527 watch the effect of closing the wound on the organs of respiration, whether the epiglottis be injured, &c. It occurs to me, that the reason why those particular wounds are so difficult, or rather unsuccessful, in treatment, arises from their peculiar nature as regards the condition of the patient, who in most cases is more or less violent, the attendants being unable to keep him quiet; consequently, the position of the head, which is of so much importance, cannot be maintained, and he will often, as soon as he can seize an opportunity, violently tear the dressings from the wound, with a fearful determination to effect his purpose. Then there is also the act of deglutition, which isa hindrance to the healing process. In the present case, it may be remarked that every circumstance was extremely favourable; the patient was of a good constitution; no resistance whatever was manifested during the treatment ; and the attendants were particularly attentive and
ON THE
EFFECTS OF SEA-BATHING AND CLIMATE ON THE HUMAN CONSTITUTION. WITH REMARKS ON THE CLIMATES OF VARIOUS WATERING PLACES ON THE COAST OY ENGLAND.
BY THOMAS
HUNT, ESQ., M.R.C.S. Eng., Herne Bay.
No. I.-HERNE BAY. (Continued.) rHERE are fewer sudden changes, as well as less extreme variations of temperature, on the northern coast of Kent, than jn the southern coast of England. At Herne Bay, for instance, the inhabitants generally, who number less than 2000, are remarkable for their robust health, their longevity, their general exemption from typhus and intermittent fevers, and other epidemics of gravecharacter. judicious. Old-street, St. Luke’s, Nov. 1846. Mortality.-The annual mortality in England is about one in fifty-eight; in Herne Bay, it is about one in 174, or three times as small, taking the average of the last five years, the about 1740, the deaths fifty, or ten per inhabitants CASE OF PLACENTA PRÆVIA.—DEATH FROM annum. Thenumbering parochial register of Christ Church gives seventyFLOODING. six baptisms to thirty-deaths in five years, but this is only an approach to the true proportions, many of the children being BY B. TALLAN, ESQ., Surgeon, Lancashire. christened at Herne church, some at the dissenting chapel, MARGARET Wiz, the mother of five children, was attacked and some not at all, while a few are buried at Herne. with slight flooding on the morning of Wednesday, the 14th Pulmonary consumption is comparatively a rare disease. of October, up to which period she had been quite well, and In my own practice, I have not met with more than ten or following her usual occupations. She was on that day visited twelve cases in as many years, and in these the disease has by her usual medical attendant, who, as I learn, did not make generally occurred in persons from a distance, or in connexion an examination per vaginam, but ordered rest, and to take with circumstances illustrative of the etiology of the disease. some medicine which he would send. On Thursday he again For instance, during the last year, two cases have occurred saw her, and the hsemorrhage had ceased. She continued to in young females, one of whom had been mistress of the do pretty well, with the exception of a slight discharge of national school, the other a straw-bonnet sewer, both victims blood occasionally, until eight A.M. of the morning of Wednes- of a close and vitiated atmosphere, doubtless the exciting day, the 21st instant, when labour commenced with slight cause of phthisis in a large proportion of cases. The proporabdominal pains, each pain accompanied by a gush of blood. tion of cases of consumption in Herne Bay is about ten in 100 Her friends became alarmed, and sent for her attendant; but deaths; in London, it is about fifteen in 100 deaths. But as he, having inquired whether the pains were strong, and being the mortality at Herne Bay is probably four times less than .answered in the negative, said there was nothing unusual, and in London, being, in fact, three times less than in England that they need not send for him until real labour pains had generally, it is fair to conclude, that in proportion to the