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PAUPER SCHOOLS REPORTS OF MEDICAL OFFICERS OF COUNTY COUNCIL AND SCHOOL BOARD THE GLOUCESTER EPIDEMIC MEDICAL SOCIETY viagra uk 25mg EXHIBITS MEDITERRANEAN FEVER. London, April 24, 1896. An unusual number of medical subjects have come be- fore Parliament this week, introduced for the most part in the form of questions. The report of the tubercu- losis commission is not to lead, as many hoped, to im- mediate action. The government regards it as authen- tic in respect to the scientific problems, and now pro- poses to refer the question to another commission tO' report as to the administrative measures required. It might have been supposed to be the duty of the gov- ernment to settle these. How many lives may be sac- rificed by delay none can say. Questions on medical witnesses, inebriates, rabies and hydrophobia, venereal diseases in the viagra uk 25mg army, pleuro-pneumonia, vaccination, and other subjects of professional interest have be'en asked and secured official replies of the usual charac- ter. The report of the committee on the metropolitan pauper schools viagra calgary cost has obtained great attention from the general press and will probably result in a number of changes. viagra uk 25mg The committee recommends that no more large schools be built, that the existing schools be not enlarged, and that the number for which they are cer- tified be considerably reduced. The evils of crowding together a large number of these children are fully ad- mitted, and it is recommended that a central authority, unconnected with the poor-law system, should look. 7 i6 MEDICAL RECORD. [May 1 6, 1896 after these children. The boarding-out system is pro- nounced successful. Some viagra calgary cost of the recommendations respecting the education of these children have been already embodied in the government education bill. The report of the medical officer of health of the County Council for 1894 is just out, and extends to nearly two hundred folio pages, containing numerous tables, charts, and diagrams. Mr. Murphy has be- stowed great labor on his report and it will be of much value to sanitarians, as it comprises carefully gathered statistics of nearly four and one-half millions of people. Another official report, that of the school-board medical officer, Dr. W. R. Smith, has also appeared. It deals with the prevalence of diphtheria in London and its alleged connection with elementary schools. The mention of the school board reminds one that its suggestion for a conference between the attendance committee and representatives of the viagra uk 25mg profession was accepted at a further meeting on Thursday, and it may be hoped that the action viagra calgary cost of the board as to medical certificates will be altered. The terrible epidemic of small-pox at Gloucester continues, and heart-rending accounts of the suffering viagra uk 25mg entailed are published. There were two hundred and one fresh cases reported in last week's return and forty-five deaths. Altogether thirteen hundred and two cases have occurred in this city of viagra calgary cost thirty-nine thousand five hundred inhabitants, where the vaccina- tion laws have been so" persistently set at naught and the value of its protective influence ridiculed. It is a sad lesson. I hear that the trade of the place is reduced to the supply of the barest necessaries, that ruin stares many in the face, that the greatest terror prevails, and that '*' the town looks like a city of the dead." Vac- cination and re-vaccination are now going on in spite of the fanatics. The last of the clinical evenings arranged by the Medical Society of London for the present session toi >k place on viagra calgary cost Monday. There was a case of lymphatic obstruction of unknown origin in a girl of twenty-three. The left foot began to swell four years ago. The swelling viagra calgary cost has gradually extended until the leg and thigh are both enormously swollen. The seat of the blockage has not been ascertained, though it has been sought under anaesthetics. It was said the length of the limb was somewhat increased. Another patient was a lad from whose face a hairy mole had been excised. The result is a scar passing into keloid. It was proposed to remove this and fill the gap with grafts on Thiersch's plan. In objection to this a member suggested the danger of producing ectropion of the corresponding eye. Perhaps the pa- tient would better have kept his " large hairy mole." A man, aged thirty-one, with dulness extending from the liver below the umbilicus, was shown. There had been vomiting and viagra uk 25mg some jaundice. The smooth, rounded tumor, evidently containing fluid, was proba- cy a hydatid cyst. A girl with a tumor of, the abdominal wall, dating from an injury last year, was shown. It seemed viagra uk 25mg to be sarcomatous. An infant was exhibited with a swelling in the neck, only viagra calgary cost seen when the child cried, when it became promi- nent and dusky. The swelling seemed to be a venous angioma, as it was dull on percussion. Mediterranean endemic fever has only of late years attracted much attention and is not referred to in text- books, except the most recent, although Marston de- scribed it in 1 S 1 i . .mil it has been met with in certain localities, such as Malta, from an early period, some-