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memorandum mentions the bodies of voluntaryworkers, &c., at work in Madras city and in the imufussa,l, and discusses the various ways in which

I.these bodies may be utilised by a central propagandaorganisation. Finally, a detailed programme of workis suggested, this programme including campaignsfor prevention of hookworm, plague, small-pox,cholera, malaria, tuberculosis, venereal diseases, forchild welfare and maternity relief work, &c. TheHealth Propaganda Board is felt to be the body bestsuited to form the necessary link between the Stateand local bodies on the one hand, and on the other thevarious voluntary associations and societies. It issuggested that representatives of the various officialand non-official agencies should be elected to thisBoard, so that a more or less complete coordinationcould be obtained. On the official side the Directorof Public Health, representing the Public HealthDepartment, the Director of Public Instruction,representing the Educational Department, and theDirector of the King Institute, representing theMedical Department, should be coopted members ofthe Board.The memorandum on the future policy of the

Health Propaganda Board, written by Major J.Cunningham, I.M.S., is also printed with the Govern-ment Order. This memorandum discusses a schemefor the organisation of public health propagandafrom the non-official point of view, and while layingdown certain general principles in connexion withhealth propaganda which require consideration beforethe actual organisation of the central body can bediscussed, it reaches conclusions which are not atvariance with those promulgated by the Director ofPublic Health. It is suggested that the HealthPropaganda Board could best carry out its functionsas the central organisation for health propaganda bymeans of two subcommittees which, for want ofbetter names, could be known as (1) the technical, and(2) the administrative. These two committees wouldin no sense be water-tight compartments, but would Iwork in the closest coordination with each other.

IThe Government do not discuss these twomemoranda in detail, but suggest that they deserve Icareful study. The Government admit the necessity Ifor a central agency to coordinate the efforts of the (numerous bodies interested in public health propa-ganda, but defer the question of financial assistance,as they understand the formation of such an agencyis under consideration. The recent visit of Sir ClaudeHill, the Red Cross Commissioner for the League ofNations, has stimulated interest in the internationalactivities of the Red Cross Society in public healthpropaganda.

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CONGRESS OF THE

ROYAL SANITARY INSTITUTE AT HULL.

THE Thirty-fourth Congress of the Institute, whichopened at the beginning of the week, bids fair to beexceptionally successful, attended as it is by over 500delegates from this country and a large number ofoverseas representatives. On Sunday. July 29th,Canon George Buchanan preached a striking sermonto the members of the Congress, in which he developedthe theme that health and wholeness implied the samething, and to secure real health every section of thecommunity and every phase of social life must bereached.On July 30th the Lord Mayor of Hull received the

members and delegates and later on opened theHealth Exhibition in the Wenlock Barracks, a buildingadmirably adapted for the purpose. At 5 P.M. theRight Hon. T. R. Ferens, High Steward of Hull,President of the Congress, delivered the inaugural iaddress, Dr. Louis C. Parkes, Chairman of the Councilof the Institute, being in the chair. Mr. Ferens made Ispecial reference to housing as the greatest need of thenation to-day. Hull needed approximately 6000 morehouses. It was no use, he said, attempting to instil theprecept of hygiene into people who live in the many

dilapidated and insanitarv dwellings which to-dayexist in the slum areas of all our towns and cities. Asa contrast, Mr. Ferens invited the members to visitthe well laid out garden village in East Hull, coveringan area of 60 acres and containing 600 houses ;marked improvement in health was the result of lifethere. Mr. Ferens also alluded to the social andhygienic work in connexion with a factory in EastHull, where over 5000 workers of both sexes are

employed. Here, during the past 15 years, a whole-time doctor and a whole-time dentist have beenengaged, and may be consulted at any time. Nursesare provided, and are in charge of dressing and restrooms for casualties and slight illnesses. There arehealth visitors who become acquainted with homeconditions of the workers. Boys and girls under 18are taken from their work two hours weekly for drilland gymnasium at the company’s cost. Dental workhas proved most beneficial in the maintenance ofgeneral health ; tooth-brushes and tooth-powder arebought wholesale and supplied at cost price. Appli-cants for employment are examined by the doctor asto their suitability for factory work. The medicalexamination is on very broad lines and rejections arefew, consisting of those suffering from epilepsy, oralsepsis, tuberculosis, and certain heart cases.At the conclusion of his address a vote of thanks to

Mr. Ferens was proposed by Lieut.-Commander J. M.Kenworthy, M.P., and seconded by Surgeon W. W.King, of the United States Public Health Service, onbehalf of the delegates from Foreign Governments.The motion was also supported by Dr. J. E. Sandilands,Executive Health Officer of Bombay, on behalf ofthe delegates from the Dominions, by Dr. S. J. Thacker,ex-Mayor of Christchurch, New Zealand, and byJudge W. J. Harvey, of Edinburgh, on behalf of thedelegates from Municipal Authorities, and was put tothe meeting by Mr. H. D. Searles-Wood, chairman ofthe Institute’s Congress Committee.The meetings of conferences and sections are

proceeding as outlined in THE LANCET of July 21st(p. 152). Elsewhere in the present issue appears thetext of Prof. F. E. Wynne’s address, delivered beforethe Section of Maternity and Child Welfare on

August 2nd. A large number of firms are displayingapparatus, materials, and preparations of interestto all concerned in hygiene and sanitation.

The Services.ROYAL NAVAL MEDICAL SERVICE.

Surg.-Lt. H. A. L. Guthrie to be Surg. Lt.-Comdr.

ROYAL NAVAL VOLUNTEER RESERVE.

Temp. Surg.-Lt. W. F. W. Betenson, late R.N., to beSurg.-Lt. (Permanent List).

Surg.-Capt. R. J. E. Hanson is placed on Retd. List athis own request. --

TERRITORIAL ARMY.

Capt. A. W. Wakefield (late Canadian A.M.C.) to be Capt.A. H. MacCulloch Eaton (late R.N.V.R.) to be Lt.Capt. F. E. Tylecote relinquishes his commn. and is granted

the rank of lIaj. ; and Capt. J. Macquarrie resigns hiscommn. and retains the rank of Capt.

Sanitary Companies : Capt. R. Cunningham (late R.A.M.C.,Mila). to be Capt.

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INDIAN MEDICAL SERVICE.Col. Charles Harford Bowle-Evans, V.H.S., C.M.G.,

C.B.E., has been appointed Director of Medical Services inplace of Lieut.-Gen. Sir C. H. Burtchaell, C.H., K.C.B.,C.M.G. This is the first time that an officer of the I.M.S.has been appointed to be Director of Medical Services, andwe congratulate all concerned on the departure.! The King has approved the retirement of Maj.-Gen. SirWilliam Rice Edwards, K.C.I.E., C.B., C.M.Gr., E.H.JP.

THE Lancashire Asylums Board has decided toapply under a Bill now before Parliament for the name tobe changed to

" Lancashire Mental Hospitals Board."