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approved institution, as required bv Rule E. 20; the midwife not beingscrupulously clean in every way. including her person, clothing, andappliances, as required by Rule E. 2, and not keeping her register ofcases, as required by Rule E. 24. Medical aid having been sought forthe patient, the midwife neglected to notify the local supervisingauthority thereof, as required by Rule E. 22 (1) (a) ; she neglected toprovide for the comfort and cleanliness of the patient during the tendays following, as required by Rule E. 12; she neglected to take andrecord the pulse and temperature of the patient at each visit, asrequired by Rule E. 14; and she neglected before leaving the

1patient’s house to remove the soiled linen from the patient’s neigh- bourhood and from the lying-in room, as required by Rule E. 11. Achild suffering from inflammation of, and discharge from, the eyes, the midwife did not explain that the case was one in which theattendance of a registered medical practitioner was required, as

provided by Rule E. 21 (5). A midwife being drunk on duty whilein attendance at a confinement, thereby being guilty of misconduct within the meaning of Section (3) (V.) of the Midwives Act, 1902.At the meeting on June 20th a communication was con- sidered from the Acting Registrar of the General Medical Council with reference to the action of a registered medicalpractitioner who had given a certificate to an uncertifiedwoman certifying that she was "quite capable of under-taking the duties of an ordinary midwife." The Boarddecided that the chairman be asked to communicate withthe President of the General Medical Council and to expressthe views of the Board on the doctor’s letters.-A. letter wasconsidered from the Acting Medical Inspector of Midwivesfor the city of Bristol asking the Board to support asuggestion which he had made to the Food Controllerproposing that midwives in active practice should beentitled to an extra meat ration. The Board decided that,while approving the suggestion, the Board does not seeits way to initiate action in the matter.-A letter wasconsidered from the Secretary of the Brighton Hospitalfor Women asking the opinion of the Board as to whether,having regard to the Board’s resolution 12 (b) ofMay 16th, 1918 (Minutes, vol. v., p. 191), a pupil may beemployed after delivery to act, under the conditionsmentioned, as an assistant for a qualified midwife forvisiting purposes only, although the midwife is primarilyresponsible. The Board directed that on the facts as stateda pupil may be employed as an assistant to a certified mid-wife provided that it is understood that the employment ofan assistant in no degree relieves the midwife in charge ofthe case from all the responsibility entailed on her by the rules.

MEDICAL MAGISTRATE.—Dr. H. J. Thornton, ofActon, has been appointed a justice of the peace for thecounty of Middlesex.

AT their recent meeting the Senate of GlasgowUniversity awarded the Bellahouston gold medal to Mr. R. T.Leiper, M.D., D.Sc., of the London School of Tropical Medi-cine, for his contributions to medical helminthology.

URBAN VITAL STATISTICS.

(Week ended June 29th, 1918.)English and Welsh Towns.-In the 96 English and Welsh towns,

with an aggregate civil population estimated at 16,500,000 persons,the annual rate of mortality was 13’2, against 11’4 and 11’7 per1000 in the two preceding weeks. In London, with a populationslightly exceeding 4,000.000 persons, the death-rate was also 13’2,and was 1’2 per 1000 above that recorded in the previous week;among the remaining towns the rates ranged from 3’9 in Oxford,4’2 in Edmonton, and 4’5 in Wolverhampton to 23’7 in Huddersfield, 23-8in Merthyr Tydfil, and 30’2 in Stockton-on-Tees. The principal epidemicdiseases caused 294 deaths, which corresponded to an annual rateof 0’9 per 1000, and included 109 from measles, 107 from whooping-cough, 3u from diphtheria, 27 from infantile diarrhoea, 12 from scarletfever, and 9 from enteric fever. Measles caused a death-rate of 1’5 inHull, 2-2 in Wakefield, 2-5 in West Hartlepool, and 4’4 in Barnsley; andwhoopiug-cough of 1’8 in Enfield and in Walsall, and 3’5 in MerthyrTydfil. The 857 cases of scarlet fever and 1189 of diphtheria undertreatment in the Metropolitan Asylums Hospitals and the LondonFever Hospital were 30 above and 4 below the respective numbersremaining at the end of the previous week. The 1017 deaths fromall causes in London included 67 from influenza, against 5 and 10 in thetwo preceding weeks. Of the total deaths in the 96 towns 130 resultedfrom violence. The causes of 44 deaths were uncertified, of which12 were registered in Birmingham, 4 each in Liverpool and Gateshead,and 3 each in London and Sunderland.

Scotch Towns.—In the 16 largest Scotch towns, with an aggregatepopulation estimated at nearly 2,500,000 persons, the annual rate ofmortality was 11’5. against 10’9 and 11’8 per 1000 in the two pre-ceding weeks. The 250 deaths in Glasgow corresponded to an

annual rate of 11’7 per 1000, and included 16 from whooping-cough,11 from measles, 4 from infantile diarrhoea. 3 from diphtheria, and1 each from scarlet fever and typhus. The 78 deaths in Edinburghwere equal to a rate of 12’2 per 1000, and included a fatal case eachof whooping-cough and diphtheria.

Irish Towns.—The 120 deaths in Dublin corresponded to an annualrate of 15’7, or 1’2 per 1000 below that recorded in the previous week,and included 2 each from measles and infantile diarrhoea and 1 fromwhooping-cough. The 341 deaths in Belfast were equal to a rate oj45’2 per 1000. and included 10 from whooping-cough and 2 froir.infantile diarrhoea.

THE SERVICES.

ROYAL NAVAL MEDICAL SERVICE.L. Gibson to be temporary Surgeon.

ARMY MEDICAL SERVICE.Col. (temp. Major-Gen.) G. B. Stanistreet, C.B., C.M.G., temporary

Deputy Director-General, to be Deputy Director-General.Col. (Hon. Surg. Gen.) Sir J. Maher relinquishes the temporary rank

of Major-General on ceasing to be specially employed. - .

*

ROYAL ARMY MEDICAL CORPS.Lieut.-Col. G. J. Houghton to be temporary Colonel whilst employed

as Assistant Director of Medical Services of a Division.Capt. R. B. Phillipps relinquishes the acting rank of Lieutenant-

Colonel and reverts to the acting rank of Major (with pay and allowancesof his substantive rank).Temp. Major E L. Gowlland relinquishes the temporary rank of

Lieutenant-Colonel on re-posting.Capt. J. D. Kidd to be acting Lieutenant-Colonel whilst employed as

Assistant Director of Medical Services.Capt. J. Rowe relinquishes the acting rank of Major on re-posting.Capt. E. D. Caddell relinquishes the acting rank of Lieutenant-

Colonel and reverts to the acting rank of Major (with pay and allow-ances of his substantive rank).Temp. Capt. A. J. Clayton to be acting Major whilst specially

employed.Temp. Capt. J. L. Jackson to be acting Major.Lieutenants (temporary Captains) to be Captains : G. B. Hadden,

H. C. Goiding.Temporary Lieutenants to be temporary Captains : R. Calleya, J. S.

Young, T. Gardner. A. H. Hall, J. T. Daly, D. R. Acheson, G. McNeill,P. Murphy, E. C Tamplin, E. McK. Reirl, J. L. Rankine, G. L. N. Miles,E. H. Noney, 1. J. Roche, R. H. Dix, W. 0. McKane, G. Wacher, J. E.MacFarlane, W. H. Pallett, W. Fleming, E. Lewis, R. W. Eddie,P. de S. Smith, A. H Southam, J. W. Johnstone, J. B. O’Reilly, R. W.Reid, T. C. Innes, E. G. van B. Bergh, H. G. Barrie, W. Deane, L. C. W.Cane, H. R. Elliott, S. M. MacKenzie, G. MeQ. Brunton, S. S. Brook.D. M. Humby, J. H. Porter, A. Roemmele, R. W. Brown, J. Wells,R. F. Lunn, H. D. Matthews, W. Kingdon, J: W. Miller, M. Stewart.H. A. Edwards, F. H. Kitson, F. R. L. Atkins, M. Macleod, B. F. Wills,S. H. Robinson, E. Thorp, T. D. Webster, J. C. Marshall, E. D.Struthers, F. M. Auld, C. E. Waldren, N. R. Ussher, F. W. W. Smith,W. B. H. Dundee, P. Hall-Smith, F. Thompson, R. H. Robinson, L. M.Markham, C. E. Lakin.

J. C. Turnbull, late temporary Captain, is granted the honorary rankof Captain.To be temporary Lieutenants : E. R. Wheeler, I. Hodgkinson, C. H

Broomhead, J. B. McGranahan, E. F. Crabtree, C. G. Seligman, R. Rae.D. E. Carter to be temporary Honorary Lieutenant.Officers relinquishing their commissions: Temp. Majors H. S. Raper,

V. J. Blake; Temp. (;ai3ts. T. Pretsell, A. Emery, H. R. Sedgwick,J. C. Houston, W. R. White-Cooper, C. R. R. Huxtable, J. A. Vlasto,R. M. forde, 1. Campbell, F. W. Harrowell, R. C. Fuller, R. W. Ryan.W. Rogerson, H. F. Nolan, T. Gilchrist, A. J. Trinca, G. B. Simpson,G. D. Kerr, M. A. McKeever, E. H. Price, G. Holroyd, J. A. Tobin,E. A. Aylward, J. M. Morrissev, H. F. Vandermin, R. H. King, J. A.Giles, B. Beamish. W. Oliver, F. W. Davidson, H. C. A. Haynes, L. M.Dawson, R. W. Hogg, P. A. Doyle. J. F. Field, G. S A. Bishop,K. Black, J. T. Courtice (and is granted the honorary rank of Captain),J.London (and is granted the honorarv rank of Cantain). R. L. S. Nuthall’Temp. Capts. M. A. MacKinnon, H. P. Hamilton, R. L. Shields, H. R.Hurter (on account of ill health, and is ’granted the honorary rank ofCaptain); Temp. Lieuts. J. M. H. Caldwell, H. L. Blackley, J. H. Hall,M. B. Taylor. D. L. Davies, H. G. Bywater, F. J. Thornton, A. G.Gamble, H. W. Jeans, J. P. Moran, D. Ross, W. M. Brown, H. W. P.Young, W. C. Mayo, G. E. Downs, A. Fraser, W. T. Lydall, T. W.

Lonsdale, W. A. Sharpin, R. F. Ballantyne, J. J. S. Scrase, F. Baillie,J. McKelvey, G. C. McL. Barber, F. W. Stewart, J. S. Higgs, R. W. H.Hill’s. S. C. Jellicoe, H. L. Wilson, C. H. Wilson, F. R. Carrol!, F. M.Matheson, S. Spencer ; Temp. Hon. Lieut. C. E. Allison.

SPECIAL RESERVE OF OFFICERS.

Major W. A. Dingle is retired under the provisions of Para. 116,T.F. Regs., and is granted permission to retain his rank and to wearthe prescribed uniform.Major R. A. Bickersteth is restored to the establishment.Capt. F. G. Stuart relinquishes his commission on account of ill-

health contracted on active service, and is granted the honorary rankof Captain.

Capt. W. H. L. McCarthy relinquishes the acting rank of Major onre-posting.Lieutenants to be Captains : D. C. Beaumont, J. E. Carpenter, E. B.

Andreae, K. Masson, J. A. Martin, N. M. Lewis, A. T. Woolward, M. F.Murphy, J. Wilson.Granted temporary commissions as Captains : A. L. George, F. N. B.

Smartt.D. C. Rennie, from Birmingham University Contingent O.T.C., to be

Lieutenant.Granted temporary commissions as Lieutenants : H. G. James, H. L.

Small bone, S. G. Smith.Lieut. G. 0. Roper, from Flying Branch (K.B.), to be Lieutenant.

TERRITORIAL FORCE.

Major F. E. Fremantle to be Lieutenant-Colonel.Major (temp. Lieut.-Col.) C. A. Stidston relinquishes his temporary

rank on ceasing to command a Field Ambulance.Capts. T. R. W. Armour, F. H. Robbins, and G. N. Anderson to be

acting Majors whilst specially employed.Major A. Cooke is seconded for service overseas.Capts. J. Hobbs and A. B. Murray to be Majors.Capt. (Brevet Major) H. F. Horne is seconded for service with R.A.F.Capt. A. S. Parkinson relinquishes his commission on account of ill-

health contracted on active service, and is granted the honorary rankof Captain.

Capt. (acting Lieut.-Col.) A. T. Mulhall relinquishes his acting rankon alteration in posting.