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Memoranclu7n of Arrangements made in England for the PublicTeaching of Vaccination, and for the granting of such Certi-ficates of Proficiency in Vaccination as will qualify the bea2.e2,s(if otherwise eligible) to be contracted with by Guarclaans andUverseers for the performance of Public Vaccination.

The stations at present established for educational purposesare all in places where there are recognised medical schools.They are stations where the appointed public vaccinator uni-formly attends in person, and where the annual number ofvaccinations, as compared with the number of vaccinating days,is sufficiently large to promise that the student, during hisperiod of attendance, will, as a rule, always find many casestogether for observation. They are stations from which vaccinelymph is furnished for the public service ; the vaccinators incharge of them having, for this purpose, been selected by theNational Vaccine Board to be members of the National VaccineEstablishment.The vaccinator of an educational vaccinating station, during

his attendance thereat, will exhibit and explain the course andcharacters of the vaccine vesicle, will practically teach the bestmethod or methods of performing vaccination, and of takinglymph for present or future use, will inculcate all precautionswhich are necessary with regard to the health of subjects pro-posed for vaccination, and with regard to the selection and pre-servation of lymph, and will give all such other instruction asis requisite for the scientific and successful performance of vac-cination and revaccination. During his course of instruction,he will make provision to ensure that always some cases comefor inspection on the tenth, as well as on the eighth day ; and,for the purpose of showing these cases to his pupils, he willgive, on the day appointed for their coming, a second weeklyattendance at his station. He will further enable and directeach pupil to see at least six cases of vaccination on at leasttwo other days of their progress-viz., both before the eighthand after the tenth day. In the teacher’s presence, and underhis direction, any pupil, aged not less than eighteen years, maytake part in vaccinating ; but not till he have attended thestation on at least two vaccinating days.Any person desirous of being admitted as pupil at an educa-

tional vaccinating station shall pay a fee not exceeding oneguinea, and thereupon receive a ticket entitling him to attendthe public vaccinations of the teacher. When the pupil hasattended at the station, during the times of vaccinating andteaching, for at least six weeks, the teacher, if satisfied of hisproficiency, shall, on receiving back his ticket, but withoutfurther payment, give him a certificate in the appointed form.At stations where the teacher is also authorized to give cer-

tificates of proficiency in vaccination to persons whom he hasnot himself instructed therein, such persons will, on appointedoccasions, be examined by the teacher, on payment of a fee notexceeding one guinea, and, if he find them competent, receivecertificates accordingly. In case of failure to pass this exami-nation, the candidate may be admitted to a second examinationon payment of a fee not exceeding half-a-guinea.The certificate of proficiency will be understood to imply-

and therefore the teacher who signs it will be careful to ascer-tain-that the person to whom it is given can skilfully vacci-nate, both with liquid lymph (including such as is preservedin capillary tubes) and also from ivory points; that he canproperly charge ivory points or capillary tubes with lymph;that he is aware of the relative advantages of recent and pre-served lymph, and of all precautions which are requisite inusing the latter; that, from amongst vaccinated subjects pre-sented for eighth-day inspection, he can select, and give reasonsfor preferring, those who are fittest to furnish lymph; that,besides being thoroughly familiar with all local changes which,from first to last, normally ensue on vaccination, he has learntwhat causes may accelerate or retard the local changes, or givethem undue severity, or otherwise render them irregular; thathe is well informed as to the constitutional effects of vaccina-tion (including the eruptions which sometimes follow it), andas to the treatment which cases of vaccination, under variouscircumstances, may require; that he knows how far the pro-tective influence of vaccination is affected by lapse of time, andhow far by the mode in which vaccination is performed-espe-cially by the number or size of vesicles,- and knows generallyunder what circumstances revaccination is to be recommended;finally, that he is acquainted with the laws and regulationsrelative to public vaccination, and understands the local ar-rangements which are necessary for maintaining a constantsupply of lymph.THE number of students entered at the Faculty of

Medicine, Paris, from the 2nd to the 21st of November, was 988.

PARISIAN MEDICAL INTELLIGENCE.

(FROM OUR CORRESPONDENT.)

PROFESSOR NÉLATON opened his lectures, in the Cliniquede l’Ecole de Medecine, by presenting a case before his audiencethe progress of which was watched with deep interest duringlast summer.A boy of the age of seventeen was brought into the hospital

whose left hand had been crushed between two cylinders of aprinting machine. All the carpal and metacarpal bones werebruised, the radio-carpal articulation opened, and the extensortendons lacerated. The hand presented more the appearanceof a bundle of disorganized tissues than that of an organizedlimb. The only circumstance which gave some faint hope ofsaving it was that most of the arteries escaped being torn.He, therefore, tried the plan of permanent irrigation. Thehand having been put into a piece of gutta percha, mouldedso as to keep the lacerated portion in juxtaposition, coldwater, conducted by means of a tube from a vessel suspendedover the bed, was kept dropping upon the hand for upwardsof two months, sphacelated portions being frequently removed,until the hand was in a fit condition to be dressed by means ofadhesive plaster. The boy has now the use of his hand, withonly partial anchylosis of the wrist and some of the fingers.’ In thus exhibiting the effect of permanent irrigation in con-

tused wounds of the extremities, Professor Nelaton remarkedthat this case is not an exceptional one, but that it was therule of his daily experience. By that agent he saved many alimb where formerly nothing but amputation would have beenthought of. This practice was extensively carried out twentyyears ago, and with marked success, by the late eminent armysurgeon, M. Baudens, at the Val-de-Grâce.There is at present a patient in the same hospital, whose

case is worthy of record. He is a man of the age of forty,who nine years ago received a blow with a parapluie uponthe left eye. He fell down, lost consciousness for about an hour,was bled, and ice applied to the wound. After fifteen days,inflammation disappeared, and the wound healed, leaving acicatrix upon the inferior border of the orbit, near the innerangle, about a millimetre and a half external to the puncta.He could not move the eye inwards; pupil dilated as in my-driasis. In that condition he presented himself to M. Des-marres, about three months after the accident, who, suspectinga foreign body within the orbit, made an exploratory puncture,and, in introducing a probe, discovered an angular projectionof a piece of bone within the orbit. Upon asking the patientwhether the parapluie was broken, he replied that he was con-vinced to the contrary, as it had been shown to him after theaccident, and he saw the iron barrel upon it; consequentlythere could not have been any part of it left within the eye.M. Desmarres gave his diagnosis accordingly, that it was a.

case of contusion of the superior maxilla, a portion of brokenbone pointing upwards. He made besides several unsuccessfulattempts to extract it by means of a crotchet, until at last hethought it best to leave it in statu quo. Thus far is the reportof Dr. Desmarres. (Trait6 de Maladies des Yeux, vol. i.,p. 104.)

Three years after the accident he came to Professor Nelaton,who enlarged the exploratory opening, and extracted the ivoryhandle of the parapluie. It is cylindrical in shape, about aninch and a half in length, and half an inch in diameter;weight, 184 grains. The wound healed, and the sight, thoughfailing a little, was pretty good until three years ago, whenit began to be inconveniently dim. The patient presentedhimself now with staphyloma of the sclerotic.

Professor Trousseau, of the Hotel Dieu, in his work ’’ OnTherapeutics," devotes a long article to the consideration ofthe Action of Iron in Chlorosis. He there discusses the ques-tion as to whether the iron passes directly into the blood andis precipitated into an oxide, restoring to the circulating fluidits deficient red globules, or whether it acts merely as a tonicand excitant upon the organs of digestion and innervation.But now his mind is changed with reference to that drug.He expressed himself recently in his clinique as opposed to theexhibition of iron, as he does not believe in its therapeuticeffect. He never saw a case where diet and vegetable bittersdid not answer the purpose; whilst, on the other hand, he didmeet with cases where the exhibition of iron hastened thedevelopment of tubercles.

In going through the wards with that physician, I was struckwith his marked predilection for belladonna. He prescribesit very frequently in the shape of cataplasms upon the abdo-men in peritonitis; whilst, internally, he exhibits the oil of

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turpentine in mucilage capsules, which is very convenient.He gives the belladonna in pills in epilepsy. I saw him alsocuring two obstinate cases of sciatica by means of repeated in-jections of a solution of atropine, (one grain of the neutralsulphate of atrophine to 100 grains of distilled water,) fromfive to ten drops to be injected into the muscular substancealong the course of the nerve by means of the syringe of Pravaz.He injects also the atropine into the intercostal spaces in casesof pneumonia when associated with neuralgic pain, whilst in-ternally he gives the kermes mineral.The wonderful little syringe which M. Pravaz, of Lyons,

devised for the injection of protochloride of iron into an aneu-rismal tumour, is now in daily use by the surgeons for theobliteration of varicose veins and in nævus, and by the phy-sicians in such cases as above mentioned.The tannate of bismuth, as a cure for diarrhoea, brought

before the notice of the Acadêmie de Medecine, by M. Cap, isnow being tried at the Hotel Dieu.

Pwris, Dec. th, 1859. ___ ______

Medical News.ROYAL COLLEGE OF SURGEONS.—The following Mem-

bers of the Royal College of Surgeons, having been electedFellows at previous meetings of the Council, were admitted assuch on the 8th inst. :-

BECHINGSALE, JOHN EDGAR, Newport, Isle of Wight; diplomaof membership dated Nov. 1st, 1833.

BLAKENEY, EDWARD HUGH, Brunswick-square; Jan. 20th,1832.

CAMPS, WILLIAM, Park-street, Grosvenor-square; May 8th,1840.

CARTWRIGHT, SAMUEL, Burlington-street; March 9th, 1838.CLARKE, BENJAMIN, Hackney; July 29th, 1842.CLARKSON, WILLIAM NICHOLSON, Whitby; April 18th, 1842.COWEN, HENRY LIONEL, Ceylon Rifles; Aug. 30th, 1839.HARSTON, ALFRED DEW, Islington; July 19th, 1839.KING, OSMER, Greenwich; May 31st, 1839.MICHELL, SLYMAN, Truro, Cornwall; April 15th, 1842MOSELEY, GEORGE, Gower-street; April 7th, 1843.NUGENT, RICHARD, Wolverhampton; Feb. 17th, 1843.OXLEY, ROBERT, Pontefract; Aug. llth, 1843.SMART, JAMES, Cambridge-heath; May 15th, 1843.SMITH. THOMAS HECKSTALL, St. Mary Cray, Kent; March 31st,

1843.STEWARD, JOHN, Wolverhampton ; March 6th, 1818.WILKINSON, CHARLES NELSON, Wandsworth; July 15th, 1842.WILLIAMS, JOHN, Bengal army, Feb. 5th, 1841.The following gentlemen, having undergone the necessary

examination for the diploma, were admitted members of theCollege at a meeting of the Court of Examiners on the 9th inst. :BARNES, THOMAS BUXTON, Thaxted, Essex; L.S.A. July 5th,

1827.BATTYE, PILCHARD FAWCETT, Warwick-st., Pimlico; L.S.A.

Nov. 23rd, 1843. !D-ULLEP,, WILLIAM BuRROws, Sutton, Isle of Ely; L.S.A.

May 8th, lb45. ’

BUNCH, JOHN JAMES, Wolverhampton ; L. S. A. May 25th, 1843.COCKER, JOHN, Blackpool, Preston, Lancashire; L.S.A. Dec.

13th, 1827.COOPER, THOMAS RICHARD, Oldbury, near Birmingham;

L.S.A. May 19th, 1831.,CULHA!1,1, JAMES, Drummond -street, Euston-square ; L.S.A.

August 1st, 1833.HAMPTON, EDWARD, Union-road, Southwark; L.S.A. Feb.

10th, 1853.HICKS, CHARLES, Smethwick, near Birmingham.JOHNSON, WALTER, Colchester; L.S.A. Feb. 21st, 1828.JONES, JOHN, Ilfracombe, Devon; L.S.A. May 21st, 181S.LARGE, JOSEPH, Oswestry; L.S.A. April 12th, 1833.Liy&, JOHN MITFORD, Saxmundham, Suflblk; L.S.A. Nov.

29th, 1838.MEREDITH, RiCHARD, Netherton, near Dudley, Worcestershire.PARSONS, CHARLES HENRY, Shelton, near Coventry; L.S.A.

Sept. 26th, 1&22.PHILLIPS, ERASMUS BENJAMIN, Hales Owen, Worcestershire;

L.S.A. Oct. Ist, 1829.SADLER, PETER LEIGH, Warrington, Lancashire; L.S.A. July

7th, 1853.SANDERS, THOMAS, Cheshunt.SEDSWICK, CHARLES, Hollingbourne, Kent; L. S. A. April 7th,

1853.

STORRAN, JOHN, Newbottle, Fence Houses, Durham; L.S.A.Dec, llth, 1830.

WINTERBOTHAM, JOHN, Castleton, Derbyshire; L.S.A. May10th, 1827.

LICENTIATES IN MIDWIFERY. — The following members ofthe College, having undergone the necessary examinations,were admitted Licentiates in Midwifery, at a meeting of theBoard on the 14th inst. :-

ANDREW, AUGUSTUS LITTLEWOOD, Munster; diploma of mem.bership dated July 19th, 1859.

BRINGLOE, JOHN, Camberwell; July 29th, 1859.Cox, HENRY, Gray’s-inn-lane; March llth, 1859.GARRINGTON, ARTHUR MEMFIELD, Portsmouth; Aug. 2nd,

1858.GLASIER, GEO. WM., Lincoln; July 15th, 1859.HAYWARD, HENRY, London; July 23rd, 1858.HENCHLEY, THOS. CAVILL WORSLEY, Pontlottyn, Rhymney,

Glamorgan; July 9th, 1855.LANE, WM. BEAMISH, Arlonstown, Kinsale, C. Cork; Dec.

2nd,1&59.MASON, JOHN BRIDGES, The Green, Richmond, Surrey; Nov.

5th, 1858. ,

MoRRIS, HENRY, Royal Berkshire Militia Regt. ; Feb. 23rd,1859.

STARKE, ANTHONY GEo. HAYDEN, Honiton ; Oct. 28th, 1859.TROTTER, CHAS. JoHN, Holmfirth; Dec. 6th, 1859.WATSON, WM. SPENCER, Southampton-street, Bloomsbury;

July 3rd, 1857.WY.NDOW-E, SAMUEL JARDINE, H.M.’s Indian Army; Jan. 2ith,

1854.

APOTHECARIES’ HALL.—The following gentlemen passedtheir examination in the science and practice of medicine, andreceived certificates to practise, on

Tltu2-sday, December 8th, 1859.CURTIS, WM., jun., Alton, Hants.DUKE, STEPHEN, Chichester.JAMESON, GEO. WM., Caistor, Lincoln.MAY, JOHN HENRY SQUARE, Plymouth, Devon.TRAVERS, WM., Poole, Dorset.

The following gentlemen also, on the same day, passed theirfirst examination :-

ADAMS, Tnos. RUTHERFORD, Kilkenny, Ireland. -

GANNON, JOHN PALMER, University College Hospital.HARDING, JOHN ALFRED, Bath, Somerset.MALLETT, WM. JAS., Bolton-le-Moors.WALKER, WM. HOLMES, Romford.WILLIAMS, EvAN EvANS, Llandyssil, near Carmarthen.

ROYAL COLLEGE OF PHYSICIANS, EDINBURGH.—Thefollowing gentleman, having undergone the necessary exami.nation, was admitted a Licentiate :-

JOHN STEWARD, F. R. C. S. E., L.S.A.L., Wolverliampton.ROYAL COLLEGE OF SURGEONS OF EDINBURGH.—The

following gentlemen were admitted Licentiates of the Collegeat last week’s examinations :-

JAZDOWSKI, BRONISLAS JAMES, Dungannon.LEVER, JAMES, King’s County.MILLER, GEORGE, Perthshire.

ROYAL MEDICAL SOCIETY, EDINBURGH.—The followingis a list of the newly-elected office-bearers of this Society :-President: Dr. H. Wilson. Vice—Presidents : Mr. A. Dickson,Mr. A. J. Mac Farlane, Mr. A. Smart. 7?OH. Treasurer : Mr.J. F. Mac Farlane. Hon. Secretaries : Nir. J. C. Browne andMr. W. Watson. Curator of the Library : Mr. R. H. Ramsey.Sub-Librarian : Mr. W. Thomson.

UNIVERSITY OF ST. ANDREWS.-We understand that,at their last monthly meeting, the Senatus of this Universityunanimously conferred the degree of Honorary Master of Artsupon Dr. B. W. Richardson. We believe that this is onlythe third occasion on which the University has conferred thishonour upon medical graduates; the two other cases, beingthose of the late Dr. Goldijig Bird, of London, and Dr. Hannay,of Glasgow.RADCLIFFE TRAVELLING FELLOWSHIP, CAMBRIDGE.-

Mr. Henry Matthews Tuckwell, B.A., of Lincoln College, has’ been elected to this fellowship. Mr. Tuckwell was the only

candidate placed in the first class in the school of NaturalScience at the second public examination, Easter term, 1856.This gentleman is a son of the late Mr. Tuckwell, a well-known

surgeon at Oxford.