506

THE LONDON COUNTY COUNCIL ANDMEDICAL AFFAIRS.

Medical Treräment (If School Children.AT its last meeting before the summer recess the London

County Council approved a scheme for the treatment, bymeans of X rays, of 50 ringworm cases a year at the

Royal Free Hospital, Gray’s Inn-road. The Education Com-mittee stated that under existing arrangements children

attending schools in West Islington and the adjoiningdistricts were referred to the Charing Cross Hospital fortreatment. The Royal Free Hospital would be more con-venient, and full advantage could be taken by children fromother parts of London of the accommodation set at liberty atCharing Cross Hospital. The arrangements made with otherhospitals provided that 100 cases a year should be guaranteedfor each clinical assistant working one half day a week, at acost of £ 85. The committee did not feel able to guaranteea sufficient number of cases for treatment at the Royal Free IHospital to justify the engagement of a clinical assistant forone half-day a week. The governing body was prepared toundertake 50 ringworm cases in 12 months at a charge to theCouncil of 17s. a case, including the services of a medicalpractitioner.

Schoolkeepers and Vaceination Exemption.At a meeting of the Education Committee held subsequent

to the adjournment of the Council a number of matters ofmedical interest were considered. Some discussion took

place with reference to the case of a school caretaker whohad made a statutory declaration of conscientious objectionto the vaccination of his child. Ultimately the committeeapproved a recommendation that-In view of the fact that, should an outbreak of small-pox occur,

children of schoolkeepers and caretakers would be more liable than otherchildren to contract and spread the disease, in all cases where membersof a caretaker’s household had not been vaccinated, vaccination shouldbe performed within 24 hours, or the school keeper should cease work,and he and all members of his household should vacate the premises, nosalary to be paid during absence.

jJ,Iedical Fees in Accident Cases.The committee approved a scale of fees to medical men for

first attendances upon school children meeting with acci-dents, fixing 3s. 6d. as payment for attendance on a childtaken to a surgery and 5s. for attendance on a child to whomthe medical man has been called. The Council holds itself

responsible for the payment to medical men of the fee for thefirst attendance upon scholars who are hurt at school, and itwas reported that the amounts claimed under this head hadvaried considerably hitherto.

Experimental School for Tnbermtlous Children.The Council on March 10th, 1910, agreed to an experi-

mental school for tuberculous children being conducted by. the Paddington Dispensary for the Prevention of Consump-

tion.1 It was proposed that the school should deal withchildren (1) suffering from tuberculosis, (2) predisposed totuberculosis, and (3) discharged from sanatoriuins and beingtreated at the dispensary. The Board of Education hadstated, however, that it was only prepared to give favour-able consideration to the scheme provided the school wasconfined to children having incipient phthisis, or having thedisease in a definite form, either of a subacute or chronicnature. The Board added that if the promoters were pre-pared to modify the scheme in this respect it would considerthe matter further. The committee agreed to the modifica-tion and decided to communicate with the dispensary.

Sane Epileptic Children.As reported in THE LANCET of July 9th, 1910, p. 117, the

committee decided on July 6th to ask the Home Secretary toreceive a deputation urging the need for legislation withregard to the care and control of the feeble-minded,particularly as to making provision for sane epilepticchildren, of whom it was estimated there were 600 of schoolage in London, certified by the medical officer (education) tobe fit for instruction, but as to two-thirds of them not inattendance at any school. It was reported that the GeneralPurposes Committee of the Council had cancelled theEducation Committee’s resolution as premature, the Council

1 THE LANCET, Feb. 19th, 1910, p. 525.

not having yet considered the report of the RoyalCommission.

Treatment of Affections of the Ear and Eye.A report was received on the scheme under which the

Queen Victoria Jubilee Institute of Nurses has undertakenthe treatment of children in Hackney, Shoreditch, andBethnal Green who are suffering from suppurating ears.aThe children’s care subcommittee stated that the resultswere not very satisfactory mainly owing to the difficulty ofobtaining the medical prescriptions necessary before treat.ment could be commenced. It was desirable to ascertain themost satisfactory method of dealing with children sufferingfrom a complaint which required attention two or three timesa day, and whether the Jubilee Institute of Nurses could beof assistance in this direction, and therefore the subcom-mittee recommended that another experiment should be madein Paddington, where several good dispensaries existed andwhere there would be less difficulty in obtaining medicalprescriptions. An agreement with the Paddington andDistrict Nursing Association for this purpose was approved.

Difficulty had been experienced in connexion with thetreatment of children suffering from affections of the eyeand ear at the Woolwich medical treatment centre, owing tothe failure of parents to carry out the instructions of themedical men as to the insertion of atropine in the eyes andthe syringing of the ears. The governing body of theWoolwich Cottage Hospital, which is responsible for thecentre, stated that the Woolwich Nursing Association waswilling to provide, for £ 40 a year, a nurse who would assistthe parents in carrying out the medical man’s instructions,The committee accepted the offer for six months.

METROPOLITAN HOSPITAL SUNDAYFUND.

THE following is a list of the awards for the year 1910 :-GENERAL HOSPITALS.

;t; 8. d.Charing Cross Hospital ............... 1019 13 4French Hospital....., ..........., ...... 340 4 2German Hospital ..................... 669 17 6Great Northern Central Hospital ............... 1140 8 4Guy’s Hospital ........................ 158818 4Hampstea<1 General Hospital................ 473 8 4Italian Hospital ........................ 221 7 gKensington General Hospital ............... 113 18 gKing’s College Hospital 1543 17 6London Homceopathic Hospital ............... 411 2 gLondon Hospital ............... 5941 13 4London Temperance Hospital ............... 65311 8MetropolitnHospital .................. 885 loo 0Mitdmay Hospital ..................... 24476 gMiller Hospital and Royal Kent Dispensary ......... 246 510North-West London Hospital ............... 181 2 6Phillips’ Memorial Homoeopathic Hospital ......... 47 18 4Poplar Hospital ..................... 616 4 2Prince of Wales’s General Hospital, Tottenham ...... 816 lo 0Royal Free Hospital ... "................ 1405 17 6St. George’s Hospital..................... 15451510SS. John and Elizabeth Hospital ............ 9913 4

St. John’s Hospital, Lewisham ............... 207 0 0St. Mary Hospital..................... 2267 8 4St. Thomas’s Hospital..................... 543 7 6Seamen’s Hospital Society .................. 1630 2 6The Battersea General Hospital ............... 78 11 8The Middlesex Hospital and Convalescent Home ...... 2523 510University College Hospital.................. 223416 8Walthamstow &c., Hospital............... 127 9 2Wandsworth, Bolingbroke Hospital ............ 326 1510West Ham Hospital.............., ...... 505010West London Hospital ............... 129116 8Westminster Hospital..................... 1243 18 4

SPECIAL HOSPITALS.CHEST HOSPITALS.

City of London Hospital for Diseases of the Chest, VictoriaPark ........................... 1103 310

Hospital for Consumption, Brompton 2911 0 4Mount Vernon Consumption Hospital, Hampstead ...... 1395 6 SRoyal Hospital for Diseases of the Chest, City-road ...... 547 4 2Royal National Hospital for Consumption (Ventnor)...... 23911 8Royal National Sanatorium (Bournemouth) ......... 9516 8

CHILDREN’S HOSPITALS.Alexandra Hospital for Hip Disease ......... ". 3091010BansteaR Surgical Home .................. 39 510Barnet Home Hospital .................. 45 0 10Belgrave Hospital for Children ............ 179 4 2Cheyne Hospital for Incurable Children........... 77 12 6East London Hospital for Children, Shadwell ......... 857 14 2

2 THE LANCET, Feb. 13th, 1909, p. 488.

507

B i. d.Evelina Hospital for Sick Children, Southwark ...... 34 10 0Home for Incurable Children, Hampstead ......... 44 1 8Home for Sick Children, Sydenham ............ 127 9 2

Hospital for Hip Disease, Sevenoaks ............ 57 10 0Hospital for Sick Children, Great Ormond-street ...... 1122 4 2Infants Hospital, Westminster ............... 179 4 2

Kensington, for Children, and Dispensary ......... 98 14 2

Paddington Green Hospital for Children ......... 268 6 8

Queen’s Hospital for Children, Hackney-road ......... 851 0 0

Royal Waterloo Hospital for Children and Women ...... 250 2 6St. Mary’s Hospital, Plaistow ............... 254 18 4 St. llonica’s Hospital, Brondesbury ............ 76 13 4 IVictoria Home, Margate .................. 34 10 0Victoria Hospital for Children, Chelsea ............ 7R4 12 6

LYING-IN HOSPITALS.British Lying-in Hospital, Endell-street ......... 124 11 8City of London Lying-in Hospital, City-road ......... 200 0 0Clapham Maternity Hospital and Dispensary ......... 38 6 8East-End Mothers’’Home .................. 91 0 10General Lying-In Hospital, Lambeth ............ 143 15 0Home for Mothers and Babies, Woolwich ......... 62 5 10Plai,tow Maternity Hospital ............... 43 2 6Queen Charlotte’s Lying-in Hospital, Marylebone-road ... 506 0 0

HOSPITALS FOR WOMEN.Chelaea Hospital for Women ............... 314 6 8Grosvenor Hospital for Women and Children, Vincent-square ..... 161 19 2

Hospital for Women, Soho-square ............ 299 19 2New Hospital for Women, Euston-road ............ 345 0 0Samaritan Free Hospital, Marylebone road ......... 386 4 2

OTHER SPECIAL HOSPITALS.Cancer Hospital, Brompton ............... Nil.Central London Ophthalmic Hospital, GraV’s Inn-road ... 158 2 6Central London Throat and Ear Hospital, Gray’s Inn-road... 9 11 8Female Lock Hospital, Harrow-road ............ 201 5 0Gordon Hospital for Fistula, Vauxhall Bridge-road...... 30 13 4Hospital for Epilepsy, Paralysis, and other Diseases of theNervous System, Maida Vale ............... 241 10 0

London Fever Hospital, Islington ............... 287 10 0London Throat Hospital, Great Portland-street ...... 22 0 10Middlesex Hospital, Cancer Wing..... 225 4 2National Dental Hospital, 149, Great Portland-street ... 52 14 2National Hospital for the Paralysed and Epileptic...... 89J 5 10National Hospital for the Diseases of the Heart, Soho-square .................. 157 3 4

Royal Dental Hospital of London ............... 305 14 2Royal Ear Hospital, Dean-street ............... 40 5 0Royal Eye Hospital, St. George’s-circus ............ 308 11 8Royal London Ophthalmic Hospital, City-road ...... 978 9 2Royal National Orthopaedic Hospital, Great Portland-street 399 12 6Royal Sea Bathing Hospital, Margate ............

172 10 0Royal Westminster Ophthalmic Hospital. Charing Cross ... 113 1 8St. John’s Hospital for Diseases of the Skin ......... 71 17 6St. Mark’s Hospital for Fistula, City-road ......... 278 17 6St. Peter’s Hospital for Stone, Covent Garden ...... 126 10 0West End Hospital for Diseases of the Nervous System ... 554 17 6Western Ophthalmic Hospital, Marylebone-road ..... 112 2 6

CONVALESCENT HOSPITALS.All Saints’ Convalescent Hospital, Eastbourne......... 383 6 8All Saints’ Convalescent Home, St. Leonards-on-Sea ... 23 19 2Ascot Priory Convalescent Home ............... 81 9 2Brentwood Convalescent Home for Children ......... 10 10 10Charing Cross Hospital Convalescent Home, Limpsfield ... 58 9 2Chelsea Hospital for Women Convalescent Home, St.Leonards ........................ 46 0 0

Deptford Medical Mission Convalescent Home, Bexhill ... 17 5 0Friendly Societies’ Convalescent Home, Dover ...... 95 16 8Hahnemann Convalescent Home, Bournemouth ...... 28 15 0Hanwell Convalescent Home ............... 12 9 2Hastings, Fairlight Convalescent Home............ 28 15 0Hendon, Ossulston Home .................. 59 8 4Herbert Convalescent Home, Bournemouth ......... 19 3 4Herne Bay Baldwin-Brown Convalescent Home ...... 57 10 0Homoeopathic Hospital Convalescent Home, Eastbourne ... 9 11 8Hemel Hempstead Convalescent Home ............ 19 3 4London Hospital Convalescent Home, Tankerton ...... 68 0 10Mary Wardell Convalescent Home for Scarlet Fever...... 57 10 0Metropolitan Convalescent Institution, Walton ...... 383 6 8

Ditto Ditto Broadstairs...... 249 3 4Ditto Ditto Bexhill...... 444 13 4

Metropolitan Hospital Home, Cranbrook ......... 9 11 8Mrs. Gladstone’s Convalescent Home, Mitcham ...... 76 13 4Mrs. Kitto’s Convalescent Home, Reigate ......... 47 18 4Police Seaside Home, Brighton ............... 51 15 0St. Andrew’s Convalescent Home, Clewer ......... 95 16 8St. Andrew’s Convalescent Home, Folkestone ......... 172 10 0St. John’s Home for Convalescent and Crippled Children,Brighton ........................ 33 10 10

St. Joseph’s Convalescent Home, Bournemouth ...... 43 2 6St. Leonards-on-Sea Convalescent Home for Poor Children 95 16 8St. Mary’s Convalescent Home, Broadstairs ......... 143 15 0St. Mary’s Convalescent Home. Shortlands ......... 21 1 8St. Michael’s Convalescent Home, Westgate-on-Sea ...... 33 10 10Seaside Convalescent Hospital, Seaford ............ 115 0 0

COTTAGE HOSPITALS.Acton Cottage Hospital..... 96 15 10Beckenham Cottage Hospital ..... 76 13 4Blackheath and Charlton Cottage Hospital ......... 76 13 4Bromley, Kent, Cottage Hospital............... 125 10 10Bu’hey Heath Cottage Hospital- ............... 39 5 10Canning Town Cottage Hospital .... 90 1 8Chislehurst, Sideup, and Cra . Valley Cottage Hospital ... 69 0 0 IColdash Cottage Hospital ..... 21 1 8

je d.Ealing ........................... 82 8 4East Ham Cottage Hospital....., ............ 68 0 10Eltham Cottage Hospital ..... 71 17 6EnneldCottageHospital .................. 76 13 4Epsom and Ewell Cottage Hospital ............ 43 2 6Hounslow Cottage Hospital.................. 43 2 6Livingstone Dartford Cottage Hospital............ 91 0 10Kingston, Victoria Hospital ..... 83 7 6Mildmay Cottage Hospital.................. 48 17 6Reigate and Redhill Cottage Hospital ............ 109 5 0Sidcup Cottage Hospital ..... 33 10 10Tilbury (Passmore Edwards) Cottage Hospital......... 47 18 4Willesden Cottage Hospital.................. 105 8 4Wimbledon Cottage Hospital ..... 61 6 8Wimbledon (South) Cottage Hospital ............ 50 15 10Wood Green Cottage Hospital ............... 72 16 8

INSTITUTIONS.All Saints’, High gate .., .................. 29 14 2Firs Home, Bournemouth.................. 36 8 4Free Home for Dying, Clapbam ..... 112 2 6Friedenheim Hospital for the DVing ............ 299 0 0Hospital for Invalid Gentlewomen, Harley-street ...... 92 19 2Invalid Asylum, Stoke Newington ............ 31 12 6Royal Mineral Water Hospital, Bath ............ 57 10 0Santa Claus House, Highgate ............... 59 8 4St. Catherine’s Home, Ventnor ............... 19 3 4St. Luke’s House, Pembridge-square ............ 154 5 10St. Saviour’s Hospital and Nursing Home ......... 95 16 8Winifred House, Holloway.................. 59 8 4

DISPENSARIES.Battersea Provident Dispensary ............... 194 10 10Billingsgate Dispensary .................. 55 11 8Blackfriars Provident Dispensary............... 18 4 2Bloomsbury Provident Dispensary ............ 15 6 8Brixton.&o..Dispensary .................. 46 19 2Brompton Provident Dispensary............... 20 2 6Buxton-streetDispensary .................. 15 6 8Camberwell Provident Dispensary ............ 75 14 2Camden Town Provident Dispensary ............ 14 7 6Chelsea, Brompton, and Belgrave Dispensary ......... 38 6 8Chelsea Provident Dispensary ............... 13 8 4Child’s Hill Provident Dispensary............... 12 9 2City Dispensary ..................... 57 10 0Clapham General and Provident Dispensary ......... 24 18 4Deptford Medical Mission .................. 23 0 0Eastern Dispensary ..................... 43 2 6East Dulwich Provident Dispensary ............ 53 13 4Faxringdon General Dispensary ............... 46 0 0Finsbury Dispensary..................... 46 19 2Forest Hill Provident Dispensary............... 35 9 2Greenwich Provident Dispensary............... 30 13 4Hackney Provident Dispensary ............... 21 1 8Hampstead Provident Dispensary............... 46 19 2Holloway and North Islington Dispensary ......... 9 11 8

Islington Dispensary..................... 53 13 4

Islington Medical Mission .................. 50 15 10Kennington and Vauxhall Provident Dispensary ...... 13 8 4Kensal Town Provident Dispensary ............ 11 10 0Kentish Town Medical Mission ...... 21 1 8Kilburn, Maida Vale, and St. John’s Wood Dispensary... 35 9 2Kilburn Provident Medical Institution ............ 47 18 4London Dispensary, Spltal6elds ............... 15 6 8London Medical Mission, Endell-street ............ 104 9 2Margaret-street, for Consumption............... 31 12 6

Metropolitan Dispensary .................. 60 7 6

Mildmay Medical Mission Dispensary ............ 12 9 2

Notting Hill Provident Dispensary ............ 18 4 2

Paddington Provident Dispensary............... 34 10 0Public Dispensary, Drury-lane, W.C............. 34 10 0

Queen Adelaide’s Dispensary ............... 24 18 4

Royal General Dispensary .................. 28 15 0

Royal Pimlico Provident Dispensary ............ 39 5 10

Royal South London Dispensary ............... 44 1 8St. George’s, Hanover-square, Dispensary ......... 31 12 6

St. John’s Wood Provident Dispensary............ 47 18 4St. Marylebone General Dispensary ............ 47 18 4

St. Pancras and Northern Dispensary ......... 35 9 2

South Lambeth, Stockwell, and N. Brixton Dispensary... 31 12 6

Stamford-hill, Stoke Newington Dispensary ......... 47 18 4Tower Hamlets Dispensary.................. 43 2 6

Walworih Provident Dispensary ............... 13 8 4Wandsworth Common Provident Dispensary ......... 12 9 2Westbourne Provident Dispensary ......... 18 4 2Western Dispensary ..................... 76 13 4

Western General Dispensary ............ 91 0 10West Ham Provident Dispensary ............... 11 10 0Westminster General Dispensary ............ 46 0 0

Whitechapel Provident Dispensary ............ 33 10 10Woolwich Provident Dispensary ............... 40 5 0

NURSING ASSOCIATIONS.Belvedere, Abbey Wood .................. 7 11 6Brixton ..... 30 6 0Central St. Pancras .................. 22 14 6

Chelsea and Pimlico..................... 22 14 6East London ........................ 189 7 6Hackney........................... 22 14 6

Hammersmith ........................ 53 0 6

Hampstead ........................ 22 14 6

Isleworth........................... 15 3 0

Kensington ........................ 53 0 6

Kilburn ,.. 711 6

Kingston ........................’ .. 30 6 0 London District ..................... 310 116 6

Metropolitan (Bloomsbury)..... 22 14 6

508

......... &pound; s. d.NorthLondon ........................ 60 12 0Paddington and Marylebone ............... 7 17 6Peckham ........................... 15 3 6Plaistow ............ 136 7 0

(Maternity) ......... ,...., ...... 174 4 6Rotherhithe ........................ 15 3 0St. Olave’s (Bermondsey) ...... "......, ... 30 6 0Shoreditch ........................ 45 9 6Sick Room Helps Society ..... 22 14 0Silvertown ........................ 22 14 0South London (Battersea) .................. 53 0 0Southwark ........................ 3717 6South Wimbledon ..................... 45 9 6Tottenham ........................ 711 6Westminster ..................... 30 6 0Woolwich........................... 30 6 0

ASYLUM REPORTS.

Fife and Kinross District Board of Lunacy (AnmcalReport for the Year ending July 31st, 1909).&mdash;The averagedaily number resident at the Fife and Kinross District

Asylum for the period reported upon was 611, of whom 292were males and 319 females. There were admitted 159

patients, this being the highest number in the history of theasylum. The figures show that the increase is due to aremarkable rise in the number of male admissions. Ninety-three persons were discharged, the number of those dis-

charged recovered being 54, or 33’9 per cent. of the admis-sions. It appears that the change in the character of thecases now placed under care has produced, as one of itsresults, a marked lowering of the recovery rates. The deathsnumbered 38, this being 6’2 per cent. of the average dailynumber resident. More than half of the persons who diedwere over 60 years of age. The report has this year beendelayed in publication owing to the unfortunate illness ofDr. A. R. Turnbull, the medical superintendent.

County and City of Worcester Lunatic Asylum, Powick(Annual Report for the Year 1909).-At this asylum theaverage number resident was 935. Admissions numbered109. Fifty-three patients were discharged during the year,and of this number 34 were discharged recovered. Deathsnumbered 77, being a percentage of 8.2 on the averagenumber resident. Pulmonary tuberculosis accounted for 13per cent. of the deaths, and it may be noted that the Com-missioners in Lunacy reported with regret that they sawphthisical cases being treated in bed in the associateddormitories. They express a hope that means may be foundto provide for the treatment of such patients in -the open airor in some form of segregation. It is satisfactory to noticethat post-mortem examinations were made in 73 out of the77 deaths.

Eastern Counties Asylum for Idiots, Imbeciles, and theFeeble-minded, Colchester (Annual Report for the Ytar 1909).-At this asylum the average daily number in residence was336, as against 326 in the previous year. Twenty-five personswere admitted. The total number of deaths was eight, whichis a considerable reduction upon former years. For the lastfour years the death-rate per 1000 has been 18-9, a fact ofwhich the medical officer, Dr. F. Douglas Turner, writes withpride. The rate is certainly a striking one when the poorvitality and resisting power of this class of patients isremembered. No deaths from any form of tuberculosisoccurred during the year, and during the last four yearsthe total number of deaths from this cause has only beenfour, the rate being one-fifteenth of what it was before1905.

Lunatic Asy11lm for the County Boro2cgh of Leicester,West Humberstone (Annual Report for the -4,-ear 1909).&mdash;At this asylum the average number daily resident was 716.The admissions during the year numbered 161. The dis-

charges numbered 73 and the percentage of recoveries on theadmissions, excluding patients transferred from otherasylums, was 33 &deg; 38. The deaths numbered 85, the rateestimated upon the average number resident being 11-87.The death-rate has been higher than in any year since 1900,and amongst those who died were a large number of oldchronic cases. Fourteen deaths occurred in patients over 70years of age. The Commissioners observe with regretthat many patients suffering from phthisis undergo treat-ment in the general wards, and they recommend thatverandahs be provided for the open-air treatment of suchcases.

CENTRAL MIDWIVES BOARD.

SPECIAL meetings of the Central Midwives Board wereheld at Caxton House, Westminster, on July 19th, 20th, and21st, Sir FRANCIS H. CHAMPNEYS being in the chair.The following midwives were struck off the roll: Lottie

Bloomer, that being in attendance as a midwife at a

confinement, the patient suffering from severe rigor andabdominal pain, she did not explain that the case was

one in which the attendance of a registered medical

practitioner was required, nor did she hand to the husbandor the nearest relative or friend present the form of sendingfor medical help, properly filled up and signed by her, inorder that this might be immediately forwarded to a

medical practitioner, as required by Rule E. 19 (4). AnnBriggs,- that being in_ attendance as a midwife at a confine-ment, the perineum being seriously ruptured, she did not act asrequired by Rules E. 18 and 19 in regard to sending for a doctor,Ellen Briggs, that being in attendance as a midwife at a con.finement, the child suffering from inflammation of the eyes,she did not act as required by Rules E. 18 and 19 in regard tosending for a doctor. Sarah Collings, that being in attend.ance as a midwife at a confinement, the patient sufferingfrom post-partum haemorrhage, she did not act as required byRules E. 18 and 19 in regard to sending for a doctor. MaryDenver, that having, with intent to evade supervision andinspection, notified the local supervising authority in 1907 ofher intention to cease practice as a midwife, and to practisein future only under the supervision of a registered medicalpractitioner, she had nevertheless since practised as a

midwife, and in cases where a doctor had been onlycolourably engaged, without notifying the local supervisingauthority. Mary Jane Evans, that being in attendance as amidwife at a confinement, the patient suffering from severerigor and vomiting, she did not act as required by Rules E. 18and 19 in regard to sending for a doctor. Sarah Hook,that she was uncleanly in her person, clothing, and house,Sarah Jarvis, that being in attendance as a midwife at a con.finement, the patient suffering from constant diarrhoea andfrom pain in the breasts during her attendance, she did notact as required by Rules E. 18 and 19 in regard to sendingfor a doctor. Susannah Longney, that being in attendanceas a midwife at a confinement she was under the influence of

drink, and incapable of performing her duty as a midwife.Mary Staveley, that notwithstanding repeated warnings shepersistently neglected to provide herself with the bag,

. appliances, and antiseptics required by Rule E. 2. Jane

Taylor, that being in attendance as a midwife at confinementsshe did not take the temperature of her patients, being unable

’

to use a clinical thermometer, having neglected to learnhow to do so in spite of previous warnings. Isabella Tinker,that having been engaged to attend a woman in an

approaching confinement, and having been sent for on

March 21st, 1910, when she ascertained that the presentationwas abnormal, she did not act as required by Rules E. 18 and19 in regard to sending for a doctor. Rachel Yates, thatbeing in attendance as a midwife at a confinement, thepatient suffering from persistently offensive lochia with

high temperature, she did not act as required by Rules E.18 and 19 in regard to sending for a doctor. CharlotteBates, that being in attendance as a midwife at a con.

finement, the child suffering from inflammation of the

eyes, she did not explain that the case was one inwhich the attendance of a registered medical practitioner was required, nor did she hand to the husband orthe nearest relative or friend present the form of send.ing for medical help properly filled up and signed byher in order that this might be immediately forwardedto a medical practitioner, as required by Rule E. 19 (5).Ada Chivers, that she persistently neglected, after beingduly warned, to provide herself with the equipment,appliances, and antiseptics required by Rule E.2. EmmaFrost, that being in attendance as a midwife at a con-

finement, the patient being ill suffering from headache,abdominal pains, and vomiting, she did not act as requiredby Rules E. 18 and 19 in regard to sending for a doctor.

Margaret Aldred, Louisa Thomas, Elizabeth Jane Haines,Sarah Harvey, and Ellen Potter were censured after chargesalleged against them had been considered.Mary Ann Byfield, Christian Shaw, Mary Warburton, and

Annie Jane Hewitt were cautioned after charges allegedagainst them had been considered.