1266 NOTES, SHORT COMMENTS, AND ANSWERS TO CORRESPONDENTS.

LIVERPOOL, DAVID LEWIS NORTHERN HOSPITAL.-House Physician.Salary at rate of oCSO per annum, with residence and maintenance.

LONDON, ADMINISTRATIVE COUNTY OF (LONDON COUNTY COUNCIL).-Psychologist. Salary at rate of oC300 per annum.

LONDON HOSPITAL, E.-Assistant Obstetric Physician.LOWESTOFT HOSPITAL.-House Surgeon, unmarried. Salary at rate of

:2100 per annum, with board, residence, and laundry.MAIDSTONE, KENT COUNTY ASYLUM.—Fourth Assistant Medical Officer,

unmarried. Salary oC200 per annum, with quarters, attendance,washing, &e.

MAIDSTONE, WEST KENT GENERAL HOSPITAL.-Senior House Surgeon,unmarried. Salary .8100 per annum, with board, lodging, andlaundry.

MANCHESTER HOSPITAL FOR CONSUMPTION AND DISEASES OF THETHROAT AND CHEST.-Assistant Medical Officer and Pathologist.Salary 260 per annum.

MIDDLESEX HOSPITAL, W.-Third Assistant to Director of CancerResearch Laboratories. Salary .8150 per annum.

NEWCASTLE-ON-TYNE DISPENSARY.—Visiting Medical Assistant. Salary£160 per annum.

NORTHAMPTON ADMINISTRATIVE COUNTY.—Chief Tuberculosis MedicalOfficer. Salary £500 per annum.

NORTHAMPTON GENERAL HOSPITAL.-Physician. Also House Surgeon,unmarried. Salary :290 per annum, with apartments, board,washing, and attendance.

NORWICH, NORFOLK AND NORWICH HOSPITAL.—Casualty Officer,unmarried, for six months. Salary :260 per annum, with board,lodging, and washing.

NORWICH, JENNY LIND INFIRMARY FOR CHILDREN.—Resident MedicalOfficer (female) for six months. Salary 250 per annum, with board,apartments, and laundry.

NOTTINGHAM CITY ASYLUM.—Junior Assistant Medical Officer, un-married. Salary :2200 per annum, with board, apartments, andlaundry.

NOTTINGHAM GENERAL DISPENSARY. -Assistant Resident Surgeon, un-married. Salary £170 per annum, with apartments, attendance,light, and fuel.

OXFORD, RADCLIFFE INFIRMARY AND COUNTY HOSPITAL.- HonoraryMedical Officer in Charge of Electro-therapeutic Department.

PRESTwICH UNION INFIRMARY, Cliarlestowii-roaf-1, Blackley.—SecondAssistant Medical Officer. Salary B120 per annum, with apart-ments, &c.

QUEEN’S HOSPITAL FOR CHILDREN, Hackney-road, Bethnal Green, E.-Resident Medical Officer. Salary 2120 per annum, with board,residence, and laundry.

READING, ROYAL BERKSHIRE HOSPITAL.-Second House Surgeonfor six months. Salary 280 per annum, with apartments, board,and washing.

ROYAL FREE HOSPITAL, Gray’s Inn-road, W.C.—Assistant Anæsthetist.Salary £50 per annum.

ST. MARY’S HOSPITAL, London, W.-Junior Casualty House Surgeonfor six months. Salary 2100 per annum, with board and lodging.

ST. THOMAS’S HOSPITAL.-Medical Registrar. Also Surgical Registrar.SHEFFIELD, EAST-END BRANCH OF THE CHILDREN’S HOSPITAL (Out-

Patient Department only).-House Surgeon. Salary :275 perannum, with board and lodging.

SHEFFIELD, JESSOP HOSPITAL FOR WOMEN.-Assistant House Surgeon,unmarried. Salary 260 per annum, with board, residence, andlaundry.

SOUTHAMPTON PARISH INFIRMARY, Shirley Warren.—Resident AssistantMedical Officer. Salary £150 per annum, with apartments, rations,washing, and attendance.

STAFFORD, STAFFORDSHIRE COUNTY ASYLUM.-Assistant MedicalOfficer, unmarried. Salary oCl60 per annum, with apartments,board, and washing.

TRURO, ROYAL CORNWALL INFIRMARY.—House Surgeon, unmarried,Salary B100 per annum, with rooms, board, and washing.

WARWICK COUNTY ASYLUM.-Second Assistant Medical Officer, un-married. Salary £175 per annum, with board, apartments, andlaundry.

WOLVERHAMPTON AND STAFFORDSHIRE GENERAL HOSPITAL.-HouseSurgeon for six months. Salary B80 per annum, with board, rooms,an laundry.

WORCESTER COUNTY AND CITY ASYLUM, Powick.-Junior AssistantMedical Officer, unmarried. Salary £160 per annum, with board,apartments, washing, and attendance.

THE Chief Inspector of Factories, Home Office, London, S.W., givesnotice of a vacancy as a Certifying Factory Surgeon at March, inthe county of Cambridge.

Births, Marriages, and Deaths.BIRTHS.

DINGLE.-On Oct. 24th, at Sandakan, British North Borneo, the wife ofPercival A. Dingle, M.R.C.S. Eng. L.R.C.P. Lond., of a son.

TAYLOR.—On Oct. 23rd, at Tun Bridge, Liphook, Hants, the wife ofJ. J. Taylor, M.A., M.D. Cantab., of a son.

DEATHS.CORBYN.-On Ot. 24th, at Lvpiatt Lawn, Cheltenham, Joserh

Christian Corbyn, Deputy Surgeon-General, late of the BengalMedical Service, in his 83rd year.

HAYES. -On Oct. 24th, at Audrey, Bognor, Thomas E. D. Hayes, M.D.,in his 74th year.

HOLLAND.-On Oct. 26th, at Fairview, Amberlev, Glos., EdwardWilmot Holland, B.A. Cantah., M.R.C.S., L.R.C.P. Lond., F.Z.S.

POPE.—On Oct. 2Sth, at Prebend-street, Leicester, Frank MontaguePope M.D., F.R.C.P., in his 57th vear.

WOOD.-On Oct. 22nd, at Grosvenor-street, Chorlton-on-Medlnck, Man-chester, John William Atkinson Wood, M.R.C.S., L.R.C.P.

N.B.-A fee of 5s. is charged for the insertion of Notices of Births,Marriages, and d Deaths.

Notes, Short Comments, and Answersto Correspondents.

HEALTH OF MALTA.

IN his report on the Malta Blue Book for the year 1911-12 the ChiefSecretary to the Government (Lieutenant-Colonel the Hon. E. P. S.Roupell, D.S.O.) states that the civil population on April 1st, 1912,was estimated at 215,332. The birth-rate for the year was 33’49 per1000, as compared with 36’12 per 1000 in 1910-11, and an average forthe last 12 years of 37’97 per 1000. The death-rate of the civil popula-tion wes 24’42 per 1000, as against 21’42 in 1910-11. The generalstate of health of the island during the year was satisfactory, exceptfor an extensive epidemic of measles and some cases of cholera. Of

the 7 small-pox cases (2 fatal) 2 were landed from ships. Theusual preventive measures were successful in checking the spreadof the infection. There was an increase in the number of enteric

fever cases (248, with 53 deaths), which were scattered over a con-siderable part of the islanl. The distribution of the cases ill

time and locality excludes all suspicions of contamination of

the public water-supply. There was a considerable epidemic ofmeasles-2891 cases, 144 deaths. Cholera infection was conveyed withthe immigration of some 2000 refugees from Tripoli and Cyrenaica.The outbreak was of a very short duration and very limited in

extent; the cases numbered 116 and the deaths 85. The preventivemeasures taken were successful in stamping out the disease. Mediter-ranean fever still shows a decrease among the civil population, andhas practically ceased altogether in the fleet and garrison. Duringthe year 15.341 goats and sheep were inspected by the sanitaryauthorities ; 386 were found infected and destroyed. The number ofvaccinations performed by district medical officers in Malta and Gozowas 4923, of which 4762 were successful. The death-rate amongstchildren under 12 months was 276’21 per 1000 births, as against 236’93in the previous year, the increase being mainly due to the epidemic ofmeasles. There was also a slight increase in the death-rate of childrenunder five years. The mean temperature for the year was 63’20. For thesummer months (June, July, August, and September) it was 75-9°,and for the winter months (January, February, and March) 55-30.The total rainfall was 24’230 inches. Earthquakes were felt locallyon Sept. 30th, Oct. 16th, and Nov. 15th, 1911; that on Sept. 30th didsome damage in Gozo to the façade of a church and to the barracksat Fort Chambray. The total number of persons admitted into the

hospitals and maintained in the charitable institutions of Malta andGozo (exclusive of staff) was 7422, as compared with 8182 in 1910-11.In addition to these, 130,699 persons were attended by the districtmedical officers at the Government dispensaries or at their own

homes, as against 119,893 in 1910-11. The deaths numbered 203 in theGeneral Hospital, 1 in the Seamen’s Hospital, 43 in the Santo SpiritoHospital, 61 in the Connaught Hospital, 48 in Manoel Hospital, and58 in Gozo Hospital,

A PRACTICE IN 1836.

THE question of medical remuneration in country districts in theearlier part of last century has not been much discussed, though weread frequent accounts of the kind of practice peculiar to the days ofthe Bob Sawyers and their like. It may afford a measure of grim con-solation to some harassed readers of THE LANCET to learn that, inNovember, 1836, a surgeon residing at Tirril, near Penrith, was fainto take care of an immense district for 230 per annum ! The practiceassigned to him, according to the Morning Herald of Nov. 21st, 1836,comprised a number of villages and hamlets, chiefly to the North andWest of Ullswater. These were Askham (four miles from his place ofresidence), Barton (a large district), Brougham (five miles), Chilburn(seven miles), Lower Winder (three miles), Patterdale, that lonelycorner of the world (nine miles), Martindale (seven miles), Crowther(four miles), Stockbridge, Yarmouth, and Eamont Bridge (threemiles), and the attendance of the union workhouse at Eamont. Inaddition to professional attendance on this vast and scattered round-for the several villages lie north, east, south, and west of Tirril-the unnamed surgeon was expected to supply all medicines free ofcharge. Moreover, he had doubtless to keep a horse, or horses, justas his successors in the Patterdale district to day keep motor-cycles,and often he must have been compelled to climb the boggyand trackless fells on the lakeside of Ullswater. "-It has

usually been said," comments the Cumberland Pacquet, quotedby the Herald, " that eleven pence out of the shilling is the doctors’profit: we should be sorry to give a penny out of the shilling forhis promts out of this magnificent salary if he but half perform theduty he has unlertaken." The quotation shows that in the daysof William IV., 230 was considered a mean remuneration by thejournalists. Yet the sum was offered and accepted, which goes to

prove that, in a remote and sparsely populated countryside, somemedical men were fain to work at labourers’ wages, and that only ayear before Queen Victoria came to the throne.