629 British Columbia intituled the Consolidated Acts, 1888," the section of an Act of 1870 British practitioners entitled to registration was declarin...

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629 British Columbia intituled the Consolidated Acts, 1888," the section of an Act of 1870 British practitioners entitled to registration was declaring " therein consolidated and re-enacted as Section 30 of the Medical Act; and whereas it is expedient that such an error and oversight be corrected, therefore Her Majesty, by and with the advice and consent of the Legislative Assembly of the Province of British Columbia, enacts that Section 1 of the Medical Amendment Ordinance, 1870, is hereby declared to have been repealed by the British Columbia Medical Act, 1886, and the Medical Act, chapter 81, of the Consolidated Acts, 1888, shall be read and construed as if the said Section 30 had not been set forth therein." It would therefore appear that British practitioners will now be compelled to pass an examination and pay a large fee before being allowed to practise in British Columbia.

has effected an improvement on the traditional system, and last year the 7864 communes having cemeteries of their own bad risen to 8008, while the common charnel pits had sunk from 815 in 1885 to 287 in 1889. Reform, too, has been made in the matter of proximity of interment to habitation, but slowly, the latest returns giving, out of ’8008 cornmuneq, as many as 2066 having cemeteries at less than 200 metres from dwelling-houses. As we write, however, we learn that 346 of these cemeteries are in course of removal to the distance required by law, and are also pro-viding themselves with a mortuary chapel; but that, on the other hand, of the 287 communes having only charnel pits, not more than 49 are reforming this savage mode of sepulture. Such improvements as have been effected are doubtless due to the sanitary awakening evoked by Bertani’s public health code, and before the century is out Italy may have brought herself to a level with the Teutonic countries of Europe in the matter of decent and properly regulated burial. Till then the less she boasts of her priority in reviving cremation the better

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SQUALOR AND DISEASE. THOSE whom charity or the duties of their calling bring much in contact with the poor need have no difficulty in understanding how it is that disease is an almost inevitable consequence of helpless poverty. In the case of a family lately relieved by the Shoreditch Board of Guardians this connexion was forcibly suggested and insisted on by one of the witnesses examined. The single apartment which served for a dwelling was an underground kitchen. Beneath the window the floor was rotted away, and rats from the neighbouring sewer ran about the room. For - this wretched stye a weekly rent was charged, and was said to be paid. The owner would do no repairs. It is little wonder, in the circumstances, that the board referred the whole matter to the immediate attention of the sanitary authorities. Less they could not do, and we may now hope ’for such necessary reforms in this neglected den as will at least materially lessen the probability of threatened illness. Such cases as the above are unfortunately only too common in most of our city slums. The neglect of landlords and the squalid poverty and heedlessness of tenants combine to make the "rookery" a mere hotbed ofall unwholesomeness, and a, constant menace to the public health. The destruction of such hovels, it has been truly said, is the only true remedy .for their foul condition. We must remember, however, that the cure would only be temporary unless the structures intended to succeed these were built so simply and solidly as to demand no great amount of exertion to keep them in order, and unless their state were periodically examined by a sanitary official.



SUPPOSED OUTBREAK OF YELLOW FEVER IN SPAIN. some alarm was caused both in general and professional circles in Spain by a report that 8imultaneously with the appearance of cholera in Valencia yellow fever had been seen in Malaga. The circumstances which not unnaturally gave rise to this report are discussed by a naval surgeon, Senor A. F. Caro, in an interesting paper in the Boletin de Nledicina Naval, who was, together with a military surgeon, Señor S. Garcia, deputed by the Government to investigate the case. It appears that a steamship named the Hernccn Cortés, which sailed from Havana on April 28th with a cargo of cotton from New Orleans, after touching at the Canaries and Gibraltar, arrived at Malaga on May 20th, no case of serious disease having occurred during the voyage. On her arrival, according to some ancient custom, a choir of children from the orphanage of San Bartolome were taken on board to sing to the passengers and to gather contributions for On the 25th, one of the children their institution. who had been on board, a boy thirteen years of age, was attacked by high fever and bilious vomiting, there being a marked change in his appearance, with deeply injected conjunctivae and great prostration. Unfortunately, no

IN June last



CONSIDERABLE annoyance has been caused to several gentlemen registered in Great Britain by the uncertainty which has for some time past existed as to the state of the ,law in Btitish Columbia with regard to their admissibility to the register of that colony-that is to say, whether British practitioners could be placed on the colonial register by the simple payment of the moderate fee of 10 dollars, or whether they stood in the same position as, say, Canadian practitioners with Quebec or Toronto diplomas, these having to pass an examination and pay 100 dollars. One British practitioner, whose letter will be found in THE LANCET of Aug. 17tb, 1889, after having passed the examination and paid the larger fee, found that he had been misinformed, and on application secured the return of his money. During the spring of the present year, however, a new Amendment Act has been passed, stating that "whereas by au oversight in the classification and consolidation of

further information could be obtained than that death took place in four hours, which was ascribed, on the official certificate of the medical man who attended the case, to "cerebral anaemia." The next case was that of another boy of thirteen, who had formed one of the choir which visited the Hernán Cortés. The death was certified to be due to "pernicious malarial fever." The three other cases presented much the same symptoms. In the more severe of the two the cold stage was very marked, and resembled that of cholera, and this one appears to have been diagnosed as typhoid fever. Apart from the facts that the ship in question had no cases of yellow fever and that the cotton on board came from a port where there was none at the time, and that no cases occurred at the ports where portions of this cotton were landed, the symptoms and course of the cases, though somewhat resembling those of adynamic forms of yellow fever, lacked some of their most essential features. On the whole, therefore, Senores Caro and Garcia are disposed to accept the diagnosis of pernicious malarial fever. PURE WATER AT RAILWAY STATIONS. IT is now generally admitted that water-drinking stands unrivalled as at once the most wholesome and the most effectual means of quenching thirst. It is also withWe may reasonably out doubt the most economical. ask, therefore, why it is that the simplest, most abundant, and most useful of all beverages can often