cholera in egypt

1
451 These details are full of interest and appear to justify what we wrote in our issue of May 17tb, that "it is, however, some I consolation to reflect that the wholesale destruction of i human life by rivers of molten lava deluging a town or by 1 the incessant hail of hot sulphurous cinders filling the air does not necessarily imply an agonising death. On the 1 contrary, it is probable that, in some instances at any rate, I there is no struggle-the vapours of lava would quickly over- power and render the victims senseless and in this state they i would probably be overcome by asphyxiation and die." In 1 the same article we remarked that it was reported that many mf the bodies presented the appearance of having been struck by lightning. - : ,CHOLERA IN EGYPT. THE following figures show the distribution of cholera throughout Egypt for the week ending August 4th. The total number of cases was 346, of which 185 were new cases. The total number of deaths was 278, of recoveries 13, and 109 cases remained under treatment. The Director-General of the Sanitary Department reports that he is glad to be able to state that the diminution in the number of cases reported from Cairo last week continues, and it is to be hoped that the epidemic in this city will take no further very serious proportions. The disease is spreading some- what in the vicinity of Assiout. The report continues : During the week Abou Tig, Beirout, Mellawi, Beni-Masoud, and Beba have declared cases but in none of the towns up to the present has the disease shown any tendency ’to spread in an alarming manner. It is much to be hoped that we have succeeded in finding the first oases early and so shall be able by vigorous measures to prevent the spread of the disease in these towns, but I fear it must be expected for some time to come that we shall hear of fresh towns becoming infected from time to time. A marked improvement has taken place at Moucha during the last few days. The Sanitary Commission of Cairo has recommended the permanent closure of all wells in Cairo the water of which is considered contaminated by leakage from cesspools, &c. This measure, which is, in my opinion, of the greatest importance not only for the prevention of the spread of cholera during the present epidemic <but also for the prevention of so much enteric fever in the town, which no doubt is due in a great measure to the consumption of water from polluted wells, will be taken in hand at once. In all towns infected special hospitals have been established for the reception of patients and all possible measures taken to prevent the spread of the disease. SYNTHETIC SILK. SYNTHETICS loom large even now, although it is true that attention has chiefly been turned to the synthesis of drugs. But there is no reason why equal success should not attend the efforts of the chemist to build up articles of food, drink, and clothing from their elements in the same way as mere chemical compounds have been constructed. It is only a question of the growth of knowledge of the constitution of matter. Already the synthesis of many articles of common daily occurrence has been effected. The aniline colouring matters are practically synthetics ; indigo and madder are common products of the laboratory ; and sugar and alcohol may be prepared from the elements which compose them. The latest achievement of the build- ing chemist appears to be the artificial production of at any rate the most important constituent of silk. Chemists have long known that the chief constituent of silk-insects’ cocoons and spiders’ threads-is an insoluble proteid, behaving very much in the same way as proteids in general of which the albumins are types. Mulberry silk in particular consists of over 70 per cent. of a proteid substance termed fibroin associated with 22 per cent. of a yellowish transparent substance resembling gelatin in composition and character and known as sericin. These two albuminous substances occur in silk with about 3 per cent. of wax and 1 per cent. of mineral matter. It is sericin, however, or rather its derivative by hydrolysis, serine, which has been successfully synthesised, and inasmuch as silk owes its peculiar and delightful character largely to this substance there is no doubt that an important step towards the artificial manufacture of silk has been made. Day by day synthetics are forcing themselves upon our notice and are threatening to take a place somewhere or other in man’s ordinary routine. The question has still to be settled whether a synthetically or artificially prepared substance-that is, one which is identical as far as can be judged with the natural product-gives precisely the same satisfactory results. Most people, we are sure, will confess so far to a sneaking preference for the thing which nature takes time to elaborate rather than for the product conjured up, so to speak, in a few hours in the laboratory. But already it is getting difficult in some direc- tions to obtain the natural article. It is so, at any rate, with indigo ; and it is just possible that in the near future it will be no uncommon experience to hear in the shops a customer precise in his demand for either the synthetic or natural article in accordance with his choice. It is to be feared. however, that as synthetic successes are scored so fresh room for fraud will be opened and this fact is quite sufficient to raise a prejudice in the meantime. A NEW PATHOLOGICAL SCHOLARSHIP. IT was mentioned at the meeting of the British Medical Association recently held at Manchester that Mr. J. Francis Mason of Freeland Lodge, Woodstock, Oxfordshire, had, through Dr. T. F. S. Caverhill of Edinburgh, offered a scholarship of .f.200 a year with extension to two or three years if the work seems to promise good results, for the purpose of carrying on investigation into the physiology and pathology of the thymus gland, including if necessary collateral investigations on the other ductless glands. The founder of the scholarship has associated with himself Dr. Caverhill and Professor G. Sims Woodhead to act as a small committee for the purpose of select- ing a suitable candidate. In filling up the scholarship preference will be given to those who have already made a study of the thymus or other ductless glands, or have given some evidence of their fitness to carry on this or similar work, and who will devote the whole of their time during their tenure of the scholarship to the special research men- tioned. Every facility for carrying on this work in the Pathological Laboratories, Cambridge, will be placed at the disposal of the scholar, and further particulars will be found in our advertisement columns. HYPOPLASIA OF THE AORTA. IT more than occasionally happens that morbid con- ditions of rare occurrence are shown to exist more frequently than was previously imagined. This may be explained partly by improved methods of examina- tion (e.g., actinomycosis) or because, attention having been drawn to one or two instances, certain observers keep close watch on all cases likely to prove of the same nature. In a communication which we published in THE LANCET of August 9th, p. 358, Dr. W. Lee Dickinson records four cases of hypoplasia of the aorta-a condition which has not been generally re- cognisable on account of its rarity. As Dr. Dickinson points out, the cases he records having occurred within 10 years in the experience of a single hospital suggest that the association of aortic hypoplasia and aneurysm should be worth looking for in the future, especially, perhaps, in those cases of aneurysm which are least susceptible of explanation by ordinary causes, such as aneurysms in women and young children. Women are notoriously more liable to hypoplasia than men and the suggestion presents itself that some degree of hypoplasia, not necessarily to be seen unless searched for, may be the reason for the more untoward course of their aneurysms. Dr. Dickinson further mentions the con- nexion alleged to exist between arterial hypoplasia and

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451

These details are full of interest and appear to justify what ’

we wrote in our issue of May 17tb, that "it is, however, some I

consolation to reflect that the wholesale destruction of i

human life by rivers of molten lava deluging a town or by 1

the incessant hail of hot sulphurous cinders filling the airdoes not necessarily imply an agonising death. On the 1

contrary, it is probable that, in some instances at any rate, I

there is no struggle-the vapours of lava would quickly over-power and render the victims senseless and in this state they iwould probably be overcome by asphyxiation and die." In 1

the same article we remarked that it was reported that manymf the bodies presented the appearance of having been struckby lightning.

-

:

,CHOLERA IN EGYPT.

THE following figures show the distribution of cholera

throughout Egypt for the week ending August 4th. The

total number of cases was 346, of which 185 were new cases.The total number of deaths was 278, of recoveries 13, and109 cases remained under treatment. The Director-Generalof the Sanitary Department reports that he is glad to beable to state that the diminution in the number of cases

reported from Cairo last week continues, and it is to be

hoped that the epidemic in this city will take no further

very serious proportions. The disease is spreading some-what in the vicinity of Assiout. The report continues :During the week Abou Tig, Beirout, Mellawi, Beni-Masoud, and

Beba have declared cases but in none of the towns up to the presenthas the disease shown any tendency ’to spread in an alarming manner.It is much to be hoped that we have succeeded in finding the firstoases early and so shall be able by vigorous measures to prevent thespread of the disease in these towns, but I fear it must be expected forsome time to come that we shall hear of fresh towns becoming infectedfrom time to time. A marked improvement has taken place at Mouchaduring the last few days. The Sanitary Commission of Cairo hasrecommended the permanent closure of all wells in Cairo the water ofwhich is considered contaminated by leakage from cesspools, &c. Thismeasure, which is, in my opinion, of the greatest importance not onlyfor the prevention of the spread of cholera during the present epidemic<but also for the prevention of so much enteric fever in the town, whichno doubt is due in a great measure to the consumption of water frompolluted wells, will be taken in hand at once. In all towns infectedspecial hospitals have been established for the reception of patients andall possible measures taken to prevent the spread of the disease.

SYNTHETIC SILK.

SYNTHETICS loom large even now, although it is true thatattention has chiefly been turned to the synthesis of drugs.But there is no reason why equal success should not attendthe efforts of the chemist to build up articles of food, drink,and clothing from their elements in the same way as merechemical compounds have been constructed. It is only aquestion of the growth of knowledge of the constitutionof matter. Already the synthesis of many articlesof common daily occurrence has been effected. The

aniline colouring matters are practically synthetics ; indigoand madder are common products of the laboratory ; andsugar and alcohol may be prepared from the elementswhich compose them. The latest achievement of the build-

ing chemist appears to be the artificial production of at anyrate the most important constituent of silk. Chemists have

long known that the chief constituent of silk-insects’cocoons and spiders’ threads-is an insoluble proteid,behaving very much in the same way as proteids in general ofwhich the albumins are types. Mulberry silk in particularconsists of over 70 per cent. of a proteid substance termedfibroin associated with 22 per cent. of a yellowishtransparent substance resembling gelatin in compositionand character and known as sericin. These two albuminoussubstances occur in silk with about 3 per cent. of

wax and 1 per cent. of mineral matter. It is sericin,however, or rather its derivative by hydrolysis, serine,which has been successfully synthesised, and inasmuch assilk owes its peculiar and delightful character largely tothis substance there is no doubt that an important steptowards the artificial manufacture of silk has been made.

Day by day synthetics are forcing themselves upon our

notice and are threatening to take a place somewhere orother in man’s ordinary routine. The question has still to

be settled whether a synthetically or artificially preparedsubstance-that is, one which is identical as far as can

be judged with the natural product-gives precisely thesame satisfactory results. Most people, we are sure,

will confess so far to a sneaking preference for the

thing which nature takes time to elaborate rather than forthe product conjured up, so to speak, in a few hours in thelaboratory. But already it is getting difficult in some direc-tions to obtain the natural article. It is so, at any rate, with

indigo ; and it is just possible that in the near future it will beno uncommon experience to hear in the shops a customerprecise in his demand for either the synthetic or naturalarticle in accordance with his choice. It is to be feared.

however, that as synthetic successes are scored so fresh roomfor fraud will be opened and this fact is quite sufficient toraise a prejudice in the meantime.

A NEW PATHOLOGICAL SCHOLARSHIP.

IT was mentioned at the meeting of the British MedicalAssociation recently held at Manchester that Mr. J. FrancisMason of Freeland Lodge, Woodstock, Oxfordshire, had,through Dr. T. F. S. Caverhill of Edinburgh, offered a

scholarship of .f.200 a year with extension to two or

three years if the work seems to promise good results,for the purpose of carrying on investigation into the

physiology and pathology of the thymus gland, includingif necessary collateral investigations on the other ductlessglands. The founder of the scholarship has associated withhimself Dr. Caverhill and Professor G. Sims Woodhead

to act as a small committee for the purpose of select-

ing a suitable candidate. In filling up the scholarshippreference will be given to those who have already made astudy of the thymus or other ductless glands, or have givensome evidence of their fitness to carry on this or similar

work, and who will devote the whole of their time duringtheir tenure of the scholarship to the special research men-tioned. Every facility for carrying on this work in the

Pathological Laboratories, Cambridge, will be placed at thedisposal of the scholar, and further particulars will be foundin our advertisement columns.

HYPOPLASIA OF THE AORTA.

IT more than occasionally happens that morbid con-

ditions of rare occurrence are shown to exist more

frequently than was previously imagined. This maybe explained partly by improved methods of examina-tion (e.g., actinomycosis) or because, attention havingbeen drawn to one or two instances, certain observers

keep close watch on all cases likely to prove of the samenature. In a communication which we published inTHE LANCET of August 9th, p. 358, Dr. W. LeeDickinson records four cases of hypoplasia of theaorta-a condition which has not been generally re-

cognisable on account of its rarity. As Dr. Dickinson

points out, the cases he records having occurred within10 years in the experience of a single hospital suggestthat the association of aortic hypoplasia and aneurysmshould be worth looking for in the future, especially,perhaps, in those cases of aneurysm which are least

susceptible of explanation by ordinary causes, such as

aneurysms in women and young children. Women are

notoriously more liable to hypoplasia than men and the

suggestion presents itself that some degree of hypoplasia,not necessarily to be seen unless searched for, maybe the reason for the more untoward course of their

aneurysms. Dr. Dickinson further mentions the con-

nexion alleged to exist between arterial hypoplasia and