INFECTIOUS DISEASE IN ENGLAND AND WALES DURING THE WEEK ENDED AUGUST 8TH, 1931
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428 not heated, at No. 6 ; (2) a serum which flocculates below No. 6 indicates a pathological condition such as carcinoma or tuberculosis ; and (3) the lower the number at which flocculation takes place the more concentrated is the " toxic agent " of the serum. Cases flocculating below No. 4 are of particularly bad omen ; these are the cases which, according to Dr. Bendien, are inoperable, not in a technical sense, but because dissemination has already taken place, as shown by the great quantity of " toxic " material present in the serum. The spectro-photometric test, employed for accuracy of diagnosis and as a confirmation of flocculation, is a highly technical process involving mathematical calculation. The precipitate obtained with the acetic vanadate mixture is heated to 56° C. to dissolve what Dr. Bendien calls " normal-labilin " (a protein present in all sera) ; it is filtered off, weighed, and suspended in NAHCO,, (1 : 50). Suspensions, 20 in all, of various strengths are now submitted to spectro- photometric examination, and 20 photographs of the ultra-violet part of the spectrum are taken. The absorption lines are plotted on a chart and a curve so obtained which is typical of cancer, indicating the presence of a thermostable protein peculiar to it. Dr. Bendien kindly gave me a full account of the methods and principles of his treatment, but it is impossible for me to go into details here. He wishes me to state that all cases so far treated were inoperable ones, generally with metastases ; most of these cases had been submitted to radium, X rays, &c., without success before they came under his care. But in every case he was able with his treatment to obtain an improvement : he does not wish to make any other claim. I am, Sir, yours faithfully, A. A. MILLER, M.D., M.R.C.S. THE SERVICES ROYAL NAVAL MEDICAL SERVICE. Surg. Lt. F. C. Crean to be Surg. Lt.-Comdr. ROYAL NAVAL VOLUNTEER RESERVE. , Surg. Lts. B. W. C. Archer and H. Winstanley to be Surg. Lt.-Comdrs. Surg. Sub-Lt. P. B. Moroney and Proby. Surg. Lt. W. R. Johnston to be Surg. Lts. ROYAL ARMY MEDICAL CORPS. Lt. W. A. R. Ross to be Capt. and remain seed. The undermentioned Lts. (on prob.) are confirmed in their rank : D. A. Langhorne, C. A. de Candole, and W. B. Williams. ARMY DENTAL CORPS. The undermentioned Lts. (on prob.) are confirmed in their rank: S. G. Watson and G. T. Drummond. ARMY RESERVE OF OFFICERS. Col. A. Chopping, late R.A.M.C., having attained the age limit of liability to recall, ceases to belong to the Res. of Off. TERRITORIAL ARMY. Col. J. G. Martin, having attained the age limit, retires and retains his rank, with permission to wear the prescribed uniform. Capt. G. W. Wigg from 72nd (Northumbrian) Fd. Bde., R.A., and Capt. K. J. T. Wilson (late R.A.M.C. Spec. Res.), to be Capts. ROYAL AIR FORCE. The undermentioned are granted permanent commissions in the ranks stated : Flight Lt. J. H. Cullinan and Flying Officers C. G. Harold and A. Sheehan. ROYAI. AIR FORCE RESERVE. Flying Officer C. J. MacQuillan is promoted to the rank of Flight Lt. INDIAN MEDICAL SERVICE. Lts. to be Capts. : L. F. Burns, L. Dass, P. C. Dutta, and E. A. O’Connor. Lt. (T. C.) A. M. H. Shirazi to be Capt. (T. C.). ). The undermentioned appts. are made : to be Lts. (on prob.): E. H. Lossing, G. W. Miller, D. G. McCaully, and H. J. R. Thorne. Lt.-Col. C. J. Stocker retires. COLONIAL APPOINTMENTS. The following appointments have been made by the Secretary of State for the Colonies : Dr. R. H. Davidson, M.O.. and Dr. T. A. P. Wynter, Government M.O., Jamaica ; and Dr. C. A. Stanley, M.O., Malay States ; Dr. B. N. V. Bailey, Asst. Government M.O.H., British Guiana, has been promoted Government M.O.H. ; Dr. S. G. Harrison, M.O., Gambia, has been transferred to the Gold Coast ; and Dr. J. T. Smalley, M.O., Hong-Kong, has been promoted senior M.O. INFECTIOUS DISEASE IN ENGLAND AND WALES DURING THE WEEK ENDED AUGUST 8TH, 1931. THE SERVICES Notifications.-The following cases of infectious disease were notified during the week :-Small-pox, 25 (last week 26) ; scarlet fever, 1250 ; diphtheria, 759 ; enteric fever, 62 ; pneumonia, 472 ; puerperal fever, 41 ; puerperal pyrexia, 97 ; cerebro-spinal fever, 25 ; acute poliomyelitis, 8 ; encephalitis lethargica, 11 ; dysentery, 6 ; ophthalmia neona- torum, 109. No case of cholera, plague, or typhus fever was notified during the week. The number of cases in the Infectious Hospitals of the London County Council on August llth-12th was as follows : Small-pox, 46 under treatment, 2 under observation (last week 54 and 2 respectively) ; scarlet fever, 1159 ; diphtheria, 1455 ; enteric fever, 14 : measles, 145 ; whooping-cough, 364 ; puerperal fever, 42 (plus 8 babies) ; encephalitis lethargica, 211 ; poliomyelitis, 3 ; "other diseases," 135. At St. Margaret’s Hospital there were 11 babies (plus 5 mothers) with ophthalmia neonatorum. Deaths.-In the aggregate of great towns, including London, there was no death from, small-pox, 1 (1) from enteric fever, 12 (1) from measles, 1 (0) from scarlet fever, 15 (6) from whooping-cough, 25 (4) from diphtheria, 33 (7) from diarrhoea and enteritis under two years, and 16 (1) from influenza. The figures in parentheses are those for London itself. Two deaths from measles were reported from Barnsley, not more than 1 from any other large town. Liverpool reported 5 deaths from whooping-cough and 4 from diph- theria. Diarrhoea was credited with 6 deaths at Birmingham, 3 at Manchester, and 2 at West Hartlepool. The number of stillbirths notified during the week was 266 (corresponding to a rate of 46 per 1000 births) including 58 in London. MIDDLESEX POOR-LAW HOSPITALS.—Each of these institutions has had the word "County" added to its name, with the exception of Park Royal Hospital, which will henceforth be called " The Central Middlesex County Hospital." The domestic accommodation at the West Middlesex County Hospital is to be improved at a cost of nearly £13,000. NATIONAL BIRTH CONTROL ASSOCIATION.—The National Birth Control Council and the Birth Control Investigation Committee have amalgamated under the title of the National Birth Control Association (with which is incorporated the Birth Control Investigation Committee). Sir Thomas Horder has accepted the presidency of the Association, and Sir Humphry Rolleston, who remains chairman of the Birth Control Investigation Committee, will be vice-chairman. The committee has been for over four years investigating the general problem of birth control, as well as the merits and demerits of different methods, while the Council, which was founded last year, has been engaged mainly on work with local authorities in regard to the Ministry of Health’s memorandum on birth control. It is stated that so far 35 local authorities have authorised the giving of advice on contraceptive methods. The office is at 26, Eccleston-street, London, S.W. 1.
Transcript of INFECTIOUS DISEASE IN ENGLAND AND WALES DURING THE WEEK ENDED AUGUST 8TH, 1931
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not heated, at No. 6 ; (2) a serum which flocculatesbelow No. 6 indicates a pathological condition suchas carcinoma or tuberculosis ; and (3) the lower thenumber at which flocculation takes place the moreconcentrated is the " toxic agent " of the serum.Cases flocculating below No. 4 are of particularlybad omen ; these are the cases which, according toDr. Bendien, are inoperable, not in a technical sense,but because dissemination has already taken place,as shown by the great quantity of
" toxic " materialpresent in the serum.
The spectro-photometric test, employed for accuracyof diagnosis and as a confirmation of flocculation, is ahighly technical process involving mathematicalcalculation. The precipitate obtained with theacetic vanadate mixture is heated to 56° C. to dissolvewhat Dr. Bendien calls " normal-labilin " (a proteinpresent in all sera) ; it is filtered off, weighed, andsuspended in NAHCO,, (1 : 50). Suspensions, 20 inall, of various strengths are now submitted to spectro-photometric examination, and 20 photographs ofthe ultra-violet part of the spectrum are taken.The absorption lines are plotted on a chart and acurve so obtained which is typical of cancer, indicatingthe presence of a thermostable protein peculiar to it.
Dr. Bendien kindly gave me a full account of themethods and principles of his treatment, but it is
impossible for me to go into details here. He wishes meto state that all cases so far treated were inoperableones, generally with metastases ; most of these caseshad been submitted to radium, X rays, &c., withoutsuccess before they came under his care. But inevery case he was able with his treatment to obtainan improvement : he does not wish to make anyother claim.
I am, Sir, yours faithfully,A. A. MILLER, M.D., M.R.C.S.
THE SERVICES
ROYAL NAVAL MEDICAL SERVICE.
Surg. Lt. F. C. Crean to be Surg. Lt.-Comdr.
ROYAL NAVAL VOLUNTEER RESERVE.
, Surg. Lts. B. W. C. Archer and H. Winstanley to beSurg. Lt.-Comdrs.
Surg. Sub-Lt. P. B. Moroney and Proby. Surg. Lt.W. R. Johnston to be Surg. Lts.
ROYAL ARMY MEDICAL CORPS.
Lt. W. A. R. Ross to be Capt. and remain seed.The undermentioned Lts. (on prob.) are confirmed in
their rank : D. A. Langhorne, C. A. de Candole, and W. B.Williams.
ARMY DENTAL CORPS.
The undermentioned Lts. (on prob.) are confirmed intheir rank: S. G. Watson and G. T. Drummond.
ARMY RESERVE OF OFFICERS.
Col. A. Chopping, late R.A.M.C., having attained the agelimit of liability to recall, ceases to belong to the Res. of Off.
TERRITORIAL ARMY.
Col. J. G. Martin, having attained the age limit, retiresand retains his rank, with permission to wear the prescribeduniform.
Capt. G. W. Wigg from 72nd (Northumbrian) Fd. Bde.,R.A., and Capt. K. J. T. Wilson (late R.A.M.C. Spec. Res.),to be Capts.
ROYAL AIR FORCE.
The undermentioned are granted permanent commissionsin the ranks stated : Flight Lt. J. H. Cullinan and FlyingOfficers C. G. Harold and A. Sheehan.
ROYAI. AIR FORCE RESERVE.
Flying Officer C. J. MacQuillan is promoted to the rankof Flight Lt.
INDIAN MEDICAL SERVICE.
Lts. to be Capts. : L. F. Burns, L. Dass, P. C. Dutta,and E. A. O’Connor.
Lt. (T. C.) A. M. H. Shirazi to be Capt. (T. C.). ).The undermentioned appts. are made : to be Lts. (on
prob.): E. H. Lossing, G. W. Miller, D. G. McCaully,and H. J. R. Thorne.
Lt.-Col. C. J. Stocker retires.
COLONIAL APPOINTMENTS.
The following appointments have been made by theSecretary of State for the Colonies : Dr. R. H. Davidson,M.O.. and Dr. T. A. P. Wynter, Government M.O., Jamaica ;and Dr. C. A. Stanley, M.O., Malay States ; Dr. B. N. V.Bailey, Asst. Government M.O.H., British Guiana, hasbeen promoted Government M.O.H. ; Dr. S. G. Harrison,M.O., Gambia, has been transferred to the Gold Coast ; andDr. J. T. Smalley, M.O., Hong-Kong, has been promotedsenior M.O.
INFECTIOUS DISEASEIN ENGLAND AND WALES DURING THE WEEK ENDED
AUGUST 8TH, 1931.
THE SERVICES
Notifications.-The following cases of infectiousdisease were notified during the week :-Small-pox,25 (last week 26) ; scarlet fever, 1250 ; diphtheria,759 ; enteric fever, 62 ; pneumonia, 472 ; puerperalfever, 41 ; puerperal pyrexia, 97 ; cerebro-spinalfever, 25 ; acute poliomyelitis, 8 ; encephalitislethargica, 11 ; dysentery, 6 ; ophthalmia neona-
torum, 109. No case of cholera, plague, or typhusfever was notified during the week.
The number of cases in the Infectious Hospitals of theLondon County Council on August llth-12th was as follows :Small-pox, 46 under treatment, 2 under observation (lastweek 54 and 2 respectively) ; scarlet fever, 1159 ; diphtheria,1455 ; enteric fever, 14 : measles, 145 ; whooping-cough,364 ; puerperal fever, 42 (plus 8 babies) ; encephalitislethargica, 211 ; poliomyelitis, 3 ; "other diseases," 135.At St. Margaret’s Hospital there were 11 babies (plus 5mothers) with ophthalmia neonatorum.
Deaths.-In the aggregate of great towns, includingLondon, there was no death from, small-pox, 1 (1)from enteric fever, 12 (1) from measles, 1 (0) fromscarlet fever, 15 (6) from whooping-cough, 25 (4)from diphtheria, 33 (7) from diarrhoea and enteritisunder two years, and 16 (1) from influenza. Thefigures in parentheses are those for London itself.Two deaths from measles were reported from Barnsley,
not more than 1 from any other large town. Liverpoolreported 5 deaths from whooping-cough and 4 from diph-theria. Diarrhoea was credited with 6 deaths at Birmingham,3 at Manchester, and 2 at West Hartlepool.The number of stillbirths notified during the weekwas 266 (corresponding to a rate of 46 per 1000births) including 58 in London.
MIDDLESEX POOR-LAW HOSPITALS.—Each of theseinstitutions has had the word "County" added to itsname, with the exception of Park Royal Hospital, whichwill henceforth be called " The Central MiddlesexCounty Hospital." The domestic accommodation at theWest Middlesex County Hospital is to be improved at acost of nearly £13,000.
NATIONAL BIRTH CONTROL ASSOCIATION.—TheNational Birth Control Council and the Birth ControlInvestigation Committee have amalgamated under thetitle of the National Birth Control Association (with whichis incorporated the Birth Control Investigation Committee).Sir Thomas Horder has accepted the presidency of theAssociation, and Sir Humphry Rolleston, who remainschairman of the Birth Control Investigation Committee,will be vice-chairman. The committee has been for overfour years investigating the general problem of birth control,as well as the merits and demerits of different methods,while the Council, which was founded last year, has beenengaged mainly on work with local authorities in regardto the Ministry of Health’s memorandum on birth control.It is stated that so far 35 local authorities have authorisedthe giving of advice on contraceptive methods. The officeis at 26, Eccleston-street, London, S.W. 1.
