1
883 PARIS.-BUCHAREST. obstinate and reluctant county council, the depart- ment fixed the salary at .El 000 a year, together with vouched expenses, expressing the opinion that such a salary was necessary in order to attract the best candidates. Under pressure from the county council, however, the department has now assented to a salary of .E800, agreeing that " sufficiently satis- factory candidates " can be attracted by that sum. The fall in demand from " the best " to " sufficiently satisfactory " is ominous, particularly in view of the necessity to the health of the metropolis of an efficient health service in the County Dublin. A MEDICAL CENTENARIAN. Last Saturday Deputy Inspector-General William Connolly, R.N. (retired), of Corrig Road, Dunlaog- haire, Co. Dublin, received the congratulations of many friends on celebrating his hundredth birthday. Dr. Connolly became a Licentiate of the Royal College of Surgeons in Ireland in 1856, and immediately entered the Royal Navy as a surgeon. After a distinguished service he retired in 1886. His service life therefore covered a period of extraordinary revolution in the Navy. Dr. Connolly is in excellent health of body and mind. PARIS. (FROM OUR OWN CORRESPONDENT.) CHEMICALS IN BREAD. THE recommendations of the commission appointed by the Academy of Medicine to study the introduction of chemicals into flour were discussed at a meeting of the Academy on March 17th. In its report the commission criticised severely the use of chemicals in this way, but Prof. Desgrez upheld the opposite view, insisting that this employment of certain chemicals was warrantable both from the ecomonic and the hygienic point of view. He had conducted a series of experiments on animals, and had come to the conclusion that the chemicals in question were harmless. He accordingly asked the Academy to defer its decision pending the outcome of new experi- ments which he would like to see conducted by the Société d’Hygie-ne AZimentai’te. The Academy in its unanimous rejection of Prof. Desgrez’s amendment, incorporating the above views, condemned all chemical treatment of foodstuffs, and intimated that no experience could be too lengthy in forming an opinion of the harmlessness of chemicals applied to articles of daily food. The ill-effects of such chemicals may take long to appear, but when they have appeared they may be irremediable. THE DOCTOR-DENTIST. Reference has already been made in these columns to the proposal that dentistry shall be practised in France only by duly qualified doctors. At the opening of the discussion of this proposal at the Academy of Medicine this principle was advocated by a member of the commission appointed to study it. But at subsequent discussions opposition from various competent quarters has been strongly voiced, and the critics have included an ex-Minister of Health, Mr. Paul Strauss. Among the arguments brought forward against the ultimate suppression of the dentist without a medical degree is the unsatisfactory experience of countries which have attempted this innovation. Its critics would rather see the non- medical dentist given a better training than hereto- fore. Opposition is, of course, inevitable on the part of the non-medical dentists themselves, however much they may be assured that the proposed change will imply professional and social promotion. CERTIFICATION WITHOUT EXAMINATION. The Court of Appeal of Grenoble has given judgment in the case of a retired officer whose wife induced a Dr. Thilly to certify him as insane without having examined him. As a result of his certification this officer was admitted to a lunatic asylum. He objected strenuously and his friends, intervening on his behalf,- secured his judicial examination by a board of three experts who came to the conclusion that he was. sane. Meanwhile he had been confined in the asylum for 63 days. Accordingly, he sued his wife, Dr.. Thilly, and the medical superintendent of the asylum for 400,000 francs. After losing the case in the first instance he appealed against the verdict as far as the two doctors were concerned. The Court of Appeal upheld the original verdict acquitting the medical superintendent of the asylum, but it awarded 8000 francs to the officer as damages against Dr. Thilly, who had also to contribute towards the- costs of both suits. BUCHAREST. (FROM OUR OWN CORRESPONDENT.) INDUSTRIAL HYGIENE IN RUMANIA. INDUSTRIAL hygiene is relatively new in this country, because formerly Rumania was almost wholly agricultural. Only since the war, when Rumania acquired new territories abounding in industrial enterprises, has the problem of the regulation of industry cropped up. Those responsible have e naturally tried to copy the most modern foreign systems, and are working out a system that will cover the hygiene of workshops, of individual workers, and of working-people outside their employment. An Act passed in 1930 provides for periodic com- pulsory medical visits of all employees at the cost of the employer, but fails to lay down penalties for those who do not comply with this regulation. The law of 1928 fixes the minimal age for factory workers at 14 and makes employers verify the ages of adults from their birth certificates. The minimal age for night workers is 18. The law prescribes that in mines and in factories where the work may be bad for the lungs (brush and twine factories, flour mills, spice mills) employees must be examined quarterly. Pregnant women must not be employed after the end of the eighth month, or within six weeks after childbirth. During this free period they get a, subsidy from the sickness insurance office, which provides them also with free medical help. Working women, who breast-feed their babies, may be admitted to industrial establishments only if there is a suitable place, with a competent nurse, where their children can be left. This obligation refers to undertakings with 50 hands or more. As regards the .health of workers outside their employment there are as yet no orders and enactments. The authorities seem to feel that at present this side is best left to private organisations. REDUCTION OF THE HEALTH BUDGET. Owing to economic difficulties the revenues of the State have so greatly decreased that expenditure is being restricted in every direction. As might be. expected, expenditure on health services has been the last to be curtailed, but the already unsatisfactory

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883PARIS.-BUCHAREST.

obstinate and reluctant county council, the depart-ment fixed the salary at .El 000 a year, together withvouched expenses, expressing the opinion that such asalary was necessary in order to attract the bestcandidates. Under pressure from the county council,however, the department has now assented to a

salary of .E800, agreeing that " sufficiently satis-

factory candidates " can be attracted by that sum.The fall in demand from " the best " to " sufficientlysatisfactory " is ominous, particularly in view of thenecessity to the health of the metropolis of an efficienthealth service in the County Dublin.

A MEDICAL CENTENARIAN.

Last Saturday Deputy Inspector-General WilliamConnolly, R.N. (retired), of Corrig Road, Dunlaog-haire, Co. Dublin, received the congratulations of

many friends on celebrating his hundredth birthday.Dr. Connolly became a Licentiate of the RoyalCollege of Surgeons in Ireland in 1856, and immediatelyentered the Royal Navy as a surgeon. After a

distinguished service he retired in 1886. His servicelife therefore covered a period of extraordinaryrevolution in the Navy. Dr. Connolly is in excellenthealth of body and mind.

PARIS.

(FROM OUR OWN CORRESPONDENT.)

CHEMICALS IN BREAD.

THE recommendations of the commission appointedby the Academy of Medicine to study the introductionof chemicals into flour were discussed at a meeting ofthe Academy on March 17th. In its report thecommission criticised severely the use of chemicalsin this way, but Prof. Desgrez upheld the oppositeview, insisting that this employment of certainchemicals was warrantable both from the ecomonicand the hygienic point of view. He had conducteda series of experiments on animals, and had come tothe conclusion that the chemicals in question wereharmless. He accordingly asked the Academy todefer its decision pending the outcome of new experi-ments which he would like to see conducted by theSociété d’Hygie-ne AZimentai’te. The Academy in itsunanimous rejection of Prof. Desgrez’s amendment,incorporating the above views, condemned all chemicaltreatment of foodstuffs, and intimated that no

experience could be too lengthy in forming an opinionof the harmlessness of chemicals applied to articles ofdaily food. The ill-effects of such chemicals may take

long to appear, but when they have appeared theymay be irremediable.

THE DOCTOR-DENTIST.

Reference has already been made in these columnsto the proposal that dentistry shall be practisedin France only by duly qualified doctors. At the

opening of the discussion of this proposal at the

Academy of Medicine this principle was advocatedby a member of the commission appointed to study it.But at subsequent discussions opposition from variouscompetent quarters has been strongly voiced, and thecritics have included an ex-Minister of Health, Mr.Paul Strauss. Among the arguments broughtforward against the ultimate suppression of thedentist without a medical degree is the unsatisfactoryexperience of countries which have attempted thisinnovation. Its critics would rather see the non-

medical dentist given a better training than hereto-fore. Opposition is, of course, inevitable on the part

of the non-medical dentists themselves, however muchthey may be assured that the proposed change willimply professional and social promotion.

CERTIFICATION WITHOUT EXAMINATION.

The Court of Appeal of Grenoble has given judgmentin the case of a retired officer whose wife induced aDr. Thilly to certify him as insane without havingexamined him. As a result of his certification thisofficer was admitted to a lunatic asylum. He objectedstrenuously and his friends, intervening on his behalf,-secured his judicial examination by a board of threeexperts who came to the conclusion that he was.sane. Meanwhile he had been confined in the asylumfor 63 days. Accordingly, he sued his wife, Dr..

Thilly, and the medical superintendent of the asylumfor 400,000 francs. After losing the case in the firstinstance he appealed against the verdict as far as thetwo doctors were concerned. The Court of Appealupheld the original verdict acquitting the medicalsuperintendent of the asylum, but it awarded8000 francs to the officer as damages againstDr. Thilly, who had also to contribute towards the-costs of both suits.

BUCHAREST.

(FROM OUR OWN CORRESPONDENT.)

INDUSTRIAL HYGIENE IN RUMANIA.

INDUSTRIAL hygiene is relatively new in this

country, because formerly Rumania was almostwholly agricultural. Only since the war, whenRumania acquired new territories abounding inindustrial enterprises, has the problem of the regulationof industry cropped up. Those responsible have e

naturally tried to copy the most modern foreignsystems, and are working out a system that willcover the hygiene of workshops, of individual workers,and of working-people outside their employment.An Act passed in 1930 provides for periodic com-pulsory medical visits of all employees at the cost ofthe employer, but fails to lay down penalties for thosewho do not comply with this regulation. The lawof 1928 fixes the minimal age for factory workers at14 and makes employers verify the ages of adultsfrom their birth certificates. The minimal age fornight workers is 18. The law prescribes that inmines and in factories where the work may be badfor the lungs (brush and twine factories, flour mills,spice mills) employees must be examined quarterly.Pregnant women must not be employed after theend of the eighth month, or within six weeks afterchildbirth. During this free period they get a,

subsidy from the sickness insurance office, which

provides them also with free medical help. Workingwomen, who breast-feed their babies, may be admittedto industrial establishments only if there is a suitableplace, with a competent nurse, where their childrencan be left. This obligation refers to undertakingswith 50 hands or more.As regards the .health of workers outside their

employment there are as yet no orders and enactments.The authorities seem to feel that at present this sideis best left to private organisations.

REDUCTION OF THE HEALTH BUDGET.

Owing to economic difficulties the revenues of theState have so greatly decreased that expenditure isbeing restricted in every direction. As might be.expected, expenditure on health services has beenthe last to be curtailed, but the already unsatisfactory