1
799 Vacancies. For jurther information regarding each vacancy reference should be made to the advertisement (see Index). BiBMINSHAM AND MIDLAND EAR AND THROAT HOSPITAL.-House Surgeon for seven months. Salary at rate of £70 per annum. BIRMINGHAM WORKHOUSE INFIRMARY.-Assistant Resident Medical Officer. Also Assistant Resident Surgical Officer. Salary £100 per annum with apartments, rations, attendance, &c., in each case. BLACKBURN AND EAST LANCASHIRE INFIRMARY. Junior House Surgeon. Salary £70 per annum, with board, washing, &c BURTON-ON-TRENT INFIRMARY.-House Surgeon. Salary £120, rising to £140 per annum, with rooms. board, coal, and light free. DEVON AND CORNWALL SANATORIUM FOR CONSUMPTIVES, Didworthy, South Brent.-Resident Medical Superintendent. DOVER, ROYAL VICTORIA HOSPITAL.-House Surgeon, unmarried. Salary £100 a year, with board, iodging, and washing. ECCLES AND PATRICROFT HOSPITAL.-House Surgeon, unmarried. Salary £70 per annum, with board and washing. HACKNEY UNION WORKHOUSE AND INFIRMARY, Homerton, N.E -Second Assistant Medical Officer, unmarried. Salary £100 per annum, with rations, apartments, washing, and attendance. HITCHIN, THREE COUNTIES ASYLUM -Junior Assistant Medical Officer, unmarried. Salary .E150 a year, with board, lodging, and washing. HOSPITAL FOR DISEASES OF THE THROAT, Golden square.—Anaes- thetist. Also Senior Clinical Assistant. KENT COUNTY ASYLUM, Chartham, near Canterbury.-Third Assistant Medical Officer, unmarried. Salary .E140, with board, quarters, attendance, and washing. LEICESTER INFIRMARY.-Assistant House Surgeon. Salary 280 per annum, with board, apartments, and washing NEW HOSPITAL FOR WOMEN.-Clinical Assistant (female). ORKNEY, PARISH COUNCIL OF ROUSAY AND EGILSHAY. -Resident Medical Officer. Salary £51 stg. per annum. PAISLEY, ROYAL ALEXANDRA INFIRMARY. Barbour Park.- Assistant House Surgeon. Salary £30, with bed ’and board. PRESTON ROYAL INFIRMARY.-Assistant House Surgeon. Salary .E60 per annum, with board, lodging, washing, &c. ROCHESTER HOUSE, Little Ealing, W. (Metropolitan Asylums Board).- Visiting Medical Attendant. Salary 2100 per annum. SALOP INFIRMARY -Assistant House Surgeon, for six months. Salary at rate of £50 per annum, with board and apartments. SAMARITAN FREE HOSPITAL, Marylebone-road, N.W.-Clinical Assistants. SCHOOL BOARD FOR LONDON, EVENING CONTINUATION SCHOOLS.- Lecturers and Examiners in First Aid and Home Nursing. SEAMEN’S HOSPITAL SOCIETY, Greenwich, S.E.-House Physician for the " Dreadnought" Hospital, Greenwich. Salary 265 per annum, with board, residence, and washing. Also Junior Resident Medical . Officer. Salary £40 per annum, with board, residence, and wash- ing. Also House Surgeon for the Branch Hospital, Royal Victoria and Albert Docks, E. Salary £50 per annum, with board, residence, and washing. STROUD GENERAL HOSPITAL.-House Surgeon. Salary £80 per annum, with board, lodging, and washing. VICTORIA HOSPITAL FOR CHILDREN. Tite-street, Chelsea, S.W.-House Surgeon for six months. Honorarium of jE25, and board and lodging. WANDSWORTH AND CLAPHAM UNION INFIRMARY, St. John’s-hill, near Clapham Junction.-Junior Assistant Medical Officer. Salary at rate of £100 per annum, with board, lodging, and washing. WEST LONDON HOSPITAL. Hammersmith-road, W,-House Physician and House Surgeon for six months. Births, Marriages, and Deaths. BIRTHS. JONES,-On July 6th, at Malabar House, Whitly, the wife of Arthur R. Jones, M.R.C.S., L.R.C.P., of a daughter. LEIGH.-On August 29th, at Park-road, Southend-on-Sea, the wife of B. Hilton Leigh, L.R.C.P., L.R.C.S., of a daughter. TILBURY-Fox.-On the 2nd inst., at The Gables, Ashford, Kent, the wife of Campbell Tilbury-Fox, M.R.C.S., L.R.C.P., of a son. WARD.-On August 27th, at Northumberland Lodge, Bloemfontein, Orange River Colony, the " ife of Arthur Blackwood Ward, B.A., M.B., B.C. Cantab., M.R.C.S. L.R.C.P. Lond., of a daughter. MARRIAGES. GREEN-GILBERT.-On Sept. 4th, at St. James’s Church, Knatchbull- road, S.E., Albert Green, M.B. Lond., to Gertrude Annesley, daughter of William Gilbert. HARRIS-HARTLEY.-On Sept. 5th, at St. Mary Magdalene’s, Addis- combe. Charles Poulett Harris, M.D., to Violet Amsden, daughter of John Hartley. MILNE-TRUELL.-On Sept. 3rd, at the parish church, Wicklow, John Milne, M.B., to Mary Louisa, daughter of the Rev. W. H. A. Truell. - DEATHS JESSOP.-On Sept. 6th, at The Quarries, Chapeltown, in his 66th year, Thomas Richard Jessop, F R.C.S., ot 32, Park-square, Leeds. PAGE.-On Sept. 6th, at Oulton Broad, Lowestoft, William Irving Page, M.R.C.S. PATTERSOoN.-On Sept. 2nd, at Ramelton, Ireland, Lieutenant-Colonel T. W. Patterson, D.S.O. (late R.A.M.C.). WHITE.-On August 31st, in Upper Egypt, Arthur Thomas White, M.R.C.S., L.R.C.P. ____ N.B.-A fee of 58. is charged for the insertion of Notices of Births, Marriages, and Deaths. Notes, Short Comments, and Answers to Correspondents. SANITATION AND BUNGALOWS. OUR correspondent whose communication appeared in THE LANCET of August 15th, p. 508, writes as follows :- In reply to Mr. Swales’s letter in your issue,of August 29th resi- dence at " Bungalow Town " may be attractive provided one does not care to bathe in the sea or to spend much time on the beach. A large number of the bungalows are, however, sublet for short periods during the summer to people who go to the seaside mainly in order to do both; and in advertisements which frequently appear stress is laid upon the advantages of Shoreham beach in these respects. One does not, however, expect to find that the time of bathing must (to adopt Mr. Swales’s suggestion) be regu- lated by the advent of the " sanitary man," even if one feels any inclination to bathe at all in such circumstances, nor does one expect to find that it is impossible (at least for ladies and children) to go on the beach at any time except perhaps during high tide in the afternoon or evening, without constant risk of being disgusted; and having made these discoveries one is not much con- soled by reflecting that the interior of one’s bungalow is in an ideal state of sanitation. Curiously enough, Mr. Swales’s letter actually confirms my statements to which he takes such exception. At the time I wrote before only two men were employed and the work on some days was not over until nearly 1 P.M. Then another man was put on, but it still was not over until a late hour in the morning. This was not the fault of the men, but, as shown by Mr. Swales’s own figures, was due to the insufficiency of the numbers employed. There is also this dilemma, that if the work is as a matter of decency done at an early hour it must frequently be done when the tide is rising, with results such as I have already described. In the afternoon and evening, if the tide happens to be low, servants from the bungalows are allowed, and even directed to empty slop-pails and buckets of household refuse into the sea and they often do this without the slightest consideration for anyone who may be near them at the time. Although I stayed very little on the shore during my visit I observed several instances in which the rules concerning the disposal of offensive and dangerous matter (such as vegetable refuse, empty tins, and broken glass) had been disregarded, and considering the frequent changes of tenancy it is difficult to see how they can be practically enforced, No doubt in normal August weather the state of the beach would have been far worse than it was. It is, of course, true that large towns discharge their sewage into the sea, but when properly done it is conveyed a long distance from the shore and advantage is taken of currents to carry it still further. Here the excreta furnished by over 200 bungalows, some of large size, are daily thrown in all along the beach. Certainly after a short time, varying with the state of the sea, nothing may be perceptible to the senses, but this is not a scientific proof that (as some residents are of opinion) "it has all been carried right away." The question, however, is one for experts, and I wish to bring chiefly into notice other aspects of the case. I understand that the local sanitary authority is un- willing for certain reasons to assume control and that the agent of the ground landlord and the owners of the bungalows have made their own sanitary regulations. These are signed by Mr. Swales who is employed by the owners to carry them out. The tone of his letter in your issue of August 29th is thus accounted for although it is not excused. A place in which to spend a holiday is apt to be selected or even recommended without strict inquiry into the sanitary arrangements, and even when inquiry is made the reply (as I know to my cost) is sometimes misleading. I have written chiefly in the hope that others may be spared the annoyance and disappointment experienced by my family and myself. Our correspondent sends with his letter notes of divers filthy cir- cumstances which came under his personal observation. He makes out a good case for believing that "Bungalow Town demands of its residents-at any rate upon occasions-very strong stomachs. This much might, perhaps, have been assumed from Mr. Swales’s letter. The attention of the Local Government Board should be drawn to the matter. THE PICRIC ACID TREATMENT OF BURNS. To the Editors of THE LANCET. SIRS,-Having had considerable experience in the treatment of burns in the General Hospital. Birmingham, where a ward is specially set apart for these cases, may I venture to answer Mr. J. Johnstone Redmond’s query in THE LANCET of August 22nd, p. 580. Picric acid is best applied plentifully and as a saturated solution (1 in 100 approximately), for its action is to coagulate the albumin on the surface of the raw wound and thus to form a protective coating to the exposed nerve endings. In this way it diminishes the pain and thereby also the shock caused by large superficial burns. But its action is also beneficial in drying up the surface to which small sloughs are adhering and discouraging, if not actually inhibiting, the growth of micro-organisms. In this way, therefore, it diminishes the

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799

Vacancies.For jurther information regarding each vacancy reference should be

made to the advertisement (see Index).

BiBMINSHAM AND MIDLAND EAR AND THROAT HOSPITAL.-HouseSurgeon for seven months. Salary at rate of £70 per annum.

BIRMINGHAM WORKHOUSE INFIRMARY.-Assistant Resident MedicalOfficer. Also Assistant Resident Surgical Officer. Salary £100 perannum with apartments, rations, attendance, &c., in each case.

BLACKBURN AND EAST LANCASHIRE INFIRMARY. - Junior HouseSurgeon. Salary £70 per annum, with board, washing, &c

BURTON-ON-TRENT INFIRMARY.-House Surgeon. Salary £120, risingto £140 per annum, with rooms. board, coal, and light free.

DEVON AND CORNWALL SANATORIUM FOR CONSUMPTIVES, Didworthy,South Brent.-Resident Medical Superintendent.

DOVER, ROYAL VICTORIA HOSPITAL.-House Surgeon, unmarried.

Salary £100 a year, with board, iodging, and washing.ECCLES AND PATRICROFT HOSPITAL.-House Surgeon, unmarried.

Salary £70 per annum, with board and washing.HACKNEY UNION WORKHOUSE AND INFIRMARY, Homerton, N.E -Second

Assistant Medical Officer, unmarried. Salary £100 per annum,with rations, apartments, washing, and attendance.

HITCHIN, THREE COUNTIES ASYLUM -Junior Assistant Medical Officer,unmarried. Salary .E150 a year, with board, lodging, and washing.

HOSPITAL FOR DISEASES OF THE THROAT, Golden square.—Anaes-thetist. Also Senior Clinical Assistant.

KENT COUNTY ASYLUM, Chartham, near Canterbury.-Third AssistantMedical Officer, unmarried. Salary .E140, with board, quarters,attendance, and washing.

LEICESTER INFIRMARY.-Assistant House Surgeon. Salary 280 perannum, with board, apartments, and washing

NEW HOSPITAL FOR WOMEN.-Clinical Assistant (female).ORKNEY, PARISH COUNCIL OF ROUSAY AND EGILSHAY. -Resident

Medical Officer. Salary £51 stg. per annum.PAISLEY, ROYAL ALEXANDRA INFIRMARY. Barbour Park.- Assistant

House Surgeon. Salary £30, with bed ’and board.PRESTON ROYAL INFIRMARY.-Assistant House Surgeon. Salary .E60

per annum, with board, lodging, washing, &c.ROCHESTER HOUSE, Little Ealing, W. (Metropolitan Asylums Board).-

Visiting Medical Attendant. Salary 2100 per annum.SALOP INFIRMARY -Assistant House Surgeon, for six months. Salary

at rate of £50 per annum, with board and apartments.SAMARITAN FREE HOSPITAL, Marylebone-road, N.W.-Clinical

Assistants.SCHOOL BOARD FOR LONDON, EVENING CONTINUATION SCHOOLS.-

Lecturers and Examiners in First Aid and Home Nursing.SEAMEN’S HOSPITAL SOCIETY, Greenwich, S.E.-House Physician for

the " Dreadnought" Hospital, Greenwich. Salary 265 per annum,with board, residence, and washing. Also Junior Resident Medical

. Officer. Salary £40 per annum, with board, residence, and wash-ing. Also House Surgeon for the Branch Hospital, Royal Victoriaand Albert Docks, E. Salary £50 per annum, with board, residence,and washing.

STROUD GENERAL HOSPITAL.-House Surgeon. Salary £80 perannum, with board, lodging, and washing.

VICTORIA HOSPITAL FOR CHILDREN. Tite-street, Chelsea, S.W.-HouseSurgeon for six months. Honorarium of jE25, and board andlodging.

WANDSWORTH AND CLAPHAM UNION INFIRMARY, St. John’s-hill, nearClapham Junction.-Junior Assistant Medical Officer. Salary atrate of £100 per annum, with board, lodging, and washing.

WEST LONDON HOSPITAL. Hammersmith-road, W,-House Physicianand House Surgeon for six months.

Births, Marriages, and Deaths.BIRTHS.

JONES,-On July 6th, at Malabar House, Whitly, the wife of Arthur R.Jones, M.R.C.S., L.R.C.P., of a daughter.

LEIGH.-On August 29th, at Park-road, Southend-on-Sea, the wife ofB. Hilton Leigh, L.R.C.P., L.R.C.S., of a daughter.

TILBURY-Fox.-On the 2nd inst., at The Gables, Ashford, Kent, thewife of Campbell Tilbury-Fox, M.R.C.S., L.R.C.P., of a son.

WARD.-On August 27th, at Northumberland Lodge, Bloemfontein,Orange River Colony, the " ife of Arthur Blackwood Ward, B.A.,M.B., B.C. Cantab., M.R.C.S. L.R.C.P. Lond., of a daughter.

MARRIAGES.GREEN-GILBERT.-On Sept. 4th, at St. James’s Church, Knatchbull-

road, S.E., Albert Green, M.B. Lond., to Gertrude Annesley,daughter of William Gilbert.

HARRIS-HARTLEY.-On Sept. 5th, at St. Mary Magdalene’s, Addis-combe. Charles Poulett Harris, M.D., to Violet Amsden, daughterof John Hartley.

MILNE-TRUELL.-On Sept. 3rd, at the parish church, Wicklow, JohnMilne, M.B., to Mary Louisa, daughter of the Rev. W. H. A.Truell.

-

DEATHSJESSOP.-On Sept. 6th, at The Quarries, Chapeltown, in his 66th year,

Thomas Richard Jessop, F R.C.S., ot 32, Park-square, Leeds.PAGE.-On Sept. 6th, at Oulton Broad, Lowestoft, William Irving

Page, M.R.C.S.PATTERSOoN.-On Sept. 2nd, at Ramelton, Ireland, Lieutenant-Colonel

T. W. Patterson, D.S.O. (late R.A.M.C.).WHITE.-On August 31st, in Upper Egypt, Arthur Thomas White,

M.R.C.S., L.R.C.P. ____

N.B.-A fee of 58. is charged for the insertion of Notices of Births,Marriages, and Deaths.

Notes, Short Comments, and Answersto Correspondents.

SANITATION AND BUNGALOWS.OUR correspondent whose communication appeared in THE LANCET ofAugust 15th, p. 508, writes as follows :-

In reply to Mr. Swales’s letter in your issue,of August 29th resi-dence at " Bungalow Town " may be attractive provided one does notcare to bathe in the sea or to spend much time on the beach. A largenumber of the bungalows are, however, sublet for short periodsduring the summer to people who go to the seaside mainly inorder to do both; and in advertisements which frequently appearstress is laid upon the advantages of Shoreham beach in these

respects. One does not, however, expect to find that the timeof bathing must (to adopt Mr. Swales’s suggestion) be regu-lated by the advent of the " sanitary man," even if one feels

any inclination to bathe at all in such circumstances, nor doesone expect to find that it is impossible (at least for ladies and

children) to go on the beach at any time except perhaps duringhigh tide in the afternoon or evening, without constant risk of beingdisgusted; and having made these discoveries one is not much con-soled by reflecting that the interior of one’s bungalow is in an idealstate of sanitation. Curiously enough, Mr. Swales’s letter actuallyconfirms my statements to which he takes such exception. At thetime I wrote before only two men were employed and the work onsome days was not over until nearly 1 P.M. Then another manwas put on, but it still was not over until a late hour inthe morning. This was not the fault of the men, but, as

shown by Mr. Swales’s own figures, was due to the insufficiencyof the numbers employed. There is also this dilemma, thatif the work is as a matter of decency done at an early hour itmust frequently be done when the tide is rising, with results such asI have already described. In the afternoon and evening, if the tidehappens to be low, servants from the bungalows are allowed, and evendirected to empty slop-pails and buckets of household refuse intothe sea and they often do this without the slightest consideration foranyone who may be near them at the time. Although I stayed verylittle on the shore during my visit I observed several instances inwhich the rules concerning the disposal of offensive and dangerousmatter (such as vegetable refuse, empty tins, and broken

glass) had been disregarded, and considering the frequent changesof tenancy it is difficult to see how they can be practically enforced,No doubt in normal August weather the state of the beach wouldhave been far worse than it was. It is, of course, true that largetowns discharge their sewage into the sea, but when properly done itis conveyed a long distance from the shore and advantage is taken ofcurrents to carry it still further. Here the excreta furnished by over200 bungalows, some of large size, are daily thrown in all along thebeach. Certainly after a short time, varying with the state of thesea, nothing may be perceptible to the senses, but this is not a

scientific proof that (as some residents are of opinion) "it hasall been carried right away." The question, however, is one for

experts, and I wish to bring chiefly into notice other aspectsof the case. I understand that the local sanitary authority is un-willing for certain reasons to assume control and that the agent ofthe ground landlord and the owners of the bungalows have madetheir own sanitary regulations. These are signed by Mr. Swales whois employed by the owners to carry them out. The tone of his letterin your issue of August 29th is thus accounted for although it is notexcused. A place in which to spend a holiday is apt to be selectedor even recommended without strict inquiry into the sanitaryarrangements, and even when inquiry is made the reply (as I knowto my cost) is sometimes misleading. I have written chiefly in thehope that others may be spared the annoyance and disappointmentexperienced by my family and myself.

Our correspondent sends with his letter notes of divers filthy cir-cumstances which came under his personal observation. He makesout a good case for believing that "Bungalow Town demands of itsresidents-at any rate upon occasions-very strong stomachs. Thismuch might, perhaps, have been assumed from Mr. Swales’s letter.The attention of the Local Government Board should be drawn tothe matter.

THE PICRIC ACID TREATMENT OF BURNS.

To the Editors of THE LANCET.

SIRS,-Having had considerable experience in the treatment of burnsin the General Hospital. Birmingham, where a ward is specially setapart for these cases, may I venture to answer Mr. J. JohnstoneRedmond’s query in THE LANCET of August 22nd, p. 580. Picricacid is best applied plentifully and as a saturated solution (1 in 100approximately), for its action is to coagulate the albumin on thesurface of the raw wound and thus to form a protective coating tothe exposed nerve endings. In this way it diminishes the pain andthereby also the shock caused by large superficial burns. But itsaction is also beneficial in drying up the surface to which smallsloughs are adhering and discouraging, if not actually inhibiting, thegrowth of micro-organisms. In this way, therefore, it diminishes the