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Saginaw, Mich.—The medical attendance to be furnished by an acting assistant surgeon; St. Mary's Hospital to furnish quarters, subsistence, nursing, and medicines, at 90 cents a day; contagious diseases, at $2 a day.

St. Louis, Mo.-Hospital patients to be cared for in the United States Marine Hospital; J. H. Gebken to provide for the burial of deceased patients, at $11.50 each.

St. Paul, Minn.-The medical attendance to be furnished by an acting assistant surgeon; St. Luke's Hospital to furnish quarters, subsistence, nursing, and medicines, at $1 a day, and to provide for the burial of deceased patients, at $4.50 each.

San Diego, Cal.-The medical attendance to be furnished by a medical officer of the Marine-Hospital Service; Nonsectarian Hospital to furnish quarters, subsistence, nursing, and ambulance service, at $1 a day; W. W. Whitson & Co. to provide for the burial of deceased patients, at $13.50 each.

Sandusky, Ohio.—The medical attendance to be furnished by an acting assistant surgeon; Good Samaritan Hospital to furnish quarters, subsistence, and nursing, at $1 a day.

San Francisco, Cal.-Hospital patients to be cared for in the United States Marine Hospital; burial of deceased patients at the hospital cemetery; burial of foreign seamen, at $10 each.

San Pedro, Cal.-Ira E. Coe, M. D., to furnish quarters, subsistence, nursing, medical attendance, and medicines, at 90 cents a day; contagious diseases at $1.50 a day, and to provide for the burial of deceased patients at $10 each.

Sault Ste. Marie, Mich.-The medical attendance to be furnished by an acting assistant surgeon; Mrs. Annie Little to furnish quarters, subsistence, and nursing at $1 a day; Ryan & Co. to provide for the burial of deceased patients at $14 each.

Sarannah, Ga.-The medical attendance to be furnished by a medical officer of the Marine-Hospital Service; St. Joseph's Infirmary to furnish quarters, subsistence, nursing, and medicines at $1 a day; contagious diseases at $2 a day; Thomas Henderson's Sons to provide for the burial of deceased patients at $11 each.

Seattle, Wash.The medical attendance to be furnished by an acting assistant surgeon; Providence Hospital to furnish quarters, subsistence, nursing, and medicines at 75 cents a day; Bonney & Stewart to provide for the burial of deceased patients at $3.40 each. Patients requiring hospital treatment will, if able to bear transportation, be sent to the marine hospital at Port Townsend, Wash.

Shreveport, La.—The medical attendance to be furnished by an acting assistant surgeon; the Shreveport Sanitorium to furnish quarters, subsistence, nursing, and medicines at 95 cents a day; the Shreveport Undertaking Company to provide for the burial of deceased patients at $15.50 each.

Solomons, Md.-The medical attendance to be furnished by an acting assistant surgeon; M. F. Morrison to furnish subsistence, nursing, fuel, and lights at $1 a day; T. M. White to provide for the burial of deceased patients at $8 each.

Sturgeon Bay, Wis.—The medical attendance to be furnished by an acting assistant surgeon; Moeller & Schmidt to furnish quarters, subsistence, and nursing at $1 a day; H. J. Hahn to provide for the burial of deceased patients at $13 each.

Superior, Wis.-The medical attendance to be furnished by an acting assistant surgeon; St. Mary's Hospital to furnish quarters, subsistence, nursing, and medicines at 90 cents a day; A. P. La Sage to provide for the burial of deceased patients at $8 each.

Tacoma, Wash.-The medical attendance to be furnished by an acting assistant surgeon; Fannie C. Paddock Memorial Hospital to furnish quarters, subsistence, nursing, and medicines at 60 cents a day; Conrad L. Hoska to provide for the burial of deceased patients at $9.50 each.

s'appahannock, Va.-W. G. Jeffries, M. D., to furnish quarters, subsistence, nursing, medical attendance, and medicines at Tappahannock; Dr. W.J. Newbill, at Carters Creek, and Dr. W. S. Christian, at Urbana, each at $1.50 a day.

Toledo, Ohio.-The medical attendance to be furnished by an acting assistant surgeon; Toledo Hospital Association to furnish quarters, subsistence, nursing, and medicines, at 80 cents a day; contagious diseases at $1.50 a day, and to provide for the burial of deceased patients at $15 each.

Vicksburg, Miss.-The medical attendance to be furnished by an acting assistant surgeon; Vicksburg City Hospital to furnish quarters, subsistence, nursing, and medicines at $1 a day; Frank J. Fisher & Co. to provide for the burial of deceased patients, at $12 each.

Vineyard Haven, Mass.-Hospital patients to be cared for in the United States Marine Hospital; Hinckley & Renear to provide for the burial of deceased patients at $10 each.

Washington, D. C.-The medical attendance to be furnished by a medical officer of the Marine-Hospital Service; Providence Hospital to furnish quarters, subsistence, nursing, interne attendance, and medicines, at 75 cents a day, and to provide for the burial of deceased patients at $15 each.

Wheeling, W. Va.-The medical attendance to be furnished by an acting assistant surgeon; Wheeling Hospital to furnish quarters, subsistence, nursing, and medicines, at 75 cents a day.

Wilmington, V. C.--Hospital patients to be cared for in the United States Marine Hospital; D. C. Evans to provide for the burial of deceased patients at $9 each.

At the following-named ports the rate for quarters, subsistence, and nursing will in each special case be fixed by the Bureau, upon the recommendation of the proper officer, in accordance with the Regulations of the Marine-Hospital Service, paragraph 447:

Bath, Me; Brownsville, Tex.; Darien, Ga.; Elizabeth City, N. C.; Ellsworth, Me.; Georgetown, S. C.; New Bedford, Mass.; Newport News, Va.; Rockland, Me.

At the following named ports hospital or other relief will be furnished only under the provisions of the regulations of the Marine-Hospital Service, paragraphs 408, 410, 446, and 613:

Barnstable, Mass.; Beaufort, S. C.; Belfast, Me.; Burlington, Vt.; Castine,Me.; Cedar Keys, Fla.; Chatham, Mass.; Dennis, Mass.; Eastport, Me.; El gartown, Mass.; Hyannis, Mass.; Perth Amboy, N. J.; Provincetown, Mass.; Sag Harbor, N. Y.; Salem, Mass.; Sitka, Alaska.; Somers Point, N. J.; Waldoboro, Me.; Wilmington, Del.; Wiscasset, Me.

The United States marine hospitals are, by the provisions of Department Circular No.73, May 2, 1898, made available for the reception of the sick and wounded of either the United States Army or the United States Navy, and commissioned medical officers in command of United States marine hospitals are hereby directed, upon written request of the proper military or naval authority, to receive and care for said patients; the Marine-Hospital Service to be reimbursed the actual cost of maintenance.

The rate of charge for seamen from vessels of the Coast Survey, admitted to hospital under the provisions of the Regulations, and of foreign seamen admitted under the act of March 3, 1875, is hereby fixed at the uniform rate of $1 a day.

At all ports not otherwise specified the dispensary is located at the customhouse or marine hospital.

CIRCULAR LETTERS RELATIVE TO ADMINISTRATIVE DETAILS. The following circular letters have been issued by the Bureau during the past year to officers of the Service and others relating to administrative details:

Leaves of Absexce—Acting AsSISTANT SURGEONS.

TREASURY DEPARTMENT, OFFICE of THE SUPERVISING SURGEoN-GENERAL M. H. S., Washington, D.C., July 12, 1897. To Acting Assistant Surgeons, United States Marine-Hospital Service: Your attention is called to paragraphs 36–40, Revised Regulations, MarineHospital Service, 1889, relative to leaves of absence. It becomes necessary to call the attention of acting assistant surgeons to these requirements concerning leaves of absence, in consequence of occasional violations of the same. Officers of this grade are required to strictly observe all the rules governing leaves, and requests for same, and notification of changes in their post-office addresses during such absence. No absence from posts of duty is permissible without authority, and if a necessity for sudden departure arises the telegraph may be used, at your expense, to request authority for such absence. Information must also be given relative to names of substitutes who are to act during such authorized leave. You are directed to acknowledge receipt of these instructions. Respectfully, yours, WALTER WYMAN, Supervising Surgeon-General M. H. S.

REVISED REGULATIONS, COMMISSIONED OFFICERS, AND HOSPITAL STEWARDS.

TREASURY DEPARTMENT,
OFFICE of THE SUPERvisiNG SURGEoN-GENERAL M. H. S.,
Washington, D.C., December 10, 1897.

Medical Officers and Hospital Stewards of the United States Marine-Hospital Service:

The following paragraphs of the Revised Regulations, approved November 29, and effective December 1, 1897, are published for your information:

59. Hospital stewards shall be divided into two grades, senior and junior, and original appointments shall be to the grade of junior hospital steward.

60. Promotions, according to seniority or merit, will be made after three years' service from the junior to the senior grade, after due examination on subjects connected with their official duties. * * *

70. The compensation of commissioned officers, when not provided for by statute, shall be fixed at a uniform annual rate for each rank as follows, viz: Surgeons shall receive $2,500 per annum, passed assistant surgeons shall receive $2,000 per annum, and assistant surgeons shall receive $1,600 per annum; and after five years' service an additional compensation of 10 per cent on the annual salary for each five years' service shall be allowed commissioned officers above the rank of assistant surgeon, but the maximum rate shall in no case exceed 40 per cent. Said officers placed on “waiting orders” for a period longer than two months shall receive 75 per cent of the pay of their respective ranks while so placed.

73. The compensation of hospital stewards shall be at the following annual rates, viz: Senior hospital stewards shall receive $720 per annum; junior hospital stewards shall receive $600 per annum. At the expiration of five years' service they shall receive $792 per annum, and at the expiration of ten years' service they shall receive $864 per annum.

WALTER WYMAN, Supervising Surgeon-General M. H. S.

EMPLOYMENT OF ATTENDANTS IN ACCORDANCE WITH CIVIL-SERVICE RULES.

TREASURY DEPARTMENT,
OFFICE OF THE SUPERVISING SURGEON-GENERAL M. H. S.,

Washington, D. C., February 7, 1898. Medical Officers and others concerned :

Referring to the accompanying letter from the Civil Service Commission, your attention is especially directed to that portion of the commission's letter of September 10, 1897, relative to attendants employed after May 6, 1896, the date of the Executive order placing hospital attendants in the classified civil service. In that letter it was explained that persons temporarily appointed to the position of hospital attendant are entitled to file their papers and compete with others; that it is desirable that they should do so; that if they are the best fitted of those who compete, the system of rating must necessarily show them to be so, and then they can be selected for permanent appointment.

In order that the temporary appointments of hospital attendants employed at your station may be made permanent, I return such applications as have been submitted from persons desiring such appointment, and you are therefore directed to rate them in the manner prescribed by the letter of instructions from the Civil Service Commission, and if found eligible to request that their appointments be made permanent. Respectfully, yours,

WALTER WYMAN, Supervising Surgeon-General, 1. H. S.

CONCERNING UNIFORMS.

TREASURY DEPARTMENT,
OFFICE OF THE SUPERVISING SURGEON-GENERAL M. H. S.,

Washington, D. C., April 6, 1898. Medical Officers and Hospital Stewards, United States Marine-Hospital Service:

In order to conform to the Revised Regulations for the Government of the Marine-Hospital Service approved November 29, 1897, the following changes in Regulations Governing Uniforms, issued June 20, 1896, are hereby promulgated:

Paragraph 8 changed so as to read:

“8. Full-dress uniform for officers.—The full-dress uniform for officers shall be worn at all general inspections made by the Surgeon-General or other inspectors at stations of the first class, at the transfer of hospital and quarantine stations, and on all occasions of special ceremony."

To paragraph 10 add: “and by officers when reporting for duty at stations of the first class."

Paragraph 15 changed so as to read: “ 15. Fatigue uniform for officers shall be worn by all officers while on ordinary duty at hospitals, and on ordinary quarantine duty, and when inspecting unseryiceable property, and at informal inspections by the Surgeon-General, and at the office where out-patients are treated.”

To paragraph 19 add: “Shoes of white material may be worn with this uniform.” Wherever the words " stewards of the first class” occur in the Uniform Regulations, they shall be taken as applying to senior stewards; and wherever the words “ stewards of the second class” occur they shall be taken as applying to junior stewards; and all uniform regulations for stewards of the third class are hereby revoked.

WALTER WYMAN, Supervising Surgeon-General M. H. S.

INQUIRY CONCERNING EXPERIENCE WITH SMALLPOX.

[Addressed to each commissioned medical officer.]

TREASURY DEPARTMENT,
OFFICE OF THE SUPERVISING SURGEON-GENERAL M. H. S.,

Washington, D. C., April 27, 1898. SIR: You are directed to inform the Bureau whether you have had practical experience in the diagnosis and treatment of smallpox, and whether this experience is of such character as to give you confidence in case your services were demanded as expert. Respectfully yours,

WALTER WYMAN, Supervising Surgeon-General M. H.S.

ACCOMMODATIONS FOR OFFICERS REVENUE-CUTTER SERVICE.

TREASURY DEPARTMENT,
OFFICE OF THE SUPERVISING SURGEON-GENERAL M. H. S.,

Washington D. C., May 7, 1898.
To Medical Officers and Acting Assistant Surgeons, United States Marine-Hospital

Service: You are informed that the Bureau intends hereafter to provide special accommodations for sick and wounded officers of the Revenue-Cutter Service at relief stations where there is no marine hospital, and you are hereby directed, upon the application of such officers for hospital relief, to make arrangement on the best possible terms for their admission to a private room or ward in the contract or other hospital at your station, reporting your action in each case for approval, giving the rate of charge.

WALTER WYMAN, Supervising Surgeon-General M. H. S.

PATHOLOGICAL SPECIMENS.

TREASURY DEPARTMENT,
OFFICE OF THE SUPERVISING SURGEON-GENERAL M. H. S.,

Washington, D. C., June 28, 1898. Medical Officers in Command:

In addition to Bureau circular of June 30, 1896, requiring post-mortem examinations to be made in all cases possible, etc., you are further directed to send to the Hygienic Laboratory, Washington, D. C., specimens from the several organs and pathological processes of each case upon which a post-mortem examination has been made. The specimens should not be larger than 2 to 3 centimeters square, and should be prepared after the following methods:

Two sets of specimens should be prepared, one set to be placed in 50 per cent alcohol for two weeks and then placed over in 95 per cent alcohol for a week or ten days; the other to be placed in Muller's fluid (bichromate of potash, 1 part; sodium sulphate, 2 parts; water, 100 parts) for three days and then changed to fresh fluid and allowed to remain a week. The specimens should then be washed for several hours and then placed in 95 per cent alcohol for a week or more.

The specimens are best labeled by wrapping each in paper, using a lead pencil for labeling.

In preparing the specimens for the laboratory a special mailing case will be sent you.

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