1
1119 MAJOR A. M. DAVIES, R.A.M.C. We are glad to learn that the Government of India have applied for the services of Major Davies, R A.M.C., to be extended at headquarters for another year. This officer, who has had capital training and holds an excellent reputa- tion in all matters connected with army hygiene, has done <much valuable bacteriological work whilst serving in India. The following is a list of the surgeons on probation nominated by the medical schools for the Royal Army Medical Corps :-H. S. Anderson, Queen’s College, Belfast; J. H. R. Bond, St. Mary’s Hospital, London ; L. N. Lloyd, Cbaring-cross Hospital ; E. L. Munn, Royal Infirmary, Edinburgh ; S. V. H. Underhill, St. George’s Hospital, London ; L. Wood, Mason College, Birmingham; and E. P. Connolly, Catholic University Medical School, Dublin. Colonel T. J. Gallwey, C.B., R.A.M.C., who was for seven years Principal Medical Officer of the Egyptian Army and served in the late campaign, reports himself at Aldershot on return to the establishment. It is understood that he is to take over medical charge at Salisbury. Correspondence. TRAINED NURSES IN IRISH WORKHOUSE HOSPITALS. "Audi alteram partem." To the Editors of THE LANCET. SIRS,-Justice has not been done to the Local Government Board for Ireland in the paragraphs on the new rules of that Board in reference to nursing in Irish workhouse hospitals and on the objections raised to those rules at a recent meeting of the Tralee Board of Guardians which appeared in THE LANCET of April 8bh, 1899 (p. 993). It will be only fair to give in extenso a circular letter sent to the clerk of fach union in Ireland by the Secretary to the Local Government Board for Ireland under date Jan. 12th, 1899:- WORKHOUSE HOSPITAL TRAINED NURSE. Local Government Board, Dublin, Jan. 12th, 1899. SiR,-The Local Government Board for Ireland desire to state that ;hey have recently received communications from several boards of guardians inquiring the qualifications a workhouse hospital nurse should possess in order that the guardians may be in a position to apply for recoupment out of the Local Taxation (Ireland) Account of one half of the salary of such nurse. The Local Government Board have to inform you that it is proposed indue course to prescribe the following qualifications as necessary in the case of any person claiming to be a’’trained nurse for the pur- poses of Section 58, sub-section 2 (a) (ii.) of the Local Government (Ireland) Act, 1898 :- I "The term ’trained nurse’ shall mean any person who has resided for not less than two years in a clinical or other hospital recognised by the Local Government Board and who after examination has obtained from such hospital a certificate of proficiency in nursing." The Board have to point out, in connexion with this matter, that they will not be prepared to accept the certificate of the authorities and staff of any hospital except a clinical hospital recognised by the medical examining bodies in Ireland, England, or Scotland, unless the non-clinical hospital has at least 150 beds for medical and surgical cases and unless due provision is also made for giving the probationer nurses a course of training in the nursing of cases of infectious diseases. In addition, the hospital should have a staff of at least one resident and two visiting physicians and a trained head nurse. Such arrangements should likewise be made, including the giving of lectures and the hold- ing of examinations, as shall satisfy the Local Government Board that sufficient opportunities are afforded to the persons undergoing instruo- tion to become fully trained, experienced, and certificated nurses. I am, Sir, your obedient servant, - To the Clerk of each Union. THOS. A. MOONEY, Secretary. It will be observed that the regulation as to qualifications applies only to the one nurse in each workhouse upon whose salary recoupment can be claimed from the Government gract provided under Section 58, sub-section 2 (a) (ii.) of the Local Government (Ireland) Act, 1898. The payment, status, and privileges of existing nurses are not in any way interfered with by the new regulation. It may be well to quote the Act of Parliament: " The Lord Lieutenant shall cause to be paid in respect of every local financial year, out of the Local Taxation (Ireland) Account, to each county council, on behalf of the guardians of every union, one half of the salary (approved by the Local Government Board) of one trained nurse in each workhouse who is actually employed and possesses the prescribed qualifications." In reference to the special cases referred to in your corre- spondent’s letter of April 5th we are credibly informed that the reason why the Gorey Board of Guardians received no applications for the post of trained night nurse was became the guardians did not offer sufficient inducements to good nurses to come forward. The object of the Government grant of half the salary of a trained nurse provided for in Section 58 of the Local Government Act of 1898 was to induce boards of guardians to offer really good salaries- say, from &pound; 40 to .B60 per annum-with the view of securing for each workhouse hospital at least one first-class, highly qualified, and competent nurse. With regard to the paragraph about Tralee and the nuns the facts are that the medical officer asked for two trained nurses to assist the nuns, and the Local Government Board for Ireland urged the guardians to make the appointments not with a view of superseding the nuns but to assist in the nursing. In 1895 the Roman Catholic Archbishops and Bishops of Ireland requested the Local Government Board for Ireland to insist upon the appoint- ment of "trained nurses" in all hospitals nursed by nuns who should assist at operations, &c., and perform the night nursing. The foregoing facts in my judgment fully vindicate the action of the Local Government Board for Ireland in regard to the " one trained nurse " within the purview of Section 58 of the Local Government (Ireland) Act. I am, Sirs, yours faithfully, Dublin, April 18th, 1899. J. W. MOORE. " THE RINDERPEST IN SOUTH AFRICA." To the Editors of THE LANCET. SIRS,-I notice in THE LANCET of Nov. 5th, 1898, an article by Mr. John Maberley headed "The Rinderpest in South Africa," in which, inadvertently no doubt, a mis- statement occurs which may lead to future misappre- hension in the minds of men as to the full measure of credit which is due to Dr. Turner in respect of his recent valuable investigations into rinderpest, and more especially in respect of his treatment of the disease by the system of simultaneous inoculation with preventive serum and virulent blood ; and as, owing to my official position, I am particularly competent to vouch for the correct facts of the case I trust you will see your way to publish this letter or otherwise to correct the misapprehen- sion. Mr. Maberley states, inter alia, that the work of Dr. Koch has been ’’ brought to such a happy and successful con- clusion by the labours of Dr. Kolle, who came out to carry on Professor Koch’s work, and of Dr. George Turner, the Government Health Officer of Cape Colony. It is very satis- factory to be able to place on record the fact that the name of an English medical man is associattd with this, perhaps one of the most important achievements in the antitoxic method of treating disease," and throughout his article he has everywhere been careful to place the name of Dr. Kolle in advance of that of Dr. Turner, the implication being that the latter acted merely as an assistant in the work, or almost as a collaborator, to Dr. Kolle. While in no way wishing to disparage the valuable work of Dr. Kolle I may put forward the following facts. Dr. Turner was placed in charge of the Kimberley rinderpest laboratory and of the Government investigations into rinder- pest early in March, 1896, at which time Dr. Koch, in response to the order of the German Government, was called away to proceed to India to investigate bubonic plague, and from that time until June, a period of some four months, Dr. Turner carried on the work unaided. In June, however, Dr. Kolle came out to this colony under an engagement with the Colonial Government to investigate leprosy ; but on his arrival he was, at my suggestion, sent by the Government to Kimberley to assist Dr. Turner in his researches. As a matter of fact, although all the results of those researches were given to the world under the joint signatures of Dr. Turner and Dr. Kolle a considerable number of them were prosecuted by Dr. Turner alone, although the converse cannot be said in regard to Dr. Kolle. The official reports upon which Mr. Maberley has based his article are clearly signed by Dr. Turner as chief, and it is therefore extraordinary that the writer should have gone out of his way to invert the proper order of things. Dr. Kolle is at present absent from the colony, but doubtless no one 1 See THE LANCET, April 8th, p. 993.

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Page 1: TRAINED NURSES IN IRISH WORKHOUSE HOSPITALS

1119

MAJOR A. M. DAVIES, R.A.M.C.We are glad to learn that the Government of India have

applied for the services of Major Davies, R A.M.C., to beextended at headquarters for another year. This officer,who has had capital training and holds an excellent reputa-tion in all matters connected with army hygiene, has done<much valuable bacteriological work whilst serving in India.The following is a list of the surgeons on probation

nominated by the medical schools for the Royal ArmyMedical Corps :-H. S. Anderson, Queen’s College, Belfast;J. H. R. Bond, St. Mary’s Hospital, London ; L. N. Lloyd,Cbaring-cross Hospital ; E. L. Munn, Royal Infirmary,Edinburgh ; S. V. H. Underhill, St. George’s Hospital,London ; L. Wood, Mason College, Birmingham; and E. P.Connolly, Catholic University Medical School, Dublin.

Colonel T. J. Gallwey, C.B., R.A.M.C., who was for sevenyears Principal Medical Officer of the Egyptian Army andserved in the late campaign, reports himself at Aldershot onreturn to the establishment. It is understood that he is totake over medical charge at Salisbury.

Correspondence.

TRAINED NURSES IN IRISH WORKHOUSEHOSPITALS.

"Audi alteram partem."

To the Editors of THE LANCET.

SIRS,-Justice has not been done to the Local GovernmentBoard for Ireland in the paragraphs on the new rules of thatBoard in reference to nursing in Irish workhouse hospitalsand on the objections raised to those rules at a recent

meeting of the Tralee Board of Guardians which appearedin THE LANCET of April 8bh, 1899 (p. 993).

It will be only fair to give in extenso a circular letter sentto the clerk of fach union in Ireland by the Secretary to theLocal Government Board for Ireland under date Jan. 12th,1899:-

WORKHOUSE HOSPITAL TRAINED NURSE.Local Government Board, Dublin, Jan. 12th, 1899.

SiR,-The Local Government Board for Ireland desire to state that;hey have recently received communications from several boards ofguardians inquiring the qualifications a workhouse hospital nurse shouldpossess in order that the guardians may be in a position to apply forrecoupment out of the Local Taxation (Ireland) Account of one half ofthe salary of such nurse.The Local Government Board have to inform you that it is proposed

indue course to prescribe the following qualifications as necessary inthe case of any person claiming to be a’’trained nurse for the pur-poses of Section 58, sub-section 2 (a) (ii.) of the Local Government(Ireland) Act, 1898 :- I"The term ’trained nurse’ shall mean any person who has resided

for not less than two years in a clinical or other hospital recognised bythe Local Government Board and who after examination has obtainedfrom such hospital a certificate of proficiency in nursing."The Board have to point out, in connexion with this matter, that

they will not be prepared to accept the certificate of the authoritiesand staff of any hospital except a clinical hospital recognised by themedical examining bodies in Ireland, England, or Scotland, unless thenon-clinical hospital has at least 150 beds for medical and surgicalcases and unless due provision is also made for giving the probationernurses a course of training in the nursing of cases of infectious diseases.In addition, the hospital should have a staff of at least one resident andtwo visiting physicians and a trained head nurse. Such arrangementsshould likewise be made, including the giving of lectures and the hold-ing of examinations, as shall satisfy the Local Government Board thatsufficient opportunities are afforded to the persons undergoing instruo-tion to become fully trained, experienced, and certificated nurses.

I am, Sir, your obedient servant, -

To the Clerk of each Union.THOS. A. MOONEY, Secretary.

It will be observed that the regulation as to qualificationsapplies only to the one nurse in each workhouse upon whosesalary recoupment can be claimed from the Government gractprovided under Section 58, sub-section 2 (a) (ii.) of the LocalGovernment (Ireland) Act, 1898. The payment, status, andprivileges of existing nurses are not in any way interferedwith by the new regulation. It may be well to quote theAct of Parliament: " The Lord Lieutenant shall cause to bepaid in respect of every local financial year, out of the LocalTaxation (Ireland) Account, to each county council, on

behalf of the guardians of every union, one half of the salary(approved by the Local Government Board) of one trainednurse in each workhouse who is actually employed andpossesses the prescribed qualifications."

In reference to the special cases referred to in your corre-spondent’s letter of April 5th we are credibly informedthat the reason why the Gorey Board of Guardians receivedno applications for the post of trained night nurse was

became the guardians did not offer sufficient inducements togood nurses to come forward. The object of the Governmentgrant of half the salary of a trained nurse provided for inSection 58 of the Local Government Act of 1898 was toinduce boards of guardians to offer really good salaries-say, from &pound; 40 to .B60 per annum-with the view of securingfor each workhouse hospital at least one first-class, highlyqualified, and competent nurse.With regard to the paragraph about Tralee and the

nuns the facts are that the medical officer askedfor two trained nurses to assist the nuns, and the LocalGovernment Board for Ireland urged the guardians to makethe appointments not with a view of superseding the nunsbut to assist in the nursing. In 1895 the Roman Catholic

Archbishops and Bishops of Ireland requested the LocalGovernment Board for Ireland to insist upon the appoint-ment of "trained nurses" in all hospitals nursed by nunswho should assist at operations, &c., and perform the nightnursing.The foregoing facts in my judgment fully vindicate the

action of the Local Government Board for Ireland in regardto the " one trained nurse " within the purview of Section 58of the Local Government (Ireland) Act.

I am, Sirs, yours faithfully, --

Dublin, April 18th, 1899. J. W. MOORE.

" THE RINDERPEST IN SOUTH AFRICA."To the Editors of THE LANCET.

SIRS,-I notice in THE LANCET of Nov. 5th, 1898, anarticle by Mr. John Maberley headed "The Rinderpest inSouth Africa," in which, inadvertently no doubt, a mis-statement occurs which may lead to future misappre-hension in the minds of men as to the full measure

of credit which is due to Dr. Turner in respect of hisrecent valuable investigations into rinderpest, and more

especially in respect of his treatment of the disease bythe system of simultaneous inoculation with preventiveserum and virulent blood ; and as, owing to my officialposition, I am particularly competent to vouch for thecorrect facts of the case I trust you will see your way to

publish this letter or otherwise to correct the misapprehen-sion. Mr. Maberley states, inter alia, that the work of Dr.Koch has been ’’ brought to such a happy and successful con-clusion by the labours of Dr. Kolle, who came out to carryon Professor Koch’s work, and of Dr. George Turner, theGovernment Health Officer of Cape Colony. It is very satis-

factory to be able to place on record the fact that the nameof an English medical man is associattd with this, perhapsone of the most important achievements in the antitoxicmethod of treating disease," and throughout his article he haseverywhere been careful to place the name of Dr. Kolle inadvance of that of Dr. Turner, the implication being that thelatter acted merely as an assistant in the work, or almost asa collaborator, to Dr. Kolle.While in no way wishing to disparage the valuable work of

Dr. Kolle I may put forward the following facts. Dr.Turner was placed in charge of the Kimberley rinderpestlaboratory and of the Government investigations into rinder-pest early in March, 1896, at which time Dr. Koch, inresponse to the order of the German Government, was calledaway to proceed to India to investigate bubonic plague, andfrom that time until June, a period of some four months,Dr. Turner carried on the work unaided. In June, however,Dr. Kolle came out to this colony under an engagement withthe Colonial Government to investigate leprosy ; but on hisarrival he was, at my suggestion, sent by the Government toKimberley to assist Dr. Turner in his researches. As amatter of fact, although all the results of those researcheswere given to the world under the joint signatures of Dr.Turner and Dr. Kolle a considerable number of them were

prosecuted by Dr. Turner alone, although the converse

cannot be said in regard to Dr. Kolle.The official reports upon which Mr. Maberley has based his

article are clearly signed by Dr. Turner as chief, and it istherefore extraordinary that the writer should have gone outof his way to invert the proper order of things. Dr. Kolleis at present absent from the colony, but doubtless no one

1 See THE LANCET, April 8th, p. 993.