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BATTLE OF THE CLUBS.
I PREVENTION OF CONSUMPTION
AND OTHER FORMS OF TUBERCULOSIS.
Press, Limited (28 and 29, Southampton-street, Strand, London, W.C.), and Messrs. Rebman, Limited (129, Shaftes-
Looking
bury-avenue, Cambridge-circus, London, W.C.).
1693
Back.
FROM
PREVENTION OF CONSUMPTION AND OTHER FORMS OF TUBERCULOSIS.
THE LANCET, SATURDAY, JUNE 11, 1825.
HOWEVER it may arise, whether because man is an imitative animal, or because his attention is roused to HEREFORDSHIRE. THE latest branch of the National Association for the Pre- activity by the necessities which surround him, an ardent to act gregariously may be plainly perceived ; or, vention of Consumption and other Forms of Tuberculosis disposition in other words, whatever may be commenced by one man is has been established in Herefordshire. The meeting at immediately prosecuted by a host of others. But this state which the branch was inaugurated was held at Hereford of things does not commonly obtain long, some improvement is made, and other more inviting, or more profitable on May 20th and was presided over by the Lord Lieutenant of the county, the audience, which numbered about 130 projects succeed, which forthwith, true as shadow to the persons, having been brought together at the instance of substance, become the standing order of the day, till the the Herefordshire Medical Association. The first presi- bubble bursts, or till they are deposed to make room for dent of the branch is the Lord Lieutenant, and the Earl some novel or more specious objects of pursuit, by which of Chesterfield, the Bishop of Hereford, the Dean of Here- means the energies of the flock are directed into other and ford, the mayors of Hereford and Leominster, the Members sometimes, though but rarely, more useful channels. Whence of Parliament for the county, and the chairman of the county arises the present apathy for mathematical investigations? council have been invited to become vice-presidents. The Is it not because the sublime discoveries of NEWTON kindled enthusiasm so ardent, that improvements were meeting on May 20th was addressed by Dr. C. Theodore a spirit of and Williams who attended to represent the National Association. multiplied perfection approached so nearly, that in our Dr. Williams spoke of the comparatively favourable position day the laurels to be gathered are comparatively few and held by Herefordshire with regard to the death-rate from extremely difficult to be obtained ? Botany, too, has had its consumption and he attributed the diminution in the mor- day, and Chemistry has lost much of the attraction which, in tality from thedisease over the whole of the United Kingdom our juvenile years, it was wont to possess. CAVENDISH and as mainly due to the administration of the Factory Acts, to BLACK, PRIESTLEY and LAVOISIER, are now almost forsubsoil drainage, and to the improved condition of the gotten, and even the name of DAVY is heard but seldom. At working classes who now have better food and live in better one period the study of this science was almost universal ; and houses than formerly. Although Dr. Williams admitted that oxygen and hydrogen, and chlorine and nitrogen, 11 familiar the open-air treatment could be successfully carried out in in men’s mouths as household words," manifested the interest private he advocated the erection of sanatoriums, because inwhich it then excited, and which (agreeably to the general them people were taught how to live and the influence which law) has since been followed by a corresponding degree of the patients exerted upon leaving such institutions did in- neglect. That which is true of the science as a whole is also true of its various departments ; and we have only to calculable good among their acquaintances. cite mineralogy as an example in order to show, that the WINSLEY SANATORIUM. ardour with which a subject may be pursued is strictly in On June 4th Lady Dickson-Poynder laid the foundationproportion to its infancy, and that all sciences will be more stone of the Winsley Sanatorium for consumptive patients and more neglected as they approach nearer and nearer to from the counties of Gloucester, Somerset, and Wilts. There for it is the nature of men to endeavour to disperfection, was a large gathering which included the Bishop of Bristol, or enrich themselves. That mine will be most tinguish Sir John Dickson-Poynder, M.P., Lord Edmond Fitzmaurice, worked from which the greatest quantity of ore can be M.P., and Dr. L. A. Weatherly. An administrative blocks extracted ; and that stream will be most frequented by for 60 patients and bedrooms for 20 patients will be built which most abounds with fish. This disposition, at a cost of &6877 and as funds come in additional accomor fashionable mania, is far from being confined to modation will be provided for patients until the full com-’philosophy or the arts, for in our own profession the same plement of 60 beds is made up. The funds in hand, after disposition to simultaneous movements obviously obtains, the purchase of the site and other expenses, are £6840 and particular diseases have particular asras in which the building and furnishing will involve an outlay of £8327. are cultivated with more than usual ardour, just they To complete the whole scheme about .&9000 are required 1. as epidemic book-making among the profession always The endowment of 15 beds in the institution has alread3y marches in the rear of visitations. But the pestilential been promised. extent of an evil is not to be inferred from the number of BELFAST. individuals who may sound the alarm ; or, in other words, The annual meeting of the Ulster Branch of the Nationa because a host of professional writers may start up at once, Association for the Prevention of Consumption and otherr like the soldiers of CADMUS, it must not be inferred that the Forms of Tuberculosis was held on June 5th in the Medica particular disease upon which they may choose to exercise Institute, College-square North, Belfast, Sir William Whitlla their talents is therefore making dreadful, or more than being in the chair. The annual report, which was read b ordinary, havoc amongst us, any more than that the downfall Mr. Robert Brown, the honorary secretary, stated that thle of our ecclesiastical establishments may be predicated from death-rate from tuberculosis was decreasing in England an.ld the senseless cry of "the church is in danger." Not long since Wales but was increasing in Ireland, having risen from a nothing but consumptive maladies occupied the attention of t the profession, and cart loads of books were written on the average of 19 per 10,000 during the period 1870-75 to 23 per 10,000 in 1900. Dr. A. K. Chalmers, medical OffiCEer subject. Now, however, although the evil remains unmitiof health of Glasgow, delivered an address the title of whic gated and unarrested, that I I song has ceased,"and spinal was " How to Reduce the Death-rate from Consumption." distortions are become the reigning topic of the day.1 .
-
’
’
tanglers -
J-
dand
THE ROYAL COLLEGE OF SURGEONS OF ENGLAND. ELECTION OF MEMBERS OF COUNCIL. THERE are only four candidates for the three vacancies on the Council. Mr. H. T. Butlin seeks re-election and Mr. Clinton T. Dent of St. George’s Hospital, Mr. Frederic S. Eve of the London Hospital, and Mr. G. H. Makins St. Thomas’s Hospital are also applying. On only a fewr previous occasions have there been so few candidates.
of
BATTLE OF THE CLUBS. MEDICAL MEN
FRIENDLY SOCIETIES : ACTS AMENDMENT BILL.
AND
THE MEDICAL
AT the Oddfellows annual moveable committee, held in Cheltenham last week, Bro. F. G. Green (South London) called attention to the introduction of the Medical Acts 1
Extract from Review of books on Spinal Distortions by John Shaw, and Lecturer on Anatomy; and R. W. Bampfield, Surgeon to Royal Metropolitan Infirmary for Diseases of Children. London. 1824. Longmans and Co.
Surgeon
the
1694
VITAL STATISTICS.
Amendment
Bill which was down for second reading House of Commons and underlying which, it was contended, there was an attempt on the part of the General Medical Council to place a very severe embargo on those medical practitioners who undertook contract work for medical associations connected with friendly societies. He said that it appeared to be the intention of the Council to endeavour to get placed the Statute-book a measure giving it the power to on withhold the diplomas and to remove the names of medical men from the Medical Register who undertook work at contract prices for medical clubs. In his (Bro. Green’s) locality they had had great difficulty with regard to medical men in this connexion and there it was that the "doctors’ strike," as it was called, originated. That district had been the forerunner in regard to the promotion of the Bill to which exception was taken. The first clause in the "Bill to Amend the Medical Acts, 1858 to 1886,"which was backed by Sir John Batty Tuke, Sir John Gorst, Mr. James Campbell, Sir Richard Jebb, Mr. Talbot, and Sir Michael Foster, read: "Where a person registered under the Medical Acts has been convicted in England or Ireland of any felony or misdemeanour, or in Scotland of any crime or offence, or has, after due inquiry, been judged by the General Council to have been guilty of infamous conduct in a professional respect, the General Council may, if it thinks fit, by order demand that the name of the person shall be, and remain, erased from the Medical Register," &c. Bro. Green said that the view was held in friendly society circles that the expression "infamous conduct in a professional respect"might, if the Bill became law, be applied by the Council to medical men in connexion with medical associations. He therefore moved:in the
That the Parliamentary agent be instructed to take the necessary steps with a view to opposing the Medical Acts Amendment Bill in the
House of Commons.
Bro. A. Pinhorn (South London) seconded the motion. In the course of the discussion which ensued the view was held that brethren might do much good in their respective districts in the direction of guiding public opinion in opposition to the object which it was considered that the promoters of the Bill had in view. The motion was unanimously agreed to.
VITAL STATISTICS. HEALTH OF ENGLISH TOWNS.
largest English towns 7738 births and 4145 deaths were registered during the week ending June 6th. The annual rate of mortality in these towns, which had been 15’ 4, 15’5, and 14’per 1000 in the three preceding weeks, further declined last week to 14’ 3 per 1000. In London the death-rate was 13’8per 1000, while in the 75 other large towns it averaged 14’ 6 per 1000. The lowest death-rates in these towns were 6’4 in Walthamstow, 6’9in Reading, 7’1in Burton -on-Trent, 8.0in Hornsey, 8-2 in Willesden, 8-8 in Bristol, and 9’0 in Southampton ; the highest rates were 19’9 in Liverpool, 20-6in Bury, 21’0 in Wigan, 21’3 in South Shields, 22 - 0 in Warrington, 22’6 in Handsworth, 22 -8 in Preston, 23-4 in Rochdale, and 29’1in Middlesbrough. The 4145 deaths in these towns last week included 397 which were referred to the principal infectious diseases, against 428, 461, and 434 in the three preceding weeks; of these 4145 deaths 136 resulted from measles, 99 from whooping-cough, 66 from diarrhoea, 40 from scarlet fever, 38 from diphtheria, 12 from Ifever (principally enteric), and six from smallIn Hornsey, Southampton, Derby, Stockport, St. pox. Helen’s, Rochdale, Huddersfield, Halifax, York, and ten other smaller towns no death from any of these infectious diseases was registered last week ; while they caused the highest death-rates in West Ham, East Ham, Great Yarmouth, Wolverhampton, Nottingham, Wigan, and Middlesbrough. The greatest proportional mortality from measles occurred in East Ham, Wolverhampton, Coventry, IN 76 of the
"
Nottingham, Wigan, Bolton, Sheffield, and Middlesbrough, from whooping-cough in Croydon, Preston, Merthyr Tydfil, and Swansea. The mortality from each of the other principal infectious diseases showed no marked Two deaths from 1 excess in any of the large towns. small-pox occurred in Manchester and one each in j Liverpool, Bradford, Gateshead, and Cardiff, but not one in i and
any other of the 76 large towns. The Metropolitan Asylums hospitals contained 72 small-pox patients at the end of last week, against 60, 64, and 60 at the end of the three preceding weeks; 24 new cases were admitted during the week, against seven, 19, and 10 in the three preceding weeks. The number of scarlet fever cases in these hospitals and in the London Fever Hospital which had risen from 1662 to 1771 at the end of the eight preceding weeks, had
further increased to 1785 on June 6th; 210 new cases were admitted during the week, against 236, 234, and 22-5 in the three preceding weeks. The deaths referred to diseases of the respiratory organs in London, which had been 225, 182, and 186 in the three preceding weeks, declined again to 171 last week and were 90 below the number in the corresponding period of last year. The causes of 56, or 1 - 4 per cent., of the deaths in the 76 large towns last week were not certified either by a registered medical practitioner or by All the causes of death were duly certified in a coroner. Bristol, Leicester, Nottingham, Salford, and in 52 other smaller towns ; the largest proportions of uncertified deaths were registered in Liverpool, St. Helen’s, Warrington, Blackburn, Preston, and Sheffield. HEALTH OF SCOTCH TOWNS.
The annual rate of mortality in eight of the principal Scotch towns, which had been 18 - 0, 17 - 2, and 18 - 4 per 1000 in the three preceding weeks, declined again to 18 - 2 per 1000 during the week ending June 6th, but was 3.9per 1000 in excess of the mean rate during the same period in the 76 large English towns. The rates in the eight Scotch towns ranged from 10-8 in Perth and 15-1in Paisley to 18’8 in Greenock and 19.1in Glasgow and in Edinburgh. The 596 deaths in these towns included 25 which were referred to whooping-cough, 18 to diarrhoea, nine to measles, seven to scarlet fever, four to diphtheria, and two to "fever," but not one to small-pox. In all, 65 deaths resulted from these principal infectious diseases last week, against 68, 51, and 70 in the three preceding weeks. These 35 deaths were equal to an annual rate of 2’0 per 1000, which was 0 -6 per 1000 above the mean rate last week from bhe same diseases in the 76 large English towns. The fatal sases of whooping-cough, which had been 25, 22, and 28 In the three preceding weeks, declined again last week to 5, of which 16 were occurred in Glasgow, five in Edinburgh, and three in Greenock. The deaths from diarrhoea, which had been 12, 16, and 18 in the three preceding weeks, were again 18 last week, and included six in Glasgow, six in Edinburgh, and five in Aberdeen. The ’atal cases of measles, which had been six in each of she two preceding weeks, increased last week to nine, of which four were registered in Glasgow and four in Edinburgh. The deaths from scarlet fever, which had )een one and six in the two preceding weeks, further rose o seven last week and included five in Glasgow. The atal cases of diphtheria, which had been six, three, and ive in the three preceding weeks, declined again last week o four, of which two were recorded in Glasgow. The leaths referred to diseases of the respiratory organs in hese towns, which had been 101, 102. and 114 in the three receding weeks, declined again to 111 last week, and were Lightly below the number in the corresponding period of year. The causes of 23, or nearly 4 per cent., of the eaths in these eight towns last week were not certified. HEALTH OF DUBLIN.
The death-rate in Dublin, which had been 22 ° 3, 22 ° 4, and 2per 1000 in the three preceding weeks, rose again to 2.7 per 1000 during the week ending June 6th. During ie past four weeks the death-rate has averaged 22’4 per )00, the rates during the same period being 14 2 in London fid 18’ 1 in Edinburgh. The 165 deaths of persons belongLg to Dublin registered during the week under notice were )ur in excess of the number in the preceding week and included ten which were referred to the principal infectious diseases, against 15, 11, and seven in the three preceding eeks ; of these three resulted from small-pox, three from fever," two from measles, one from whooping-cough, and ie from diarrhoea, but not one from scarlet fever or from .phtheria. These 10 deaths were equal to an annual rate of 4 per 1000, the death-rates last week from the same diseases dug 1’5 in London and 2’5 in Edinburgh. The deaths om small-pox, which had been four, four, four, and none in four preceding weeks, rose again last week to three. .
AND OTHER FORMS OF TUBERCULOSIS.
Press, Limited (28 and 29, Southampton-street, Strand, London, W.C.), and Messrs. Rebman, Limited (129, Shaftes-
Looking
bury-avenue, Cambridge-circus, London, W.C.).
1693
Back.
FROM
PREVENTION OF CONSUMPTION AND OTHER FORMS OF TUBERCULOSIS.
THE LANCET, SATURDAY, JUNE 11, 1825.
HOWEVER it may arise, whether because man is an imitative animal, or because his attention is roused to HEREFORDSHIRE. THE latest branch of the National Association for the Pre- activity by the necessities which surround him, an ardent to act gregariously may be plainly perceived ; or, vention of Consumption and other Forms of Tuberculosis disposition in other words, whatever may be commenced by one man is has been established in Herefordshire. The meeting at immediately prosecuted by a host of others. But this state which the branch was inaugurated was held at Hereford of things does not commonly obtain long, some improvement is made, and other more inviting, or more profitable on May 20th and was presided over by the Lord Lieutenant of the county, the audience, which numbered about 130 projects succeed, which forthwith, true as shadow to the persons, having been brought together at the instance of substance, become the standing order of the day, till the the Herefordshire Medical Association. The first presi- bubble bursts, or till they are deposed to make room for dent of the branch is the Lord Lieutenant, and the Earl some novel or more specious objects of pursuit, by which of Chesterfield, the Bishop of Hereford, the Dean of Here- means the energies of the flock are directed into other and ford, the mayors of Hereford and Leominster, the Members sometimes, though but rarely, more useful channels. Whence of Parliament for the county, and the chairman of the county arises the present apathy for mathematical investigations? council have been invited to become vice-presidents. The Is it not because the sublime discoveries of NEWTON kindled enthusiasm so ardent, that improvements were meeting on May 20th was addressed by Dr. C. Theodore a spirit of and Williams who attended to represent the National Association. multiplied perfection approached so nearly, that in our Dr. Williams spoke of the comparatively favourable position day the laurels to be gathered are comparatively few and held by Herefordshire with regard to the death-rate from extremely difficult to be obtained ? Botany, too, has had its consumption and he attributed the diminution in the mor- day, and Chemistry has lost much of the attraction which, in tality from thedisease over the whole of the United Kingdom our juvenile years, it was wont to possess. CAVENDISH and as mainly due to the administration of the Factory Acts, to BLACK, PRIESTLEY and LAVOISIER, are now almost forsubsoil drainage, and to the improved condition of the gotten, and even the name of DAVY is heard but seldom. At working classes who now have better food and live in better one period the study of this science was almost universal ; and houses than formerly. Although Dr. Williams admitted that oxygen and hydrogen, and chlorine and nitrogen, 11 familiar the open-air treatment could be successfully carried out in in men’s mouths as household words," manifested the interest private he advocated the erection of sanatoriums, because inwhich it then excited, and which (agreeably to the general them people were taught how to live and the influence which law) has since been followed by a corresponding degree of the patients exerted upon leaving such institutions did in- neglect. That which is true of the science as a whole is also true of its various departments ; and we have only to calculable good among their acquaintances. cite mineralogy as an example in order to show, that the WINSLEY SANATORIUM. ardour with which a subject may be pursued is strictly in On June 4th Lady Dickson-Poynder laid the foundationproportion to its infancy, and that all sciences will be more stone of the Winsley Sanatorium for consumptive patients and more neglected as they approach nearer and nearer to from the counties of Gloucester, Somerset, and Wilts. There for it is the nature of men to endeavour to disperfection, was a large gathering which included the Bishop of Bristol, or enrich themselves. That mine will be most tinguish Sir John Dickson-Poynder, M.P., Lord Edmond Fitzmaurice, worked from which the greatest quantity of ore can be M.P., and Dr. L. A. Weatherly. An administrative blocks extracted ; and that stream will be most frequented by for 60 patients and bedrooms for 20 patients will be built which most abounds with fish. This disposition, at a cost of &6877 and as funds come in additional accomor fashionable mania, is far from being confined to modation will be provided for patients until the full com-’philosophy or the arts, for in our own profession the same plement of 60 beds is made up. The funds in hand, after disposition to simultaneous movements obviously obtains, the purchase of the site and other expenses, are £6840 and particular diseases have particular asras in which the building and furnishing will involve an outlay of £8327. are cultivated with more than usual ardour, just they To complete the whole scheme about .&9000 are required 1. as epidemic book-making among the profession always The endowment of 15 beds in the institution has alread3y marches in the rear of visitations. But the pestilential been promised. extent of an evil is not to be inferred from the number of BELFAST. individuals who may sound the alarm ; or, in other words, The annual meeting of the Ulster Branch of the Nationa because a host of professional writers may start up at once, Association for the Prevention of Consumption and otherr like the soldiers of CADMUS, it must not be inferred that the Forms of Tuberculosis was held on June 5th in the Medica particular disease upon which they may choose to exercise Institute, College-square North, Belfast, Sir William Whitlla their talents is therefore making dreadful, or more than being in the chair. The annual report, which was read b ordinary, havoc amongst us, any more than that the downfall Mr. Robert Brown, the honorary secretary, stated that thle of our ecclesiastical establishments may be predicated from death-rate from tuberculosis was decreasing in England an.ld the senseless cry of "the church is in danger." Not long since Wales but was increasing in Ireland, having risen from a nothing but consumptive maladies occupied the attention of t the profession, and cart loads of books were written on the average of 19 per 10,000 during the period 1870-75 to 23 per 10,000 in 1900. Dr. A. K. Chalmers, medical OffiCEer subject. Now, however, although the evil remains unmitiof health of Glasgow, delivered an address the title of whic gated and unarrested, that I I song has ceased,"and spinal was " How to Reduce the Death-rate from Consumption." distortions are become the reigning topic of the day.1 .
-
’
’
tanglers -
J-
dand
THE ROYAL COLLEGE OF SURGEONS OF ENGLAND. ELECTION OF MEMBERS OF COUNCIL. THERE are only four candidates for the three vacancies on the Council. Mr. H. T. Butlin seeks re-election and Mr. Clinton T. Dent of St. George’s Hospital, Mr. Frederic S. Eve of the London Hospital, and Mr. G. H. Makins St. Thomas’s Hospital are also applying. On only a fewr previous occasions have there been so few candidates.
of
BATTLE OF THE CLUBS. MEDICAL MEN
FRIENDLY SOCIETIES : ACTS AMENDMENT BILL.
AND
THE MEDICAL
AT the Oddfellows annual moveable committee, held in Cheltenham last week, Bro. F. G. Green (South London) called attention to the introduction of the Medical Acts 1
Extract from Review of books on Spinal Distortions by John Shaw, and Lecturer on Anatomy; and R. W. Bampfield, Surgeon to Royal Metropolitan Infirmary for Diseases of Children. London. 1824. Longmans and Co.
Surgeon
the
1694
VITAL STATISTICS.
Amendment
Bill which was down for second reading House of Commons and underlying which, it was contended, there was an attempt on the part of the General Medical Council to place a very severe embargo on those medical practitioners who undertook contract work for medical associations connected with friendly societies. He said that it appeared to be the intention of the Council to endeavour to get placed the Statute-book a measure giving it the power to on withhold the diplomas and to remove the names of medical men from the Medical Register who undertook work at contract prices for medical clubs. In his (Bro. Green’s) locality they had had great difficulty with regard to medical men in this connexion and there it was that the "doctors’ strike," as it was called, originated. That district had been the forerunner in regard to the promotion of the Bill to which exception was taken. The first clause in the "Bill to Amend the Medical Acts, 1858 to 1886,"which was backed by Sir John Batty Tuke, Sir John Gorst, Mr. James Campbell, Sir Richard Jebb, Mr. Talbot, and Sir Michael Foster, read: "Where a person registered under the Medical Acts has been convicted in England or Ireland of any felony or misdemeanour, or in Scotland of any crime or offence, or has, after due inquiry, been judged by the General Council to have been guilty of infamous conduct in a professional respect, the General Council may, if it thinks fit, by order demand that the name of the person shall be, and remain, erased from the Medical Register," &c. Bro. Green said that the view was held in friendly society circles that the expression "infamous conduct in a professional respect"might, if the Bill became law, be applied by the Council to medical men in connexion with medical associations. He therefore moved:in the
That the Parliamentary agent be instructed to take the necessary steps with a view to opposing the Medical Acts Amendment Bill in the
House of Commons.
Bro. A. Pinhorn (South London) seconded the motion. In the course of the discussion which ensued the view was held that brethren might do much good in their respective districts in the direction of guiding public opinion in opposition to the object which it was considered that the promoters of the Bill had in view. The motion was unanimously agreed to.
VITAL STATISTICS. HEALTH OF ENGLISH TOWNS.
largest English towns 7738 births and 4145 deaths were registered during the week ending June 6th. The annual rate of mortality in these towns, which had been 15’ 4, 15’5, and 14’per 1000 in the three preceding weeks, further declined last week to 14’ 3 per 1000. In London the death-rate was 13’8per 1000, while in the 75 other large towns it averaged 14’ 6 per 1000. The lowest death-rates in these towns were 6’4 in Walthamstow, 6’9in Reading, 7’1in Burton -on-Trent, 8.0in Hornsey, 8-2 in Willesden, 8-8 in Bristol, and 9’0 in Southampton ; the highest rates were 19’9 in Liverpool, 20-6in Bury, 21’0 in Wigan, 21’3 in South Shields, 22 - 0 in Warrington, 22’6 in Handsworth, 22 -8 in Preston, 23-4 in Rochdale, and 29’1in Middlesbrough. The 4145 deaths in these towns last week included 397 which were referred to the principal infectious diseases, against 428, 461, and 434 in the three preceding weeks; of these 4145 deaths 136 resulted from measles, 99 from whooping-cough, 66 from diarrhoea, 40 from scarlet fever, 38 from diphtheria, 12 from Ifever (principally enteric), and six from smallIn Hornsey, Southampton, Derby, Stockport, St. pox. Helen’s, Rochdale, Huddersfield, Halifax, York, and ten other smaller towns no death from any of these infectious diseases was registered last week ; while they caused the highest death-rates in West Ham, East Ham, Great Yarmouth, Wolverhampton, Nottingham, Wigan, and Middlesbrough. The greatest proportional mortality from measles occurred in East Ham, Wolverhampton, Coventry, IN 76 of the
"
Nottingham, Wigan, Bolton, Sheffield, and Middlesbrough, from whooping-cough in Croydon, Preston, Merthyr Tydfil, and Swansea. The mortality from each of the other principal infectious diseases showed no marked Two deaths from 1 excess in any of the large towns. small-pox occurred in Manchester and one each in j Liverpool, Bradford, Gateshead, and Cardiff, but not one in i and
any other of the 76 large towns. The Metropolitan Asylums hospitals contained 72 small-pox patients at the end of last week, against 60, 64, and 60 at the end of the three preceding weeks; 24 new cases were admitted during the week, against seven, 19, and 10 in the three preceding weeks. The number of scarlet fever cases in these hospitals and in the London Fever Hospital which had risen from 1662 to 1771 at the end of the eight preceding weeks, had
further increased to 1785 on June 6th; 210 new cases were admitted during the week, against 236, 234, and 22-5 in the three preceding weeks. The deaths referred to diseases of the respiratory organs in London, which had been 225, 182, and 186 in the three preceding weeks, declined again to 171 last week and were 90 below the number in the corresponding period of last year. The causes of 56, or 1 - 4 per cent., of the deaths in the 76 large towns last week were not certified either by a registered medical practitioner or by All the causes of death were duly certified in a coroner. Bristol, Leicester, Nottingham, Salford, and in 52 other smaller towns ; the largest proportions of uncertified deaths were registered in Liverpool, St. Helen’s, Warrington, Blackburn, Preston, and Sheffield. HEALTH OF SCOTCH TOWNS.
The annual rate of mortality in eight of the principal Scotch towns, which had been 18 - 0, 17 - 2, and 18 - 4 per 1000 in the three preceding weeks, declined again to 18 - 2 per 1000 during the week ending June 6th, but was 3.9per 1000 in excess of the mean rate during the same period in the 76 large English towns. The rates in the eight Scotch towns ranged from 10-8 in Perth and 15-1in Paisley to 18’8 in Greenock and 19.1in Glasgow and in Edinburgh. The 596 deaths in these towns included 25 which were referred to whooping-cough, 18 to diarrhoea, nine to measles, seven to scarlet fever, four to diphtheria, and two to "fever," but not one to small-pox. In all, 65 deaths resulted from these principal infectious diseases last week, against 68, 51, and 70 in the three preceding weeks. These 35 deaths were equal to an annual rate of 2’0 per 1000, which was 0 -6 per 1000 above the mean rate last week from bhe same diseases in the 76 large English towns. The fatal sases of whooping-cough, which had been 25, 22, and 28 In the three preceding weeks, declined again last week to 5, of which 16 were occurred in Glasgow, five in Edinburgh, and three in Greenock. The deaths from diarrhoea, which had been 12, 16, and 18 in the three preceding weeks, were again 18 last week, and included six in Glasgow, six in Edinburgh, and five in Aberdeen. The ’atal cases of measles, which had been six in each of she two preceding weeks, increased last week to nine, of which four were registered in Glasgow and four in Edinburgh. The deaths from scarlet fever, which had )een one and six in the two preceding weeks, further rose o seven last week and included five in Glasgow. The atal cases of diphtheria, which had been six, three, and ive in the three preceding weeks, declined again last week o four, of which two were recorded in Glasgow. The leaths referred to diseases of the respiratory organs in hese towns, which had been 101, 102. and 114 in the three receding weeks, declined again to 111 last week, and were Lightly below the number in the corresponding period of year. The causes of 23, or nearly 4 per cent., of the eaths in these eight towns last week were not certified. HEALTH OF DUBLIN.
The death-rate in Dublin, which had been 22 ° 3, 22 ° 4, and 2per 1000 in the three preceding weeks, rose again to 2.7 per 1000 during the week ending June 6th. During ie past four weeks the death-rate has averaged 22’4 per )00, the rates during the same period being 14 2 in London fid 18’ 1 in Edinburgh. The 165 deaths of persons belongLg to Dublin registered during the week under notice were )ur in excess of the number in the preceding week and included ten which were referred to the principal infectious diseases, against 15, 11, and seven in the three preceding eeks ; of these three resulted from small-pox, three from fever," two from measles, one from whooping-cough, and ie from diarrhoea, but not one from scarlet fever or from .phtheria. These 10 deaths were equal to an annual rate of 4 per 1000, the death-rates last week from the same diseases dug 1’5 in London and 2’5 in Edinburgh. The deaths om small-pox, which had been four, four, four, and none in four preceding weeks, rose again last week to three. .