769

Leicester, in which after administration of scarletfever antitoxin intravenously 60 per cent. had a

rigor, and one death occurred, Dr. J. D. Rollestondescribed the method as an instance " of nimiamedici diliger,tia, which Sydenham declared was theonly cause of death in scarlet fever."

I am, Sir, yours faithfully,A. H. G. BURTON,

M.O.H., Ilford.

GRAINS AND SCRUPLES

To the Editor of THE LANCET

SiR,-In your issue of August 22nd there appearedan article from a London Surgeon entitled Grainsand Scruples. In this article there was a referenceto my father. A few days before my father diedhe handed the paper to me and said " I wish you wouldread this, I think it is the nicest thing that has everbeen said about me." I thought it would interestthe author to know this.

I am, Sir, yours faithfully.Gloucester-gardens, W., Sept. 21st. MOYNIHAN.

THE SERVICES

ROYAL NAVAL MEDICAL SERVICE

Surg. Comdrs. G. G. Newman to Pembroke for R.N.B. ;and G. S. Rutherford to President for course.

Surg. Lt.-Comdr. E. J. K. Weeks to rank of Surg. Comdr.Surg. Lt.-Comdrs. G. Rorison to Hawkins G. D. J.

Ball to Royal Sovereign; T. S. Osborne to Dryad ; andR. Russel to Londonderry.

Surg. Lt.-Comdr. (D) E. R. Longhurst to Victoryfor R.N.B.

Surg. Lts. B. M. Goldsworthy to Victory for R.N.Hospital, Haslar; J. Lees to Stork and A. E. Flanneryto Kempenfelt.

Surg. Lt. (D) D. N. Williamson to Pembroke for R.N.B.

ROYAL NAVAL VOLUNTEER RESERVE

Surg. Lt.-Comdr. D. W. Bawtree to Dolphin.Surg. Lts. D. R. Goodfellow promoted to Surg.

Lt.-Comdr.; A. I. L. Maitland (proby.) to Royal Oak; ;W. J. Heely (proby.) to Ramillies and R. C. Anderson(proby.) to Furious.

ROYAL ARMY MEDICAL CORPS

Applications are invited for appointment to commissionsin the R.A.M.C. Candidates will be selected for com-missions without competitive examination and will be

required to present themselves in London for interviewand physical examination on or about Oct. 22nd. Theymust not be over the age of 28. Successful candidateswill in the first instance be given short-service commissionsfor five years, at the end of which period they may eitherretire with a gratuity of Y,1000, or apply for a permanentcommission. Full particulars and forms may be obtainedfrom the Assistant Director-General, Army Medical

Services, War Office, London, S.W.I.Short Service Commissions : Lts. to be Capts. : J. J.

Sullivan, M. Kosloff, and J. L. Gordon. Lts. (on prob.)confirmed in their rank : D. Wright, C. P. Stevens, R. E.Waterston, C. E. Watson, J. A. G. Carmichael, J. W. Orr,W. G. Bateson, W. T. M. Moar, N. C. Lendon, K. H.Harper, T. M. W. D’Arcy, M. F. Kelleher, E. J. Crowe,C. McGrath, A. C. Byles, J. A. Hamilton, C J. O’Kelly,H. R. Simon, J. A. MacDougall, K. H. Foster, J. C. A.Marchand, J. A. G. M. Lynch, and P. Coleman.

Capt. J. J. C. Rainsbury is placed on the h p. list onaccount of ill-health.

REGULAR ARMY RESERVE OF OFFICERS

Capt. G. E. Dyas, M.C., ceases to belong to the Res.of Off.

SUPPLEMENTARY RESERVE OF OFFICERS

A. N. Fergus to be Lt.Capt. D. T. Maclay resigns his commission.

ARMY DENTAL CORPS

Short Service Commissions : Lts. (on prob.) confirmedin their rank : R. G. Kett, P. J. Pigott, and H. J. Burns-Jones.W. K. Eyles (late 2nd Lt. 58th (Suffolk), Med. Bde.,

R.A., T.A.) and A. E. Allan to be Lts. (on prob.).TERRITORIAL ARMY

The Efficiency Decoration has been conferred uponLt.-Col. J. Kinnear and Maj. E. R. Lovell.

Capt. G. G. Talbot to be Maj.Lts. G. A. Garrett and C. K. Sconce to be Capts.G. C. Langlands (late Offr. Cadet, Glasgow Univ.

Contgt. (Arty. Unit), Sen. Div., O.T.C.) to be Lt.

ROYAL AIR FORCE

Squadron Leader F. E. Johnson to No. 10 FlyingTraining School, Tern Hill, for duty as medical officer.

Flight Lts. L. S. Everett and G. Gilchrist are grantedpermanent commissions in that rank.

Flight Lt. T. W. Wilson (R.A.F., retired) is reinstatedon the active list as a Flight Lt.

Flight Lt. C. W. Coffey is promoted to the rank of

Squadron Leader.

RESERVE OF AIR FORCE OFFICERS

E. A. Mayston is granted a commission as Flying Offr.in Class DD.

AUXILIARY AIR FORCE

W. D. Coltart is granted a commission as Flying Offr.

INDIAN MEDICAL SERVICE

Capt. D. N. Chakravarti to be Maj.To be Lts. (on prob.) : S. C. Colbeck, J. H. Bowie,

W. S. Empey, A. G. Miller, and J. F. Thomson.The undermentioned officers retire : Lt.-Cols. G. W.

Maconochie and D. Coutts.

Indian Medical Department.-Lt. (Sen. Asst. Surg.) H.Vincent retires.

INFECTIOUS DISEASE

IN ENGLAND AND WALES DURING THE WEEK ENDED

SEPT. 12TH, 1936

’Notifications.-The following cases of infectiousdisease were notified during the week : Small-pox, 0 ;scarlet fever, 1594 ; diphtheria, 1026 ; enteric fever,163 ; pneumonia (primary or influenzal), 373 ; puer-peral fever, 42 ; puerperal pyrexia, 115 ; cerebro-spinal fever, 12 ; acute poliomyelitis, 20 ; acutepolio-encephalitis, 2 ; encephalitis lethargica, 8 ;dysentery, 12 ; ophthalmia neonatorum, 84. Nocase of cholera, plague, or typhus fever was notifiedduring the week.

Of the 163 notifications of enteric fever the county of Durhamprovided 12 (scattered over 9 urban and rural districts), London15 (in 11 boroughs), Southampton 49 (Bournemouth 41, Christ-church 4), Dorset 5 (Poole 4, Swanage 1).The number of cases in the Infectious Hospitals of the London

County Council on Sept. 18th was 2684, which included : Scarletfever, 845 ; diphtheria, 740 ; measles, 113 ; whooping-cough,418 ; puerperal fever, 13 mothers (plus 6 babies) ; encepha-litis lethargica, 284 ; poliomyelitis, 2. At St. Margaret’sHospital there were 16 babies (plus 9 mothers) with ophthalmianeonatorum.

Deaths.-In 122 great towns, including London,there was no death from small-pox, 17 (3) from entericfever, 6 (0) from measles, 1 (0) from scarlet fever,18 (4) from whooping-cough, 26 (7) from diphtheria,59 (22) from diarrhoea and enteritis under two years,and 10 (1) from influenza. The figures in parenthesespre those for London itself.The deaths from enteric fever outside London occurred at

Poole 8, Bournemouth 3, Beckenham, Harrow, and Hornseyeach 1. Birmingham and Bristol each had 3 deaths fromwhooping-cough.

The number of stillbirths notified during the weekwas 262 (corresponding to a rate of 40 per 1000total births), including 41 in London.