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Editorial Department.




Contributions, Exchanges, Books for Review and all other communications relating to the Editorial Department of the North AMERICAN should be addressed to the Editor, 181 West 73d Street. It is understood that manuscripts sent for consideration have not been previously published, and that after notice of acceptance has been given will not appear elsewhere except in abstract and with credit to the North AMERICAN. ‘All rejected manuscripts will be returned to writers. No anonymous or discourteous communications will be printed. The Editor is not responsible for the views of contributors.



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HE closing years of the nineteenth century have witnessed

some important changes in medical journalism. The oldstyle journal made up by scissors and paste-pot, containing perfunctory notes and a liberal number of advertising puffs has reached, in the estimation of the profession, its true level, and need not be taken into consideration. In the leading medical journals, however, certain tendencies are to be noted. There is a towards individualism in editorial management, and an abandonment of the time-honored plan of presenting long and heavy edi. torial articles. Abstracts are receiving greater attention than before, and particularly so by the newer journals. There is also a very decided tendency towards "newspaperism," evidenced by the vast mass of irrevelant matter printed and labeled as foreign of domestic news. THE NORTH AMERICAN notes these departures from established journalistic custom with much interest, and the more so as the rapid approach of the close of 1898 makes possible the announcement of the programme of the Journal for 1899. While the JOURNAL will keep thoroughly in touch with modern methods, it will not be swept off its feet by any sudden and shifting current. The plans of The North AMERICAN, for the New Year have been carefully considered and arranged, and will be carried out as announced.

As heretofore, special articles written only for the JOURNAL and papers of particular merit read before medical societies will be presented, and when possible fully illustrated. These papers will cover the entire field of medicine and surgery, and will be of great value to the general practitioner. In the various departments of the JOURNAL certain changes have been made in the interests of our readers. “Medical Progress” will hereafter appear regularly each month, and will be conducted by Walter S. Mills, M.D., and Prof. J. T. O'Connor, M.D. Here will be presented in brief the advances of the year, on matters medical. A new department, entitled "Clinical Medicine,” and in charge of J. L. Moffat, M.D., and John B. Garrison, M.D., will also appear each month, and will present practical notes in therapeutics and surgery, and will prove a most valuable section of the JOURNAL. “Materia Medica,” edited by J. B. Gregg Custis, M.D., and J. Perry Seward, M.D., will appear every other month. The work of this department is fully mapped out, and it will be of great interest. In “Surgery,” William H. Bishop, M.D., will assume the active charge, and with notable papers and special reports of various clinics in New York and elsewhere, will increase the department's reputation. "Pædiatry” will appear every other month, and Martin Deschere, M.D., will make it as heretofore of special value. Judge Joseph M. Deuel will continue to conduct his department, “Vedico-Legal," and has already prepared for the January and February numbers of the JOURNAL papers of special interest dealing with the vexed question of the standing of physicians' accounts in court. "Current Events" will be merged in “Societies," and there will be an increased number of pages devoted to society reports and general news. William S. Pearsall, . M.D., will continue his efficient work in this department. In making these changes, the interests of our readers have been alone considered. The North AMERICAN will not try to present all that occurs in the great field of medicine, but it will present the best of it; the rest is not essential. The editorial policy of the JOURNAL will remain broad, liberal and tolerant; aggressive when necessary, and particularly alert in defense of the interests of our school. It may be of interest to our readers to learn that the past year has

been one of marked success for the Journal, and that the circulation has again greatly increased. To all readers and friends The North AMERICAN wishes a very Merry Christmas and a Happy New Year.






HE tragical death of Colonel Waring removes from New York

one of her great citizens. He had conscience, knowledge, ability and determination, and he did great things. His work in Central Park and in Memphis and New Orleans in 1878 will remain as monuments to his memory. But his greatest service, and perhaps his greatest work, was in thoroughly cleaning New York

City. His military experience served him well when he became Com missioner of Street Cleaning. He found the street cleaning force a rabble and he left it an army. His discipline was just but inflexible, and every man knew that his place on the force was what he ha imself made. The quality of the discipline wrought the change, back of that was the forceful personality of Colonel Waring a long time Colonel Waring had been known as one of the leading sanitary experts of the United States. The "Waring system sanitary drainage was the result of many years' study and experiment, and was first fully applied at Memphis.

The sense of duty was strong in Colonel Waring. When asked by the President to go to Cuba and investigate the sanitary ditions there, and particularly Havana, he thought of the necessity of providing healthful living places for American soldiers and citi zens, and accepted the appointment. He might have pleaded his years of service, or his age, but he offered no excuses and simply performed his duty as he saw it. Worn out by his exhausting labors in Cuba, he fell an easy victim to the very disease he was deavoring to rob of its terrors. But the work he has done will live after him. There is not a person in New York who does not him gratitude for making New York in every part so much more to live in than it ever was before. He was a public benefactor .

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no man in recent years has ever held municipal office who has so richly deserved a statue to his memory.



N October several cases of death occurred in Vienna from bu

bonic plague. The disease originated in Professor Nothnagle's pathological laboratory. Herr Barisch, one of the attendants, or assistants, was the first victim. He in some way became directly affected from bacteria that had come from Bombay, and that was being inoculated into animals for experimental purposes. The attending physicians and nurses contracted the disease and died.

There was considerable alarm abroad lest the plague should spread. Our quarantine authorities even went so far as to threaten to put all steerage passengers from Austria in quarantine on arrival here.

Wilson states that the plague has never appeared in the western hemisphere. From the sixth to the sixteenth centuries epidemics of the plague took place in Europe. Since then Europe has been comparatively free. At the present time it seems to limit itself to Asia and to the region of the Nile.

The cases that have recently occurred in Vienna leave question as to the specific cause of the bubonic plague. Within a year or two Kitasato and Yersin, working independently at Hong Kong, isolated and described the specific bacillus. This specific bacillus has been found in the feces, the urine, and the sputum. It was found in the sputum of the Vienna cases.

According to Manson, Lawson claims that the disease is but slightly, if at all, infectious. The Vienna cases would most completely antagonize that statement, as each doctor and each nurse was in turn made ill and killed by the disease. It proved very virulent. It will also be noted that Yersin and others have claimed to be able to produce a plague-serum that was both prophylactive and curative. A practical test of such serum on the Vienna pa


tients did not prevent development of the disease nor death of the patient.


Dearly beloved

HEN is this splendid creation in bronze to be erected in W!

Washington? This is the question often asked in these days, and the reply is, “Whenever the homeopathic profession will raise the necessary amount of money to put it there." brothers and sisters, we must not stop where we are—we cannot. The monument is ready whenever we are. To fail to raise the requisite funds would be a lasting disgrace to the homceopathic school. And the amount needed is so easy to raise if each one would do a very little. Five dollars from each homeopathic physician in the United States would more than suffice. The North AMERICAN will receive five-dollar subscriptions to the monument fund, publish the names of all subscribing and the amount. It will be a veritable roll of honor. The amount asked for individually small and the need is so urgent that we ought to have $10,000 to hand the committee at Atlantic City.




notes and Comments.

Us Drs.

Dr. Joseph Sidney Mitchell.—Death has been busy amoną of late, and our ranks are thinning out. Within a few weeks Mitchell, N. W. Rand and J. Heber Smith have all passed away. The announcement of Dr. Mitchell's death will bring to very in the homeopathic profession a most profound sadness. An was yet firm in his beliefs and brilliant in their advocacy. Strong est student, a searching investigator, a dispassionate reasoner, he in character and determined in purpose, he united with these excellent qualities a singular gentleness and kindliness of sou 1 endeared him to all his associates and friends, as well as to the profession at large. His loss is not to the West alone. Such as Mitchell live not to themselves alone, but for humanity, when they join the great majority there is cause for common row. Dr. Mitchell's death was sudden; he died as he lived, in

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