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Pharyngeal Carcinoma, a condition which, in his experience,is not so rare as is usually believed. He has seen in Zürichsixty-one cases, of which fifty-six occurred in males and fivein females. He classified the growths according to theirlocalisation, as naso-pharyngeal, oro-pharyngeal, and laryngo-pharyngeal. The first are very rare, but instances ,of thesecond and third kind are more frequently observed. Naso-pharyngeal carcinoma has not yet been operated on. Ofthe oro-pharyngeal cases he has operated on fifteen with fewrelapses ; of the eight laryngo-pharyngeal cases six diedfrom the operation, one from a relapse, and only one

survives. Of all the sixty-one cases of pharyngealcarcinoma, twenty-nine only were operable, eleven died fromthe operation, two were cured, and the others died from

relapses.Considerations of space permit only a passing reference to

other papers read at the Congress, the principal of them

being those by Dr. Koerte on the Surgical Treatment ofDiffuse Peritonitis, Dr. Marwedell (Heidelberg) on the Valueof the Murphy Button, Dr. Sonnenburg on Operations forRectal Stricture, Professor Kuster (Marburg) on FibrousOstitis, Dr. Bencke on Gonorrhœal Arthritis, and Dr. Halbau(Vienna) on the Absorption of Bacteria.

BIRMINGHAM.(FROM OUR OWN CORRESPONDENT.)

Ingleby Lectures. ’

THE President and Council of Mason College have issuedcards of invitation for the Ingleby lectures for the presentyear, which are to be given on Wednesdays, May 19th and26th, by Mr. Bennett May, the subject being the OperativeTreatment of Cancer of the Breast.

Hospital Reform.The Birmingham Trades Council have expressed their

opinion strongly on this vexed subject. ihe following resolu-tion was proposed at a recent meeting of the body : ’’ Thatthis council respectfully declines to accept the view expressedat the meeting lately held, and is of opinion that all cases ofinjury caused by accident and requiring medical or surgicaltreatment should be admitted without demur. Further,this council protests against the practice of men andwomen being called upon to pay the shilling fee if theyhave occasion to attend the hospital for medical aid or

advice when they are already paying weekly subscriptionsthrough their factories and workshops for the same

institutions." It was stated by subsequent speakers thatthe resolution was a protest against the statements madeat a meeting of the Hospital Reform Association. The

question, it was averred, was, Were the hospitals merely totreat cases approved by the medical officers or were thesubscribers to the Hospital Saturday Fund to be entitled tofirst aid ? The chairman said that the discussion tended toshow that the hospitals were not the institutions peoplethought they were. They had been taught to believe thatthey were charitable institutions, but it had been provedthat a man who paid a penny a week could practicallydemand treatment for nothing, whereas a man who did notpay to a hospital direct could not have direct treatment. Ifthat were true it destroyed the whole idea of hospitals ascharities. He did not see why a man who earned £100 aweek if he paid to the hospital was not as equally entitledto treatment as the man who earned £1 a week. Suchand similar opinions expressed by a representative body of Iworkmen go to show the trend of public opinion in the Ipresent day on hospital administration questions.

Accident at the New General Hospital. ,

A lamentable accident happened on the 3rd inst. to Mr.Philip Osler, aged twenty-one years, which resulted in hisdeath in a short time. Mr. Osler was engaged in testing theelectrical communications, and it is supposed that during aninterval in this duty he attempted to pass through a trap-dooron to the roof of the building. Below the door, which isreached by a small ladder, is a glass skylight window,through which Mr. Osler fell, and was found on the floorbeneath in an unconscious condition. He was at once takento the Birmingham General Hospital where it was found thathis skull was fractured and where he soon expired. Mr.Osler was a young man of exceptional ability and promise,and his death cast a gloom upon the staff engaged on the

building. Much sympathy has been expressed with hisparents in this sad calamity.

Midland Counties Idiot Asylum.Lord Leigh, chairman of the committee, moved the-

adoption of the thirtieth annual report at a meeting of thisinstitution held on the 5th inst. at Walsall. It was shownthat the total expenditure for 1896 was £19541s. 9d. and’that there was an adverse balance of Z144 19s. 8d. Theprogress had been satisfactory and the amount of good donevery great. It was pointed out that the founder of the-institution was Dr. Bell Fletcher, one of the physicians formany years to the Birmingham General Hospital. Dr.Fletcher is still living at Leamington, having attained to thegreat age of nearly ninety years.Birmingham.

MANCHESTER.

(FROM OUR OWN CORRESPONDENT.)

Difficulties of the Rivers Committee.AT the meeting of the City Council on May 5th the

Rivers Committee asked the council to sanction the expenditure of a large sum for the building of two additional filtra-tion tanks of an acre each in extent for the purpose of testinga system of filtration recommended by Sir Henry Roscoe oma much larger scale than had hitherto been possible.Councillor Bradley objected that neither the filters nor the.experiments were necessary, and the matter was referredback to the committee for further consideration. This leavesmatters much as they were, for it may be remembered that,the culvert scheme for taking the sewage effluent from Davy,-hulme to the estuary of the Mersey was rejected by a town’smeeting. It will be necessary to arrange something beforelong, as the council will have to appear before the stipendiarymagistrate in September with a complete scheme of sewagetreatment in obedience to an order of the court, in defaultof which the corporation will be liable to heavy dailypenalties.

Muzzling v. -Registration of Dogs.At a recent meeting of the City Council, Alderman Merk

stated that the present muzzling order existing in Manchesi erwas made by the local authority on Feb 20th, 1895. Aftera period of fifteen months it was decided to try thealternative of " registration with name and address, collars,and a brass badge," and this came into effect on June lst,1896. During the fifteen months fourteen dogs had beencaptured reported as suffering from rabies, while, duringthe eleven months of registration five cases had occurred, butthe report as to the last case had not yet been received. TheWatch Committee had registered for this year 7088 dogs, andif the new muzzling order were issued it would put the committee in a difficulty with 7088 owners. A deputation intro-duced by Sir W. H. Houldsworth laid the matter before thePresident of the Board of Agriculture, who admitted thatthere was a strong case for their application that the localregulations might be allowed at any rate to exist forthe present and that the contracts should be allowedto lapse by the emuxion of time. The final answer to theirrequest had not yet been received. In the meantime ordershad been given to the police to be more active than hithertoin the capture of vagrant dogs.

Insanitary Cowsheds.The medical officer of health has issued an important

report on the Manchester cowsheds. Powers have beengiven to the City Council to deal with the matter, and theSanitary Committee is seeking to enforce these powers, andto compel cow-keepers to keep their sheds clean. The cowsin the city it appears are largely affected with tuberculosis.

JIanchester Medical Cricket Clitb.The fifth annual general meeting of this club was held at

98, Mosley-street, on the 6th inst. The honorary secre-

taries’ report stated that the number of members was exactly100-twenty-seven being life and seventy-three ordinary-members, consisting of both medical men and students.Seven matches had been played during the last season, ofwhich two-Liverpool Medicals and the Law-had beenwon, those against Cheadle and Prestwich Asylums andWorsley drawn, and one lost-that against Heywood.The honorary treasurer’s report was favourable, showingseveral pounds to their credit at the bank, although