Document k5xBdN5945Z8wee92kjE96Vn

relieved of her various symptoms, and is restored to a another Lancashire town. 65 per cent, cf atilibir.i** * healthy Riaio of mind. textile workers compared with tho 40 per cout. iu\v- , - Tho indications for treatment from a review of the of other towns uct engaged in tho cotton industry, j> " pathology of neurasthenia arc somewhat diH'u.-nut from and exhausting work followed till towards the eui " * thoBO wo havo just considered in hysteria. While tho prcgnnucy is not only a causo cf iufautiloiinmalurRy, 'C.\ mental symptoms are still prominent wo do not find it a reduction of tho resistsneo of tho expectantluetU:-* nccoss&ry to adopt tho isolation treatment. A mistake is the fitiguos iucldeutal to tho stages of child-bearing,* vory often made in advising neurasthenic patients to start we1! no of tho ill-nourished condition of tho infant m-I,*'.- off on a sea voyago before any attempt has been uiado to born. Beyond mentioning tho fact, I shall do no improve their phyeical condition. It is quito tine that a than alludo to the havoc which is Icing wrought by ti. chaogs of Bceua and surrounding?, combined with relief modern craze for pleasure and which among au c Iq h f u [t from work, is very beneficial in diverting the patient's nocioty is undermining the best instincts o( womaulU;..-/. thoughts from himself Rod restoring him to a healthier But it is less npon these Bocisl weakneests of our tin:t.* framo of mind. But wo have to remember that a neur aud upon tho physical conditions of industrial labour k asthenic Is not only jaded in mind and body, and unable to general that 1 am invited by you to apeak as upon [},. stand the strain of travelling or to t&ko an interest in iniluonco on offspring of a particular kind of pcj*C5 sightseeing, but ho is also Buffering from digestive derange inhaled or swallowed by men and women whon at wot];. ments ana elccplcssnoss, and these latter conditions are To tho injurious effects of alcohol upon progeny ot!.. r ofton aggravated by travelling. I have scon this so often lecturers have drawn tho attention of this society, as also that I am satisfied that wo do best for our patients if we to the far-reaching consequences of the effects of syphilis first of all put them to bod in the fresh air. with quiet My task to-day, if of a humbler character, sinco theaubju*. and rest, relieve their digestive disturbance by appropriate concerns a more restricted number of people, is yet&ci: . dieting, secure the free action of the bowols, favour eli the loss important, for with lead and its compounds vc mination by the skin by warm baths aud massaging. We are dealing with poisons whose action, although subtle, i- ean also improve tho state of nutrition of tho nervous yet unerring, the sadness of it all being that in the largei*. system by securing oral asepsis, by the nse of intestinal number of instances tho sufferers have done nothing antiseptics, and by the aso of tonics--especially the bring tho trouble upon themtelveB. Their daily occupi glycero-phosphates and the byp&pbosjjhitee. Alter a tiou, the means by which mon and women have sought ti month or so of this treatment yoa will find that the earn their living, becomes tbo cause of Illness and possibly patient will bo much improved physically, and will then of deatb, of individual physical degeneracy and of inability be able to profit very considerably by a voyage or by a on the part of women to rise to tho dignity of the com stay in some health resort. pleted act of motherhood. Nearly two decades have Special symptoms may require special treatment sa they passed since I strove lor and succeeded in securing tL arise, and X would only warn yoa in eonclnsion to be most emancipation of female labour from the dangerous pro guarded in prescribing Bedative drugs--for example, opium, cesses of lead-making, and, although for years I was tuc- morphine, or heroin--without very careful consideration, target of abuse of manufacturers and of some of tl. owing to the great tendency there is for patients to con Labour societies, oventa have more than justified tie tract drag habits. In fact, tho less we depend on drugs, recommendations I made, since the manufacture of white the more wo adopt general hygienic treatment, the greater lead has become less tho objeot of public reproach, (}. the amount of good we shall do fox patients suffering from financial claims npon the industry have been lighted !, the various forms of functional derangement of the and tho health of tho workers has generally improved. I: nervous system* is difficult to estimato directly and indirectly tbo gain \) mankind by tho abolition of female labour in white lesi factories, and in all processes wherein lead is need. & Krciurr A few years ago, in one of the Yorkshire towns, there was an endemic of stillbirths which called for an unofficial inquiry. The caase was found to be contamination by ON lead of the drinking water supplied to the town.^ With the LEAD POISONING AND THE KACE, removal of the cause, the effect ceased. In this endemic it was the women and children of the population w!:u De l iv e r e d t o t u e Ec g x n x c s Ed u c a t io n So c ie t y , Buffered most severely. There is a sexual idiosyncrasy m Lo n d o n , Ma y 4t h , 1911. lead poisoning which cannot be ignored. Quite apart from By SIR THOMAS OLIVER, 31.D., raoPEsaoR in rn u n iv er s it t or Du r h am c o l l eg e o p med ic in e; AND PHTSICUN TO THE DOTAL VICTORIA IXmM.V&Y. REtVCASTLE-OPON-TTXE. its effects npon emnnetories snob as the kidney?- ao npon tbo blood-making organs and the nervous system, lead hits hard the reprodnetiva powers of man and woruao, but especially of woman. Lead destroys developing life by direotly poieooiog it, or it checks the growth of the fets* Fr o m the purely physical point of view a nation's strength in tho womb by cutting off its channels of nutrition. If Is measured by its reproductive power and the high per fowls' eggs be incubated after painting the shell of sou:o centage of the fitness of its children. In future wars of tbem with a strong solution of lime and the shell a numbers will still count for macb, especially if accom others with a solution of lead nitrate, Ia found that, wlac panied by good physique, and for more if accompanied by all those which had been painted with lima came U brain power as well While civilization in one sense maturity, from not one of those painted with lead ultra**' multiplies the opportunities of reproduction, human checks solution did there come forth a live chick. On o pc o j c ^ are interposed, or there arise conditions which interrupt tho egg, the embryo was always found to have wacbea a the normal coarse of events and prevent pregnancy fair stage of development; it had died in ell probability A* leaching term. The nation has therefore boen asking, not the result of poisoning. Similarly in the case of prej-n^* too soon, for some explanation of its declining birth-rate. rabbits, to whom lead was administered in food, m: The employment in factories of women when pregnant, carriage took place, and in the internal organs of t1;* and at a time when they ought to be sparing tbomseives, fetuses lead was found on chemical examination. i\ is ono explanation of a large number of immature births, theso experiments is not only confirmed the slattiaeD^ just as the return of mothers to the factory at too early a have made of the frequency of stillbirths among fcm.i date after their confinement is one of the causes of the lead workers, bat of the direct transmission of lead ai high death-rate of infants. It is estimated that, on an poison through affected mothers to the offspring. , . average among tho general population, one of every six Whether we deal with lifo as seen in the lower snim- pregnancies ends Id abortion. Where the conditions of or with woman, fchisinfluoncoof lead in bringing prciio.'.rn . labour make heavy demands npon female workers and tend to a premature cloeo is generally admitted--a circums. ^ to exhaustion, the oombor of immature births in a com. which of itself is one of the strongest reasons r ** . rnnnity rises, for by this means is partly explained the fact exclusion of females from the dangerous process* ` c g * f $ ? s t 'm 'S'S f * a-2 o* f t "* 4 " n r t ii l l ( o .s Q e e ( 1. .s n ;C :D . t. l! i o 'al by :!:0 ;ic .ho in *o ' it ..c. by U :i o t 11 V.-.' IA \ ` \\ !v .,i l ..aid A , ul 3fAr 13* *9"-] LEAD POISONING AND THE RACE. ___________ 1097 *ho manufacture aovl manipulation of lead aud its of thatiUncs?. Infants 0! anatcoholu mother frequently products. # die of malnutrition weeks After birth, wbiiu others tump*, Dr. Georgo Reid, in vol. ii of tbo Report of tbo Depart* but only to exhibit in later years an instability of the m.'nta) Committee on the Dangors attendantou tbo Uso ncrvou9 system, and a liability to become sol only more of Load, otc., supplies tbo following figures which bear readily intoxicated by alcohol, but to be affected by it in a upon this point: znauucr different to other people. Takiotf 200 mothers, he found that in those engaged la house* work the number of miscarriages and of stillbirths was 43.2: mill workers, hut not engaged in lead, 47.6: mothers who worked in lead previous to their marriage, 86; mothers who t'ceame lead workers after marriage, 133.5 \ and where the fntlier was a lead worker, 48. In addition, he found that while the deaths under 1 year per 1,000 births were for mothers engaged in housework 150, mill* workers 214, where the father alone worked in lead 1S9, mothers working in lend before marriage 157. and when mothers worked iu lead after marriage the numbers rose to 271. It is with lead as with alcohol and syphilis, children may not only be born apparently healthy bat really so, and remain as healthy and develop &s well ns tbo children of fiarests who havo never been brought into contact with ead, but there are others who must retain some impress of the transmitted maternal toxaemia, although it is impossible to state the peculiar direction along which that impression will show itself. The subject of plumbism bristles with biological problems of extreme difficulty, as shown by the following circumstances. Female lead That is to say, females who worked in lead before marriage^ miscarried twico more frequently and females working in lead after tboir marriage miscarried three times more frequently than tboso engaged in ordinary bouse* work. Taking the manufacture of pottery as an industry in which lead compounds are nsed, Reid fotmd that the incidence of poisoning is most marked in fomalcs engaged in the dipping department, and nest to these plumbism prerails most among the majolica palatrcsses. It is difficult to obtain accurate figures in an inquiry like that which Dr. R?id carried out, for many women are un* willing to divulge such personal matters as concern their possible motherhood, especially when the isQacnco of their occupation is boisg called in question. The facts which I have just rotated are of interest from a national point of view, since they deal with an enormous loss of infantile life from immaturity and still births. A high percentage of the children born to lead workers die shortly after birth aud during the first few months of lifo. In a footnote of the Departmental Report to which I hare referred it is stated: Tfc docs not appear from the Tables that working in lead has any injurious inilnenco In lowering the birtb-rvte, nor is there any evicjcnco to show that the children of lead workers are any less healthy than thoso born of ncn-lerul workers. workers give a higher percentage of stillbirths (Dr. Prendergsst of Hanley states that one potter's wife mis* carried twelve times in succession) than women employed in other occupations, and in the body of the children lead is found, which probably caused their death, while the mothers havo not and do not exhibit any signs of lead poisoning. 1 It is interesting to remember that latent paternal and maternal plarobiem is fatal^ to offspring, while the parents remain to all appearance In good health, and yet experience shows that Nemesis may still overtake these paronts years after they havo ceased working in lead. Acute poisoning from any cause is peculiar in this respect, that death can occur without any structural alteration of tho tissues being observed, although on chemical exomina* tion the poison can be detected. In the liver of the still* born infants of lead workers lead has been found. Acute lead poisoning in tho adalt can bo recovered from. A person may take a largo dose of lead acetate and suffer in consequence, but provided no more of the poison is taken it will be eliminated from tho body and the individual will recover. It is quite another thing when sm&U quantities, each harmless in itself, are taken regularly into thesystem, over an oxteeded period, as at work, or in drinking water. Lead poisoning develops insidiously; the metal acts upon the cells of particular organs of the body, deranging their function and structure, so that lifo is gradually The fact that female lead workers miscarry more brought to a closo by tho intervention of diseaso of organa, frequently than pregnant women following other occupa such as tbo kidney or nervous system, years after it may tions, shows that the birth rate is adversely affected. It bo tbo person has been near lead. It is not to bo ex* is to the question whether tho children of le&d workers aro pected that actual disease of organs is transmitted by auy less healthy than those born of non-lead workors that lead*poisoned parents to tboir offspring, although, as we I am desirous of drawing your attention. In provions have seen, lead itself can pass from tho maternal organism addresses I havo shown that, where a pregnant female to tho fetus, but from the poisoned blood of the mother lead worker who has miscarried time after time, frequently there cannot be added to the stream which nourishes the *ix times in succession, loaves the factory, succeeding child in her womb those healthy materials which make pregnancies are brought to a successful closo and the for normal development. Something is given or withheld children born alive, livo and grow no. Wbafc becomes of which cannot but inllocnco in later years tbo behaviour of these children, and what, too, is tho late of those children the tissues to tbo ordinary demands which life imposes b:ra alive to lead workers who do not die within tbo first upon thorn. Dr. Prendergaat of Hanley, Staffordshire, few months after birth? It is contrary to expectation, who baa spent many years of his professional career in although not to our experience, that the children who tbo Potteries, tells me that in his experience the children survive should be quite healthy, for in the bodios of tho of !o?.d workers who survive the first year of life arc of an stillborn children of lead workers and in those of children inferior physique to other children. They suffer from dying shortly after birth, lead has been found in tho marasmus, and havo not tho average vital stamina. He Issues, to the presence of which death must bo attributed. knows of nothing which tends to dntcriorato tho physical In most instances, if sot in all, it must be simply a ques well-being of children bo much as lUo fact of a father or tion of dosage of (be poison, so that whoro children born mother having been brought into contact with lead, :r.tlcr theso circumstances survive their birth, the amount esu"cially if tho lead bad been absorbed in fairly toxio load in their systom is too small to kill, or there has quantities. Dr. Trendergast is of tbo opinion that the bc.-n no poison absorbed at nil. Analogous cases aro seen children of load-poisoned potters do not growup into iu syphilis where a syphilitic mother has a succession of capable men and women like other children, but that thoy ''ulborn children, and then one or two children aro born are handicapped In tboir start in lifo, and that snose* ho survive, or where a fathor who has been infected is qnontly many of them exhibit signs of mental as well as 70*- tho pr.rent of apparently healthy children. Somo of physical deterioration. ho children, although healthy looking and well nourished Twenty years ago no unmarried female toad worker was `ion born, ttevolop symptoms of cougonital syphilis a low under iny care in the VowcB-tt. lloyal luftriaary oii aceoTint ol ^ceUs alter birth, vbilo others grow up and appear healthy children--but aro thoy quite healthy? J.` ** not tho something which has been inherited infiucnco `y' n in the ordinary infantile illnesses thoy may per* ncc suffer from, or in later years show itself in somo of :*"-o obscuro forms of norvous disease which aro often yplicablc ? Many asylum physicians to*day believe that ' -u a malady, for oxaiople, as general paralysis in middle* \;1, .,V10n 1:1 10 niany instances tho result of congenital , * 1'hili!'. oven although the patients have never presented onllnacy physical signs met with in tho inherited forma convulsions and hliuiluess caused by lead. | our ''"nthn after wards she had pretty well regained her sight, and `ho ether symptoms of plumbism bad disappeared. Mln8',n "! advice she did net return to tl-.o lead works. A few ,ears afterwards Gho married; her Inisband was an onWcor febonrer. In 1005 this patient v.as readmitted into tho luflrniarj on dfcniiiitol iMiralv^is of the cvcL'iills. Hlic had had three nils* cairiugcs ami six living children; ono of tho children Jmw flca rfird Ulhoiwh it v.as sevimtncu years slnoo aho will worMiU in tiia'facfnry. Vrufe^or iiotkon found lor.tl in thU patient a oi'inc. Her children, whom havo coo, aro healthy awl com* para favourably with Uie children of healthy I'nroiun, although tho patient herself bus recently become almost blind. . i DUP050334269 L-UAY fj, iCjil, M-, a;|.'! *12. .v o*f l-wl v.-ai-',]i -jj l.-iif ;ixii!r.`*1. sir .ifv.-li mi n . :,lbo. Two-,' Liu; l.v.i bl.-w, Tr": t-tt I 23, a!:l. tiyli of :i:-t I arj | li-in ":t:i o-i".. !v Mr>. .J.. r-.l fy"iv . !> a wl.u * l,. I n.u'Ini f' V.r; ;j pr-.- -I . tu i`;; : vwm o- i in f.nr As a insult of tli'J action ct developed by micro- or/aai.-.t ih .*ro. oonr* r. rc-acti *,,i on the p.:: 5 cf the vhito c 'jpurclvi of tho bo?d and tl;n cells of tuc ti dies, wkevchy ji:;titor.iH ;uv fenced. Tin .-;;!, by ov:rv.lj:?'.uii j-, t1;1' cli'i'-'ir !.> aliv. ue mli-'-ly ri r.4<: of the toxin1:, uot only b:h; about curw of the di. but 4 mviti.? ninl uvit'ier 5 day.; after w* li:rv: tJ. v.-i-i o:vs i.ii-v-mT.-.i;:- ; i .v*- 'h j h-.'.v.v rpi ? It .r an I ' i- j.vii Uj>; 0"-v cl tl:v s'in. a;.i i 2!. ii .:i ;'i n. p .. .-.p, r said ti lie quit-* Well, aad ,.'4 fellctv.i.;,.' I/.* :i a. n they leave b.hmJ a prc:---2tive h !m;pi.c c iu tl-.y holy which h.ts for ye Than? is, ho\;svcr, uot p.Uvr.ys this ihu.'i nily confevioil. One attr.ck of p-i unicuir.. for (xamplo. r.'.'.H'.v ivsvKU'd tuo individual li/tde to a Keen*! airs. A-.njjed 3>. wlusc Im-bmJ is r. l/Joy-or, v,;.- a Ic.irl worker for years k/.uv hor i . Tri ojo o j : i ir: tiovv after it. tf *.v,> up tl;*- work f ute -a yc;.;.s Sim k:dli.vl f"itr coil.Iren, thr.\: of 'Ml.V.ps; '^r .></ cliil.l, iv boy of 1! yt.'.r.s ef ajc. ir V,'!; 1 ; tl:'v.ostr.n attack protQC,.i him r-.;; it. This iuctca^.J BiHoeptibility tf> a return of tho sauio cUrcaw ia call-rj an-.pliyho.ia. It is chaructcrh Ua of recovery from phiiubif'f-i Vuat ftedt cc-niact v,itli lead J.s followed by a f> give u: Lite n m'-'j of p :tu> of'the v.fm f.j j-rls .ra.l rcu-ly rccuucuco of the unlady, hcnco tin*; :-cricu}coD?;v I* vv.-rk iu t!ir v.l.it'i-lo.v! fart.ny v.kh at ones q'.tcucea to lead workers who triilo with tho dingora to csd-ahm* 1. " 'J.'I'.oy are ncitly a'i b'.. I,'' ail th't her ov.o mot tier, MV*. N\. w't.j );.*! r1 t .-> a l.:;t w..i\Vr, had tli ::! nt tin* ftoe of 51 froto v'.ic oiiv,*u*. > of le:t I. which they an? expo-icd in their occupation, Familiarity with daugi-r frcqncctly causes workmen to Keomo cave- lr`33, but the ri.-.ks vemv.lu nouo the k:/-*, and too frequently 'J o oro the worst effects of Ion.1 npou a peoph who rrc they trip tip the unwary. Anaphylax:?., cv increased following an ojeupution for a livin'.; one v.wx/i go to Hungary. Struck by the harrowiag ik-'.r.H-j of tho suffer ing experienced by tho stuili po-.t.n'y nar.iiui.cV.im*a of su.soop'.ihlijty. is cli:av:tomtic of many metallic joi.^mh, but not in all, as witnefes tbo arseuic-cr.tio^; ccpabilitios cf the icounti-.in peasantry of the Austriaa TyioJ, who, com- Hungary and tlic unusually sevuco tyjks of phmbisuj raciiciug with small do:,cs of uranic to iucvcc.su the which provaikd among the women and children, 1 visited itaying power of tho individual and improve Ids breathing that country eighteen months ago, to study tho problem on capacity, finally end by taking forger and larger doses the spot, f have seen n con side,ablo amount of lead with immunity. Opium eating is another illustration of poisoning both at home, in franco, ami elsewhere, but I the fiame fact. Occasionally a degree of immunity is iiavo seen nothing to equal the sad sights I witnessed iu met with iu plutnlmm also, but it is so rare that it in Hungary. Through tho kindness o` .Mr. C&t?ronyi, then Home Secretary, who pUccd at my disposal one of tho no way dimiaishes tho used for constant enro ou the part of lead workers in their occupation; for, as already stated, Royal Inspectors of Factotioi. I bad the opportunity of it is tho ropoAted entrance of iniuute quantities of lead visiting nororo.l of the out-of-tho-vay villages v.-boro the makiug of cheap pottory is & home industry. As tbo work is often carried on iu the living and Bleeping into tho body, and not of ono or two largo aouc-s, which give rise to tho worst typos of piumbism. Improvement of tbo industrial conditions of tho potteries rooms, tbo wbolo family is living const:utlv in a poisoned and abolitiou of femalo labour in white-lead factories havo atmosphere, hcnco tho readiness witu which piumbism occurs iu husband, wife, and children. Rut sotting removed so many cf tbn ovila of p'umbl?ni as they affect potential motherhood, that iu Great Britain it is difficult aside these ciscs where the children suffer from to say to what extent piumbism is injuriously influencing plmnbrica tho result of inhaling lead dust in tho &tiuo3phcro of tho living room of the house, there are scores of lead-impfcgna^od peters aud tho faturo cf the race. It is probably accessary that unhealthy condition!* should operate through three or four generations before any permanent effect can be seen, iu their wives', who are uot ucceasarily ili or laid oflf work, a people; but already ia Hungary, and less in Staffordshire, ami, as Hr. Adalbert Chy/cr sliowed, the cliiMreu timre are signs that the development of child life is to of these persons cro fccquchtly tho subject cf rickets; tho outline of their skull is angular, the end3 of their long soaio extent being interfered with. Tho inlla^nco upon offspring of patera?.! and maternal lead intoxication is bones aro bw o Uo u and club-shaped, while owing to tho rickety condition of their jaw tho teeth aro irregular. still a subject for careful inquiry. Tho fact that tho wiros of mou working in load miscarry mere frequently Owiug to thair wives so frorjaently miscarrying, petiors than the wives of men following other occupations, and in Hungary have few children, seldom more than o d d or that tho tendency is greater wheu tho women themselves two, and the children who aro spared to them grow slowly, work in load, shows that tho embryo is unhealthy. Where are of short stature, and aro frequently almost dwarf*. life is brought into oxistenco under these circumstances In some of the villages tho majority of the potters have so children at all- not ooo of the infants born alivo had and tho iofant survives its birth, well might wo ask v/bothor it cuu ever throw off tho influence of lead. survived. In these villages tho childrcu die from hydro- Industrial legislation has accomplished much, but cephaluB. from acate meningitis, or iu convulsions. Dr, Chyzer found "fits" to be much more frequent in although it is known to have benefited both tho workers and the trade generally, there are yet many of the workers tho children of potters thiu in those of other people. At Temeria. in one potter's family ao<?on children had died who raiso objections to it. They claim tho right to work oven iu unhealthy occupations without Staio restrictions. in convulsions; ia another potter's family six children There are others, too, who do all they possibly c&n to had thus died. Whore death does not take place in early shirk the medical examinations, and who are indifferent infancy from convulsions, epilepsy is found lator on to bs onto frequent in tho children o! potters than in those of to tho regulations for tho prevention of piumbism. Fortu nately those persons are few. Rules may bo irl:3omo, and non-potters. Ia fact, apart from tho transmission of tho compliance with thorn may entail considerable personal worst effects of such poisons as syphilis, piumbism nono inconvcnieuco, but if employers will do all they can to of tho most serious destroyers of intanlilo life. make them as littlo irksome as possible, then, sinco tho Tho manufacture of pottery in Hungary as a home objects which it is wishful to bo secured aro health, fitness industry is, wbon the circumstances permit of it, fro* for work, and longevity, tho worker in tho long run aro qnontly an hereditary occupation. In Varpaloto Dr. Chyr.er saro to realize that tho end justifies the moans that havo found a potter and his family whoso respective heights boon recommended. wero as follows: ' Fathor ... ... ... ... 5 ft. 3|in. Mother ... ... ... ... 4 ft. 9 iu. Elder daughter, 28 years of age ... 3 ft. 10; in. Sou, 27 years of ago ... ... 4 ft. 9 in. Vocoder daiightor, 9 years of ago... 2 ft. S| la. , In somo of tho villages I was struck by tho short staturo of the potters as a class. Men of 21 &ud 22 years of ago looked iiko boys of 14. Inf lotilisin is therefore one of tho effects of inhoritod pluiubism. In families where the mothor has miscarried on several occasions tbo children who survivo aro frooucntly idiotic, or they are fcoble mentally and physically, ami always ailing. It is charactorisbic of most infectious diseases that oao attack renders a porson immune to subsequent attacks, Un d er tho will of tho late Mr. Holmes Wright of Biugley. Yorkshire, Biugley Cottage Hospital receives a douatiou or 1,000. AT tho tuberculosis hospital for tho children of L\iris, at Berck-sur-Mi.-r, neat Calais, a short post-graduate course Is to be held in August. Tho fee is 50 francs. Otfur information can bo obtaiued on application to Dr. Calv**, Derek riaye, Fas do Calais, France. Tin: Hospitals Committee of tho City of Berlin l`-^ decided that the .\turo of the diseases from which a patient Is suffering .shall not bo Indicated on the board ahis bedside. Iu surgical wards tho discaso will be dcuoa-u by tho first syllable of its Latin name, DUP050334270