1
737 Western Company is at pains to explain that the passenger guards, of whom only 10 per cent. make longer duty than twelve hours at all, and none so long as eighteen hours, work short time on one day to balance the overtime of another. The plea is not a very sufficient one, for chance leisure realised at irregular intervals is comparatively ’, worthless for the purposes of recuperation. But such as it is, it serves to show how cruel, even under the official point of view, is the infliction of uncompensated overtime upon 90 per cent. of the company’s far more numerous engine-drivers and firemen, who between them made overtime beyond the twelve hours of over 85,000 hours during the month of January, or at the rate of twenty-two hours per man. What the same manager can mean by saying, a propos of this fact, that " every man whose duty is at any time unduly prolonged has only to seek for relief to obtain it " we are at a loss to imagine. The machinery of relief which he is at pains to describe must be singularly inefficient, to judge it by results. We are much averse, in the abstract, to the intervention in matters of this sort of the Legislature with legal regulations and restrictions upon the hours and conditions of labour, but we think that public opinion should make itself unmistakably heard on such a point, so that persons in the quasi-public position of railway directors might feel that they could only exact a tale of labour such as is described in the present return under the penalty of public execration. SELF-MEDICATION. ON the 7th inst., an inquiry was held at Higginshaw near Bolton, on the body of James Frederick Smith, an engine-fitter, who died on the 5th inst., another victim to the habit of self-medication. The deceased, it seems, suffered from gout, and by the advice of a companion sent to a herbalist for one ounce of colchicum seed, one drachm of iodide of potassium, slippery elm, and guaiacum, 4d. being paid for the ingredients. The deceased placed the drugs in boiling water and drank the decoction, death, as before stated, resulting. The herbalist, in his evidence at the inquest, said that he did not label anything "Poison," because he was not allowed to sell it. The jury returned a verdict of " Accidental death." Colchicum is a favourite and valuable remedy in gout, but when (as in the case under notice) an ignorant man, by the advice of an equally ignorant comrade, takes what is calculated as sixteen times the usual medicinal dose of the drug, the consequences may easilv be foretold. SMALL-POX ISOLATION AT SWINTON. AT Swinton, Yorks, a disused brick "hovel" connected with an old pottery was hurriedly converted into a small- pox hospital towards the close of last year, and the work, including the provision of a wooden administrative cottage, would appear to have been creditably carried out. But the story of the building embodies some important lessons. No isolation hospital could be pressed upon the sanitary authority with any success until small-pox infection became a real danger. Then it was that Mr. W. M. Jones, the medical officer of health, succeeded in showing, by certain calculations, how great would be the mere money loss if small-pox did invade Swinton. But this did not secure the hospital; it only obtained for him the authority to at once call the board of health together as soon as a case had actually arisen. This tardy action had to be dearly paid for, for when the disease appeared no hospital was ready, and a number of cases, including three deaths, took place before the building was available. It was, however, completed with considerable speed, and, unlike most such buildings, it largely served the purpose of checking the epidemic. It now remains to be seen how far an emergency hospital of this sort will really meet the permanent requirements of the district-that is to say, whether first attacks of diseases such as scarlet fever, and which cause a far greater mortality in our midst than small-pox does, will be isolated in it, or whether, like many other such buildings, it will be shut up as soon as the small-pox panic is over, the district remaining as regards other infectious diseases, without means of isolation as heretofore. We hope this may not be the case; but a disused pottery hovel, even when substantial, is not, as a rule, the sort of building to attract the infectious sick, and if it fail in this respect, its provision may, in the end, turn out to have been the reverse of a permanent benefit to the district. ___ DIABETES INSIPIDUS IN A YOUNG CHILD. DR. JULIUS WEISZBARTH of Buda-Pesth publishes in a Hungarian medical journal an account of a case of diabetes insipidus occurring in a little girl of only four and a half years of age. The daily quantity of urine was from about six to thirteen litres, the specific gravity being about 1002, and no abnormal constituents being found in it. The chief symptom was the violent and unquenchable thirst, the quantity of water drunk varying from eight to ten litres per diem. When attempts were made to withhold liquid, the child became most distressed with thirst. She always seemed better when allowed to have as much to drink as she wished. By adding quinine to the water the quantity was reduced to three litres and a half, but only for a day or two, for as soon as the child became accustomed to the bitter taste she drank as freely as before. No medication appeared to have any effect on the disease. After being about six weeks in hospital the child succumbed to an attack of diphtheria. Before death the quantity of urine passed diminished, as also the excessive thirst. The post-mortem examination revealed slight oedema of the medulla oblongata, diph- theria of the fauces and nares, strumous disease of the mediastinal and bronchial glands, tubercle in the lungs, bronchial congestion, hypertrophy and induration of the liver, chronic catarrh of the stomach, follicular enteritis of the large intestine, hypertrophy of the muscular structure of the bladder, and dilatation of the ureters. CHURCH BELLS AND SALVATION ARMY DRUMS. OCCASIONALLY one finds that the spirit and purpose of religion are apt to be lost sight of in the manner of its pub- lic presentation. Thus we feel a want when something like a faith without feeling is preached in the name of utility. Not less evident, however, is the failure of discretion when enthusiasm becomes ecstasy, and the unbridled emotion leads its devotees to ignore the present realities of daily life. llliberality of judgment, and disregard for the legitimate, if contrary, opinion of others, are the outcome of this latter weakness, and examples of its pernicious consequences are never far to seek. By way of illustration we may briefly refer to a singular meeting of extremes in the same error of inconsideration which has lately been exposed in the daily press. A letter from a clergyman, published a few days ago, complained of the noisy Sabbath observed by the. members of the Salvation Army. This has been succeeded, after a short interval, by a similar protest-brought forward partly on medical grounds-against a Ritualistic congrega- tion by a member of our own profession, on account of the " clang, from early morn till late at night," of the church bell. Which of these two modes of disturbance is the less objectionable is open to question. The correspondent last mentioned gives the preference to the "Army" rather than the Church, perhaps because of its more mobile character. Without discussing this debatable point, how-

SMALL-POX ISOLATION AT SWINTON

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737

Western Company is at pains to explain that the passengerguards, of whom only 10 per cent. make longer duty thantwelve hours at all, and none so long as eighteen hours,work short time on one day to balance the overtime of

another. The plea is not a very sufficient one, for chanceleisure realised at irregular intervals is comparatively ’,worthless for the purposes of recuperation. But suchas it is, it serves to show how cruel, even under theofficial point of view, is the infliction of uncompensatedovertime upon 90 per cent. of the company’s far more

numerous engine-drivers and firemen, who between themmade overtime beyond the twelve hours of over 85,000 hoursduring the month of January, or at the rate of twenty-twohours per man. What the same manager can mean bysaying, a propos of this fact, that " every man whose dutyis at any time unduly prolonged has only to seek for reliefto obtain it " we are at a loss to imagine. The machineryof relief which he is at pains to describe must be singularlyinefficient, to judge it by results. We are much averse, inthe abstract, to the intervention in matters of this sort ofthe Legislature with legal regulations and restrictions uponthe hours and conditions of labour, but we think that

public opinion should make itself unmistakably heard onsuch a point, so that persons in the quasi-public position ofrailway directors might feel that they could only exact atale of labour such as is described in the present returnunder the penalty of public execration.

SELF-MEDICATION.

ON the 7th inst., an inquiry was held at Higginshawnear Bolton, on the body of James Frederick Smith, anengine-fitter, who died on the 5th inst., another victimto the habit of self-medication. The deceased, it seems,suffered from gout, and by the advice of a companion sentto a herbalist for one ounce of colchicum seed, one drachmof iodide of potassium, slippery elm, and guaiacum, 4d. beingpaid for the ingredients. The deceased placed the drugs inboiling water and drank the decoction, death, as before

stated, resulting. The herbalist, in his evidence at the

inquest, said that he did not label anything "Poison,"because he was not allowed to sell it. The jury returneda verdict of " Accidental death." Colchicum is a favouriteand valuable remedy in gout, but when (as in the case undernotice) an ignorant man, by the advice of an equallyignorant comrade, takes what is calculated as sixteen timesthe usual medicinal dose of the drug, the consequences mayeasilv be foretold.

SMALL-POX ISOLATION AT SWINTON.

AT Swinton, Yorks, a disused brick "hovel" connectedwith an old pottery was hurriedly converted into a small-pox hospital towards the close of last year, and the work,including the provision of a wooden administrative cottage,would appear to have been creditably carried out. But the

story of the building embodies some important lessons. Noisolation hospital could be pressed upon the sanitaryauthority with any success until small-pox infection becamea real danger. Then it was that Mr. W. M. Jones, themedical officer of health, succeeded in showing, by certaincalculations, how great would be the mere money loss ifsmall-pox did invade Swinton. But this did not secure the

hospital; it only obtained for him the authority to at oncecall the board of health together as soon as a case hadactually arisen. This tardy action had to be dearly paid for,for when the disease appeared no hospital was ready, and anumber of cases, including three deaths, took place beforethe building was available. It was, however, completedwith considerable speed, and, unlike most such buildings, itlargely served the purpose of checking the epidemic.

It now remains to be seen how far an emergency hospital ofthis sort will really meet the permanent requirementsof the district-that is to say, whether first attacks of diseasessuch as scarlet fever, and which cause a far greater mortalityin our midst than small-pox does, will be isolated in it, orwhether, like many other such buildings, it will be shut up assoon as the small-pox panic is over, the district remainingas regards other infectious diseases, without means ofisolation as heretofore. We hope this may not be the

case; but a disused pottery hovel, even when substantial, isnot, as a rule, the sort of building to attract the infectioussick, and if it fail in this respect, its provision may, in theend, turn out to have been the reverse of a permanent benefitto the district.

___

DIABETES INSIPIDUS IN A YOUNG CHILD.

DR. JULIUS WEISZBARTH of Buda-Pesth publishes in aHungarian medical journal an account of a case of diabetesinsipidus occurring in a little girl of only four and a half yearsof age. The daily quantity of urine was from about six tothirteen litres, the specific gravity being about 1002, and noabnormal constituents being found in it. The chief symptomwas the violent and unquenchable thirst, the quantity ofwater drunk varying from eight to ten litres per diem. Whenattempts were made to withhold liquid, the child becamemost distressed with thirst. She always seemed better whenallowed to have as much to drink as she wished. By addingquinine to the water the quantity was reduced to threelitres and a half, but only for a day or two, for as soon asthe child became accustomed to the bitter taste shedrank as freely as before. No medication appeared to haveany effect on the disease. After being about six weeks inhospital the child succumbed to an attack of diphtheria.Before death the quantity of urine passed diminished, asalso the excessive thirst. The post-mortem examinationrevealed slight oedema of the medulla oblongata, diph-theria of the fauces and nares, strumous disease of themediastinal and bronchial glands, tubercle in the lungs,bronchial congestion, hypertrophy and induration of theliver, chronic catarrh of the stomach, follicular enteritis ofthe large intestine, hypertrophy of the muscular structureof the bladder, and dilatation of the ureters.

CHURCH BELLS AND SALVATION ARMY DRUMS.

OCCASIONALLY one finds that the spirit and purpose ofreligion are apt to be lost sight of in the manner of its pub-lic presentation. Thus we feel a want when something likea faith without feeling is preached in the name of utility.Not less evident, however, is the failure of discretion whenenthusiasm becomes ecstasy, and the unbridled emotion leadsits devotees to ignore the present realities of daily life.

llliberality of judgment, and disregard for the legitimate, ifcontrary, opinion of others, are the outcome of this latterweakness, and examples of its pernicious consequences arenever far to seek. By way of illustration we may brieflyrefer to a singular meeting of extremes in the same error ofinconsideration which has lately been exposed in the dailypress. A letter from a clergyman, published a few daysago, complained of the noisy Sabbath observed by the.members of the Salvation Army. This has been succeeded,after a short interval, by a similar protest-brought forwardpartly on medical grounds-against a Ritualistic congrega-tion by a member of our own profession, on account of the" clang, from early morn till late at night," of the churchbell. Which of these two modes of disturbance is theless objectionable is open to question. The correspondentlast mentioned gives the preference to the "Army" ratherthan the Church, perhaps because of its more mobilecharacter. Without discussing this debatable point, how-