16

HE INDIAN MEDICAL GAZETTE.

tElic Btiian ;;c

.

JANUARY,

*

;'

?

I ?alette.

[January, 1885. taken to isolate the sick and

at once

measures were

disinfect all suspected infective material, and in

5.

did

case

the disease

spread

to

with its

1884. At

with

custom

into

a

weave

coherent whole the scattered incidents of the

subjects which

discussed in their

have been

pages. The opportunities and aims of an Indian medical journal being necessarily much more restric-

ted,

I

ourselves

must content

we

the

the

on

Volume of this

19th

another year with

a

completion

of

the close

of

and

Jcurnal passing glance

at

those

matters

special medical interest and progress that more

o^

imme-

concerned India.

diately

a year of year 1884, on the whole, was With India. of for the people peace and prosperity Zhob the exception of the Aka and countries,

also

along

reigned

punitive expeditions partook

of

more

sent

the

to

by any quietude

remarkable

the

denced

by

the easy

even

And

serious encounter. of

the

of hostile demonsis

Afghanistan

penetration

Demarcation Commission

and

these countries

nature

trations unattended

borders,

our

of

our

evi-

semi-scientific

to the northern

frontiers of

that country. For a time, fears were entertained that deficient rainfall in certain parts of the empire would occasion partial scarcity ; but these fears were for-

tunately rain.

more or

less

The material

testified

by

to

Exhibition

the institution

of

an

International

Calcutta.

at

Although

dissipated by a further fall of prosperity of the country was

an

of

small-pox swept over the country, and cholera, in the early part of the year, was for a time unusually prevalent over a large tract of the land, the year 1884 cannot be regarded as having been an unusually unhealthy year. The

Europe, following previous

cordons

of

cholera,

European

and to India

as

the

of the scourge. The attempt at prethe spread of the disease by means of sanitary was once more a

hand, the efficacy

sanitation were

subject

of the

Egyptian epidemic

source

venting other

after the

year, directed the attention of the

powers to the

alleged

wave

outbreak of cholera in the South of

severe

was

by large

signal

failure ;

of cleanliness

apparent to everyone.

constantly arriving at English ports,

whilst, and

on

the

efficient

Cholera-ships where prompt

in that it has been fol-

continental

disease. The

leading

medical feature of the year, and

one

which has attracted almost universal attention, has

undoubtedly been the progress of the investigations As into the nature of the materies morbi of cholera.

regards the setiology of cholera, the year which has just closed began with great expectations. For so celebrated an observer as Dr. Koch was prosecuting in

India,

under the most favorable

circumstances,

a

terium which seemed disease.

Ultimately

to bear a

found

a

had

he

; and

specific micro-organism already expressed a belief that he had

a

bac-

causal relation to ths

the confident declaration

came

that in the comma-bacillus Dr. Koch had discovered the undoubted

assertion, however, fragmentary and inconclusive evidence which he brought forward, After and remained simply an unproven hypothesis. the German Commission came the English Cholera Commission under Dr. Klein, F.R.S., the most not

was

cause

of cholera. This

all warranted

at

and

England,

whose

one

on

the

and bacterial researcher in

accomplished histologist

sympathies

are

in

entire

and the germ enthusiasts. This Commission has controverted most of Koch's elemen-

accord with Koch

tary facts, and established beyond doubt the nonpathological nature of the comma-bacillus. These later

epidemic

life,

epidemic

a

search for

The

peace

those

and to summarise and comment upon the

past year, many

to

English contemporaries

our

loss of

severe

general attempt at active sanitation in cities, which have hitherto, by their notoriously dirty condition, courted epidemic lowed

the commencement of another year, it is the

enormous

shore.

on

persons

One good result has flowed from this

no

discovered another bacillus which

observers

bears

a more

disease

intimate

histological

than the comma-bacillus ;

discovered bacillus

non-pathogenic. during the year,

shown

been

to the

has

but this newly

Dr. Klein to be also

beginning

acquired in essential pathology

in the direction of

more

the

What has

the little which has been

tributions

to

by really been achieved, then, failed utterly to come up to the

was

formed at the

expectations

relation

of the year, and the way of conof cholera has

negative

than

positive

information. It is the

prevailing fashion of the present day to origin to all specific and infective diseases. Every week teemed with announcements of alleged facts and discoveries, regarding the connecattribute

a

bacterial

tion of minute organisms with disease.

The most

January, 1885.]

1884.

doubtful and debated points are taken widely for granted, and with a lamentable freedom the most illoinferences

gical

are

at once assumed on

demonstrated facts.

inadequately

As

examples of the very great diflerence of opinion that prevails among skilled observers, in regard to those minute organisms known

bacteria, we have Drs. tradicting M. Pasteur's

as

Koch and Klein

directly con-

observations in connection

with the bacillus -of anthrax; Dr, Klein and others have shown the pneumo-coccus of Friedliinder to be identical with that found in pyaemia, and that innoculations with the micro-coccus produced septicaemia and not

pneumonia;

fever

have

and the so-called microbes of

been

shown

Thus, with

pathogenic.

whole aspect of the germ

the year to be

during theory is

non-

exceptions, the

two

one or

yellow

at the

present time

controversial.

Amongst the more solid heads of advance in practiduring the year, has been the progress

cal medicine

of abdominal surgery and

viscera,

the latest

feature of the year

tumour of the

a

was

brain.

A novel

the institution of the Health

London, which must have served as aid in the important work of educational valuable

Exhibition a

of which has been the

development

successful removal of

interference with

operative

directing

at

the attention of the

of sanitation. a more

work,

In this country interest

general and

masses

that

a

is

public

to the

we are

being

glad

Health

sanitary

Society

has been

thalmic surgery, and appears destined to rank as one of the most valuable agents in ophthalmic surgery, in and as a local application in neuralgias.

dentistry,

Service, the most real and the junior members have been

In the Indian Medical

for

Dublin.

The

measures

year, thanks

to the

Mr.

M.

P.

reducing

the

Gibson,

taken for

unemployed medical officers has been efficacious, and the pay of unemployed officers has now been approximated to the grade pay of officers number of

of the British Medical Service. 1 he British Medical Service has

changes during

the year.

As

an

e

outcome

great of Lord

Mving

the

on

Egyptian

have been issued with the

of c'';-.sf.ii?:.-ciistill

r'urther the

department. Arm;, Hospital Corp:; is strengthened and placed entirely under the command of the medical officers, and the position of the medical officer with regard to other army officials is much enhanced. With these alterations, the designation of the departThe ment is changed to that of the Medical Staff. to Surgeonof for examination promotion system

object The

re-introduced, and a formidable examination instituted for Surgeons-Major wishing to proceed

Major also to a

is

Brigade-Surgeonship. The undoubtedly be

examination wiU

effect of this latter to

hinder the promo-

tion of many Surgeons-Major, who would otherwise have received their promotion. To give officers of the of chance ability distinguishing themselves however, it is necessary that ample leave for this special study should be granted to every Surgeon-Major who To be able to

for it.

applies strength

this

give

leave,

the

of the Medical Staff must be increased

con-

its present limits ; but there is as evidence of any intention to increase the

siderably beyond yet

no

It is

number of officers.

examinations will

soon

likely

that these

be made

promotion

applicable

to

the

death

during the year were SurBengal Service, Cody geons-Major of the Bombay Army Service, and Surgeon Rogers of And in the British the Madras Medical College. Service, Surgeon-Major Mark Anthony and Surgeons Hickman and J. O'B. Curtin. by

H. S. Smith of the

The scheme for the medical education of

is

being actively developed

to the was as

to

during or department

to

which

Bombay Medical Service British Medical Service Assistant Surgeons

Apothecary

Class

...

...

38

...

...

10

...

3

...

...

12

...

...

18

...

....

Hospital Assistants Uncovenanted Medical Officers ...

are

members

according they belong,

:?

Bengal Medical Service Madras Medical Service

Others

Med-

the Indian

the past year, classified

service

follows

women

in all three Presidencies.

The number of contributors ical Gazette

We

undergone

foli

regulations

Campaign,

The casualties

large number of new remedies have been introOf particular Indian interest duced during the year. is the alleged efficacy of the cotton-plant root in Couterine therapeutics, and of Jamiin in diabetes. caine hydrochlorate has attracted much attention in England and America as a local anaesthetic in oph-

grievances effectively remedied during the persistent and able advocacy of

>mUu

to see that

A

of

'

Indian Service also.

established in Calcutta.

serious

Morley's C

advantages in

taken

17

...

pleased to

...

see

of the British

creased in numbers.

...

...

...

10 n

7 22

that the contributions from

Medical Service have inWe should be glad, however, to

J NT DI AN MEDICAL GAZETTE.

receive

more

substantia literal / auppo:-

the sister

rom

Presidencies.

Amongst the valuable the year,

during of

of

cases

which

direction

Wolfenden's

ibiitio:;--

is

a

-y cal

:

and

Freyer

Drs.

by

to our pages

rilliant series

would Blanco tlv

Lithokv1-. ;?

who have each secured

Keegan, this

we

cor.-

success

in

Dr.

quite phenomenal;

report of his investigations into Dr. Richard's experiments regarding ?

cobra-poison; chemical poison of choleraic alvine discharges; Dr. Fischer's exposition on the culture of micro-organisms ; the bacterial investigation regarding the poison of abrus or goonch seeds; the notes on the chemical principal of Indian Hemp and Indian Liquorice seeds; Dr. Willcock's extensive records of successful ophthalmic work ; Dr. Harvey's series of

of abdominal section

cases

records of not

:

and

had leisure

to

ments, but

regarding which we avail opportunity to express, on behalf of cordial

aided

of

acknowledgment

manner

in which

us

other

many

solid work, for which we have tender individual acknowledge-

painstaking

in

our

and

our

the

numerous

keeping alight

science in the East ;

ourselves of this

readers,

contributors of

the

A Happy New Year.

to

us

have

medicai

lamp confidently trusting

similar valuable aid will be extended future, we wish our readers

our

practical

very

in

that the

[January, 1885.

1884.

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