PUBLIC VACCINATION AND THE EPIDEMIC
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97 croup, 22; measles, 9 ; whooping-cough, 7 ; diphtheria, 6 ; aneurism, 5. 54 accidental deaths were registered- namely, 19 from fractures and contusions, 1 from wounds, 18 from burns or scalds, 10 from drowning, 4 from suffoca- tion, and 2 instances in which the nature of the accident was unspecified. THE PATHOLOGICAL SOCIETY. THE chair was occupied by Mr. IIilton, F.R.S., the new president, for the first time on Tuesday night. He described himself as a very undeserving member. At the time the Society was first established he was closely engaged in pathological research, and he confessed that the proceed- ings of the Society were not altogether such as to encourage his zeal. A species of spurious egotism led him, therefore, to be less and less frequent in attendance at the meetings of the Society. But he confessed that things were alto- gether changed by the rapid advances which pathology had made, and one of the greatest plea,sures to him would be, whilst presiding over the Society, to more thoroughly learn for himself the pathological anatomy of to-day. A GOOD EXAMPLE. AT the last meeting of the Guardians of St. George’s Union, Hanover-square, Dr. Bloxam attended and respect- fully but firmly declared that he considered his salary to be insuinaient. The guardians proposed that he should undertake the whole of the duties which had been pre- viously done by two medical men with assistance. There were upwards of 1200 cases to be attended at their own homes at any hour of the day or night; and in the work- house 165 beds, distributed through 17 different wards, to attend to. The guardians proposed a salary of =S210 a year; but Dr. Bloxam considered the sum of .6250, exclusive of midwifery fees, the lowest salary that could be fixed for the adequate performance of the duties. The guardians adjourned the question for a week. PUBLIC VACCINATION AND THE EPIDEMIC. No question is more important at this moment than the working of our system of public vaccination, by a very few public officers, at a very few public vaccination stations. It is estimated that the cost of the present epidemic to the public, through the Asylums Board alone, will be .620,000. In a mere pecuniary point of view the vaccination question becomes important. As a procedure of extreme simplicity for the stamping out of a most horrible epidemic, it is difficult to do justice to it, either in public arrangements or scientific statements. We shall not prejudge the state of public vaccination. We mean to ascertain, through our own Commissioners, the actual working of the Vac- cination Act, and to - day we publish the account of their first inquiries. In Islington, indeed, the part of the metropolis in which our inquiries have commenced, the state of public vaccination is monstrously unsatis- factory, as will be seen by the report of our commis- sioners in another column. This large district, including 200,000 people, is supposed to be vaccinated by four public vaccinators, at four stations, at none of which, excepting the Privy Council station at which twelve cases were done, in any one given day were a dozen children vaccinated. At one there was not a child to vaccinate from. At another only one was really available for this purpose. At none of them were there more children applying for vaccination than may be seen weekly in the surgeries of private practi- tioners of the district who vaccinate gratuitously. In plain terms, either the bulk of the vaccination is done by private practitioners, not amenable to the Privy Council, or it is not done at all. The large amount of small-pox in Islington consists with the very unsatisfactory state of the public arrangements. There is only one inspector for the whole of the district. As we have said, we shall not prejudge the general arrangements of the metropolis, which, however, we have never approved. Our Commissioners will continue their observations. If we find that the state of matters in Islington is exceptional, we shall only be too glad to admit the fact. If not, perhaps our suggestions may meet with more attention at the hands of the Privy Council than they have hitherto received. THE COST OF RAILWAY ACCIDENTS. IT is some small satisfaction to know that railway com- panies do not maiin, mutilate, and kill their passengers gratuitously. During the past year a total sum of .6333,715 was expended by railway companies in the United Kingdom as compensation for personal injury,-of which the Great Northern paid .028,000; the Grea.t Western, .830,000 ; the Lancashire and Yorkshire, £ 19,380; the Midland, .834,988; the London and North Western, <,e3,804.; and the London, Brighton, and South Coast Railway, 4.7,457. It would be interesting, but impossible, to collect particulars as to the injuries inflicted upon their victims, whose hurts are sulp- posed to have been healed by the application of more than a quarter of a million of money. THE QUEEN’S HOSPITAL, BIRMINGHAM. As the probabilities are great of Mr. James F. West’s removal to London, the vacancy which would result at the Queen’s Hospital has been canvassed with great activity for the past fortnight. The chief candidates are Mr. C. J. Bracey and Mr. Lawson Tait. Mr. Bracey’s candidature is exciting some surprise, seeing that he has just allowed a vacancy at the General Hospital to pass which he might readily have secured. The contest will be a tough one, but Mr. Bracey’s seniority and the good work he has already done at the Children’s Hospital will probably secure him the position. THE ISLINCTONIAN ESTIMATE OF MUSIC, PHYSIC, AND DIVINITY. THE Islington guardians have a school at Holloway con- taining from 250 to 300 children. The chaplain attends twice a week and conducts a service on Sunday ; his salary is X50 a year. The bandmaster attends once a week for three hours, and gets a similar amount. Whilst the poor medical officer, who attends every day, and has to keep an elaborate set of books and dispense his own medicines, is thought sufficiently well paid by a salary of .;840 a year ; he has frequently thirty or forty children under special treatment; he is responsible for the general sanitary ar- rangements of the school, and is required to vaccinate with- out the usual fees. ____ HANWELL ASYLUM. WE learn that the report to the magistrates on the Han- well Asylum, which will be printed and published in due course, adverts at some length to the case of a patient who had sustained a fracture of the ribs" under somewhat pe- culiar circumstances," which led to a correspondence be- tween the Commissioners in Lunacy and the Committee. We shall look forward with interest to both the circum- stances and the correspondence. The report states that the asylum contained 1785 inmates on the last day of 1870, an increase of 87 upon the last day of 1869. There were 392 admissions in 1870; and 48 males and 69 females -were discharged recovered.
Transcript of PUBLIC VACCINATION AND THE EPIDEMIC
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croup, 22; measles, 9 ; whooping-cough, 7 ; diphtheria, 6 ;aneurism, 5. 54 accidental deaths were registered-namely, 19 from fractures and contusions, 1 from wounds,18 from burns or scalds, 10 from drowning, 4 from suffoca-tion, and 2 instances in which the nature of the accidentwas unspecified.
THE PATHOLOGICAL SOCIETY.THE chair was occupied by Mr. IIilton, F.R.S., the new
president, for the first time on Tuesday night. He describedhimself as a very undeserving member. At the time theSociety was first established he was closely engaged inpathological research, and he confessed that the proceed-ings of the Society were not altogether such as to encouragehis zeal. A species of spurious egotism led him, therefore,to be less and less frequent in attendance at the meetingsof the Society. But he confessed that things were alto-gether changed by the rapid advances which pathologyhad made, and one of the greatest plea,sures to him wouldbe, whilst presiding over the Society, to more thoroughlylearn for himself the pathological anatomy of to-day.
A GOOD EXAMPLE.
AT the last meeting of the Guardians of St. George’sUnion, Hanover-square, Dr. Bloxam attended and respect-fully but firmly declared that he considered his salary tobe insuinaient. The guardians proposed that he shouldundertake the whole of the duties which had been pre-viously done by two medical men with assistance. Therewere upwards of 1200 cases to be attended at their ownhomes at any hour of the day or night; and in the work-house 165 beds, distributed through 17 different wards, toattend to.The guardians proposed a salary of =S210 a year; but Dr.
Bloxam considered the sum of .6250, exclusive of midwiferyfees, the lowest salary that could be fixed for the adequateperformance of the duties. The guardians adjourned thequestion for a week.
PUBLIC VACCINATION AND THE EPIDEMIC.
No question is more important at this moment than theworking of our system of public vaccination, by a very fewpublic officers, at a very few public vaccination stations. Itis estimated that the cost of the present epidemic to thepublic, through the Asylums Board alone, will be .620,000.In a mere pecuniary point of view the vaccination questionbecomes important. As a procedure of extreme simplicityfor the stamping out of a most horrible epidemic, it is
difficult to do justice to it, either in public arrangementsor scientific statements. We shall not prejudge the stateof public vaccination. We mean to ascertain, throughour own Commissioners, the actual working of the Vac-cination Act, and to - day we publish the account oftheir first inquiries. In Islington, indeed, the part ofthe metropolis in which our inquiries have commenced,the state of public vaccination is monstrously unsatis-factory, as will be seen by the report of our commis-sioners in another column. This large district, including200,000 people, is supposed to be vaccinated by four publicvaccinators, at four stations, at none of which, exceptingthe Privy Council station at which twelve cases were done,in any one given day were a dozen children vaccinated.At one there was not a child to vaccinate from. At another
only one was really available for this purpose. At none ofthem were there more children applying for vaccinationthan may be seen weekly in the surgeries of private practi-tioners of the district who vaccinate gratuitously. In plainterms, either the bulk of the vaccination is done by private
practitioners, not amenable to the Privy Council, or it isnot done at all. The large amount of small-pox in Islingtonconsists with the very unsatisfactory state of the publicarrangements. There is only one inspector for the wholeof the district. As we have said, we shall not prejudge thegeneral arrangements of the metropolis, which, however,we have never approved. Our Commissioners will continuetheir observations. If we find that the state of matters in
Islington is exceptional, we shall only be too glad to admitthe fact. If not, perhaps our suggestions may meet withmore attention at the hands of the Privy Council than theyhave hitherto received.
THE COST OF RAILWAY ACCIDENTS.
IT is some small satisfaction to know that railway com-panies do not maiin, mutilate, and kill their passengersgratuitously. During the past year a total sum of .6333,715was expended by railway companies in the United Kingdomas compensation for personal injury,-of which the GreatNorthern paid .028,000; the Grea.t Western, .830,000 ; theLancashire and Yorkshire, £ 19,380; the Midland, .834,988;the London and North Western, <,e3,804.; and the London,Brighton, and South Coast Railway, 4.7,457. It would be
interesting, but impossible, to collect particulars as to theinjuries inflicted upon their victims, whose hurts are sulp-posed to have been healed by the application of more thana quarter of a million of money.
THE QUEEN’S HOSPITAL, BIRMINGHAM.
As the probabilities are great of Mr. James F. West’sremoval to London, the vacancy which would result at theQueen’s Hospital has been canvassed with great activityfor the past fortnight. The chief candidates are Mr. C. J.
Bracey and Mr. Lawson Tait. Mr. Bracey’s candidature isexciting some surprise, seeing that he has just allowed avacancy at the General Hospital to pass which he mightreadily have secured. The contest will be a tough one, butMr. Bracey’s seniority and the good work he has alreadydone at the Children’s Hospital will probably secure himthe position. -
THE ISLINCTONIAN ESTIMATE OF MUSIC,PHYSIC, AND DIVINITY.
THE Islington guardians have a school at Holloway con-taining from 250 to 300 children. The chaplain attendstwice a week and conducts a service on Sunday ; his salaryis X50 a year. The bandmaster attends once a week forthree hours, and gets a similar amount. Whilst the poormedical officer, who attends every day, and has to keep anelaborate set of books and dispense his own medicines, isthought sufficiently well paid by a salary of .;840 a year ;he has frequently thirty or forty children under specialtreatment; he is responsible for the general sanitary ar-rangements of the school, and is required to vaccinate with-out the usual fees.
____
HANWELL ASYLUM.
WE learn that the report to the magistrates on the Han-well Asylum, which will be printed and published in duecourse, adverts at some length to the case of a patient whohad sustained a fracture of the ribs" under somewhat pe-culiar circumstances," which led to a correspondence be-tween the Commissioners in Lunacy and the Committee.We shall look forward with interest to both the circum-stances and the correspondence. The report states thatthe asylum contained 1785 inmates on the last day of 1870,an increase of 87 upon the last day of 1869. There were392 admissions in 1870; and 48 males and 69 females -weredischarged recovered.
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