Journal of the American Medical Association (JAMA)
that it may be found in the progressively increasing reliance that the tabetic patient, in consequence of his failing vision, is compelled to place for all of his movements upon his muscular sense, ordinary sensibility, sense of localization and co-ordination ; and in re-educating these and in trying to restore the impairments he is actively and constantly engaged. The same reason is aimed at therapeutically by co-ordinate gymnastic and regulated exercises. SUCH IS FAME. According to the
... er reports, the president of the New York City Department of Health first heard of Professor Koch and possibly also of the tubercle bacillus when a reporter called upon him to interview him on the sensation of the day. "Who is this man Koch?" was the official's inquiry, and when informed, he said: "Well, I don't know anything about him," and then turned to weightier matters. It is probable, as the newspaper says, that he does not think Professor Koch is half as great a man as he is. With some New York City officeholders the vision is limited to the Tammany jurisdiction and nothing outside of that is worth knowing. The official in this case, however, is, as many of us can testify, not a bad type of a too large class of individuals who get into places in our large cities through political machination and pull. It is a public disgrace when they occupy positions such as the presidency of the Department of Health of New York City, which should be filled by qualified men, and have such an opportunity to show their ignorance. Attention has repeatedly been called to the fact that diphtheria bacilli may persist for long periods of time in the throats of those who have had an attack of diphtheria, and also that they may be found in the throats of those apparently healthy who are compelled to associate more or less intimately with such patients. In addition to these possible sources of infection, Drs. R. T. Hewlett and H. M. Murray2 call attention to another that is even more insidious and more dangerous, because not suspected, namely, the throats of children suffering from other diseases than diphtheria. It was found that of 385 children under the age of 14 years admitted during the year 1900 to the Royal Victoria Hospital for Children, in London, for operation or some illness other than diphtheria, bacilli of diphtheria were isolated on culture from the throat in 58, or 15 per cent.; and pseudo-diphtheria bacilli in 92. or 24 per cent. Among patients 2 years old and upward, the diphtheria bacilli were present in the throat in less than 13 per cent, and the pseudo-diphtheria bacilli in nearly 28 per cent., while among those under 2 years of age diphtheria bacilli were present in 21 per cent, and pseudo-diph¬ theria bacilli in 14.5 per cent. In only seven of the entire number of cases was there any clinical evidence in favor of diphtheria, and in three of these neither diphtheria bacilli nor pseudo-diphtheria bacilli were found on the first examination. These observations show the importance of keeping the buccal cavity clean in children, and they may also serve to explain the mode of infection in not a few cases of obscure 2. Brit. Med. Jour., June 15, 1901, p. 1474. UNDILUTED MILK AS A FOOD FOR INFANTS. Notwithstanding tireless research and wonderful ingenuity a perfect substitute to replace mother's milk as an article of food for the nourishment of infants yet remains to be discovered. This is greatly to be regretted, as the occasions are not rare on which mother's milk is not available or it is desirable or even necessary to have recourse to such a substitute. The fact is that there is yet not a little to learn concerning the assimilative processes in children, and knowledge, particularly of a practical character, concerning food is not so extensive or so precise as it might be. As K. Oppenheimer1 points out in a recent communication, an article of food for the infant, to serve as a perfect substitute for mother's milk, should be as useful as the latter in the nourishment both of healthy children and of those suffering from gastrointestinal catarrh. These requirements, however, are not met by any of the large number of artificial foods that have been devised. For the purpose of establish¬ ing the usefulness of undiluted cow's milk as judged by this standard, Oppenheimer made comparative obser¬ vations in normal healthy children, in infants suffering from gastro-intestinal derangement and in atrophie children. In almost all of the 11 cases of the first group the bodily weight exhibited a steady and uniform in¬ crease; while of 36 cases of the second group only 6 failed to do well; and of 12 cases exhibiting marked atrophy 8 failed to do well. All of the foregoing cases were under observation for periods of more than four weeks. Of 33 additional cases under ohservation for a shorter period than four weeks 20 thrived and 13 did not.