0 per 1,000 higher than the mean

annual death-rate in the seventy-six English towns for the correspond-ing period. The figures for Dublin and Belfast were 17.7 and 14.7respectively, those in the other districts ranging from 6.9 in Armaghand 9.1 in Lisburn to 31.9 in Dundalk and 34.3 in Kilkenny, while Corkstood at 28.1, Londonderry at 18.2, Limerick at 10.9, and Waterford at

11.7. The zymotic death-rate in the same twenty-two districtsaveraged 1.0 per 1,000, as against 0.9 per 1,000 in the preceding period.

This list of vacancies is compiled fr-om our advertisement columns,

where full particulars will be found. To ensure notice in this column,

advertisements must be received not later than the first post on Wed-nesday morning.

VACANCIES.BEXLEY: LONDON COUNTY ASYLUM.-Junior Assistant Medical

Officer. Salary, £160 per annum.

BIRMINGHAM GENERAL HOSPITAL.-Assistant House-Surgeon.Salary at the rate of £40 per annum.

BIRMINGHAM: QUEEN'S HOSPITAL.-House-Physician. Salaryat the rate of £50 per annuim.

BOLINGBROKE HOSPITAL, Wandsworth Common.-Junior House-Surgeon. Salary at the rate of £75 per annum.

BOROUGH OF ST. MARYLEBONE.-Temporary Deputy MedicalOfficer of Health. Terms, £5 5s. per week.

BRADFORD UNION.-Assistant Resident MedicalF Officer to Work-house and Infirmary. Salary, £100 per annum.

BRIDGWATER HOSPITAL.-House-Surgeon. Salary at the rate of£80 per annum.

BRIGHTON: ROYAL ALEXANDRA HOSPITAL FOR SICKCHILDREN.-House-Surgeon. Salary, £80 per anntum.

BRISTOL EYE HOSPITAL.-Female Dispenser.BRITISH MEDICAL ASSOCIATION.-Permanent Assistant Melical

Secretary. Salary at the rate of £500 per annum.

BURNLEY: VICTORIA HOSPITAL.-Resident Medical Officer.Salary, £100 per annum.

BURY ST. EDMUNDS: WEST SUFFOLK3'GENERAL HOSPITAL.House-Surgeon. Salary, £100 per annum.

CANCER HOSPITAL (FREE), Fulham Road, S.W.-(1) Director ofCancer Research and Pathological Department. Salary, £600 perannum. (2) Assistant Anaesthetist. Honorarium, 25 guineas.

CHESTERFIELD AND NORTH DEVONSHIRE HOSPITAL.-JuniorHouse-Surgeon. Salary, £60 per annum.

DERBY: DERBYSHIRE ROYAL INFIRMARY.-Assistant House-,Surgeon. Salary at the rate of £60 per annum.

DEVONPORT: ROYAL ALBERT HOSPITAL AND EYE IN-FIRMARY.-Assistant Resident Medical Officer. Salary at therate of £50 per annum.

DORCHESTER: DORSET COUNTY ASYLUM.-J,unior AssistantMedical Officer (male). Salary, £140 per annum.

GENERAL LYING-IN HOSPITAL, York Road, S.E.- ResidentMedical Officer. Salary at the rate of £50 per annum.

GREAT NORTHERN CENTRAL HOSPITAL.-Physician.HANLEY, STOKE, FENTO0N, AND LONGTON JOINT HOSPITAL

BOARD.-Resident (male) Assistant Medical Officer. Salary, £100per annum.

HEREFORDSHIRE GENERAL HOSPITAL.-House-Surgeon. Salary,£100 per annum.

HORSHAM: WEST SUSSEX AND -CHICHESTER JOINT EDUCA-TION AUTHORITY.-Medical Inspector. Salary, £350 perannum.

HOSPITAL FOR CONSUMPTION AND DISEASES OF THE CHEST,Brompton, S.W.-Assistant Resident Medical Officer. Salary,i£OO per annum.

HOSPITAL FOR SICK CHILDREN, Great Ormond Street, W.C.-(1) Anaesthetist. Honorarium of 15 guineas. (2) Surgeon to Out-patient Department.

LANCASTER ROYAL INFIRMARY.-House-Suirgeon. Salary, £100per annum.

LANGPORT RURAL DISTRICT COUNCIL.-Medical Officer -ofHealth. Salary, £75 per annum.

LIVERPOOL: STANLEY HOSPITAL.-Jtunior House-Surgeon.Salary,'£60 per annum.

LONDON HOSPITAL.-Clinical Pathologist. Salary, £350 perannum.

LONDON THROAT HOSPITAL, W.-House-Surgeon. Honorariumat the rate of £50 per annum.

MANCHESTER UNIVERSITY.-Senior Delnonstrator in Physiology.Salary, £150 per annum.

MIDDLESBROUGH: NORTH RIDING INFIRMARY.- AssistantHouse-Surgeon. Salary, £75 per annluimi.

MIDDLESEX HOSPITAL.-"Emden " anld the "Hollins" Scholar-ships in the Cancer Research Laboratories. Value £100 and £105respectively.

MILE END OLD TOWN UNION.-Assistant Medical Officer to Work-house and Infirmary. Salary at the rate £150 per annum.

NEWCASTLE-ON-TYNE DISPENSARY.-Visiting Medical Assistant.Salary, £160 per annum.

NEWCASTLE-ON-TYNE: UNIVERSITY OF DURHAM.-Demiion-strator of Bacteriology. Salary, £250 per annumi.

NORWICH CITY.-Assistant Medical Officer of Health and Bacteri-ologist. Salary, £150 per annum.

POPLAR HOSPITAL FOR ACCIDENTS.-Assistant House-Surgeoni.Salary at the rate of £80 per annum.

ROYAL HOSPITAL FOR DISEASES OF TH-E CHEST, City Road,E.C.-House-Physician. Salary at the rate of £60 per annumn.

ST. MARY'S HOSPITAL MEDICAL SCHOOL, Paddington, W.-Demonstrator of Physiology. Salary, £150 per annunm.

SCARBOROUGH HOSPITAL AND DISPENSARY.-Junior House-Surgeon. Salary, £80 per annum.

SHEFFIELD CHILDREN'S HOSPITAL, EAST END BRANCH.-House-Surgeon to Out-patient Departmiient. Salary, £70 p)erannum.

SHEFFIELD ROYAL INFIRMARY.-(1) Juniior Assistant House-Surgeon. Salary, £65 per annum. (2) Assistanit House-Physician.Salary, £60 per annum.

SHREWSBURY: SALOP INFIRMARY.-Houise-Ph-siciani. Salaryat the rate of £60 per annum.

TEIGNMOUTH HOSPITAL.-Junior Hotuse-Suirgeon. Salary, £60 perannum.

VICTORIA HOSPITAL FOR CHILDREN, Tite Street, S.W.-Surgeonto In-patientis.

WARRINGTON COUNTY BOROUGH.-Assistant Medical Officer'ofHealth. Salary, 250 per annum.

WARWICK: HATTON ASYLUM.-Third Assistanit Medical Officer(male). Salary, £135 per annum.

WEST DERBY UNION INFIRMARY.- Two Assistant ResidelltMedical Officers. Salary, £100 per annlumii each.

WESTON-SUPER -MARE HOSPITAL.-House-Siirgeon. Salary,£100 per annum.

WHITEHAVEN AND WEST CUMBERLAND INFIRMARY.-Resident House-Surgeon. Salary, £120 per annum.

WOLVERHAMPTON AND STAFFORDSHIRE GENERAL HOS-PITAL.-House-Surgeon. Salary, £80 per annum.

WORCESTER GENERAL INFIRMARY.-House-Surgeon. Salary,,£80 per annum.

CERTIFYING FACTORY SURGEONS.-The Chief Inspector ofFactories announces vacancies at Accrington, co. Lancaster, anldat Oughtibridge, co. York.

APPOINTMENTS. -ALLAN, H. W., M.R.C.S., L.R.C.P., Medical Officer to the Wells Union

Workhouse.BELL, J. H. M., M.B., C.M.Edin., Resident Assistanit Medical Officer to

Camberwell Union Workhouse.BETHUNE, W., M.B., C.M.Edin., Medical Officer of Health to the

Bideford Rural District.BIRD, W. S. D., L.R.C.P.I., L.R.C.S.I., District Medical Officer to the

Stow Union.BRIDE, J. W., M.B. Ch.B.Vict., Assistant Medical Officer to the Barnes

Convalescent Hospital, Cheadle.BUcKLEY, G. Granville, M.D., Ch.B., D.P.H., Medical Officer of Health

and Medical Officer to the Education Committee, Borough ofCrewe.

BURFIELD, J., M.B., B.S.Lond., F.R.C.S., Assistant Surgeon to theJenny Lind Infirmary for Sick Children, Norwich.

BURY, R., L.R.C.P.I., L.R.C.S.I., Resident Assistant Medical Officer tothe Oldham Union Workhouse.

CATTELL, G. T., M.R.C.S., L.S.A., Medical Officer of Health to theEgham Urban District.

COGHILL, W. D., M.B., C.M.Edin., Assistant Resident Medical Officerto the Leicester Union Infirmary.

DAvIs, Henry, M.R.C.S., L.S.A., Consulting Anaesthetist to St. Mary'sHospital, Paddington.

DUGGAN, M., M.R.C.S.Eng., L.R.C.P.Edin., Medical Officer of Healthto the Bowdon Urban District.

FENWICH, G. E. O., M.R.C.S., Junior Resident Assistant Medical Officerto the Shoreditch Union Infirmary.

FRERE, J. E., B.A., M.B., District Medical Officer to the HartleyWintney Union.

GtNTER, H. A., M.R.C.S., L.R.C.P., District 'Medical Officer to theKingston (Surrey) Union.

HOUSTON, A. B., M.B., C.M.Glas., Medical Officer of Health to theDroylesden Urban District.

JUKEs, G., L.R.C.P., L.R.C.S.Edin., Medical Officer of Health to-theLongridge Urban District.

MARTIN, Antony A., M.D.Lond., B.S., M.R.C.S.Eng., L.R.'C.I'.ond.,D.P.H., R.T.M.C., Medical Officer to the Board of Education and-Poet Office, EAstbourne.

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SUPPLZMRNT TORWE 14' BRITISH MEDICAL JOWNALJ CALIENDAR. [JULY I,I1908.

BIRTHS, MARRIAGES, AND DEATHS.The charge for, itserting an2nouncements of Births, Marriages, andDeaths is 3s. 6d., which enm should be forwarded in post-office ordersor stamps with the notice not later than Wednesday norninzg, in orderto censure insertion in the current issue.

BIRTH.THoMAS.-On June 30th, at Norvals Pont, Edgbaston Road, Birming-

ham, the wife of L. Kirkby Thomas, M.R.C.S., L.R.C.P., of adaughter.

MARRIAGE.BP.Ewims-NICHOLSON.-On June 30th, at St. John's Church, Sunny-

brow, by the Rev. G. R. Cook, Edward J. Brewis, M.D., of Willing-ton, co. Durham, to Beatrice, second daughter of the late HenryNicholson, of Gateshead.

DEATHS.ASHBY.-On the 5th inst., at 3, Lancaster Road, Didsbury, Manchester,

Henry Ashby, M.D., aged 62 years.BxRNE3.-On the 7th inst., at Gloucester House,. Hammersmith, Ellen

Elizabeth, wife of Edward Charles Barnes, Surgeon.

DIARY FOR THE WEEK.

THURSDAY.ROYAL SOCIETYeOFrMEDICINE:

DERMATOLOGICAL SECTION, 20, Hanover Square, W., 5 p.m.Cases and Specimens.

FRIDAY.SOCIETY OF TROPICAL MEDICINE AND HYGIENE, 20, Hanover Square,

W., 8.30 p.m.-Paper. Dr. Aldo Castellani: SomeTropical Diseases in Ceylon.

SOCIETY FOR THEF STUDY OF DISEASE IN CHIDREN, 11, ChandosStreet, W., 5.30 p.m.-Annual General Meeting.POST-GRADUATE COURSES AND LECTURES.

LONDON SCHOOL OF CLINICAL MEDICINE.-Daily arrangements: Out-patient Demonstration, 10 a.m.; Medical and SurgicalClinics, 2.15 p.m. and 3.15 p.m. respectively; Opera-tions, 2 p.m. Special Clinics: Ear and Throat, at noonand 4 p.m. Monday, and noon Thursday; Skin, at noonand 4 p.m. Tuesday, and noon Friday; Eye, 11 a.m.Wednesday and Saturday; Radiography, 4 p.m. Thurs-day. Special Lecture: Monday, 4 p.m., Hearing.

MEDICAL GRADUATES' COLLEGE AND POLYCLINIC, 22, Chenies Street,W.C.-The following clinical demonstrations have beenarranged for next week at 4 p.m. each day: Monday,Skin; Tuesday, Medical; Wednesday, Surgical; Thurs-day, Surgical; Friday, Throat. Lectures at 5.15 p.m.each day will be given as follows: Monday, Affectionsof the Toes, Feet, and Ankles. Wednesday, The Prin-ciples underlying Surgical Treatment in so-called In-operable Cancer. Thursday, The Association ofJaundice and Splenic Enlargement.

POST-GIADUATE COLLEGE, West London Hospital, HammersmithRoad, W.-The following are the arrangements for nextweek: Daily, Monday and Thursday and Wednesdayand Saturday, 2 p.m., Diseases of the Eyes. Tuesdayand Friday, 19 a.m., Gynaecological Operations; 2 p.m.,Diseases of Throat, Nose, and Ear; 2.30 p.m., Diseasesof Skin. Wednesday and Saturday, 10 a.m., Diseases ofChildren. Lectures: Monday, 12 noon, PathologicalDemonstration; Wednesday and Friday, 12.15 p.m.,Practical MIedicine. At 5 p.m., Monday and Friday,Clinical Lecture, with cases; Tuesday, The DifferentialDiagnosis of Scrotal Swellings; Wednesday, Medicine;Thursday, Cases of Eye DiseaEes.

BOOKS, ETC., RECEIVED.

Die entztindlichen Nebenhohlenerkrankungen der Nase im Rontgen-bild. Von Professor Dr. A. Kuttner. Berlin and Wien: Urbanand Schwarzenberg. 1908. M. 20.

Halle A. S.: C. Marhold, -1908:Eine neue Kreislauf-Theorie und ihre Beziehung zur Pathologie undTherapie. Von Dr. E. Homberger. M. 1.20.

Sammlung zwangloser Abhandlungen aus dem Gebiete der Ver-dauungs- und Stoffwechsel-Krankheiten. Herausgegeben vonProfessor Dr. A. Albu. I Band. Heft 1-2. Der Wert der Rekto-Romanoskopie fUr die Erkennung und Behandlung der tiefsitzen-den Dauuerkrankungen. Von Professor Dr. J. Schreiber. M. 3.

London: Rebman, Limited, 1908:The Theory of Ions. By W. Tibbles, M.D., LL.D., L.R.C.P.E.,M.R.C.S., L.S.A. 2s. 6d.Electric Ions and their Use in Medicine. By Professor S. Leduc.Translated from the French by R. W. Mackenna, M.A., M.B., Ch.B.

2s. 6d.Jena. G. Fischer. 1908:Die Trypanosomenkrankheiten und ihre Beziehungen zu den syphilo-genen Nervenkrankheiten. Von Dr. W. Spielmeyer. M. 10.

Die Spezielle Chirurgie in 60 Vorlesungen. Von Dr. E. Leser. AchteAuflage. M. 24.

Leqons de Clinique Obst6tricale. Par le Dr. Queirol. Troisi&me s6rie.Paris: G. Steinheil. 1908. Fr. 6.

CALENDAR OF THE ASSOCIATION.Date. Meetings to be Held.

JULY.12 SutnbaD13 MONDAY

14 TUESDAY'LONDON : Organization Committee,

11 a.m... LONDON: Standing Ethical Subcom-

mittee, 3 p.m.(LANCASHIRE AND CHESHIRE BRANCH,

15 WEDNESDAY Meeting of Branch Council, RoyalInfirmary, Manchester, 4.30 p.m.

{LONDON: .Committee re Appointmentof Assistant Medical Secretary,2 p.m.

16HURDAY..~LONDON: Election Returns Committee,4 p.m.ALT2INCHAM DIVISION, Lancashire and

Cheshire Branch, Board Room of theAltrincham Hospital, 5 p.m.

Conference of Metropolitan Divisions'Representatives and Members ofCentral Council; Dinner, Villa Villa,

17 FRIDAY Jl Gerrard Street, 7.15 p.m.; Agenda-for Representative Meeting, 8.30 p.m.(PERTHSHIRE BRANCH, Special Meeting,

Board Room, Royal Infirmary, Perth,3.30 p.m.; Council Meeting, 3.20 p.m.

18 SATURDAY..19 3unbav20 MONDAY21 TUESDAY

____________________________________________________________________________.1

Date. Meetings to be Held.

JULY (Continted).22 WEDNESDAY23 THURSDAY..

(ANNUAL GENERAL MEETING, Hall ofthe Education Department of Shef-

24 FRIDAY Jfield, 3 p.m.2ANNUAL REPRESENTATIVE MEETING,immediately after the Annual General

t Meeting.25 SATURDAY.. [ANNUAL REPRESENTATIVE MEETING,

9.30 a.m.26 lunap .

27 MZONDAY ..{(ANNUAL REPRESENTATIVE MEETING,9.30 a.m.(CENTRAL COUNCIL, 9.30 a.m.

28 TUESDAY -*ANNUAL REPRESENTATIVE MEETING,(9.30 a.m., if necessary.(CENTRAL COUNCIL, 9.30 a.m.

29 WEDNESDAY ANNUAL REPRESENTATIVE MEETING,(3.15 p.m., if necessary.

30 THURSDAY.. CENTRAL COUNCIL, 9.30 a.m.31 FRIDAY ..

1 SATURDAY..2 hunbap .3 MONDAY ..

4 TUESDAY5 WEDNESDAY

AUGUST.

Bank Holiday.

Printed and Published bythe British Medical Assaciatlon at their Offloee No. 6.Catherine Street, strand, in the Paish of St. Paul, Covent Garden, In the=Countyof Middlesex.

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