This happy condition continued for 16 days, when without any apparent se, without any error in diet, without any worry of any kind, or ital anxiety to account for it, and without any warning whatever, the perature rapidly rose from 97° to 102.4°-and except the lung mischief the typhoid symptoms, spots included, returned. This new bout of er lasted 14 days, terminating by a gradual fall of temperature. he was discharged convalescent on Feb. 9, 1892, having been in pital 18 weeks and 5 days. At this date, although the morning perature had been but 9 days below the normal line, and the evening perature only 5 days at normal range, it was deemed wise-considerthe length of time she had been in a small hospital-to remove her n an atmosphere which must have been saturated with typhoid inations. Although I learn from Dr. Brereton, who took charge of during convalescence, that occasionally there have been rises of perature of transient duration, she has steadily progressed on the d to health, except for an attack of bleeding from the throat, which arred suddenly without any inflammation or pain, was decidedly fuse in quantity, and from behind and below the left tonsil. She ke up on the morning of March 11 spitting blood; the hæmorrhage tinued till 2 a.m. on the 12th, and we controlled it with difficulty by all doses of ergot, vigorous swabbing with liq. ferri perchl., and the plication of ice. During the fever dietary and stimulation were attended with grave diffities. At times digestive power and absorption seemed gone altogether; k, even when diluted with soda-water or lime-water, passed in curds the alvine evacuations; beaten-up yoke of egg passed off unchanged. one occasion when sleep failed, and diarrhoea was profuse, opium and ladona pills were administered; in a few hours they appeared in the pols as perfect as when swallowed. If alcohol was withheld the heart mediately failed; on the other hand, it seemed when pushed, so as to ep the heart going, to bother the kidneys. The administration of a uple of ounces of gin in the day, along with whisky or champagne, lved the difficulty. Milk evidently disagreeing, whey was tried, but atient soon tired of it, and stomach kicked against it; then bread jelly was given, which she relished; it was well digested, and proved most atisfactory. Dor Quinine was well borne, but seemed absolutely inert-10 gr. doses, repeated in an hour, produced neither headache nor singing in the ears, deafness, nor did it affect the temperature. The only medicine which wered temperature was Warburg's tincture in full doses, and wherever on the chart a high temperature is seen, followed by a sharp drop, and falls and rises of a couple of degrees, Warburg had been given. Turpentine stupes relieved the abdominal distension. Sometimes, however, they had to be aided by 1 drachm doses by the mouth. The first attack of hæmorrhage was met with ergot and turpenti the second by ergot and hazalin, and it seemed to me that the acted better. Almost continuous dry cupping was kept up over the inma and thoracic regions; it not only appeared to relieve the kidneys! had the distinct advantage of keeping patient off her back. It is interesting to note the connection between rises of temperat and decrease in quantity of urine, and the albumen therein. Prior and during rise of temperature, the face flushed if rise was about to high or prolonged; the flush was peculiar, not in cheeks alone, but forehead became puffy, then a bright red, smooth, shining, very simil in appearance to erysipelas. Although the disease lasted so long, accompanied, too, by such mari digestive disturbance or profuse diarrhoea, the patient wasted very lit she was fat when admitted, and fairly fat when discharged. It without saying that such a case involved most arduous nursing constant attendance. She was splendidly nursed by Nurses Kelly Keys from the Ushers' Island, Dublin, Institution, and the fact that af 19 weeks she left hospital without a sign of a bed-sore, or the skin bei even at any time abraded, speaks volumes for the nursing. Acknowledgment is also due to Prof. Brereton for the valuable afforded me by him in daily consultation. ERRORS IN HEALTH REPORTS. THE editor of the (Sacramento) Occidental Medical Times announces discovery that "glaring errors are, unfortunately, frequent in the report of health departments." In the June report for Denver, for instanc the estimated annual mortality ought to have been 19.04 instead of 10-0. per mille, at which it was stated. He illustrates his assertion by th reported statistics of five other large cities besides Denver. "Most o the discrepancies," he says, C6 were errors of arithmetic, but in some case the rate was found in a very unique way. To find the annual rate, th number of deaths for the month was divided by the number of thousand of population. The quotient, of course, gives only the monthly rate, an as this seemed too small for an annual rate, the dilemma was solved by removing the decimal point one place to the right. This mistake occur in a comparative mortality table published in the Minneapolis healt! report for June." The want of uniformity in reports is also a seriondisadvantage. Each city chooses its own tables and computations, and classifies its own diseases in its own way. Some report weekly, othermonthly. Some calculate mortality according to census, others according to estimated population. Thus great difficulties are thrown in the way of the comparative statistician. NITARY AND METEOROLOGICAL NOTES. ompiled by J. W. MOORE, B.A., M.D., Univ. Dubl.; F.R.C.P.I.; Met. Soc.; Diplomate in State Medicine and ex-Sch. Trin. Coll. Dubl. VITAL STATISTICS For four Weeks ending Saturday, April 23, 1892. he deaths registered in each of the four weeks in the sixteen cipal Town Districts of Ireland, alphabetically arranged, correded to the following annual rates per 1,000: 36.1 20.6.20.6 15.5 22.5 27.1 18.1 18.1 40.6 Jundalk- 41.9 29.3 20.9 16.8 Sligo Salway - 45.3 37.8 75.6 340 Waterford - 25.0 15.0 15:0 In the week ending Saturday, April 2, 1892, the mortality in thirtyfree large English towns, including London (in which the rate was 14), was equal to an average annual death-rate of 22-2 per 1,000 ersons living. The average rate for eight principal towns of Scotland as 21-2 per 1,000. In Glasgow the rate was 23-5, and in Edinburgh was 18.5. The average annual death-rate represented by the deaths registered during the week in the sixteen principal town districts of Ireland was 33.9 per 1,000 of the population (unrevised) according to the recent Census. The deaths from the principal zymotic diseases in the sixteen districts equal to an annual rate of 3.7 per 1,000, the rates varying from in ten of the districts to 5.3 in Belfast-the 159 deaths from all registered in that district comprising 17 from measles, 4 from whooping-cough, 1 from simple continued fever, 4 from enteric fever, 26 were causes from phthisis, and 45 from diseases of the respiratory system. Amon |