Fig. 1.—HERON'S CUPPING GLASS.
The valve of which I have spoken is constructed as follows (Fig. 2, 1 bis and 1 ter): Take two pieces of brass about one inch square, and about as thick as a carpenter's rule, and rub their surfaces against each other with emery, that is to say, polish them so that neither air nor liquid can pass between them. In the middle of one of the pieces bore a circular aperture about 4/10 an inch in diameter. Then fitting the two plates together by one of their edges, unite them by a hinge so that the polished surfaces shall coincide with each other. When this valve is to be made use of, the part containing the aperture is adapted to the aperture that is designed for the introduction of the liquid or air that is to be compressed. The pressure causes the other part of the valve (which moves easily on its hinge) to open and allow the liquid or air to enter the tight vessel, wherein it is afterward confined and presses against the unperforated part of the valve and thus closes the aperture through which the air entered."—A. de Rochas, in La Nature.
Fig. 2.—HERON'S FOUNTAIN.
Professor Adolf Meyer has been experimenting upon the relative digestibility of natural and artificial butter. The experiments were made on a man of 39, and a boy of 9 years. He found that there was but little difference, but in these individuals the natural butter seemed to be more easily digested. While natural butter was all digested, at least 98 per cent. of the artificial butter was also digested.—Chemiker Zeit.
FILTH DISEASES IN RURAL DISTRICTS.
By Alfred L. Carroll, M.D., New Brighton, N. Y.
An editorial comment in The Medical Record of April 14th, upon a paper by Dr. Hamilton, of Philadelphia, may serve as an apology for some remarks on a subject which ordinarily seems to possess scarcely more interest for practicing physicians than for "practical" laymen; both being wont to lay the finger of incredulity against the nose of scorn when they turn their deafest ears to the voice of the sanitarian. In the present very unsettled condition of professional opinion as to the diagnosis of typhoid fever—passably good authorities in India, on Western mountain peaks, and even nearer home, differing widely thereanent—I shall not attempt here to discuss its etiology, or to single out for reprobation any particular one of the several kinds of bacteria which have been respectively described as its exclusive cause. Suffice it merely to hint that there may be possible source of error in statistical arguments touching its relative frequency in town or country. But, waiving this, I am not aware that "professed sanitarians" have ascribed to "sewer-gas" alone such pre-eminence over other vehicles of filth or fungi as the article in question imputes. On the contrary, I believe that the majority of cases of enteric fever which have been traced accurately to their origin have been traced to other and more tangible contaminations of food or water. Nevertheless there is strong evidence, which has stood the test of much cross examination, that the so-called "filth diseases" deserve their name in this respect: that whatever be the specific tertium quid which determines their occurrence in the individual, filth-poisoning (i. e., the imbibition, through some channel, of the products of organic decomposition) is an essential factor in their genesis.
The first source of fallacy in the arguments referred to lies in the misinterpretation of the term "sewer gas," connecting it with sewers in particular instead of with sewage in general. Thus, I find it stated that typhoid is "more prevalent in the suburbs and surrounding country than in the cities subjected to the contamination of sewer gas;" that diphtheria and scarlatina occur most fatally "in the country, where sewer gas is wanting;" and that in Philadelphia the extension of the sewage system into the rural sections has diminished the sickness from fever. Now the facts on which most sanitarians lay great stress are, that unsewered rural districts are more exposed to danger from fermenting filth than cities, that the ineffable atrocities of leaching cesspools and privy-vaults (those perversions of barbarism to which the American rustic clings as to his most precious birthright) do infinitely more to poison air, and soil, and water than all the blunders of city engineers and plumbers combined; and that, granting the worst that can be said of some city sewers which shall be nameless, even a bad sewer is better than none at all—which is merely equivalent to saying that it is better to carry away as much of one's sewage as possible than to keep the whole of it on the premises to decompose under one's nose. And the peril from this fount and origin of evil is augmented a hundredfold where the mania for "modern improvements" has invaded rural households. Long before sewers are thought of—even before the importation of the agonizing pianoforte—the suburban housewife insists on having a bath-room, including that sum and substance of vileness, a pan water-closet on the bedchamber floor, and a kitchen sink and "stationary tubs" down stairs; and these fixtures, commonly constructed in the cheapest and nastiest manner, are connected with an unventilated cesspool, serving as so many inlets to insure the constant pollution of the house atmosphere with the gases of decomposition. Then, in an uncemented basement a "portable furnace" is arranged to transport to the upper rooms not only the cellar-air, but the freely indrawn "ground atmosphere," laden with noxious vapors from the soil-soakage of cesspools or privies. It is not saying too much to affirm that for every one channel of filth-poisoning in a paved and sewered city there are at least three in the average village settlement, and if the evidence of insanitary conditions be found in "not more than one house out of five," it is because, unfortunately, very few physicians in this country have cared to learn how to look for it—familiarity with the doses of drugs and the results of disease being regarded in most of our medical schools as vastly more important than rerum cognoscere causas.