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bone around the foci of disease. We cannotthink this suf-ficient. Inflammatory products may become cheesy andsoften down, and the existence or not of thickened bone maywell be held to depend upon the stage of the disease ratherthan upon its nature. Can we apply this test to the lungs,and say that induration always shows chronic inflammation,while its absence proves the softening and breaking down oftissue to be tubercular? For the treatment of intractablecases of this disease drainage of the bone is recommended.The lecture on Syphilitic Disease of Bone is, perhaps, the bestof the twelve, but we cannot understand why Mr. Mac-namara should state so confidently that when the new tissueis fully ossified it cannot be absorbed. Bony callus disap-pears, the alveolar processes of the jaws are removed; and ifhis statement is true, it is something beyond the mere factof ossification that prevents the absorption of the neoplasia.The author has made observations on the bones of insane

patients, and has failed to find any peculiar brittleness or

other special pathological change in them, and he holds thatfractures are due to just the same causes in the insane as inthe sane. We are glad that he urges his students to try toobtain union of intracapsular fractures of -the femur; webelieve that this is now the teaching of most practical sur-geons who have carefully and patiently treated these cases.The best piece of pathological writing in the book is that

dealing with the usually obscure subject :of osteo-sarcoma ;it is very simple and clear. It only remains to state thatthe book is brought out well; the paper, printing, andbinding are excellent.

Dangers to Health. A Pictorial Guide to Domestic SanitaryDefects. By T. PRIDGIN TEALE, M.A., Surgeon to theGeneral Infirmary of Leeds. London: J. and A.Churchill. Leeds : Charles Goodall. 1878.

IT may seem strange that a busy consulting surgeon shouldfind time and have the inclination to write on sanitary defectsin houses, and to give a very copious and effective pictorialillustration of almost every conceivable defect of the sort.But it is not so strange as it seems. Surgeons have hadgood reason to find out that their success depends on goodhygienic conditions as much as, if not more than, that of thephysician. Surgery will compare creditably with medicinein the practical value of its contributions to sanitation. Weare already indebted to one distinguished surgeon for de-monstrating some of the finer ways in which air may be themedium of disaster in surgical cases. The book we are now

noticing lays us under obligation to another for its illustra-tion of the grosser ways in which the air of our houses is

poisoned from faults and defects in their construction, andin the construction of those drains and sewers which giveus relation to our neighbours and our neighbours to us,whether we or they like it or not. Mr. Teale tells us verysimply how he was led, by discovering and rectifyingnumerous defects in his own house and property, and bystudying the results of such alterations on the health of theinmates, to be impressed with the scandalous carelessnessand gross dishonesty in drain-work, and to become indig-nantly alive to the fact that very few houses are fit to livein. He regards a third, at least, of the incidental illness ofthe kingdom, much childbed illness, and some of thefatal results of surgical operations in hospitals and privatehouses as the direct result of drainage defects. It is no

wonder, then, that Mr. Teale, being an earnest man, shouldcome to the determination no longer to leave the exposureof these evils to architects and builders merely-the chiefculprits,-but to undertake the task himself. The result isa book which every householder, and every medical manespecially, should possess.Not only the structure of houses and of drains and

sewers, but the foundations of dwellings, the ventilationof rooms and of carriages, together with means for the

exclusion of air impurities, are all duly considered. The

great virtue of the book is its graphic pictures, and the factthat they represent defects actually seen by Mr. Teale or byfriends on whose description he can rely. Fine qualities ofdrawing have been disregarded so as to give plainness andprominence to the points sought to be illustrated. Mostmedical men have been led, like Mr. Teale, to a study ofthe sanitary conditions of their own house, but few willread this book without being more impressed than ever withthe necessity of studying also the sanitary condition of theirpatients’ houses, as important factors in the production oftheir diseases, whether zymotic, catarrhal, or otherwise.Mr. Teale gives various instances in which diseases, suchas erysipelas, typhoid, diarrhoea, ill-health, sore-throats,ailments of children, &c., have been found in connexionwith drainage defects, and have been eradicated by theirremoval. The book is a most valuable and practical one,for which we thank the author. If we could suggest anyimprovement, it would be to add still further, in the subse-quent editions, to the medical and clinical facts found to beassociated with house defects, which have never been sovividly shown as by Mr. Teale.

OUR LIBRARY TABLE.

Transactions of the Pathological Society of London.Vol. 29. London : Printed for the Society by J. E. Adlard.1878.-This volume is as full of matter as its predecessors.It would not be possible to indicate the numerous observa-tions of new facts which find their place here, nor would itbe necessary, seeing that our columns have afforded regu-larly the opportunity for their due recording. It will sufficeto point out that the subject of lymphadenoma and alliedaffections is especially treated here in a fairly exhaustivesurvey of its pathological features in contributions fromDrs. Greenfield, Gowers, Goodhart, and others. Mr.Lister’s paper on Lactic Fermentation will be read withinterest by those who were present at his admirable exposi-tion of the subject. Amongst subjects most exhaustivelytreated are two on dermatological matters in the " Anatomyof Dysidrosis," by Dr. Tilbury Fox and Dr. Crocker ;" Hypertrophic Lupus," by Dr. Sangster ; and they maybe cited here because it is ’not often that cutaneous

pathology is illustrated in these Transactions.Bulletins et Mémoires de la Société Médicale des Hopitaux

de Paris, 1877. Paris : P. Asselin. 1878.-This is the four-teenth volume of the second series of one of the oldest estab-lished medical societies of Paris-" the Medical Society ofthe Hospitals." One great feature in its work is the publi-cation of quarterly returns of prevalent diseases in the

hospitals. These returns for 1877 are published in thevolume before us, which contains also the record of thevarious meetings and discussions at the Society during thatyear. The chief subject discussed was that of the cold bathtreatment of typhoid fever, which was attacked vigorouslyand vivaciously by Dr. Michel Peter in a speech lastingover four meetings, but ably defended by MM. Libermannand Raynaud. A memoir on Sunstroke, by Dr. Lacassague,is also published in the volume, and should be read in con-nexion with the discussion above mentioned.New Com1nercial Plants. No. 2. By THOMAS CHRISTY,

, F.L.S. Christy and Co. 1878.-In this part Mr. Christy de-scribes four plants-the Gynocardia odorata, Vogel’s African

i rubber-tree, the Mahwah tree, and cocoa. The seeds of the: Gynocardia yield chaulmugra oil, which has long been; known and valued in India and China as a remedy forL skin diseases, and as a specific for secondary syphilis. In

Mauritius it is considered to be the only reliable remedyL for leprosy, and it appears to have extraordinary alterative

L powers in phthisis. Vogel’s African rubber-tree, Urostigma; Vogelii, is said to yield one of the best kinds of india-

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rubber in West Africa, and it is a desirable species forcultivation in the lowlands of Southern India and Ceylon ;in Java, Sumatra, Penang, and Siam. The Mahwah tree,Bassia latifolia, growing in Bengal, but abundant in all

parts of Central India, has a trunk that furnishes goodtimber, and yields a gum, and flowers that are succulentand contain an extraordinary amount of sugar. Theyresemble raisins when dried. The tree grows upon poorstony ground, and never fails to flower-a single tree yield-ing from 2001b. to 4001b. In regard to the Theobromacacao, it is stated that the nature of the soil is of great im-portance ; the best in the world being obtained from aparticular farm in Guatemala. It could be cultivated inCeylon. ’

Transctclions of the Pathological Society of Philadelphia.Vol. 7. Printed for the Society by J. P. Lippincott and Co.1878.-These Transactions are based upon the plan first

originated by the Pathological Society of London. Thevolume before us has been carefully edited by Dr. HenrySims. It contains records of a large number of interestingcases, some of them of rarity, and many of importance fromtheir bearings on practical medicine. Two cases of extra-uterine foetation, carefully illustrated by drawings, are in-stances of the latter kind of communication. There is aMorbid Growths Committee in the Philadelphia as in theLondon Society, and it appears as if activity was greater inthe former than in the latter body, for the large majority ofthe specimens exhibited seem to have been referred to thecommittee in question.The Birmingham Medical Review. January, 1879.-The

first place in the current number is given to a series of short,but good, reviews. The original communications are avaluable paper on Cerebro-spinal Meningitis by Dr. Russell,the second of the Ingleby Lectures by Mr. Clay, and anaccount of a Method of Treating Wounds by constantlyMoist Antiseptic Sponge-dressing by Mr. Furneaux Jordan.Staff .L1fap of Zululand and the Transvaal.-Mr. Wyld,

the geographer, has produced an excellent staff map ofZululand and the Transvaal. It is clear, and will proveuseful in the present concentration of interest on the locality.The positions of the military columns on the llth of Januarylast are indicated, and will serve as points of departure foithe students of the war..

HEALTH OF LARGE ENGLISH TOWNS INTHE EIGHTH WEEK OF 1879.

DURING last week 5194 births and 3616 deaths were regis-tered in twenty of the largest English towns. The birthsexceeded by 12, and the deaths by 346, the average weeklynumbers during 1878. The deaths showed an increase of 58

upon those returned in the previous week, and were equalto an annual rate of 25’6 per 1000, against 28’4 and 25’1 inthe two preceding weeks. During the past eight weeks ofthe current quarter the death-rate in these towns has

averaged 27’0 per 1000, against 22’6 and 26’0 in the corre-sponding periods of 1877 and 1878. The lowest death-rateslast week in the twenty towns were 16’6 in Portsmouth,17’0 in Leicester, 18’4 in Bristol, and 18’5 in Hull. Therates in the other towns ranged upwards to 28’1 in Leeds,34’7 in Oldham, 36’1 in Liverpool, 39’0 in Salford, and 39’4in Manchester. It is worthy of note that while the rate ofmortality averaged 37’4 in the four Lancashire towns (Liver-pool, Manchester, Salford, and Oldham), it did not averagemore than 24’9 in Leeds, Sheffield, Bradford, and Hull, thefour Yorkshire towns dealt with in the Registrar-General’sreturns. The 386 deaths referred to the seven principalzymotic diseases in the twenty towns last week showed anincrease of but 5 upon the low number returned in the pre-

vious week; they included 139 from whooping-cough, 99from scarlet fever, and 38 from fever, principally enteric.The annual death-rate from these seven diseases againaveraged 2’6 per 1000 in the twenty towns, which is veryconsiderably below the average ; it ranged from 0’4 and 0’5in Hull and Bristol to 4-4 and 5-2 in Salford and Leeds. Thefatal cases of scarlet fever were fewer than in any weeksince the middle of August last, although the disease againshowed fatal prevalence in Salford, Sunderland, and Brad-ford. Whooping-cough was exceptionally fatal in Man-chester, Leeds, and Sheffield. Small-pox caused 17 moredeaths in London, whereas no death was referred to thisdisease in any other of the twenty large towns. No deathfrom small-pox has been registered since the middle ofNovember last in the nineteen large provincial towns dealtwith in the weekly return, having an estimated aggregatepopulation of more than three and a half millions of people.

THE PLAGUE.

THE latest official news from the infected district of theriver Volga represent it as then entirely free from plague.No new cases had occurred apparently for several days, andof the previous cases the last had died. Nevertheless, not-withstanding this favourable account, measures of pre-caution were being pressed forward more actively than ever,under the direction of the newly-appointed Governor-GeneralCount Loris Melikoff. The sanitary cordon, then incom-plete, it was hoped would be completed by 28th February,and a state of siege had been proclaimed within the infectedarea. Moreover, physicians from various parts of the empireand detachments of the Red Cross Society were being hurriedto the spot. Dr. Miinch, who has been dispatched to theLower Volga by the City of Moscow, is accompanied byDr. Markievitch, and by Dr. Slintchansky, Professor of

Pathological Anatomy at the University of Kiev. Dr.

Krytow, Professor of the University of Kharkow, has beensent to the infected district by the Red Cross Society.The different measures which are still being taken in the

province of Astrakhan betoken an expectation on the partof the authorities that plague will presently manifest re-newed activity, and that it is unlikely it will then be con-fined within the area of the first outbreak. Tsaritzin, andother towns outside the sanitary cordon, are preparingnumerous beds, in isolated hospitals, for the reception ofplague patients, should the disease appear in them. Thewinter is reported to have been the mildest known in theLower Volga within the memory of man. On the 20ththe ice in the stream had broken, and communication wasestablished by boats between the two banks of the river.The Austro-Hungarian Medical Commission have reached

Tsaritsyn, and they were presented to Count Loris Melikoffon February 20th. On their journey eastwards they werereceived everywhere with marked honour. In Warsaw theywere entertained at dinner by the Medical Society, andafterwards were present at a ball given by the Governor-General, Count Kotzebue. The dinner was very brilliant,and the hosts and their guests vied with each other in ex-changing compliments in the German, Polish, and Hungarianlanguages. In Moscow, the Governor - General, PrinceDolgorokow, received the Commission at a dinner givenby him in their honour, and in the course of the eveningspoke in the warmest terms of the mission which the

’ Commission had undertaken without regard to the riskthey ran. Dr. Hirsch responded for the Commission, and

, dwelt upon the grateful surprise of the Commission at thereception which had been accorded to them. They hadfeared that their presence in Russia might be regarded as anintrusion, but, so far from this being the case, they had been

: warmly welcomed as coadjutors in the important and’ difficult duties which had devolved upon the medical pro-

fession in Russia.A telegraphic report from St. Petersburg, dated Feb. 25th,

- and founded on a statement in the Oflicial fflessen 9 er, inti-

L mates that a case simulating the Astrakhan disease has comeunder Professor Botkine’s care in St. Petersburg. The case

1 and also all persons who had recently been in communication. with the patient have been strictly isolated.