NORTHERN COUNTIES NOTES.

NORTHERN COUNTIES NOTES.

1592 NORTHERN COUNTIES NOTES.—IRELAND. i mortality, though the number of cases is somewhat increased, tthere having been 171 cases in 134 households...

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1592

NORTHERN COUNTIES NOTES.—IRELAND.

i mortality, though the number of cases is somewhat increased, tthere having been 171 cases in 134 households notified and i into during the year. Asiatic cholera caused two inquired deaths, and gave rise to two other cases. Small-pox, which had appeared in 1892, continued to furnish fresh cases till Preventive Measures. August, 1893. As the fresh introduction of the disease into The report is not, however, the mere record of a Newcastle was on different occasions due to vagrants, and possumus. With the sanction of the sanitary committee,as this class of persons spread infection and kept alive the Dr. Niven is endeavouring to spread information by the disease throughout the country, the medical officer collected agency of the schools, and especially of the School Board,information i from seventy English towns, and this he embodied which is cooperating heartily in the distribution among thein i a report to the sanitary committee. This report proved parents, of handbills suggesting various measures of pre-that the continuance of this loathsome disease for the past caution. On the occurrence of measles or whooping-cough jtwo and its spread from place to place, had been, in any district the School Board officers, according to these1to a years, very large degree, due to vagrancy. As in thearrangements, will give a handbill to the parents whoseinterests of the community it appeared desirable that some children are attacked, and impress on them the necessity of action should be taken to deal with this question, it special carrying out the precautions mentioned therein. They will ,was proposed that the sanitary authorities of the large also notify to the teachers the occurrence of these diseases English urban sanitary districts should meet to consider the among their pupils, and supply them with copies of the ibest course to adopt, and it is still hoped that a conference on handbill. Circulars, together with copies of the handbill,this important subject may be convened. will be sent to the head teachers in all the schools of which ’l’he Notification of Infectious Diseases at Carlisle. knowledge can be obtained, asking them to use special The medical officer of the Carlisle Rural Sanitary Authority vigilance on the occurrence of these diseases in their schools, and to notify to the health office. When a death takes placereported that during the past month there had been seventeen the sanitary inspector or health visitor will call and advisecases of measles, eight of scarlet fever, two of diphtheria, as to the precautions necessary, and endeavour to ascertainand one of typhoid fever. The cases of diphtheria occurred the existence of other cases in the neighbourhood. Arrange-at Dalston, but both were of a mild character, and he was to add that the spread of scarlet fever there was not, ments will also be made for disinfection and the cleansing ofglad i houses where insanitary conditions are associated with theserapid. Referring to the notification of infectious diseases, he stated that vague reports reached him from time to time diseases. which caused him to think that cases of infectious disease Preventive Sanitary Agencies. In some of his quarterly returns Dr. Tatham lamented the were not reported as they should be. In the upper classes cases were well reported, also amongst the very poor whoapathy and indifference of the people of Manchester as towere under the union surgeons ; but there seemed to be a matters affecting the public health, and in that just issued Dr. Niven likewise expresses his regret that in a city with anumber of middle-class cases which were not reported, either ignorance, or, he was afraid, in some cases it must be population of over 500,000, "many of them living underfrom from wilful suppression of the facts. If he heard of any cases. direct com55 notoriously unhealthy conditions," only he would bring them before the authority and ask himself months. have been made the last three On plaints during the other hand, by the courtesy of the chief constable, Mr. them to take proceedings against the offenders. Malcolm Wood, 2096 separate informations were received Gilsland Spa. in the course of the quarter ; 402 infectious cases, badly Gilsland is again coming into notice as a health resort, but isolated at home, were removed to hospital. During the the spa and chalybeate springs have been famous since the time quarter 6851 infected articles of clothing or bedding were of James 1. It was here that Sir Walter Scott first met the disinfected or burnt, while 2523 rooms were fumigated with lady who was afterwards to become his wife, and the natives chlorine, 1280 of them having had the walls and ceilings of the locality still show with a reverent pride the "popping previously washed with solution of caustic soda. stone " where Sir Walter is said to have proposed to her.. Maidens are still wont surreptitiously to chip bits off the Female District Visitation. There is in Manchester a happy outlet for female energy stone and, taking them home, to deposit them under their and practical philanthropy in the Ladies’ Health Society, pillows, and dream of their future husbands, for this is the and the Ladies’ Society for visiting the Jewish Poor ; and virtue that is supposed to lie in the fragments. The whole under the supervision of these ladies and of the medical district is rich in historic and antiquarian interests. Feudal officer of health the female district visitors have paid 13,231 castle and solemn priory, lakes, crags, and mountains spread "house-to-house" visits to poor people during the last their various attractions, and wide grouse moors vie with quarter. Much good is done in this way, and much ascer- populous trout streams in their attractions to the sportsman. tained as to the condition of the people and of their dwell- The chief objects of interest which are easily accessible are Priory, Naworth Castle, Combe Crag, Borcovicus ings. The visitors have made 733 special inquiries on behalf Lanercost of the medical officer of health into cases of infectious disease Triermain Castle, and Akerton Castle, while the Northumberland Lakes are within easy driving distance. The hotel or death, and have also sent to him 413 special reports on is now also very good at Gilsland, and th& sanitary defects detected in the course of their daily rounds. accommodation railway facilities are improved from Newcastle and Carlisle. June 19th.

strengthened by elaborate statistical information, extending from 1875 to the present time, and by answers to inquiries from the medical officers of health of thirteen urban populations, including those of Edinburgh, Birkenhead, and Swansea.

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NORTHERN COUNTIES NOTES. (FROM OUR OWN CORRESPONDENT.) Newcastle Health Report. twenty-first report of the medical officer of health (Dr. Henry E. Armstrong) as to the sanitary condition of Newcastle during the year 1893 has just been issued. The report contains elaborate statistics as to the sickness and mortality of the city during the past year, and states that the general death-rate per 1000 of the population is 20-86 against 19’5 in 1892. The principal increase of mortality has been in Westgate registration subdistrict. Zymotic diseases, including diarrhoea, have caused 461 deaths against 284 in 1892. This excess of 157 deaths is more than accounted for by the mortality in three diseases, which are at present not THE

notifiable to the sanitary authority-viz., measles, whoopingcough, and diarrhoea. The notifiable diseases caused eightytwo deaths, as compared with eighty-eight in the previous year. Scarlet fever shows a slight increase in the rate of mortality to cases, but a considerable reduction in the number of cases. Diphtheria shows both a reduction below the previous year in the number of deaths and in the rate of

The centenary of the Sunderland Infirmary was celebrated last Saturday ; the cost of its maintenance, together with its convalescent home at Harrogate, is £10,000 a year. The death of Mr. S. W. North, M.R.C.S., of York, is announced. Mr. North was up to a short time ago medical officer of health for the city, and held previously several appointments. He was formerly a lecturer in, the old York School of Medicine. An outbreak of small-pox is reported at Durham ; three cases were discovered in a lodging-house in the city and were at once removed to the new hospital in Gilesgate.

Newcastle-on.Tyne, June 20th.

(FROM

IRELAND. CORRESPONDENT.)

OUR OWN

Health of Dublin: Small-pox. As compared with the previous month the deaths in May from whooping-cough increased 50 per cent., and there was a great decrease in the fatalities due to measles and scarlet fever. Sir Charles Cameron in his monthly report refers to recent outbreak of small-pox. He saw a case on the

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