Age Periods:
| Deaths under 1 year | 496 |
| Deaths under 5 years | 253 |
| Total deaths under 5 years | 749 |
| Total deaths 5 to 20 | 126 |
| Total deaths 20 to 40 | 223 |
| Total deaths 40 to 60 | 233 |
| Total deaths 60 and upwards | 182 |
Certain foreign and American cities show the following death-rate for the month of June:
| Brooklyn | 23.78 |
| New York | 26.86 |
| Philadelphia | 18.98 |
| Berlin | 19.40 |
| Dublin | 23.58 |
| Vienna | 31.50 |
| Paris | 21.68 |
| London | 16.10 |
| Glasgow | 22.98 |
NEW INSTRUMENTS.
This is a bulletin of inventions and improvements of interest to the physician and surgeon, and is published quarterly by Leach and Greene, Boston, Mass. It is mailed free to any address.
ANTIFEBRINE.
Antifebrine as a proprietary name is controlled by patents, and when bought under this name it costs about thirty cents per ounce. The name acetanilide, for exactly the same substance, is not and cannot be controlled in any way, and under this name it can be bought for about fifteen cents per ounce. As acetanilide is about one-eighth the price of antipyrine, and effective in half the dose, it is far more economical to the patient.—Pittsburgh Medical Review.
ENEMA LESIONS.
“Dr. Achilles Nordmann, of Basle,” says the Lancet, “has published a description of twenty-five bowel lesions due to the operation of administering enemata. They include three complete perforations and ulcers, and wounds of various depths and sizes. The causes of these lesions seem to have been the use of defective instruments, ignorance of the direction of the rectum, catching of the transverse fold on the tube, extreme irritation of the mucous membrane of the bowel, and obstructions caused by certain conditions of the uterus, the fœtal head, or an enlarged prostate. As a rule, these lesions are to be found on the anterior wall of the rectum, from one to seven centimetres from the anus. They are not always easy to diagnose, as other foreign bodies or caustics may produce similar appearances. Tubercular and hæmorrhoidal ulcers may be mistaken for them; these are, however, generally higher up. A perforating wound gives rise to paraproctitis, but this is not necessarily fatal, though a stricture generally results.”—N. Y. Medical Journal.