1
172 THE ROYAL OOLLEGE OF PHYSICIANS OF LONDON. aid of scientific apparatus from England Dr. Nicholls was able to carry on and complete these investigations on his subsequent return to Dominica. Some of the results of these researches are summed up as follows :- C:A microbe in the form of a micrococcus was found con- stantly in the secretion from the granulomata characteristic of yaws, which was successfully cultivated in nutrient media, and pure cultures were obtained to the third generation. The microbe was discovered in abundance in the affected tissues of persons suffering from the disease, and no other pathogenic microbe was found in association with it. In ’mo instance was this micro-organism discovered in the blood, although it was successfully multiplied in the serum in drop cultures. It was found and successfully caltivated in Antigua, St, Kitts, and Dominica, and under identical con- ditions in these three islands. Pure cultivations of the micrococcus of yaws showed that its microscopical cha- racters were constant, and that its macroscopical appear- ances differed from those of micrococci already discovered and described in various works on bacteriology, The lower animals are probably immune, inoculations giving megative results, as did also the inoculations from the secretions of the granulomata. In the absence of the - concluding proofs of the pathogenesis of the microbe- viz, the production of the disease in healthy animals by ’inoculation of pure cultivations and the after discovery of the micro-organism in the fluids or tissues-it cannot yet be I positively declared that the micrococcus is the contagium of the disease. But Dr. Nicholls and Mr. Watts, in view of the attributes of the disease being clearly indicative of its origin .and causal connexion with a microbe, and of the fact that they were able to establish that a micrococcus is its constant accompaniment, as well as of the subsequent discovery by ’Dr. Nicholls of the microbe in the lymphatic system and in various organs of a patient who died from yaws, consider "themselves jastified in inferring that the micrococcus is nevertheless the cause of the disease and that it invades the system through the lymphatics. It is important to observe, in connexion with the bearing it has on the mode of propagation of this malady, that the micro organism has been found in the dust on the floor of rooms in which yaws patients have been living, and that, as a matter of experiment, it is capable of retaining its vitality of growth and multiplication for a considerable time, The clinging of the contagion to certain huts and localities, and the occurrence of a sudden outbreak of the disease when the heavy rains of a tropical climate moisten the earthen floors are therefore capable of explanation. We have said enough to show that the results of the latest investigations, if ratified by subsequent researches, are likely to throw a new light upon the subject of yaws, and to call for a reconsideration of the views that have been previously held in respect to it. We may usefully conclude this article by referring our readers to one that appeared in THE LANCET of - June 21st, 1873, on the disease in question. THE ROYAL COLLEGE OF PHYSICIANS OF LONDON. THE WEBER-PARKES PRIZE AND MEDALS. WE have received from Dr. Edward Liveing, the Registrar of the College, the following particulars respecting Dr. Hermann Weber’s Friz3 Foundation in the College, and have pleasure in calling the attention of the profession to them. The prize is of the value of C150 or thereabouts, and will be awarded triennially to the author of the best essay upon some branch of the subject of Tuberculosis, especially with reference to pulmonary consumption in man. The first award will be made in 1897, and the adjudicators have selected as the subject for the essay " The Means, Prophylactic or Curative. deemed by the author to have value in the ’control of Tuberculosis, especial regard being had to their application to Human Tuberculosis." This subject was .selected by Dr. J. E. Pollock, Dr. Thorne Thorne, and Pro- fessor W. S. Greenfield, who were nominated by the Pre- sident of the College, and these gentlemen will have the onus of adjudicating between the essays. The essay must be based on original work and observations (experimental or other) of the author, and inubt include a detailed exposition of the methods employed and their mode of application. The following are the full regulations for the guidance of intsudiog competitors :- THE WEBER-PARKES PRIZE AND MEDALS. Regulatians. 1. That the prize founded by Dr. Hermann Weber, in memory of the late E. A. Parkes, M. D., be termed the " Weber-Parkes Prize. 2. That the prize be awarded triennially to the writer of the best essay upon some subject connected with the etiology, prevention, pathology, or treatment of tuberculosis, especially with reference to pulmonary consumption in man; that in making the award the College have regard to careful collection of facts and original research. 3. That the value of the prize be 150 guineas, or such sum as the interest accrued on the capital, after payment of expenses, will permit. 4. That a bronze medal be awarded to the holder of the prize, and a similar medal, to be distinguished as the second medal, to the essayist who comes next in order ot merit. 5. That an Adjudication Committee be nominated on each occasion by the President from among the Fellows of the College, and that it be the duty of such committee to select the particular subject for competition. 6. That the same committee which selects the subject shall adjudicate upon the essays sent in upon that subject, the President having power to fill up any vacancies which may have occurred meantime in the committee. 7. That the adjudieation. he made every three years at some time previous to St. Luke’s Day, when the prize and medals will be presented to the winners. 8. If, in the opinion of the judges, no essays are presented of sufficient merit to deserve either the prize and lirst medal or the second medal respectively, that the College be at liberty, on the recommendation of the judges, to award either one or both to the author or authors of any original work or works on the subject produced within the precedmg three years which may be deemed worthy of the same; and in the absence of such work or works that the corresponding award or awards be not made, and the sum assigned for the same be added to the capital amount. 9. That the subject for the next ensuing competition be selected and advertised within a period of three months from the last presentation; or, failing any award, from the day on which the prize would have been presented had an award been made; and that the competing essays be delivered to the Registrar on or before July 1st in the year of the award. 10. That the competition be open to members of the medical pro- fession in all countries. The essays to be typewritten and in English; or if written in a foreign language to be accompanied by a transtation into English. 11. That each essay bear a motto, selected by the writer, who shall insert his name within a sealed envelope having the motto on the cover, the envelope being transmitted with the essay to the Registrar, who shall return the unsuccessful essays to their authors. 12. That the prize essay become the property of the College, and that the College may grant its author permission to publish it if lie so desire. 13. That the medals shall present on the obverse the bust of the founder; on the reverse a design relating to the prevention and treat- ment of pulmonary tuberculosis, with the inscription (exergue), "Prevention and Cure of Tuberculosis," and that the name of the recipient and the date of the award be placed on the edge of the medal. THE CHEMICAL AND BACTERIOLOGICAL EXAMINATION OF DRINKING-WATER FROM THE STANDPOINT OF THE MEDICAL OFFICER OF HEALTH. THAT there has within recent years been a decided change in the attitude of the medical officer of health towards the value to be attached to chemical analysis few will question, and it is perhaps a debatable point whether the reaction which has taken place in favour of the bacteriologist may not have led to a somewhat exaggerated importance being accorded to the results of the bacteriological examination of water. In former days the dictum of the chemist in regard to any given water was accepted as final and the water stood condemned or absolved according to the results which the sample submitted yielded. At the present time the chemist has to some extent been superseded by the bacteriologist, and the dictum of the latter is now by some considered to be as conclusive as was that of the chemist in former days. Under these circumstances it is hardly to be wondered at that bacterio- logical methods should be subjected to some criticism at the hands of the chemist. To those who would seek to study the question from the chemist’s standpoint we would com- mend an able article by Dr. Dupre, F.R S., which appeared recently in the Analyst, and to those who, like ourselves, are approaching the subject from the standpoint of the medical officer of health we cannot do better than advise the perusal of a paper which appeared also in the Analyst, and which has now, together with Dr. Dupre’s paper, been issued in pamphlet form. For the information of our readers we will,

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172 THE ROYAL OOLLEGE OF PHYSICIANS OF LONDON.

aid of scientific apparatus from England Dr. Nicholls wasable to carry on and complete these investigations on hissubsequent return to Dominica. Some of the results of theseresearches are summed up as follows :-C:A microbe in the form of a micrococcus was found con-stantly in the secretion from the granulomata characteristicof yaws, which was successfully cultivated in nutrient media,and pure cultures were obtained to the third generation.The microbe was discovered in abundance in the affectedtissues of persons suffering from the disease, and no otherpathogenic microbe was found in association with it. In’mo instance was this micro-organism discovered in theblood, although it was successfully multiplied in the serum indrop cultures. It was found and successfully caltivated inAntigua, St, Kitts, and Dominica, and under identical con-ditions in these three islands. Pure cultivations of themicrococcus of yaws showed that its microscopical cha-racters were constant, and that its macroscopical appear-ances differed from those of micrococci already discoveredand described in various works on bacteriology, Thelower animals are probably immune, inoculations givingmegative results, as did also the inoculations from thesecretions of the granulomata. In the absence of the

- concluding proofs of the pathogenesis of the microbe-viz, the production of the disease in healthy animals by’inoculation of pure cultivations and the after discovery of themicro-organism in the fluids or tissues-it cannot yet be Ipositively declared that the micrococcus is the contagium ofthe disease. But Dr. Nicholls and Mr. Watts, in view of theattributes of the disease being clearly indicative of its origin.and causal connexion with a microbe, and of the fact that theywere able to establish that a micrococcus is its constant

accompaniment, as well as of the subsequent discovery by’Dr. Nicholls of the microbe in the lymphatic system and invarious organs of a patient who died from yaws, consider"themselves jastified in inferring that the micrococcusis nevertheless the cause of the disease and that itinvades the system through the lymphatics. It is

important to observe, in connexion with the bearingit has on the mode of propagation of this malady,that the micro organism has been found in the dust on thefloor of rooms in which yaws patients have been living, andthat, as a matter of experiment, it is capable of retaining itsvitality of growth and multiplication for a considerable time,The clinging of the contagion to certain huts and localities,and the occurrence of a sudden outbreak of the disease whenthe heavy rains of a tropical climate moisten the earthenfloors are therefore capable of explanation.We have said enough to show that the results of the latest

investigations, if ratified by subsequent researches, are likelyto throw a new light upon the subject of yaws, and to call fora reconsideration of the views that have been previously heldin respect to it. We may usefully conclude this article byreferring our readers to one that appeared in THE LANCET of- June 21st, 1873, on the disease in question.

THE ROYAL COLLEGE OF PHYSICIANSOF LONDON.

THE WEBER-PARKES PRIZE AND MEDALS.

WE have received from Dr. Edward Liveing, the Registrarof the College, the following particulars respecting Dr.Hermann Weber’s Friz3 Foundation in the College, and havepleasure in calling the attention of the profession to them.The prize is of the value of C150 or thereabouts, and will

be awarded triennially to the author of the best essay uponsome branch of the subject of Tuberculosis, especially withreference to pulmonary consumption in man. The first awardwill be made in 1897, and the adjudicators have selectedas the subject for the essay " The Means, Prophylacticor Curative. deemed by the author to have value in the’control of Tuberculosis, especial regard being had to theirapplication to Human Tuberculosis." This subject was.selected by Dr. J. E. Pollock, Dr. Thorne Thorne, and Pro-fessor W. S. Greenfield, who were nominated by the Pre-sident of the College, and these gentlemen will have theonus of adjudicating between the essays. The essay mustbe based on original work and observations (experimental orother) of the author, and inubt include a detailed expositionof the methods employed and their mode of application.

The following are the full regulations for the guidance ofintsudiog competitors :-

THE WEBER-PARKES PRIZE AND MEDALS.

Regulatians.1. That the prize founded by Dr. Hermann Weber, in memory of the

late E. A. Parkes, M. D., be termed the " Weber-Parkes Prize.2. That the prize be awarded triennially to the writer of the best

essay upon some subject connected with the etiology, prevention,pathology, or treatment of tuberculosis, especially with reference topulmonary consumption in man; that in making the award theCollege have regard to careful collection of facts and original research.

3. That the value of the prize be 150 guineas, or such sum as theinterest accrued on the capital, after payment of expenses, will permit.

4. That a bronze medal be awarded to the holder of the prize, and asimilar medal, to be distinguished as the second medal, to the essayistwho comes next in order ot merit.

5. That an Adjudication Committee be nominated on each occasionby the President from among the Fellows of the College, and that it bethe duty of such committee to select the particular subject forcompetition.

6. That the same committee which selects the subject shall adjudicateupon the essays sent in upon that subject, the President havingpower to fill up any vacancies which may have occurred meantime inthe committee.

7. That the adjudieation. he made every three years at some timeprevious to St. Luke’s Day, when the prize and medals will be presentedto the winners.

8. If, in the opinion of the judges, no essays are presented of sufficientmerit to deserve either the prize and lirst medal or the second medalrespectively, that the College be at liberty, on the recommendation ofthe judges, to award either one or both to the author or authors of anyoriginal work or works on the subject produced within the precedmgthree years which may be deemed worthy of the same; and in theabsence of such work or works that the corresponding award or awardsbe not made, and the sum assigned for the same be added to the capitalamount.

9. That the subject for the next ensuing competition be selected andadvertised within a period of three months from the last presentation;or, failing any award, from the day on which the prize would havebeen presented had an award been made; and that the competing essaysbe delivered to the Registrar on or before July 1st in the year of theaward.

10. That the competition be open to members of the medical pro-fession in all countries. The essays to be typewritten and in English;or if written in a foreign language to be accompanied by a transtationinto English.

11. That each essay bear a motto, selected by the writer, who shallinsert his name within a sealed envelope having the motto on thecover, the envelope being transmitted with the essay to the Registrar,who shall return the unsuccessful essays to their authors.

12. That the prize essay become the property of the College, and thatthe College may grant its author permission to publish it if lie sodesire.

13. That the medals shall present on the obverse the bust of the ’

founder; on the reverse a design relating to the prevention and treat-ment of pulmonary tuberculosis, with the inscription (exergue),"Prevention and Cure of Tuberculosis," and that the name of therecipient and the date of the award be placed on the edge of the medal.

THE CHEMICAL AND BACTERIOLOGICALEXAMINATION OF DRINKING-WATERFROM THE STANDPOINT OF THEMEDICAL OFFICER OF HEALTH.

THAT there has within recent years been a decided changein the attitude of the medical officer of health towards thevalue to be attached to chemical analysis few will question,and it is perhaps a debatable point whether the reactionwhich has taken place in favour of the bacteriologist may nothave led to a somewhat exaggerated importance beingaccorded to the results of the bacteriological examination ofwater. In former days the dictum of the chemist in

regard to any given water was accepted as final andthe water stood condemned or absolved according to

the results which the sample submitted yielded. Atthe present time the chemist has to some extent beensuperseded by the bacteriologist, and the dictum ofthe latter is now by some considered to be as conclusiveas was that of the chemist in former days. Under thesecircumstances it is hardly to be wondered at that bacterio-logical methods should be subjected to some criticism at thehands of the chemist. To those who would seek to studythe question from the chemist’s standpoint we would com-mend an able article by Dr. Dupre, F.R S., which appearedrecently in the Analyst, and to those who, like ourselves, areapproaching the subject from the standpoint of the medicalofficer of health we cannot do better than advise the perusalof a paper which appeared also in the Analyst, and whichhas now, together with Dr. Dupre’s paper, been issued inpamphlet form. For the information of our readers we will,