LOCAL GOVERNMENT DEPARTMENT.

LOCAL GOVERNMENT DEPARTMENT.

105 £ s. d. 29 44 25 10 00 ..................... St. John, Redhill Westbourne-park Baptist Chapel ............... St. Barnabas, Pimlico St. James’s ...

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105 £ s. d. 29 44 25 10 00

..................... St. John, Redhill Westbourne-park Baptist Chapel ...............

St. Barnabas, Pimlico St. James’s Parish Church, St. Barnabas, Dulwich St. Peter, Eaton - square: St. Peter’s .B673 Is. 5d. ; St. John’s Church, ;E66 4s. 9d. ; St. Peter’s Cbapel, £7 1s. All Saints, Blackheath Chapel Royal, St. James’s Palace St. Margaret, Westminster..................

Paddington

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22 70

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7d................I Cnurch, ............

St George, Bloomsbury ....... ,........

Christ Church, Streatham-hill ............... St. John the Divine, Kennington St. Peter, Eltham-road, Lee

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St. Paul, Great Portland- street ............

Belgrave Presbyterian Cnurch,

Halkin-street........ St. Mary, West Kensington ......... Magdalene Hospi’al Chapel, Streatham Keston Parish Cnurch ...............

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Paul, Finchley .... ............. St. Philip, Sydenham ............ St. Bride, Fleet-street St Stephen, Portland Town, and Mission Holy Innocents, Hornsey..........oo .., ... St..John, Downshire-bill St George’s Presbyterian Church, Brondesbury St. Mark, Notting-hill St. Paul, Harringay St. John the Baptist, Leytoostone

St.

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!

746

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Public Health

35 16 0 0 101 3 9

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LOCAL GOVERNMENT DEPARTMENT.

79

50 10 88 R2 0 7 136 177 51 12 11 75 14 66

REPORTS OF MEDICAL OFFICERS OF HEALTH.

Urban District.--The population of this city was estimated in 1897 to be 644,129, but Dr. Hope considers 59 9 8 that this figure is under the actual popula30 10 39 12 10 I tion, and he tells us that towards the close of the last 24 1 5 intercensal period there was an error of not less than 24 4 10 in the Registrar-General’s estimate of the popula27 67 100,000 tion. The mean birth-rate of the city for the last ten 27 5fi 37 12 00 years has been as much as 34’5, the rates for the several 29 8 00 wards ranging during 1897 from 46-9 to 19’6 per 1000, and, 20 46 curiously enough, the rate was higher in the older parts of 29 15 5 23 130 the city than in the rapidly-growing suburbs. The birth-rate 33 154 has during the last decade shown no tendency towards 23 Id 0 As regards deaths the rate for 1897 was 23’4 23 4 00 diminution. 25 12 11 per 1000, the ward rates varying from 39-8 to 10-2 per 1000.

Liverpool

20 00 ............... 32 95

Downs Baptist Chapel, Clapton ............. Barking Parish Church and Sc. Paul ............ Hillingdon PariFh Church and Evelvn Scho I Chapel... St. Katherine’s Royal Collegiate Church St. Mark’s Presbyterian Church, Greenwich St. Mary, Balham

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St. Matthew, Bethnal Green Spanish and Portugu’se Synagogue ............ St. Paul, Kilburn ..................... Aldenham Parish Church .................. Ctiurob of the Asceusiou, Blackheath St. Alban, Holborn............’ ...o. St. Paul, Herne Hill Camden Park-road Presbyterian Church and Mission Christ Church, Wohurn-ntuare ............... Bloomsbury Chapel and Mission Hall ...............

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Typhus fever, though gradually disappearing from Liverpool, exerts

influence there and last

there

year 25 19 2 Istill Of illness from ice-cream we 1H I158 cases with 23 deaths. 10 11 have heard much in London of late, and Dr. Hope 6 9 records an outbreak in which 27 cases of enteric fever 18 6 in children were traced to an Italian ice49 16 10 23 5 99 cream vendor, in whose house, at the time when the

33 34 22 25

some

were

occurring

34 53 40 56 48 0 00 M 17 45 40 23 21

176 69 140 157 22 2 66 Upton Baptist Chapel, Lambeth-road........, ... 21 86 Christ Church, Newgate-street ............... 25 010 St. Anselm, Pinner................., ’" 21 7 33 Morden Parish Church 22 1 00 St. Thomas, Upper Clapton 25 14 3 Newcourt Congregation-Chapet,Tollington Park ....., 30 89 24 10 44 Holy Trinity, Northwood-park.......... ’" Ilford Parish Church and Chapel of Ease 32 102 Barnes Parish Church .............. 25 29 Farm-street Roman Catholic Church ............ 35 00 Barnet Parish Church .................. 35 06 St. Mark, Bromley, Kent ............. 28 10 Dartford Parish Uhurch and Missions ............ 27 50 Emmanuel Church, West Hampstead ............ 22110 Christ Church, St. Marylebone ............... 40 0 3 King’s Weigh House Chapel, Duke-street ......... 20 15 0 36 13 0 Holy Trinity, Blackbeath............... ..........., ... ’" Holy Trmity, Anerley 20 144 Hospital Chapel, Illord .................. 24 47 St. Peter, Dulwich-common ............... 45 0 2 St. Mary Mag., Peckham .................. 34 74 St. John at Hackney................., ", 28 5 8g St. Barnabas, Clapham-common ............ 2L 15 10 Christ Church, Brondesbury, and Mission ......... 31 82 St. George, Perry-hill ............... ,.. 43 4 R St. Laurence, Catford .................. 20 0 55 St. Saviour, Highbury 27 58 St. Paul, Camden-square................ 46 80 St. Mary, Plaistow, Kent .................. 34 13 11 Cordwainers’ Company.................. 6 50 Mr. Frederick Druce ..................... 25 0 0 Mr. Alex. Miller ..................... i5 0 0 Miss Emily Old ..................... 25 00 29 109 St. Mary Magdalene, Enfield Harrow Weald Church .................. 27 153 Sr. John, Upper Holloway .................. 24 15 6 33 102 Clapton Park Congregational Church Ewell Parish Church and All Saints 32 91 F. F............................ 30 00 t0 0 00 Major Jones ........................ 0 Mr. Julian Senior 20 0 St. Mary Parish Church. Finchley 34 7 3 in dlevraorianr (Crosby Lockwooo) 20 00 .., .......,. St. Mary, Cuddington 30 15 5 24 160 Archway-road WesJevan Chapel ............... St. James, Camberwell 0 28 00 St. John the Evangelist, Brixton............... 22 78 Carmelite Church, Kensington 35 50 St. Marv, bhortlands ..................... 5 44 5 42 139 Trinity Presbyterian Church, Notting-hill Streatham Common Mission Battd 3 60 .....................

considerably

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Box outside Mansion House

and Poor Law.

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children were apparently infected, there was a case of enteric fever. In Liverpool ice-cream vendors must have their premises registered and during 1897 48 persons made There were no less than application for such 1039 deaths from zymotic diarrhœa or acute gastro-enteritis the six weeks ending Sept. 4th. and Dr. Hope endeavours show the connexion which obtains between diarrhoeal mortality and warmth and dryness, illustrating his point by He regards the flushing the rainfall of the last 20 street surfaces, of drains, and of sewers as the main indications of the conclusions lie arrives at. In connexion with the question of sanitary administration it is of interest to note that, counting 2 temporary assistants, there are in all 115 persons on the sanitary staff. The inspectors of meat and animals are butchers by trade, those of fish and fruit fishmongers. To the subject of tuberculosis Dr. Hope devotes considerable space in his report, and in tabular form he shows the marked diminution which has taken place in the mortality from this disease in Liverpool since 1866. In connexion with the infection of milk the following table of samples tested is of interest, and it tends to show, in so far at least as these figures go, that the conditions quiz tuberculosis obtaining in the town shippons of Liverpool are better than those found in the country shippons of the surrounding districts. It will be notecl that the total number of samples collected from the country is but small.

registration.

in to

years.

of

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-

Town

shippons

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Total.

Infected.

Per cent.

228

12

5.2

67

9

13-4



Country shippons

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regards insanitary property Dr. Hope reports that of the included in the thirteenth presentment most had by the end of 1896 been dealt with by the Insanitary ProCommittee, while in January, 1897. the medical officer perty of health presented to the grand jury a report relating to 890 houses. and after taking evidence and inspecting the property the jury ordered the houses to be demolished under the provisions of the Liverpool Sanitary Amendment Act, 1864. As

240 houses

Manchester Port Distrit-t.-The

newly-established Berlin Medical Club without payment of entrance fee (können sich frei einführen lassen) and that foreign medical visitors to Berlin may be admitted to temporary membership. The club is situated in the Lindengallerie, Berlin, W.

to

as a

a

period only, at converted intoa ’’permanent" port

may pursue its temporary existence for another period. The limits of jurisdiction of the sanitary authoritv are extensive and embrace the whole of the Manchester Canal. Between April and December, 1897, there were 790 vessels inspected in the parts of the port, and on board 86 of these defects were discovered. As to hospital accommodation Dr. J. H. Crocker reports that arrangements have been made by which cases of small-pox can be removed to the iliode Wheel Hospital of the Salford sanitary authority and cases of other infectious disease to the Ladywell Sanatorium. either be

that theseveral

BERLIN MEDICAL CLUB.—We are informed foreign medical men are eligible for membership of

of Manchester is what

port known is "temporary"port-that is say, it is formed for definite the end of wdiich time it

Ship

or

106 under Section 125 of the Public Health Act, Of the 4 fatal cases of diphtheria 2 occurred in Glasgow. before the Local Government Board and it The deaths from diseases of the respiratory organs in these would seem that the Manchester Port Sanitary Authority will towns, which had been 108 and 93 in the two preceding soon be in working order. weeks, rose again to 101 last week, and were 15 above the number in the corresponding period of last year. The causes of 41, or more than 6 per cent., of the deaths in VITAL STATISTICS. these eight towns last week were not certified.

Regulations 1875,

are now

HEALTH OF ENGLISH TOWNS.

IN thirty-three of the largest English towns 6575 births HEALTH OF DUBLIN. and 3203 deaths were registered during the week ending The death-rate in Dublin, which had been 21-9 and 22-8 July 2nd. The annual rate of mortality in these towns, per 1000 in the two preceding weeks, declined again to 21-8 which had been 14’7 and 15’1 per 1000 in the two preceding during the week ending July 2nd. During the thirteen weeks, declined again last week to 14’9. In London the rate weeks of the quarter ending on Saturday last the deathwas 14-5 per 1000, while it averaged 15-1 in the thirty-two rate in the city averaged 23’5 per 1000, the rate during provincial towns. The lowest rates in these towns were 9-0 in the same period being 16’4 in London and 19’7 in EdinPreston, 10-3 in Norwich, 10-6 in Cardiff, and 10-9 in burgh. The 146 deaths registered in Dublin during the Croydon ; the highest rates were 18-6 in Gateshead, 19-0 in week under notice showed a decline of 7 from the number Wolverhampton, 20-8 in Newcastle-upon-Tyne, and 22-8 in in the preceding week, and included 11 which were Sunderland. The 3203 deaths included 342 which were re- referred to the principal zymotic diseases, against 6 and ferred to the principal zymotic diseases, against 342 and 301 8 in the two preceding weeks ; of these, 4 resulted from in the two preceding weeks ; of these, 94 resulted from "fever," 3 from diarrhœa, 2 from scarlet fever, 1 from whooping-cough, 77 from measles, 59 from diarrhcea, 55 from diphtheria, and 1 from whooping-cough, but not one either diphtheria, 29 from "fever" (principally enteric), 27 from from measles or small-pox. These 11 deaths were equal to an scarlet fever, and 1 from small-pox. No death from any of annual rate of 1’6 per 1000, the zymotic death-rate during the these diseases was recorded last week in Derby or in same period being 1-9 in London and 4’6 in Edinburgh. Huddersfield ; in the other towns they caused the lowest The deaths referred to different forms of " fever," which had death-rates in Brighton, Blackburn, and Bradford, and the been 4 and 1 in the two preceding weeks, rose agair. to 4 highest rates in Norwich, Newcastle-upon-Tyne, Salford, last week. The two deaths from scarlet-fever exceeded the, The greatest mortality from measles number recorded in any recent week, while the mortality and Plymouth. occurred in Plymouth; and from whooping-cough in from diphtheria and whooping-cough showed a decline. The West Ham, Salford, Gateshead, and Newcastle-npon- 146 deaths in Dublin last week included 29 of infants Tyne. " The mortality from scarlet fever and from under one year of age, and 21 of persons aged upwards of "fever" showed no marked excess in any of the sixty years ;the deaths of infants showed an increase, while large towns. The 55 deaths from diphtheria included those of elderly persons were considerably below the number 28 in London, 4 in Cardiff, 4 in Leeds, and 3 in Bristol. recorded in any recent week. Six inquest cases and 3 deaths One fatal case of small-pox was recorded in Newcastle- from violence were registered ; and 63, or more than one-third, upon-Tyne, but not one in any other of the thirty-three of the deaths occurred in public institutions. The causes of large towns ; and no small-pox patients were undertreatment 6, or more than 4 per cent., of the deaths in the city last during last week in any of the Metropolitan Asylum Hos- week were not certified. pitals. The number of scarlet fever patients in these hospitals and in the London Fever Hospital was 2205 on Saturday last, the 2nd inst., against 2194 and 2238 at the end THE SERVICES. of the two preceding weeks ;204 new cases were admitted during the week, against 206, 230, and 231 in the three preceding weeks. The deaths referred to diseases of the NAVAL MEDICAL SERVICE. respiratory organs in London, which had been 185 and 171 SLrRGEoN HORATIO W. A. COWAN has been appointed to in the two preceding weeks, further declined to 162 last week, and were 27 below the corrected average. The causes the Howe. ARMY MEDICAL STAFF. of 38, or 1-2 per cent., of the deaths in the thirty-three towns were not certified either by a registered medical Brigade-Surgeon-Lieutenant-Colonel Robert de la Cour practitioner or by a coroner. All the causes of death were Corbett, D.S.O., to be Surgeon-Colonel, vice J. Williamson, duly certified in Portsmouth, Nottingham, Braclforcl, Leeds, deceased. The under-mentioned Surgeon-Lieutenant-Colonels and in fourteen other smaller towns ; the largest proportions to be Brigade-Surgeon-Lieutenant-Colonels: John C. Dorman, of uncertined deaths were registered in West Ham, Bristol, vice J. H. Moore, promoted, and George H. Le Mottée, vice Leicester, and Huddersfield. R. de la C. Corbett. Surgeon-Colonel T. O’Farrell, Home District, goes to Egypt as P.M.O., vice Surgeon-MajorHEALTH OF SCOTCH TOWNS. General Muir. VOLUNTEER CORPS. The annual rate of mortality in the eight Scotch towns, which had declined in the four preceding weeks from 23’0 Artillery:.° 2nd Middlesex: Surgeon - Captain A. H. to 19’5 per 1000, rose again to 21-1 during the week endingRobinson to be Surgeon-Major. 1st Orkney : George Robert July 2nd, and exceeded by as much as 6’2 per 1000 the meanClair Russell to be Surgeon - Lieutenant. 2nd Hamprate during the same period in the thirty-three large Englishshire (Southern Division, Royal Artillery) : Surgeontowns. The rates in the eight Scotch towns ranged fromMajor G. G. Sparrow to be Surgeon-Lieutenant-Colonel. 13-6 in Perth and 17-7 in Leith to 23-4 in Dundee and 25’5 Rifle :e 1st Volunteer Battalion the Buffs (East Kent in Paisley. The 635 deaths in these towns included 41 Regiment): Herbert Stedman Oliver to be Surgeon-Lieufrom measles, 35 from whooping-cough, 30 from diarrhoea, tenant. 2nd Volunteer Battalion the Gloucestershire Regi5 from scarlet fever, 4 from diphtheria, and 4 from "fever." ment : Surgeon - Lieutenant P. T. Lunn to be SurgeonIn all, 119 deaths resulted from these principal zymotic Captain. 2nd Volunteer Battalion the South Stafforddiseases, against 92 and 102 in the two preceding weeks. shire Regiment: Captain James Scott Wilson, formerly These 119 deaths were equal to an annual rate of 3’9 Surgeon, resigns his commission and is appointed Surgeonper 1000, which was 2’3 above the mean rate last week Captain. 3rd Glamorgan: Surgeon-Lieutenant A. L. Jones from the same diseases in the thirty-three large English to be Surgeon-Captain. 1st Volunteer Battalion Princess towns. The fatal cases of measles, which had been 32 and Charlotte of Wales’s (Royal Berkshire Regiment) : William lst Volun37 in the two preceding weeks, further rose to 41 last week, Gratwicke Heasman to be and included 13 in Edinburgh, 11 in Glasgow, 11 in teer Battalion the Buffs (East Kent Regiment) : Edward Dundee, and 5 in Paisley. The deaths from whooping- Arthur Crampton Baylor to be Surgeon-Lieutenant. 2nd coil,o-h, which had been 22 and 27 in the two preceding- Volunteer Battalion the Lancashire Fusiliers: Surgeonweeks, further rose to 35 last week, of which 19 Major C. W. Thorp to be Surgeon-Lieutenant-Colonel. occurred in Glasgow, 5 in Edinburgh, and 5 in Aber- 1st (Cumberland) Volunteer Battalion the Border Regiment : The 5 fatal cases of scarlet fever were within Samuel Maclean to he Surgeon-Lieutenant. 2nd Volunteer deen. one of the number in the preceding week, and the 4 Battalion the Highland Light infantry: William Eraser deaths referred to different forms of "fever" correMacdonald to be Surgeon - Lieutenant. 1st (Inverness-shire spjiidMu with the number recorded ill the preceding week. the Hi;:;lllam1) Vuluuteer Battalion the Queen’s Own Cameron t .

.

Surgeon-Lieutenant.