145

that it is impossible to place much reliance on them. In a

population stated at 197,202,012, 5,075,453 deaths were re-corded, being in the ratio of 25’74 per 1000. The death-rate ranged between 30’08 in the N. W. Provinces and Oude,and 17’30 in Mysore. In all the divisions except Assam,Lower Burmah, and Bombay it was lower than in the pre-ceding year. The increase in Bombay was trifling, but inAssam it amounted to 3 56 per 1000; it is impossible, how-ever, to say how far this was due to an increase in thedeaths, or to a more efficient working of the registration.The last quarter of the years appears to be much the mostfatal; of every 100 deaths recorded 22’09 occurred in thefirst quarter, 22-96 in the second, 24’32 in the third, and30’63 in the fourth. Of the causes of death, as registered,3,371,487 were fevers, giving a ratio of 17’10 per 1000 of thepopulation, and one-third of the total mortality. Choleragave a death-rate of 1’36 per 1000 ; bowel complaints, 1’27 ;small pox, 0’47 ; injuries and accidents, 0’44 ; and all othercauses of death, 5 -10 per 1000. Under the head of injuriesand accidents are included 24,348 deaths from snake-biteor of persons killed by wild beasts, being in the proportionof 12 35 in 100,000 of the population, and 10,276 bysuicide, or 5’21 per 100,000. This is about 1-5 per 100,000lower than in England, and is probably understated.The deaths from fevers ranged between 7’3 per 1000 inthe Madras Presidency and 23’89 in the North-WesternProvinces and Oude. In all the Provinces except Bengal,Assam, and Lower Burmah the ratio was lower than in1887. Bowel complaints furnished the lowest ratio in

Bengal and the highest in Assam, in the former being 0’78and in the latter 3’25 per 1000 of the population. Thereport goes into considerable detail regarding the prevalence,as estimated by the death-rate, of cholera. It was lessfatal than in the preceding year in all the provinces exceptAssam, Lower Burmah, Madras, Bombay, and the Punjab.Much the greatest increase was in Lower Burmah. Theeffect of the removal of troops and prisoners into camp whencholera broke out in the cantonments or gaols has been verysatisfactory. In seven instances among European troopsthe disease at once ceased, and in five others it wasquickly checked. In twenty moves of native troopsfourteen were immediately freed of the disease, three hadonly one fresh case, and in the other three it very soonceased. In the case of removal from gaols the results werenot quite so satisfactory. Eleven outof seventeen movementswere successful, but at Lahore, Chinawan, Rawal Pindi,Bassein, Moulmpin, and Pagan a second or third movewas found necessary.An account is given of the military and civil sanitary

works which have been undertaken or executed during theyear. There appears to be a steady though not very rapid,progress in these works, especially as regards water-

supply and drainage.

INTERNATIONAL MEDICAL CONGRESS.

THE Congress will be opened by a general meeting in theCircus Renz, Karlstrasse, at 11 A. M. on Monday, August4th. The general meetings on Wednesday and Saturdaywill be held at the same place. The meeting rooms of allthe sections will be located in the National Exhibition

buildings in Alt Moabit Strasse.The following is the programme :—

Saturday, August 2nd.—Opening of the Medico-SeientifieExhibition in the National Exhibition buildings, Alt MoabitStrasse.

-Ilonday, August 4th.—11 A.M.: Opening of the Congressin the Circus Renz, Karlstrasse. 4 P.M.: Constitution ofthe sections in the sectional meeting rooms in the NationalExhibition Park, Alt Moabit Strasse. 9 P. M. : Social re-union of members and ladies in the Exhibition Park.Tuesday, August 5th.—8 A M. to 5 P.M.: Sectional meet-

ings. 8 P.M.: Reception of members in the Rathhaus bythe Municipality of Berlin.Wednesday, August 6th.—11 A M.: General meeting,

Circus Renz. 3 P.M. to 5 P.1%1.: Sectional meetings.7 P.M.: Sectional dinners, to some of which ladies may beinvited.Thursday, August 7th.-8 A.M. to 5 P.M.: Sectional

meetings. 9 P. M. : Ball.Friday, August 8th.—8 A.M. to 5 p, M. : Sectional meetings,

Afternoon : Court reception at the New Palace at Potsdam,by special invitation.Saturday, August 9th.—8 A M. to 11 A n-t. : Sectional’

meetings. 12 noon: Final general meeting. 8 P.M.: Fare-well dinner to members of the Congress, given by membersof the profession in Berlin, in Krolls’ Garden in the Königs-Platz.Membership tickets authorise attendance at all scientifig-

meetings, and to the Museum. For all other meetingsspecial tickets must be obtained at the Central Bureau ofthe Congress. Lady relatives of members must send theirvisiting cards in making application.After Aug. 4th the Central Bureau will be located in the

Austellung’s Park N.W., Alt Moabit. Until then lettersfor the general secretary, exhibition, and lodging’s com-mittees are to be sent to Karlstrasse 19, Berlin N. W. ; forthe treasurer, to Leipziger Strasse 75, Berlin S.W.Telegrams and letters to members during the meeting of

the Congress should be addressed -Berlin N.W., AltMoabit, No. 4-10, Bureau des Congresses.A committee, formed by the wives of Berlin medical men,

will care for the convenience of all lady visitors. Membersof the committee will wear a special badge.The general addresses will be by—(1) Sir Joseph Lister,

Bart., The Present Position of Antiseptic Surgery; (2)Dr. Robert Koch, Bacteriological Investigation ; (3) M.Bouchard, The Mechanism of Infection and Immunity s.(4) Dr. Axel Key, The Relation of the Development ofPuberty to Diseases of School Life; (5) Dr. H. Wood, OnAnaesthesia ; (6) Signor Cantani, On Antipyresis ; (7) Pro-fessor Meynert, The Cooperation of the Parts of the Brain y(8) Professor Stokvis, On Colonial Pathology.The following English members will read papers &c.:—

Sir W. Turner, Professor Cunningham, Professor Schafer,Dr. Mott, Dr. F. Semon, Professor Horsley, Dr. Sher-rington, Mr. Ballance, Sir H. Acland, Dr. Lauder Brunton,Professor Grainger Stewart, Dr. Herman Weber, SirAndrew Clark, Dr. Pavy, Dr. Ord, Dr. Dreschfeld, Dr.P. Kidd, Professor Greenfield, Dr. A. S. Eccles, Dr. H.Ashby, Mr. Jonathan Hutchinson, Mr. Muirhead Little,Professor MacEwen, Dr. Galabin, Dr. J. Williams, Dr.Macan, Dr. Thos. Keith, Dr. Lloyd Roberts, Dr. MoreMadden, Mr. Stuart Nairne, Dr. Jas. Murphy, ProfessorSimpson, Dr. W. J. Sinclair, Dr. R. Bell, Dr. T. Buzzard,Dr. C. Beevor, Mr. H. W. Page, Dr. James Ross, Dr. W.A. Brailey, Dr. Grossmann, Mr. 0. M. Berry, Dr. Jas.Stewart, Dr. D. Newman, Mr. Malcolm Morris, Dr. ColcottFox, Dr. Brooke, Dr. Mapother, Dr. P. S. Abraham, Dr.Greene, Mr. Mummery, Mr. Hayman, Mr. G. Brunton,Mr. T. G. Read, Dr. A. W. W. Baker, Mr. G. Cunningham,Dr. Beaven Rake, Dr. Geo. Buchanan, Mr. Reginald Har-rison, and others.The general programme is now ready, and may be-

obtained on application to the general secretary, BerlinN.W., Karlstrasse 19.

MUSEUM OF THE COLLEGE OF SURGEONS.

THE usual exhibition of preparations that have been addedto the museum of the Royal College of Surgeons during theyear was held on the afternoon of the 3rd inst., during thetime of the election of members of Council; want of spaceprevented us from referring to this collection last week. Fromthe annual report of the Conservator, Professor Stewart, welearn that the additions to the museum, though perhaps lessnumerous, are quite as important as in previous years. Thefollowing may be mentioned as among the additions:-Sarcoma of the prostate gland, carcinoma of the apex ofthe bladder, squamous-celled carcinoma of the uterus, con-genital hydronephrosis, cystic kidney.

Nos. 715, B to H, include specimens illustrating a peculiarand hitherto scarcely known disease of goats. The mosi)lstriking feature of the disease is enlargement of the lowerjaw, by which the mouth is kept open.,

Among the more interesting additions, mention should, inthe first place, be made of a series of Egyptian boneswhich were collected in Lower Egypt by Mr. FlindersPetrie. They were obtained from a town called Gurob, and’their date is approximately B.C. 1300. Many of them showchanges produced by osteo-arthritis, a fact of interest,as it confirms the view of the antiquity of that disease,,