the jersey medical society and tuberculosis

1
393 haemorrhage. This was the cause of death. A verdict in accordance with this evidence was returned. The coroner censured Mr. Wells, pointing out that he (the coroner) had in his order made a special note to the effect that the principal organs were to be examined. Mr. Wells had not done this and he should disallow his expenses. Mr. Wells replied that he considered he had found enough evidence in the lungs as to the cause of death and, more- over, the post-mortem room was anything but luxurious. We do not think for a moment that Mr. Wells wished to mislead the jury, but there is no doubt that he did not perform the post-mortem examination strictly in accord- ance with the coroner’s instructions. BARBER’S ANTISEPSIS. THE choice of an antiseptic is a matter of some importance to the hairdresser since his customers commonly expect him to be a man who can furnish them with a so-called hair tonic or wash to improve the condition of the scalp and to prevent dandruff or scurf. It is a matter of still greater importance to the public, as unwittingly the barber may be administering a hair-wash possessing dangerous properties. Seborrhcea (dandruff) is a con- !, dition caused by a micro-organism and an antiseptic is therefore indicated in such a case. There are no diplomas granted to the barber with a view of qualifying him for his business and he is not generally a man possessing any knowledge of pharmacy. He should on no account therefore be tempted to employ highly poisonous antiseptics. Yet a solution of corrosive sublimate is a favourite application with not a few. In the majority of cases the hairdresser is quite ignorant of the dangerous nature of such a preparation, but under certain conditions, as in abrasions, mercury would be readily absorbed and mercurialism might result. Corrosive sublimate should never be used for the purpose, and carbolic acid and other corrosives should be avoided, especially as there are a great number of .equally effective and comparatively non-poisonous antiseptics to choose from. Such, for example, are salicylate of soda, benzoate of soda, tincture of gum benzoin, borax, beta naphthol, and resorcin, with which can be combined such pleasant aromatic as well as antiseptic oils, as eucalyptus and thymol. - NEW YORK PORT SANITARY DISTRICT. DR. A. H. DOTY, the health officer of the port, sremarks in his annual report for 1897 that during that year 220,186 immigrants arrived in the United States and of this number no less than 192,004 disembarked at New York. It is interesting to observe that nearly half the total number of foreign vessels arriving at New York during the year were British, but we notice also that a very large number of immigrants are carried by German lines. The total number of immigrants arriving at New York varies enormously year by year. In 1891 there were 445,290 ; in 1892, 388,486; in 1893, 364,700; in 1894, 188,164; in 1895, 258,560 ; in 1896, 252,350; and in 1897, 192,004. The great falling off in 1894 was caused by the preva- lence of cholera in Europe which interfered very markedly with the tide of immigration. As regards the inspection of vessels arriving at New York Dr. Doty states that the immigrants are in all cases examined, but that on the transatlantic or mail steamers the crews and saloon passengers are not as a rule inspected, the deposition of the captain and surgeon being accepted. If, however, a suspicious case of infectious disease has occurred on the voyage, or is detected on arrival, a thorough examination is made, as is also the case when the vessel comes from an infected port, more especially from one where yellow fever is present. Owing to the preva- lence of this latter disease at Panama during 1897 and the occurrence of cases on board vessels bound for New York a sharp look-out was kept. The patients were removed to Swinburne Island Hospital and the remaining steerage passengers were transferred to Hoffman Island for observa- tion during five days, the crews being allowed to pro- ceed in the ship to the docks where they also were kept under observation. Every vessel arriving from Panama during the’prevalence of yellow fever there was disinfected. So, too, with regard to persons from Havana it was deter- mined to insist upon a medical examination prior to departure. If those wishing to sail were natives or had had yellow fever they were allowed to sail, but otherwise they were kept under observation for five days. The ships’ crews were not allowed on shore at Havana. Vessels arriving from Brazil when yellow fever was present were detained at New York for four or five hours only, as the length of the passage was regarded as sufficient" quarantine." The cabin and forecastle, the clothing of the crews, and the bedding were, however, disinfected in all cases. We are glad to hear that a bacteriological laboratory has been erected on Swinburne Island and that some useful work is being done thereon. THE JERSEY MEDICAL SOCIETY AND TUBERCULOSIS. THE Jersey Medical Society recently appointed a com- mittee to examine into the question of human and bovine tuberculosis in the island. The report is now published and the committee find as follows. In the town of St. Helier which was chosen instead of the whole island on account of the imperfection of country death registers twenty years ago the tuberculous death-rate from 1872 to 1876 inclusive was 542, being a mortality of 4’2 per 1000 living per annum and of 182’5 per 1000 deaths, reckoning the population at 27,000. From 1892 to 1896 inclusive the total of tuberculous deaths was 305, being a mortality per 1000 living of 1-05 per annum and 106-57 per 1000 deaths, the population being reckoned at 29,000. As to bovine tuberculosis the committee find that it can hardly be said to exist. It must be remembered that the Channel Island States have instituted State slaughter-houses and recommend that all meat should be killed there and strictly examined. The committee would like to see this regulation more strictly enforced than at present. In London we have not got as far as that yet. 833 years ago the Channel Islands conquered England. It is time that we followed our conquerors’ example. - DANGEROUS INCOMPATIBLES. AN important case, but with a sad sequel, has been reported to us by a correspondent in Johannesburg. The death of a young woman was caused by the administration of a medicine containing liquor strychnise in conjunction with liquor arsenicalis. We do not know the precise circum- stances of the case, but it should be instrumental in drawing serious attention to the question as to whether such a com- bination should be given together in a mixture in a bottle. Of course the alkali of the liquor arsenicalis precipitates the strychnine in the form of the pure alkaloid, and the residue, which may amount to an excessively poisonous dose, may be taken in the last dose in the bottle. We have no hesitation in saying that such a mixture should never be dispensed, although we find it stated in books on dispensing that " liquor strychnine and liquor arsenicalis are sometimes prescribed together. In this form the alkali of the latter precipitates the strychnine, so that a shake- the-bottle label must be used." 1 The risk, we con- sider, is too great to countenance such a mixture being 1 Vide " The Art of Dispensing," fourth edition, 1889, page 195, published at the offices of the Chemist and Druggist, 42, Cannon-street,

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393

haemorrhage. This was the cause of death. A verdict in

accordance with this evidence was returned. The coroner

censured Mr. Wells, pointing out that he (the coroner)had in his order made a special note to the effectthat the principal organs were to be examined. Mr. Wellshad not done this and he should disallow his expenses.Mr. Wells replied that he considered he had found enoughevidence in the lungs as to the cause of death and, more-over, the post-mortem room was anything but luxurious.We do not think for a moment that Mr. Wells wishedto mislead the jury, but there is no doubt that he did not

perform the post-mortem examination strictly in accord-ance with the coroner’s instructions.

BARBER’S ANTISEPSIS.

THE choice of an antiseptic is a matter of some importanceto the hairdresser since his customers commonly expect himto be a man who can furnish them with a so-called

hair tonic or wash to improve the condition of the scalpand to prevent dandruff or scurf. It is a matter ofstill greater importance to the public, as unwittingly thebarber may be administering a hair-wash possessingdangerous properties. Seborrhcea (dandruff) is a con- !,dition caused by a micro-organism and an antisepticis therefore indicated in such a case. There are no

diplomas granted to the barber with a view of qualifyinghim for his business and he is not generally a man possessingany knowledge of pharmacy. He should on no account

therefore be tempted to employ highly poisonous antiseptics.Yet a solution of corrosive sublimate is a favourite applicationwith not a few. In the majority of cases the hairdresser isquite ignorant of the dangerous nature of such a preparation,but under certain conditions, as in abrasions, mercurywould be readily absorbed and mercurialism might result.Corrosive sublimate should never be used for the

purpose, and carbolic acid and other corrosives should

be avoided, especially as there are a great number of

.equally effective and comparatively non-poisonous antisepticsto choose from. Such, for example, are salicylate of soda,benzoate of soda, tincture of gum benzoin, borax, beta

naphthol, and resorcin, with which can be combined suchpleasant aromatic as well as antiseptic oils, as eucalyptusand thymol. -

NEW YORK PORT SANITARY DISTRICT.

DR. A. H. DOTY, the health officer of the port,sremarks in his annual report for 1897 that during thatyear 220,186 immigrants arrived in the United Statesand of this number no less than 192,004 disembarkedat New York. It is interesting to observe that nearlyhalf the total number of foreign vessels arriving at NewYork during the year were British, but we notice alsothat a very large number of immigrants are carried byGerman lines. The total number of immigrants arriving atNew York varies enormously year by year. In 1891 therewere 445,290 ; in 1892, 388,486; in 1893, 364,700; in 1894,188,164; in 1895, 258,560 ; in 1896, 252,350; and in 1897,192,004. The great falling off in 1894 was caused by the preva-lence of cholera in Europe which interfered very markedly withthe tide of immigration. As regards the inspection of vesselsarriving at New York Dr. Doty states that the immigrantsare in all cases examined, but that on the transatlantic ormail steamers the crews and saloon passengers are not as arule inspected, the deposition of the captain and surgeonbeing accepted. If, however, a suspicious case of infectiousdisease has occurred on the voyage, or is detected on arrival,a thorough examination is made, as is also the case whenthe vessel comes from an infected port, more especially fromone where yellow fever is present. Owing to the preva-lence of this latter disease at Panama during 1897 and the

occurrence of cases on board vessels bound for New Yorka sharp look-out was kept. The patients were removedto Swinburne Island Hospital and the remaining steeragepassengers were transferred to Hoffman Island for observa-tion during five days, the crews being allowed to pro-ceed in the ship to the docks where they also were keptunder observation. Every vessel arriving from Panama

during the’prevalence of yellow fever there was disinfected.So, too, with regard to persons from Havana it was deter-mined to insist upon a medical examination prior to

departure. If those wishing to sail were natives or had hadyellow fever they were allowed to sail, but otherwise theywere kept under observation for five days. The ships’ crewswere not allowed on shore at Havana. Vessels arriving fromBrazil when yellow fever was present were detained at NewYork for four or five hours only, as the length of the passagewas regarded as sufficient" quarantine." The cabin and

forecastle, the clothing of the crews, and the bedding were,however, disinfected in all cases. We are glad to hear thata bacteriological laboratory has been erected on SwinburneIsland and that some useful work is being done thereon.

THE JERSEY MEDICAL SOCIETY AND

TUBERCULOSIS.

THE Jersey Medical Society recently appointed a com-

mittee to examine into the question of human and bovinetuberculosis in the island. The report is now published andthe committee find as follows. In the town of St. Helierwhich was chosen instead of the whole island on account ofthe imperfection of country death registers twenty yearsago the tuberculous death-rate from 1872 to 1876 inclusivewas 542, being a mortality of 4’2 per 1000 living perannum and of 182’5 per 1000 deaths, reckoning the

population at 27,000. From 1892 to 1896 inclusive thetotal of tuberculous deaths was 305, being a mortalityper 1000 living of 1-05 per annum and 106-57 per 1000

deaths, the population being reckoned at 29,000. Asto bovine tuberculosis the committee find that it can hardlybe said to exist. It must be remembered that the ChannelIsland States have instituted State slaughter-houses and

recommend that all meat should be killed there and strictlyexamined. The committee would like to see this regulationmore strictly enforced than at present. In London we havenot got as far as that yet. 833 years ago the ChannelIslands conquered England. It is time that we followedour conquerors’ example.

-

DANGEROUS INCOMPATIBLES.

AN important case, but with a sad sequel, has been reportedto us by a correspondent in Johannesburg. The death of a

young woman was caused by the administration of a

medicine containing liquor strychnise in conjunction withliquor arsenicalis. We do not know the precise circum-stances of the case, but it should be instrumental in drawingserious attention to the question as to whether such a com-bination should be given together in a mixture in a bottle.Of course the alkali of the liquor arsenicalis precipitatesthe strychnine in the form of the pure alkaloid, andthe residue, which may amount to an excessively poisonousdose, may be taken in the last dose in the bottle. We haveno hesitation in saying that such a mixture shouldnever be dispensed, although we find it stated in books on

dispensing that " liquor strychnine and liquor arsenicalisare sometimes prescribed together. In this form the alkaliof the latter precipitates the strychnine, so that a shake-the-bottle label must be used." 1 The risk, we con-

sider, is too great to countenance such a mixture being

1 Vide " The Art of Dispensing," fourth edition, 1889, page 195,published at the offices of the Chemist and Druggist, 42, Cannon-street,