nor in any sense specific. He claimed to have reduced the mortality to almost nothing. Instead of endeavoring to keep up the strength of the patients by meat juices and extracts, which he said acted only as irritants, he gave arrow-root milk. In the way of medi Miscellany. HEALTH DEPARTMENT OF Statement of Contagious Diseases WARD. Cases. Scarlet Fever. Deaths. Whooping Cough. Cases. Diphtheria. Cases. Croup. cation he gave bismuth, Dover's pow for week ending January 8, 1892: ACUTE NEPHRITIS. FOR acute parenchymatous nephritis following the puerperal condition in a young married woman aged twentyseven years, Prof. DaCosta prescribed the following: B. Tinct. belladonnæ, Liq. potassii citratis, Cases. Deaths. Measles. 22 2 I gtt. iij 13. 14. gtt. x f 3 ij. M. Apply dry cups over the kidneys 18. and also counter-irritation over the 19. kidneys with croton oil. The patient 21. was directed to stay in bed for two 22. weeks and her diet to be absolutely of 23. milk, the kidneys to be kept washed out 24. by drinking plenty of water or by using any mild diuretic. 4 3 I 2 2 I 2 3 25. 5678 27. -Coll. and Clin. Record. 28. DANGER IN THE THIMBLE. A doctor at one of the Berlin hospitals reports a case of a woman suffering from poisoning, caused by using a common metal thimble to sew with, when she had a slight scratch on her finger. The thimble was found on ex amination to have two or three small spots of verdigris inside. A silver thimble should, if possible, be used, or, if that is too expensive, a steel one.— The Druggists' Circular. YEARLY subscription to the LANCET CLINIC $3.00 if paid in advance, Phthisis... Other Constitutional Diseases. .15 Bright's Disease... 3 Bronchitis.. 19 8 5 7 4 I 18 6 SANITARY TRIUMPHS. In an interesting article in the June issue of the American Statistical Association's quarterly publication, we find some significant facts regarding the advantages of sanitary legislation experienced in England within the past 14-79 sixteen years. In the year 1875 a general law was passed in England for 5 the protection of the public health, known as the Public Health Act, and from that time the death rate in England has decreased for all diseases. which owe their origin and growth to defective drainage and impure water supply. Typhoid fever is such a disease, and the diminution of 57 per cent. in the death rate from this malady is undoubtedly the greatest triumph for sanitary reformers. During the ten years from 1866 to 1875 the annual 172 .25 Health Officer. OHIO HEALTH BULLETIN. 204 15 137 99 Infectious Diseases reported to the mortality was 22.19 per thousand in Ohio State Board of Health in 45 cities and towns during the week ending January 8, 1892. Diphtheria: Akron, 3 cases, I death; Barnhill, I case; Cincinnati, 36 cases, 12 deaths; Cleveland, 16 cases; Columbus, 13 cases, 5 deaths; Elmwood Place, I case, I death; Elyria, 3 cases; Greenville, 2 cases, I death; Leetonia, I case; Lima, 4 cases, I death; Ravenna, 2 cases; Springfield, I case, Sycamore, 3 cases, 3 deaths; Toledo, 3 cases, 2 deaths; Van Wert, I case; Youngstown, 3 cases, I death. Scarlet Fever: Akron, I case; Cincinnati, 32 cases, 2 deaths; Cleveland, 15 cases, I death; Columbus, 12 cases, I death; East Palestine, I case, 1 death; Elmore, 7 cases; Elyria, 2 cases, I death; Forest, I case; Geneva, 4 cases; Glendale, 5 cases; Ironton, 2 cases; Lancaster, 4 cases; Lockland, I case; Logan, 4 cases; New Washington, case; South Brooklyn, I case; Springfield, 3 cases; Toledo, 4 cases; Youngstown, 6 cases, I death. Typhoid Fever: Barnhill, I case; Cincinnati, 13 cases, 2 deaths; Cleveland, I case; Chester Hill, 2 cases; Dalton, I case; Geneva, I case; Toledo, I death; Youngstown, case. Measles: Cincinnati, 12 cases, 1 death; Cleveland, 5 cases; Garrettsville, 4 cases; Lima, 2 cases; Springfield, 14 cases; Van Wert, 6 cases; Youngs town, 67 cases. Whooping Cough: Cincinnati, 5 cases; Cleveland, 2 deaths; Garrettsville, 3 cases; New Wash ington, 3 cases; Youngstown, I case. No infectious diseases reported to health officers in 14 towns. C. O. PROBST, M.D., Secretary. SUBSCRIPTIONS to LANCET-CLINIC may commence at any date. habitants; and from 1838, the first year of careful registration, to 1865, the average annual rate was about 22.35 per thousand. But for the ten years of the period 1880 to 1889 the average falls to 19.08. It seems justifiable to ascribe this diminution in the death rate to the operation of the Public Health Act, and the execution of duties such as drainage, inspection of watersupplies, vaccination, and others which are becoming better understood. Mr. Farr, in his Vital Statistics, estimates the value of human life in England to be about $770 a head; that This diminution of mortality is not observed in all forms of disease. The mortality from zymotic diseases, from 1861 to 1870, was 42.54 per 10,000 living and this was reduced to 24.52 in the period from 1880 to 1889, but measles, diphtheria, whooping-cough appear to have escaped the influence of sanitary measures. Consumption has equally diminished in England in the last years. The mortality from this cause in the years 1861 to 1870 was 24.89 per 10,000 living. For the period 1880 to 1889, it fell to 17.36. The statistics further demonstrate that sanitary measures affect the death rate of young persons between the ages of one and twenty-five years, and especially between ten and twenty years. The gain in this latter decade, which amounts to 28 per cent., is economically a great gain. The death rate for old persons has increased during the last decade, a fact which may be chargeable to the bustle of the nineteenth century, the wear and tear upon the nervous system, while the effect of sanitary improvement is most noticeable in the abatement of infant mortality.-American Analyst. DOUBLE PYO-SALPINX IN A CHILD ONE YEAR NINE MONTHS OLD. Mr. A. H. Cheatle reports a case in the London Lancet in which this con dition was discovered post mortem. A large irregular cavity, containing an ounce and a half of thick pus, was found in the superior lobe of the right lung, surrounded by tubercular consolidation. Tubercular deposits were also found scattered through the middle and inferior lobes, in the liver and right kidney. The peritoneum was studded with yellow tubercles, especially in the pelvic region. No ulceration was detected in the small intestine. On removing the sigmoid flexure some thick pus was observed at the left pelvic brim, which was found to be exuding from an abscess in the left broad ligament. The uterus and its appendages were then removed, both Fallopian tubes found to be coiled and distended with pus, the left more so than the right, and apparently in communication with the abscess, the left ovary being completely hidden and the right tube prolapsed when the specimen was looked at from the front. On dissection, the peritoneum, though somewhat thickened, was fairly easily dissected off. The proximal ends of both tubes were found to be healthy, the right for an inch, the left for a quarter of an inch, the left opening into the abscess and forming its wall, the abscess containing about one drachm of thick pus. The uterus was found to be perfectly healthy. Weekly Med. Review. THE TELEPHONE IN DIAGNOSIS. In the case of a child suffering from membranous croup, intubation was successfully practiced recently by Dr. J. Mount Bleyer, but when he came to remove the tube he found that it had entirely disappeared. In the hope that it still remained in the upper air passages he resorted to the use of a telephonic test to locate the position of the tube before resorting to tracheotomy, and the result proved very satisfactory. A delicate metallic probe attached to an electric wire, the other end of which terminated in a telephonic receiver, was passed down through the larynx, and as soon as it came in contact with the tube, a distinct click was communicated to the ear through the receiver. The exact location having thus been determined, tracheotomy was performed and the tube extracted.-The Druggists' Circular. HOSPITALS OF CINCINNATI. Dr. James T. Whittaker says the medical schools of Cincinnati represent every freak, fraud and frenzy of which the human mind is capable. There is a hospital for every race, for every creed, for every sex, for every age, and at present rates there will soon be one for every disease and every doctor, as founders of hospitals and medical schools are physicians, preachers, fashionable ladies, and men who have made fortunes by questionable means, as vending patent medicines. The Medical Progress. Bibliography. MEDICAL LITERATURE REVIEWED TO DATE. FOSTER'S PHYSIOLOGY. It is an exceptional pleasure to be called upon to review such a work as the new edition of Foster's Physiology, just published by Lea Brothers & Co. Advanced to the front rank of textbooks ever since the date of the first issue, it has been strengthened by the various revisions it has undergone, as one edition after another was exhausted. We know of no classical work on any department which bears greater evidence than this of thought, comprehensive grasp, of a broad fund of collateral information, and of concise, scholarly finish. The author's erudition appears upon every page; and in his treatment of the various departments of his subject he appeals to a similar foundation of general learning in the reader. The book is conceived and executed upon a very high plane, as is fitting in a text-book intended for University uses. It was evidently written originally for the University students who had finished their collegiate course and were entering upon medical work. It is not surprising, therefore, that much very elementary work, particularly in collateral branches, should have been omitted, and that the phraseology should throughout be thoroughly scientific. It is this which makes the book so valuable, particularly to the teacher of physiology. tions for the student is greatly enhance by the introduction of proper colo effects, and we believe that publisher will find it to their advantage to observ this one point closely. The modern ad vances in color printing of various kind make it comparatively easy to repro duce almost anything in the way o histological detail, with the proper characteristic stains. It is difficult to select among th individual chapters any that speciall commend themselves, because all ar uniformly well handled. The chapter on the blood and circulation and thos on digestion might be excepted as abov the average. In the former the autho seems to reject the idea of a stroma i the protoplasm of the leucocytes, a posi tion in which he is upheld by othe eminent men, but which some of th reviewer's own preparations would seer to disprove. Altogether the book leaves the im pression that, when it has been tho oughly studied, there will be little nee of going farther, and, while Prof. Foste has given to the profession much othe valuable work, the text-book of physi ology wil lalways remain a proud monu ment of his ability and labor. J. E. BROCHURES RECEIVED. Fifth Annual Report of the Ohi State Board of Health. Hypodermatic Medication. By Rob erts Bartholow, M.D. Influenza. By E. S. McKee, M.D Cincinnati, O. Reprint from the Me ical Record. Text-Book of Practical Anatomy By Henry C. Boenning, M.D. F. A Davis, publisher. The Post-Partum Douche. By Ed win Pynchon, M.D. Reprint from th North American Practitioner. In many of our American schools, where the standard for admission and graduation is far from being what it should, the very excellence of the work may militate somewhat against its general introduction; it is too good, too scientific, too thorough and comprehensive. In the better schools the book will surely enjoy a well-merited popularity, the highest tribute its author can desire. The introduction of colored plates, in the chapter on digestion, is The Statistics and Lessons of Fiftee an innovation, but one that is in the Hundred Cases of Refraction. B right direction. The value of illustra-Geo. M. Gould, Philadelphia, Pa. Tumors of the Naro-Pharynx, Pha ynx, Larynx and Esophagus. By W Cheatham, M.D., Louisville, Ky. THE CINCINNATI Lancet Clinic A Weekly Journal of Medicine and Surgery. Apollinaris "THE QUEEN OF TABLE WATERS." "Delightful and refreshing." BRITISH MEDICAL JOURNAL. "More wholesome than any Aerated Water which art can supply." "Its popularity is chiefly due to its irreproachable character." -THE TIMES, LONDON. |