1
582 than body-weight, such is not the case with protein. There is, consequently, no reason to assume that a .small animal is less efficient as a converter of protein than a large animal. I am not convinced that the reasoning in my Nature article is at fault. If need for protein is of primary importance to the nation, then the hen deserves first consideration next to the dairy cow. If, on the other, hand, energy requirement is the primary need, then the pig should rank next to the dairy cow. Animal Nutrition Institute, Cambridge. E. T. HALNAN. CANCER AND OILING OF FLOORS SiR,-As the suggested method of oiling floors has, I think, been in use at certain schools for very many years, without any detriment to the health of a few generations, it would appear that the method is harmless., One is thankful for assurance on the new suggestion of oiling Mf),T)kets. Market Drayton. PETER W. EDWARDS. PROPHYLAXIS AND TREATMENT OF COLDS SiR,-In his article of Nov. 1 (p. 534) Dr. Thrower men- tions experments carried out for controlling colds by ultra- violet light and states that the results were disappointing. This is by no means the experience of observers who have used ultraviolet irradiation -for many years in this and other countries. The common cold can be aborted in a large percentage of cases if proper technique is adopted and suitable apparatus is used. The nostrils and pharynx can be sterilised by application of ultraviolet rays by means of quartz applicators attached to the Kromayer mercury-vapour lamp first used in Berlin in 1903. This treatment should be combined with infrared irradiation applied over the antra and general U.V. irradiation to increase the bactericidal power of the blood-stream. Apparatus has unfortunately not been standardised in this country, the result being that innumerable pieces of apparatus now in use have but little therapeutic effect. In addition the technique adopted to carry out experi- mental investigations is often faulty. Wimpole Street, W.l. W. ANNANDALE TROUP. TOWARDS A NATIONAL SERVICE IN CLINICAL PATHOLOGY SrH,—After reading Dr. Dyke’s article of Oct. 25 doctors in general will be looking forward to the time when the scheme envisaged will have become an integral part of the practice of medicine in this country. It may, however, be of interest to Dr. Dyke and others to know that a comprehensive pathological service very much on the lines indicated has been functioning in at least one part of the country for many years, and that conse- quently one or two statements in this excellent article are not strictly correct. More than a quarter of a century ago the Kent county council established a laboratory for carrying out public- health pathology. It soon became evident, however, that the line of demarcation between public-health patho- logy and clinical pathology was very indistinct, and it seemed desirable to extend the service to provide facili- ties for undertaking pathological work for all doctors practising in the county. The development of the scheme was very rapid, and even before the war nearly 100,000 specimens were being examined annually ; about 30,000 in the six branch laboratories at the county hos- pitals and institutions and the remainder at the central laboratory at Maidstone. Briefly, the scheme as it operates at present is that medical officers of health, general practitioners and the medical staff of hospitals in the county which have no pathologist on the staff may send into the main laboratory an unlimited number of specimens for examination. Field work for the purpose of investigating and controlling the spread of epidemic disease is undertaken by the pathologists in collaboration with the district medical officers of health. In the case of patients residing within a reasonable distance of Maid- stone, and who are able to travel, the doctors may wish to have specimens collected in the laboratory ; in some cases, of course, this is necessary, and is greatly appreci- ated when such investigations as glucose-tolerance curves and urea-clearance tests are required. Furthermore, the services of pathologists are available to assist in con- sultation with doctors in the investigation of clinical problems at the bedside of their patients. These services are entirely free of charge to the doctor and the patient ; outfits for the transmission of specimens are also supplied free, and the only expense incurred is that of sending the specimens to the laboratory. The cost of the laboratory is a charge on the county rate and is relatively small for the services provided. It is not claimed that this pathological service is by any means ideal, and plans for future developments along present lines have been made; but that there is ample need for such a service is evidenced by the general appre- ciation expressed of the value of the provisions already made in this countv. Maidstone. CONSTANT PONDER. FIRST-AID IN WAR-TIME SiB,—I was interested to read Dr. Hodgson’s letter in your issue of Oct. 25. During the past year the Halifax casualty services have been instructed with special reference to : shock ; haemorrhage ; wounds ; burns ; certain fractures ; war-time neuroses ; the speedy evacuation of casualties ; the diagnosis as between F.A. post and hospital casualties ; and the movement, parking and spacing of casualty vehicles. In addition, a thorough knowledge of local geography (helped by night exercises) is part of their curriculum. We have cut out all elaborate bandaging and splinting at incidents. Tourniquet dangers are stressed. I am of the opinion that a simple textbook on war-time first-aid would be appreciated by the casualty services. G. C. F. ROE, Medical Officer of Health, Halifax. Q CAMP SIR,-In your review of W. D. Wills’s book " The Hawkspur Experiment " (Oct. 18, p. 474) the principles on which the Q Camp was run are summarised in a way which shows a deep understanding of our work, but there is one correction I should like to make. The numbers never reached 70, nor could we have carried on the methods with so many at a time. We considered about 30 to be a desirable maximum, although had the demand been pressing we might have been willing to exceed this, but certainly not to go beyond 50. This does not imply that Q Camp methods are unsuitable for such institutions as Borstals or prisons, where large groups are at present the rule. Rather does it mean that large groups are unsuit- able for the reformative work they aim to do. The combination of individual study and individual help with experiments in community living, which seems to be the lines most hopeful for the re-education of offenders, requires that these larger groups be subdivided. Oxford. MARJORIE E. FRANKLIN, Hon. Secretary, Q Camps. HOME GUARD TERMINOLOGY SiR,-We are discussing what title should be given to the minor aid-posts set up by the Home Guard and provided by the authorities with a minimal equipment. I am told that in one area these posts, which do not differ in any essential, are to have no less than three sets of initials according to whether they are associated with battalion headquarters, companies or platoons. The initials proposed are H.G. B.A.P., H.G. C.A.P. and H.G. P.A.P. The prefix H.G. is necessary because the army authorities already use C.A.P. and P.A.P., as was pointed, out by one of your correspondents. Surely it is time that we called a halt to this multi- plicity of initials and gave first place to brevity and accurate description. Our Home Guard posts would be called points by the civil authority and by this term they intend to signify that the amount of assistance which can there be given is very much less than that provided at any post. The word point is not felicitous because the initial " P " may equally stand for post or party but it does at least indicate an important distinc- tion which is missed by those who would use the expres- sion aid-post for every sort of place at which medical attention is available. I must admit considerable sympathy with those who use the expression C.C.P. (casualty collecting post) as both descriptive and distin- guishing for all Home Guard posts and would venture to hope that official authority may be given for the use of this term before a riot of. uneasy nomenclature submerges us., BATTALION M.O.

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Page 1: FIRST-AID IN WAR-TIME

582

than body-weight, such is not the case with protein.There is, consequently, no reason to assume that a .smallanimal is less efficient as a converter of protein than alarge animal.

I am not convinced that the reasoning in my Naturearticle is at fault. If need for protein is of primaryimportance to the nation, then the hen deserves firstconsideration next to the dairy cow. If, on the other,hand, energy requirement is the primary need, then thepig should rank next to the dairy cow.Animal Nutrition Institute, Cambridge. E. T. HALNAN.

CANCER AND OILING OF FLOORS

SiR,-As the suggested method of oiling floors has, Ithink, been in use at certain schools for very many years,without any detriment to the health of a few generations,it would appear that the method is harmless., One isthankful for assurance on the new suggestion of oilingMf),T)kets.

Market Drayton. PETER W. EDWARDS.

PROPHYLAXIS AND TREATMENT OF COLDS

SiR,-In his article of Nov. 1 (p. 534) Dr. Thrower men-tions experments carried out for controlling colds by ultra-violet light and states that the results were disappointing.This is by no means the experience of observers who haveused ultraviolet irradiation -for many years in this andother countries. The common cold can be aborted in alarge percentage of cases if proper technique is adoptedand suitable apparatus is used. The nostrils and pharynxcan be sterilised by application of ultraviolet rays bymeans of quartz applicators attached to the Kromayermercury-vapour lamp first used in Berlin in 1903. Thistreatment should be combined with infrared irradiationapplied over the antra and general U.V. irradiation toincrease the bactericidal power of the blood-stream.Apparatus has unfortunately not been standardisedin this country, the result being that innumerable piecesof apparatus now in use have but little therapeutic effect.In addition the technique adopted to carry out experi-mental investigations is often faulty.Wimpole Street, W.l. W. ANNANDALE TROUP.

TOWARDS A NATIONAL SERVICE IN CLINICALPATHOLOGY

SrH,—After reading Dr. Dyke’s article of Oct. 25doctors in general will be looking forward to the timewhen the scheme envisaged will have become an integralpart of the practice of medicine in this country. It may,however, be of interest to Dr. Dyke and others to knowthat a comprehensive pathological service very much onthe lines indicated has been functioning in at least onepart of the country for many years, and that conse-quently one or two statements in this excellent articleare not strictly correct.More than a quarter of a century ago the Kent countycouncil established a laboratory for carrying out public-health pathology. It soon became evident, however,that the line of demarcation between public-health patho-logy and clinical pathology was very indistinct, and itseemed desirable to extend the service to provide facili-ties for undertaking pathological work for all doctorspractising in the county. The development of thescheme was very rapid, and even before the war nearly100,000 specimens were being examined annually ; about30,000 in the six branch laboratories at the county hos-pitals and institutions and the remainder at the centrallaboratory at Maidstone. Briefly, the scheme as itoperates at present is that medical officers of health,general practitioners and the medical staff of hospitals inthe county which have no pathologist on the staff maysend into the main laboratory an unlimited number ofspecimens for examination. Field work for the purpose ofinvestigating and controlling the spread of epidemicdisease is undertaken by the pathologists in collaborationwith the district medical officers of health. In the caseof patients residing within a reasonable distance of Maid-stone, and who are able to travel, the doctors may wishto have specimens collected in the laboratory ; in somecases, of course, this is necessary, and is greatly appreci-ated when such investigations as glucose-tolerance curvesand urea-clearance tests are required. Furthermore, theservices of pathologists are available to assist in con-sultation with doctors in the investigation of clinical

problems at the bedside of their patients. Theseservices are entirely free of charge to the doctor and thepatient ; outfits for the transmission of specimens arealso supplied free, and the only expense incurred is that ofsending the specimens to the laboratory. The cost ofthe laboratory is a charge on the county rate and isrelatively small for the services provided.

It is not claimed that this pathological service is byany means ideal, and plans for future developments alongpresent lines have been made; but that there is ampleneed for such a service is evidenced by the general appre-ciation expressed of the value of the provisions alreadymade in this countv.

Maidstone. CONSTANT PONDER.

FIRST-AID IN WAR-TIME

SiB,—I was interested to read Dr. Hodgson’s letter inyour issue of Oct. 25. During the past year the Halifaxcasualty services have been instructed with specialreference to : shock ; haemorrhage ; wounds ; burns ;certain fractures ; war-time neuroses ; the speedyevacuation of casualties ; the diagnosis as betweenF.A. post and hospital casualties ; and the movement,parking and spacing of casualty vehicles. In addition,a thorough knowledge of local geography (helped bynight exercises) is part of their curriculum. We havecut out all elaborate bandaging and splinting at incidents.Tourniquet dangers are stressed. I am of the opinionthat a simple textbook on war-time first-aid would beappreciated by the casualty services.

G. C. F. ROE,Medical Officer of Health, Halifax.

Q CAMPSIR,-In your review of W. D. Wills’s book " The

Hawkspur Experiment " (Oct. 18, p. 474) the principleson which the Q Camp was run are summarised in a waywhich shows a deep understanding of our work, but thereis one correction I should like to make. The numbersnever reached 70, nor could we have carried on the methodswith so many at a time. We considered about 30 tobe a desirable maximum, although had the demand beenpressing we might have been willing to exceed this, butcertainly not to go beyond 50. This does not imply thatQ Camp methods are unsuitable for such institutions asBorstals or prisons, where large groups are at present therule. Rather does it mean that large groups are unsuit-able for the reformative work they aim to do. Thecombination of individual study and individual help withexperiments in community living, which seems to be thelines most hopeful for the re-education of offenders,requires that these larger groups be subdivided. ’

Oxford.MARJORIE E. FRANKLIN,Hon. Secretary, Q Camps.

HOME GUARD TERMINOLOGYSiR,-We are discussing what title should be given to

the minor aid-posts set up by the Home Guard andprovided by the authorities with a minimal equipment.I am told that in one area these posts, which do not differin any essential, are to have no less than three sets ofinitials according to whether they are associated withbattalion headquarters, companies or platoons. Theinitials proposed are H.G. B.A.P., H.G. C.A.P. and H.G.P.A.P. The prefix H.G. is necessary because the armyauthorities already use C.A.P. and P.A.P., as was pointed,out by one of your correspondents.

Surely it is time that we called a halt to this multi-plicity of initials and gave first place to brevity andaccurate description. Our Home Guard posts wouldbe called points by the civil authority and by this termthey intend to signify that the amount of assistancewhich can there be given is very much less than thatprovided at any post. The word point is not felicitousbecause the initial " P " may equally stand for post orparty but it does at least indicate an important distinc-tion which is missed by those who would use the expres-sion aid-post for every sort of place at which medicalattention is available. I must admit considerablesympathy with those who use the expression C.C.P.(casualty collecting post) as both descriptive and distin-guishing for all Home Guard posts and would ventureto hope that official authority may be given for the useof this term before a riot of. uneasy nomenclaturesubmerges us., BATTALION M.O.