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deals with heliotherapic treatment in non-tuberculousdiseases, such as rickets, general debility and anæmia.syphilis. open wounds, and lymphadenoma. Mostcases of this last disease come under his care diagnosedas tuberculous adenitis, and in the majority a favour-able, though temporary effect is observed, the generalhealth improving and the disease appearing to bearrested.

Dr. Rollier’s book is a magnificent object-lesson ofwhat can be done by the intelligent cooperation ofmedicine and sunshine, and the principles which hehas worked out have world-wide application.

HANDBOOK OF SANITARY LAW.

By B. BURNETT HAM, M.D., D.P.H. Ninth edition.by HENRY R. KENWOOD, C.M.G., M.B., F.R.S.Edin., D.P.H., Chadwick Professor of Hygiene andPublic Health, &c. London : H. K. Lewis and (o.,Ltd. 1923. Pp. xxviii.-244. 5s.

THIS useful little manual contains the concentratedessence of sanitary law for the use of medical students who are taking the diploma of public health. It should serve its purpose well. To post up in a publica- tion of this kind the latest changes of the legal kaleido-scope must, however, be a heart-breaking task.Several pages, for example, are devoted to the Sale ofFood Order, 1921, which has now only a limitedoperation. Part II. of the Order has now been replacedby the Sale of Tea Act, 1922 ; the bacon and hamprovisions of Part III. are dead; so are Parts IV.and V., which dealt with jam and fats. These changesoccurred early in September, 1922, but were apparentlytoo recent for inclusion. Again, almost all thereferences in this handbook to statutes about educationand the employment of children require correctionsince the operation (on Oct. 1st, 1922) of the bigrepealing and consolidating Act of 1921. No betterillustration of the intricacy of our sanitary law, towhich we refer in a leading article this week, could befurnished. The clamant need of applying theconsolidating process to our public health legislationhas frequently been emphasised of late. We observe ethat the preface to the original edition of this hand-book pointed in the same direction 24 years ago.

TUBERCULOSIS.

The Cure of Tuberculosis and Its Mixed Irrfectiorzs. by Cutaneous Inoculation (Die Heilung der

Tuberkulose und ihrer Mischinfektionen durchKutanimpfung.) By Sanitätsrat Dr. Med. W.PONNDORF. Leipzig : F. (’. W. Vogel. 1923.Pp. 189. ()s.

’ THE treatment advocated by the author is theinoculation of vaccines into scarifications on theo-Lit4f-,--’ spect of the arm. He uses two vaccines." -A- ’- is for pure tuberculosis, and" B." whichconsists of the constituents of ’’A" plus the endo-toxins of streptococci, staphylococci. pneumococci.and influenza bacilli. is for tuberculous mixedinfections. By "tuberculous mixed infections " theauthor means almost every infectious disease towhich man is prone. Although he has given morethan 50.000 inoculations in the course of more thanten years, he has not once seen sepsis supervene, andhe has only thrice observed anaphylactic shockfollow the inoculation of tuberculin. The foundationof his system is the hypothesis that the skin is capableof reacting to the local application of toxins withvarious immunising responses. To prove his case

Dr. Ponndorf does not stoop to the use of statistics ; lie had not time to prepare a statistical analysis of all Ihis cases. And to make good the dehciency—if it bea deficiency—he has filled his book with reports of agreat number of illustrative cases. The most renxark-able feature of this collection is its polymorphism.It contains all. or nearly all, the pure manifestations ,of tuberculosis. There follows an almost intinitevariety of diseases all responding to the author’s

treatment in a manner delightfully simple and;uniform. Only when he discusses pulmonary tubercu-losis in the last stage does his optimism seem to flag..and even here he has been able to prolong life andmitigate symptoms. The work of Prof. Sahli and otherssuggests that tuberculin given through the skin mayhave a delinitely beneficial effect. and Dr. Ponndorfmay be on the right track. But there is an atmosphereof the Arabian Nights in his book which is apt todazzle the reader.

JOURNALS.

JOURNAL OF LARYNGOLOGY AND OTOLOGY. Januarvand February, 1933.—The Januarv number openswith a summary by Dr. Henry Hall Forbes, of NewYork, on the present status of radium in laryngealand oesophageal cancer in the United States. The

impression given is that a certain number of casescan be definitely improved, that in a few a dis-appearance of the growth has resulted, and that in theopinion of some observers pre-operative radiation is.of great value. The method most in favour for thetreatment of laryngeal cases is to bury needles orsmall capsules containing emanation. Useful technicaldetails are given.-Sir William Milligan contributes.an article on the diagnosis of septic sinus thrombosis.The temperature record is one of the most importantand reliable of diagnostic signs ; an almost continuous,or at least two-hourly, record should be kept. Frequentoscillations of from 1° to 3° are quite common incommencing thrombosis, whereas sudden oscillationsof more than 1 ; are unusual in uncomplicatedmastoiditis. Rigors only occur in about half thecases, and their absence should by no means negativeexploration. A feeling of chilliness, with cold handsand feet. is an important symptom. Slight engorge-ment of the retinal veins is a valuable sign, whichcan only be estimated by daily examination. A highdegree of leucocytosis is suggestive of pus, but by nomeans necessarily of pus in the sinus. In very rarecases septic thrombosis may occur when there hasbeen but a fleeting tympanic suppuration, and afterthe membrana tympani has already healed.-MajorW. S. Fatten gives an account of the identification ofthe diptera which cause naso-pharyngeal and auralmviasis in man. which should be of use to prac-titioners within the tropics.-Sir StClair Thomsonprovides a

’’ critical review " on aperiodic spasmodicrhinitis, based on a Paris thesis by Dr. Georges Dherson the treatment of this condition by hypodermicinjection of the patient’s own serum.The February number opens with some further

remarks by Dr. Irwin Moore on angeiomata of thelarynx. supplemental to a review of the subjectwhich appeared in the Journal of Laryngology lastyear. He concludes that the intra-laryngeal removalof sessile angeiomata is a dangerous procedure owingto the risk of secondary haemorrhage.—Dr. T. RitchieRodger discusses the pathological effects of excessive esounds on the cochlear apparatus. From an examina-tion of 48 boiler-makers in Leith he found that, inlads who alleged that they were not at all deaf, therewas always some diminution of hearing for forks of419 and 512 vibrations per second, corresponding tothe pitch of the noises predominant in the shops.In men who had been at the work from 10 to 30 yeaisthere was some depreciation all along the scale, butmore marked for the medium forks ; while in veryadvanced cases the depreciation was uniform. Hebelieves that these findings, together with the resultof experiments on guinea-pigs exposed to continuoussounds, give support to Eelmholtz’s resonance

theory of audition.—Mr. Francis Muecke reportstwo cases of temporo-sphenoidal abscess, withrecovery : and Dr. F. G. Wrigley a case which diedwith symptoms of peritonitis on the third day afterthe abscess was opened.—Mr. lIerbert Tilley describestwo fatal cases of osteomyelitis of the frontal bone.both of which occurred after operation on themaxillary antrum. and in both of which the frontaland ethmoid sinuses were previously diseased.