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EDITORl'S LETTER BOL Powered By Docstoc
					  1853.                                         EDITOR'S LEITER BOX.                                                            335
                                                                     ence, yellow fever, and in its most powerful, cholera. 1 dare
            EDITORl'S LETTER BOL                                     say you may think this a very crude speculation on my paut;
                                                                     nevertheless, I cannot but fancy that such ideas may, with more
                                                                     enlarged experience, be found to be something more than " the
GENUINE LYM1PH MORE TMPORTANT THAN A                                 baseless fabric of a vision". We all of the profession strenu-
            COMPULSORY VACCINATION ACT.                              ously opposed the idea of contagion; and, by our example, I
    LETTER FROM J. A. HIsoGESTOX, ESQ., TO THE EDITOR.               trust we carried out the idea that cholera is not contagious.
   STR,-Will YOU favour me with the insertion of the few follow-     Fearful as has been the havoc which the disease has made, I
ing lines in the next number?                                        believe the coolness, and disregard to the doctrine of contagion,
   I find, by a letter from Mr. Ceely, that I have not represented   has saved many lives; and, on this account, such a belief shoulc
Dr. Thiele's experiments accurately in my article onl Vaccine        not be admitted without the most decisive testimony.
Lymph, in your impression of the 1st of April. Mr. Ceely's                                        I am, etc.,
words are:-" In the article (vaccine), page 270, I do not think                                                    H. N. CHIIPMAN.
the phrase used, in speaking of Dr. Thiele's experiments, quite         Nassau, 7th March, 1853.
expressive of the fact. Dr. T. selected milch cows; reecting
others which I was compelled, from circumstances, to take, and          AGITATE IN FAVOUR OF THE 2MEDICAL BILL.
did succeed on such as he rejected." So I have stated in a note              LETTER FROM J. D. JONNES, M.D, TO TIIE EDITOR.
at the conclusion of my paper in the eighth volumue of the
Transactions of the Provincial Medical and Surgical Association.        SiRS-The much-desired and long-pending Mledical Reform
   I take this opportunity of sayina a few words on the subject      question is at last before the profession. 1 have weekly looked,
of vaceination, in relation to Lord Lyttelton's Compulsion Bill      but looked in vain, for some editorial suggestion or direction as
in the House of Lords. The question is not whether vaccination       to the best mode of agitating. For it must be well known to
shall be compulsory, which may or may not be advisable; but          all that have had anything to do with political questions, that
whether the vaceine lymph shall be genuine: in default of which      nothing short of agitation will wake the medical profession from
compulsory vaccination, good, bad, or indifferent, as it may be      its usual apathy. Its members alwavs trust to some other
in the abstract, wouildl become practically nugatory. If his         hands than their own for doing all that is desirable or neces-
Lordship wouild inquire into the circumstances of the case, lie      sary; but rouse them, and they will be made to understand the,
would learn that the chief want among mCdical meni is that of        necessity of i[ndividual as well as collective actioni.
genuine lymph. DI)ring the preent week, I have received two             I had an opportunity some years ago of witnessing this to a
letters, one from Mlr. Wilson, of Rl1ncorn, Cheshire, and tlle       most extraordinary exteInt: I allude to the period when a "MNIe-
other from Dr. John (irigor, Nairn, N.B., both complaining of        dical Registration Comnmittee" held its weekly meetings at the
the inefficiency of the lynmph they use, and begging for a more      Freemasons' Taverna, under the able leadershiip of Dr. Lankester,
effective supply of it from Mr. Itadeock's stock. These cases        as chairman. The immense power wielded by that committee,
are not solitary, and theV exclude the idea of any advantage         although up to that time most of its names were unknown to the
being derived from compulsory vaccination.                           profession, would be scarcely believed by those unacquainted
                                             I am, etc.,             with its operations.
                                                J. A. HINGESTON.        Remembering this, it occurred to me that a similar demon-
    Brighton, Apzil 9th.                                             stration ought to be made at the present time. I would suggest
                                                                     first a general meeting, not nnly of the Metropolitani Counties
CAUSE OF THE OUTBREAK OF CHOLERA IN THE                              Branch of the Association, but of the profession generally; and
                           BAHAMAS.                                  at this meeting, a committee to be elected to organize a plan of
     LETTER FROMI H. N. CHIPMAN M.D., TO THE EDITOR.                 operation.
   SIR,-I received, per last packet, the ASSOCIATIOXN MEDICAL          Withouit some such agitation, this Bill, liko all its prede-
JOURNAL of January 17th, containing a copy of my letter to Dr.       cessors, will die a natural death, or, more correctly speaking,
Cogswell regarding the outbreak of eholera here, etc.                an innatural death; but, with the assistance of the great body
   I am. happy to say that it has now entirely left our shores,      of the profession, such a consimmation may be readily avoided.
althouglh probably, as in other instances, it may again revisit      I then say agitate, agitate, agitate! To you, sir, we look for
us. The mode of its introduction, whether by importation or          direction in this affair. The present Medical Bill is the Bill of
otherwise, is involved in much obscurity. The general belief         our AsSOCIATION, Of which you are at the present moment the
among the non-professional is, that it was introduced here by        eye and the hand. Use these organs vigilantly and vigorously,
the schooner Reform, a vessel belonging to this port, and which      and doubt not the successful result.        I am, etc.,
had conveyed a cargo of pineapples to New York in August last.                                     J. DALSTON JONES, M.D., F.L.S.
She lost a man from cholera while in the port of New York, but          Dalston, April 9th, 1813.
the disease did not extend to any of the crew, and she reached
this island in September, anid was undergoing some cleansing            THE MILITIA BALLOT:-MEDICAL MEN NOT
in the vicinity of the spot where the disease first miianifested                                EXEMPT.
itself. I cannot myself thinik that she had anything what(ver
to do with its introduction. It is, however, true that the first                         LETTER TO THE EDITOR.
case which showed itself was that of a Mrs. Hall, an elderly           SiR,-You would confer a favour upon me, and upon many
female, who had been to a houise near her own, on the Easten         others, by suggesting to ouir P'arliamentary fiiends the great.
Parade, where the captain of the said sebhooner Reforn resided,      hardships of the Militia Ballot to medical men. It presses.
and who spent some time with himn, making inquiries about her        with peculiar severitv upon the juniors, who are often unable to
snn, who commanded a vessel then expected from P'hiladelphia.        meet the expense of providing substitutes. In reading over the
Mrs. Hall died suiddenly of cholera on the 17th September. I         various Acts, I find that clergymen are totally exempt. Surely
am aware that your own opinion is rather that of a contagionist,     our claim is far stronger than theirs, as their duties can all he
judging from a conmmunication whiclh I remember having seen          performed equally well by deputy, whereas ouirs cannot. Will
in the Mledical Gazette some time sinice. I hardly have myself       you kindly suggest, in your next numiber, whlat steps ought to
arrived at any very definite conclusion upon this very important     be taken to reniedy tlis grievance?
point. I do not wish to lbe decisive upon so vital a question                                                I am, etc.,         V.
without further experienee, although I am free to confess that          Soutlhwold, April 1853.
mueh perplexity surrounds the suljeet, in the same manner as
that which exists upon the contagiousness or otherwise of yellow         [As far as we can discover, our correspondent is quiite righlt
fever. If typhus fever be contagious, as it is now generally ac-     as to medical men not being exempt from the Militia Ballot.
knowledged to be, why not yellow fever?-why not cholera,             The Acts are 15 & 16 Victoria, cap. 50, and 423 George II1, cap.
which appears to me allied to this class of diseases? Scarlet         0(. Most of the nien have, we believe, been raised volutntarily
fever, also, we admit into the category, and does not this often     under the recent Act; but sill that is no reason wlhy the statute
fatal affection sometimes present itself to us, as it were, in the   should not exempt the medical profession as well as tle clergy
collapse stage, the patient suddenly sinking upon the first inva-    from serving. As to thie steps which ought to be taken to
sion without the manifestation of its more developed symptAms?       remedy this grievance, we can suggest none better than fre-
The poison which ordinarily, when not so rife, not so virulent,      quently agitating the question in the Times and other news-
shows itself in lesser degrees, in the shape of intermittent, in     papers, as well as in the medical journals; bringing thle suibject
stronger is remittent, and, in its somewhat more potent influ-       before the Branch Societies of our Association; and utsing every

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